Science.gov

Sample records for 100-year recurrence intervals

  1. A 100-year average recurrence interval for the San Andreas fault at Wrightwood, California

    USGS Publications Warehouse

    Fumal, T.E.; Pezzopane, S.K.; Weldon, R.J., II; Schwartz, D.P.

    1993-01-01

    Evidence for five large earthquakes during the past five centuries along the San Andreas fault zone 70 kilometers northeast of Los Angeles, California, indicates that the average recurrence interval and the temporal variability are significantly smaller than previously thought. Rapid sedimentation during the past 5000 years in a 150-meter-wide structural depression has produced a greater than 21-meter-thick sequence of debris flow and stream deposits interbedded with more than 50 datable peat layers. Fault scarps, colluvial wedges, fissure infills, upward termination of ruptures, and tilted and folded deposits above listric faults provide evidence for large earthquakes that occurred in A.D. 1857, 1812, and about 1700, 1610, and 1470.

  2. A 100-year average recurrence interval for the san andreas fault at wrightwood, california.

    PubMed

    Fumal, T E; Schwartz, D P; Pezzopane, S K; Weldon, R J

    1993-01-01

    Evidence for five large earthquakes during the past five centuries along the San Andreas fault zone 70 kilometers northeast of Los Angeles, California, indicates that the average recurrence interval and the temporal variability are significantly smaller than previously thought. Rapid sedimentation during the past 5000 years in a 150-meter-wide structural depression has produced a greater than 21-meter-thick sequence of debris flow and stream deposits interbedded with more than 50 datable peat layers. Fault scarps, colluvial wedges, fissure infills, upward termination of ruptures, and tilted and folded deposits above listric faults provide evidence for large earthquakes that occurred in A.D. 1857, 1812, and about 1700, 1610, and 1470. PMID:17790984

  3. Comparison of the 2-, 25-, and 100-year recurrence interval floods computed from observed data with the 1995 urban flood-frequency estimating equations for Georgia

    USGS Publications Warehouse

    Inman, Ernest J.

    1997-01-01

    Flood-frequency relations were computed for 28 urban stations, for 2-, 25-, and 100-year recurrence interval floods and the computations were compared to corresponding recurrence interval floods computed from the estimating equations from a 1995 investigation. Two stations were excluded from further comparisons or analyses because neither station had a significant flood during the period of observed record. The comparisons, based on the student's t-test statistics at the 0.05 level of significance, indicate that the mean residuals of the 25- and 100-year floods were negatively biased by 26.2 percent and 31.6 percent, respectively, at the 26 stations. However, the mean residuals of the 2-year floods were 2.5 percent lower than the mean of the 2-year floods computed from the equations, and were not significantly biased. The reason for this negative bias is that the period of observed record at the 26 stations was a relatively dry period. At 25 of the 26 stations, the two highest simulated peaks used to develop the estimating equations occurred many years before the observed record began. However, no attempt was made to adjust the estimating equations because higher peaks could occur after the period of observed record and an adjustment to the equations would cause an underestimation of design floods.

  4. Flow and sediment processes in a cutoff meander of the Danube Delta during 100-year recurrent flood

    NASA Astrophysics Data System (ADS)

    Jugaru Tiron, L.; Le Coz, J.; Provansal, M.; Dutu, F.

    2009-04-01

    River training operations, such as meander cutoff, initiated for navigational purposes often lead to dramatic changes in the streamwise profiles (Hooke, 1986, Kesel, 2003; Kiss et al., 2007). Meander correction affects both the hydraulic and morphodynamical behavior of the modified branches that sedimentation occurs in time, while newly built canals usually experience degradation (Jugaru et. al, 2006). This study reports and analyzes new data on the hydrological and sedimentary processes at work during a morphogenic flood in a large modified meander (the Mahmudia meander) of the St. George branch, the southern branch of the Danube Delta. The 100-year recurrent flood that occurred in 2006 offered an exceptional opportunity for scanning different cross sections of the Mahmudia meander system by means of the emerging Doppler profiler (aDcp) technology in order to analyze the impact on sedimentation and dynamic processes in the study area. The Mahmudia study site corresponds to a vast natural meander which was cut off in 1984-1988 by an artificial canal opened to shipping. The meander correction accelerated fluxes through the artificial canal and dramatically enhanced deposition in the former meander. After his formation, the cutoff meander acted as sediment storage locations, essentially removing channel and point bar sediments from the active sediment budget of the main channel (Popa, 1997). During the one-hundred-year recurrent flood in April 2006, bathymetry, flow velocity and discharge data were acquired across several sections of both natural and artificial channels with an acoustic Doppler current profiler (aDcp Workhorse Sentinel 600 kHz, Teledyne RDI) in order to investigate the distribution of the flow and sediment and his impact on sedimentation in a channelized reach and its adjacent cutoff. The contrasting hydro-sedimentary processes at work in both channels and bifurcation/confluence nodal points are analyzed from the measured flux distribution

  5. New Madrid seismic zone recurrence intervals

    SciTech Connect

    Schweig, E.S. Center for Earthquake Research and Information, Memphis, TN ); Ellis, M.A. )

    1993-03-01

    Frequency-magnitude relations in the New Madrid seismic zone suggest that great earthquakes should occur every 700--1,200 yrs, implying relatively high strain rates. These estimates are supported by some geological and GPS results. Recurrence intervals of this order should have produced about 50 km of strike-slip offset since Miocene time. No subsurface evidence for such large displacements is known within the seismic zone. Moreover, the irregular fault pattern forming a compressive step that one sees today is not compatible with large displacements. There are at least three possible interpretations of the observations of short recurrence intervals and high strain rates, but apparently youthful fault geometry and lack of major post-Miocene deformation. One is that the seismological and geodetic evidence are misleading. A second possibility is that activity in the region is cyclic. That is, the geological and geodetic observations that suggest relatively short recurrence intervals reflect a time of high, but geologically temporary, pore-fluid pressure. Zoback and Zoback have suggested such a model for intraplate seismicity in general. Alternatively, the New Madrid seismic zone is geologically young feature that has been active for only the last few tens of thousands of years. In support of this, observe an irregular fault geometry associated with a unstable compressive step, a series of en echelon and discontinuous lineaments that may define the position of a youthful linking fault, and the general absence of significant post-Eocene faulting or topography.

  6. Modelling volatility recurrence intervals in the Chinese commodity futures market

    NASA Astrophysics Data System (ADS)

    Zhou, Weijie; Wang, Zhengxin; Guo, Haiming

    2016-09-01

    The law of extreme event occurrence attracts much research. The volatility recurrence intervals of Chinese commodity futures market prices are studied: the results show that the probability distributions of the scaled volatility recurrence intervals have a uniform scaling curve for different thresholds q. So we can deduce the probability distribution of extreme events from normal events. The tail of a scaling curve can be well fitted by a Weibull form, which is significance-tested by KS measures. Both short-term and long-term memories are present in the recurrence intervals with different thresholds q, which denotes that the recurrence intervals can be predicted. In addition, similar to volatility, volatility recurrence intervals also have clustering features. Through Monte Carlo simulation, we artificially synthesise ARMA, GARCH-class sequences similar to the original data, and find out the reason behind the clustering. The larger the parameter d of the FIGARCH model, the stronger the clustering effect is. Finally, we use the Fractionally Integrated Autoregressive Conditional Duration model (FIACD) to analyse the recurrence interval characteristics. The results indicated that the FIACD model may provide a method to analyse volatility recurrence intervals.

  7. Landslide occurrences and recurrence intervals of heavy rainfalls in Japan

    NASA Astrophysics Data System (ADS)

    Saito, H.; Uchida, T.; Matsuyama, H.; Korup, O.

    2015-12-01

    Dealing with predicted increases in extreme weather conditions due to climate change requires robust knowledge about controls on rainfall-triggered landslides. This study developed the probable rainfall database from weather radar data, and analyzed the potential correlation between the landslide magnitude-frequency and the recurrence interval of the heavy rainfall across Japan. We analyzed 4,744 rainfall-induced landslides (Saito et al., 2014, Geology), 1 to 72 h rainfalls, and soil water index (SWI). We then estimated recurrence intervals for these rainfall parameters using a Gumbel distribution with jackknife fitting. Results showed that the recurrence intervals of rainfall events which caused landslides (<10^3 m^3) were less than 10 yr across Japan. The recurrence intervals increased with increases in landslide volumes. With regard to the landslides larger than 10^5 m^3, recurrence intervals of the rainfall events were more than 100 yr. These results suggest that recurrence intervals of heavy rainfalls are important for assessing regional landslide hazard in Japan.

  8. 100-Year Flood-It's All About Chance

    USGS Publications Warehouse

    Holmes, Jr., Robert R.; Dinicola, Karen

    2010-01-01

    In the 1960's, the United States government decided to use the 1-percent annual exceedance probability (AEP) flood as the basis for the National Flood Insurance Program. The 1-percent AEP flood was thought to be a fair balance between protecting the public and overly stringent regulation. Because the 1-percent AEP flood has a 1 in 100 chance of being equaled or exceeded in any 1 year, and it has an average recurrence interval of 100 years, it often is referred to as the '100-year flood'. The term '100-year flood' is part of the national lexicon, but is often a source of confusion by those not familiar with flood science and statistics. This poster is an attempt to explain the concept, probabilistic nature, and inherent uncertainties of the '100-year flood' to the layman.

  9. Tuskegee: 100 Years Later.

    ERIC Educational Resources Information Center

    Higgins, Renelda

    1981-01-01

    Reviews the history and accomplishments of Tuskegee Institute over the past 100 years. Highlights the role played by Booker T. Washington, and W. E. B. DuBois; discusses the career of the school's retiring president, Luther Foster. Provides information on the new president, Dr. Benjamin Payton, and discusses future directions for the college. (APM)

  10. Detecting independent and recurrent copy number aberrations using interval graphs

    PubMed Central

    Wu, Hsin-Ta; Hajirasouliha, Iman; Raphael, Benjamin J.

    2014-01-01

    Motivation: Somatic copy number aberrations (SCNAs) are frequent in cancer genomes, but many of these are random, passenger events. A common strategy to distinguish functional aberrations from passengers is to identify those aberrations that are recurrent across multiple samples. However, the extensive variability in the length and position of SCNAs makes the problem of identifying recurrent aberrations notoriously difficult. Results: We introduce a combinatorial approach to the problem of identifying independent and recurrent SCNAs, focusing on the key challenging of separating the overlaps in aberrations across individuals into independent events. We derive independent and recurrent SCNAs as maximal cliques in an interval graph constructed from overlaps between aberrations. We efficiently enumerate all such cliques, and derive a dynamic programming algorithm to find an optimal selection of non-overlapping cliques, resulting in a very fast algorithm, which we call RAIG (Recurrent Aberrations from Interval Graphs). We show that RAIG outperforms other methods on simulated data and also performs well on data from three cancer types from The Cancer Genome Atlas (TCGA). In contrast to existing approaches that employ various heuristics to select independent aberrations, RAIG optimizes a well-defined objective function. We show that this allows RAIG to identify rare aberrations that are likely functional, but are obscured by overlaps with larger passenger aberrations. Availability: http://compbio.cs.brown.edu/software. Contact: braphael@brown.edu Supplementary information: Supplementary data are available at Bioinformatics online. PMID:24931984

  11. NETL: The First 100 Years

    SciTech Connect

    2015-07-21

    The National Energy Technology Laboratory celebrates 100 years of innovative energy technology development. NETL has been a leader in energy technology development. This video takes a look back at the many accomplishments over the past 100 years. These advances benefit the American people, enhance our nation's energy security and protect our natural resources.

  12. Using Confidence Intervals and Recurrence Intervals to Determine Precipitation Delivery Mechanisms Responsible for Mass Wasting Events.

    NASA Astrophysics Data System (ADS)

    Ulizio, T. P.; Bilbrey, C.; Stoyanoff, N.; Dixon, J. L.

    2015-12-01

    Mass wasting events are geologic hazards that impact human life and property across a variety of landscapes. These movements can be triggered by tectonic activity, anomalous precipitation events, or both; acting to decrease the factor of safety ratio on a hillslope to the point of failure. There exists an active hazard landscape in the West Boulder River drainage of Park Co., MT in which the mechanisms of slope failure are unknown. It is known that region has not seen significant tectonic activity within the last decade, leaving anomalous precipitation events as the likely trigger for slope failures in the landscape. Precipitation can be delivered to a landscape via rainfall or snow; it was the aim of this study to determine the precipitation delivery mechanism most likely responsible for movements in the West Boulder drainage following the Jungle Wildfire of 2006. Data was compiled from four SNOTEL sites in the surrounding area, spanning 33 years, focusing on, but not limited to; maximum snow water equivalent (SWE) values in a water year, median SWE values on the date which maximum SWE was recorded in a water year, the total precipitation accumulated in a water year, etc. Means were computed and 99% confidence intervals were constructed around these means. Recurrence intervals and exceedance probabilities were computed for maximum SWE values and total precipitation accumulated in a water year to determine water years with anomalous precipitation. It was determined that the water year 2010-2011 received an anomalously high amount of SWE, and snow melt in the spring of this water year likely triggered recent mass waste movements. This data is further supported by Google Earth imagery, showing movements between 2009 and 2011. Return intervals for the maximum SWE value in 2010-11 for the Placer Basin SNOTEL site was 34 years, while return intervals for the Box Canyon and Monument Peak SNOTEL sites were 17.5 and 17 years respectively. Max SWE values lie outside the

  13. Maximum Magnitude and Recurrence Interval for the Large Earthquakes in the Central and Eastern United States

    NASA Astrophysics Data System (ADS)

    Wang, Z.; Hu, C.

    2012-12-01

    Maximum magnitude and recurrence interval of the large earthquakes are key parameters for seismic hazard assessment in the central and eastern United States. Determination of these two parameters is quite difficult in the region, however. For example, the estimated maximum magnitudes of the 1811-12 New Madrid sequence are in the range of M6.6 to M8.2, whereas the estimated recurrence intervals are in the range of about 500 to several thousand years. These large variations of maximum magnitude and recurrence interval for the large earthquakes lead to significant variation of estimated seismic hazards in the central and eastern United States. There are several approaches being used to estimate the magnitudes and recurrence intervals, such as historical intensity analysis, geodetic data analysis, and paleo-seismic investigation. We will discuss the approaches that are currently being used to estimate maximum magnitude and recurrence interval of the large earthquakes in the central United States.

  14. Coseismic thermal pressurization can prolong recurrence intervals of earthquake cycle

    NASA Astrophysics Data System (ADS)

    Mitsui, Y.; Hirahara, K.

    2008-12-01

    recurrence intervals of the earthquake cycle because of the higher static stress drop compared to the case without TP.

  15. Periodic, chaotic, and doubled earthquake recurrence intervals on the deep San Andreas fault.

    PubMed

    Shelly, David R

    2010-06-11

    Earthquake recurrence histories may provide clues to the timing of future events, but long intervals between large events obscure full recurrence variability. In contrast, small earthquakes occur frequently, and recurrence intervals are quantifiable on a much shorter time scale. In this work, I examine an 8.5-year sequence of more than 900 recurring low-frequency earthquake bursts composing tremor beneath the San Andreas fault near Parkfield, California. These events exhibit tightly clustered recurrence intervals that, at times, oscillate between approximately 3 and approximately 6 days, but the patterns sometimes change abruptly. Although the environments of large and low-frequency earthquakes are different, these observations suggest that similar complexity might underlie sequences of large earthquakes. PMID:20538948

  16. [100 years' of clinical electrocardiography].

    PubMed

    Bergovec, Mijo

    2003-01-01

    In 1903 Willem Einthoven published in Pflügers Arch his classic article on the investigation of human electrocardiogram by his string galvanometer. Many historians of medicine, Einthoven also marked that publication as the beginning of clinical electrocardiography. Many investigators like Galvani, Manteucci, Kölliker, Müller, Lipmann, Waller, Ader, Einthoven, Lewis, Wilson and others participated in creation and development of electrocardiogram. From that time electrocardiogram quickly became, and has remained the most essential diagnostic laboratory tool in investigation of heart diseases. The aim of this article is to remind us of the beginning of this part of cardiology 100 years ago. PMID:15209030

  17. Variations in rupture process with recurrence interval in a repeated small earthquake

    USGS Publications Warehouse

    Vidale, J.E.; Ellsworth, W.L.; Cole, A.; Marone, C.

    1994-01-01

    In theory and in laboratory experiments, friction on sliding surfaces such as rock, glass and metal increases with time since the previous episode of slip. This time dependence is a central pillar of the friction laws widely used to model earthquake phenomena. On natural faults, other properties, such as rupture velocity, porosity and fluid pressure, may also vary with the recurrence interval. Eighteen repetitions of the same small earthquake, separated by intervals ranging from a few days to several years, allow us to test these laboratory predictions in situ. The events with the longest time since the previous earthquake tend to have about 15% larger seismic moment than those with the shortest intervals, although this trend is weak. In addition, the rupture durations of the events with the longest recurrence intervals are more than a factor of two shorter than for the events with the shortest intervals. Both decreased duration and increased friction are consistent with progressive fault healing during the time of stationary contact.In theory and in laboratory experiments, friction on sliding surfaces such as rock, glass and metal increases with time since the previous episode of slip. This time dependence is a central pillar of the friction laws widely used to model earthquake phenomena. On natural faults, other properties, such as rupture velocity, porosity and fluid pressure, may also vary with the recurrence interval. Eighteen repetitions of the same small earthquake, separated by intervals ranging from a few days to several years, allow us to test these laboratory predictions in situ. The events with the longest time since the previous earthquake tend to have about 15% larger seismic moment than those with the shortest intervals, although this trend is weak. In addition, the rupture durations of the events with the longest recurrence intervals are more than a factor of two shorter than for the events with the shortest intervals. Both decreased duration and

  18. 100 years of Lewy pathology.

    PubMed

    Goedert, Michel; Spillantini, Maria Grazia; Del Tredici, Kelly; Braak, Heiko

    2013-01-01

    In 1817, James Parkinson described the symptoms of the shaking palsy, a disease that was subsequently defined in greater detail, and named after Parkinson, by Jean-Martin Charcot. Parkinson expected that the publication of his monograph would lead to a rapid elucidation of the anatomical substrate of the shaking palsy; in the event, this process took almost a century. In 1912, Fritz Heinrich Lewy identified the protein aggregates that define Parkinson disease (PD) in some brain regions outside the substantia nigra. In 1919, Konstantin Nikolaevich Tretiakoff found similar aggregates in the substantia nigra and named them after Lewy. In the 1990s, α-synuclein was identified as the main constituent of the Lewy pathology, and its aggregation was shown to be central to PD, dementia with Lewy bodies, and multiple system atrophy. In 2003, a staging scheme for idiopathic PD was introduced, according to which α-synuclein pathology originates in the dorsal motor nucleus of the vagal nerve and progresses from there to other brain regions, including the substantia nigra. In this article, we review the relevance of Lewy's discovery 100 years ago for the current understanding of PD and related disorders. PMID:23183883

  19. Recurrent Dermatofibrosarcoma Protuberance and its Management with Radical Excision and Interval Skin Grafting: A Case Report

    PubMed Central

    Ahmad, Imran; Mir, Mohd Altaf; Bariar, Lalit Mohan; Afroz, Nishat

    2016-01-01

    Dermatofibrosarcoma protuberans (DFSP) is very rare tumor of dermis layer of skin with the incidence of only 1 case per million per year. DFSP rarely leads to a metastasis (Less than 5% have metastasis), but DFSP can recur locally. We publish a rare case of a recurrent dermatofibrosarcoma protuberans and its management with radical excision and interval skin grafting. PMID:27308244

  20. A technique for estimating heights reached by the 100-year flood on unregulated, nontidal streams in North Carolina

    USGS Publications Warehouse

    Coble, R.W.

    1979-01-01

    A method for estimating the heights reached by floods having a recurrence interval of 100 years is defined for nontidal streams with unregulated flows in North Carolina. The flood heights are the vertical distance between stream stage at median discharge (50 percent duration) and the 100-year flood stage and are defined for streams draining areas between 1 and 10,000 square miles for each of the three physiographic areas in the State. An illustrated example of how the method can be used in conjunction with topographic maps to estimate flood heights and delineate inundated areas by interpolation is given.

  1. Estimation of Flood Discharges at Selected Recurrence Intervals for Streams in New Hampshire

    USGS Publications Warehouse

    Olson, Scott A.

    2009-01-01

    This report provides estimates of flood discharges at selected recurrence intervals for streamgages in and adjacent to New Hampshire and equations for estimating flood discharges at recurrence intervals of 2-, 5-, 10-, 25-, 50-, 100-, and 500-years for ungaged, unregulated, rural streams in New Hampshire. The equations were developed using generalized least-squares regression. Flood-frequency and drainage-basin characteristics from 117 streamgages were used in developing the equations. The drainage-basin characteristics used as explanatory variables in the regression equations include drainage area, mean April precipitation, percentage of wetland area, and main channel slope. The average standard error of prediction for estimating the 2-, 5-, 10-, 25-, 50-, 100-, and 500-year recurrence interval flood discharges with these equations are 30.0, 30.8, 32.0, 34.2, 36.0, 38.1, and 43.4 percent, respectively. Flood discharges at selected recurrence intervals for selected streamgages were computed following the guidelines in Bulletin 17B of the U.S. Interagency Advisory Committee on Water Data. To determine the flood-discharge exceedence probabilities at streamgages in New Hampshire, a new generalized skew coefficient map covering the State was developed. The standard error of the data on new map is 0.298. To improve estimates of flood discharges at selected recurrence intervals for 20 streamgages with short-term records (10 to 15 years), record extension using the two-station comparison technique was applied. The two-station comparison method uses data from a streamgage with long-term record to adjust the frequency characteristics at a streamgage with a short-term record. A technique for adjusting a flood-discharge frequency curve computed from a streamgage record with results from the regression equations is described in this report. Also, a technique is described for estimating flood discharge at a selected recurrence interval for an ungaged site upstream or downstream

  2. New delay dependent stability criteria for recurrent neural networks with interval time-varying delay.

    PubMed

    Yang, Qiongfen; Ren, Quanhong; Xie, Xuemei

    2014-07-01

    This paper is concerned with the delay dependent stability criteria for a class of static recurrent neural networks with interval time-varying delay. By choosing an appropriate Lyapunov-Krasovskii functional and employing a delay partitioning method, the less conservative condition is obtained. Furthermore, the LMIs-based condition depend on the lower and upper bounds of time delay. Finally, a numerical example is also designated to verify the reduced conservatism of developed criteria. PMID:24908560

  3. Multiple distal basin plains reveal a common distribution for large volume turbidity current recurrence intervals

    NASA Astrophysics Data System (ADS)

    Clare, M. A.; Talling, P. J.; Hunt, J.; Challenor, P. G.

    2013-12-01

    Remarkably large volume (>>1 km3) deposits emplaced by turbidity currents in distal basin plains result from large submarine landslides. Such landslides may generate tsunamis, and the turbidity currents pose threats to seafloor structures as well as being one of the most important processes for sediment transport across our planet. It is therefore important to understand the recurrence intervals and timing of landslides and the turbidity currents they generate. An understanding of their frequency provides information to assist in forward-looking geohazard analyses, including probabilistic modelling of potential damage. Analysis of their frequency distribution may also help to unravel links to triggering and conditioning mechanisms. We present long term records (up to 17 Ma) of landslide-triggered turbidity current recurrence intervals. We document the distribution of recurrence intervals for large volume turbidites in four basin-plains in disparate locations worldwide, including two recent systems and two outcrop studies. The recurrence times of turbidity currents is inferred from intervals of hemipelagic mud that form by fallout of background sediment between turbidity currents, and the average accumulation rate of hemipelagic mud between dated horizons. There is very little erosion below turbidite beds in the study locations; hence they represent an almost continuous sedimentary record. This method has the advantage of providing information on the timing of many different events from a small number of cores, with such large numbers (N> 100) of beds needed for robust statistical analysis. A common frequency distribution of turbidite recurrence intervals is observed, despite their variable ages and disparate locations, suggesting similar underlying controls on triggering mechanism and frequency. This common distribution closely approximates a temporally-random Poisson distribution, such that the probability of an event occurring along the basin margin is

  4. Effects of long memory in the order submission process on the properties of recurrence intervals of large price fluctuations

    NASA Astrophysics Data System (ADS)

    Meng, Hao; Ren, Fei; Gu, Gao-Feng; Xiong, Xiong; Zhang, Yong-Jie; Zhou, Wei-Xing; Zhang, Wei

    2012-05-01

    Understanding the statistical properties of recurrence intervals (also termed return intervals in econophysics literature) of extreme events is crucial to risk assessment and management of complex systems. The probability distributions and correlations of recurrence intervals for many systems have been extensively investigated. However, the impacts of microscopic rules of a complex system on the macroscopic properties of its recurrence intervals are less studied. In this letter, we adopt an order-driven stock model to address this issue for stock returns. We find that the distributions of the scaled recurrence intervals of simulated returns have a power-law scaling with stretched exponential cutoff and the intervals possess multifractal nature, which are consistent with empirical results. We further investigate the effects of long memory in the directions (or signs) and relative prices of the order flow on the characteristic quantities of these properties. It is found that the long memory in the order directions (Hurst index Hs) has a negligible effect on the interval distributions and the multifractal nature. In contrast, the power-law exponent of the interval distribution increases linearly with respect to the Hurst index Hx of the relative prices, and the singularity width of the multifractal nature fluctuates around a constant value when Hx<0.7 and then increases with Hx. No evident effects of Hs and Hx are found on the long memory of the recurrence intervals. Our results indicate that the nontrivial properties of the recurrence intervals of returns are mainly caused by traders' behaviors of persistently placing new orders around the best bid and ask prices.

  5. Determination of the 100-year flood plain on Upper Three Runs and selected tributaries, and the Savannah River at the Savannah River site, South Carolina, 1995

    USGS Publications Warehouse

    Lanier, T.H.

    1996-01-01

    The 100-year flood plain was determined for Upper Three Runs, its tributaries, and the part of the Savannah River that borders the Savannah River Site. The results are provided in tabular and graphical formats. The 100-year flood-plain maps and flood profiles provide water-resource managers of the Savannah River Site with a technical basis for making flood-plain management decisions that could minimize future flood problems and provide a basis for designing and constructing drainage structures along roadways. A hydrologic analysis was made to estimate the 100-year recurrence- interval flow for Upper Three Runs and its tributaries. The analysis showed that the well-drained, sandy soils in the head waters of Upper Three Runs reduce the high flows in the stream; therefore, the South Carolina upper Coastal Plain regional-rural-regression equation does not apply for Upper Three Runs. Conse- quently, a relation was established for 100-year recurrence-interval flow and drainage area using streamflow data from U.S. Geological Survey gaging stations on Upper Three Runs. This relation was used to compute 100-year recurrence-interval flows at selected points along the stream. The regional regression equations were applicable for the tributaries to Upper Three Runs, because the soil types in the drainage basins of the tributaries resemble those normally occurring in upper Coastal Plain basins. This was verified by analysis of the flood-frequency data collected from U.S. Geological Survey gaging station 02197342 on Fourmile Branch. Cross sections were surveyed throughout each reach, and other pertinent data such as flow resistance and land-use were col- lected. The surveyed cross sections and computed 100-year recurrence-interval flows were used in a step-backwater model to compute the 100-year flood profile for Upper Three Runs and its tributaries. The profiles were used to delineate the 100-year flood plain on topographic maps. The Savannah River forms the southwestern border

  6. Recurrence intervals for great earthquakes of the past 3,500 years at northeastern Willapa Bay, Washington

    USGS Publications Warehouse

    Atwater, Brian F.; Hemphill-Haley, Eileen

    1997-01-01

    Seven great earthquakes, or earthquake series, probably ruptured the southern Washington part of the Cascadia subduction zone in the past 3,500 years. Each earthquake was probably of magnitude 8 or larger. The earthquakes define six recurrence intervals that average about 500 years. The longest interval, about 700-1300 years, was followed by two of the shortest, which together lasted less than 800 years. Another long interval, 600-1000 years, ended with an earthquake 300 years ago.

  7. Convergence: Human Intelligence The Next 100 Years

    ERIC Educational Resources Information Center

    Fluellen, Jerry E., Jr.

    2005-01-01

    How might human intelligence evolve over the next 100 years? This issue paper explores that idea. First, the paper summarizes five emerging perspectives about human intelligence: Howard Gardner's multiple intelligences theory, Robert Sternberg's triarchic theory of intelligence, Ellen Langer's mindfulness theory, David Perkins' learnable…

  8. THE MISSING EARTHQUAKES OF HUMBOLDT COUNTY: RECONCILING RECURRENCE INTERVAL ESTIMATES, SOUTHERN CASCADIA SUBDUCTION ZONE

    NASA Astrophysics Data System (ADS)

    Patton, J. R.; Leroy, T. H.

    2009-12-01

    Earthquake and tsunami hazard for northwestern California and southern Oregon is predominately based on estimates of recurrence for earthquakes on the Cascadia subduction zone and upper plate thrust faults, each with unique deformation and recurrence histories. Coastal northern California is uniquely located to enable us to distinguish these different sources of seismic hazard as the accretionary prism extends on land in this region. This region experiences ground deformation from rupture of upper plate thrust faults like the Little Salmon fault. Most of this region is thought to be above the locked zone of the megathrust, so is subject to vertical deformation during the earthquake cycle. Secondary evidence of earthquake history is found here in the form of marsh soils that coseismically subside and commonly are overlain by estuarine mud and rarely tsunami sand. It is not currently known what the source of the subsidence is for this region; it may be due to upper plate rupture, megathrust rupture, or a combination of the two. Given that many earlier investigations utilized bulk peat for 14C age determinations and that these early studies were largely reconnaissance work, these studies need to be reevaluated. Recurrence Interval estimates are inconsistent when comparing terrestrial (~500 years) and marine (~220 years) data sets. This inconsistency may be due to 1) different sources of archival bias in marine and terrestrial data sets and/or 2) different sources of deformation. Factors controlling successful archiving of paleoseismic data are considered as this relates to geologic setting and how that might change through time. We compile, evaluate, and rank existing paleoseismic data in order to prioritize future paleoseismic investigations. 14C ages are recalibrated and quality assessments are made for each age determination. We then evaluate geologic setting and prioritize important research locations and goals based on these existing data. Terrestrial core

  9. The AAS: Its Next 100 Years

    NASA Astrophysics Data System (ADS)

    Wolff, S.

    1999-05-01

    The AAS: Its Next Hundred Years "We are probably nearing the limit of all we can know about astronomy."-- Simon Newcomb, 1888. The best way to celebrate the centennial of the AAS is to look forward, not backward, and to begin planning for the next 100 years. However, predicting the future is even more difficult than it was in Newcomb's time. We live in an era characterized by an unprecedented rate of change in the kinds of scientific questions we ask, the tools we use to answer them, and the way we communicate our results. This talk will highlight some of the issues that we will face as a community during the next 10--but not the next 100!--years and suggests that the AAS has a fundamental role to play in shaping the community response to these issues.

  10. Giant Scour on Eel Fan, California Records Decadal Trubidite Recurrence Interval

    NASA Astrophysics Data System (ADS)

    Paull, C. K.; McGann, M.; Edwards, B. D.; Barnes, P.; Gwiazda, R.; Lundsten, E. M.; Anderson, K.; Sumner, E.; Caress, D. W.

    2013-12-01

    Analysis of an exceptional exposure of thinly bedded turbidites in the headwall of a giant submarine scour on Eel Submarine Fan reveals that turbidites were being emplaced with a remarkably high frequency during the late Pleistocene to early Holocene. ROV observations, vibracores and push cores show an 87 m thick outcrop of fine-grained turbidites that are between 3 and 40 cm thick. The turbidites are composed of fining-upwards cycles grading from fine or very fine sand through to silty-mud. Within turbidites reversals in grain size occur representing fluctuating flow conditions. An abundance of woody material and shallow dwelling foraminifera within the turbidites demonstrates the flows originated in shallow water. The silty-mud horizons are barren of pelagic foraminifera, suggesting that they are the late stages of turbidites and that intervening hemipelagic material is absent. Twenty-one 14C measurements made on the transported shallow-water foraminifera and wood fragments within eighteen push cores taken from the scarp reveal that the entire 87 m section was deposited 6 to 14 thousand years BP. Shipboard video observations indicate the appearance of the scarp face is similar throughout the exposed face. In a 10 m section with excellent video, 88 turbidites were counted. Assuming that the entire 87 m face comprises the same rhythmic alterations, more than 766 turbidites were deposited during this ~8,000 year interval. This requires a decadal turbidite recurrence interval. As these deposits are downstream of the Eel River, these data have intriguing implications about the enhanced impact of the Eel River during the late Pleistocene and early Holocene.

  11. Flood boundaries and water-surface profile for the computed 100-year flood, Swift Creek at Afton, Wyoming, 1986

    USGS Publications Warehouse

    Rankl, James G.; Wallace, Joe C.

    1989-01-01

    Flood flows on Swift Creek near Afton, Wyoming, were analyzed. Peak discharge with an average recurrence interval of 100 years was computed and used to determine the flood boundaries and water surface profile in the study reach. The study was done in cooperation with Lincoln County and the Town of Afton to determine the extent of flooding in the Town of Afton from a 100-year flood on Swift Creek. The reach of Swift Creek considered in the analysis extends upstream from the culvert at Allred County Road No. 12-135 to the US Geological Survey streamflow-gaging station located in the Bridger National Forest , a distance of 3.2 miles. Boundaries of the 100-year flood are delineated on a map using the computed elevation of the flood at each cross section, survey data, and a 1983 aerial photograph. The computed water surface elevation for the 100-year flood was plotted at each cross section, then the lateral extent of the flood was transferred to the flood map. Boundaries between cross sections were sketched using information taken from the aerial photograph. Areas that are inundated, but not part of the active flow, are designated on the cross sections. (Lantz-PTT)

  12. Remembering Robert Goddard's vision 100 years later

    NASA Astrophysics Data System (ADS)

    Stern, David P.

    “Life, liberty, and the pursuit of happiness” —such are the goals of most of us.Yet a few always exist who feel called by a higher purpose. Society often owes them a great deal.Robert Hutchins Goddard, whose work made spaceflight possible, found his vision 100 years ago this October as a youth of 17. His family was staying on the farm of a relative, when he was asked to trim the branches of a cherry tree behind the barn.

  13. Determining earthquake recurrence intervals from deformational structures in young lacustrine sediments

    USGS Publications Warehouse

    Sims, J.D.

    1975-01-01

    Examination of the silty sediments in the lower Van Normal reservoir after the 1971 San Fernando, California earthquake revealed three zones of deformational structures in the 1-m-thick sequence of sediments exposed over about 2 km2 of the reservoir bottom. These zones are correlated with moderate earthquakes that shook the San Fernando area in 1930, 1952, and 1971. The success of this study, coupled with the experimental formation of deformational structures similar to those of the Van Norman reservoir, led to a search for similar structures in Pleistocene and Holocene lakes and lake sediments in other seismically active areas. Thus, studies have been started in Pleistocene and Holocene silty and sandy lake sediments in the Imperial Valley, southeastern California; Clear Lake, in northern California; and the Puget Sound area of Washington. The Imperial Valley study has yielded spectacular results: five zones of structures in the upper 10 m of Late Holocene sediments near Brawley have been correlated over an area of approximately 100 km2, using natural outcrops. These structures are similar to those of the Van Norman reservoir and are interpreted to represent at least five moderate to large earthquakes that affected the southern Imperial Valley area during Late Holocene time. The Clear Lake study has provided ambiguous results with respect to determination of earthquake recurrence intervals because the cores studied are in clayey rich in organic material sediments that have low liquefaction potential. A study of Late Pleistocene varved glacio-lacustrine sediments has been started in the Puget Sound area of Washington, and thirteen sites have been examined. One has yielded 18.75 m of sediments that contains 1,804 varves and fourteen deformed zones interpreted as being caused by earthquake, because they are identical to structures formed experimentally by simulated seismic shaking. Correlation of deformational structures with seismic events is based on: 1. (1

  14. Vitamins: preparing for the next 100 years.

    PubMed

    Blumberg, Jeffrey B

    2012-10-01

    The insights gained from the last 100 years of vitamin research and applications have contributed substantially to our fundamental understanding of biology and importantly to the promotion of human health. There is no reason to think that the next 100 years will be any less fruitful if we are committed to preparing for them, particularly by changing four critical nutrition paradigms. First, we must move beyond the concept of preventing vitamin deficiencies and inadequacies to establishing health and, further, to creating optimal physiological functions. Each essential vitamin possesses different concentration thresholds for its variety of effects and the required balance necessary to achieving each has yet to be fully defined. Second, we must apply the research approaches and methods of “-omics,” systems biology, and imaging technologies to define the dynamic role of vitamins and their broad array of genomic, molecular, biochemical, and functional interactions. Such work is necessary to understand the multiplicity of vitamin actions and ultimately apply them directly at the level of the individual. Third, we must revise the concept of evidence-based nutrition away from its current hierarchical system to recognize in a comprehensive and integrated way the attributes of each type of approach to research. To adhere to a single gold standard of the randomized clinical trial ignores both how we have moved forward so productively during the last 100 years and the vital information to be gained from basic research and other human studies; further, it acts to stifle innovation in both scientific and regulatory affairs. Fourth, we must understand that changes in the supply and distribution of food during the next century are likely to be at least as dramatic as those which have occurred over this last one. For example, inevitable environmental constraints will require more food protein be derived from plant than animal sources, a shift that will directly impact the

  15. Flood-inundation map and water-surface profiles for floods of selected recurrence intervals, Consumnes River and Deer Creek, Sacramento County, California

    USGS Publications Warehouse

    Guay, Joel R.; Harmon, Jerry G.; McPherson, Kelly R.

    1998-01-01

    The damage caused by the January 1997 floods along the Cosumnes River and Deer Creek generated new interest in planning and managing land use in the study area. The 1997 floodflow peak, the highest on record and considered to be a 150-year flood, caused levee failures at 24 locations. In order to provide a technical basis for floodplain management practices, the U.S. Goelogical Survey, in cooperation with the Federal Emergency Management Agency, completed a flood-inundation map of the Cosumnes River and Deer Creek drainage from Dillard Road bridge to State Highway 99. Flood frequency was estimated from streamflow records for the Cosumnes River at Michigan Bar and Deer Creek near Sloughhouse. Cross sections along a study reach, where the two rivers generally flow parallel to one another, were used with a step-backwater model (WSPRO) to estimate the water-surface profile for floods of selected recurrence intervals. A flood-inundation map was developed to show flood boundaries for the 100-year flood. Water-surface profiles were developed for the 5-, 10-, 50-, 100-, and 500-year floods.

  16. How can we assess the processes that control recurrence intervals of landslide-generated turbidites?

    NASA Astrophysics Data System (ADS)

    Clare, Michael; Talling, Peter; Challenor, Peter

    2013-04-01

    We analyse sedimentary deposits from three distal basin plain settings that are disparate in terms of their geography, physiography and age. These include an outcrop study (N=696 turbidites) from the Miocene Marnoso Arenacea Formation in the Italian Apennines, cores from the Balearic Abyssal Plain (N =151) and boreholes from the Madeira Abyssal Plain (N=108). In each case, stacked sequences of turbidity current deposits intercalated with subordinate hemipelagite beds are identified. On the basis of bed geometries and inferred deposit volumes (0.7 to 500 km3), the turbidity currents are interpreted to have been triggered by slope failures on the basin margins, rather than in relation to hyperpycnal flood discharge. Inter-event times (i.e. recurrence intervals) are determined from hemipelagic bed thicknesses and from a calibrated age-stratigraphic framework. Erosion of hemipelagite beds beneath turbidites is non-existent or negligible; hence these distal depositional sequences can be regarded as long term catalogues of landslide activity that may also be used to understand tsunami risk. The distribution of inter-event timings is indicative of an exponential relationship (i.e. Poisson process). This satisfies two conditions: 1) a lack of memory, and 2) a constant probability of event occurrence through time. An exponential distribution can be characterised by just one parameter, ?, which is defined as the rate parameter, or mean inter-event time. To test this inferred distribution, each data set is normalized to ? and exceedance plots are generated in relation to RT (a dimensionless expression of inter-event time). Remarkably, the data align extremely well, despite their disparity in age, location and setting. A fit with an exponential growth curve is good (R2=0.98); however, the longest inter-event times (RT >3) are slightly underrepresented. A similar observation is made by comparing suites of randomly generated synthetic data against the actual data. A Generalised

  17. Millennium recurrence interval of morphogenic earthquakes on the Qingchuan fault, northeastern segment of the Longmen Shan Thrust Belt, China

    NASA Astrophysics Data System (ADS)

    Lin, Aiming; Yan, Bing; Rao, Gang

    2016-04-01

    The 2008 M w 7.9 Wenchuan produced a ˜285-300-km-long coseismic surface rupture zone, including a 60-km-long segment along the Qingchuan fault, the northeastern segment of the Longmen Shan Thrust Belt (LSTB), Sichuan Basin, central China. Field investigations, trench excavations, and radiocarbon dating results reveal that (i) the Qingchuan fault is currently active as a seismogenic fault, along which four morphogenic earthquakes including the 2008 Wenchuan earthquake occurred in the past ca. 3500 years, suggesting an average millennium recurrence interval of morphogenic earthquakes in the late Holocene; (ii) the most recent event prior to the 2008 Wenchuan earthquake took place in the period between AD 1400 and AD 1100; (iii) the penultimate paleoseismic event occurred in the period around 2000 years BP in the Han Dynasty (206 BC-AD 220); (iv) the third paleoseismic event occurred in the period between 900 and 1800 BC; and (v) at least three seismic faulting events occurred in the early Holocene. The present results are comparable with those inferred in the central and southwestern segments of the LSTB within which the Wenchuan magnitude earthquakes occurred in a millennium recurrence interval, that are in contrast with previous estimates of 2000-10,000 years for the recurrence interval of morphogenic earthquakes within the LSTB and thereby necessitating substantial modifications to existing seismic hazard models for the densely populated region at the Sichuan region.

  18. A comparison of slip rate, recurrence interval, and slip per event on several well-characterized faults (Invited)

    NASA Astrophysics Data System (ADS)

    Weldon, R. J.; Lippoldt, R. C.; Scharer, K.; Streig, A. R.; Langridge, R. M.; Madugo, C. M.; Biasi, G. P.; Dawson, T. E.

    2013-12-01

    Rapid growth in the application of LiDAR and other modern geodetic techniques has led to an explosion in the number of micro-geomorphic offsets along faults that can be interpreted as displacement in one or several earthquakes. As a result of this new data there are an increasing number of places along faults for which data are available for the slip rate (based on the dated offset of a feature that is old enough to average out the seismic cycle), recurrence interval (based on a representative number of dated paleo-earthquakes), and slip per event (based on an adequate sample of micro-geomorphic or 3D-excavated offsets). Because these three datasets are largely independent, but related by accumulation and release of strain across the fault, comparing them can provide insight into how faults balance size and frequency of earthquakes. We discuss several examples of faults with closely co-located slip rate, recurrence interval, and slip per event data, including the Ana River fault, a small normal fault in Central Oregon, and portions of the San Andreas fault, the principal plate boundary fault in California. The Ana River fault offsets more than 11 Pleistocene shorelines different amounts that we have measured using a combination of LiDAR, ground-based surveying, and a DEM generated from a USGS topographic map with 5 foot contours. The ages of ~10 paleo-earthquakes are determined from trenches and other exposures into deep-water lacustrine deposits that contain ~50 dated volcanic ashes. The long-term slip rate, 0.05 mm/yr, is known from the total offset of dated late Pliocene basalts. We also use new data from the Santa Cruz segment of the northern San Andreas fault (NSAF) and the southern San Andreas fault (SSAF: Parkfield to Bombay Beach). On the NSAF, earthquakes in 1838, 1890, and 1906 have a total slip of 4 - 6 m while the slip rate (17 mm/yr) suggests it would take 2 - 3 centuries to accumulate this much strain. Data for the SSAF, which have recently been

  19. 100 Years of the Physics of Diodes

    NASA Astrophysics Data System (ADS)

    Luginsland, John

    2013-10-01

    The Child-Langmuir Law (CL), discovered 100 years ago, gives the maximum current that can be transported across a planar diode in the steady state. As a quintessential example of the impact of space-charge shielding near a charged surface, it is central to the studies of high current diodes, such as high power microwave sources, vacuum microelectronics, electron and ion sources, and high current drivers used in high-energy density physics experiments. CL remains a touchstone of fundamental sheath physics, including contemporary studies of nano-scale quantum diodes and plasmonic devices. Its solid state analog is the Mott-Gurney law, governing the maximum charge injection in solids, such as organic materials and other dielectrics, which is important to energy devices, such as solar cells and light-emitting diodes. This paper reviews the important advances in the physics of diodes since the discovery of CL, including virtual cathode formation and extension of CL to multiple dimensions, to the quantum regime, and to ultrafast processes. We will review the influence of magnetic fields, multiple species in bipolar flow, electromagnetic and time dependent effects in both short pulse and high frequency THz limits, and single electron regimes. Transitions from various emission mechanisms (thermionic, field, and photo-emission) to the space charge limited state (CL) will be addressed, especially highlighting important simulation and experimental developments in selected contemporary areas of study. This talk will stress the fundamental physical links between the physics of beams to limiting currents in other areas, such as low temperature plasmas, laser plasmas, and space propulsion. Also emphasized is the role of non-equilibrium phenomena associated with materials and plasmas in close contact. Work supported by the Air Force Office of Scientific Research.

  20. Interval Between Hysterectomy and Start of Radiation Treatment Is Predictive of Recurrence in Patients With Endometrial Carcinoma

    SciTech Connect

    Cattaneo, Richard; Hanna, Rabbie K.; Jacobsen, Gordon; Elshaikh, Mohamed A.

    2014-03-15

    Purpose: Adjuvant radiation therapy (RT) has been shown to improve local control in patients with endometrial carcinoma. We analyzed the impact of the time interval between hysterectomy and RT initiation in patients with endometrial carcinoma. Methods and Materials: In this institutional review board-approved study, we identified 308 patients with endometrial carcinoma who received adjuvant RT after hysterectomy. All patients had undergone hysterectomy, oophorectomy, and pelvic and para-aortic lymph node evaluation from 1988 to 2010. Patients' demographics, pathologic features, and treatments were compared. The time interval between hysterectomy and the start of RT was calculated. The effects of time interval on recurrence-free (RFS), disease-specific (DSS), and overall survival (OS) were calculated. Following univariate analysis, multivariate modeling was performed. Results: The median age and follow-up for the study cohort was 65 years and 72 months, respectively. Eighty-five percent of the patients had endometrioid carcinoma. RT was delivered with high-dose-rate brachytherapy alone (29%), pelvic RT alone (20%), or both (51%). Median time interval to start RT was 42 days (range, 21-130 days). A total of 269 patients (74%) started their RT <9 weeks after undergoing hysterectomy (group 1) and 26% started ≥9 weeks after surgery (group 2). There were a total of 43 recurrences. Tumor recurrence was significantly associated with treatment delay of ≥9 weeks, with 5-year RFS of 90% for group 1 compared to only 39% for group 2 (P<.001). On multivariate analysis, RT delay of ≥9 weeks (P<.001), presence of lymphovascular space involvement (P=.001), and higher International Federation of Gynecology and Obstetrics grade (P=.012) were independent predictors of recurrence. In addition, RT delay of ≥9 weeks was an independent significant predictor for worse DSS and OS (P=.001 and P=.01, respectively). Conclusions: Delay in administering adjuvant RT after hysterectomy was

  1. The recurrence interval of forest fires in Cabeço da Vaca (Cabreira Mountain--northwest of Portugal).

    PubMed

    Ferreira Leite, Flora; Bento Gonçalves, António; Vieira, António

    2011-02-01

    The recurrence of forest fires is degrading an important part of the Portuguese natural heritage namely its forest and soils. In this paper we present the case study of Cabeço da Vaca (Cabreira Mountain-northwest Portugal), where in recent decades, particularly in the 70s, there was a significant increase in the number of forest fires and in the areas scorched annually. There is thus a turning point between a period when fire was an integral part of the ecosystems and when fire has become a serious threat to woodland management and development (Bento Gonçalves, 2006). Starting with a thorough characterization of forest fires and based on the mapping of scorched areas between 1990 and 2006, we have proceeded to identify the annual pattern of maximum recurrence and the definition of the return interval in Cabeço da Vaca, producing thus a valuable document to support management and forestry development in general. PMID:20576260

  2. Utility of radiocarbon-dated stratigraphy in determining late Holocene earthquake recurrence intervals, upper Cook Inlet region, Alaska

    USGS Publications Warehouse

    Bartsch-Winkler, S.; Schmoll, H.R.

    1992-01-01

    During the great 1964 earthquake, parts of coastal southern Alaska subsided tectonically as much as 2 m, and this led to burial of high-intertidal organic-rich marshes by low-intertidal and tidal silt. In the tectonically active parts of upper Cook Inlet, the presence of stratigraphic sections containing numerous prehistoric interbedded layers of peat and silt suggests that such stratigraphy resulted when marshes and forests were similarly inundated and buried by intertidal and tidal sediment as a result of great, prehistoric earthquakes. This study tests the feasibility of using buried, radiocarbon-dated, late Holocene peat layers that are exposed in the intertidal zone of upper Cook Inlet to determine earthquake recurrence intervals. Because of problems associated with conventional radiocarbon dating, the complex stratigraphy of the study area, the tectonic setting, and regional changes in sea level, conclusions from the study do not permit precise identification of the timing and recurrence of paleoseismic events. -from Authors

  3. Possible Long-term SSEs in the Tokai Area, Central Japan, After 1981: Size, Duration, and Recurrence Interval

    NASA Astrophysics Data System (ADS)

    Ochi, T.

    2014-12-01

    The long-term slow slip event (LSSE) in the Tokai area, central Japan, from mid-2000 to mid-2005 [Suito and Ozawa (2009)], had continued five years, which was much longer than other LSSEs around the world [e.g. Schwartz and Rokosky (2007)]. After the termination of the SSE in 2005, no obvious long-term SSE was detected and that makes difficult to discuss a recurrence interval of the events. In order to reveal whether the event repeats or not, and if it repeats, to clarify the interval and a temporal and spatial change of the coupling and the LSSE, I analyzed a leveling data from 1981 to 1999 -- before the era of GNSS -- and deduced spatial patterns of the vertical crustal deformation rate.The deduced rates show two sorts of spatial patterns and the patterns appear alternately. One of them resembles the pattern during the LSSE between 2000 and 2005. Summing up the results and accounting for the estimation errors, it is clear that there are at least three events in the last thirty years; 2000-2005 (already and well known event), 1987-1990, and around 1983. The 2000-2005 event is the biggest and longest one, while 1983 event is the smallest and shortest one in the three events. It suggests that the duration of the event is longer, the interval to the next event becomes longer, and that there are some relationships between the size, duration time, and the recurrence interval of the events. These features are very unique for the Tokai LSSEs compared with those in the other regions such as the Bungo Channel and Cascadia.

  4. A Two-week Interval Is Better Than a Three-week Interval for Reducing the Recurrence Rate of Hand-foot Viral Warts after Cryotherapy: A Retrospective Review of 560 Hand-foot Viral Warts Patients

    PubMed Central

    Youn, Sung Hwan; Kwon, In Ho; Kim, Kwang Ho; Kim, Kwang Joong

    2011-01-01

    Background Viral warts are a common infectious disease and liquid nitrogen cryotherapy is one of the most common methods for treatment of these warts. Hand-foot viral warts frequently recur and reduce quality of life as well. Objective To find the ideal treatment interval between cryotherapy sessions that can influence not only the cure rate but also the recurrence rate for hand-foot viral warts. Methods A retrospective study was designed to compare a 2 week interval and a 3 week interval between cryotherapy sessions on hand-foot viral warts with respect to cure rate, recurrence rate, treatment number, duration of treatment, mean time to recurrence and adverse events. Results A total of 560 patients were enrolled. The overall cure rate was 75.7% and the recurrence rate was 19.6%. The mean time to recurrence was 7.8 months (range 1~26 months). For the 2-week and 3-week groups, cure rates were, respectively, 76.6% (196) and 75.0% (228); recurrence rates were 13.3% (26) and 25.0% (57). The mean time to recurrence was 9.8 months and 6.9 months, respectively. Adverse events were not statistically different. Conclusion We suggested that 2-week cryotherapy is optimal not only because of the rapid cure but also because of the lower recurrence rate and similar adverse events. PMID:21738363

  5. Global robust dissipativity of interval recurrent neural networks with time-varying delay and discontinuous activations.

    PubMed

    Duan, Lian; Huang, Lihong; Guo, Zhenyuan

    2016-07-01

    In this paper, the problems of robust dissipativity and robust exponential dissipativity are discussed for a class of recurrent neural networks with time-varying delay and discontinuous activations. We extend an invariance principle for the study of the dissipativity problem of delay systems to the discontinuous case. Based on the developed theory, some novel criteria for checking the global robust dissipativity and global robust exponential dissipativity of the addressed neural network model are established by constructing appropriate Lyapunov functionals and employing the theory of Filippov systems and matrix inequality techniques. The effectiveness of the theoretical results is shown by two examples with numerical simulations. PMID:27475061

  6. Global robust dissipativity of interval recurrent neural networks with time-varying delay and discontinuous activations

    NASA Astrophysics Data System (ADS)

    Duan, Lian; Huang, Lihong; Guo, Zhenyuan

    2016-07-01

    In this paper, the problems of robust dissipativity and robust exponential dissipativity are discussed for a class of recurrent neural networks with time-varying delay and discontinuous activations. We extend an invariance principle for the study of the dissipativity problem of delay systems to the discontinuous case. Based on the developed theory, some novel criteria for checking the global robust dissipativity and global robust exponential dissipativity of the addressed neural network model are established by constructing appropriate Lyapunov functionals and employing the theory of Filippov systems and matrix inequality techniques. The effectiveness of the theoretical results is shown by two examples with numerical simulations.

  7. Interaction of the san jacinto and san andreas fault zones, southern california: triggered earthquake migration and coupled recurrence intervals.

    PubMed

    Sanders, C O

    1993-05-14

    Two lines of evidence suggest that large earthquakes that occur on either the San Jacinto fault zone (SJFZ) or the San Andreas fault zone (SAFZ) may be triggered by large earthquakes that occur on the other. First, the great 1857 Fort Tejon earthquake in the SAFZ seems to have triggered a progressive sequence of earthquakes in the SJFZ. These earthquakes occurred at times and locations that are consistent with triggering by a strain pulse that propagated southeastward at a rate of 1.7 kilometers per year along the SJFZ after the 1857 earthquake. Second, the similarity in average recurrence intervals in the SJFZ (about 150 years) and in the Mojave segment of the SAFZ (132 years) suggests that large earthquakes in the northern SJFZ may stimulate the relatively frequent major earthquakes on the Mojave segment. Analysis of historic earthquake occurrence in the SJFZ suggests little likelihood of extended quiescence between earthquake sequences. PMID:17818388

  8. Estimation of recurrence interval of large earthquakes on the central Longmen Shan fault zone based on seismic moment accumulation/release model.

    PubMed

    Ren, Junjie; Zhang, Shimin

    2013-01-01

    Recurrence interval of large earthquake on an active fault zone is an important parameter in assessing seismic hazard. The 2008 Wenchuan earthquake (Mw 7.9) occurred on the central Longmen Shan fault zone and ruptured the Yingxiu-Beichuan fault (YBF) and the Guanxian-Jiangyou fault (GJF). However, there is a considerable discrepancy among recurrence intervals of large earthquake in preseismic and postseismic estimates based on slip rate and paleoseismologic results. Post-seismic trenches showed that the central Longmen Shan fault zone probably undertakes an event similar to the 2008 quake, suggesting a characteristic earthquake model. In this paper, we use the published seismogenic model of the 2008 earthquake based on Global Positioning System (GPS) and Interferometric Synthetic Aperture Radar (InSAR) data and construct a characteristic seismic moment accumulation/release model to estimate recurrence interval of large earthquakes on the central Longmen Shan fault zone. Our results show that the seismogenic zone accommodates a moment rate of (2.7 ± 0.3) × 10¹⁷ N m/yr, and a recurrence interval of 3900 ± 400 yrs is necessary for accumulation of strain energy equivalent to the 2008 earthquake. This study provides a preferred interval estimation of large earthquakes for seismic hazard analysis in the Longmen Shan region. PMID:23878524

  9. Estimation of Recurrence Interval of Large Earthquakes on the Central Longmen Shan Fault Zone Based on Seismic Moment Accumulation/Release Model

    PubMed Central

    Zhang, Shimin

    2013-01-01

    Recurrence interval of large earthquake on an active fault zone is an important parameter in assessing seismic hazard. The 2008 Wenchuan earthquake (Mw 7.9) occurred on the central Longmen Shan fault zone and ruptured the Yingxiu-Beichuan fault (YBF) and the Guanxian-Jiangyou fault (GJF). However, there is a considerable discrepancy among recurrence intervals of large earthquake in preseismic and postseismic estimates based on slip rate and paleoseismologic results. Post-seismic trenches showed that the central Longmen Shan fault zone probably undertakes an event similar to the 2008 quake, suggesting a characteristic earthquake model. In this paper, we use the published seismogenic model of the 2008 earthquake based on Global Positioning System (GPS) and Interferometric Synthetic Aperture Radar (InSAR) data and construct a characteristic seismic moment accumulation/release model to estimate recurrence interval of large earthquakes on the central Longmen Shan fault zone. Our results show that the seismogenic zone accommodates a moment rate of (2.7 ± 0.3) × 1017 N m/yr, and a recurrence interval of 3900 ± 400 yrs is necessary for accumulation of strain energy equivalent to the 2008 earthquake. This study provides a preferred interval estimation of large earthquakes for seismic hazard analysis in the Longmen Shan region. PMID:23878524

  10. Technique for estimating depths of 100-year floods in Pennsylvania

    USGS Publications Warehouse

    Flippo, Herbert N., Jr.

    1990-01-01

    Techniques are developed for estimating 100-year flood depths in natural channels of unregulated Pennsylvania streams that drain less than 2,200 square miles. Equations and graphs are presented relating the depth of the 100-year flood above median stage and drainage area in five defined hydrologic areas in the State. Another graph defines the relation between drainage area and median depth of flow over the low point of riffles. Thus 100-year depths on riffles can be estimated by summing depth values derived from two simple relations.

  11. Relative Importance of Beaver and Low Recurrence Interval Floods in Controlling Water Table Position in Mountain Riparian Wetlands

    NASA Astrophysics Data System (ADS)

    Westbrook, C. J.; Cooper, D. J.; Baker, B. W.; MacDonald, L. H.

    2004-05-01

    Spring peak runoff and beaver dams alter stream stage, and therefore control the position of the water table in riparian wetlands. This study poses the hypothesis that beaver, by building cross-channel dams, can maintain higher groundwater levels in riparian wetlands than low recurrence interval floods. Water level data from approximately 200 wells were used to create potentiometric maps of water levels for the summers of 2002 and 2003 along a 900 m reach the Colorado River in Rocky Mountain National Park, Colorado. The lowest discharge on record occurred in 2002 while the second highest peak discharge in 49 years occurred in 2003 because of an above average snowpack and a rapid snowmelt. A 2 m tall beaver dam was present the first summer and absent the following summer. The beaver dam inundated approximately 12 ha, while overbank flooding from the 2003 peak flow inundated only 5.5 ha of the riparian area. Agglomerative cluster analysis identified the wells affected by the beaver dam. In 2002, water levels in wells affected by the beaver dam were constant and near the ground surface, while in 2003 the water levels declined rapidly after peak runoff. These results suggest that beaver activities, while seldom quantified, are important in controlling water table position in mountain riparian wetlands.

  12. The source model and recurrence interval of Genroku-type Kanto earthquakes estimated from paleo-shoreline data

    NASA Astrophysics Data System (ADS)

    Sato, Toshinori; Higuchi, Harutaka; Miyauchi, Takahiro; Endo, Kaori; Tsumura, Noriko; Ito, Tanio; Noda, Akemi; Matsu'ura, Mitsuhiro

    2016-02-01

    In the southern Kanto region of Japan, where the Philippine Sea plate is descending at the Sagami trough, two different types of large interplate earthquakes have occurred repeatedly. The 1923 (Taisho) and 1703 (Genroku) Kanto earthquakes characterize the first and second types, respectively. A reliable source model has been obtained for the 1923 event from seismological and geodetical data, but not for the 1703 event because we have only historical records and paleo-shoreline data about it. We developed an inversion method to estimate fault slip distribution of interplate repeating earthquakes from paleo-shoreline data on the idea of crustal deformation cycles associated with subduction-zone earthquakes. By applying the inversion method to the present heights of the Genroku and Holocene marine terraces developed along the coasts of the southern Boso and Miura peninsulas, we estimated the fault slip distribution of the 1703 Genroku earthquake as follows. The source region extends along the Sagami trough from the Miura peninsula to the offing of the southern Boso peninsula, which covers the southern two thirds of the source region of the 1923 Kanto earthquake. The coseismic slip takes the maximum of 20 m at the southern tip of the Boso peninsula, and the moment magnitude (Mw) is calculated as 8.2. From the interseismic slip-deficit rates at the plate interface obtained by GPS data inversion, assuming that the total slip deficit is compensated by coseismic slip, we can roughly estimate the average recurrence interval as 350 years for large interplate events of any type and 1400 years for the Genroku-type events.

  13. Time series and recurrence interval models to predict the vulnerability of streams to episodic acidification in Shenandoah National Park, Virginia

    USGS Publications Warehouse

    Deviney, F.A., Jr.; Rice, K.C.; Hornberger, G.M.

    2006-01-01

    Acid rain affects headwater streams by temporarily reducing the acid-neutralizing capacity (ANC) of the water, a process termed episodic acidification. The increase in acidic components in stream water can have deleterious effects on the aquatic biota. Although acidic deposition is uniform across Shenandoah National Park (SNP) in north central Virginia, the stream water quality response during rain events varies substantially. This response is a function of the catchment's underlying geology and topography. Geologic and topographic data for SNP's 231 catchments are readily available; however, long-term measurements (tens of years) of ANC and accompanying discharge are not and would be prohibitively expensive to collect. Transfer function time series models were developed to predict hourly ANC from discharge for five SNP catchments with long-term water-quality and discharge records. Hourly ANC predictions over short time periods (??? 1 week) were averaged, and distributions of the recurrence intervals of annual water-year minimum ANC values were model-simulated for periods of 6, 24, 72, and 168 hours. The distributions were extrapolated to the rest of the SNP catchments on the basis of catchment geology and topography. On the basis of the models, large numbers of SNP streams have 6- to 168-hour periods of low-ANC values, which may stress resident fish populations. Smaller catchments are more vulnerable to episodic acidification than larger catchments underlain by the same bedrock. Catchments with similar topography and size are more vulnerable if underlain by less basaltic/carbonate bedrock. Many catchments are predicted to have successive years of low-ANC values potentially sufficient to extirpate some species. Copyright 2006 by the American Geophysical Union.

  14. Surface rupture of the 1950 Assam earthquake: active faults and recurrence interval along the Eastern Himalayan Syntaxis

    NASA Astrophysics Data System (ADS)

    Coudurier Curveur, Aurelie; Kali, Elise; Tapponnier, Paul; Karakaş, Çaǧıl; Ildefonso, Sorvigenaleon; van der Woerd, Jerome; Baruah, Saurabh; Choudhury, Swapnamita; Okal, Emile; Banerjee, Paramesh

    2016-04-01

    The great Assam earthquake (08/15/1950, Mw.8.7) shook border regions between northeastern Indian, Tibet, and China for several minutes, triggering large landslides and numerous aftershocks over a wide area in the Abor and Mishmi Hills. Using morpho-tectonic field observations and high-resolution satellite images analysis we show that the earthquake produced a >200 km-long surface rupture along the Eastern Himalayan Syntaxis. It ruptured both the Main Himalayan Frontal Thrust (MFT) and the Mishmi Thrust (MST) all the way to the surface, producing clear tectonic scarps cutting Quaternary alluvial terrace risers at high angle. We analyse the geometry, height, shape, and slopes of these scarps with high-resolution topographic profiles levelled using Total Station and kinematic GPS, to document 1950 co-seismic and older cumulative surface uplifts. The co-seismic vertical throws differ between the two thrusts from ≈ 7 m and ≈ 3 m, along the MST and MFT, respectively. We stack series of parallel topographic profiles extracted from high-resolution data (eg. ALOS and Pleiades) to document the morphology of uplifted Quaternary alluvial terraces in order to identify past earthquakes. Our results show occurrence of 2 and 6 past earthquakes, along the MST and the MFT, respectively. We combine these results with radiocarbon and cosmogenic dating to assess the ages of these uplifted surfaces and constrain uplift rates of 3 ± 1 mm/yr on both thrusts and a recurrence interval of 1500 ± 300 yr between large events along the Eastern Himalayan Syntaxis. We discuss the possibility that our results suggest characteristic slip along both thrusts through Quaternary time scale.

  15. Time Interval From Breast-Conserving Surgery to Breast Irradiation in Early Stage Node-Negative Breast Cancer: 17-Year Follow-Up Results and Patterns of Recurrence

    SciTech Connect

    Vujovic, Olga; Yu, Edward; Cherian, Anil; Dar, A. Rashid; Stitt, Larry; Perera, Francisco

    2015-02-01

    Purpose: A retrospectivechart review was conducted to determine whether the time interval from breast-conserving surgery to breast irradiation (surgery-radiation therapy interval) in early stage node-negative breast cancer had any detrimental effects on recurrence rates. Methods and Materials: There were 566 patients with T1 to T3, N0 breast cancer treated with breast-conserving surgery and breast irradiation and without adjuvant systemic treatment between 1985 and 1992. The surgery-to-radiation therapy intervals used for analysis were 0 to 8 weeks (201 patients), >8 to 12 weeks (233 patients), >12 to 16 weeks (91 patients), and >16 weeks (41 patients). Kaplan-Meier estimates of time to local recurrence, disease-free survival, distant disease-free survival, cause-specific survival, and overall survival rates were calculated. Results: Median follow-up was 17.4 years. Patients in all 4 time intervals were similar in terms of characteristics and pathologic features. There were no statistically significant differences among the 4 time groups in local recurrence (P=.67) or disease-free survival (P=.82). The local recurrence rates at 5, 10, and 15 years were 4.9%, 11.5%, and 15.0%, respectively. The distant disease relapse rates at 5, 10, and 15 years were 10.6%, 15.4%, and 18.5%, respectively. The disease-free failure rates at 5, 10, and 15 years were 20%, 32.3%, and 39.8%, respectively. Cause-specific survival rates at 5, 10, and 15 years were 92%, 84.6%, and 79.8%, respectively. The overall survival rates at 5, 10, and 15 years were 89.3%, 79.2%, and 66.9%, respectively. Conclusions: Surgery-radiation therapy intervals up to 16 weeks from breast-conserving surgery are not associated with any increased risk of recurrence in early stage node-negative breast cancer. There is a steady local recurrence rate of 1% per year with adjuvant radiation alone.

  16. Spring wheat gliadins: Have they changed in 100 years?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    There have been many hard red spring (HRS) wheat cultivars released in North Dakota during the last 100 years. These cultivars have been improved for various characteristics such as, adaptation to weather conditions, high yield, and good milling and baking quality. The objectives of this study wer...

  17. 100 Years of Commitment to Children: Change and Continuity.

    ERIC Educational Resources Information Center

    Shore, Rima

    The Foundation for Child Development (FCD) is the oldest philanthropy in the nation focused on improving the life prospects of children. This booklet, produced for FCD's centennial, describes the organization's origins and changes during the past 100 years. The booklet's sections, which include photographs, quotes, and a timeline, are: (1) "The…

  18. Centennial Calendar- 100 Years of the American Phytopathological Society

    Technology Transfer Automated Retrieval System (TEKTRAN)

    I edited a 40-page publication (calendar) that covered 18 chapters written by members of our society. This covered pioneering researchers, departments, and epidemics of the last 100 years of plant pathology in the U. S. This was given to all members of the American Phytopathological Society who att...

  19. A universal celebration: 100 years of Korotkoff sounds, 1905 - 2005.

    PubMed

    Naqvi, Nasim H

    2005-12-01

    The measurement of systolic and diastolic blood pressure by auscultation was first described 100 years ago, when a young Russian army doctor, Nicolai Sergeevich Korotkoff, addressed a meeting at the Medical Academy of St. Petersburg on 8th November 1905. During the last hundred years, Korotkoff's contribution has proved to be one of the most useful methods in the diagnosis, treatment, monitoring and prevention of life threatening cardiovascular ailments and the centenary of his discovery should be celebrated universally. PMID:17153281

  20. Paleoearthquakes and large earthquakes recurrence interval along Yingxiu-Beichuan fault of the Longmenshan Fault Zone, Sichuan, China

    NASA Astrophysics Data System (ADS)

    Ran, Y.; Xu, X.; Chen, W.; Chen, L.; Dong, S.; Wang, H.

    2009-12-01

    former event occurred between 3.3±0.3kaBP and 1112aBP. We find a grey-black sand clay unit that may be a barrier lake depositon in the trench excavated on the T2 at Guixi Town. Above the sand clay unit, the upper strata deform with a vertical displacement of 2.2m, however the vertical deformation is 3.5m on the lower strata, which shows that two seismic events occurred after deposition of a barrier lake. If formation of a barrier lake supposed to be generated from another earlier seismic event, there would be three events revealed in the trench. The trunk in the barrier lake unit was yielded ages of 8726~8738aBP, three seismic events occurred after this age. We conclude that there are three events revealed in trenches along the Yingxiu-Beichuan Fault, the earliest event occurred after 5730aBP, and the one before the Wenchuan earthquake occurred at about 2600aBP. The average recurrence interval of events is 2800±200a.

  1. Calculation of probabilities of transfer, recurrence intervals, and positional indices for linear compartment models. Environmental Sciences Division Publication no. 1544

    SciTech Connect

    Carney, J.H.; DeAngelis, D.L.; Gardner, R.H.; Mankin, J.B.; Post, W.M.

    1981-02-01

    Six indices are presented for linear compartment systems that quantify the probable pathways of matter or energy transfer, the likelihood of recurrence if the model contains feedback loops, and the number of steps (transfers) through the system. General examples are used to illustrate how these indices can simplify the comparison of complex systems or organisms in unrelated systems.

  2. Ernst Mach on the vestibular organ 100 years ago.

    PubMed

    Henn, V; Young, L R

    1975-01-01

    Ernst Mach (1838-1916) performed pioneering research on vestibular function 100 years ago. His experiments were mainly psychophysical and included measurements of threshold and study of the vestibular-visual interaction. Contrary to general belief, he concluded that the adequate stimulus for the semicircular canals must be pressure. He presented evidence specifically against the sustained endolymph flow theory of Breuer (1874) and Crum Brown (1874), with which he is frequently associated. Excerpts from his publications are given and their relevance to current research is discussed. PMID:1093083

  3. Ragnar Granit 100 years--memories and reflections.

    PubMed

    Kernell, D

    2000-12-01

    The Swedish-Finnish Nobel laureate Ragnar Granit, born 100 years ago, is commemorated in a brief article by one of his former PhD students and collaborators. After a short account of Granit's life and scientific career, special attention is given to Granit's role as a teacher in research training and his published thoughts on this matter, partly reflecting Granit's own experience as a "postdoc" in the laboratory of Sherrington (Oxford). The article includes personal recollections of how it was to work together with Granit in his laboratory. PMID:11232369

  4. Seismic recurrence intervals and timing of aseismic subduction inferred from emerged corals and reefs of the Central Vanuatu (New Hebrides) Frontal Arc

    NASA Astrophysics Data System (ADS)

    Taylor, Frederick W.; Edwards, R. Lawrence; Wasserburg, G. J.; Frohlich, Cliff

    1990-01-01

    The recognition and dating of corals that have been killed by tectonic uplift allow us to date paleoseismic uplifts in the Vanuatu island arc. We recognize corals that record paleouplifts by their similarity to those known to have died during contemporary sudden uplifts and date them (1) by counting annual coral growth bands (only if part of the coral is alive at the time of collection) or (2) by newly developed techniques for obtaining 230Th ages by mass spectrometry. The mass spectrometric method produces isotopic ages with precisions of ±3 to ±9 years (2σ) in the 0-1000 years B.P. time range. The 230Th ages in this time range appear to be accurate. Samples whose ages are known by counting coral growth bands give 230Th ages that are indistinguishable from their growth band ages. By dividing the average increment of uplift for the latest Holocene uplifts by the mean Holocene uplift rate, we can estimate average seismic uplift recurrence intervals for the past 6000 years. The results for each of four central Vanuatu arc segments are (1) North Santo emerged 1.2 m in 1866 A.D. and 0.6 m 107 years later in 1973 A.D. The average coseismic uplift of 0.9 m and mean Holocene uplift rate of 4.3 mm yr-1 suggest a longer recurrence interval of 212 years. (2) South Santo emerged 0.29 m in 1946 and 0.26 m 19 years later in 1965, including the related 1971 event. Here the mean Holocene uplift rate is 5.5 mm yr-1. The uplift data suggest a longer average recurrence interval of about 51 years. (3) North Malekula emerged 1.23 m near 1729 A. D. and 1.05 m 236 years later in 1965. The mean Holocene uplift rate of 2.7 mm yr-1 and mean coseismic uplift of 1.14 m for dated events suggest a longer recurrence interval of 422 years. (4) Part of southernmost Malekula has uplifted continuously or episodically by about 0.35 m from about 1957 until at least mid-1983 A.D. The maximum uplift of 2.7 mm yr-1 occurs near a nest of small earthquakes. Both the earthquakes and rapid uplift suggest

  5. Extending dry storage of spent LWR fuel for 100 years.

    SciTech Connect

    Einziger, R. E.

    1998-12-16

    Because of delays in closing the back end of the fuel cycle in the U.S., there is a need to extend dry inert storage of spent fuel beyond its originally anticipated 20-year duration. Many of the methodologies developed to support initial licensing for 20-year storage should be able to support the longer storage periods envisioned. This paper evaluates the applicability of existing information and methodologies to support dry storage up to 100 years. The thrust of the analysis is the potential behavior of the spent fuel. In the USA, the criteria for dry storage of LWR spent fuel are delineated in 10 CFR 72 [1]. The criteria fall into four general categories: maintain subcriticality, prevent the release of radioactive material above acceptable limits, ensure that radiation rates and doses do not exceed acceptable levels, and maintain retrievability of the stored radioactive material. These criteria need to be considered for normal, off-normal, and postulated accident conditions. The initial safety analysis report submitted for licensing evaluated the fuel's ability to meet the requirements for 20 years. It is not the intent to repeat these calculations, but to look at expected behavior over the additional 80 years, during which the temperatures and radiation fields are lower. During the first 20 years, the properties of the components may change because of elevated temperatures, presence of moisture, effects of radiation, etc. During normal storage in an inert atmosphere, there is potential for the cladding mechanical properties to change due to annealing or interaction with cask materials. The emissivity of the cladding could also change due to storage conditions. If there is air leakage into the cask, additional degradation could occur through oxidation in breached rods, which could lead to additional fission gas release and enlargement of cladding breaches. Air in-leakage could also affect cover gas conductivity, cladding oxidation, emissivity changes, and

  6. 100 years of sedimentation study by the USGS

    USGS Publications Warehouse

    Glysson, G. Douglas

    1989-01-01

    On January 15, 1889, the U.S. Geological Survey began collecting sediment data on the Rio Grande at Embudo, New Mexico. During the past 100 years the U.S. Geological Survey's Water Resources Division (WRD) has collected daily sediment data at more than 1,200 sites. Projects have addressed the problems associated with reservoir construction, agricultural irrigation projects, energy production, and transport and deposition of pollutants sorbed to sediments. The Survey has been active as a charter member of the Federal Interagency Sediment Project and currently has three full-time hydrologists working on the project. The WRD's sediment-research projects have covered a wide variety of subjects from the fundamental theories of resistance to flow and sediment transport in alluvial channels to lunar erosion mechanisms.

  7. Revisiting the 100 Year Old Radioactivity Lectures of Frederick Soddy

    NASA Astrophysics Data System (ADS)

    Hampton, Christine

    2008-04-01

    Between 1908 and 1922, Frederick Soddy, MA., FRS (Dr. Lee`s Professor of Inorganic and Physical Chemistry, Univ. of Oxford) published four editions of a compendium of his experimental lectures delivered at the University of Glasgow, under the title ``The Interpretation of Radium, and the Structure of the Atom''. Professor Soddy taught his students about `radium writing' and the emanation of radium. He presented a radium clock designed by Professor Strutt; showed students `Pleochroic Halos'; and described the separation of `ionium' from its isotope, thorium. The process of constructing a cohesive logic to empirical observations of this newly discovered phenomenon of radioactivity was a challenging one. Some aspects did not stand the test of time. However, revisiting these lectures after 100 years gives us fascinating insight into the mental processes of the early pioneers in radioactivity.

  8. Opening the 100-Year Window for Time-Domain Astronomy

    NASA Astrophysics Data System (ADS)

    Grindlay, Jonathan; Tang, Sumin; Los, Edward; Servillat, Mathieu

    2012-04-01

    The large-scale surveys such as PTF, CRTS and Pan-STARRS-1 that have emerged within the past 5 years or so employ digital databases and modern analysis tools to accentuate research into Time Domain Astronomy (TDA). Preparations are underway for LSST which, in another 6 years, will usher in the second decade of modern TDA. By that time the Digital Access to a Sky Century @ Harvard (DASCH) project will have made available to the community the full sky Historical TDA database and digitized images for a century (1890-1990) of coverage. We describe the current DASCH development and some initial results, and outline plans for the ``production scanning'' phase and data distribution which is to begin in 2012. That will open a 100-year window into temporal astrophysics, revealing rare transients and (especially) astrophysical phenomena that vary on time-scales of a decade. It will also provide context and archival comparisons for the deeper modern surveys.

  9. Estimating the magnitude of annual peak discharges with recurrence intervals between 1.1 and 3.0 years for rural, unregulated streams in West Virginia

    USGS Publications Warehouse

    Wiley, Jeffrey B.; Atkins, John T.; Newell, Dawn A.

    2002-01-01

    Multiple and simple least-squares regression models for the log10-transformed 1.5- and 2-year recurrence intervals of peak discharges with independent variables describing the basin characteristics (log10-transformed and untransformed) for 236 streamflow-gaging stations were evaluated, and the regression residuals were plotted as areal distributions that defined three regions in West Virginia designated as East, North, and South. Regional equations for the 1.1-, 1.2-, 1.3-, 1.4-, 1.5-, 1.6-, 1.7-, 1.8-, 1.9-, 2.0-, 2.5-, and 3-year recurrence intervals of peak discharges were determined by generalized least-squares regression. Log10-transformed drainage area was the most significant independent variable for all regions. Equations developed in this study are applicable only to rural, unregulated streams within the boundaries of West Virginia. The accuracies of estimating equations are quantified by measuring the average prediction error (from 27.4 to 52.4 percent) and equivalent years of record (from 1.1 to 3.4 years).

  10. 100 years of Belgian rainfall: are there trends?

    PubMed

    Vaes, G; Willems, P; Berlamont, J

    2002-01-01

    In 1999 the digitisation of old rainfall records of measurements at Uccle (Belgium) was completed, which resulted in a unique rainfall series of 100 years (period 1898-1997). This is an ideal opportunity to search for trends in the rainfall over the last century. Large variations in rainfall probability over the century have been observed. For small aggregation levels there is a small decrease in extreme rainfall events over the century. For large aggregation levels there is a more explicit increase in extreme rainfall. Because the rainfall on seasonal aggregation level is only slightly increased, the increase in extreme rainfall events for aggregation levels between a few days and a few months can only occur due to larger clustering. However, the final conclusion is that no significant trend can be observed. A pure random variation of the rainfall can cause equally large variations. This does not exclude a possible trend in flooding frequency, due to the strong increase in urbanisation over the last century. PMID:11888184

  11. Colloquium: 100 years of mass spectrometry: Perspectives and future trends

    NASA Astrophysics Data System (ADS)

    Maher, Simon; Jjunju, Fred P. M.; Taylor, Stephen

    2015-01-01

    Mass spectrometry (MS) is widely regarded as the most sensitive and specific general purpose analytical technique. More than a century has passed for MS since the ground-breaking work of Nobel laureate Sir Joseph John Thomson in 1913. This Colloquium aims to (1) give an historical overview of the major instrumentation achievements that have driven mass spectrometry forward in the past century, including those leading up to the initial work of Thomson, (2) provide the nonspecialist with an introduction to MS, and (3) highlight some key applications of MS and explore the current and future trends. Because of the vastness of the subject area and quality of the manifold research efforts that have been undertaken over the last 100 years, which have contributed to the foundations and subsequent advances in mass spectrometry, it should be understood that not all of the key contributions may have been included in this Colloquium. Mass spectrometry has embraced a multitude of scientific disciplines and to recognize all of the achievements is an impossible task, such has been the diverse impact of this invaluable technique. Scientific progress is usually made via the cumulative effort of a large number of researchers; the achievements reported herein are only a representation of that effort.

  12. Pedernales oilfield, eastern Venezuela: The first 100 years

    SciTech Connect

    Gluyas, J.; Oliver, J.; Wilson, W.

    1996-08-01

    Petroleum seeps and surface tar mats attracted oil explorers to Pedernales in eastern Venezuela 100 years ago. Commercial production from the Pedernales Field was established by Creole in 1933. In three production periods, broken by WWII and the end of the Creole-Texaco refining contract, Creole and Lagoven produced about 60 MMSTB from about 60 wells in about 60 years. Peak production was in the late 1950s, when the field delivered 12,000 BOPD. Production was stopped in 1986. In March 1993, BP Venezuela acquired the license to reactivate Pedernales on behalf of Lagoven, and BP`s first well in the field was drilled in August 1994. A second was completed in early 1995. The production from each well was sufficiently encouraging for commerciality to be declared in March 1995. Phase 1 of the field reactivation demanded a production rate of 11,500 BOPD. As of now (September, 1995) six wells, including one gas disposal well, have been completed. Wells have been placed using a combination of old well data and mapping based on a close spaced 2D seismic survey shot in early 1994. Results from these first few wells indicate that the required production rate will be achieved despite severely depleted reservoir pressures. This paper tells the story of reactivation and re-evaluation of one of eastern Venezuela`s oldest oilfields.

  13. Slope restoration for a 100-year old canal

    SciTech Connect

    Skaggs, R.L.; Lewis, S.W.; Liebersbach, D.C.

    1995-12-31

    Turlock Irrigation District (TID) is located in the northern portion of the fertile San Joaquin Valley of California. TID`s primary water supply is conveyed from the 100-year-old LaGrange Diversion Dam via their historic Upper Main Canal. The original canal was constructed by excavating into slate bedrock for the uphill (cut) bank, and constructing unmortared rock walls and rock fill for the downhill (fill) embankment; the excavation was then lined with concrete. Soil fill raises of the downhill embankment over the last 30 years have reduced the slope stability to unacceptable levels in the steepest embankment areas. In March of 1994, two surficial slides prompted investigation of the long term embankment stability in the Warehouse Slide Area. Based on results of analysis for various stabilization scenarios, TID chose a stabilization method which included: (1) excavation of an access bench below the existing canal, (2) installation of steel pipe piles through the existing rock fill and into the bedrock, (3) construction of a mechanically stabilized earth (MSE) retaining wall and (4) construction of a soil-cement canal roadway pavement. The design was chosen by the owner because of cost competitiveness compared to other design alternatives and because the construction sequence allowed uninterrupted use of the canal. By using local river cobble for the MSE wall facing material, TID met the desired 50-year design life of the repair while maintaining the area`s historic visual features.

  14. Overuse syndrome in musicians--100 years ago. An historical review.

    PubMed

    Fry, H J

    Overuse syndrome in musicians was extensively reported 100 years ago. The clinical features and results of treatment, which were recorded in considerable detail, match well the condition that is described today. The medical literature that is reviewed here extends from 1830 to 1911 and includes 21 books and 54 articles from the English language literature, apart from two exceptions; however, the writers of the day themselves reviewed French, German and Italian literature on the subject. The disorder was said to result from the overuse of the affected parts. Two theories of aetiology, not necessarily mutually exclusive, were argued. The central theory regarded the lesion as being in the central nervous system, the peripheral theory implied a primary muscle disorder. No serious case was put forward for a psychogenic origin, though emotional factors were believed to aggravate the condition. Advances in musical instrument manufacture--particularly the development of the concert piano and the clarinet--may have played a part in the prevalence of overuse syndrome in musicians. Total rest from the mechanical use of the hand was the only effective treatment recorded. PMID:3540544

  15. Scaling of Seismic Moment with Recurrence Interval for Small Repeating Earthquakes Simulated on Rate-and-State Faults

    NASA Astrophysics Data System (ADS)

    Chen, T.; Lapusta, N.

    2006-12-01

    Observations suggest that the recurrence time T and seismic moment M0 of small repeating earthquakes in Parkfield scale as T∝ M_0^{0.17 (Nadeau and Johnson, 1998). However, a simple conceptual model of these earthquakes as circular ruptures with stress drop independent of the seismic moment and slip that is proportional to the recurrence time T results in T∝ M_0^{1/3}. Several explanations for this discrepancy have been proposed. Nadeau and Johnson (1998) suggested that stress drop depends on the seismic moment and is much higher for small events than typical estimates based on seismic spectra. Sammis and Rice (2001) modeled repeating earthquakes at a border between large locked and creeping patches to get T∝ M_0^{1/6} and reasonable stress drops. Beeler et al. (2001) considered a fixed-area patch governed by a conceptual law that incorporated strain-hardening and showed that aseismic slip on the patch can explain the observed scaling relation. In this study, we provide an alternative physical basis, grounded in laboratory-derived rate and state friction laws, for the idea of Beeler at el. (2001) that much of the overall slip at the places of small repeating earthquakes may be accumulated aseismically. We simulate repeating events in a 3D model of a strike-slip fault imbedded into an elastic space and governed by rate and state friction laws. The fault has a small circular patch (2-20 m in diameter) with steady-state rate-weakening properties, with the rest of the fault governed by steady-state rate strengthening. The simulated fault segment is 40 m by 40 m, with periodic boundary conditions. We use values of rate and state parameters typical of laboratory experiments, with characteristic slip of order several microns. The model incorporates tectonic-like loading equivalent to the plate rate of 23 mm/year and all dynamic effects during unstable sliding. Our simulations use the 3D methodology of Liu and Lapusta (AGU, 2005) and fully resolve all aspects of

  16. A Retrospective Longitudinal Within-Subject Risk Interval Analysis of Immunoglobulin Treatment for Recurrent Acute Exacerbation of Chronic Obstructive Pulmonary Disease

    PubMed Central

    Cowan, Juthaporn; Gaudet, Logan; Mulpuru, Sunita; Corrales-Medina, Vicente; Hawken, Steven; Cameron, Chris; Aaron, Shawn D.; Cameron, D. William

    2015-01-01

    Background Recurrent acute exacerbations of chronic obstructive pulmonary disease (AECOPD) are common, debilitating, costly and often difficult to prevent. Methods We reviewed records of patients who had COPD and immunoglobulin (Ig) treatment as adjunctive preventative treatment for AECOPD, and documented all AECOPD episodes for one year before and after initiation of Ig treatment. We graded AECOPD episodes as moderate for prescription of antibiotics and/or corticosteroids or for visit to the Emergency Department, and as severe for hospital admission. We conducted a retrospective within-subject self-controlled risk interval analysis to compare the outcome of annual AECOPD rate before and after treatment. Results We identified 22 cases of certain COPD, of which three had early discontinuation of Ig treatment due to rash and local swelling to subcutaneous Ig, and five had incomplete records leaving 14 cases for analyses. The median baseline IgG level was 5.9 g/L (interquartile range 4.1–7.4). Eight had CT radiographic bronchiectasis. Overall, the incidence of AECOPD was consistently and significantly reduced in frequency from mean 4.7 (± 3.1) per patient-year before, to 0.6 (± 1.0) after the Ig treatment (p = 0.0001). There were twelve episodes of severe AECOPD (in seven cases) in the year prior, and one in the year after Ig treatment initiation (p = 0.016). Conclusions Ig treatment appears to decrease the frequency of moderate and severe recurrent AECOPD. A prospective, controlled evaluation of adjunctive Ig treatment to standard therapy of recurrent AECOPD is warranted. PMID:26558756

  17. Progress of Cometary Science in the Past 100 Years

    NASA Technical Reports Server (NTRS)

    Sekanina, Zdenek

    1999-01-01

    Enormous strides made by cometary science during the 20th century defy any meaningful comparison of its state 100 years ago and now. The great majority of the subfields enjoying much attention nowadays did not exist in the year 1900. Dramatic developments, especially in the past 30-50 years, have equally affected observational and theoretical studies of comets. The profound diversification of observing techniques has been documented by the ever widening limits on the electromagnetic spectrum covered. While the time around 1900 marked an early period of slow and painful experimentation with photographic methods in cometary studies, observations of comets from the x-ray region to the radio waves have by now become routine. Many of the new techniques, and all those involved with the wavelengths shorter than about 300 nm, were made possible by another major breakthrough of this century - observing from space. Experiments on dedicated Earth-orbiting satellites as well as several deep-space probes have provided fascinating new information on the nature and makeup of comets. In broader terms, much of the progress has been achieved thanks to fundamental discoveries and major advances in electronics, whose applications resulted in qualitatively new instruments (e.g. radiotelescopes) and sensors or detectors (e.g. CCD arrays). The most universal effect on the entire cometary science, from observing to data handling to quantitative interpretations, has been, as in any other branch of science, due to the introduction of electronic computers, with their processing capabilities not only unheard of, but literally unimaginable, in the age of classical desk calculators. As if all this should not be enough, the today's generations of comet scientists have, in addition, been blessed with nature's highly appreciated cooperation. Indeed, in the span of a dozen years, between 1985 and 1997, we were privileged to witness four remarkable cometary events: (i) a return of Halley

  18. Suspended-sediment transport rates at the 1.5-year recurrence interval for ecoregions of the United States: transport conditions at the bankfull and effective discharge?

    NASA Astrophysics Data System (ADS)

    Simon, Andrew; Dickerson, Wendy; Heins, Amanda

    2004-03-01

    Historical flow and suspended-sediment transport data from more than 2900 sites across the United States have been analyzed in the context of estimating flow and suspended-sediment transport conditions at the 1.5-year recurrence interval flow ( Q1.5). This is particularly relevant with the renewed focus on stream restoration activities and the urgency in developing water-quality criteria for sediment. Data were sorted into the 84 Level III ecoregions to identify spatial trends in suspended-sediment concentrations and yields to meaningfully describe suspended-sediment transport rates across the United States. Arguments are developed that in lieu of form-based estimates of say the bankfull level, a flow of a given recurrence interval ( Q1.5) is more appropriate to integrate suspended-sediment transport ratings for the purpose of defining long-term transport conditions at a site (the "effective discharge"). The use of the Q1.5 as a measure of the effective discharge for suspended-sediment transport is justified on the basis of literature reports and analytic results from hundreds of sites in 17 ecoregions that span a diverse range of hydrologic and topographic conditions (i.e., Coast Range, Arizona/New Mexico Plateau, Mississippi Valley Loess Plains, Middle Atlantic Coastal Plain). There is sufficient data to also develop regional curves for the Q1.5 in all but eight of the ecoregions. At the Q1.5 the highest median suspended-sediment concentrations occur in semiarid environments (Southwest Tablelands, Arizona/New Mexico Plateau and the Mojave Basin and Range); the highest yields occur in humid regions with erodible soils and steep slopes or channel gradients (Mississippi Valley Loess Plains [MVLP] and the Coast Range). Suspended-sediment yields for stable streams are used to determine "background" or "reference" sediment transport conditions in eight ecoregions where there is sufficient field data. The median value for stable sites within a given ecoregion are

  19. Suspended-Sediment Transport Rates at the 1.5-Year Recurrence Interval for Level III Ecoregions of the United States

    NASA Astrophysics Data System (ADS)

    Simon, A.

    2002-12-01

    Historical flow and suspended-sediment transport data from more than 2,900 sites across the United States have been analyzed in the context of estimating flow and suspended-sediment transport conditions at the 1.5-year recurrence interval (Q1.5) discharge. Using a specific flow frequency provides a means of comparing streams draining watersheds of different size, geology, physiography and climate. The Q1.5 is often associated with several controversial fluvial geomorphic concepts such as bankfull discharge, dominant discharge, effective discharge and channel-forming discharge. These concepts are particularly relevant with the renewed focus on stream restoration activities and the urgency in developing water-quality criteria for sediment. Data were sorted into the 84 Level III ecoregions to identify spatial trends in suspended-sediment concentrations and yields at the bankfull discharge. Arguments are developed that in lieu of form-based estimates of the bankfull level, a flow of a given recurrence interval (Q1.5) is appropriate to estimate channel-forming conditions if it can be shown that the greatest amount of sediment is transported at this flow frequency (effective discharge). A concurrent study is underway to determine the effective discharge in each ecoregion. There is sufficient data to develop regional curves for the Q1.5 in all but eight of the ecoregions in the continental United States. At the Q1.5 the highest median suspended-sediment concentrations occur in semi-arid environments (Southwest Tablelands, Arizona-New Mexico Plateau and the Mojave Basin and Range) owing to large quantities of availalke sediment, limited vegetative cover, and the flashy nature of runoff events. The highest suspended-sediment yields occur in humid regions with erodable soils and steep slopes or channel gradients (Mississippi Valley Loess Plains and the Coast Range). Suspended-sediment yields for stable streams are used to determine "background" or "reference" sediment

  20. Stratigraphic variations of lacustrine sediment gravity flow deposits and their recurrence intervals in the Middle Pleistocene Miyajima Formation, northeastern Japan: an implication for paleoenvironmental analysis

    NASA Astrophysics Data System (ADS)

    Sasaki, Hana; Onishi, Yuri; Ishihara, Yoshiro

    2016-04-01

    Lacustrine sediment gravity flow deposits have been proposed as archives for flood and earthquake events. Holocene lacustrine deposits are especially valuable because they can be correlated with historical records and other detailed paleoenvironmental indices. When sediment gravity flow deposits are intercalated in varved deposits, they can potentially be used for high resolution reconstruction of recurrence intervals of events in addition to environmental changes. The Shiobara Group in the Shiobara Basin, Tochigi Prefecture, northeastern Japan, consists of the upper Miyajima Formation and the lower Kamishiobara Formation. The Miyajima Formation includes varved deposits distributed at the center of the basin. These units are interpreted as lake floor deposits of the Paleo-Shiobara Caldera Lake. The varved deposits of the Miyajima Formation consist of cyclic repetitions of light-colored seasonal sub-layers mainly composed of diatoms (Stephanodiscus niagarae) and dark-colored seasonal sub-layers mainly composed of river inflow deposits. For this study, we measured lacustrine deposits of the Miyajima Formation and analyzed stratigraphic variation of varved deposits. Stratigraphic units of approximately 4 m in total thickness were studied, which included 416 events of sediment -gravity flow deposition over ca. 700 years. Sedimentary facies of the lacustrine sediment gravity flow deposits: The sediment gravity flow deposits can be classified by their erosional and internal features: whether they have an erosional base, whether they are graded, and whether they have rip-up clasts. Because high density currents were suggested from above features, most of the deposits are interpreted as the result of hyperpycnal flow. Also, the features suggest that the sediment gravity flow deposits originated from rivers around the lake. Stratigraphic variation of varved deposits: Average thicknesses of varves decrease from the lower and middle portions of the section to the upper part

  1. A new approach for river flood extent delineation in rural and urban areas combining RADARSAT-2 imagery and flood recurrence interval data

    NASA Astrophysics Data System (ADS)

    Tanguy, Marion; Bernier, Monique; Chokmani, Karem

    2015-04-01

    the many efforts recently done toward the improvements of the accuracy of the processing algorithms for flood detection in urban areas with high resolution SAR imagery, these algorithms still encounter difficulties to detect urban flooded pixels with precision. The difficulties do not seem to be only ascribable to the choice of SAR image processing methods, but can also be imputed to the limitations of the SAR imaging technique itself in urban areas. We propose a fully automatic and effective approach for near-real time delineation of urban and rural flooded areas, which combines the capacity of SAR imagery to detect open water areas, and explicit hydrodynamic characteristics of the region affected by the flood, expressed through flood recurrence interval data. This innovative approach has been tested with RADARSAT-2 Fine and Ultrafine Mode images acquired during the 2011 Richelieu River flooding, in Canada. It proved successful in accurately delineating flooding in urban and rural areas, with a RMSE inferior to 2 pixels.

  2. Discharge, gage height, and elevation of 100-year floods in the Hudson River basin, New York

    USGS Publications Warehouse

    Archer, Roger J.

    1978-01-01

    The flood discharge that may be expected to be equaled or exceeded on the average of once in 100 years (100-year flood) was computed by the log-Pearson Type-III frequency relation for 72 stations in the Hudson River basin. These discharges and, where available, their corresponding gage height and elevation above mean sea level are presented in tabular form. A short explanation of computation methods is included. The data are to be used as part of a federally funded study of the water resources and related land resources of the Hudson River basin. (Woodard-USGS)

  3. Innovation and Involvement: 100 Years of Community Work with Older People.

    ERIC Educational Resources Information Center

    Glasby, Jon

    2000-01-01

    Birmingham Settlement has provided services to British older adults for over 100 years, including such innovations as adult day centers, meals on wheels, and transportation services. The participation of the clientele in research helped flesh out the history of the settlement through narratives that demonstrate its impact on the life of the…

  4. 100 Years of Cotton Production, Harvesting and Ginning Systems Engineering: 1907 - 2007

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The American Society of Agricultural and Biological Engineers (ASABE) celebrated its centennial year during 2007. As part of the ASABE centennial, the authors were asked to describe agricultural engineering accomplishments in U.S. cotton production, harvesting and ginning over the past 100 years. ...

  5. What Would You Look Like If You Were 100 Years Old?

    ERIC Educational Resources Information Center

    Petersen, Hugh

    1998-01-01

    Describes a project inspired by the 100th day of school in which first-grade students created a self-portrait of themselves at 100 years old and wrote an accompanying essay. States that the students drew wrinkles on the faces, age-appropriate clothing, gray or white hair, and even glasses as a finishing touch. (CMK)

  6. The life and times of the LED - a 100-year history

    NASA Astrophysics Data System (ADS)

    Zheludev, Nikolay

    2007-04-01

    Many people believe that the LED was discovered by US researchers working in the 1960s. In fact, Henry Round at Marconi Labs noted the emission of light from a semiconductor diode 100 years ago and, independently, a forgotten Russian genius - Oleg Losev - discovered the LED.

  7. Areas subject to inundation by the 100-year flood in Avra Valley, Pima County, Arizona

    USGS Publications Warehouse

    Roeske, R.H.

    1978-01-01

    Avra Valley in Pima County, Arizona, is sparsely populated and is used mainly for agriculture and cattle grazing; however, its proximity to Tucson makes it desirable for urban development. Administrators and planners concerned with future land development may use the map report to determine the approximate areas that are subject to inundation by the 100-year flood. Avra Valley is drained mainly by Brawley Wash; Blanco Wash drains the west side of the valley. Most of the natural drainage system consists of small braided channels bordered by narrow bands of dense vegetation, which cause floodwater to spread over wide areas of shallow depths. During the 100-year flood, the areas inundated by Brawley and Blanco Washes may join in several places. (Woodard-USGS)

  8. Creating Long Term Income Streams for the 100 Year Starship Study Initiative

    NASA Astrophysics Data System (ADS)

    Sylvester, A. J.

    Development and execution of long term research projects are very dependent on a consistent application of funding to maximize the potential for success. The business structure for the 100 Year Starship Study project should allow for multiple income streams to cover the expenses of the research objectives. The following examples illustrate the range of potential avenues: 1) affiliation with a charitable foundation for creating a donation program to fund a long term endowment for research, 2) application for grants to fund initial research projects and establish the core expertise of the research entity, 3) development of intellectual property which can then be licensed for additional revenue, 4) creation of spinout companies with equity positions retained by the lab for funding the endowment, and 5) funded research which is dual use for the technology goals of the interstellar flight research objectives. With the establishment of a diversified stream of funding options, then the endowment can be funded at a level to permit dedicated research on the interstellar flight topics. This paper will focus on the strategy of creating spinout companies to create income streams which would fund the endowment of the 100 Year Starship Study effort. This technique is widely used by universities seeking to commercially develop and market technologies developed by university researchers. An approach will be outlined for applying this technique to potentially marketable technologies generated as a part of the 100 Year Starship Study effort.

  9. 100 years since the discovery of cosmic rays. A brief history

    NASA Astrophysics Data System (ADS)

    Chiavassa, Andrea

    2012-11-01

    With the words "Cosmic Rays" we mean particles impinging on the earth atmosphere. The existence of these particles was discovered in 1912, i.e. exactly 100 years ago, by the Austrian physicist Victor Hesss. In this contribution I will describe the steps that lead to such a discovery: from the electroscope measurements, showing their spontaneous discharge, to the correct explanation of this results with the existence of charged particles arriving from outside of the atmosphere. Then I will discuss the first steps of experimental particle physics, obtained with experiments performed detecting cosmic rays, that allowed important discoveries as the detection of antimatter and of new subatominc particles as muons and pions.

  10. Morphological response of songbirds to 100 years of landscape change in North America.

    PubMed

    Desrochers, A

    2010-06-01

    Major landscape changes caused by humans may create strong selection pressures and induce rapid evolution in natural populations. In the last 100 years, eastern North America has experienced extensive clear-cutting in boreal areas, while afforestation has occurred in most temperate areas. Based on museum specimens, I show that wings of several boreal forest songbirds and temperate songbirds of non-forest habitats have become more pointed over the last 100 years. In contrast, wings of most temperate forest and early-successional boreal forests species have become less pointed over the same period. In contrast to wing shape, the bill length of most species did not change significantly through time. These results are consistent with the "habitat isolation hypothesis", i.e., songbirds evolved in response to recent changes in the amount of available habitat and associated implications for mobility. Rapid morphological evolution may mitigate, without necessarily preventing, negative consequences of habitat loss caused by humans through direct exploitation or climate change. PMID:20583699

  11. Solar wind variations in the 60-100 year period range: A review

    NASA Technical Reports Server (NTRS)

    Feynman, J.

    1983-01-01

    The evidence for and against the reality of a solar wind variation in the period range of 60-100 years is reexamined. Six data sets are reviewed; sunspot numbers, geomagnetic variations, two auroral data sets and two (14)C data sets. These data are proxies for several different aspects of the solar wind and the presence or absence of 60-100 year cyclic behavior in a particular data set does not necessarily imply the presence or absence of this variation in other sets. It was concluded that two different analyses of proxy data for a particular characteristic of the heliospheric solar wind yielded conflicting results. This conflict can be resolved only by future research. It is also definitely confirmed that proxy data for the solar wind in the ecliptic at 1 A.U. undergo a periodic variation with a period of approximately 87 years. The average amplitude and phase of this variation as seen in eleven cycles of proxy data are presented.

  12. Tree rings record 100 years of hydrologic change within a wetland

    USGS Publications Warehouse

    Yanosky, Thomas M.; Kappel, William M.

    1997-01-01

    Hydrology and tree growth were investigated within a small wetland in the Tully Valley of central New York, about 20 miles south of Syracuse. In late 1994 it was noted that some wetland trees were dying, and local residents reported that flow of a small stream draining the wetland seemingly increased and became more brackish since the mid to late 1980s. The wetland is about 3 miles north of an extensive salt mining operation known to have degraded local water quality, but no effects of mining had been confirmed previously near the wetland. The oldest wetland trees started to grow before the onset of mining in 1889, and thus tree-ring studies were undertaken not only to investi-gate recent hydrologic change within the wetland, but also to search for evidence of any other changes during the last 100 years.

  13. 100 Years of British military neurosurgery: on the shoulders of giants.

    PubMed

    Roberts, S A G

    2015-01-01

    Death from head injuries has been a feature of conflicts throughout the world for centuries. The burden of mortality has been variously affected by the evolution in weaponry from war-hammers to explosive ordnance, the influence of armour on survivability and the changing likelihood of infection as a complicating factor. Surgery evolved from haphazard trephination to valiant, yet disjointed, neurosurgery by a variety of great historical surgeons until the Crimean War of 1853-1856. However, it was events initiated by the Great War of 1914-1918 that not only marked the development of modern neurosurgical techniques, but our approach to military surgery as a whole. Here the author describes how 100 years of conflict and the input and intertwining relationships between the 20th century's great neurosurgeons established neurosurgery in the United Kingdom and beyond. PMID:26292388

  14. Sustainable Foods and Medicines Support Vitality, Sex and Longevity for a 100-Year Starship Expedition

    NASA Astrophysics Data System (ADS)

    Edwards, M. R.

    Extended space flight requires foods and medicines that sustain crew health and vitality. The health and therapeutic needs for the entire crew and their children for a 100-year space flight must be sustainable. The starship cannot depend on resupply or carry a large cargo of pharmaceuticals. Everything in the starship must be completely recyclable and reconstructable, including food, feed, textiles, building materials, pharmaceuticals, vaccines, and medicines. Smart microfarms will produce functional foods with superior nutrition and sensory attributes. These foods provide high-quality protein and nutralence (nutrient density), that avoids obesity, diabetes, and other Western diseases. The combination of functional foods, lifestyle actions, and medicines will support crew immunity, energy, vitality, sustained strong health, and longevity. Smart microfarms enable the production of fresh medicines in hours or days, eliminating the need for a large dispensary, which eliminates concern over drug shelf life. Smart microfarms are adaptable to the extreme growing area, resource, and environmental constraints associated with an extended starship expedition.

  15. 100-year DASCH Light Curves of Kepler Planet-Candidate Host Stars

    NASA Astrophysics Data System (ADS)

    Tang, Sumin; Sasselov, Dimitar; Grindlay, Jonathan; Los, Edward; Servillat, Mathieu

    2013-07-01

    We present 100 year light curves of Kepler planet-candidate host stars from the Digital Access to a Sky Century at Harvard (DASCH) project. 261 out of 997 host stars have at least 10 good measurements on DASCH scans of the Harvard plates. 109 of them have at least 100 good measurements, including 70% (73 out of 104) of all host stars with g <= 13 mag, and 44% (100 out of 228) of all host stars with g <= 14 mag. Our typical photometric uncertainty is ~0.1-0.15 mag. No variation is found at 3σ level for these host stars, including 21 confirmed or candidate hot Jupiter systems which might be expected to show enhanced flares from magnetic interactions between dwarf primaries and their close and relatively massive planet companions.

  16. 100 years of Pb deposition and transport in soils in Champaign, Illinois, U.S.A

    USGS Publications Warehouse

    Zhang, Y.

    2003-01-01

    In Illinois, atmospheric deposition is one major source of heavy metal inputs to agricultural land. The atmospheric Pb deposition and transport record in agricultural soils in Champaign, Illinois, was established by studying surface and subsurface soil samples collected during the past 100 years from the Morrow Plots on the campus of the University of Illinois at Urbana-Champaign. The Pb content in the soil samples was measured and the Ph deposition fluxes were calculated. The Pb content in surface soils increased sharply in the first half of the 20th century, and stayed invariant since. The maximum Pb flux from the atmosphere was estimated to be 27 (??14) ??g cm-2 yr-1 around 1940. The major pollution source for this increase probably was residential coal burning. It was estimated that in 50 yr, more than 50% of the Pb input had been lost from the surface soils.

  17. A profile of Frank Harrison: a pioneering Sheffield dentist from 100 years ago.

    PubMed

    Figures, K; Smith, C

    2012-10-01

    A review of the personal papers relating to Frank Harrison and held by the School of Clinical Dentistry in Sheffield reveal what a dedicated clinician he was and the significance of his achievements from over 100 years ago, both locally and nationally for his chosen profession and also for the people of Sheffield. In addition to being one of the first dentists in the world to experiment with X-rays in dentistry, and the first to write up his findings in a dental journal, he designed and patented dental instruments, wrote books, lectured on fine art (particularly Venetian and Florentine art), and gave lectures to the public in the hope that they would heed his message on the importance of maintaining good oral health. A search of national archives and library resources has added further information about his family and professional accomplishments. PMID:23099699

  18. The Reissner Canard: The first all-metal airplane 100 years ago

    NASA Astrophysics Data System (ADS)

    Krause, Egon

    2012-10-01

    In 1912 Professor Hans Reissner of the Technical University Aachen built a canard-type aeroplane, the world-wide first completely out of metal: although the Reissner Canard initiated a new technology with the Junkers J1 the first to follow in 1915 and 1000 more until now, little is known about the very first steps way back in Aachen. This paper tries to recapture some details of the developments 100 years ago with the aid of early publications and photographs and shed some light on the first wing fabricated out of a corrugated aluminum sheet mounted at the tail of the braced-steel-pipe fuselage to earn its airworthiness in Berlin Johannisthal in 1912.

  19. PREFACE: Spanish Relativity Meeting (ERE 2014): almost 100 years after Einstein's revolution

    NASA Astrophysics Data System (ADS)

    Cerdá-Durán, P.; Font, J. A.; Ibáñez, J. M.; Lledó, M. A.; Navarro-Salas, J.; Olmo, G. J.

    2015-04-01

    This volume presents the proceedings of the international scientific conference ''Spanish Relativity Meeting (ERE 2014): almost 100 years after Einstein's revolution''. The conference was devoted to discussing the current state-of-the-art of a wide variety of topics of research in the fields of Gravitation and General Relativity in the ''pre-centennial'' year of General Relativity. The name of the conference was chosen to highlight the importance of the upcoming one hundredth anniversary of Einstein's theory of General Relativity, officially established by the Internal Society on General Relativity and Gravitation in November 25th, 2015. In particular, the conference was organized along three main lines of present-day research and applications of the theory, namely, Relativistic Astrophysics, Mathematical Relativity, and the interface between Gravitation and Quantum Field Theory.

  20. 100+ years of instrumental seismology: the example of the ISC-GEM Global Earthquake Instrumental Catalogue

    NASA Astrophysics Data System (ADS)

    Storchak, Dmitry; Di Giacomo, Domenico

    2015-04-01

    Systematic seismological observations of earthquakes using seismic instruments on a global scale began more than 100 years ago. Since then seismologists made many discoveries about the Earth interior and the physics of the earthquakes, also thanks to major developments in the seismic instrumentation deployed around the world. Besides, since the establishment of the first global networks (Milne and Jesuit networks), seismologists around the world stored and exchanged the results of routine observations (e.g., picking of arrival times, amplitude-period measurements, etc.) or more sophisticated analyses (e.g., moment tensor inversion) in seismological bulletins/catalogues. With a project funded by the GEM Foundation (www.globalquakemodel.org), the ISC and the Team of International Experts released a new global earthquake catalogue, the ISC-GEM Global Instrumental Earthquake Catalogue (1900 2009) (www.isc.ac.uk/iscgem/index.php), which, differently from previous global seismic catalogues, has the unique feature of covering the entire period of instrumental seismology with locations and magnitude re-assessed using modern approaches for the global earthquakes selected for processing (in the current version approximately 21,000). During the 110 years covered by the ISC-GEM catalogue many seismological developments occurred in terms of instrumentation, seismological practice and knowledge of the physics of the earthquakes. In this contribution we give a brief overview of the major milestones characterizing the last 100+ years of instrumental seismology that were relevant for the production of the ISC-GEM catalogue and the major challenges we faced to obtain a catalogue as homogenous as possible.

  1. Flood risk management in the Thames Estuary looking ahead 100 years.

    PubMed

    Lavery, Sarah; Donovan, Bill

    2005-06-15

    The River Thames tidal defences have provided protection against the increasing threat of tidal flooding from the North Sea for more than 2000 years. The flood of 1953 was the catalyst for the construction of the current system of River Thames tidal defences, which includes the Thames Barrier, and has provided one of the best standards of flood defence in the UK for over 20 years. Substantial growth is planned through "Thames Gateway", a regeneration initiative of the United Kingdom government. These new developments will fundamentally change the developed footprint in the Thames Estuary flood-plain, and will be in place for at least the next 100 years. This presents a challenge of planning future defence against a background of uncertainty over climate and other environmental change, while ensuring that correct decisions are made concerning the nature and location of new building in the tidal flood-plain. Through its "Thames Estuary 2100" project, the Environment Agency is developing a long-term strategy for flood risk management in the estuary. Implementation of major construction works on the River Thames could commence from around 2015. Alternatively, it may be decided that minimum works are undertaken to provide security and major investment is delayed until uncertainties over climate change have abated. Whatever long-term option is chosen, this must be preceded by a period of collaboration with the Thames Gateway developments to ensure appropriate and sustainable flood defences are incorporated in new riverside construction. PMID:16191661

  2. From Smallpox to Big Data: The Next 100 Years of Epidemiologic Methods.

    PubMed

    Gange, Stephen J; Golub, Elizabeth T

    2016-03-01

    For more than a century, epidemiology has seen major shifts in both focus and methodology. Taking into consideration the explosion of "big data," the advent of more sophisticated data collection and analytical tools, and the increased interest in evidence-based solutions, we present a framework that summarizes 3 fundamental domains of epidemiologic methods that are relevant for the understanding of both historical contributions and future directions in public health. First, the manner in which populations and their follow-up are defined is expanding, with greater interest in online populations whose definition does not fit the usual classification by person, place, and time. Second, traditional data collection methods, such as population-based surveillance and individual interviews, have been supplemented with advances in measurement. From biomarkers to mobile health, innovations in the measurement of exposures and diseases enable refined accuracy of data collection. Lastly, the comparison of populations is at the heart of epidemiologic methodology. Risk factor epidemiology, prediction methods, and causal inference strategies are areas in which the field is continuing to make significant contributions to public health. The framework presented herein articulates the multifaceted ways in which epidemiologic methods make such contributions and can continue to do so as we embark upon the next 100 years. PMID:26443419

  3. Psychologists in medical schools and academic medical centers: over 100 years of growth, influence, and partnership.

    PubMed

    Robiner, William N; Dixon, Kim E; Miner, Jacob L; Hong, Barry A

    2014-04-01

    Psychologists have served on the faculties of medical schools for over 100 years. Psychologists serve in a number of different roles and make substantive contributions to medical schools' tripartite mission of research, education, and clinical service. This article provides an overview of the history of psychologists' involvement in medical schools, including their growing presence in and integration with diverse departments over time. We also report findings from a survey of medical school psychologists that explored their efforts in nonclinical areas (i.e., research, education, administration) as well as clinical endeavors (i.e., assessment, psychotherapy, consultation). As understanding of the linkage between behavioral and psychological factors and health status and treatment outcomes increases, the roles of psychologists in health care are likely to expand beyond mental health. An increasing focus on accountability-related to treatment outcomes and interprofessional research, education, and models of care delivery-will likely provide additional opportunities for psychologists within health care and professional education. The well-established alignment of psychologists' expertise and skills with the mission and complex organizational needs of medical schools augurs a partnership on course to grow stronger. (PsycINFO Database Record (c) 2014 APA, all rights reserved). PMID:24588315

  4. [Nutrient dynamics over the past 100 years and its restoration baseline in Dianshan Lake].

    PubMed

    Li, Xiao-Ping; Chen, Xiao-Hua; Dong, Xu-Hui; Dong, Zhi; Sun, Dun-Ping

    2012-10-01

    The restoration of eutrophic lakes requires a good knowledge on the history and baseline of nutrients in the lakes. This work conducted an analysis on 210Pb/137Cs, water content, loss-on-ignition, sedimentary total phosphorus (TP), total nitrogen (TN), total organic carbon (TOC) and diatoms in the four sediment cores from Dianshan Lake (near Shanghai City). Good coherence in palaeoproxies between the cores indicates a relatively stable sedimentary environment. With increasing human impact, diatom communities shifted from oligo-trophic species Cyclotella bodanica, C. ocelata, Achnanthes minutissima, Cocconeis placentula var lineate, Cymbella sp. , Fragilaria pintata, F. brevistrata, F. construens var venter to recent eutrophic species including Cyclostephanos dubias, C. atomus, Stephanodiscus minitulus, S. hantzschi, Aulacoseria alpigena. The epilimnetic TP over the past 100 years reconstructed using an established diatom-TP transfer function matches well with the monitoring TP where exists. Based on the sedimentary nutrient characteristics and diatom-reconstructed nutrient dynamics, we proposed that the nutrient baseline for Dianshan Lake is 50-60 microg x L(-1), 500 mg x kg(-1) and 550 mg x kg(-1) for water TP concentration, sedimentary TP and TN, respectively. PMID:23233952

  5. Rainfall and drought in equatorial east Africa during the past 1,100 years.

    PubMed

    Verschuren, D; Laird, K R; Cumming, B F

    2000-01-27

    Knowledge of natural long-term rainfall variability is essential for water-resource and land-use management in sub-humid regions of the world. In tropical Africa, data relevant to determining this variability are scarce because of the lack of long instrumental climate records and the limited potential of standard high-resolution proxy records such as tree rings and ice cores. Here we present a decade-scale reconstruction of rainfall and drought in equatorial east Africa over the past 1,100 years, based on lake-level and salinity fluctuations of Lake Naivasha (Kenya) inferred from three different palaeolimnological proxies: sediment stratigraphy and the species compositions of fossil diatom and midge assemblages. Our data indicate that, over the past millennium, equatorial east Africa has alternated between contrasting climate conditions, with significantly drier climate than today during the 'Medieval Warm Period' (approximately AD 1000-1270) and a relatively wet climate during the 'Little Ice Age' (approximately AD 1270-1850) which was interrupted by three prolonged dry episodes. We also find strong chronological links between the reconstructed history of natural long-term rainfall variation and the pre-colonial cultural history of east Africa, highlighting the importance of a detailed knowledge of natural long-term rainfall fluctuations for sustainable socio-economic development. PMID:10667789

  6. Migration and health in Southern Africa: 100 years and still circulating

    PubMed Central

    Lurie, Mark N.; Williams, Brian G.

    2014-01-01

    Migration has deep historical roots in South and Southern Africa and to this day continues to be highly prevalent and a major factor shaping South African society and health. In this paper we examine the role of migration in the spread of two diseases nearly 100 years apart: tuberculosis following the discovery of gold in 1886 and HIV in the early 1990s. Both cases demonstrate the critical role played by human migration in the transmission and subsequent dissemination of these diseases to rural areas. In both cases, migration acts to assemble in one high-risk environment thousands of young men highly susceptible to new diseases. With poor living and working conditions, these migration destinations act as hot-spots for disease transmission. Migration of workers back to rural areas then serves as a highly efficient means of disseminating these diseases to rural populations. We conclude by raising some more recent questions examining the current role of migration in Southern Africa. PMID:24653964

  7. Action Stations! 100 years of trauma care on maritime and amphibious operations in the Royal Navy.

    PubMed

    Osborne, M; Smith, J E

    2015-01-01

    Over the past century trauma care within the Royal Navy (RN) has evolved; wartime experiences and military medical research have combined to allow significant improvement in the care of casualties. This article describes the key maritime and amphibious operations that have seen the Royal Navy Medical Service (RNMS) deliver high levels of support to wherever the Naval Service has deployed in the last 100 years. Key advancements in which progress has led to improved outcomes for injured personnel are highlighted--the control and treatment of blood loss, wound care, and the prevention and management of organ failure with optimal resuscitation. Historians often point out how slowly military medicine progressed for the first few thousand years of its recorded history, and how quickly it has progressed in the last century. This reflective article will show how the RNMS has been an integral part of that story, and how the lessons learnt by our predecessors have shaped our modern day doctrine surrounding trauma care. PMID:26292385

  8. [100 years of Draeger Medical Technology (1902 - 2002) -- working for the applicability of oxygen].

    PubMed

    Strätling, M; Schmucker, P

    2004-09-01

    This survey analyses the history of 100 years of Draeger Medical Technology. Between 1889 and 1902 a number of inventions on the field of pressure gas technology allowed to solve application problems, which until then proved major obstacles to the safe and efficient use of compressed gases such as oxygen, nitrous oxide or carbon dioxide for medical and industrial purposes. A special significance is to be awarded here to pressure reducing valves, but also reliable manometers, nozzles and valves for pressure tanks were not generally available until then. These were first successfully and on a really significant scale introduced into international medical and non-medical pressure-gas technology by Draeger Inc. (Luebeck/Germany), and proved particularly successful in anaesthesia and rescue-devices (e. g. in the "Roth-Draeger Anaesthesia Apparatus" (1902). Consequently, starting in 1902, Draeger Inc. increasingly put an emphasis on developing medical and rescue technology and -- by doing so -- gained an important influence on the history of the implementation of modern oxygen therapy and of inhalative anaesthesia. A survey of the historically most important Draeger-Developments is provided. PMID:15490342

  9. Potential Hazards of Tsunami Waves along the Chinese coast in the next 100 years

    NASA Astrophysics Data System (ADS)

    Liu, Y.; Yuen, D. A.; Sevre, E. O.; Shi, Y.

    2007-12-01

    In the next 100 years the Chinese coast faces potentially non-negligible danger from tsunamogenic earthquakes originating at the neighboring subducting plate boundaries in the Phillipines and the Ryukyu Islands. There are significant differences in the bottom bathymetry between the South China Sea bordering the southern province of Guangdong and the East China Sea and Yellow Sea adjacent to the provinces of Zhejiang, Jiangsu, and Shandong. We have found that the linear shallow-water equations can be used to predict with good enough accuracy the travel time of tsunami waves in the South China Sea, but the nonlinear shallow-water equations must be used for the shallower seas next to the northern Chinese provinces. There are some differences in the travel time predictions between the linear and nonlinear theories for the Yellow Sea region. This difference is enough to make a difference in terms of warning. We will use our newly developed probability method, called the probabilistic forecast of tsunami hazards ( PFTH ) for predicting the danger of tsunami waves with a certain height of around 2 meters to impinge on the cities along the Chinese coast in the next century.We have used the Gutenberg-Richter relationship applied locally to each locale for evaluating the probability of the seismic risk for large earthquakes, greater than magnitude 7. We have only included the frequency of shallow large earthquakes to take place . For the southern cities of Hong Kong and Macau, we found that the probability of a 2 meter wave to hit these ports is around 10 % in the next century. Cities in Taiwan are less vulnerable than the large coastal cities on the Chinese mainland. The probability results for the northern cities of Shanghai and Qingdao are around a few per cent for smaller wave heights like one meter or so. But even these smaller waves can be damaging --

  10. The Archives of the Department of Terrestrial Magnetism: Documenting 100 Years of Carnegie Science

    NASA Astrophysics Data System (ADS)

    Hardy, S. J.

    2005-12-01

    The archives of the Department of Terrestrial Magnetism (DTM) of the Carnegie Institution of Washington document more than a century of geophysical and astronomical investigations. Primary source materials available for historical research include field and laboratory notebooks, equipment designs, plans for observatories and research vessels, scientists' correspondence, and thousands of expedition and instrument photographs. Yet despite its history, DTM long lacked a systematic approach to managing its documentary heritage. A preliminary records survey conducted in 2001 identified more than 1,000 linear feet of historically-valuable records languishing in dusty, poorly-accessible storerooms. Intellectual control at that time was minimal. With support from the National Historical Publications and Records Commission, the "Carnegie Legacy Project" was initiated in 2003 to preserve, organize, and facilitate access to DTM's archival records, as well as those of the Carnegie Institution's administrative headquarters and Geophysical Laboratory. Professional archivists were hired to process the 100-year backlog of records. Policies and procedures were established to ensure that all work conformed to national archival standards. Records were appraised, organized, and rehoused in acid-free containers, and finding aids were created for the project web site. Standardized descriptions of each collection were contributed to the WorldCat bibliographic database and the AIP International Catalog of Sources for History of Physics. Historic photographs and documents were digitized for online exhibitions to raise awareness of the archives among researchers and the general public. The success of the Legacy Project depended on collaboration between archivists, librarians, historians, data specialists, and scientists. This presentation will discuss key aspects (funding, staffing, preservation, access, outreach) of the Legacy Project and is aimed at personnel in observatories, research

  11. To Humbly Go: Guarding Against Perpetuating Models of Colonization in the 100-Year Starship Study

    NASA Astrophysics Data System (ADS)

    Kramer, W. R.

    Past patterns of exploration, colonization and exploitation on Earth continue to provide the predominant paradigms that guide many space programs. Any project of crewed space exploration, especially of the magnitude envisioned by the 100-Year Starship Study, must guard against the hubris that may emerge among planners, crew, and others associated with the project, including those industries and bureaucracies that will emerge from the effort. Maintaining a non-exploitative approach may be difficult in consideration of the century of preparatory research and development and the likely multigenerational nature of the voyage itself. Starting now with mission dreamers and planners, the purpose of the voyage must be cast as one of respectful learning and humble discovery, not of conquest (either actual or metaphorical) or other inappropriate models, including military. At a minimum, the Study must actively build non-violence into the voyaging culture it is beginning to create today. References to exploitive colonization, conquest, destiny and other terms from especially American frontier mythology, while tempting in their propagandizing power, should be avoided as they limit creative thinking about alternative possible futures. Future voyagers must strive to adapt to new environments wherever possible and be assimilated by new worlds both biologically and behaviorally rather than to rely on attempts to recreate the Earth they have left. Adaptation should be strongly considered over terraforming. This paper provides an overview of previous work linking the language of colonization to space programs and challenges the extension of the myth of the American frontier to the Starship Study. It argues that such metaphors would be counter-productive at best and have the potential to doom long-term success and survival by planting seeds of social decay and self-destruction. Cautions and recommendations are suggested.

  12. 100 years of California’s water rights system: patterns, trends and uncertainty

    NASA Astrophysics Data System (ADS)

    Grantham, Theodore E.; Viers, Joshua H.

    2014-08-01

    For 100 years, California’s State Water Resources Control Board and its predecessors have been responsible for allocating available water supplies to beneficial uses, but inaccurate and incomplete accounting of water rights has made the state ill-equipped to satisfy growing societal demands for water supply reliability and healthy ecosystems. Here, we present the first comprehensive evaluation of appropriative water rights to identify where, and to what extent, water has been dedicated to human uses relative to natural supplies. The results show that water right allocations total 400 billion cubic meters, approximately five times the state’s mean annual runoff. In the state’s major river basins, water rights account for up to 1000% of natural surface water supplies, with the greatest degree of appropriation observed in tributaries to the Sacramento and San Joaquin Rivers and in coastal streams in southern California. Comparisons with water supplies and estimates of actual use indicate substantial uncertainty in how water rights are exercised. In arid regions such as California, over-allocation of surface water coupled with trends of decreasing supply suggest that new water demands will be met by re-allocation from existing uses. Without improvements to the water rights system, growing human and environmental demands portend an intensification of regional water scarcity and social conflict. California’s legal framework for managing its water resources is largely compatible with needed reforms, but additional public investment is required to enhance the capacity of the state’s water management institutions to effectively track and regulate water rights.

  13. Infrared survey of 50 buildings constructed during 100 years: thermal performances and damage conditions

    NASA Astrophysics Data System (ADS)

    Ljungberg, Sven-Ake

    1995-03-01

    Different building constructions and craftsmanship give rise to different thermal performance and damage conditions. The building stock of most industrial countries consists of buildings of various age, and constructions, from old historic buildings with heavy stone or wooden construction, to new buildings with heavy or light concrete construction, or modern steel or wooden construction. In this paper the result from a detailed infrared survey of 50 buildings from six Swedish military camps is presented. The presentation is limited to a comparison of thermal performance and damage conditions of buildings of various ages, functions, and constructions, of a building period of more than 100 years. The result is expected to be relevant even to civilian buildings. Infrared surveys were performed during 1992-1993, with airborne, and mobile short- and longwave infrared systems, out- and indoor thermography. Interpretation and analysis of infrared data was performed with interactive image and analyzing systems. Field inspections were carried out with fiber optics system, and by ocular inspections. Air-exchange rate was measured in order to quantify air leakages through the building envelope, indicated in thermograms. The objects studied were single-family houses, barracks, office-, service-, school- and exercise buildings, military hotels and restaurants, aircraft hangars, and ship factory buildings. The main conclusions from this study are that most buildings from 1880 - 1940 have a solid construction with a high quality of craftsmanship, relatively good thermal performance, due to extremely thick walls, and adding insulation at the attic floor. From about 1940 - 1960 the quality of construction, thermal performance and craftsmanship seem to vary a lot. Buildings constructed during the period of 1960 - 1990 have in general the best thermal performance due to a better insulation capacity, however, also one finds here the greatest variety of problems. The result from this

  14. Climatic and Hydrological Changes of Past 100 Years in Asian Arid Zone

    NASA Astrophysics Data System (ADS)

    Feng, Zhaodong; Salnikov, Vitaliy; Xu, Changchun

    2014-05-01

    The Asian Arid Zone (AAZ) is here defined to include the following regions: northwestern China, Mongolia, Kazakhstan, Kyrgyzstan, Tajikistan, Turkmenistan, and Uzbekistan. Generally speaking, the AAZ has experienced a temperature rising during the past 100 years that was significantly faster than the global average (0.14 ºC per decade). Specifically, the rate was 0.39 ºC per decade in northwestern China (1950-2010), 0.26 ºC per decade in Kazakhstan (1936-2005), 0.22 ºC per decade in Mongolia (1940-2010), 0.29 ºC per decade in Uzbekistan (1950-2005), 0.18 ºC per decade in Turkmenistan (1961-1995). It should be noted that the mountainous parts of AAZ seems to have experienced a slower rate of temperature rising. For example, the rate was 0.10 ºC per decade in Tajikistan (1940-2005) and was 0.08 ºC per decade in Kyrgyzstan (1890-2005). Precipitation has a slight increasing trend in northwestern China, but it has fluctuated along a near-constant line in the rest of the AAZ. Hydrological data from high-elevation basin show that the runoff has been increasing primarily as a result of rising temperature that caused increases in ice melting. A natural decreasing trend of surface runoff in low-elevation basins is undeniable and the decreasing trend is attributable to intensified evaporation under warming conditions. It is true that the total amount of runoff in the Tianshan Mountains and the associated basins has been increased primarily as a result of temperature rising-resulted increases in ice melting. But, approaching to the turning point of glacier-melting supplies to runoff will pose a great threat to socio-economic sustainability and to ecological security. The turning point refers to the transition from increasing runoff to decreasing runoff within ice melting supplied watersheds under a warming climate.

  15. Interval Training.

    ERIC Educational Resources Information Center

    President's Council on Physical Fitness and Sports, Washington, DC.

    Regardless of the type of physical activity used, interval training is simply repeated periods of physical stress interspersed with recovery periods during which activity of a reduced intensity is performed. During the recovery periods, the individual usually keeps moving and does not completely recover before the next exercise interval (e.g.,…

  16. ANNUS MIRABILIS. PHYSICS OF OUR DAYS: Geometry and Physics after 100 Years of Einstein's Relativity (5-8 April 2005)

    NASA Astrophysics Data System (ADS)

    Braginsky, Vladimir B.

    2005-06-01

    As part of the celebration of the World Year of Physics, the Conference "Geometry and Physics after 100 Years of Einstein's Relativity" was held in Golm, near Potsdam, Germany, on April 5-8, 2005. The Conference was organized by the Max Planck Institute for Gravitational Physics (also known as the Albert Einstein Institute), which is celebrating its 10th anniversary in 2005. Conference participants discussed progress made in theoretical and experimental research during the 100 years since the publication of Einstein's famous papers in 1905, the year which has gone down in history as 'Albert Einstein's ANNUS MIRABILIS'.

  17. Recurrent varicocele

    PubMed Central

    Rotker, Katherine; Sigman, Mark

    2016-01-01

    Varicocele recurrence is one of the most common complications associated with varicocele repair. A systematic review was performed to evaluate varicocele recurrence rates, anatomic causes of recurrence, and methods of management of recurrent varicoceles. The PubMed database was evaluated using keywords “recurrent” and “varicocele” as well as MESH criteria “recurrent” and “varicocele.” Articles were not included that were not in English, represented single case reports, focused solely on subclinical varicocele, or focused solely on a pediatric population (age <18). Rates of recurrence vary with the technique of varicocele repair from 0% to 35%. Anatomy of recurrence can be defined by venography. Management of varicocele recurrence can be surgical or via embolization. PMID:26806078

  18. The Bee Disease Diagnostic Service - 100 Years and Growing at the USDA Bee Research laboratory, Beltsville, MD

    Technology Transfer Automated Retrieval System (TEKTRAN)

    This article discusses the history of honey bee research in the Washington, D.C. area including the 100 year old bee disease diagnostic service available for beekeepers and apiary inspectors. This service provides the Bee Research Laboratory with first-hand knowledge of the problems facing the beek...

  19. Looking toward the Future: New Research Helps Black Sororities and Fraternities Consider New Governing Structures for the Next 100 Years

    ERIC Educational Resources Information Center

    Ruffins, Paul

    2004-01-01

    From a historical perspective, it's interesting to note that at their 100-year mark Black fraternities and sororities are facing some of the very same political criticisms encountered half a century ago. The Black Greeks' ability to be a greater force for social change is also constrained by the basic internal structures of the organizations…

  20. Interbirth intervals

    PubMed Central

    Haig, David

    2014-01-01

    Background and objectives: Interbirth intervals (IBIs) mediate a trade-off between child number and child survival. Life history theory predicts that the evolutionarily optimal IBI differs for different individuals whose fitness is affected by how closely a mother spaces her children. The objective of the article is to clarify these conflicts and explore their implications for public health. Methodology: Simple models of inclusive fitness and kin conflict address the evolution of human birth-spacing. Results: Genes of infants generally favor longer intervals than genes of mothers, and infant genes of paternal origin generally favor longer IBIs than genes of maternal origin. Conclusions and implications: The colonization of maternal bodies by offspring cells (fetal microchimerism) raises the possibility that cells of older offspring could extend IBIs by interfering with the implantation of subsequent embryos. PMID:24480612

  1. Recurrent Fever in Children

    PubMed Central

    Torreggiani, Sofia; Filocamo, Giovanni; Esposito, Susanna

    2016-01-01

    Children presenting with recurrent fever may represent a diagnostic challenge. After excluding the most common etiologies, which include the consecutive occurrence of independent uncomplicated infections, a wide range of possible causes are considered. This article summarizes infectious and noninfectious causes of recurrent fever in pediatric patients. We highlight that, when investigating recurrent fever, it is important to consider age at onset, family history, duration of febrile episodes, length of interval between episodes, associated symptoms and response to treatment. Additionally, information regarding travel history and exposure to animals is helpful, especially with regard to infections. With the exclusion of repeated independent uncomplicated infections, many infective causes of recurrent fever are relatively rare in Western countries; therefore, clinicians should be attuned to suggestive case history data. It is important to rule out the possibility of an infectious process or a malignancy, in particular, if steroid therapy is being considered. After excluding an infectious or neoplastic etiology, immune-mediated and autoinflammatory diseases should be taken into consideration. Together with case history data, a careful physical exam during and between febrile episodes may give useful clues and guide laboratory investigations. However, despite a thorough evaluation, a recurrent fever may remain unexplained. A watchful follow-up is thus mandatory because new signs and symptoms may appear over time. PMID:27023528

  2. Recurrent Fever in Children.

    PubMed

    Torreggiani, Sofia; Filocamo, Giovanni; Esposito, Susanna

    2016-01-01

    Children presenting with recurrent fever may represent a diagnostic challenge. After excluding the most common etiologies, which include the consecutive occurrence of independent uncomplicated infections, a wide range of possible causes are considered. This article summarizes infectious and noninfectious causes of recurrent fever in pediatric patients. We highlight that, when investigating recurrent fever, it is important to consider age at onset, family history, duration of febrile episodes, length of interval between episodes, associated symptoms and response to treatment. Additionally, information regarding travel history and exposure to animals is helpful, especially with regard to infections. With the exclusion of repeated independent uncomplicated infections, many infective causes of recurrent fever are relatively rare in Western countries; therefore, clinicians should be attuned to suggestive case history data. It is important to rule out the possibility of an infectious process or a malignancy, in particular, if steroid therapy is being considered. After excluding an infectious or neoplastic etiology, immune-mediated and autoinflammatory diseases should be taken into consideration. Together with case history data, a careful physical exam during and between febrile episodes may give useful clues and guide laboratory investigations. However, despite a thorough evaluation, a recurrent fever may remain unexplained. A watchful follow-up is thus mandatory because new signs and symptoms may appear over time. PMID:27023528

  3. Recurrent Escherichia coli bacteremia.

    PubMed Central

    Maslow, J N; Mulligan, M E; Arbeit, R D

    1994-01-01

    Escherichia coli is the most common gram-negative organism associated with bacteremia. While recurrent E. coli urinary tract infections are well-described, recurrent E. coli bacteremia appears to be uncommon, with no episodes noted in multiple series of patients with gram-negative bacteremias. We report on 5 patients with recurrent bloodstream infections identified from a series of 163 patients with E. coli bacteremia. For each patient, the isolates from each episode were analyzed by pulsed-field gel electrophoresis (PFGE) and ribotyping and for the presence of E. coli virulence factors. For each of four patients, the index and recurrent episodes of bacteremia represented the same strain as defined by PFGE, and the strains were found to carry one or more virulence factors. The remaining patient, with two episodes of bloodstream infection separated by a 4-year interval, was infected with two isolates that did not carry any virulence factors and that were clonally related by ribotype analysis but differed by PFGE. All five patients had either a local host defense defect (three patients) or impaired systemic defenses (one patient) or both (one patient). Thus, recurrent E. coli bacteremia is likely to represent a multifactorial process that occurs in patients with impaired host defenses who are infected with virulent isolates. Images PMID:7910828

  4. Secretin, 100 years later.

    PubMed

    Chey, William Y; Chang, Ta-Min

    2003-01-01

    One hundred years have elapsed since the discovery of secretin by Bayliss and Starling in 1902. In the past century, the research of secretin has gone by many milestones including isolation, purification and structural determination, chemical synthesis, establishment of its hormonal status by radioimmunoassay and immunoneutralization, identification of the specific receptor, cloning of secretin and its receptor, and identification of a secretin-releasing peptide. It has become clear that secretin is a hormone-regulating pancreatic exocrine secretion of fluid and bicarbonate, gastric acid secretion, and gastric motility. The release and actions of secretin is regulated by hormone-hormonal and neurohormonal interactions. The vagus nerve, particularly its afferent pathway, plays an essential role in the physiological actions of secretin. Substantial information about the property of the secretin receptor has been accumulated, but a potent secretin receptor-specific antagonist remains to be formulated. The neural regulatory mechanisms of the release and action of secretin await further elucidation. The physiological role of secretin in intestinal secretions and motility and extragastrointestinal organs remains to be defined. The presence of secretin and its receptor in the central nervous system is well documented, but its function as a neuropeptide has been recognized gradually and requires extensive study in the future. PMID:14673718

  5. Physics in 100 years

    NASA Astrophysics Data System (ADS)

    Wilczek, Frank

    2016-04-01

    Here I indulge in wide-ranging speculations on the shape of physics, and technology closely related to physics, over the next one hundred years. Themes include the many faces of unification, the re-imagining of quantum theory, and new forms of engineering on small, intermediate, and large scales.

  6. 100 Years of Science

    SciTech Connect

    Carrigan, Dick

    2004-07-07

    The last half-century has seen enormous strides in many scientific and technical areas. In fundamental physics previously unrelated fields like weak interactions and electromagnetism have been linked. Cosmology has been probed back to the Big Bang. Computing and communications have moved from minor topics to subjects that dominate the economy. The structure of DNA has been untangled. We may be on the threshold of understanding the origin of life and even discovering life elsewhere in the universe. Several of these diverse topics such as cosmology and fundamental physics are already profoundly coupled. Remarkably, ties exist between all of these subjects. These ties will be reviewed in light of opportunities ahead in the next decades.

  7. 100 Years of Mathematics.

    ERIC Educational Resources Information Center

    Atiyah, Michael

    2000-01-01

    The 20th century was a period of extraordinary expansion and progress in mathematics. Concentrates on a few key themes that can be discerned such as local to global, increase in dimension, commutative to non-commutative, linear to non-linear, and homology theory, although it is impossible to list all the main achievements. (ASK)

  8. Recurrent vulvovaginitis.

    PubMed

    Powell, Anna M; Nyirjesy, Paul

    2014-10-01

    Vulvovaginitis (VV) is one of the most commonly encountered problems by a gynecologist. Many women frequently self-treat with over-the-counter medications, and may present to their health-care provider after a treatment failure. Vulvovaginal candidiasis, bacterial vaginosis, and trichomoniasis may occur as discreet or recurrent episodes, and have been associated with significant treatment cost and morbidity. We present an update on diagnostic capabilities and treatment modalities that address recurrent and refractory episodes of VV. PMID:25220102

  9. Estimated 100-year peak flows and flow volumes in the Big Lost River and Birch Creek at the Idaho National Engineering Laboratory, Idaho

    SciTech Connect

    Kjelstrom, L.C.; Berenbrock, C.

    1996-12-31

    The purpose of this report is to provide estimates of the 100-year peak flows and flow volumes that could enter the INEL area from the Big Lost River and Brich Creek are needed as input data for models that will be used to delineate the extent of the 100-year flood plain at the INEL. The methods, procedures and assumptions used to estimate the 100-year peak flows and flow volumes are described in this report.

  10. Spatio-temporal analysis of rainfall trends over a maritime state (Kerala) of India during the last 100 years

    NASA Astrophysics Data System (ADS)

    Nair, Archana; Ajith Joseph, K.; Nair, K. S.

    2014-05-01

    Kerala, a maritime state of India is bestowed with abundant rainfall which is about three times the national average. This study is conducted to have a better understanding of rainfall variability and trend at regional level for this state during the last 100 years. It is found that the rainfall variation in northern and southern regions of Kerala is large and the deviation is on different timescales. There is a shifting of rainfall mean and variability during the seasons. The trend analysis on rainfall data over the last 100 years reveals that there is a significant (99%) decreasing trend in most of the regions of Kerala especially in the month of January, July and November. The annual and seasonal trends of rainfall in most regions of Kerala are also found to be decreasing significantly. This decreasing trend may be related to global anomalies as a result of anthropogenic green house gas (GHG) emissions due to increased fossil fuel use, land-use change due to urbanisation and deforestation, proliferation in transportation associated atmospheric pollutants. We have also conducted a study of the seasonality index (SI) and found that only one district in the northern region (Kasaragod) has seasonality index of more than 1 and that the distribution of monthly rainfall in this district is mostly attributed to 1 or 2 months. In rest of the districts, the rainfall is markedly seasonal. The trend in SI reveals that the rainfall distribution in these districts has become asymmetric with changes in rainfall distribution.

  11. Over 100 years of environmental change recorded by foraminifers and sediments in Mobile Bay, Alabama, Gulf of Mexico, USA

    NASA Astrophysics Data System (ADS)

    Osterman, Lisa E.; Smith, Christopher G.

    2012-12-01

    The marine microfauna of Mobile Bay has been profoundly influenced by the development and expansion of the primary shipping channel over the last ˜100 years. Foraminifers and sediments from seven box cores with excess lead-210 chronology document that channel dredging and spoil disposal have altered circulation, reduced estuarine mixing, changed sedimentation patterns, and caused a faunal turnover within the bay. Beginning in the late 1800s, changes in estuarine mixing allowed for greater low-pH freshwater influence in the bay, and ultimately began environmental changes that resulted in the loss of calcareous foraminifers. By the early 1900s, box cores throughout Mobile Bay record a ˜100-year trend of increasing calcareous test dissolution that continues to the present. Since the completion of the current shipping channel in the 1950s, restricted tidal flushing and increased terrestrial organic matter, documented by carbon-to-nitrogen ratios, stimulated an increase in agglutinated foraminiferal densities. However, in deeper areas of the bay, hypoxic water has negatively impacted the marine microfauna. Comparisons of the present-day foraminiferal assemblage with foraminifers collected in the early 1970s indicate that the continued biologic loss of calcareous foraminifers in the bay has allowed the introduction of a new agglutinated foraminiferal species into the bay.

  12. 1,100 years after an earthquake: modification of the earthquake record by submergence, Puget Lowland, Washington State

    NASA Astrophysics Data System (ADS)

    Arcos, M. E.

    2011-12-01

    Crustal faults may pose a complicated story for earthquake reconstruction. In some cases, regional tectonic strain overprints the record of coseismic land-level changes. This study looks at the record of earthquakes at two sites in the Puget Lowland, Gorst and the Skokomish delta, and how post-earthquake submergence modified the paleoseismic records. The Puget Lowland is the slowly subsiding forearc basin of the northern Cascadia subduction zone. A series of active thrust faults cross this lowland. Several of these faults generated large (M7+) earthquakes, about 1,100 years ago and both field sites have submerged at least 1.5 m since that time. This submergence masked the geomorphic record of uplift in some areas, resulting in a misreading of the zone of earthquake deformation and potential misinterpretation of the underlying fault structure. Earthquakes ~1,100 years ago uplifted both field localities and altered river dynamics. At Gorst, a tsunami and debris flow accompanied uplift of at least 3 m by the Seattle fault. The increased sediment load resulted in braided stream formation for a period after the earthquake. At the Skokomish delta, differential uplift trapped the river on the eastern side of the delta for the last 1,100 years resulting in an asymmetric intertidal zone, 2-km wider on one side of the delta than the other. The delta slope or submergence may contribute to high rates of flooding on the Skokomish River. Preliminary results show the millennial scale rates of submergence vary with the southern Puget Lowland submerging at a faster rate than the northern Puget Lowland. This submergence complicates the reconstruction of past earthquakes and renders assessment of future hazards difficult for those areas that are based on uplifted marine platforms and other coastal earthquake signatures in several ways. 1) Post-earthquake submergence reduces the apparent uplift of marine terraces. 2) Submergence makes zones of earthquake deformation appear narrower. 3

  13. Recurrent novae

    NASA Technical Reports Server (NTRS)

    Hack, Margherita; Selvelli, Pierluigi

    1993-01-01

    Recurrent novae seem to be a rather inhomogeneous group: T CrB is a binary with a M III companion; U Sco probably has a late dwarf as companion. Three are fast novae; two are slow novae. Some of them appear to have normal chemical composition; others may present He and CNO excess. Some present a mass-loss that is lower by two orders of magnitude than classical novae. However, our sample is too small for saying whether there are several classes of recurrent novae, which may be related to the various classes of classical novae, or whether the low mass-loss is a general property of the class or just a peculiarity of one member of the larger class of classical novae and recurrent novae.

  14. The History of Parenting Practices: An Overview! Events, Policies and Theories That Have Influenced Parenting Practices over the Last 100 Years. [Videotape and Worksheets].

    ERIC Educational Resources Information Center

    1999

    Noting that parenting is a learned experience and that the source of information on parenting has changed considerably over the last 100 years, this videotape examines the history of parent education over the past 100 years, highlighting events influencing family life, policies and legislation to assist families, and parenting theories for each…

  15. Evaluating the 100 year floodplain as an indicator of flood risk in low-lying coastal watersheds

    NASA Astrophysics Data System (ADS)

    Sebastian, A.; Brody, S.; Bedient, P. B.

    2013-12-01

    The Gulf of Mexico is the fastest growing region in the United States. Since 1960, the number of housing units built in the low-lying coastal counties has increased by 246%. The region experiences some of the most intense rainfall events in the country and coastal watersheds are prone to severe flooding characterized by wide floodplains and ponding. This flooding is further exacerbated as urban development encroaches on existing streams and waterways. While the 100 year floodplain should play an important role in our ability to develop disaster resilient communities, recent research has indicated that existing floodplain delineations are a poor indicator of actual flood losses in low-lying coastal regions. Between 2001 and 2005, more than 30% of insurance claims made to FEMA in the Gulf Coast region were outside of the 100 year floodplain and residential losses amounted to more than $19.3 billion. As population density and investments in this region continue to increase, addressing flood risk in coastal communities should become a priority for engineers, urban planners, and decision makers. This study compares the effectiveness of 1-D and a 2-D modeling approaches to spatially capture flood claims from historical events. Initial results indicate that 2-D models perform much better in coastal environments and may serve better for floodplain modeling helping to prevent unintended losses. The results of this study encourage a shift towards better engineering practices using existing 2-D models in order to protect resources and provide guidance for urban development in low-lying coastal regions.

  16. Are Geodetically and Geologically Constrained Vertical Deformation Models Compatible With the 100-Year Coastal Tide Gauge Record in California?

    NASA Astrophysics Data System (ADS)

    Smith-Konter, B. R.; Sandwell, D. T.

    2006-12-01

    Sea level change has been continuously recorded along the California coastline at several tide gauge stations for the past 50-100 years. These stations provide a temporal record of sea level change, generally attributed to post-glacial rebound and ocean climate phenomena. However, geological processes, including displacements from large earthquakes, have also been shown to produce sea level variations. Furthermore, the vertical tectonic response to interseismic strain accumulation in regions of major fault bends has been shown to produce uplift and subsidence rates consistent with sea level trends. To investigate the long-term extent and implication of tectonic deformation on sea level change, we compare time series data from California tide gauge stations to model estimates of vertical displacements produced by earthquake cycle deformation. Using a 3-D semi-analytic viscoelastic model, we combine geologic slip rates, geodetic velocities, and historical seismic data to simulate both horizontal and vertical deformation of the San Andreas Fault System. Using this model, we generate a time-series of vertical displacements spanning the 100-year sea level record and compare this to tide gauge data provided by the Permanent Service for Mean Sea Level (PSMSL). Comparison between sea level data and a variety of geologically and geodetically constrained models confirms that the two are highly compatible. Vertical displacements are largely controlled by interseismic strain accumulation, however displacements from major earthquakes are also required to explain varying trends in the sea level data. Models based on elastic plate thicknesses of 30-50km and viscosities of 7x10^1^8-2x10^1^9 Pa-s produce vertical displacements at tide-gauge locations that explain long-term trends in the sea level record to a high degree of accuracy at nearly all stations. However, unmodeled phenomena are also present in the sea level data and require further inspection.

  17. Aboveground and belowground legacies of native Sami land use on boreal forest in northern Sweden 100 years after abandonment.

    PubMed

    Freschet, Grégoire T; Ostlund, Lars; Kichenin, Emilie; Wardle, David A

    2014-04-01

    Human activities that involve land-use change often cause major transformations to community and ecosystem properties both aboveground and belowground, and when land use is abandoned, these modifications can persist for extended periods. However, the mechanisms responsible for rapid recovery vs. long-term maintenance of ecosystem changes following abandonment remain poorly understood. Here, we examined the long-term ecological effects of two remote former settlements, regularly visited for -300 years by reindeer-herding Sami and abandoned -100 years ago, within an old-growth boreal forest that is considered one of the most pristine regions in northern Scandinavia. These human legacies were assessed through measurements of abiotic and biotic soil properties and vegetation characteristics at the settlement sites and at varying distances from them. Low-intensity land use by Sami is characterized by the transfer of organic matter towards the settlements by humans and reindeer herds, compaction of soil through trampling, disappearance of understory vegetation, and selective cutting of pine trees for fuel and construction. As a consequence, we found a shift towards early successional plant species and a threefold increase in soil microbial activity and nutrient availability close to the settlements relative to away from them. These changes in soil fertility and vegetation contributed to 83% greater total vegetation productivity, 35% greater plant biomass, and 23% and 16% greater concentrations of foliar N and P nearer the settlements, leading to a greater quantity and quality of litter inputs. Because decomposer activity was also 40% greater towards the settlements, soil organic matter cycling and nutrient availability were further increased, leading to likely positive feedbacks between the aboveground and belowground components resulting from historic land use. Although not all of the activities typical of Sami have left visible residual traces on the ecosystem after

  18. Regime Shifts in Shallow Lakes: Responses of Cyanobacterial Blooms to Watershed Agricultural Phosphorus Loading Over the Last ~100 Years.

    NASA Astrophysics Data System (ADS)

    Vermaire, J. C.; Taranu, Z. E.; MacDonald, G. K.; Velghe, K.; Bennett, E.; Gregory-Eaves, I.

    2015-12-01

    Rapid changes in ecosystem states have occurred naturally throughout Earth's history. However, environmental changes that have taken place since the start of the Anthropocene may be destabilizing ecosystems and increasing the frequency of regime shifts in response to abrupt changes in external drivers or local intrinsic dynamics. To evaluate the relative influence of these forcers and improve our understanding of the impact of future change, we examined the effects of historical catchment phosphorus loading associated with agricultural land use on lake ecosystems, and whether this caused a shift from a stable, clear-water, regime to a turbid, cyanobacteria-dominated, state. The sedimentary pigments, diatom, and zooplankton (Cladocera) records from a currently clear-water shallow lake (Roxton Pond) and a turbid-water shallow lake (Petit lac Saint-François; PSF) were examined to determine if a cyanobacteria associated pigment (i.e. echinenone) showed an abrupt non-linear response to continued historical phosphorus load index (determined by phosphorus budget) over the last ~100 years. While PSF lake is presently in the turbid-water state, pigment and diatom analyses indicated that both lakes were once in the clear-water state, and that non-linear increases in catchment phosphorus balance resulted in an abrupt transition to cyanobacteria dominated states in each record. These results show that phosphorus loading has resulted in state shifts in shallow lake ecosystems that has been recorded across multiple paleolimnological indicators preserved in the sedimentary record.

  19. On the Influence of the NAO on Outlet Glacier Stability in SE Greenland during the Past 100 Years

    NASA Astrophysics Data System (ADS)

    Andresen, C. S.

    2014-12-01

    The Greenland Ice sheet has gained massive attention in recent years due to a sudden increase in mass loss at the onset of this century. A significant part of this mass loss has been attributed to increased ice discharge at the margin through iceberg calving from marine-terminating outlet glaciers. However, due to the lack of instrumental data beyond the past 20-30 years it is difficult to evaluate if this was an outstanding event or if it was part of a recurring phenomenon acting on inter-annual, inter-decadal or centennial timescales. In order to improve understanding of the timescales involved in glacier changes and on the influence of ocean and atmosphere variability we investigate sediment archives from fjords with marine terminating glaciers. Near the glacier margin the sedimentation rates are relatively high due to glacial flour input and rafting of iceberg debris. Our studies of several sediment cores obtained from Sermilik Fjord by Helheim Glacier in Southeast Greenland has allowed us to reconstruct glacier calving, shelf temperature and fjord water renewal rate for the past 100 years. These studies show that dominant modes of climate variability, i.e. the North Atlantic Oscillation and the Atlantic Multidecadal Oscillation, affect ocean properties near the glacier and that the recorded variability concurs with reconstructed outlet glacier changes. This presentation provides an overview these studies.

  20. DNA from a 100-year-old holotype confirms the validity of a potentially extinct hummingbird species

    PubMed Central

    Kirchman, Jeremy J.; Witt, Christopher C.; McGuire, Jimmy A.; Graves, Gary R.

    2010-01-01

    We used mtDNA sequence data to confirm that the controversial 100-year-old holotype of the Bogotá sunangel (Heliangelus zusii) represents a valid species. We demonstrate that H. zusii is genetically well differentiated from taxa previously hypothesized to have given rise to the specimen via hybridization. Phylogenetic analyses place H. zusii as sister to a clade of mid- to high-elevation Andean species currently placed in the genera Taphrolesbia and Aglaiocercus. Heliangelus zusii, presumed extinct, has never been observed in nature by biologists. We infer that the species occupied a restricted distribution between the upper tropical and temperate zones of the northern Andes and that it was most probably driven to extinction by deforestation that accompanied human population growth during the nineteenth and early twentieth centuries. We demonstrate the feasibility of obtaining DNA from nearly microscopic tissue samples from old hummingbird specimens and suggest that these methods could be used to resolve the taxonomy of dozens of avian taxa known only from type specimens. PMID:19776061

  1. The anticipated spatial loss of microtidal beaches in the next 100 years due to sea level rise.

    NASA Astrophysics Data System (ADS)

    Alexandrakis, G.; Poulos, S.

    2012-04-01

    The anticipated sea level rise is expected to influence on a global scale the earth coast in the near future and it is considered to be a main factor related to coastal retreat, with beach zones being among the most vulnerable coastal landforms. Records for the period 1890-1990 have shown that sea level has already risen by 18cm (min: +10cm, max: +25cm), while the projected to 2100 sea level rise has estimated to be 20 to 50cm (IPCC, 2007). It has to be highlighted that a small rise of few tens of meters would cause shoreline retreat of a few to tens meters in the case of low lying coasts, i.e. beach zones (e.g. Bruun 1962, Nichol and Letherman, 1995, Ciavola and Corbau, 2002). Within the concept of climate change, sea level rise could also being related, in regional scale, to changes of meteorological factors such as intensity, duration and direction of the onshore blowing winds, variation in atmospheric pressure. In the microtidal Greek waters temporary changes in sea level exceeds the 1 m (HHS, 2004) This work investigates the impact of sea level rise to sixteen beach zones along the Greek coast. More specifically, shoreline retreat has been estimated for time periods of 10, 20, 50 and 100 years for the corresponding sea level rise of 0,038, 0,076m, 0,19m and 0,38m, according to the A1B scenario of IPCC (2007) and utilizing Dean's (1991) equation; the latter includes in the calculations both the effects of the anticipated sea level rise and the associated storm surge The appropriate morphodynamic and sedimentological data used for the estimation of beach retreat has been deduced from field measurements. Finally, the percentage of the sub-aerial area lost for each beach zone, under investigation, has been estimated. The results show that coastline retreat follows a liner increase in the case of eleven out of the 16 beach zones, for a time period of 100 years. Santava beach zone (inner Messiniakos Gulf) undergoes most of erosion in the first period of 20 years

  2. Changing patterns of infant death over the last 100 years: autopsy experience from a specialist children's hospital

    PubMed Central

    Pryce, JW; Weber, MA; Ashworth, MT; Roberts, SEA; Malone, M; Sebire, NJ

    2012-01-01

    Objectives Infant mortality has undergone a dramatic reduction in the UK over the past century because of improvements in public health policy and medical advances. Postmortem examinations have been performed at Great Ormond Street Hospital for over 100 years, and analysis of cases across this period has been performed to assess changing patterns of infant deaths undergoing autopsy. Design Autopsy reports from 1909 and 2009 were examined. Age, major pathology and cause of death was reviewed from these cases and entered into an anonymized database. A subsequent comparative analysis was performed. Setting All postmortems performed and reported at Great Ormond Street Hospital in 1909 and 2009. Participants Infant deaths, aged 0–365 days, were identified and subsequently analysed for the two years. Main outcome measures Comparative proportional analysis of postmortem findings from the two time periods. Results Three-hundred and fifty-seven and 347 autopsy reports were identified from 1909 and 2009 including 178 and 128 infant deaths, respectively. The commonest cause of death in 1909 was infection (74%) compared to 20% of deaths in 2009. The most frequent final ‘diagnosis’ in 2009 was ‘unexplained sudden unexpected infant death (SUDI)’, despite a full postmortem including ancillary investigations. In contrast, there were no such cases recorded in 1909, but there were frequent deaths due to gastroenteritis and malnutrition together accounting for 16% of cases, compared to one case of gastroenteritis in 2009. Fifteen percent of 1909 cases had infections which are almost never fatal with appropriate treatment in 2009, including tuberculosis, diphtheria and syphilis. Congenital anomalies were detected with similar frequencies at both time points, (21% and 19% in 1909 and 2009, respectively). Conclusion In the UK, significant changes in patterns of pathology have occurred in paediatric autopsy cases performed at a single specialist centre. Fatal infections and

  3. Current-wave spectra coupling project. Volume I. Hurricane fields and cross sections, surface winds and currents, significant waves and wave spectra for potential OTEC sites: (A) Keahole Point, Hawaii, 100 year hurricane; (B) Punta Tuna, Puerto Rico, 100 year hurricane; (C) New Orleans, Louisiana, 100 year hurricane; (D) West Coast of Florida, 100 year hurricane; and for (E) Hurricane Camille (1969) off Louisiana Coast

    SciTech Connect

    Bretschneider, C.L.

    1980-06-01

    This volume is an extension of and consists of several modifications to the earlier report by Bretschneider (April 1979) on the subject of hurricane design wind, wave and current criteria for the four potential OTEC sites. The 100-year hurricane criteria for the design of OTEC plants is included. The criteria, in addition to the maximum conditions of winds, waves and surface current, include: hurricane fields for wind speed U/sub s/ and significant wave height H/sub s/; hurricane fields for modal wave period f/sub 0//sup -1/ and maximum energy density S/sub max/ of the wave spectrum; the corresponding Ekman wind-driven surface current V/sub s/; tabulated cross-sections for U/sub s/, H/sub s/, f/sub 0//sup -1/ and S/sub max/ through max U/sub s/ and through max H/sub s/ along traverses at right angles to and along traverses parallel to the forward movement of the hurricane; most probable maximum wave height and the expected corresponding wave period, based on statistical analysis of maximum wave heights from five hurricanes; design wave spectra for maximum U/sub s/ and also maximum H/sub s/, since maximum U/sub s/ and maximum H/sub s/ do not occur simultaneously; the envelope of wave spectra through maximum U/sub s/ and through maximum H/sub s/ along traverses parallel to the forward movement of the hurricane; the above same determinations for Hurricane Camille (1969) as for the four OTEC locations; and alternative methods (suggested) for obtaining design wave spectra from the joint probability distribution functions for wave height and period given by Longuet-Higgins (1975) and C.N.E.X.O. after Arhan, et al (1976).

  4. Acidophilic denitrifiers dominate the N2O production in a 100-year-old tea orchard soil.

    PubMed

    Huang, Ying; Long, Xi-En; Chapman, Stephen J; Yao, Huaiying

    2015-03-01

    Aerobic denitrification is the main process for high N2O production in acid tea field soil. However, the biological mechanisms for the high emission are not fully understood. In this study, we examined N2O emission and denitrifier communities in 100-year-old tea soils with four pH levels (3.71, 5.11, 6.19, and 7.41) and four nitrate concentration (0, 50, 200, and 1000 mg kg(-1) of NO3 (-)-N) addition. Results showed the highest N2O emission (10.1 mg kg(-1) over 21 days) from the soil at pH 3.71 with 1000 mg kg(-1) NO3 (-) addition. The N2O reduction and denitrification enzyme activity in the acid soils (pH <7.0) were significantly higher than that of soils at pH 7.41. Moreover, TRF 78 of nirS and TRF 187 of nosZ dominated in soils of pH 3.71, suggesting an important role of acidophilic denitrifiers in N2O production and reduction. CCA analysis also showed a negative correlation between the dominant denitrifier ecotypes (nirS TRF 78, nosZ TRF 187) and soil pH. The representative sequences were identical to those of cultivated denitrifiers from acidic soils via phylogenetic tree analysis. Our results showed that the acidophilic denitrifier adaptation to the acid environment results in high N2O emission in this highly acidic tea soil. PMID:25273518

  5. The story of the Hawaiian Volcano Observatory -- A remarkable first 100 years of tracking eruptions and earthquakes

    USGS Publications Warehouse

    Babb, Janet L.; Kauahikaua, James P.; Tilling, Robert I.

    2011-01-01

    The year 2012 marks the centennial of the Hawaiian Volcano Observatory (HVO). With the support and cooperation of visionaries, financiers, scientists, and other individuals and organizations, HVO has successfully achieved 100 years of continuous monitoring of Hawaiian volcanoes. As we celebrate this milestone anniversary, we express our sincere mahalo—thanks—to the people who have contributed to and participated in HVO’s mission during this past century. First and foremost, we owe a debt of gratitude to the late Thomas A. Jaggar, Jr., the geologist whose vision and efforts led to the founding of HVO. We also acknowledge the pioneering contributions of the late Frank A. Perret, who began the continuous monitoring of Kīlauea in 1911, setting the stage for Jaggar, who took over the work in 1912. Initial support for HVO was provided by the Massachusetts Institute of Technology (MIT) and the Carnegie Geophysical Laboratory, which financed the initial cache of volcano monitoring instruments and Perret’s work in 1911. The Hawaiian Volcano Research Association, a group of Honolulu businessmen organized by Lorrin A. Thurston, also provided essential funding for HVO’s daily operations starting in mid-1912 and continuing for several decades. Since HVO’s beginning, the University of Hawaiʻi (UH), called the College of Hawaii until 1920, has been an advocate of HVO’s scientific studies. We have benefited from collaborations with UH scientists at both the Hilo and Mänoa campuses and look forward to future cooperative efforts to better understand how Hawaiian volcanoes work. The U.S. Geological Survey (USGS) has operated HVO continuously since 1947. Before then, HVO was under the administration of various Federal agencies—the U.S. Weather Bureau, at the time part of the Department of Agriculture, from 1919 to 1924; the USGS, which first managed HVO from 1924 to 1935; and the National Park Service from 1935 to 1947. For 76 of its first 100 years, HVO has been

  6. Erosion and Deposition Patterns of the Mississippi River as a Result of the "100-Year" Flood Event of April 2011

    NASA Astrophysics Data System (ADS)

    Meyer, D.; Magnani, M.; McIntosh, K. D.

    2011-12-01

    Due to damming in the upper Mississippi River system, rates of sedimentation on the Mississippi River have decreased by more than half since the 1930s, which has resulted in the subsidence of the historic deltaic systems. In order to counteract this trend, the US Army Corps of Engineers (USACE) have diverted most of the Mississippi River sediment flow towards the current deltaic system, although there is concern that current sediment deposition rates may not be enough. Modern land loss along the Mississippi River deltaic plain is a function of many parameters, including the sediment storage and the sediment budget of the river. These parameters are poorly constrained for most rivers. This study explores the possibility of estimating the amount of sediment mobilization during the "100-Year" flood that took place in April 2011 in the portion of the Mississippi River flowing by Memphis, Tennessee. The opportunity to acquire high resolution seismic CHIRP data along the Mississippi River immediately after the flood allows us to compare the new data with similar data acquired in September 2009 in the same part of the river, to evaluate changes sedimentary structures and in the sediment removal/deposition due to the exceptional flooding event. The data were acquired in both cases using an Edgetech SB-512i CHIRP, a 0.7 - 1.2 kHz source pulse, and were recorded to a depth of 5 - 50 m sub-bottom. The compared segments were taken along the same 20 km track of river and comparisons were drawn between them at 9 intersection points. Two main observations can be made from the preliminary analysis of the two datasets: 1) the 2011 data show evidence of widespread erosion and limited deposition. Up to 6 m of alluvium appear to have been eroded from the river bottom. Where sediments have been newly deposited, they are characterized by massive appearance and lack of internal structure; 2) the wavelengths of the sandbars imaged in the post-flood data are 1.5 - 3 times longer than those

  7. Accumulation of Pharmaceuticals, Enterococcus, and Resistance Genes in Soils Irrigated with Wastewater for Zero to 100 Years in Central Mexico

    PubMed Central

    Siebe, Christina; Willaschek, Elisha; Sakinc, Tuerkan; Huebner, Johannes; Amelung, Wulf; Grohmann, Elisabeth; Siemens, Jan

    2012-01-01

    Irrigation with wastewater releases pharmaceuticals, pathogenic bacteria, and resistance genes, but little is known about the accumulation of these contaminants in the environment when wastewater is applied for decades. We sampled a chronosequence of soils that were variously irrigated with wastewater from zero up to 100 years in the Mezquital Valley, Mexico, and investigated the accumulation of ciprofloxacin, enrofloxacin, sulfamethoxazole, trimethoprim, clarithromycin, carbamazepine, bezafibrate, naproxen, diclofenac, as well as the occurrence of Enterococcus spp., and sul and qnr resistance genes. Total concentrations of ciprofloxacin, sulfamethoxazole, and carbamazepine increased with irrigation duration reaching 95% of their upper limit of 1.4 µg/kg (ciprofloxacin), 4.3 µg/kg (sulfamethoxazole), and 5.4 µg/kg (carbamazepine) in soils irrigated for 19–28 years. Accumulation was soil-type-specific, with largest accumulation rates in Leptosols and no time-trend in Vertisols. Acidic pharmaceuticals (diclofenac, naproxen, bezafibrate) were not retained and thus did not accumulate in soils. We did not detect qnrA genes, but qnrS and qnrB genes were found in two of the irrigated soils. Relative concentrations of sul1 genes in irrigated soils were two orders of magnitude larger (3.15×10−3±0.22×10−3 copies/16S rDNA) than in non-irrigated soils (4.35×10−5±1.00×10−5 copies/16S rDNA), while those of sul2 exceeded the ones in non-irrigated soils still by a factor of 22 (6.61×10–4±0.59×10−4 versus 2.99×10−5±0.26×10−5 copies/16S rDNA). Absolute numbers of sul genes continued to increase with prolonging irrigation together with Enterococcus spp. 23S rDNA and total 16S rDNA contents. Increasing total concentrations of antibiotics in soil are not accompanied by increasing relative abundances of resistance genes. Nevertheless, wastewater irrigation enlarges the absolute concentration of resistance genes in soils due to a long-term increase in

  8. Simulations of the Greenland ice sheet 100 years into the future with the full Stokes model Elmer/Ice

    NASA Astrophysics Data System (ADS)

    Seddik, H.; Greve, R.; Zwinger, T.; Gillet-Chaulet, F.; Gagliardini, O.

    2011-12-01

    the surface precipitation and temperature and the set S (three experiments) applies an amplification factor to change the basal sliding velocity. The experiments are compared to a constant climate control run beginning at present (epoch 2004-1-1 0:0:0) and running up to 100 years holding the climate constant to its present state. The experiments with the amplification factor (Set S) show high sensitivities. Relative to the control run, the scenario with an amplification factor of 3x applied to the sliding velocity produces a Greenland contribution to sea level rise of ~25 cm. An amplification factor of 2.5x produces a contribution of ~16 cm and an amplification factor 2x produces a contribution of ~9 cm. The experiments with the changes to the surface precipitation and temperature (set C) show a contribution to sea level rise of ~4 cm when a factor 1x is applied to the temperature and precipitation anomalies. A factor 1.5x produces a sea level rise of ~8 cm and a factor 2x produces a sea level rise of ~12 cm.

  9. Towards a robust calving and melt-history for Helheim Glacier, SE Greenland, for the last 100 years

    NASA Astrophysics Data System (ADS)

    Andersen, T. J.; Ellegaard, M.; Markussen, T. N.

    2013-12-01

    Observations of increased ice-discharge from tidewater glaciers in Greenland in the early and mid 2000s has led to concern about a possible rapid loss of ice from the ice sheet in a scenario with increasing air and ocean water temperatures. In order to evaluate the strength and uniqueness of the observed increase a robust data-set on the temporal variation of calving and melt is strongly needed. The only reliable data prior to the period of aerial photographs and instrumental observations is the archive preserved at the seabed in the fjords and coastal waters off the ice sheet. Establishment of core-chronology is central in studies of these archives and is based on Pb-210 dating which will reach approx. 100 years back in time. Establishment of a detailed and accurate core-chronology by means of Pb-210 dating and Cs-137 peaks is by no means a trivial task in environments influenced by episodic deposition of ice-rafted debris (IRD). The deposition will have a relatively large component of random variability which could be mistaken for actual changes in sedimentation rate, especially so if only one or a few cores are analyzed. To increase the reliability of the calving reconstruction, a total of 13 cores have been sampled in this study in Sermilik Fjord in August 2012 at depths between approximately 700 to 900 m. Eleven of the cores are from within the central basin north of 66 degrees North and two are from the outer part of the fjord south of that line. CTD-profiles and measurements of floc size in situ indicate that the sedimentation is significantly influenced by deposition of IRD and temporal changes in sediment accumulation rates will therefore be examined for all the cores. The cores are also being analyzed for their content of dinoflagellate cysts and diatoms in order to examine possible temporal changes in ocean water temperature in the fjord. So far (August 2013) six cores have been studied and the total average accumulation rate for each year since 1925 has

  10. Complex partial status epilepticus: a recurrent problem.

    PubMed Central

    Cockerell, O C; Walker, M C; Sander, J W; Shorvon, S D

    1994-01-01

    Twenty patients with complex partial status epilepticus were identified retrospectively from a specialist neurology hospital. Seventeen patients experienced recurrent episodes of complex partial status epilepticus, often occurring at regular intervals, usually over many years, and while being treated with effective anti-epileptic drugs. No unifying cause for the recurrences, and no common epilepsy aetiologies, were identified. In spite of the frequency of recurrence and length of history, none of the patients showed any marked evidence of cognitive or neurological deterioration. Complex partial status epilepticus is more common than is generally recognised, should be differentiated from other forms of non-convulsive status, and is often difficult to treat. PMID:8021671

  11. Radical treatment of recurrent cytosarcoma phylloides.

    PubMed

    Faraci, R P; Schour, L

    1974-11-01

    Malignant cystosarcoma phylloides is a rare breast cancer which frequently recurs locally before metastasizing. Local recurrence of cystosarcoma phylloides is unlike adenocarcinoma of the breast since it does not necessarily indicate systemic metastases; and, therefore, aggressive surgery can cure a number of patients with locally recurrent tumor. The present report is an extreme example of a patient with locally recurrent malignant cystosarcoma phylloides, and it illustrates the value of radical surgery in controlling this disease which had previously recurred 21 times. Fifteen months following sternal resection, the patient enjoys her longest tumor-free interval in 16 years. PMID:4370747

  12. Locally recurrent parathyroid neoplasms as a cause for recurrent and persistent primary hyperparathyroidism.

    PubMed Central

    Fraker, D L; Travis, W D; Merendino, J J; Zimering, M B; Streeten, E A; Weinstein, L S; Marx, S J; Spiegel, A M; Aurbach, G D; Doppman, J L

    1991-01-01

    Between 1982 and 1989, 145 patients underwent operations for persistent or recurrent primary hyperparathyroidism (HPT). At re-exploration, 15 patients (10.3%) were found to have locally recurrent parathyroid tumors (11 patients with adenoma and 4 with carcinoma). These 15 patients had 28 previous operations at outside institutions for HPT. Patients with locally recurrent HPT secondary to adenoma had a longer disease-free interval than patients with locally recurrent carcinoma. At the time of evaluation at the National Institutes of Health (NIH) for recurrent or persistent HPT, each patient was symptomatic and patients with carcinoma had significantly more symptoms and higher serum levels of calcium and parathyroid hormone than patients with adenoma. Locally recurrent parathyroid neoplasm was correctly localized by preoperative testing in 14 of 15 patients. These 15 patients underwent 18 reoperations at NIH for excision of locally recurrent parathyroid tumors. Following the final reoperation (two patients had more than one procedure), each patient had normal serum levels of calcium. In addition each patient remains biochemically cured (based on normal serum calcium level), with a median follow-up interval of 21 months. Local recurrence of parathyroid adenoma comprises a small but significant proportion of cases of recurrent or persistent HPT and can be indistinguishable from parathyroid carcinoma. Findings suggestive of carcinoma include shorter disease-free interval, higher serum levels of calcium and parathyroid hormone, and histologic appearance. Whether the locally recurrent parathyroid neoplasm is benign or malignant, aggressive surgery can control serum levels of calcium in these patients with acceptable rates of morbidity. PMID:1985539

  13. Uncertainties of the global-to-regional temperature and precipitation simulations in CMIP5 models for past and future 100 years

    NASA Astrophysics Data System (ADS)

    Zhao, Lilong; Xu, Jianjun; Powell, Alfred M.; Jiang, Zhihong

    2015-10-01

    Global-to-regional surface temperature and precipitation trends are examined based on the CMIP5 model 100 years of historical simulations and another future 100 years following the Representative Concentration Pathway (RCP) emission scenario projection. Different from the ensemble mean approach in the previous studies, the probabilistic multimodal ensemble prediction with Gaussian fitting is used to generate probabilistic simulations. The results show that the averaged precipitation increases slightly with global warming, but the response is not globally uniform. Both historical model simulations and the RCP emission scenario projections suffer from large uncertainties in the selected models and the geographic distribution. The spatial distribution of spreads among the multimodal scenario projections is similar to that in the historical simulations, except the magnitude of spread sharply increases and the region expands equatorward and poleward in surface temperature and precipitation, respectively.

  14. Risk Factors for Idiopathic Optic Neuritis Recurrence

    PubMed Central

    Zhang, Yu-Jiao; Li, Kaijun; He, Jian-Feng

    2014-01-01

    Background Approximately 30–50% of idiopathic optic neuritis (ION) patients experience one or multiple episodes of recurrence. The aim of this study was to search for risk factors for ION recurrence. Methods Clinical data on hospitalized patients diagnosed with ION between January 2003 and January 2011 at the First Affiliated Hospital of Guangxi Medical University were retrospectively collected. Univariate and multivariate analyses were performed on factors that might cause ION recurrence. In total, 115 ION cases (32 recurrent and 83 non-recurrent cases) with complete data were analyzed. The length of the follow-up period ranged from 12 to 108 months (median: 42 months). Results The univariate analysis showed that the recurrence rate for unilateral ION was higher than that for bilateral ION (40% vs. 12%, p = 0.001). Underlying diseases had a significant impact on recurrence (p<0.001): the recurrence rates due to neuromyelitis optica (NMO), multiple sclerosis (MS), demyelinating lesions alone of the central nervous system, and unknown causes were 89%, 70%, 41%, and 8.7%, respectively. The multivariate analysis showed that the factors causing relatively high recurrence rates included NMO (odds ratio [OR], 73.5; 95% confidence interval [CI], 7.3 to 740.9), MS (OR, 33.9; 95% CI, 5.2 to 222.2), and demyelinating lesions alone (OR, 8.9; 95% CI, 2.3 to 34.4), unilateral involvement (OR, 5.7; 95% CI, 1.5 to 21.3), relatively low initial glucocorticoid dosage (equivalent to ≤100 mg prednisone/day) (OR, 4.3; 95% CI, 1.0 to 17.9). Conclusion Underlying diseases, laterality (unilateral or bilateral), and initial glucocorticoid dosage are important risk factors of ION recurrence. Clinical physicians are advised to treat ION patients with a sufficient dose of glucocorticoid in the initial treatment stage to reduce the recurrence risk. PMID:25255372

  15. Bimodal Recurrence Pattern of Tsunami in South Central Chile

    NASA Astrophysics Data System (ADS)

    Kempf, P.; Moernaut, J.; Van Daele, M. E.; Vandoorne, W.; Messens, F.; Vandenberghe, D.; Pino, M.; Urrutia, R.; De Batist, M. A. O.

    2015-12-01

    Establishing the recurrence time of large-scale tsunami is one of the main objectives of paleotsunami research, as it is fundamental for any tsunami risk assessment. Typically, the result is given in form of the mean recurrence time and a standard deviation as a range of uncertainty, assuming a normally distributed recurrence. We present a 5.5 ka long coastal lake paleotsunami record from south central Chile, which contains 17 tsunami deposits, 9 of which were previously unknown. Our record matches all 3 of the historically known tsunami, as well as all of the 5 known paleotsunami in the region without over- or underrepresentation. We used Bayesian age-depth modelling to calculate an age-depth model and extracted recurrence intervals for 16 recurrence intervals. Our findings confirm the previously published mean tsunami recurrence time on the Valdivia seismic segment of ~300 years. However, our analyses show a strongly bimodal recurrence pattern with one mode at ~115 years and the other mode at ~490 years. The least likely recurrence time between the modes is at ~300 years and coincides with the mean recurrence time. The reasons for the bimodal distribution remain speculative. They can be attributed to either spatial variability, e.g. incomplete segment rupture, splay fault rupture, up- or down-dip rupture, or to temporal variability, e.g. megathrust earthquake clustering, earthquake supercycles. Our findings highlight the importance of recognising the variability in tsunami recurrence patterns before using mean recurrence time for tsunami risk assessment.

  16. Recurrent Omental Hemangiopericytoma: A Therapeutic Challenge

    PubMed Central

    Jaber, Sara; Winer, Ira; Rasool, Nabila

    2016-01-01

    Hemangiopericytomas are vascular tumors with a susceptibility to arise anywhere in the human body. We present a case of a 68-year-old female with primary omental hemangiopericytoma and a two-time recurrence managed with surgery and close follow-up. The first recurrence was at 52 months and the second at 37 months following the prior presentation. No adjuvant chemotherapy or radiation therapy was administered. Given the widespread nature of the cell of origin, routine follow-up postoperatively with interval imaging in order to detect recurrences is imperative. Pathologic tumor characteristics may determine potential for recurrence and may also assist in determining whether adjuvant treatment modalities should be included in the management plan. Review of the English literature reveals a total of 24 cases of omental hemangiopericytomas inclusive of the current report. PMID:27088021

  17. Celebrating 100 Years of Flight.

    ERIC Educational Resources Information Center

    Reese, Susan

    2003-01-01

    In honor of the Wright brothers' first flight, the article profiles aviation and aerospace technology programs that are training workers in aviation safety and explorations. Looks at programs from Eastern New Mexico University-Roswell, Pima Community College, and Olathe Northwest High School. (JOW)

  18. [Dermatitis artefacta 100 years ago].

    PubMed

    Heras-Mendaza, F

    2009-10-01

    In 1909, the Spanish dermatologist Juan de Azúa published a study of the main features of skin lesions in dermatitis artefacta. In the article, he paid particular attention to the psychological state of these patients, their family situation, and what they were hoping to gain with pathomimicry. Azúa directly confronted the patients with the diagnosis, which he demonstrated by applying an occlusive dressing. Written in a literary style typical of the times, the article includes the subjective impressions of Azúa, through which he manages to transmit a much more realistic image of these patients than that portrayed with the sterile language we tend to use in current medical literature. PMID:19775543

  19. 100 years of Philips Research

    NASA Astrophysics Data System (ADS)

    van Delft, Dirk

    2014-03-01

    On Thursday 23 October 1913, a Dutch newspaper published the following advertisement: Hiring: A capable young scientist with a doctorate in physics. Must be a good experimenter. Letters containing information on age, life history and references may be submitted to Philips in Eindhoven. Two days later, a candidate applied: Gilles Holst. At that time, Holst was working in Leiden as an assistant to Heike Kamerlingh Onnes, a recent Nobel Prize winner.

  20. 100 Years of Reality Learning

    ERIC Educational Resources Information Center

    Zimpher, Nancy L.; Wright Ron, D.

    2006-01-01

    One may have heard of reality TV, but what about reality learning? The latter is probably a term one hasn't seen much, although it is in many ways a clearer and more concise name for a concept that in 2006 marks its 100th anniversary: cooperative education, or "co-op." Co-op, a break-through idea pioneered at the University of Cincinnati by Herman…

  1. Programming with Intervals

    NASA Astrophysics Data System (ADS)

    Matsakis, Nicholas D.; Gross, Thomas R.

    Intervals are a new, higher-level primitive for parallel programming with which programmers directly construct the program schedule. Programs using intervals can be statically analyzed to ensure that they do not deadlock or contain data races. In this paper, we demonstrate the flexibility of intervals by showing how to use them to emulate common parallel control-flow constructs like barriers and signals, as well as higher-level patterns such as bounded-buffer producer-consumer. We have implemented intervals as a publicly available library for Java and Scala.

  2. Simulation of water-surface elevations for a hypothetical 100-year peak flow in Birch Creek at the Idaho National Engineering and Environmental Laboratory, Idaho

    SciTech Connect

    Berenbrock, C.; Kjelstrom, L.C.

    1997-10-01

    Delineation of areas at the Idaho National Engineering and Environmental Laboratory that would be inundated by a 100-year peak flow in Birch Creek is needed by the US Department of Energy to fulfill flood-plain regulatory requirements. Birch Creek flows southward about 40 miles through an alluvium-filled valley onto the northern part of the Idaho National Engineering and Environmental laboratory site on the eastern Snake River Plain. The lower 10-mile reach of Birch Creek that ends in Birch Creek Playa near several Idaho National Engineering and Environmental Laboratory facilities is of particular concern. Twenty-six channel cross sections were surveyed to develop and apply a hydraulic model to simulate water-surface elevations for a hypothetical 100-year peak flow in Birch Creek. Model simulation of the 100-year peak flow (700 cubic feet per second) in reaches upstream from State Highway 22 indicated that flow was confined within channels even when all flow was routed to one channel. Where the highway crosses Birch Creek, about 315 cubic feet per second of water was estimated to move downstream--115 cubic feet per second through a culvert and 200 cubic feet per second over the highway. Simulated water-surface elevation at this crossing was 0.8 foot higher than the elevation of the highway. The remaining 385 cubic feet per second flowed southwestward in a trench along the north side of the highway. Flow also was simulated with the culvert removed. The exact location of flood boundaries on Birch Creek could not be determined because of the highly braided channel and the many anthropogenic features (such as the trench, highway, and diversion channels) in the study area that affect flood hydraulics and flow. Because flood boundaries could not be located exactly, only a generalized flood-prone map was developed.

  3. Recurrent Preterm Birth

    PubMed Central

    Mazaki-Tovi, Shali; Romero, Roberto; Kusanovic, Juan Pedro; Erez, Offer; Pineles, Beth L.; Gotsch, Francesca; Mittal, Pooja; Than, Nandor Gabor

    2012-01-01

    Recurrent preterm birth is frequently defined as two or more deliveries before 37 completed weeks of gestation. The recurrence rate varies as a function of the antecedent for preterm birth: spontaneous versus indicated. Spontaneous preterm birth is the result of either preterm labor with intact membranes or preterm prelabor rupture of the membranes. This article reviews the body of literature describing the risk of recurrence of spontaneous and indicated preterm birth. Also discussed are the factors which modify the risk for recurrent spontaneous preterm birth (a short sonographic cervical length and a positive cervicovaginal fetal fibronectin test). Patients with a history of an indicated preterm birth are at risk not only for recurrence of this subtype, but also for spontaneous preterm birth. Individuals of African-American origin have a higher rate of recurrent preterm birth. The potential roles of genetic and environmental factors in recurrent preterm birth are considered. PMID:17531896

  4. Interval polynomial positivity

    NASA Technical Reports Server (NTRS)

    Bose, N. K.; Kim, K. D.

    1989-01-01

    It is shown that a univariate interval polynomial is globally positive if and only if two extreme polynomials are globally positive. It is shown that the global positivity property of a bivariate interval polynomial is completely determined by four extreme bivariate polynomials. The cardinality of the determining set for k-variate interval polynomials is 2k. One of many possible generalizations, where vertex implication for global positivity holds, is made by considering the parameter space to be the set dual of a boxed domain.

  5. Intralesional Cidofovir application in recurrent laryngeal papillomatosis.

    PubMed

    Pudszuhn, Annett; Welzel, Cornelia; Bloching, Marc; Neumann, Kerstin

    2007-01-01

    Recurrent laryngeal papillomatosis is a benign disease of the larynx often leading to organic and functional restrictions. The therapeutic treatment of choice in larynx-obstructing papillomatosis is at present surgical laser ablation. The effectiveness of adjuvant intralesional injection of the virustaticum Cidofovir has been investigated recently in a variety of therapeutic models. The present case study deals with the treatment of recurrent laryngeal papillomatosis by means of surgical laser ablation of the laryngeal papillomas with adjuvant local injection of the virustaticum Cidofovir (dose of 5 mg/1 ml). Within the period from October 2001 to August 2004, ten patients aged between 5- and 70 years were treated with intralesional injections of Cidofovir. Papillomatosis was confirmed histologically in all cases, and the virus types were defined in part. Each of the patients underwent clinical-phoniatric examinations and was photographed for documentation. After 2-7 treatments with surgical laser papilloma ablation and intralesional Cidofovir injections, all patients showed a definite papilloma reduction, while in six cases complete remission was achieved. During the follow-up period of 8-30 months, not a single recurrence of the laryngeal papillomatosis occurred. In the majority of patients, a clear improvement in the voice was achieved. There were no local or systemic side effects caused by the virustaticum. Intralesional injection of Cidofovir is an adjuvant, but not a curative therapeutic option in recurrent laryngeal papillomatosis. Remission of previously frequently recurrent laryngeal papillomas can be achieved, but recurrence after longer treatment-free intervals is also possible. PMID:17058091

  6. Supratentorial recurrences in medulloblastoma

    SciTech Connect

    Jereb, B.; Sundaresan, N.; Horten, B.; Reid, A.; Galicich, J.H.

    1981-02-15

    Four children with medulloblastoma had massive supratentorial recurrences in the region of the cribriform plate after adequate craniospinal irradiation. The pathogenesis of these recurrences is probably related to underdosage to this region by shielding of the eyes. This hypothesis was corroborated by autopsy findings in two other patients in whom subfrontal implants were histologically different from recurrences elsewhere. Two possible solutions to avoid this problem in the future are suggested.

  7. Effects of 100 years wastewater irrigation on resistance genes, class 1 integrons and IncP-1 plasmids in Mexican soil

    PubMed Central

    Jechalke, Sven; Broszat, Melanie; Lang, Friederike; Siebe, Christina; Smalla, Kornelia; Grohmann, Elisabeth

    2015-01-01

    Long-term irrigation with untreated wastewater can lead to an accumulation of antibiotic substances and antibiotic resistance genes in soil. However, little is known so far about effects of wastewater, applied for decades, on the abundance of IncP-1 plasmids and class 1 integrons which may contribute to the accumulation and spread of resistance genes in the environment, and their correlation with heavy metal concentrations. Therefore, a chronosequence of soils that were irrigated with wastewater from 0 to 100 years was sampled in the Mezquital Valley in Mexico in the dry season. The total community DNA was extracted and the absolute and relative abundance (relative to 16S rRNA genes) of antibiotic resistance genes (tet(W), tet(Q), aadA), class 1 integrons (intI1), quaternary ammonium compound resistance genes (qacE+qacEΔ1) and IncP-1 plasmids (korB) were quantified by real-time PCR. Except for intI1 and qacE+qacEΔ1 the abundances of selected genes were below the detection limit in non-irrigated soil. Confirming the results of a previous study, the absolute abundance of 16S rRNA genes in the samples increased significantly over time (linear regression model, p < 0.05) suggesting an increase in bacterial biomass due to repeated irrigation with wastewater. Correspondingly, all tested antibiotic resistance genes as well as intI1 and korB significantly increased in abundance over the period of 100 years of irrigation. In parallel, concentrations of the heavy metals Zn, Cu, Pb, Ni, and Cr significantly increased. However, no significant positive correlations were observed between the relative abundance of selected genes and years of irrigation, indicating no enrichment in the soil bacterial community due to repeated wastewater irrigation or due to a potential co-selection by increasing concentrations of heavy metals. PMID:25784901

  8. Reconstruction of soil moisture for the past 100 years in eastern Siberia by using δ13C of larch tree rings

    NASA Astrophysics Data System (ADS)

    Tei, Shunsuke; Sugimoto, Atsuko; Yonenobu, Hitoshi; Yamazaki, Takeshi; Maximov, Trofim C.

    2013-07-01

    stable carbon isotope ratio (δ13C) chronology for the past 100 years was developed from larch tree rings in eastern Siberia (near Yakutsk, 62°14'N, 129°37'E), to reconstruct past soil moisture water equivalent (SWE). Based on the correlation analyses between SWE and tree ring δ13C, we developed a linear regression model for SWE in the late growing period (LGP: 15 July to 31 August) using annual tree ring δ13C, which was calculated from the combination of latewood in a current year and earlywood in the following year, and then reconstructed SWE (LGP) for 1908-2007. Reconstructed SWE was compared with factors such as the output of the land surface model, annual precipitation, and Palmer Drought Severity Index for July. From the results, the reconstructed SWE appears reasonable and shows a large variation, including repeated occurrences of severe drought and an unprecedented high soil moisture event in 2006-2007 during the past 100 years. The reconstruction also captured a past documented record of severe drought in the 1940s. Despite the generally good performance of the reconstruction, by the 1930s the estimated SWE was higher than that expected from the annual precipitation. Tree ring width and δ13C were negatively correlated in most periods. However, the negative correlation was weaker for the period from 1919 to 1925, when relatively low air temperature was observed. This result suggests that the rate of photosynthesis, together with the degree of stomata opening, also affected the tree ring δ13C during cool periods.

  9. Sediment records of environmental changes in the south end of the Zhejiang-Fujian coastal mud area during the past 100 years

    NASA Astrophysics Data System (ADS)

    Wang, Linmiao; Li, Guangxue; Gao, Fei; Liu, Ling; Liu, Yong; Dada, Olusegun A.

    2014-07-01

    Previous studies carried out in the East China Sea (ECS) mud area focused on long-term environmental changes in sedimentary records during the Holocene, especially during the mid-Holocene high-stand water levels period. These results indicate that sensitive grain size groups can be used as a sedimentary proxy to reconstruct the evolution of the East Asian Winter Monsoon (EAWM). The studies have been carried out mainly in the northern and middle portions of the Zhejiang-Fujian coastal mud, however, similar research in the southern portion and the comparison between sedimentary proxy and modern measured data of EAWM are lacking. In this paper, we focused on a sedimentary record of the past 100 years with an enhanced resolution of 1.8 years. Investigations of the southern end of the Zhejiang-Fujian coastal mud area were conducted on the basis of 210Pb chronology, grain-size analysis and chemical element analysis. The correspondence between the mean grain size (Mz) of sediment sensitive grain size and the measured EAWM was confi rmed for the fi rst time. We found that during the recent 100 years, the variation of the mean grain size of the sensitive population in the southern portion of the Zhejiang-Fujian mud was mainly controlled by the EAWM intensity changes; and not directly related to changes in the sediment discharge from Datong station of the Changjiang River (DTSD). Finally, recent changes in the content of heavy metals in study area refl ect the impact of human activities on the environment.

  10. Recurrent novae as progenitors of Type Ia supernovae

    NASA Astrophysics Data System (ADS)

    Kato, Mariko; Hachisu, Izumi

    2012-09-01

    Recurrent novae are binaries harboring a very massive white dwarf (WD), as massive as the Chandrasekhar mass, because of their short recurrence periods of nova outbursts of 10--100 years. Thus, recurrent novae are considered as candidates of progenitors of Type Ia supernovae (SNe~Ia). In fact, the SN~Ia PTF~11kx showed evidence that its progenitor is a symbiotic recurrent nova. The binary parameters of recurrent novae have been well determined, especially for the ones with frequent outbursts, U Sco and RS Oph, which provide useful information on the elementary processes in binary evolution toward SNe~Ia. Therefore we use them as testbeds for binary evolution models. For example, the original double degenerate (DD) scenario cannot reproduce RS Oph type recurrent novae, whereas the new single degenerate (SD) scenario proposed by Hachisu et al. (1999) naturally can. We review main differences between the SD and DD scenarios, especially for their basic processes of binary evolution. We also discuss observational support for each physical process. The original DD scenario is based on the physics in 1980s, whereas the SD scenario on more recent physics including the new opacity, mass-growth efficiency of WDs, and optically thick winds developed in nova outbursts.

  11. Recurrent Takotsubo Cardiomyopathy Related to Recurrent Thyrotoxicosis

    PubMed Central

    Patel, Keval; Griffing, George T.; Hauptman, Paul J.

    2016-01-01

    Takotsubo cardiomyopathy, or transient left ventricular apical ballooning syndrome, is characterized by acute left ventricular dysfunction caused by transient wall-motion abnormalities of the left ventricular apex and mid ventricle in the absence of obstructive coronary artery disease. Recurrent episodes are rare but have been reported, and several cases of takotsubo cardiomyopathy have been described in the presence of hyperthyroidism. We report the case of a 55-year-old woman who had recurrent takotsubo cardiomyopathy, documented by repeat coronary angiography and evaluations of left ventricular function, in the presence of recurrent hyperthyroidism related to Graves disease. After both episodes, the patient's left ventricular function returned to normal when her thyroid function normalized. These findings suggest a possible role of thyroid-hormone excess in the pathophysiology of some patients who have takotsubo cardiomyopathy. PMID:27127432

  12. Recurrent Takotsubo Cardiomyopathy Related to Recurrent Thyrotoxicosis.

    PubMed

    Patel, Keval; Griffing, George T; Hauptman, Paul J; Stolker, Joshua M

    2016-04-01

    Takotsubo cardiomyopathy, or transient left ventricular apical ballooning syndrome, is characterized by acute left ventricular dysfunction caused by transient wall-motion abnormalities of the left ventricular apex and mid ventricle in the absence of obstructive coronary artery disease. Recurrent episodes are rare but have been reported, and several cases of takotsubo cardiomyopathy have been described in the presence of hyperthyroidism. We report the case of a 55-year-old woman who had recurrent takotsubo cardiomyopathy, documented by repeat coronary angiography and evaluations of left ventricular function, in the presence of recurrent hyperthyroidism related to Graves disease. After both episodes, the patient's left ventricular function returned to normal when her thyroid function normalized. These findings suggest a possible role of thyroid-hormone excess in the pathophysiology of some patients who have takotsubo cardiomyopathy. PMID:27127432

  13. Percutaneous cholecystolithotomy: is gall stone recurrence inevitable?

    PubMed Central

    Donald, J J; Cheslyn-Curtis, S; Gillams, A R; Russell, R C; Lees, W R

    1994-01-01

    Using radiological interventional techniques the gall bladder can be cleared of stones with a high success rate. As with any treatment option that leaves the gall bladder in situ there is an accompanying risk of stone recurrence, which is currently unknown for the radiological method. One hundred patients were studied prospectively to determine the recurrence rate of stones and clinical outcome after successful percutaneous cholecystolithotomy. Follow up included both clinical assessment and ultrasound examination at 3, 6, and 12 months and then annual intervals thereafter. The overall stone recurrence rate was 31% at a mean follow up of 26 months (range, 3-50 months). By actuarial life table analysis, the cumulative proportion of gall stone recurrence was 7, 19, 28, 35, and 44% at 6, 12, 24, 36, and 48 months respectively. Of the 31 patients with recurrent stones; 17 remain asymptomatic, seven have experienced biliary colic, two abdominal pain, three non-specific upper gastrointestinal symptoms, and two jaundice secondary to common duct stones. Thirteen of the stone free patients have remained symptomatic; six with abdominal pain and seven with nonspecific upper gastrointestinal symptoms. Eight patients have subsequently had a cholecystectomy. No significant difference was found between the sex of the patient or the number of stones before treatment and the stone recurrence rates. The cumulative stone recurrence rate was significantly less in the 56 patients who received adjuvant chemolitholysis (p < 0.05). These data show that stone recurrence after successful percutaneous cholecystolithotomy occurs in the minority, and is usually asymptomatic. It is concluded that the technique remains justified in the management of selected patients with gall stones. PMID:8200568

  14. Interval neural networks

    SciTech Connect

    Patil, R.B.

    1995-05-01

    Traditional neural networks like multi-layered perceptrons (MLP) use example patterns, i.e., pairs of real-valued observation vectors, ({rvec x},{rvec y}), to approximate function {cflx f}({rvec x}) = {rvec y}. To determine the parameters of the approximation, a special version of the gradient descent method called back-propagation is widely used. In many situations, observations of the input and output variables are not precise; instead, we usually have intervals of possible values. The imprecision could be due to the limited accuracy of the measuring instrument or could reflect genuine uncertainty in the observed variables. In such situation input and output data consist of mixed data types; intervals and precise numbers. Function approximation in interval domains is considered in this paper. We discuss a modification of the classical backpropagation learning algorithm to interval domains. Results are presented with simple examples demonstrating few properties of nonlinear interval mapping as noise resistance and finding set of solutions to the function approximation problem.

  15. Radical Treatment of Recurrent Cystosarcoma Phylloides

    PubMed Central

    Faraci, Robert P.; Schour, Lionel

    1974-01-01

    Malignant cystosarcoma phylloides is a rare breast cancer which frequently recurs locally before metastasizing. Local recurrence of cystosarcoma phylloides is unlike adenocarcinoma of the breast since it does not necessarily indicate systemic metastases; and, therefore, aggressive surgery can cure a number of patients with locally recurrent tumor. The present report is an extreme example of a patient with locally recurrent malignant cystosarcoma phylloides, and it illustrates the value of radical surgery in controlling this disease which had previously recurred 21 times. Fifteen months following sternal resection, the patient enjoys her longest tumor-free interval in 16 years. ImagesFig. 1.Fig. 2.Fig. 3a.Fig. 3b.Fig. 3c.Fig. 3d. PMID:4370747

  16. Proper Interval Vertex Deletion

    NASA Astrophysics Data System (ADS)

    Villanger, Yngve

    Deleting a minimum number of vertices from a graph to obtain a proper interval graph is an NP-complete problem. At WG 2010 van Bevern et al. gave an O((14k + 14) k + 1 kn 6) time algorithm by combining iterative compression, branching, and a greedy algorithm. We show that there exists a simple greedy O(n + m) time algorithm that solves the Proper Interval Vertex Deletion problem on \\{claw,net,allowbreak tent,allowbreak C_4,C_5,C_6\\}-free graphs. Combining this with branching on the forbidden structures claw,net,tent,allowbreak C_4,C_5, and C 6 enables us to get an O(kn 6 6 k ) time algorithm for Proper Interval Vertex Deletion, where k is the number of deleted vertices.

  17. Recurrent Abdominal Pain

    ERIC Educational Resources Information Center

    Banez, Gerard A.; Gallagher, Heather M.

    2006-01-01

    The purpose of this article is to provide an empirically informed but clinically oriented overview of behavioral treatment of recurrent abdominal pain. The epidemiology and scope of recurrent abdominal pain are presented. Referral process and procedures are discussed, and standardized approaches to assessment are summarized. Treatment protocols…

  18. Microbe-mediated transformations of marine dissolved organic matter during 2,100 years of natural incubation in the cold, oxic crust of the Mid-Atlantic Ridge.

    NASA Astrophysics Data System (ADS)

    Shah Walter, S. R.; Jaekel, U.; Huber, J. A.; Dittmar, T.; Girguis, P. R.

    2015-12-01

    On the western flank of the Mid-Atlantic Ridge, oxic seawater from the deep ocean is downwelled into the basaltic crust, supplying the crustal aquifer with an initial inoculum of organic matter and electron acceptors. Studies have shown that fluids circulating within the crust are minimally altered from original seawater, making this subsurface environment a unique natural experiment in which the fate of marine organic matter and the limitations of microbial adaptability in the context of reduced carbon supply can be examined. To make the subsurface crustal aquifer accessible, two CORK (Circulation Obviation Retrofit Kit) observatories have been installed at North Pond, a sediment-filled depression beneath the oligotrophic Sargasso Sea. Radiocarbon analysis of dissolved inorganic (DIC) and organic carbon (DOC) in samples recovered from these observatories show uncoupled aging between DOC and DIC with Δ14C values of DOC as low as -933‰ despite isolation from the open ocean for, at most, 2,100 years. This extreme value is part of a general trend of decreasing DOC δ13C and Δ14C values with increasing incubation time within the aquifer. Combined with reduced concentrations of DOC, our results argue for selective microbial oxidation of the youngest, most 13C-enriched components of downwelled DOC, possibly identifying these as characteristics of the more bioavailable fractions of deep-ocean dissolved organic matter. They also suggest that microbial oxidation during low-temperature hydrothermal circulation could be an important sink for aged marine dissolved organic matter.

  19. Evolution of US maize (Zea mays L.) root architectural and anatomical phenes over the past 100 years corresponds to increased tolerance of nitrogen stress.

    PubMed

    York, Larry M; Galindo-Castañeda, Tania; Schussler, Jeffrey R; Lynch, Jonathan P

    2015-04-01

    Increasing the nitrogen use efficiency of maize is an important goal for food security and agricultural sustainability. In the past 100 years, maize breeding has focused on yield and above-ground phenes. Over this period, maize cultivation has changed from low fertilizer inputs and low population densities to intensive fertilization and dense populations. The authors hypothesized that through indirect selection the maize root system has evolved phenotypes suited to more intense competition for nitrogen. Sixteen maize varieties representing commercially successful lines over the past century were planted at two nitrogen levels and three planting densities. Root systems of the most recent material were 7 º more shallow, had one less nodal root per whorl, had double the distance from nodal root emergence to lateral branching, and had 14% more metaxylem vessels, but total mextaxylem vessel area remained unchanged because individual metaxylem vessels had 12% less area. Plasticity was also observed in cortical phenes such as aerenchyma, which increased at greater population densities. Simulation modelling with SimRoot demonstrated that even these relatively small changes in root architecture and anatomy could increase maize shoot growth by 16% in a high density and high nitrogen environment. The authors concluded that evolution of maize root phenotypes over the past century is consistent with increasing nitrogen use efficiency. Introgression of more contrasting root phene states into the germplasm of elite maize and determination of the functional utility of these phene states in multiple agronomic conditions could contribute to future yield gains. PMID:25795737

  20. Evolution of US maize (Zea mays L.) root architectural and anatomical phenes over the past 100 years corresponds to increased tolerance of nitrogen stress

    PubMed Central

    York, Larry M.; Galindo-Castañeda, Tania; Schussler, Jeffrey R.; Lynch, Jonathan P.

    2015-01-01

    Increasing the nitrogen use efficiency of maize is an important goal for food security and agricultural sustainability. In the past 100 years, maize breeding has focused on yield and above-ground phenes. Over this period, maize cultivation has changed from low fertilizer inputs and low population densities to intensive fertilization and dense populations. The authors hypothesized that through indirect selection the maize root system has evolved phenotypes suited to more intense competition for nitrogen. Sixteen maize varieties representing commercially successful lines over the past century were planted at two nitrogen levels and three planting densities. Root systems of the most recent material were 7 º more shallow, had one less nodal root per whorl, had double the distance from nodal root emergence to lateral branching, and had 14% more metaxylem vessels, but total mextaxylem vessel area remained unchanged because individual metaxylem vessels had 12% less area. Plasticity was also observed in cortical phenes such as aerenchyma, which increased at greater population densities. Simulation modelling with SimRoot demonstrated that even these relatively small changes in root architecture and anatomy could increase maize shoot growth by 16% in a high density and high nitrogen environment. The authors concluded that evolution of maize root phenotypes over the past century is consistent with increasing nitrogen use efficiency. Introgression of more contrasting root phene states into the germplasm of elite maize and determination of the functional utility of these phene states in multiple agronomic conditions could contribute to future yield gains. PMID:25795737

  1. Organochlorine pesticides (OCPs) in wetland soils under different land uses along a 100-year chronosequence of reclamation in a Chinese estuary

    NASA Astrophysics Data System (ADS)

    Bai, Junhong; Lu, Qiongqiong; Zhao, Qingqing; Wang, Junjing; Gao, Zhaoqin; Zhang, Guangliang

    2015-12-01

    Soil profiles were collected at a depth of 30 cm in ditch wetlands (DWs), riverine wetlands (RiWs) and reclaimed wetlands (ReWs) along a 100-year chronosequence of reclamation in the Pearl River Delta. In total, 16 OCPs were measured to investigate the effects of wetland reclamation and reclamation history on OCP levels. Our results showed that average ∑DDTs, HCB, MXC, and ∑OCPs were higher in surface soils of DWs compared to RiWs and ReWs. Both D30 and D20 soils contained the highest ∑OCP levels, followed by D40 and D100 soils; lower ∑OCP levels occurred in D10 soils. Higher ∑OCP levels were observed in the younger RiWs than in the older ones, and surface soils exhibited higher ∑OCP concentrations in the older ReWs compared with younger ReWs. The predominant percentages of γ-HCH in ∑HCHs (>42%) and aldrin in ∑DRINs (>46%) in most samples reflected the recent use of lindane and aldrin. The presence of dominant DDT isomers (p,p’-DDE and p,p’-DDD) indicated the historical input of DDT and significant aerobic degradation of the compound. Generally, DW soils had a higher ecotoxicological risk of OCPs than RiW and ReW soils, and the top 30 cm soils had higher ecotoxicological risks of HCHs than of DDTs.

  2. Organochlorine pesticides (OCPs) in wetland soils under different land uses along a 100-year chronosequence of reclamation in a Chinese estuary

    PubMed Central

    Bai, Junhong; Lu, Qiongqiong; Zhao, Qingqing; Wang, Junjing; Gao, Zhaoqin; Zhang, Guangliang

    2015-01-01

    Soil profiles were collected at a depth of 30 cm in ditch wetlands (DWs), riverine wetlands (RiWs) and reclaimed wetlands (ReWs) along a 100-year chronosequence of reclamation in the Pearl River Delta. In total, 16 OCPs were measured to investigate the effects of wetland reclamation and reclamation history on OCP levels. Our results showed that average ∑DDTs, HCB, MXC, and ∑OCPs were higher in surface soils of DWs compared to RiWs and ReWs. Both D30 and D20 soils contained the highest ∑OCP levels, followed by D40 and D100 soils; lower ∑OCP levels occurred in D10 soils. Higher ∑OCP levels were observed in the younger RiWs than in the older ones, and surface soils exhibited higher ∑OCP concentrations in the older ReWs compared with younger ReWs. The predominant percentages of γ-HCH in ∑HCHs (>42%) and aldrin in ∑DRINs (>46%) in most samples reflected the recent use of lindane and aldrin. The presence of dominant DDT isomers (p,p’-DDE and p,p’-DDD) indicated the historical input of DDT and significant aerobic degradation of the compound. Generally, DW soils had a higher ecotoxicological risk of OCPs than RiW and ReW soils, and the top 30 cm soils had higher ecotoxicological risks of HCHs than of DDTs. PMID:26633149

  3. Snow accumulation rate on Qomolangma (Mount Everest), Himalaya: synchroneity with sites across the Tibetan Plateau on 50-100 year timescales

    NASA Astrophysics Data System (ADS)

    Kaspari, Susan; Hooke, Roger Leb.; Mayewski, Paul Andrew; Kang, Shichang; Hou, Shugui; Qin, Dahe

    Annual-layer thickness data, spanning AD 1534-2001, from an ice core from East Rongbuk Col on Qomolangma (Mount Everest, Himalaya) yield an age-depth profile that deviates systematically from a constant accumulation-rate analytical model. The profile clearly shows that the mean accumulation rate has changed every 50-100 years. A numerical model was developed to determine the magnitude of these multi-decadal-scale rates. The model was used to obtain a time series of annual accumulation. The mean annual accumulation rate decreased from ˜0.8 m ice equivalent in the 1500s to ˜0.3 m in the mid-1800s. From ˜1880 to ˜1970 the rate increased. However, it has decreased since ˜1970. Comparison with six other records from the Himalaya and the Tibetan Plateau shows that the changes in accumulation in East Rongbuk Col are broadly consistent with a regional pattern over much of the Plateau. This suggests that there may be an overarching mechanism controlling precipitation and mass balance over this area. However, a record from Dasuopu, only 125 km northwest of Qomolangma and 700 m higher than East Rongbuk Col, shows a maximum in accumulation during the 1800s, a time during which the East Rongbuk Col and Tibetan Plateau ice-core and tree-ring records show a minimum. This asynchroneity may be due to altitudinal or seasonal differences in monsoon versus westerly moisture sources or complex mountain meteorology.

  4. Quantification of uncertainties in the 100-year flow at an ungaged site near a gaged station and its application in Georgia

    NASA Astrophysics Data System (ADS)

    Cho, Huidae; Bones, Emma

    2016-08-01

    The Federal Emergency Management Agency has introduced the concept of the "1-percent plus" flow to incorporate various uncertainties in estimation of the 100-year or 1-percent flow. However, to the best of the authors' knowledge, no clear directions for calculating the 1-percent plus flow have been defined in the literature. Although information about standard errors of estimation and prediction is provided along with the regression equations that are often used to estimate the 1-percent flow at ungaged sites, uncertainty estimation becomes more complicated when there is a nearby gaged station because regression flows and the peak flow estimate from a gage analysis should be weighted to compute the weighted estimate of the 1-percent flow. In this study, an equation for calculating the 1-percent plus flow at an ungaged site near a gaged station is analytically derived. Also, a detailed process is introduced for calculating the 1-percent plus flow for an ungaged site near a gaged station in Georgia as an example and a case study is performed. This study provides engineers and practitioners with a method that helps them better assess flood risks and develop mitigation plans accordingly.

  5. The beginnings of Orthopedic Surgery at the Mayo Clinic: A Review of the First Orthopedic Patients who Presented Over 100 Years Ago

    PubMed Central

    Camp, Christopher L.; Morrey, Bernard F; Trousdale, Robert T

    2016-01-01

    Background Formalized training in the specialty of orthopedic surgery began at the Mayo Clinic nearly 100 years ago, and treatment of patients with musculoskeletal injuries and disease began even earlier. A robust historical patient database provides the opportunity for review of the first recorded orthopedic cases at our institution, which date back to 1907. Methods The first 400 sequential medical charts of the Mayo Clinic’s patient record database were comprehensively reviewed in order to identify the first documented orthopedic cases. Results Of the first 400 patients reviewed, 15 (4%) received specific orthopedic diagnoses. All presented during a three week period in 1907, and they traveled from all over the region for evaluation. The diagnoses included skeletal tuberculosis (n=6), traumatic fracture (n=3), osteomyelitis (n=2), syphilitic pathologic fracture (n=1), syphilitic ostitis of the tibia and radius (n=1), painful flat foot (n=1), and Morton’s toe (n=1). Included with the records are patient demographics, diagnoses, symptoms, physical examination findings, radiograph reports, operative reports, and detailed drawings of symptomatology. Conclusion Although the technology and science has advanced since the early practice of orthopedic surgery that took place over a century ago, we consider ourselves to be merely an extension of those who established the field before us. Just as the past relies on the future for the continuation of what it began so many years ago, we rely on our founders for the groundwork that they laid in creating this field of surgical medicine PMID:27528834

  6. A 100-year record of changes in water renewal rate in Sermilik fjord and its influence on calving of Helheim glacier, southeast Greenland

    NASA Astrophysics Data System (ADS)

    Andresen, Camilla S.; Schmidt, Sabine; Seidenkrantz, Marit-Solveig; Straneo, Fiammetta; Grycel, Aleksandra; Hass, Christian H.; Henrik Kjær, Kurt; Nørgaard-Pedersen, Niels; Dyke, Laurence M.; Olsen, Jesper; Kuijpers, Antoon

    2014-08-01

    Here we present a 100 year long proxy record for the renewal rate of the subsurface ocean waters in Sermilik Fjord at the edge of Helheim Glacier, based on investigations of two sediment cores (ER11-24 and ER11-25) obtained from the head of the fjord. By calculating the mean sortable silt (SSbar) in current-sorted melt water plume sediments we find that episodes of increased water renewal rates lasting 3-5 years coincide with a positive North Atlantic Oscillation (NAO) index. This is not surprising as low pressure systems and northeasterly storms are observed more frequently along the east coast of Greenland during positive NAO years as a result of the northward shift in the North Atlantic storm track. Previous studies of sediment cores obtained from the mid-region of the fjord showed that Helheim Glacier destabilization coincides with a negative NAO index. Therefore we conclude that inter-annual variability in storm-induced flushing of Sermilik Fjord and thus the water renewal rate towards the glacier margin is not the controlling factor for inter-annual variability in Helheim Glacier destabilization. Such knowledge may have implications on predictive model studies of ice-ocean interactions and glacier behavior.

  7. Recurrence tracking microscope

    SciTech Connect

    Saif, Farhan

    2006-03-15

    In order to probe nanostructures on a surface we present a microscope based on the quantum recurrence phenomena. A cloud of atoms bounces off an atomic mirror connected to a cantilever and exhibits quantum recurrences. The times at which the recurrences occur depend on the initial height of the bouncing atoms above the atomic mirror, and vary following the structures on the surface under investigation. The microscope has inherent advantages over existing techniques of scanning tunneling microscope and atomic force microscope. Presently available experimental technology makes it possible to develop the device in the laboratory.

  8. [Recurrent urinary tract infection].

    PubMed

    Ali, Adel Ben; Bagnis, Corinne Isnard

    2014-09-01

    Recurrent urinary tract infection involves mainly women and exhibits an ecological as well as economical risk. 4% of all urinary tract infection are recurrent and usually secondary to general or local abnormalities. A multidisciplinary medical and surgical team (urology, nephrology, bacteriology, infectious disease) best performs diagnosis and treatment as well as rules out reversible etiology. Treatment relies on behavioral changes before offering cranberry products and/or antibioprophylaxis if necessary. PMID:25362782

  9. Polychlorinated biphenyls (PCBs) in sediments/soils of different wetlands along 100-year coastal reclamation chronosequence in the Pearl River Estuary, China.

    PubMed

    Zhao, Qingqing; Bai, Junhong; Lu, Qiongqiong; Gao, Zhaoqin; Jia, Jia; Cui, Baoshan; Liu, Xinhui

    2016-06-01

    PCBs (polychlorinated biphenyls) were determined in sediment/soil profiles to a depth of 30 cm from three different wetlands (i.e., ditch wetlands, riparian wetlands and reclaimed wetlands) of the Pearl River Estuary to elucidate their levels, distribution and toxic risks along a 100-year chronosequence of reclamation. All detected PCB congeners and the total 15 PCBs (∑15 PCBs) decreased with depth along sediment/soil profiles in these three wetlands. The ∑15 PCBs concentrations ranged from 17.68 to 169.26 ng/g in surface sediments/soils. Generally, old wetlands tended to have higher PCB concentrations than younger ones. The dominant PCB congeners at all sampling sites were light PCB homologues (i.e., tetra-CBs and tri-CBs). According to the sediment quality guideline, the average PCB concentrations exceeded the threshold effects level (TEL, 21.6 ng/g) at most of the sampling sites, exhibiting possible adverse biological effects, which were dominantly caused by light PCB congeners. The total toxic equivalent (TEQ) concentrations of 10 dioxin-like PCBs (DL-PCBs) detected at all sampling sites ranged from 0.04 to 852.7 (10(-3) ng/g), mainly affected by PCB126. Only DL-PCB concentrations in ditch and riparian wetland sediments with 40-year reclamation histories (i.e., D40 and Ri40) exhibited moderate adverse biological effects according to SQGQ values. Principal component analysis indicated that PCBs in three wetland sediments/soils mainly originated from Aroclor 1016, 1242, and 1248. Correlation analysis showed that sediment/soil organic carbon content had a significant correlation with the concentrations of several PCB congeners (P < 0.05), whereas no significant correlations were observed between any PCBs congeners and grain size or aggregate content (P > 0.05). PMID:27038573

  10. Innate threat-sensitive foraging: black-tailed deer remain more fearful of wolf than of the less dangerous black bear even after 100 years of wolf absence.

    PubMed

    Chamaillé-Jammes, Simon; Malcuit, Hélène; Le Saout, Soizic; Martin, Jean-Louis

    2014-04-01

    Anti-predator behaviors often entail foraging costs, and thus prey response to predator cues should be adjusted to the level of risk (threat-sensitive foraging). Simultaneously dangerous predators (with high hunting success) should engender the evolution of innate predator recognition and appropriate anti-predator behaviors that are effective even upon the first encounter with the predator. The above leads to the prediction that prey might respond more strongly to cues of dangerous predators that are absent, than to cues of less dangerous predators that are actually present. In an applied context this would predict an immediate and stronger response of ungulates to the return of top predators such as wolves (Canis lupus) in many parts of Europe and North America than to current, less threatening, mesopredators. We investigated the existence of innate threat-sensitive foraging in black-tailed deer. We took advantage of a quasi-experimental situation where deer had not experienced wolf predation for ca. 100 years, and were only potentially exposed to black bears (Ursus americanus). We tested the response of deer to the urine of wolf (dangerous) and black bear (less dangerous). Our results support the hypothesis of innate threat-sensitive foraging with clear increased passive avoidance and olfactory investigation of cues from wolf, and surprisingly none to black bear. Prey which have previously evolved under high risk of predation by wolves may react strongly to the return of wolf cues in their environments thanks to innate responses retained during the period of predator absence, and this could be the source of far stronger non-consumptive effects of the predator guild than currently observed. PMID:24288079

  11. Climatic selection on genes and traits after a 100 year-old invasion: a critical look at the temperate-tropical clines in Drosophila melanogaster from eastern Australia.

    PubMed

    Hoffmann, Ary A; Weeks, Andrew R

    2007-02-01

    Drosophila melanogaster invaded Australia around 100 years ago, most likely through a northern invasion. The wide range of climatic conditions in eastern Australia across which D. melanogaster is now found provides an opportunity for researchers to identify traits and genes that are associated with climatic adaptation. Allozyme studies indicate clinal patterns for at least four loci including a strong linear cline in Adh and a non-linear cline in alpha-Gpdh. Inversion clines were initially established from cytological studies but have now been validated with larger sample sizes using molecular markers for breakpoints. Recent collections indicate that some genetic markers (Adh and In(3R)Payne) have changed over the last 20 years reflecting continuing evolution. Heritable clines have been established for quantitative traits including wing length/area, thorax length and cold and heat resistance. A cline in egg size independent of body size and a weak cline in competitive ability have also been established. Postulated clinal patterns for resistance to desiccation and starvation have not been supported by extensive sampling. Experiments under laboratory and semi-natural conditions have suggested selective factors generating clinal patterns, particularly for reproductive patterns over winter. Attempts are being made to link clinal variation in traits to specific genes using QTL analysis and the candidate locus approach, and to identify the genetic architecture of trait variation along the cline. This is proving difficult because of inversion polymorphisms that generate disequilibrium among genes. Substantial gaps still remain in linking clines to field selection and understanding the genetic and physiological basis of the adaptive shifts. However D. melanogaster populations in eastern Australia remain an excellent resource for understanding past and future evolutionary responses to climate change. PMID:16955331

  12. Fractionation, transfer, and ecological risks of heavy metals in riparian and ditch wetlands across a 100-year chronosequence of reclamation in an estuary of China.

    PubMed

    Xiao, Rong; Bai, Junhong; Lu, Qiongqiong; Zhao, Qingqing; Gao, Zhaoqin; Wen, Xiaojun; Liu, Xinhui

    2015-06-01

    The effect of reclamation on heavy metal concentrations and the ecological risks in ditch wetlands (DWs) and riparian wetlands (RWs) across a 100-year chronosequence in the Pearl River Estuary of China was investigated. Concentrations of 4 heavy metals (Cd, Cu, Pb, and Zn) in soil and plant samples, and sequential extracts of soil samples were determined, using inductively coupled plasma atomic absorption spectrometry. Results showed that heavy metal concentrations were higher in older DW soils than in the younger ones, and that the younger RW soils contained higher heavy metal concentrations compared to the older ones. Although the increasing tendency of heavy metal concentrations in soil was obvious after wetland reclamation, the metals Cu, Pb, and Zn exhibited low or no risks to the environment based on the risk assessment code (RAC). Cd, on the other hand, posed a medium or high risk. Cd, Pb, and Zn were mainly bound to Fe-Mn oxide, whereas most of Cu remained in the residual phase in both ditch and riparian wetland soils, and the residual proportions generally increased with depth. Bioconcentration and translocation factors for most of these four heavy metals significantly decreased in the DWs with older age (p<0.05), whereas they increased in the RWs with younger age (p<0.05). The DW soils contained higher concentrations of heavy metals in the organic fractions, whereas there were more carbonate and residual fractions in the RW soils. The non-bioavailable fractions of Cu and Zn, and the organic-bound Cd and Pb significantly inhibited plant growth. PMID:25723958

  13. Interval arithmetic operations for uncertainty analysis with correlated interval variables

    NASA Astrophysics Data System (ADS)

    Jiang, Chao; Fu, Chun-Ming; Ni, Bing-Yu; Han, Xu

    2016-08-01

    A new interval arithmetic method is proposed to solve interval functions with correlated intervals through which the overestimation problem existing in interval analysis could be significantly alleviated. The correlation between interval parameters is defined by the multidimensional parallelepiped model which is convenient to describe the correlative and independent interval variables in a unified framework. The original interval variables with correlation are transformed into the standard space without correlation, and then the relationship between the original variables and the standard interval variables is obtained. The expressions of four basic interval arithmetic operations, namely addition, subtraction, multiplication, and division, are given in the standard space. Finally, several numerical examples and a two-step bar are used to demonstrate the effectiveness of the proposed method.

  14. Interval-valued random functions and the kriging of intervals

    SciTech Connect

    Diamond, P.

    1988-04-01

    Estimation procedures using data that include some values known to lie within certain intervals are usually regarded as problems of constrained optimization. A different approach is used here. Intervals are treated as elements of a positive cone, obeying the arithmetic of interval analysis, and positive interval-valued random functions are discussed. A kriging formalism for interval-valued data is developed. It provides estimates that are themselves intervals. In this context, the condition that kriging weights be positive is seen to arise in a natural way. A numerical example is given, and the extension to universal kriging is sketched.

  15. 100 Years of benthic foraminiferal history on the inner Texas shelf inferred from fauna and stable isotopes: Preliminary results from two cores

    NASA Astrophysics Data System (ADS)

    Strauss, Josiah; Grossman, Ethan L.; Carlin, Joseph A.; Dellapenna, Timothy M.

    2012-04-01

    Coastal regions, such as the Texas-Louisiana shelf, are subject to seasonal hypoxia that strongly depends on the magnitude of freshwater discharge from local and regional river systems. We have determined benthic foraminiferal fauna and isotopic compositions in two 210Pb dated box cores (BR4 and BR5) to examine the evidence for nearshore hypoxia and freshwater discharge on the Texas shelf during the last 100 years. The 210Pb chronologies of both cores reveal sedimentation rates of 0.2 and 0.1 cm yr-1, translating to ˜60 and ˜90 year records. The fauna of both cores were almost exclusively composed of Ammonia parkinsoniana and Elphidium excavatum, indicating euryhaline ambient waters. The Ammonia-Elphidium (A-E) index, a qualitative measure of low oxygen conditions, shows an increase from values between 20 and 50 to near 100 in both cores, suggesting low oxygen conditions between 1960 and the core top. Between 1950 and 1960 (9-10 cm), low A-E values in BR4 coincide with high δ18O and δ13C values greater than 0‰ and -1‰ respectively. This event corresponds to severe drought (the Texas Drought of Record) over the Brazos River drainage basin and considerably reduced river discharge from 1948 to 1957. High A-E values prior to this event imply low-oxygen conditions were prevalent prior to anthropogenic exacerbation of Louisiana shelf hypoxia and at least since the dredging of a new Brazos River delta in 1929. Elphidium excavatum δ13C values are very low (-4‰) and indicative of significant vital effect. The δ13C values of A. parkinsoniana average -3‰ and exhibit little variability, most likely reflecting pore waters influenced by aerobic and anaerobic respiration. The association of lowered Brazos River discharge with more oxygenated shelf bottom waters suggests Brazos River discharge and shelf hypoxia are linked, but the influence of Mississippi-Atchafalaya discharge can also contribute to shelf stratification.

  16. Migraine and recurrent epistaxis in children.

    PubMed

    Jarjour, Imad T; Jarjour, Laila K

    2005-08-01

    Recurrent epistaxis is a common pediatric problem with uncertain etiology in most cases. We observed frequent complaints, or history of epistaxis in children with migraine. The aim of this study was to determine whether there is an association between epistaxis and migraine in children. A detailed questionnaire was used to conduct a study of 45 consecutive patients, ages 6-11 years, with migraine, diagnosed according to the 1997 proposed pediatric revisions to the International Headache Society criteria; the patients were evaluated in our Pediatric Neurology Clinic. Control subjects consisted of 64 children without recurrent headaches, matched as a group for age and sex, and drawn as a convenient sample from two general pediatric practices and an elementary school. Sixteen (36%) of 45 patients with migraine had epistaxis as compared with 7 (11%) of 64 control subjects (odds ratio = 4.5; 95% confidence interval 1.6-12.1; P = 0.002). Epistaxis began an average of 3 years before migraine with similar characteristics to idiopathic epistaxis in habitual nose-bleeders, such as onset in early childhood, high incidence in sleep, and family history of epistaxis. This study demonstrates a significant association between migraine and recurrent epistaxis in children. Recurrent epistaxis increased the odds of migraine more than fourfold. Moreover, these data raise the question of whether epistaxis may represent a precursor to childhood migraine. The two disorders may share a common pathogenesis, and a prospective, longitudinal study is required to define further the relationship between them. PMID:16087052

  17. Experimenting with musical intervals

    NASA Astrophysics Data System (ADS)

    Lo Presto, Michael C.

    2003-07-01

    When two tuning forks of different frequency are sounded simultaneously the result is a complex wave with a repetition frequency that is the fundamental of the harmonic series to which both frequencies belong. The ear perceives this 'musical interval' as a single musical pitch with a sound quality produced by the harmonic spectrum responsible for the waveform. This waveform can be captured and displayed with data collection hardware and software. The fundamental frequency can then be calculated and compared with what would be expected from the frequencies of the tuning forks. Also, graphing software can be used to determine equations for the waveforms and predict their shapes. This experiment could be used in an introductory physics or musical acoustics course as a practical lesson in superposition of waves, basic Fourier series and the relationship between some of the ear's subjective perceptions of sound and the physical properties of the waves that cause them.

  18. [Treatment of recurrent furunculosis].

    PubMed

    Engelhard, Esther A N; Spanjaard, Lodewijk; Stijnis, C Kees

    2013-01-01

    The management of recurrent furunculosis is difficult, and often disappointing. We present the case of a 23-year-old female patient suffering from recurrent furunculosis. The furunculosis persisted after treatment with mupirocin nasal ointment, chlorhexidine soap and instructions for washing clothes, towels and bed sheets for a period of 7 days. Treatment with low-dose clindamycin for three months ultimately proved successful. We propose a structural approach for recurrent furunculosis in which extensive history-taking is followed by appropriate tests. Before prescribing an oral antibiotic (preferably low-dose clindamycin or a macrolide for 3 months), the patient should use an antimicrobial nasal ointment and soap and follow hygienic instructions as mentioned above. Members of the household who also have signs of the infection should be treated. Hygienic education is an essential component of treatment. We believe that this approach will lead to a treatment that is more effective and efficient. PMID:23369819

  19. Clinical analysis of patients with hepatocellular carcinoma recurrence after living-donor liver transplantation

    PubMed Central

    Na, Gun Hyung; Hong, Tae Ho; You, Young Kyoung; Kim, Dong Goo

    2016-01-01

    AIM: To evaluated patterns and outcomes of hepatocellular carcinoma (HCC) recurrence after living donor liver transplantation (LDLT). METHODS: From 2001 to 2014, 293 patients underwent LDLT for HCC at our transplant center. We retrospectively reviewed 54 (18.4%) patients with HCC recurrence after LDLT. We evaluated patterns and outcomes of HCC recurrence after LDLT, with particular attention to the Milan criteria at transplantation, treatments for HCC-recurrent patients, and factors related to survival after HCC recurrence. Furthermore, we evaluated the efficacy of combination treatment of sorafenib and an mTOR inhibitor. RESULTS: The 1-, 2-, and 3-year overall survival rates after HCC recurrence were 41.1%, 20.5%, and 15.4%, respectively. The median time interval between LDLT and HCC recurrence was 6.5 mo. Although recurrence rates according to the Milan criteria at LDLT were significantly different, HCC recurrence patterns and survival rates after HCC recurrence were not significantly different between the two groups. Time to recurrence < 12 mo (P = 0.048), multiple recurrences at HCC recurrence (P = 0.038), and palliative treatment for recurrent tumors (P = 0.003) were significant independent prognostic factors for poor survival after HCC recurrence in a multivariate analysis. The combination treatment of sorafenib and sirolimus showed survival benefits in the palliative treatment group (P = 0.005). CONCLUSION: Curative treatment for recurrent HCC after LDLT is the most important factor in survival rates after HCC recurrence and combination treatments of sorafenib and an mTOR inhibitor could have survival benefits in patients with HCC recurrence after LT in the palliative treatment group. PMID:27433092

  20. Tackling a Recurrent Pinealoblastoma

    PubMed Central

    Palled, Siddanna; Kalavagunta, Sruthi; Beerappa Gowda, Jaipal; Umesh, Kavita; Aal, Mahalaxmi; Abdul Razack, Tanvir pasha Chitraduraga; Gowda, Veerabhadre; Viswanath, Lokesh

    2014-01-01

    Pineoblastomas are rare, malignant, pineal region lesions that account for <0.1% of all intracranial tumors and can metastasize along the neuroaxis. Pineoblastomas are more common in children than in adults and adults account for <10% of patients. The management of pinealoblastoma is multimodality approach, surgery followed with radiation and chemotherapy. In view of aggressive nature few centres use high dose chemotherapy with autologus stem cell transplant in newly diagnosed cases but in recurrent setting the literature is very sparse. The present case represents the management of pinealoblastoma in the recurrent setting with reirradiation and adjuvant carmustine chemotherapy wherein the management guidelines are not definitive. PMID:25210636

  1. Recurrent Aphthous Stomatitis

    PubMed Central

    Akintoye, Sunday O.; Greenberg, Martin S.

    2014-01-01

    Recurrent Aphthous Stomatitis (RAS) is the most common ulcerative disease affecting the oral mucosa. It occurs mostly in healthy individuals and has atypical clinical presentation in immunocompromised individuals. The etiology of RAS is still unknown, but several local, systemic, immunologic, genetic, allergic, nutritional, and microbial factors, as well as immunosuppressive drugs, have been proposed as causative agents. Clinical management of RAS is based on severity of symptoms, frequency, size and number of lesions using topical and systemic therapies. The goals of therapy are to decrease pain and ulcer size, promote healing and decrease frequency of recurrence. PMID:24655523

  2. Recurrent aphthous stomatitis.

    PubMed

    Akintoye, Sunday O; Greenberg, Martin S

    2014-04-01

    Recurrent aphthous stomatitis (RAS) is the most common ulcerative disease affecting the oral mucosa. RAS occurs mostly in healthy individuals and has an atypical clinical presentation in immunocompromised individuals. The etiology of RAS is still unknown, but several local, systemic, immunologic, genetic, allergic, nutritional, and microbial factors, as well as immunosuppressive drugs, have been proposed as causative agents. Clinical management of RAS using topical and systemic therapies is based on severity of symptoms and the frequency, size, and number of lesions. The goals of therapy are to decrease pain and ulcer size, promote healing, and decrease the frequency of recurrence. PMID:24655523

  3. A 100-year Reconstruction of Regional Sea Ice Extent in the Ross and Amundsen-Bellingshausen Seas as Derived from the RICE Ice Core, Coastal West Antarctica

    NASA Astrophysics Data System (ADS)

    Emanuelsson, D. B.; Bertler, N. A. N.; Baisden, W. T.; Keller, E. D.

    2014-12-01

    Antarctic sea ice increased over the past decades. This increase is the result of an increase in the Ross Sea (RS) and along the coast of East Antarctica, whereas the Amundsen-Bellingshausen Seas (ABS) and the Antarctic Peninsula has seen a general decline. Several mechanisms have been suggested as drivers for the regional, complex sea ice pattern, which include changes in ocean currents, wind pattern, as well as ocean and atmospheric temperature. As part of the Roosevelt Island Climate Evolution (RICE) project, a 763 m deep ice core was retrieved from Roosevelt Island (RI; W161° 21', S79°41', 560 m a.s.l.), West Antarctica. The new record provides a unique opportunity to investigate mechanism driving sea ice variability in the RS and ABS sectors. Here we present the water stable isotope record (δD) from the upper part of the RICE core 0-40 m, spanning the time period from 1894 to 2011 (Fig. 1a). Annual δD are correlated with Sea Ice Concentration (SIC). A significant negative (r= -0.45, p≤ 0.05) correlation was found between annual δD and SIC in the eastern RS sector (boxed region in Fig. 1b) for the following months NDJFMA (austral summer and fall). During NDJFMA, RI receives local moisture input from the RS, while during the rest of the year a large extent of this local moisture source area will be covered with sea ice with the exception of the RS Polynya. Concurrently, we observe positive δD and SIC correlations in the ABS, showing a dipole pattern with the eastern RS. For this reason, we suggest that the RICE δD might be used as a proxy for past SIC for the RS and ABS region. There is no overall trend in δD over 100 years (r= -0.08 ‰ dec-1, p= 0.81, 1894-2011). However, we observe a strong increase from 2000-2011 of 17.7 ‰ dec-1(p≤ 0.1), yet the recent δD values and trend of the last decade are not unprecedented (Fig. 1a). We investigate changes in sea surface temperature, atmospheric temperature, inferred surface ocean currents and

  4. On Solving Linear Recurrences

    ERIC Educational Resources Information Center

    Dobbs, David E.

    2013-01-01

    A direct method is given for solving first-order linear recurrences with constant coefficients. The limiting value of that solution is studied as "n to infinity." This classroom note could serve as enrichment material for the typical introductory course on discrete mathematics that follows a calculus course.

  5. Lung Cancer Indicators Recurrence

    Cancer.gov

    This study describes prognostic factors for lung cancer spread and recurrence, as well as subsequent risk of death from the disease. The investigators observed that regardless of cancer stage, grade, or type of lung cancer, patients in the study were more

  6. Recurrent psychiatric hospitalization.

    PubMed Central

    Voineskos, G.; Denault, S.

    1978-01-01

    Undue emphasis has been placed on rising rates of readmission to psychiatric facilities. After a decade of preoccupation with discharge rates, readmission statistics have been singled out in the last 15 years as the key factor for assessing hospital effectiveness. A study of a group of patients at high risk for recurrent hospitalization revealed that these patients were characterized more by features relating to environmental supports than by diagnosis. The operational definition for recurrent hospitalization (five or more admissions during the 2-year period preceding the latest admission) was effective in identifying this group; this is the first reported instance in which the definition has specified a certain number of admissions within a time-limited period. The findings of this study, as well as of an analysis of case histories and consumer opinion, led to the design of a pilot program for persons undergoing recurrent hospitalization. Readmission statistics are useless or misleading as measures of hospital effectiveness and efficiency; what matters is the way the former patients function in the community after discharge. Rather than simply trying to reduce the readmission rate psychiatric facilities should be examining the types of persons who are hospitalized recurrently to develop programs aimed at improving the functioning of these people in the community. PMID:630483

  7. Recurrent Kawasaki disease

    SciTech Connect

    Vargo, T.A.; Huhta, J.C.; Moore, W.H.; Person, D.A.; Edwards, M.S.

    1986-01-01

    This case report describes a boy who had Kawasaki disease (KD) at age 12 months and had a recurrence one year later. The coronary arteries were normal following the initial episode; however, during the second episode he developed coronary aneurysms. Gallium-67 radionuclide imaging, echocardiography, and angiography were used to diagnose the coronary abnormalities.

  8. Recurrent Corneal Erosion

    MedlinePlus

    ... to apply a tight patch that restricts eye movement at night and upon waking so there is less likelihood of recurrence. If these rather simple procedures are not successful, the eye care professional may re-scrape the area to create a more irregular abrasion followed by ...

  9. Seizure recurrence after a first febrile convulsion.

    PubMed

    Laditan, A A

    1994-01-01

    In this study, 140 children aged from 6 months to 6 years who presented with a first febrile convulsion at the King Fahad Hofuf Hospital, Al-Hassa, Saudi Arabia were retrospectively identified. Information about these children was obtained from their medical records covering a follow-up period of 3 years from July 1989 to June 1992. Recurrent febrile convulsions occurred in 60 of them (43%). Relevant risk factors that were observed to be significantly associated with seizure recurrence included an age of less than 18 months (odds ratio [OR] = 3.82; 95% confidence interval [CI] = 9.26, 1.58), an initial febrile convulsion that was complex (OR = 4.41; CI = 9.50, 2.05) and a positive family history of febrile convulsions (OR = 4.12; CI = 10.74; 1.58), while a decreased risk of recurrence occurred with a temperature of over 39 degrees C (OR = 4.60; CI = 9.44; 2.24). There was no association between seizure recurrence and the duration of the initial febrile convulsion (OR = 0.93; CI = 2.33; -2.04) or family history of epilepsy (OR = 0.88; CI = 4.22, -3.27). An important observation in the present study is the close association (ORM-H = 2.36; X2M-H = 9.65) between the development of an afebrile convulsion and seizure recurrence among the group of children with CFC. Anticonvulsant prophylaxis should therefore be considered for children whose initial febrile convulsions are complex in nature. PMID:7880092

  10. Innovative approaches to recurrent training

    NASA Technical Reports Server (NTRS)

    Noon, H.; Murphy, M.

    1984-01-01

    Innovative approaches to recurrent training for regional airline aircrews are explored. Guidelines for recurrent training programs which include in corporation of cockpit resource management are discussed. B.W.

  11. Recurrent Infections May Signal Immunodeficiencies

    MedlinePlus

    ... Search AAAAI Breadcrumb navigation Home ▸ Conditions & Treatments ▸ Library ▸ Primary Immunodeficiency Disease Library ▸ Recurrent Infections May Signal Immunodeficiencies Share | Recurrent Infections May Signal Immunodeficiencies This article has been reviewed by Thanai Pongdee, MD, FAAAAI ...

  12. Aggressive Regimens for Multidrug-Resistant Tuberculosis Reduce Recurrence

    PubMed Central

    Franke, Molly F.; Appleton, Sasha C.; Mitnick, Carole D.; Furin, Jennifer J.; Bayona, Jaime; Chalco, Katiuska; Shin, Sonya; Murray, Megan; Becerra, Mercedes C.

    2013-01-01

    Background. Recurrent tuberculosis disease occurs within 2 years in as few as 1% and as many as 29% of individuals successfully treated for multidrug-resistant (MDR) tuberculosis. A better understanding of treatment-related factors associated with an elevated risk of recurrent tuberculosis after cure is urgently needed to optimize MDR tuberculosis therapy. Methods. We conducted a retrospective cohort study among adults successfully treated for MDR tuberculosis in Peru. We used multivariable Cox proportional hazards regression analysis to examine whether receipt of an aggressive MDR tuberculosis regimen for ≥18 months following sputum conversion from positive to negative was associated with a reduced rate of recurrent tuberculosis. Results. Among 402 patients, the median duration of follow-up was 40.5 months (interquartile range, 21.2–53.4). Receipt of an aggressive MDR tuberculosis regimen for ≥18 months following sputum conversion was associated with a lower risk of recurrent tuberculosis (hazard ratio, 0.40 [95% confidence interval, 0.17–0.96]; P = .04). A baseline diagnosis of diabetes mellitus also predicted recurrent tuberculosis (hazard ratio, 10.47 [95% confidence interval, 2.17–50.60]; P = .004). Conclusions. Individuals who received an aggressive MDR tuberculosis regimen for ≥18 months following sputum conversion experienced a lower rate of recurrence after cure. Efforts to ensure that an aggressive regimen is accessible to all patients with MDR tuberculosis, such as minimization of sequential ineffective regimens, expanded drug access, and development of new MDR tuberculosis compounds, are critical to reducing tuberculosis recurrence in this population. Patients with diabetes mellitus should be carefully managed during initial treatment and followed closely for recurrent disease. PMID:23223591

  13. An interval model updating strategy using interval response surface models

    NASA Astrophysics Data System (ADS)

    Fang, Sheng-En; Zhang, Qiu-Hu; Ren, Wei-Xin

    2015-08-01

    Stochastic model updating provides an effective way of handling uncertainties existing in real-world structures. In general, probabilistic theories, fuzzy mathematics or interval analyses are involved in the solution of inverse problems. However in practice, probability distributions or membership functions of structural parameters are often unavailable due to insufficient information of a structure. At this moment an interval model updating procedure shows its superiority in the aspect of problem simplification since only the upper and lower bounds of parameters and responses are sought. To this end, this study develops a new concept of interval response surface models for the purpose of efficiently implementing the interval model updating procedure. The frequent interval overestimation due to the use of interval arithmetic can be maximally avoided leading to accurate estimation of parameter intervals. Meanwhile, the establishment of an interval inverse problem is highly simplified, accompanied by a saving of computational costs. By this means a relatively simple and cost-efficient interval updating process can be achieved. Lastly, the feasibility and reliability of the developed method have been verified against a numerical mass-spring system and also against a set of experimentally tested steel plates.

  14. Recurrent Education: Trends and Issues.

    ERIC Educational Resources Information Center

    Organisation for Economic Cooperation and Development, Paris (France). Centre for Educational Research and Innovation.

    The document, consisting of three parts, focuses on recurrent education and the need for more effective deployment of educational resources within member countries of the Organization for Economic Cooperation and Development. The first section discusses the rationale for recurrent education. Recurrent education presents an educational opportunity…

  15. Recurrent hyperphosphatemic tumoural calcinosis

    PubMed Central

    Amit, Sonal; Agarwal, Asha; Nigam, Anand; Rao, Yashwant Kumar

    2012-01-01

    Tumoural calcinosis (TC) is a benign gradually developing disorder that can occur in a variety of clinical settings, characterised by subcutaneous deposition of calcium phosphate with or without giant cell reaction. We describe a case of 11-year-old girl presenting with recurrent hard swellings in the vicinity of shoulder and hip joints associated with elevated serum phosphate and normal serum calcium levels. TC has been mainly reported from Africa, with very few cases reported from India. After the diagnosis of hyperphosphatemic TC was established, the patient was treated with oral sevelamer and is under constant follow-up to detect recurrence, if any. The present case highlights the fact that although an uncommon lesion, TC must be considered in the differential diagnosis of subcutaneous hard lump in the vicinity of a joint. PMID:23010461

  16. Prevention of recurrent nephrolithiasis.

    PubMed

    Goldfarb, D S; Coe, F L

    1999-11-15

    The first episode of nephrolithiasis provides an opportunity to advise patients about measures for preventing future stones. Low fluid intake and excessive intake of protein, salt and oxalate are important modifiable risk factors for kidney stones. Calcium restriction is not useful and may potentiate osteoporosis. Diseases such as hyperparathyroidism, sarcoidosis and renal tubular acidosis should be considered in patients with nephrolithiasis. A 24-hour urine collection with measurement of the important analytes is usually reserved for use in patients with recurrent stone formation. In these patients, the major urinary risk factors include hypercalciuria, hyperoxaluria, hypocitraturia and hyperuricosuria. Effective preventive and treatment measures include thiazide therapy to lower the urinary calcium level, citrate supplementation to increase the urinary citrate level and, sometimes, allopurinol therapy to lower uric acid excretion. Uric acid stones are most often treated with citrate supplementation. Data now support the cost-effectiveness of evaluation and treatment of patients with recurrent stones. PMID:10593318

  17. Incarcerated recurrent Amyand's hernia

    PubMed Central

    Quartey, Benjamin; Ugochukwu, Obinna; Kuehn, Reed; Ospina, Karen

    2012-01-01

    Amyand's hernia is a rarity and a recurrent case is extremely rare. A 71-year-old male with a previous history of right inguinal hernia repair presented to the emergency department with a 1-day history of pain in the right groin. A physical examination revealed a nonreducible right inguinal hernia. A computed tomography scan showed a 1.3-cm appendix with surrounding inflammation within a right inguinal hernia. An emergent right groin exploration revealed an incarcerated and injected non-perforated appendix and an indirect hernia. Appendectomy was performed through the groin incision, and the indirect hernia defect was repaired with a biological mesh (Flex-HD). We hereby present this unique case – the first reported case of recurrent Amyand's hernia and a literature review of this anatomical curiosity. PMID:23248506

  18. Recurrent aphthous stomatitis.

    PubMed

    Akintoye, Sunday O; Greenberg, Martin S

    2005-01-01

    The cause of recurrent aphthous stomatitis (RAS) remains unknown despite considerable research. This article reviews the evidence for current theories regarding this disorder, including possible suspected relationships with microbial and immunologic factors, and presents medical diseases that mimic RAS lesions in certain patients. Topical management of the common form of minor RAS is described along with systemic therapy currently available to patients with severe forms of this disease. PMID:15567359

  19. Patterns and Timing of Recurrence After Temozolomide-Based Chemoradiation for Glioblastoma

    SciTech Connect

    Milano, Michael T.; Okunieff, Paul; Donatello, Rosemary S.; Mohile, Nimish A.; Sul, Joohee; Walter, Kevin A.; Korones, David N.

    2010-11-15

    Purpose: To determine recurrence patterns of glioblastoma treated with temozolomide-based chemoradiation. Methods: Pretreatment and serial posttreatment magnetic resonance imaging scans of 54 patients were retrospectively evaluated. Central recurrence (i.e., local progression) and the development of new (i.e., interval appearance of discrete enhancing lesion) in-field, marginal, and distant recurrences were assessed, with the pattern of recurrence of individual lesions defined relative to the 95% isodose line (D{sub 95}). Distant recurrences were defined as lesions completely outside D{sub 95}, marginal recurrences crossed D{sub 95}, and in-field recurrences were completely inside D{sub 95}. Results: At a median follow-up of 17 months, 39 of 54 (72%) patients developed recurrent glioblastoma. Among these 39 patients, central recurrence occurred in 80% (at a median of 7 months from diagnosis); new in-field recurrence developed in 33% (at a median of 14 months); marginal recurrences developed in 15% (at a median of 18 months); and distant recurrences developed in 20% (at a median of 11 months). The actuarial rates of central, new in-field, marginal, distant, and any new recurrences at 1-year were 46%, 15%, 3%, 14%, and 25% respectively, whereas at 2 years, the rates were 68%, 60%, 32%, 28%, and 66%, reflecting an increasing probability of new lesions developing at later time points. Ten patients developed subependymal recurrences, of whom 7 developed multiple subependymal lesions. Conclusions: Whereas central recurrence of glioblastoma treated with radiation and temozolomide predominates and persists over time, new in-field, marginal, and distant recurrences commonly develop, particularly at later time points in patients with longer survival.

  20. Effect Sizes, Confidence Intervals, and Confidence Intervals for Effect Sizes

    ERIC Educational Resources Information Center

    Thompson, Bruce

    2007-01-01

    The present article provides a primer on (a) effect sizes, (b) confidence intervals, and (c) confidence intervals for effect sizes. Additionally, various admonitions for reformed statistical practice are presented. For example, a very important implication of the realization that there are dozens of effect size statistics is that "authors must…

  1. The causes of recurrent geomagnetic storms

    NASA Technical Reports Server (NTRS)

    Burlaga, L. F.; Lepping, R. P.

    1976-01-01

    The causes of recurrent geomagnetic activity were studied by analyzing interplanetary magnetic field and plasma data from earth-orbiting spacecraft in the interval from November 1973 to February 1974. This interval included the start of two long sequences of geomagnetic activity and two corresponding corotating interplanetary streams. In general, the geomagnetic activity was related to an electric field which was due to two factors: (1) the ordered, mesoscale pattern of the stream itself, and (2) random, smaller-scale fluctuations in the southward component of the interplanetary magnetic field Bz. The geomagnetic activity in each recurrent sequence consisted of two successive stages. The first stage was usually the most intense, and it occurred during the passage of the interaction region at the front of a stream. These large amplitudes of Bz were primarily produced in the interplanetary medium by compression of ambient fluctuations as the stream steepened in transit to 1 A.U. The second stage of geomagnetic activity immediately following the first was associated with the highest speeds in the stream.

  2. Can slip heterogeneity be linked to earthquake recurrence?

    NASA Astrophysics Data System (ADS)

    Chen, Kate Huihsuan; Chen, Iyin; Kim, Ahyi

    2016-07-01

    The rupture process of two M4 repeating earthquake sequences in eastern Taiwan with contrasting recurrence behavior is investigated to demonstrate a link between slip heterogeneity and earthquake recurrence. The M3.6-3.8 quasiperiodic repeating earthquakes characterized by 3 years recurrence interval reveal overlapped slip concentrations. Inferred slip distribution for each event illustrates two asperities with peak slip of 47.7 cm and peak stress drop of 151.1 MPa. Under the influence of nearby M6.9 event, the M4.3-4.8 repeating earthquakes separated only by 6-87 min, however, reveal an aperiodic manner. There is a distinct rupture characteristic without overlap in the slip areas, suggesting that shortening of the recurrence interval by the nearby large earthquake may change the slip heterogeneity in a repeatedly ruptured asperity. We conclude that the inherent heterogeneity of stress and strength could influence the distribution of coseismic slip, which is strongly tied to the recurrence behavior.

  3. [Birth interval differentials in Rwanda].

    PubMed

    Ilinigumugabo, A

    1992-01-01

    Data from the 1983 Rwanda Fertility Survey are the basis for this study of variations in birth intervals. An analysis of the quality of the Rwandan birth data showed it to be relatively good. The life table technique utilized in this study is explained in a section on methodology, which also describes the Rwanda Fertility Survey questionnaires. A comparison of birth intervals in which live born children died before their first birthday or survived the first birthday shows that infant mortality shortens birth intervals by an average of 5 months. The first birth interval was almost 28 months when the oldest child survived, but declined to 23 months when the oldest child died before age 1. The effect of mortality on birth intervals increased with parity, from 5 months for the first birth interval to 5.5 months for the second and third and 6.4 months for subsequent intervals. The differences amounted to 9 or 10 months for women separating at parities under 4 and over 14 months for women separating at parities of 4 or over. Birth intervals generally increased with parity, maternal age, and the duration of the union. But women entering into unions at higher ages had shorter birth intervals. In the absence of infant mortality and dissolution of the union, women attending school beyong the primary level had first birth intervals 6 months shorter on average than other women. Controlling for infant mortality and marital dissolution, women working for wages had average birth intervals of under 2 years for the first 5 births. Father's occupation had a less marked influence on birth intervals. Urban residence was associated with a shortening of the average birth interval by 6 months between the first and second birth and 5 months between the second and third births. In the first 5 births, Tutsi women had birth intervals 1.5 months longer on average than Hutu women. Women in polygamous unions did not have significantly different birth intervals except perhaps among older women

  4. Lymph Node Ratio Predicts Recurrence in Papillary Thyroid Cancer

    PubMed Central

    Mazeh, Haggi; Chen, Herbert; Sippel, Rebecca S.

    2013-01-01

    Background. Lymph node metastasis occurs in 20%–50% of patients presenting for initial treatment of papillary thyroid cancer (PTC). The significance of lymph node metastases remains controversial, and the aim of this study is to determine how the lymph node ratio (LNR) may predict the likelihood of disease recurrence. Methods. We conducted a retrospective review of patients undergoing total thyroidectomy for PTC at our institution from 2005 to 2010. A total LNR (positive nodes to total nodes) and central lymph node ratio (cLNR) was calculated. Regression was used to determine a threshold LNR that best predicted recurrence. Multivariate logistic regression then determined the influence of LNR on recurrence while accounting for other known predictors of recurrence. Kaplan-Meier analysis and the log-rank test were used to compare differences in disease-free survival. Results. Of the 217 patients undergoing total thyroidectomy for PTC, 69 patients had concomitant neck dissections. Sixteen (23.2%) patients developed disease recurrence. When disease-free survival functions were compared, we found that patients with a total LNR ≥0.7 (p < .01) or a cLNR ≥0.86 (p = .04) had significantly worse disease-free survival rates than patients with ratios below these threshold values. Considering other known predictors of recurrence, we found that LNR was significantly associated with recurrence (odds ratio: 19.5, 95% confidence interval: 4.1–22.9; p < .01). Conclusions. Elevated total LNR and cLNR are strongly associated with recurrence of PTC after initial operation. LNR in PTC is a tool that can be used to determine the likelihood of the patient developing recurrent disease and inform postoperative follow-up. PMID:23345543

  5. Teaching Confidence Intervals Using Simulation

    ERIC Educational Resources Information Center

    Hagtvedt, Reidar; Jones, Gregory Todd; Jones, Kari

    2008-01-01

    Confidence intervals are difficult to teach, in part because most students appear to believe they understand how to interpret them intuitively. They rarely do. To help them abandon their misconception and achieve understanding, we have developed a simulation tool that encourages experimentation with multiple confidence intervals derived from the…

  6. Automatic Error Analysis Using Intervals

    ERIC Educational Resources Information Center

    Rothwell, E. J.; Cloud, M. J.

    2012-01-01

    A technique for automatic error analysis using interval mathematics is introduced. A comparison to standard error propagation methods shows that in cases involving complicated formulas, the interval approach gives comparable error estimates with much less effort. Several examples are considered, and numerical errors are computed using the INTLAB…

  7. Explorations in Statistics: Confidence Intervals

    ERIC Educational Resources Information Center

    Curran-Everett, Douglas

    2009-01-01

    Learning about statistics is a lot like learning about science: the learning is more meaningful if you can actively explore. This third installment of "Explorations in Statistics" investigates confidence intervals. A confidence interval is a range that we expect, with some level of confidence, to include the true value of a population parameter…

  8. A Review of Confidence Intervals.

    ERIC Educational Resources Information Center

    Mauk, Anne-Marie Kimbell

    This paper summarizes information leading to the recommendation that statistical significance testing be replaced, or at least accompanied by, the reporting of effect sizes and confidence intervals. It discusses the use of confidence intervals, noting that the recent report of the American Psychological Association Task Force on Statistical…

  9. Children's Discrimination of Melodic Intervals.

    ERIC Educational Resources Information Center

    Schellenberg, E. Glenn; Trehub, Sandra E.

    1996-01-01

    Adults and children listened to tone sequences and were required to detect changes either from intervals with simple frequency ratios to intervals with complex ratios or vice versa. Adults performed better on changes from simple to complex ratios than on the reverse changes. Similar performance was observed for 6-year olds who had never taken…

  10. VARIABLE TIME-INTERVAL GENERATOR

    DOEpatents

    Gross, J.E.

    1959-10-31

    This patent relates to a pulse generator and more particularly to a time interval generator wherein the time interval between pulses is precisely determined. The variable time generator comprises two oscillators with one having a variable frequency output and the other a fixed frequency output. A frequency divider is connected to the variable oscillator for dividing its frequency by a selected factor and a counter is used for counting the periods of the fixed oscillator occurring during a cycle of the divided frequency of the variable oscillator. This defines the period of the variable oscillator in terms of that of the fixed oscillator. A circuit is provided for selecting as a time interval a predetermined number of periods of the variable oscillator. The output of the generator consists of a first pulse produced by a trigger circuit at the start of the time interval and a second pulse marking the end of the time interval produced by the same trigger circuit.

  11. Recurrent flares in active region NOAA 11283

    NASA Astrophysics Data System (ADS)

    Romano, P.; Zuccarello, F.; Guglielmino, S. L.; Berrilli, F.; Bruno, R.; Carbone, V.; Consolini, G.; de Lauretis, M.; Del Moro, D.; Elmhamdi, A.; Ermolli, I.; Fineschi, S.; Francia, P.; Kordi, A. S.; Landi Degl'Innocenti, E.; Laurenza, M.; Lepreti, F.; Marcucci, M. F.; Pallocchia, G.; Pietropaolo, E.; Romoli, M.; Vecchio, A.; Vellante, M.; Villante, U.

    2015-10-01

    Context. Flares and coronal mass ejections (CMEs) are solar phenomena that are not yet fully understood. Several investigations have been performed to single out their related physical parameters that can be used as indices of the magnetic complexity leading to their occurrence. Aims: In order to shed light on the occurrence of recurrent flares and subsequent associated CMEs, we studied the active region NOAA 11283 where recurrent M and X GOES-class flares and CMEs occurred. Methods: We use vector magnetograms taken by HMI/SDO to calculate the horizontal velocity fields of the photospheric magnetic structures, the shear and the dip angles of the magnetic field, the magnetic helicity flux distribution, and the Poynting fluxes across the photosphere due to the emergence and the shearing of the magnetic field. Results: Although we do not observe consistent emerging magnetic flux through the photosphere during the observation time interval, we detected a monotonic increase of the magnetic helicity accumulated in the corona. We found that both the shear and the dip angles have high values along the main polarity inversion line (PIL) before and after all the events. We also note that before the main flare of X2.1 GOES class, the shearing motions seem to inject a more significant energy than the energy injected by the emergence of the magnetic field. Conclusions: We conclude that the very long duration (about 4 days) of the horizontal displacement of the main photospheric magnetic structures along the PIL has a primary role in the energy release during the recurrent flares. This peculiar horizontal velocity field also contributes to the monotonic injection of magnetic helicity into the corona. This process, coupled with the high shear and dip angles along the main PIL, appears to be responsible for the consecutive events of loss of equilibrium leading to the recurrent flares and CMEs. A movie associated to Fig. 4 is available in electronic form at http://www.aanda.org

  12. Recurrent Miller Fisher syndrome.

    PubMed

    Madhavan, S; Geetha; Bhargavan, P V

    2004-07-01

    Miller Fisher syndrome (MFS) is a variant of Guillan Barre syndrome characterized by the triad of ophthalmoplegia, ataxia and areflexia. Recurrences are exceptional with Miller Fisher syndrome. We are reporting a case with two episodes of MFS within two years. Initially he presented with partial ophthalmoplegia, ataxia. Second episode was characterized by full-blown presentation characterized by ataxia, areflexia and ophthalmoplegia. CSF analysis was typical during both episodes. Nerve conduction velocity study was fairly within normal limits. MRI of brain was within normal limits. He responded to symptomatic measures initially, then to steroids in the second episode. We are reporting the case due to its rarity. PMID:15645989

  13. Recurrent respiratory papillomatosis.

    PubMed

    Venkatesan, Naren N; Pine, Harold S; Underbrink, Michael P

    2012-06-01

    Recurrent respiratory papillomatosis (RRP) is a rare, benign disease with no known cure. RRP is caused by infection of the upper aerodigestive tract with the human papillomavirus (HPV). Passage through the birth canal is thought to be the initial transmission event, but infection may occur in utero. HPV vaccines have helped to provide protection from cervical cancer; however, their role in the prevention of RRP is undetermined. Clinical presentation of initial symptoms of RRP may be subtle. RRP course varies, and current management focuses on surgical debulking of papillomatous lesions with or without concurrent adjuvant therapy. PMID:22588043

  14. Confidence intervals for expected moments algorithm flood quantile estimates

    USGS Publications Warehouse

    Cohn, T.A.; Lane, W.L.; Stedinger, J.R.

    2001-01-01

    Historical and paleoflood information can substantially improve flood frequency estimates if appropriate statistical procedures are properly applied. However, the Federal guidelines for flood frequency analysis, set forth in Bulletin 17B, rely on an inefficient "weighting" procedure that fails to take advantage of historical and paleoflood information. This has led researchers to propose several more efficient alternatives including the Expected Moments Algorithm (EMA), which is attractive because it retains Bulletin 17B's statistical structure (method of moments with the Log Pearson Type 3 distribution) and thus can be easily integrated into flood analyses employing the rest of the Bulletin 17B approach. The practical utility of EMA, however, has been limited because no closed-form method has been available for quantifying the uncertainty of EMA-based flood quantile estimates. This paper addresses that concern by providing analytical expressions for the asymptotic variance of EMA flood-quantile estimators and confidence intervals for flood quantile estimates. Monte Carlo simulations demonstrate the properties of such confidence intervals for sites where a 25- to 100-year streamgage record is augmented by 50 to 150 years of historical information. The experiments show that the confidence intervals, though not exact, should be acceptable for most purposes.

  15. Recurrent renal giant leiomyosarcoma

    PubMed Central

    Öziş, Salih Erpulat; Gülpınar, Kamil; Şahlı, Zafer; Konak, Baha Burak; Keskin, Mete; Özdemir, Süleyman; Ataoğlu, Ömür

    2016-01-01

    Primary renal leiomyosarcomas are rare, aggressive tumors. They constitute 1–2% of adult malignant renal tumors. Although leiomyosarcomas are the most common histological type (50–60%) of renal sarcomas, information on renal leiomyosarcoma is limited. Local or systemic recurrences are common. The radiological appearance of renal leiomyosarcomas is not specific, therefore renal leiomyosarcoma cannot be distinguished from renal cell carcinoma by imaging methods in all patients. A 74-year-old female patient presented to our clinic complaining of a palpable mass on the right side of her abdomen in November 2012. The abdominal magnetic resonance imaging revealed a mass, 25 × 24 × 23 cm in size. Her past medical history revealed that she has undergone right radical nephrectomy in 2007, due to a 11 × 12 × 13 cm renal mass that was then reported as renal cell carcinoma on abdominal magnetic resonance imaging, but the pathological diagnosis was low-grade renal leiomyosarcoma. The most recent follow-up of the patient was in 2011, with no signs of local recurrence or distant metastases within this four-year period. The patient underwent laparotomy on November 2012, and a 35 cm retroperitoneal mass was excised. The pathological examination of the mass was reported as high-grade leiomyosarcoma. The formation of this giant retroperitoneal mass in 1 year can be explained by the transformation of the lesion’s pathology from low-grade to a high-grade tumor.

  16. Image magnification using interval information.

    PubMed

    Jurio, Aranzazu; Pagola, Miguel; Mesiar, Radko; Beliakov, Gleb; Bustince, Humberto

    2011-11-01

    In this paper, a simple and effective image-magnification algorithm based on intervals is proposed. A low-resolution image is magnified to form a high-resolution image using a block-expanding method. Our proposed method associates each pixel with an interval obtained by a weighted aggregation of the pixels in its neighborhood. From the interval and with a linear K(α) operator, we obtain the magnified image. Experimental results show that our algorithm provides a magnified image with better quality (peak signal-to-noise ratio) than several existing methods. PMID:21632304

  17. Recurrence theorems: A unified account

    SciTech Connect

    Wallace, David

    2015-02-15

    I discuss classical and quantum recurrence theorems in a unified manner, treating both as generalisations of the fact that a system with a finite state space only has so many places to go. Along the way, I prove versions of the recurrence theorem applicable to dynamics on linear and metric spaces and make some comments about applications of the classical recurrence theorem in the foundations of statistical mechanics.

  18. TIME-INTERVAL MEASURING DEVICE

    DOEpatents

    Gross, J.E.

    1958-04-15

    An electronic device for measuring the time interval between two control pulses is presented. The device incorporates part of a previous approach for time measurement, in that pulses from a constant-frequency oscillator are counted during the interval between the control pulses. To reduce the possible error in counting caused by the operation of the counter gating circuit at various points in the pulse cycle, the described device provides means for successively delaying the pulses for a fraction of the pulse period so that a final delay of one period is obtained and means for counting the pulses before and after each stage of delay during the time interval whereby a plurality of totals is obtained which may be averaged and multplied by the pulse period to obtain an accurate time- Interval measurement.

  19. Interval estimates and their precision

    NASA Astrophysics Data System (ADS)

    Marek, Luboš; Vrabec, Michal

    2015-06-01

    A task very often met in in practice is computation of confidence interval bounds for the relative frequency within sampling without replacement. A typical situation includes preelection estimates and similar tasks. In other words, we build the confidence interval for the parameter value M in the parent population of size N on the basis of a random sample of size n. There are many ways to build this interval. We can use a normal or binomial approximation. More accurate values can be looked up in tables. We consider one more method, based on MS Excel calculations. In our paper we compare these different methods for specific values of M and we discuss when the considered methods are suitable. The aim of the article is not a publication of new theoretical methods. This article aims to show that there is a very simple way how to compute the confidence interval bounds without approximations, without tables and without other software costs.

  20. Simple Interval Timers for Microcomputers.

    ERIC Educational Resources Information Center

    McInerney, M.; Burgess, G.

    1985-01-01

    Discusses simple interval timers for microcomputers, including (1) the Jiffy clock; (2) CPU count timers; (3) screen count timers; (4) light pen timers; and (5) chip timers. Also examines some of the general characteristics of all types of timers. (JN)

  1. Abemaciclib in Children With DIPG or Recurrent/Refractory Solid Tumors

    ClinicalTrials.gov

    2016-04-12

    Diffuse Intrinsic Pontine Glioma; Brain Tumor, Recurrent; Solid Tumor, Recurrent; Neuroblastoma, Recurrent, Refractory; Ewing Sarcoma, Recurrent, Refractory; Rhabdomyosarcoma, Recurrent, Refractory; Osteosarcoma, Recurrent, Refractory; Rhabdoid Tumor, Recurrent, Refractory

  2. Recurrent vulvovaginal candidiasis.

    PubMed

    Sobel, Jack D

    2016-01-01

    Recurrent vulvovaginal candidiasis (RVVC) is a common cause of significant morbidity in women in all strata of society affecting millions of women worldwide. Previously, RVVC occurrence was limited by onset of menopause but the widespread use of hormone replacement therapy has extended the at-risk period. Candida albicans remains the dominant species responsible for RVVC, however optimal management of RVVC requires species determination and effective treatment measures are best if species-specific. Considerable progress has been made in understanding risk factors that determine susceptibility to RVVC, particularly genetic factors, as well as new insights into normal vaginal defense immune mechanisms and their aberrations in RVVC. While effective control of RVVC is achievable with the use of fluconazole maintenance suppressive therapy, cure of RVVC remains elusive especially in this era of fluconazole drug resistance. Vaccine development remains a critical challenge and need. PMID:26164695

  3. Recurrence plots revisited

    NASA Astrophysics Data System (ADS)

    Casdagli, M. C.

    1997-09-01

    We show that recurrence plots (RPs) give detailed characterizations of time series generated by dynamical systems driven by slowly varying external forces. For deterministic systems we show that RPs of the time series can be used to reconstruct the RP of the driving force if it varies sufficiently slowly. If the driving force is one-dimensional, its functional form can then be inferred up to an invertible coordinate transformation. The same results hold for stochastic systems if the RP of the time series is suitably averaged and transformed. These results are used to investigate the nonlinear prediction of time series generated by dynamical systems driven by slowly varying external forces. We also consider the problem of detecting a small change in the driving force, and propose a surrogate data technique for assessing statistical significance. Numerically simulated time series and a time series of respiration rates recorded from a subject with sleep apnea are used as illustrative examples.

  4. QT interval in anorexia nervosa.

    PubMed Central

    Cooke, R A; Chambers, J B; Singh, R; Todd, G J; Smeeton, N C; Treasure, J; Treasure, T

    1994-01-01

    OBJECTIVES--To determine the incidence of a long QT interval as a marker for sudden death in patients with anorexia nervosa and to assess the effect of refeeding. To define a long QT interval by linear regression analysis and estimation of the upper limit of the confidence interval (95% CI) and to compare this with the commonly used Bazett rate correction formula. DESIGN--Prospective case control study. SETTING--Tertiary referral unit for eating disorders. SUBJECTS--41 consecutive patients with anorexia nervosa admitted over an 18 month period. 28 age and sex matched normal controls. MAIN OUTCOME MEASURES--maximum QT interval measured on 12 lead electrocardiograms. RESULTS--43.6% of the variability in the QT interval was explained by heart rate alone (p < 0.00001) and group analysis contributed a further 5.9% (p = 0.004). In 6 (15%) patients the QT interval was above the upper limit of the 95% CI for the prediction based on the control equation (NS). Two patients died suddenly; both had a QT interval at or above the upper limit of the 95% CI. In patients who reached their target weights the QT interval was significantly shorter (median 9.8 ms; p = 0.04) relative to the upper limit of the 60% CI of the control regression line, which best discriminated between patients and controls. The median Bazett rate corrected QT interval (QTc) in patients and controls was 435 v 405 ms.s-1/2 (p = 0.0004), and before and after refeeding it was 435 v 432 ms.s1/2 (NS). In 14(34%) patients and three (11%) controls the QTc was > 440 ms.s-1/2 (p = 0.053). CONCLUSIONS--The QT interval was longer in patients with anorexia nervosa than in age and sex matched controls, and there was a significant tendency to reversion to normal after refeeding. The Bazett rate correction formula overestimated the number of patients with QT prolongation and also did not show an improvement with refeeding. PMID:8068473

  5. [Outcomes of Tertiary Debulking Surgery(TDS)for Re-Recurrent Ovarian Cancer].

    PubMed

    Kusumoto, Shinya; Konishi, Haruhisa; Okame, Shinichi; Komatsu, Masaaki; Shiroyama, Yuko; Yokoyama, Takashi; Takehara, Kazuhiro

    2016-03-01

    The survival of patients with recurrent ovarian cancer who have completed secondary debulking surgery (SDS) has been shown to increase. However, whether tertiary debulking surgery (TDS) aimed at complete surgery is useful in patients with a second recurrence is unclear. Eight patients who had undergone SDS were treated after a second recurrence in our hospital. Their medical records were retrospectively reviewed. Consequently, TDS was performed in 4 of the patients (TDSgr). All 4 patients underwent complete debulking surgery, 2 patients received blood transfusions, and none had serious postoperative complications. The median treatment free interval (TFI) from recurrence surgery to the second recurrence was 16 months (range, 9-23 months), and the median TFI after the second recurrence was 30.5 months (range, 15-69 months). Meanwhile, the median TFI after the second recurrence was 7.5 months (range, 1-31 months) in the 4 patients who did not undergo TDS (non-TDSgr). The median survival times after the second recurrence in TDSgr and non-TDSgr were 53 months (range, 41-69 months) and 12 months (range, 2-30 months), respectively. When complete surgery is indicated in patients with a second recurrent ovarian cancer after SDS, in case of good physical condition with single or multiple recurrent lesions, TDS may increase survival and TFI. PMID:27067855

  6. Differences in Risk Factors for Recurrent Versus Incident Preterm Delivery

    PubMed Central

    Grantz, Katherine L.; Hinkle, Stefanie N.; Mendola, Pauline; Sjaarda, Lindsey A.; Leishear, Kira; Albert, Paul S.

    2015-01-01

    Risk factors for preterm delivery have been described, but whether risk factors differ in the context of prior preterm delivery history is less understood. We assessed whether known risk factors were different in women with versus without prior preterm delivery using medical records of the first and second singleton deliveries in 25,820 Utah women (2002–2010). Longitudinal transition models with modified Poisson regression calculated adjusted relative risks and 95% confidence intervals, with multiplicative interactions between each preterm risk factor and prior preterm delivery status to explore whether risk factors varied between incident and recurrent preterm delivery at <37 weeks. Fewer second pregnancy factors were associated with recurrent preterm delivery, including alcohol, thyroid disease, and depression. Smoking was associated with increased risk for incident (relative risk (RR) = 1.95, 95% confidence interval (CI): 1.53, 2.49) but not recurrent (RR = 1.09, 95% CI: 0.71, 1.19) preterm delivery, whereas alcohol was associated with an increased risk for recurrent (RR = 2.38, 95% CI: 1.53, 3.71) but not incident (RR = 0.98, 95% CI: 0.67, 1.43; Pinteraction = 0.02 and <0.01) preterm delivery, respectively. Prior term delivery did not necessarily confer protection from known second pregnancy preterm delivery risk factors. In the setting of a prior preterm delivery, many risk factors did not persist. Prior preterm delivery history is important when assessing subsequent preterm delivery risk factors. PMID:26033931

  7. Differences in risk factors for recurrent versus incident preterm delivery.

    PubMed

    Grantz, Katherine L; Hinkle, Stefanie N; Mendola, Pauline; Sjaarda, Lindsey A; Leishear, Kira; Albert, Paul S

    2015-07-15

    Risk factors for preterm delivery have been described, but whether risk factors differ in the context of prior preterm delivery history is less understood. We assessed whether known risk factors were different in women with versus without prior preterm delivery using medical records of the first and second singleton deliveries in 25,820 Utah women (2002-2010). Longitudinal transition models with modified Poisson regression calculated adjusted relative risks and 95% confidence intervals, with multiplicative interactions between each preterm risk factor and prior preterm delivery status to explore whether risk factors varied between incident and recurrent preterm delivery at <37 weeks. Fewer second pregnancy factors were associated with recurrent preterm delivery, including alcohol, thyroid disease, and depression. Smoking was associated with increased risk for incident (relative risk (RR) = 1.95, 95% confidence interval (CI): 1.53, 2.49) but not recurrent (RR = 1.09, 95% CI: 0.71, 1.19) preterm delivery, whereas alcohol was associated with an increased risk for recurrent (RR = 2.38, 95% CI: 1.53, 3.71) but not incident (RR = 0.98, 95% CI: 0.67, 1.43; Pinteraction = 0.02 and <0.01) preterm delivery, respectively. Prior term delivery did not necessarily confer protection from known second pregnancy preterm delivery risk factors. In the setting of a prior preterm delivery, many risk factors did not persist. Prior preterm delivery history is important when assessing subsequent preterm delivery risk factors. PMID:26033931

  8. The Flexner Report ― 100 Years Later

    PubMed Central

    Duffy, Thomas P.

    2011-01-01

    The Flexner Report of 1910 transformed the nature and process of medical education in America with a resulting elimination of proprietary schools and the establishment of the biomedical model as the gold standard of medical training. This transformation occurred in the aftermath of the report, which embraced scientific knowledge and its advancement as the defining ethos of a modern physician. Such an orientation had its origins in the enchantment with German medical education that was spurred by the exposure of American educators and physicians at the turn of the century to the university medical schools of Europe. American medicine profited immeasurably from the scientific advances that this system allowed, but the hyper-rational system of German science created an imbalance in the art and science of medicine. A catching-up is under way to realign the professional commitment of the physician with a revision of medical education to achieve that purpose. PMID:21966046

  9. Human Fetal Behavior: 100 Years of Study.

    ERIC Educational Resources Information Center

    Kisilevsky, B. S.; Low, J. A.

    1998-01-01

    Reviews literature on human fetal behavior. Includes descriptions of coupling of body movements and fetal heart rate and behavior maturation from conception to term. Discusses use of stimulus-induced behavior to examine sensory and cognitive development, and spontaneous and stimulus-induced behavior to assess fetal well-being. Notes research focus…

  10. A 100-year perspective on gastrointestinal motility.

    PubMed

    Szurszewski, J H

    1998-03-01

    This contribution to the centennial commemorative issue of the American Journal of Physiology: Gastrointestinal and Liver Physiology identifies some of the important studies of spontaneous electrical and motor activity in the gastrointestinal tract published in the Journal between 1898 and 1996. Emphasis is given to the contributions made by Walter B. Cannon, Walter C. Alvarez, Emil Bozler, C. Ladd Prosser, and James Christensen. PMID:9565541

  11. Beam Line: 100 years of elementary particles

    NASA Astrophysics Data System (ADS)

    Pais, A.; Weinberg, S.; Quigg, C.; Riordan, M.; Panofsky, W. K. H.

    1997-04-01

    This issue of Beam Line commemorates the 100th anniversary of the April 30, 1897 report of the discovery of the electron by J.J. Thomson and the ensuing discovery of other subatomic particles. In the first three articles, theorists Abraham Pais, Steven Weinberg, and Chris Quigg provide their perspectives on the discoveries of elementary particles as well as the implications and future directions resulting from these discoveries. In the following three articles, Michael Riordan, Wolfgang Panofsky, and Virginia Trimble apply our knowledge about elementary particles to high-energy research, electronics technology, and understanding the origin and evolution of our Universe.

  12. Tunguska explosion- 100 years of the event

    NASA Astrophysics Data System (ADS)

    Pteancu, Mircea; Dragan, Dorian; Dohotariu, Ionel; Mafalda; Alimpie, Laurentiu; Monea, Cristian; Diaconu, Marius; Gaina, Alex; Stanescu, Octavian

    2008-06-01

    The authors discusse the Tunguska event, the well known explosion, which has occured 100 ago in the Central Siberia near the Podkamennaia Tunguska river. A number of the books and encyclopaediaes with reference to the event are reviewed. At the same time the last 2 hypotheses ennounced by prof. Ioan Nistor (gaseus Methan pouch) and prof. Edward Drobyshevsky (2H2 +O2 solid solution) are also discussed.

  13. Nuclear and Radiochemistry: the First 100 Years

    NASA Astrophysics Data System (ADS)

    Friedlander, G.; Herrmann, G.

    This chapter gives a brief overview of the development of nuclear and radiochemistry from Mme. Curie's chemical isolation of radium toward the end of the twentieth century. The first four sections deal with fairly distinct time periods: (1) the pioneering years when the only radioactive materials available were the naturally occurring ones; (2) the decade of rapid growth and expansion of both the fundamental science and its applications following the discoveries of the neutron and artificial radioactivity; (3) the World War II period characterized by the intense exploration of nuclear fission and its ramifications; (4) what can be called the “golden era” - the 3 to 4 decades following World War II when nuclear science was generously supported and therefore flourished. In the final section, research trends pursued near the end of the century are briefly touched upon.

  14. 100 Years Werner Heisenberg: Works and Impact

    NASA Astrophysics Data System (ADS)

    Papenfuß, Dietrich; Lüst, Dieter; Schleich, Wolfgang P.

    2003-09-01

    Over 40 renowned scientists from all around the world discuss the work and influence of Werner Heisenberg. The papers result from the symposium held by the Alexander von Humboldt-Stiftung on the occasion of the 100th anniversary of Heisenberg's birth, one of the most important physicists of the 20th century and cofounder of modern-day quantum mechanics. Taking atomic and laser physics as their starting point, the scientists illustrate the impact of Heisenberg's theories on astroparticle physics, high-energy physics and string theory right up to processing quantum information.

  15. Dairy innovations over the past 100 Years.

    PubMed

    Tunick, Michael H

    2009-09-23

    The dairy industry in the United States has undergone many changes over the past century. Adulteration and contamination of milk were rampant before the passage and enforcement of the Pure Food and Drug Act of 1906, and the introduction and eventual acceptance of certified and pasteurized milk have provided consumers with a consistently safe product. Homogenization and advances in the packaging and transport of milk gradually took hold, improving the milk supply. Other developments included the concentration of milk and whey, lactose-reduced milk, and the popularization of yogurt. Consumers have benefited from advances in butter packaging, low-fat ice cream, cheese manufacture, and yogurt technology, which has helped create the large demand for dairy products in the United States. Current trends and issues, including the increasing popularity of organic and artisanal products and the use of rBST, will shape the future of the dairy industry. PMID:19719132

  16. The Flexner Report--100 years later.

    PubMed

    Duffy, Thomas P

    2011-09-01

    The Flexner Report of 1910 transformed the nature and process of medical education in America with a resulting elimination of proprietary schools and the establishment of the biomedical model as the gold standard of medical training. This transformation occurred in the aftermath of the report, which embraced scientific knowledge and its advancement as the defining ethos of a modern physician. Such an orientation had its origins in the enchantment with German medical education that was spurred by the exposure of American educators and physicians at the turn of the century to the university medical schools of Europe. American medicine profited immeasurably from the scientific advances that this system allowed, but the hyper-rational system of German science created an imbalance in the art and science of medicine. A catching-up is under way to realign the professional commitment of the physician with a revision of medical education to achieve that purpose. PMID:21966046

  17. Scoring functions--the first 100 years.

    PubMed

    Tame, Jeremy R H

    2005-06-01

    The use of simple linear mathematical models to estimate chemical properties is not a new idea. Albert Einstein used very simple 'gravity-like' forces to explain the capillarity of different liquids in 1900-1901. Today such models are used in more complicated situations, and a great many have been developed to analyse interactions between proteins and their ligands. This is not surprising, since proteins are too complicated to model accurately without lengthy numerical analysis, and simple models often do at least as good a job in predicting binding constants as much more computationally expensive methods. One hundred years after Einstein's 'miraculous year' in which he transformed physics, it is instructive to recall some of his even earlier work. As approximations, 'scoring functions' are excellent, but it is dangerous to read too much into them. A few cautionary tales are presented for the beginner to the field of ligand affinity prediction by linear models. PMID:16231202

  18. [The Einthoven's electrocardiograph after 100 years].

    PubMed

    de Micheli-Serra, A; Iturralde, P

    2001-01-01

    The initial studies about the "irritability" of animal tissues by iatrophysic and iatromechanic scientists are reviewed. These studies led to discover the so called animal electricity envisaged by Luigi Galvani in the XVIII century and demonstrated by Carlo Matteucci and his followers in the XIX. Beginning with the Galvani's "reoscopic" frog, which allowed to assess the electrical current in a qualitative sense, it was possible to arrive, at the beginnings of the XX century, to the string electrocardiograph presented by Willem Einthoven in 1901. This opened the way that led to fabrication of ever more sophisticated instruments until the present systems of endocardial mapping by magnetic technology or by multipolar catheters, which permit to quickly identify the site of origin or the spreading ways of a tachycardia for their ablation with radio-frequency. Intracardiac echocardiography is also employed to define the anatomy of right atrium, during intracardiac cartography, in order to establish the most adequate sites for ablation. On the other hand, a logic i.e. rational, method for the interpretation of results from the electrical exploration of the heart has been developed. This one was introduced by Frank N. Wilson in Ann Arbor and has been fittingly applied by Demetrio Sodi Pallares in Mexico. Important diagnostic advances and notable therapeutic inferences have been derived from these latter developments. PMID:11692816

  19. The AOCS publications: a 100 year history

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The growth of societies and its associated publications is an indicator of how chemistry, a society such as AOCS, and the fats and oils industry have grown over time. During the late 18th century a shift from monographs to chemical periodicals occurred. Since then journals have been the preferred ...

  20. Spinoff 2003: 100 Years of Powered Flight

    NASA Technical Reports Server (NTRS)

    2003-01-01

    Today, NASA continues to reach milestones in space exploration with the Hubble Telescope, Earth-observing systems, the Space Shuttle, the Stardust spacecraft, the Chandra X-Ray Observatory, the International Space Station, the Mars rovers, and experimental research aircraft these are only a few of the many initiatives that have grown out of NASA engineering know-how to drive the Agency s missions. The technical expertise gained from these programs has transferred into partnerships with academia, industry, and other Federal agencies, ensuring America stays capable and competitive. With Spinoff 2003, we once again highlight the many partnerships with U.S. companies that are fulfilling the 1958 Space Act stipulation that NASA s vast body of scientific and technical knowledge also benefit mankind. This year's issue showcases innovations such as the cochlear implant in health and medicine, a cockpit weather system in transportation, and a smoke mask benefiting public safety; many other products are featured in these disciplines, as well as in the additional fields of consumer/home/recreation, environment and resources management, computer technology, and industrial productivity/ manufactacturing technology. Also in this issue, we devote an entire section to NASA s history in the field of flight and showcase NASA s newest enterprise dedicated to education. The Education Enterprise will provide unique teaching and learning experiences for students and teachers at all levels in science, technology, engineering, and mathematics. The Agency also is committed, as never before, to engaging parents and families through NASA s educational resources, content, and opportunities. NASA s catalyst to intensify its focus on teaching and learning springs from our mission statement: to inspire the next generation of explorers as only NASA can.

  1. Analysis of 100 Years of Curriculum Designs

    ERIC Educational Resources Information Center

    Kelting-Gibson, Lynn

    2013-01-01

    Fifteen historical and contemporary curriculum designs were analyzed for elements of assessment that support student learning and inform instructional decisions. Educational researchers are purposely paying attention to the role assessment plays in a well-designed planning and teaching process. Assessment is a vital component to educational…

  2. Rhythmicity, recurrence, and recovery of flagellar beating

    NASA Astrophysics Data System (ADS)

    Wan, Kirsty; Goldstein, Raymond

    2015-03-01

    The eukaryotic flagellum beats with apparently unfailing periodicity, yet responds rapidly to stimuli. Like the human heartbeat, flagellar oscillations are now known to be noisy. Using the unicellular alga Chlamydomonas reinhardtii, we explore three aspects of nonuniform flagellar beating. We report the existence of rhythmicity, waveform noise peaking at transitions between power and recovery strokes, and fluctuations of interbeat intervals that are correlated and even recurrent, with memory extending to hundreds of beats. These features are altered qualitatively by physiological perturbations. Further, we quantify the recovery of periodic breaststroke beating from transient hydrodynamic forcing. These results will help constrain microscopic theories on the origins and regulation of flagellar beating. Financial support is acknowledged from the EPSRC, ERC Advanced Investigator Grant No. 247333, and a Senior Investigator Award from the Wellcome Trust.

  3. Generalized Confidence Intervals and Fiducial Intervals for Some Epidemiological Measures.

    PubMed

    Bebu, Ionut; Luta, George; Mathew, Thomas; Agan, Brian K

    2016-01-01

    For binary outcome data from epidemiological studies, this article investigates the interval estimation of several measures of interest in the absence or presence of categorical covariates. When covariates are present, the logistic regression model as well as the log-binomial model are investigated. The measures considered include the common odds ratio (OR) from several studies, the number needed to treat (NNT), and the prevalence ratio. For each parameter, confidence intervals are constructed using the concepts of generalized pivotal quantities and fiducial quantities. Numerical results show that the confidence intervals so obtained exhibit satisfactory performance in terms of maintaining the coverage probabilities even when the sample sizes are not large. An appealing feature of the proposed solutions is that they are not based on maximization of the likelihood, and hence are free from convergence issues associated with the numerical calculation of the maximum likelihood estimators, especially in the context of the log-binomial model. The results are illustrated with a number of examples. The overall conclusion is that the proposed methodologies based on generalized pivotal quantities and fiducial quantities provide an accurate and unified approach for the interval estimation of the various epidemiological measures in the context of binary outcome data with or without covariates. PMID:27322305

  4. Generalized Confidence Intervals and Fiducial Intervals for Some Epidemiological Measures

    PubMed Central

    Bebu, Ionut; Luta, George; Mathew, Thomas; Agan, Brian K.

    2016-01-01

    For binary outcome data from epidemiological studies, this article investigates the interval estimation of several measures of interest in the absence or presence of categorical covariates. When covariates are present, the logistic regression model as well as the log-binomial model are investigated. The measures considered include the common odds ratio (OR) from several studies, the number needed to treat (NNT), and the prevalence ratio. For each parameter, confidence intervals are constructed using the concepts of generalized pivotal quantities and fiducial quantities. Numerical results show that the confidence intervals so obtained exhibit satisfactory performance in terms of maintaining the coverage probabilities even when the sample sizes are not large. An appealing feature of the proposed solutions is that they are not based on maximization of the likelihood, and hence are free from convergence issues associated with the numerical calculation of the maximum likelihood estimators, especially in the context of the log-binomial model. The results are illustrated with a number of examples. The overall conclusion is that the proposed methodologies based on generalized pivotal quantities and fiducial quantities provide an accurate and unified approach for the interval estimation of the various epidemiological measures in the context of binary outcome data with or without covariates. PMID:27322305

  5. High resolution time interval meter

    DOEpatents

    Martin, A.D.

    1986-05-09

    Method and apparatus are provided for measuring the time interval between two events to a higher resolution than reliability available from conventional circuits and component. An internal clock pulse is provided at a frequency compatible with conventional component operating frequencies for reliable operation. Lumped constant delay circuits are provided for generating outputs at delay intervals corresponding to the desired high resolution. An initiation START pulse is input to generate first high resolution data. A termination STOP pulse is input to generate second high resolution data. Internal counters count at the low frequency internal clock pulse rate between the START and STOP pulses. The first and second high resolution data are logically combined to directly provide high resolution data to one counter and correct the count in the low resolution counter to obtain a high resolution time interval measurement.

  6. Recurrence plots and recurrence quantification analysis of human motion data

    NASA Astrophysics Data System (ADS)

    Josiński, Henryk; Michalczuk, Agnieszka; Świtoński, Adam; Szczesna, Agnieszka; Wojciechowski, Konrad

    2016-06-01

    The authors present exemplary application of recurrence plots, cross recurrence plots and recurrence quantification analysis for the purpose of exploration of experimental time series describing selected aspects of human motion. Time series were extracted from treadmill gait sequences which were recorded in the Human Motion Laboratory (HML) of the Polish-Japanese Academy of Information Technology in Bytom, Poland by means of the Vicon system. Analysis was focused on the time series representing movements of hip, knee, ankle and wrist joints in the sagittal plane.

  7. Updating representations of temporal intervals.

    PubMed

    Danckert, James; Anderson, Britt

    2015-12-01

    Effectively engaging with the world depends on accurate representations of the regularities that make up that world-what we call mental models. The success of any mental model depends on the ability to adapt to changes-to 'update' the model. In prior work, we have shown that damage to the right hemisphere of the brain impairs the ability to update mental models across a range of tasks. Given the disparate nature of the tasks we have employed in this prior work (i.e. statistical learning, language acquisition, position priming, perceptual ambiguity, strategic game play), we propose that a cognitive module important for updating mental representations should be generic, in the sense that it is invoked across multiple cognitive and perceptual domains. To date, the majority of our tasks have been visual in nature. Given the ubiquity and import of temporal information in sensory experience, we examined the ability to build and update mental models of time. We had healthy individuals complete a temporal prediction task in which intervals were initially drawn from one temporal range before an unannounced switch to a different range of intervals. Separate groups had the second range of intervals switch to one that contained either longer or shorter intervals than the first range. Both groups showed significant positive correlations between perceptual and prediction accuracy. While each group updated mental models of temporal intervals, those exposed to shorter intervals did so more efficiently. Our results support the notion of generic capacity to update regularities in the environment-in this instance based on temporal information. The task developed here is well suited to investigations in neurological patients and in neuroimaging settings. PMID:26303026

  8. Chromatin changes predict recurrence after radical prostatectomy

    PubMed Central

    Hveem, Tarjei S; Kleppe, Andreas; Vlatkovic, Ljiljana; Ersvær, Elin; Wæhre, Håkon; Nielsen, Birgitte; Kjær, Marte Avranden; Pradhan, Manohar; Syvertsen, Rolf Anders; Nesheim, John Arne; Liestøl, Knut; Albregtsen, Fritz; Danielsen, Håvard E

    2016-01-01

    Background: Pathological evaluations give the best prognostic markers for prostate cancer patients after radical prostatectomy, but the observer variance is substantial. These risk assessments should be supported and supplemented by objective methods for identifying patients at increased risk of recurrence. Markers of epigenetic aberrations have shown promising results in several cancer types and can be assessed by automatic analysis of chromatin organisation in tumour cell nuclei. Methods: A consecutive series of 317 prostate cancer patients treated with radical prostatectomy at a national hospital between 1987 and 2005 were followed for a median of 10 years (interquartile range, 7–14). On average three tumour block samples from each patient were included to account for tumour heterogeneity. We developed a novel marker, termed Nucleotyping, based on automatic assessment of disordered chromatin organisation, and validated its ability to predict recurrence after radical prostatectomy. Results: Nucleotyping predicted recurrence with a hazard ratio (HR) of 3.3 (95% confidence interval (CI), 2.1–5.1). With adjustment for clinical and pathological characteristics, the HR was 2.5 (95% CI, 1.5–4.1). An updated stratification into three risk groups significantly improved the concordance with patient outcome compared with a state-of-the-art risk-stratification tool (P<0.001). The prognostic impact was most evident for the patients who were high-risk by clinical and pathological characteristics and for patients with Gleason score 7. Conclusion: A novel assessment of epigenetic aberrations was capable of improving risk stratification after radical prostatectomy. PMID:27124335

  9. Intraoperative radiation therapy in recurrent ovarian cancer

    SciTech Connect

    Yap, O.W. Stephanie . E-mail: stbeast@stanford.edu; Kapp, Daniel S.; Teng, Nelson N.H.; Husain, Amreen

    2005-11-15

    Purpose: To evaluate disease outcomes and complications in patients with recurrent ovarian cancer treated with cytoreductive surgery and intraoperative radiation therapy (IORT). Methods and Materials: A retrospective study of 24 consecutive patients with ovarian carcinoma who underwent secondary cytoreduction and intraoperative radiation therapy at our institution between 1994 and 2002 was conducted. After optimal cytoreductive surgery, IORT was delivered with orthovoltage X-rays (200 kVp) using individually sized and beveled cone applications. Outcomes measures were local control of disease, progression-free interval, overall survival, and treatment-related complications. Results: Of these 24 patients, 22 were available for follow-up analysis. Additional treatment at the time of and after IORT included whole abdominopelvic radiation, 9; pelvic or locoregional radiation, 5; chemotherapy, 6; and no adjuvant treatment, 2. IORT doses ranged from 9-14 Gy (median, 12 Gy). The anatomic sites treated were pelvis (sidewalls, vaginal cuff, presacral area, anterior pubis), para-aortic and paracaval lymph node beds, inguinal region, or porta hepatitis. At a median follow-up of 24 months, 5 patients remain free of disease, whereas 17 patients have recurred, of whom 4 are alive with disease and 13 died from disease. Five patients recurred within the radiation fields for a locoregional relapse rate of 32% and 12 patients recurred at distant sites with a median time to recurrence of 13.7 months. Five-year overall survival was 22% with a median survival of 26 months from time of IORT. Nine patients (41%) experienced Grade 3 toxicities from their treatments. Conclusion: In carefully selected patients with locally recurrent ovarian cancer, combined IORT and tumor reductive surgery is reasonably tolerated and may contribute to achieving local control and disease palliation.

  10. Intrinsic adaptation in autonomous recurrent neural networks.

    PubMed

    Marković, Dimitrije; Gros, Claudius

    2012-02-01

    A massively recurrent neural network responds on one side to input stimuli and is autonomously active, on the other side, in the absence of sensory inputs. Stimuli and information processing depend crucially on the quality of the autonomous-state dynamics of the ongoing neural activity. This default neural activity may be dynamically structured in time and space, showing regular, synchronized, bursting, or chaotic activity patterns. We study the influence of nonsynaptic plasticity on the default dynamical state of recurrent neural networks. The nonsynaptic adaption considered acts on intrinsic neural parameters, such as the threshold and the gain, and is driven by the optimization of the information entropy. We observe, in the presence of the intrinsic adaptation processes, three distinct and globally attracting dynamical regimes: a regular synchronized, an overall chaotic, and an intermittent bursting regime. The intermittent bursting regime is characterized by intervals of regular flows, which are quite insensitive to external stimuli, interceded by chaotic bursts that respond sensitively to input signals. We discuss these findings in the context of self-organized information processing and critical brain dynamics. PMID:22091667

  11. Gamma-ray burster recurrence timescales

    NASA Technical Reports Server (NTRS)

    Schaefer, B. E.; Cline, T. L.

    1984-01-01

    Three optical transients have been found which are associated with gamma-ray bursters (GRBs). The deduced recurrence timescale for these optical transients (tau sub opt) will depend on the minimum brightness for which a flash would be detected. A detailed analysis using all available data of tau sub opt as a function of E(gamma)/E(opt) is given. For flashes similar to those found in the Harvard archives, the best estimate of tau sub opt is 0.74 years, with a 99% confidence interval from 0.23 years to 4.7 years. It is currently unclear whether the optical transients from GRBs also give rise to gamma-ray events. One way to test this association is to measure the recurrence timescale of gamma-ray events tau sub gamma. A total of 210 gamma-ray error boxes were examined and it was found that the number of observed overlaps is not significantly different from the number expected from chance coincidence. This observation can be used to place limits on tau sub gamma for an assumed luminosity function. It was found that tau sub gamma is approx. 10 yr if bursts are monoenergetic. However, if GRBs have a power law luminosity function with a wide dynamic range, then the limit is tau sub gamma 0.5 yr. Hence, the gamma-ray data do not require tau sub gamma and tau sub opt to be different.

  12. New geological perspectives on earthquake recurrence models

    SciTech Connect

    Schwartz, D.P.

    1997-02-01

    In most areas of the world the record of historical seismicity is too short or uncertain to accurately characterize the future distribution of earthquakes of different sizes in time and space. Most faults have not ruptured once, let alone repeatedly. Ultimately, the ability to correctly forecast the magnitude, location, and probability of future earthquakes depends on how well one can quantify the past behavior of earthquake sources. Paleoseismological trenching of active faults, historical surface ruptures, liquefaction features, and shaking-induced ground deformation structures provides fundamental information on the past behavior of earthquake sources. These studies quantify (a) the timing of individual past earthquakes and fault slip rates, which lead to estimates of recurrence intervals and the development of recurrence models and (b) the amount of displacement during individual events, which allows estimates of the sizes of past earthquakes on a fault. When timing and slip per event are combined with information on fault zone geometry and structure, models that define individual rupture segments can be developed. Paleoseismicity data, in the form of timing and size of past events, provide a window into the driving mechanism of the earthquake engine--the cycle of stress build-up and release.

  13. Pleuroperitoneal shunt for recurrent malignant pleural effusions.

    PubMed Central

    Tsang, V; Fernando, H C; Goldstraw, P

    1990-01-01

    The therapeutic options available for the management of malignant pleural effusions associated with a restricting malignant cortex remain unsatisfactory. The efficacy of pleuroperitoneal shunts was evaluated in 16 patients with recurrent malignant effusions. There were no operative deaths; one patient died on the third postoperative day as a result of lymphangitis carcinomatosa. The median hospital stay was five (range 3-21) days. Palliation was obtained in all but one of the other 15 patients. There was no appreciable reaccumulation of pleural fluid as judged by radiography. Two patients developed occlusion of the shunt. In one case this was due to blood clots in the pleural catheter and necessitated insertion of a new shunt. The other shunt was removed because of obstructing infected fibrin debris, and a rib resection was performed. There were eight deaths related to the underlying malignancy after a mean interval of 7.3 (range 1.5-23) months. The other six patients are still alive, with a mean survival of 11.0 (range 5-20) months, and have achieved good symptomatic relief. The insertion of a pleuroperitoneal shunt can offer effective palliation for patients with recurrent malignant pleural effusions. Images PMID:1696401

  14. Predictors of Atrial Fibrillation Recurrence in Hyperthyroid and Euthyroid Patients

    PubMed Central

    Gürdoğan, Muhammet; Ari, Hasan; Tenekecioğlu, Erhan; Arı, Selma; Bozat, Tahsin; Koca, Vedat; Melek, Mehmet

    2016-01-01

    Background Atrial fibrillation (AF) is the most common arrhythmia in adults, and is encountered in 10-15% of the patients with hyperthyroidism. Unless euthyroidism is restored, pharmacological or electrical cardioversion is controversial in patients with AF who remain hyperthyroid. Objective The aim of this study was to assess the efficacy of electrical cardioversion and predictors of AF recurrence in hyperthyroid and euthyroid patients. Methods The study included 33 hyperthyroid (21 males) and 48 euthyroid (17 males) patients with persistent AF. The patients were sedated with intravenous midazolam before undergoing electrical cardioversion delivered by synchronized biphasic shocks. Rates of AF recurrence were recorded. Results Mean follow-up was 23.63 ± 3.74 months in the hyperthyroid group and 22.78 ± 3.15 months in the euthyroid group (p = 0.51). AF recurred in 14 (43.8%) and 21 (44.7%) patients in each group, respectively (p = 0.93). Multivariate regression analysis in each group showed that AF duration was the only predictor of AF recurrence, with odds ratios of 1.38 (95% confidence interval [CI] = 1.05 - 1.82, p = 0.02) in the hyperthyroid group and 1.42 (95% CI = 1.05 - 1.91, p= 0.02) in the euthyroid group. Conclusion Rates of long-term AF recurrence were similar in successfully cardioverted hyperthyroid and euthyroid patients. The only predictor of AF recurrence in both groups was AF duration. PMID:26815460

  15. The prevalence of gestational diabetes mellitus recurrence--effect of ethnicity and parity: a metaanalysis.

    PubMed

    Schwartz, Naama; Nachum, Zohar; Green, Manfred S

    2015-09-01

    Reports on the gestational diabetes mellitus (GDM) recurrence rate have been highly variable. Our objectives were to examine the possible causes of GDM recurrence rate variability and to obtain pooled estimates in subgroups. We have carried out a systematic review and metaanalysis based on the Metaanalysis Of Observational Studies in Epidemiology statement. We identified papers published from 1973 to September 2014. We identified papers using Medline (PubMed and Ovid), ClinicalTrials.gov and Google Scholar databases, and published references. We included only English-language, population-based studies that reported specified GDM criteria and GDM recurrence rate. A total of 18 eligible studies with 19,053 participants were identified. We used the Cochrane's Q test of heterogeneity to choose the model for estimating the pooled GDM recurrence rate. Metaregression was also used to explore the possible causes of variability between studies. The pooled GDM recurrence rate was 48% (95% confidence interval, 41-54%). A significant association between ethnicity and GDM recurrence rate was found (P = .02). Non-Hispanic whites had lower recurrence rate compared with other ethnicities (39% and 56%, respectively). Primiparous women had a lower recurrence rate compared with multiparous women (40% and 73%, respectively; P < .0001) No evidence for association between family history of diabetes and GDM recurrence was found. The overall GDM recurrence rate is high. Non-Hispanic whites and primiparous women have substantially lower GDM recurrence rates, which contributes to the variability between studies. Because no association between family history of diabetes and GDM recurrence was found, the large differences between ethnic groups may have also resulted from nongenetic factors. Thus, intervention programs could reduce the GDM recurrence rates. PMID:25757637

  16. Recurrent aphthous stomatitis.

    PubMed

    Cui, Ricky Z; Bruce, Alison J; Rogers, Roy S

    2016-01-01

    Recurrent aphthous stomatitis (RAS) is the most common acute oral ulcerative condition in North America. RAS is divided into a mild, common form, simple aphthosis, and a severe, less common form, complex aphthosis. Aphthosis is a reactive condition. The lesions of RAS can represent the mucosal manifestation of a variety of conditions. These include conditions with oral and genital aphthae such as ulcus vulvae acutum, reactive nonsexually related acute genital ulcers, and Behçet disease. The mouth is the beginning of the gastrointestinal (GI) tract, and the lesions of RAS can be a manifestation of GI diseases such as gluten-sensitive enteropathy, ulcerative colitis, and Crohn disease. Complex aphthosis may also have correctable causes. The clinician should seek these in a careful evaluation. Successful management of both simple and complex aphthosis depends on accurate diagnosis, proper classification, recognition of provocative factors, and the identification of associated diseases. The outlook for patients with both simple and complex aphthosis is positive. PMID:27343962

  17. Postoperative recurrence of cystic hydatidosis

    PubMed Central

    Prousalidis, John; Kosmidis, Christophoros; Anthimidis, Georgios; Kapoutzis, Konstantinos; Karamanlis, Eleutherios; Fachantidis, Epaminondas

    2012-01-01

    Background Surgical management is the basic treatment for hydatid disease. Overall, the recurrence rate appears to be high (4.6%–22.0%). The purpose of this study was to report our results in the management of recurrent hydatid disease, evaluating the methods for identifying recurrence, prognostic factors and therapeutic options. Methods We retrospectively reviewed the medical records of patients who underwent surgery for cystic hydatidosis between 1970 and 2003. Results Of the 584 patients who underwent surgery during our study period, follow-up was complete for 484 (82.8%). Cysts recurred in 51 patients (8.7%). Abdominal ultrasonography and computed tomography appeared to be efficient for diagnosing recurrence. The 2 most important determinants for recurrence were minute spillage of the hydatid cyst and inadequate treatment owing to missing cysts or incomplete pericystectomy. All but 2 recurrences required surgery. There were 14 postoperative complications for a rate of 27.0%. Thirteen re-recurrences were observed in the follow-up of these patients and also required surgery. Conclusion Avoidance of minute spillage of cyst contents and cautious removal of the parasite with as much of the pericyst as possible are fundamental objectives of primary hydatid surgery. Conservative surgery (removal of the cyst contents plus partial pericystectomy with drainage when necessary) plus chemotherapy and local sterilization is suggested for both primary and secondary operations and appears to achieve satisfactory long-term results. Radical surgery (resection, cystopericystectomy) is preferred only in select patients. PMID:21939605

  18. Predictors of recurrence following an initial episode of transverse myelitis

    PubMed Central

    Kimbrough, Dorlan J.; Mealy, Maureen A.; Simpson, Alexandra

    2014-01-01

    Objective: This study sought to identify factors that increased the risk of recurrence after an initial transverse myelitis (TM) presentation. Methods: Retrospective cohort study of 192 patients initially presenting with TM of unknown etiology. Patients diagnosed with multiple sclerosis during the first myelitis episode were excluded. Demographic and laboratory data were analyzed for associations with recurrence. Results: One hundred ten of 192 patients (57%) eventually developed recurrent symptoms: 69 (63%) neuromyelitis optica (NMO) or NMO spectrum disorder, 34 (31%) non-NMO recurrent TM, and 7 (6%) systemic autoimmune disease. Multiple independent risk factors for recurrence were identified: African American race (risk ratio 1.60, p < 0.001, 95% confidence interval 1.26–2.03; similarly noted hereafter), female sex (1.88, p = 0.007, 1.19–2.98), longitudinally extensive myelitis at onset (1.34, p = 0.036, 1.01–1.78), Sjogren syndrome antigen A (1.89, p = 0.003, 1.44–2.48), vitamin D insufficiency (4.00, p < 0.001, 1.60–10.0), antinuclear antibody titer ≥1:160 (1.69, p = 0.006, 1.23–2.32), and the presence of inflammatory markers (e.g., immunoglobulin G index) in the CSF (2.14, p < 0.001, 1.44–3.17). Conclusions: Sex, race, and serologic biomarkers warrant consideration when assessing risk of TM recurrence. Male sex and Caucasian American race were independently associated with risk of monophasic idiopathic TM. Recurrence risk in female and African American patients appears driven by a greater likelihood of developing NMO or NMO spectrum disorder. PMID:25340060

  19. Breast cancer recurrence in relation to antidepressant use

    PubMed Central

    Chubak, Jessica; Bowles, Erin J.A.; Yu, Onchee; Buist, Diana S.M.; Fujii, Monica; Boudreau, Denise M.

    2016-01-01

    Purpose Women with breast cancer frequently use antidepressants; however, questions about the effect of these medications on breast cancer recurrence remain. Methods We identified 4216 women ≥18 years with an incident stage I or II breast cancer diagnosed between 1990–2008 in a mixed model healthcare delivery system linked to a cancer registry. Recurrences were ascertained from chart review. Medication exposures were extracted from electronic pharmacy records. We used multivariable Cox proportional hazards models to estimate hazard ratios (HR) and 95% confidence intervals (CI) to assess the association between antidepressant use and breast cancer recurrence and mortality. We also conducted analyses restricted to tamoxifen users. Results Antidepressants overall, tricyclic antidepressants, and selective serotonin reuptake inhibitors were not associated with risk of breast cancer recurrence or mortality. Women taking paroxetine only (adjusted HR: 1.66; 95% CI: 1.02, 2.71) and trazadone only (adjusted HR: 1.76; 95% CI: 1.06, 2.92), but not fluoxetine only (adjusted HR: 0.92; 95% CI: 0.55, 1.53), had higher recurrence risks than antidepressant non-users. There was some suggestion of an increased recurrence risk with concurrent paroxetine and tamoxifen use compared to users of tamoxifen only (adjusted HR: 1.49; 95% CI: 0.79, 2.83). Conclusions In general, antidepressants did not appear increase risk of breast cancer recurrence; though there were some suggested increases in risk that warrant further investigation in other datasets. Our results combined systematically and quantitatively with results from other studies may be useful for patients and providers making decisions about antidepressant use after breast cancer diagnosis. PMID:26518198

  20. Recurrent urethral hairball and stone in a hypospadiac: management and prevention.

    PubMed

    Singh, I; Hemal, A K

    2001-08-01

    A 32-year-old perineal hypospadiac man presented with recurrent urethral hair growth, stone, and stricture with a history of multiple urethroplasties. He was treated by urethrolithotomy, internal urethrotomy, laser epilation of the hair-bearing urethral graft, closure of the fistula, and chemical depilation of the neourethral hair. A dilute solution of thioglycolate was prophylactically instilled into the neourethra at intervals of 3 months to ensure complete tricholysis and to prevent recurrent hair growth in the future. PMID:11552792

  1. Uniform Continuity on Unbounded Intervals

    ERIC Educational Resources Information Center

    Pouso, Rodrigo Lopez

    2008-01-01

    We present a teaching approach to uniform continuity on unbounded intervals which, hopefully, may help to meet the following pedagogical objectives: (i) To provide students with efficient and simple criteria to decide whether a continuous function is also uniformly continuous; and (ii) To provide students with skill to recognize graphically…

  2. Recurrent dreams: Recurring threat simulations?

    PubMed

    Valli, K; Revonsuo, A

    2006-06-01

    Zadra, Desjardins, and Marcotte (2006) have made a valuable contribution to the empirical testing of the Threat Simulation Theory (TST) (Revonsuo, 2000a) in recurrent dreams. For the most part, their results are in accordance with the theory, while some findings seem to conflict with the predictions of TST. In our commentary, we consider some alternative ways to interpret the results, and we conclude that many prominent features of most recurrent dreams seem to be manifestations of a threat simulation function, leading to repeated rehearsal of threat perception and avoidance, but a minority of recurrent dreams seem to have origins unrelated to threat simulation. PMID:16019227

  3. Earthquake recurrence on the southern San Andreas modulated by fault-normal stress

    NASA Technical Reports Server (NTRS)

    Palmer, Randy; Weldon, Ray; Humphreys, Eugene; Saucier, Francois

    1995-01-01

    Earthquake recurrence data from the Pallett Creek and Wrightwood paleoseismic sites on the San Andreas fault appear to show temporal variations in repeat interval. We investigate the interaction between strike-slip faults and auxiliary reverse and normal faults as a physical mechanism capable of producing such variations. Under the assumption that fault strength is a function of fault-normal stress (e.g. Byerlee's Law), failure of an auxiliary fault modifies the strength of the strike-slip fault, thereby modulating the recurrence interval for earthquakes. In our finite element model, auxiliary faults are driven by stress accumulation near restraining and releasing bends of a strike-slip fault. Earthquakes occur when fault strength is exceeded and are incorporated as a stress drop which is dependent on fault-normal stress. The model is driven by a velocity boundary condition over many earthquake cycles. Resulting synthetic strike-slip earthquake recurrence data display temporal variations similar to observed paleoseismic data within time windows surrounding auxiliary fault failures. Our simple model supports the idea that interaction between a strike-slip fault and auxiliary reverse or normal faults can modulate the recurrence interval of events on the strike-slip fault, possibly producing short term variations in earthquake recurrence interval.

  4. Recurrent Wheezing in Infants

    PubMed Central

    Belhassen, Manon; De Blic, Jacques; Laforest, Laurent; Laigle, Valérie; Chanut-Vogel, Céline; Lamezec, Liliane; Brouard, Jacques; Fauroux, Brigitte; de Pouvourville, Gérard; Ginoux, Marine; Van Ganse, Eric

    2016-01-01

    Abstract Recurrent wheezing (RW) has a significant impact on infants, caregivers, and society, but morbidity and related medical resource utilization (MRU) have not been thoroughly explored. The burden of RW needs to be documented with population-based data. The objective was to assess the characteristics, medical management, and MRU of RW infants identified from national claims data. Infants aged from 6 to 24 months, receiving ≥2 dispensations of respiratory drugs within 3 months, and presenting a marker of poor control (index date), were selected. During the 6 months after index date, MRU was described in the cohort and among 3 subgroups with more severe RW, defined as ≥4 dispensations of respiratory drugs, ≥3 dispensations of oral corticosteroids (OCS), or ≥1 hospitalization for respiratory symptoms. A total of 115,489 infants had RW, corresponding to 8.2% of subjects in this age group. During follow-up, 68.7% of infants received inhaled corticosteroids, but only 1.8 U (unit) were dispensed over 6 months, suggesting discontinuous use. Control was mostly inadequate: 61.7% of subjects received OCS, 80.2% antibiotics, and 71.2% short-acting beta-agonists, and medical/paramedical visits were numerous, particularly for physiotherapy. Severe RW concerned 39.0% of the cohort; 32.8% and 11.7% of infants had repeated use of respiratory drugs and OCS, respectively, and 5.5% were hospitalized for respiratory symptoms. In this real-life nation-wide study, RW was common and infants had poor control and high MRU. Interventions are needed to support adequate use of controller therapy, and to improve medical care. PMID:27082618

  5. Dietary Lignan and Proanthocyanidin Consumption and Colorectal Adenoma Recurrence in the Polyp Prevention Trial

    PubMed Central

    Bobe, Gerd; Murphy, Gwen; Albert, Paul S.; Sansbury, Leah B.; Lanza, Elaine; Schatzkin, Arthur; Cross, Amanda J.

    2011-01-01

    Lignans and proanthocyanidins are plant polyphenols that have shown protective properties against colorectal neoplasms in some human studies. Using logistic regression, we estimated odds ratios (ORs) and 95% confidence intervals (CIs) to prospectively evaluate the association between lignan and proanthocyanidin intake, estimated from databases linked to a food frequency questionnaire, and adenoma recurrence in 1,859 participants of the Polyp Prevention Trial. Overall, individual or total lignans or proanthocyanidins were not associated with colorectal adenoma recurrence. However, in sex-specific analyses, total lignan intake was positively associated with any adenoma recurrence in women (highest versus lowest lignan intake quartile OR = 2.07, 95% CI: 1.22-3.52, P trend = 0.004) but not in men (P interaction = 0.04). To conclude, dietary lignan and proanthocyanidin consumption was not generally related to colorectal adenoma recurrence; however, high lignan intake may increase the risk of adenoma recurrence in women. PMID:21618513

  6. Recurrence Quantification of Fractal Structures

    PubMed Central

    Webber, Charles L.

    2012-01-01

    By definition, fractal structures possess recurrent patterns. At different levels repeating patterns can be visualized at higher magnifications. The purpose of this chapter is threefold. First, general characteristics of dynamical systems are addressed from a theoretical mathematical perspective. Second, qualitative and quantitative recurrence analyses are reviewed in brief, but the reader is directed to other sources for explicit details. Third, example mathematical systems that generate strange attractors are explicitly defined, giving the reader the ability to reproduce the rich dynamics of continuous chaotic flows or discrete chaotic iterations. The challenge is then posited for the reader to study for themselves the recurrent structuring of these different dynamics. With a firm appreciation of the power of recurrence analysis, the reader will be prepared to turn their sights on real-world systems (physiological, psychological, mechanical, etc.). PMID:23060808

  7. Sulodexide for the Prevention of Recurrent Venous Thromboembolism

    PubMed Central

    Bignamini, Angelo A.; Davì, Giovanni; Palareti, Gualtiero; Matuška, Jiří; Holý, Martin; Pawlaczyk-Gabriel, Katarzyna; Džupina, Andrej; Sokurenko, German Y.; Didenko, Yury P.; Andrei, Laurentia D.; Lessiani, Gianfranco; Visonà, Adriana

    2015-01-01

    Background— Patients with a first episode of unprovoked venous thromboembolism have a high risk of recurrence after discontinuation of anticoagulant therapy. Extending anticoagulation reduces the risk of recurrence but is associated with increased bleeding. Sulodexide, a glycosaminoglycan, exerts antithrombotic and profibrinolytic actions with a low bleeding risk when administered orally, but its benefit for preventing recurrent venous thromboembolism is not well known. Methods and Results— In this multicenter, double-blind study, 615 patients with first-ever unprovoked venous thromboembolism who had completed 3 to 12 months of oral anticoagulant treatment were randomly assigned to sulodexide 500 lipasemic units twice daily or placebo for 2 years, in addition to elastic stockings. The primary efficacy outcome was recurrence of venous thromboembolism. Major or clinically relevant bleeding was the primary safety outcome. Venous thromboembolism recurred in 15 of the 307 patients who received sulodexide and in 30 of the 308 patients who received placebo (hazard ratio, 0.49; 95% confidence interval [CI], 0.27–0.92; P=0.02). The analysis in which lost to follow-up was assigned to failure yielded a risk ratio among treated versus control subjects of 0.54 (95% confidence interval, 0.35–0.85; P=0.009). No major bleeding episodes occurred; 2 patients in each treatment group had a clinically relevant bleeding episode. Adverse events were similar in the 2 groups. Conclusion— Sulodexide given after discontinuation of anticoagulant treatment reduced the risk of recurrence in patients with unprovoked venous thromboembolism, with no apparent increase of bleeding risk. Clinical Trial Registration— URL: https://www.clinicaltrialsregister.eu/. Identifier: EudraCT number 2009-016923-77. PMID:26408273

  8. Involved-Field Radiation Therapy for Locoregionally Recurrent Ovarian Cancer

    PubMed Central

    Brown, Aaron P.; Jhingran, Anuja; Klopp, Ann H.; Schmeler, Kathleen M.; Ramirez, Pedro T.; Eifel, Patricia J.

    2015-01-01

    Objective To evaluate the effectiveness of definitive involved-field radiation therapy (IFRT) for selected patients with locoregionally-recurrent ovarian cancer. Methods We retrospectively reviewed records of 102 epithelial ovarian cancer patients treated with definitive IFRT (≥45 Gy). IFRT was directed to localized nodal (49%) and extranodal (51%) recurrences. Results The median time from diagnosis to IFRT was 36 months (range, 1–311), and the median follow-up after IFRT was 37 months (range, 1–123). Patients received a median of three chemotherapy courses before IFRT (range, 0–9). Five-year overall (OS) and progression-free survival (PFS) rates after IFRT were 40% and 24% respectively; the 5-year in-field disease control rate was 71%. Thirty-five patients (35%) had no evidence of disease at a median of 38 months after IFRT (range, 7–122), including 25 continuously without disease for a median of 61 months (range, 17–122) and 10 with salvage treatment following disease recurrence, disease-free for a median of 39 months after salvage treatment (range, 7–92). Eight clear cell carcinoma patients had higher 5-year OS (88% versus 37%; p=0.05) and PFS (75% versus 20%; p=0.01) rates than other patients. Patients sensitive to initial platinum chemotherapy had a higher 5-year OS rate than platinum-resistant patients (43% versus 27%, p=0.03). Patients who required chemotherapy for recurrence after IFRT often benefitted from longer chemotherapy-free intervals after than before IFRT. Conclusions Definitive IFRT can yield excellent local control, protracted disease-free intervals, and even cures in carefully selected patients. RT should be considered a tool in the curative management of locoregionally-recurrent ovarian cancer. PMID:23648467

  9. Treatment of Severe Recurrent Clubfoot.

    PubMed

    Radler, Christof; Mindler, Gabriel T

    2015-12-01

    Understanding the pathoanatomy of severe recurrent clubfoot and its implication on treatment options is important for the successful treatment. A comprehensive clinical evaluation of the different components helps in selecting procedures. Individual needs and social and psychological factors influencing treatment and the impact of treatment on the child have to be considered. With increasing dissemination and improved understanding of the Ponseti method, a further decrease in the frequency of severe recurrent clubfoot can be hoped for and expected. PMID:26589079

  10. Multipoint linkage analysis using sib pairs: A interval mapping approach for dichotomous outcomes

    SciTech Connect

    Olson, J.M.

    1995-03-01

    I propose an interval mapping approach suitable for a dichotomous outcome, with emphasis on samples of affected sib pairs. The method computes a lod score for each of a set of locations in the interval between two flanking markers and takes as its estimate of trait-locus location the maximum lod score in the interval, provided it exceeds the prespecified critical value. Use of the method depends on prior knowledge of the genetic model for the disease only through available estimates of recurrence risk to relatives of affected individuals. The method gives an unbiased estimate of location, provided the recurrence risks are correctly specified and provided the marker identity-by-descent probabilities are jointly, rather than individually, estimated. I also discuss use of the method for traits determined by two loci and give an approximation that has good power for a wide range of two-locus models. 25 refs., 2 figs., 9 tabs.

  11. Paleotsunami Recurrence And Inundation Estimates From Shoreline Reconstructions In The Central Kuril Islands

    NASA Astrophysics Data System (ADS)

    MacInnes, B. T.; Bourgeois, J.; Pinegina, T.

    2015-12-01

    Paleotsunami records from the central Kuril Islands clearly show prolific tsunami activity in the region for the past few millennia. Investigations of stratigraphy at two sites on Matua Island reveal 16-19 deposits in 3,300 years and as many as 34-36 deposits at one site on Simushir Island in 2,350 years. Average tsunami recurrence intervals on Matua are on the order of ~150 years between events, and ~65 years on Simushir. While these intervals are short, they are comparable to other parts of the Japan-Kuril-Kamchatka subduction zone. All survey locations show shortening recurrence intervals toward the present, especially in the last 600 years when tsunami recurrence averages 55-75 years on Matua and 45 years on Simushir. The shorter recurrence intervals may due in part to preservation bias, but shorter rates in the same time interval have not been observed on the rest of the subduction zone. Recent tsunamis in 2006 and 2007 from Mw 8.4 and 8.1 earthquakes with 5-20 m runup and 100-400 m inundation provide a test case to compare paleotsunami inundation. Shoreline reconstructions were calculated using tephra deposition on prograding beach ridge plains. On Simushir, tsunamis at least 11 m higher than the 2006 and 2007 tsunamis occurred every ~300 years. Tsunamis on Matua with slightly farther inundation than 2006 and 2007 occurred every ~215 years while those that inundated at least 100 m farther every ~750 yrs.

  12. Risk of cancer-specific mortality following recurrence after radical nephroureterectomy

    PubMed Central

    Rink, Michael; Sjoberg, Daniel; Comploj, Evi; Margulis, Vitaly; Xylinas, Evanguelos; Lee, Richard K.; Hansen, Jens; Cha, Eugene K.; Raman, Jay D.; Remzi, Mesut; Bensalah, Karim; Novara, Giacomo; Matin, Surena F.; Chun, Felix K.; Kikuchi, Eiji; Kassouf, Wassim; Martinez-Salamanca, Juan I.; Lotan, Yair; Seitz, Christian; Pycha, Armin; Zigeuner, Richard; Karakiewicz, Pierre I.; Scherr, Douglas S.; Vickers, Andrew; Shariat, Shahrokh F.

    2013-01-01

    Purpose To describe the natural history and identify predictors of cancer-specific survival in patients who experience disease recurrence after radical nephroureterectomy (RNU) for upper tract urothelial carcinoma (UTUC). Methods Of 2,494 UTUC patients treated with RNU without neoadjuvant chemotherapy, 597 patients experienced disease recurrence. 148 patients (25%) received adjuvant chemotherapy before disease recurrence. Multivariable Cox regression model addressed time to cancer-specific mortality after disease recurrence. Results The median time from RNU to disease recurrence was 12 months (IQR 5–22). 491 of 597 (82%) patients died from UTUC and 8 patients (1.3%) died from other causes. The median time from disease recurrence to death of UTUC was 10 months. Actuarial cancer-specific survival estimate at 12 months after disease recurrence was 35%. On multivariable analysis that adjusted for the effects of standard clinico-pathologic characteristics, higher tumor stages (HR pT3 vs. pT0-T1: 1.66, p=0.001; HR pT4 vs. pT0-T1: 1.90, p=0.002), absence of lymph node dissection (HR 1.28, p=0.041), ureteral tumor location (HR 1.44, p<0.0005) and a shorter interval from surgery to disease recurrence (p<0.0005) were significantly associated with cancer-specific mortality. The adjusted 6, 12 and 24 months post-recurrence cancer-specific mortality was 73%, 60% and 57%, respectively. Conclusion Approximately 80% of patients who experience disease recurrence after RNU die within two years post-recurrence. Patients with non-organ-confined stage, absence of lymph node dissection, ureteral tumor location and/or shorter time to disease recurrence died of their tumor faster than their counterparts. These factors should be considered in patient counseling and risk-stratification for salvage treatment decision-making. PMID:22805867

  13. Fourier Analysis of Musical Intervals

    NASA Astrophysics Data System (ADS)

    LoPresto, Michael C.

    2008-11-01

    Use of a microphone attached to a computer to capture musical sounds and software to display their waveforms and harmonic spectra has become somewhat commonplace. A recent article in The Physics Teacher aptly demonstrated the use of MacScope2 in just such a manner as a way to teach Fourier analysis.3 A logical continuation of this project is to use MacScope not just to analyze the Fourier composition of musical tones but also musical intervals.

  14. An Event Restriction Interval Theory of Tense

    ERIC Educational Resources Information Center

    Beamer, Brandon Robert

    2012-01-01

    This dissertation presents a novel theory of tense and tense-like constructions. It is named after a key theoretical component of the theory, the event restriction interval. In Event Restriction Interval (ERI) Theory, sentences are semantically evaluated relative to an index which contains two key intervals, the evaluation interval and the event…

  15. Assessment of candidate immunohistochemical prognostic markers of meningioma recurrence.

    PubMed

    Csonka, T; Murnyák, B; Szepesi, R; Bencze, J; Bognár, L; Klekner, A; Hortobágyi, T

    2016-01-01

    Although tumour recurrence is an important and not infrequent event in meningiomas, predictive immunohistochemical markers have not been identified yet. The aim of this study was to address this clinically relevant problem by systematic retrospective analysis of surgically completely resected meningiomas with and without recurrence, including tumour samples from patients who underwent repeat surgeries. Three established immunohistochemical markers of routine pathological meningioma work-up have been assessed: the proliferative marker Ki-67 (clone Mib1), the tumour suppressor gene p53 and progesterone receptor (PR). All these proteins correlate with the tumour WHO grade, however the predictive value regarding recurrence and progression in tumour grade is unknown. One hundred and fourteen surgical specimens of 70 meningioma patients (16 male and 54 female) in a 16 years' interval have been studied. All tumours had apparently complete surgical removal. On Mib1, PR and p53 immunostained sections, the percentage of labelled tumour cells, the staining intensity and the multiplied values of these parameters (the histoscore) was calculated. Results were statistically correlated with tumour WHO grade, (sub)type, recurrence and progression in WHO grade at subsequent biopsies. Our results confirmed previous findings that the WHO grade is directly proportional to Mib1 and p53 and is inversely proportional to the PR immunostain. We have demonstrated that Mib1 and p53 have a significant correlation with and predictive value of relapse/recurrence irrespective of the histological subtype of the same WHO grade. As a quantitative marker, Mib1 has the best correlation with a percentage of labelled cells, whereas p53 with intensity and histoscore. In conclusion, the immunohistochemical panel of PR, p53, Mib1 in parallel with applying standard diagnostic criteria based on H and E stained sections is sufficient and reliable to predict meningioma recurrence in surgically completely

  16. Conditions for Recurrence of a Flow of Physical Events with Unextendable Dead Time Period

    NASA Astrophysics Data System (ADS)

    Nezhel'skaya, L. A.

    2016-04-01

    A flow of physical events (photons, electrons, etc.) is studied. One of the mathematical models of such flows is the modulated MAP flow of events circulating under conditions of unextendable dead time period. The explicit form of the probability density of interarrival interval of the flow is presented together with the explicit form of the joint probability density of two adjacent intervals in the observed flow. The conditions for recurrence of the observable flow of events are presented.

  17. Reconciling short recurrence intervals with minor deformation in the New Madrid seismic zone

    USGS Publications Warehouse

    Schweig, E.S.; Ellis, M.A.

    1994-01-01

    At least three great earthquakes occurred in the New Madrid seismic zone in 1811 and 1812. Estimates of present-day strain rates suggest that such events may have a repeat time of 1000 years or less. Paleoseismological data also indicate that earthquakes large enough to cause soil liquefaction have occurred several times in the past 5000 years. However, pervasive crustal deformation expected from such a high frequency of large earthquakes is not observed. This suggests that the seismic zone is a young feature, possibly as young as several tens of thousands of years old and no more than a few million years old.At least three great earthquakes occurred in the New Madrid seismic zone in 1811 and 1812. Estimates of present-day strain rates suggest that such events may have a repeat time of 1000 years or less. Paleoseismological data also indicate that earthquakes large enough to cause soil liquefaction have occurred several times in the past 5000 years. However, pervasive crustal deformation expected from such a high frequency of large earthquakes is not observed. This suggests that the seismic zone is a young feature, possibly as young as several tens of thousands of years old and no more than a few million years old.

  18. New constraints on slip-rates, recurrence intervals, and strain partitioning beneath Pyramid Lake, Nevada

    SciTech Connect

    Eisses, Amy

    2012-05-05

    A high-resolution CHIRP seismic survey of Pyramid Lake, Nevada, located within the northern Walker Lane Deformation Belt, was conducted in summer 2010. Seismic CHIRP data with submeter vertical accuracy, together with piston and gravity cores, were used to calculate Holocene vertical slip rates, relative earthquake timing, and produce the first complete fault map beneath the lake. More than 500 line-kilometers of CHIRP data imaged complex fault patterns throughout the basin. Fault architecture beneath Pyramid Lake highlights a polarity flip, where down-to-the west patterns of sedimentation near the dextral Pyramid Lake fault to the south give way to down-to-the-east geometries to the north within a mostly normal (i.e., Lake Range fault) and transtensional environment. The Lake Range fault predominantly controls extensional deformation within the northern two-thirds of the basin and exhibits varying degrees of asymmetric tilting and divergence due to along-strike segmentation. This observation is likely a combination of fault segments splaying onshore moving the focus of extension away from the lake coupled with some true along-strike differences in slip-rate. The combination of normal and oblique-slip faults in the northern basin gives Pyramid Lake its distinctive “fanning open to the north” tectonic geometry. The dense network of oblique-slip faults in the northwestern region of the lake, in contrast to the well-defined Lake Range fault, are short and discontinuous in nature, and possible represent a nascent shear zone. Preliminary vertical slip-rates measured across the Lake Range and other faults provide new estimates on the extension across the Pyramid Lake basin. A minimum vertical slip rate of ~1.0 mm/yr is estimated along the Lake Range fault, which yields a potential earthquake magnitude range between M6.4 and M7.0. A rapid influx of sediment was deposited shortly after the end of the Tioga glaciation somewhere between 12.5 ka to 9.5 ka and provides a punctuated short-term record of little to no slip on the Lake Range fault. In contrast, for the past 9,500 years, the basin has experienced a decrease in sedimentation rate, but an escalation in earthquake activity on the Lake Range fault, with the potential of 3 or 4 major earthquakes assuming a characteristic offset of 2.5 m per event. Regionally, our CHIRP investigation helps to reveal how strain is partitioned along the boundary between the eastern edge of the Walker Lane Deformation Belt and the northwest Great Basin proper.

  19. RECURRENT NOVAE IN M31

    SciTech Connect

    Shafter, A. W.; Henze, M.; Rector, T. A.; Schweizer, F.; Hornoch, K.; Orio, M.; Pietsch, W.; Darnley, M. J.; Williams, S. C.; Bode, M. F.; Bryan, J.

    2015-02-01

    The reported positions of 964 suspected nova eruptions in M31 recorded through the end of calendar year 2013 have been compared in order to identify recurrent nova (RN) candidates. To pass the initial screen and qualify as a RN candidate, two or more eruptions were required to be coincident within 0.′1, although this criterion was relaxed to 0.′15 for novae discovered on early photographic patrols. A total of 118 eruptions from 51 potential RN systems satisfied the screening criterion. To determine what fraction of these novae are indeed recurrent, the original plates and published images of the relevant eruptions have been carefully compared. This procedure has resulted in the elimination of 27 of the 51 progenitor candidates (61 eruptions) from further consideration as RNe, with another 8 systems (17 eruptions) deemed unlikely to be recurrent. Of the remaining 16 systems, 12 candidates (32 eruptions) were judged to be RNe, with an additional 4 systems (8 eruptions) being possibly recurrent. It is estimated that ∼4% of the nova eruptions seen in M31 over the past century are associated with RNe. A Monte Carlo analysis shows that the discovery efficiency for RNe may be as low as 10% that for novae in general, suggesting that as many as one in three nova eruptions observed in M31 arise from progenitor systems having recurrence times ≲100 yr. For plausible system parameters, it appears unlikely that RNe can provide a significant channel for the production of Type Ia supernovae.

  20. Shortest recurrence periods of novae

    SciTech Connect

    Kato, Mariko; Saio, Hideyuki; Hachisu, Izumi; Nomoto, Ken'ichi

    2014-10-01

    Stimulated by the recent discovery of the 1 yr recurrence period nova M31N 2008-12a, we examined the shortest recurrence periods of hydrogen shell flashes on mass-accreting white dwarfs (WDs). We discuss the mechanism that yields a finite minimum recurrence period for a given WD mass. Calculating the unstable flashes for various WD masses and mass accretion rates, we identified a shortest recurrence period of about two months for a non-rotating 1.38 M {sub ☉} WD with a mass accretion rate of 3.6 × 10{sup –7} M {sub ☉} yr{sup –1}. A 1 yr recurrence period is realized for very massive (≳ 1.3 M {sub ☉}) WDs with very high accretion rates (≳ 1.5 × 10{sup –7} M {sub ☉} yr{sup –1}). We revised our stability limit of hydrogen shell burning, which will be useful for binary evolution calculations toward Type Ia supernovae.

  1. Recurrent Novae in M31

    NASA Astrophysics Data System (ADS)

    Shafter, A. W.; Henze, M.; Rector, T. A.; Schweizer, F.; Hornoch, K.; Orio, M.; Pietsch, W.; Darnley, M. J.; Williams, S. C.; Bode, M. F.; Bryan, J.

    2015-02-01

    The reported positions of 964 suspected nova eruptions in M31 recorded through the end of calendar year 2013 have been compared in order to identify recurrent nova (RN) candidates. To pass the initial screen and qualify as a RN candidate, two or more eruptions were required to be coincident within 0.‧1, although this criterion was relaxed to 0.‧15 for novae discovered on early photographic patrols. A total of 118 eruptions from 51 potential RN systems satisfied the screening criterion. To determine what fraction of these novae are indeed recurrent, the original plates and published images of the relevant eruptions have been carefully compared. This procedure has resulted in the elimination of 27 of the 51 progenitor candidates (61 eruptions) from further consideration as RNe, with another 8 systems (17 eruptions) deemed unlikely to be recurrent. Of the remaining 16 systems, 12 candidates (32 eruptions) were judged to be RNe, with an additional 4 systems (8 eruptions) being possibly recurrent. It is estimated that ∼4% of the nova eruptions seen in M31 over the past century are associated with RNe. A Monte Carlo analysis shows that the discovery efficiency for RNe may be as low as 10% that for novae in general, suggesting that as many as one in three nova eruptions observed in M31 arise from progenitor systems having recurrence times ≲ 100 yr. For plausible system parameters, it appears unlikely that RNe can provide a significant channel for the production of Type Ia supernovae.

  2. Predictors of Postoperative Seizure Recurrence: A Longitudinal Study of Temporal and Extratemporal Resections

    PubMed Central

    Chen, Hai; Modur, Pradeep N.; Barot, Niravkumar; Van Ness, Paul C.; Agostini, Mark A.; Ding, Kan; Gupta, Puneet; Hays, Ryan; Mickey, Bruce

    2016-01-01

    Objective. We investigated the longitudinal outcome of resective epilepsy surgery to identify the predictors of seizure recurrence. Materials and Methods. We retrospectively analyzed patients who underwent resections for intractable epilepsy over a period of 7 years. Multiple variables were investigated as potential predictors of seizure recurrence. The time to first postoperative seizure was evaluated using survival analysis and univariate analysis at annual intervals. Results. Among 70 patients, 54 (77%) had temporal and 16 (23%) had extratemporal resections. At last follow-up (mean 48 months; range 24–87 months), the outcome was Engel class I in 84% (n = 59) of patients. Seizure recurrence followed two patterns: recurrence was “early” (within 2 years) in 82% of patients, of whom 83% continued to have seizures despite optimum medical therapy; recurrence was “late” (after 2 years) in 18%, of whom 25% continued to have seizures subsequently. Among the variables of interest, only resection site and ictal EEG remained as independent predictors of seizure recurrence over the long term (p < 0.05). Extratemporal resection and discordance between ictal EEG and resection area were associated with 4.2-fold and 5.6-fold higher risk of seizure recurrence, respectively. Conclusions. Extratemporal epilepsy and uncertainty in ictal EEG localization are independent predictors of unfavorable outcome. Seizure recurrence within two years of surgery indicates poor long-term outcome. PMID:27069682

  3. Predictors of Postoperative Seizure Recurrence: A Longitudinal Study of Temporal and Extratemporal Resections.

    PubMed

    Chen, Hai; Modur, Pradeep N; Barot, Niravkumar; Van Ness, Paul C; Agostini, Mark A; Ding, Kan; Gupta, Puneet; Hays, Ryan; Mickey, Bruce

    2016-01-01

    Objective. We investigated the longitudinal outcome of resective epilepsy surgery to identify the predictors of seizure recurrence. Materials and Methods. We retrospectively analyzed patients who underwent resections for intractable epilepsy over a period of 7 years. Multiple variables were investigated as potential predictors of seizure recurrence. The time to first postoperative seizure was evaluated using survival analysis and univariate analysis at annual intervals. Results. Among 70 patients, 54 (77%) had temporal and 16 (23%) had extratemporal resections. At last follow-up (mean 48 months; range 24-87 months), the outcome was Engel class I in 84% (n = 59) of patients. Seizure recurrence followed two patterns: recurrence was "early" (within 2 years) in 82% of patients, of whom 83% continued to have seizures despite optimum medical therapy; recurrence was "late" (after 2 years) in 18%, of whom 25% continued to have seizures subsequently. Among the variables of interest, only resection site and ictal EEG remained as independent predictors of seizure recurrence over the long term (p < 0.05). Extratemporal resection and discordance between ictal EEG and resection area were associated with 4.2-fold and 5.6-fold higher risk of seizure recurrence, respectively. Conclusions. Extratemporal epilepsy and uncertainty in ictal EEG localization are independent predictors of unfavorable outcome. Seizure recurrence within two years of surgery indicates poor long-term outcome. PMID:27069682

  4. Analysis of recurrent event data with incomplete observation gaps.

    PubMed

    Kim, Yang-Jin; Jhun, Myoungshic

    2008-03-30

    In analysis of recurrent event data, recurrent events are not completely experienced when the terminating event occurs before the end of a study. To make valid inference of recurrent events, several methods have been suggested for accommodating the terminating event (Statist. Med. 1997; 16:911-924; Biometrics 2000; 56:554-562). In this paper, our interest is to consider a particular situation, where intermittent dropouts result in observation gaps during which no recurrent events are observed. In this situation, risk status varies over time and the usual definition of risk variable is not applicable. In particular, we consider the case when information on the observation gap is incomplete, that is, the starting time of intermittent dropout is known but the terminating time is not available. This incomplete information is modeled in terms of an interval-censored mechanism. Our proposed method is applied to the study of the Young Traffic Offenders Program on conviction rates, wherein a certain proportion of subjects experienced suspensions with intermittent dropouts during the study. PMID:17611955

  5. Acute recurrent appendicitis with appendicolith.

    PubMed

    Hollerman, J J; Bernstein, M A; Kottamasu, S R; Sirr, S A

    1988-11-01

    Appendiceal disease can be acute, acute recurrent, or chronic. Acute appendicitis is the most common form. Acute recurrent appendicitis is more common than chronic appendicitis. In children the clinical manifestations of appendicitis are variable. Patients who have an appendicolith usually develop appendicitis, often with perforation. A case is presented of 3-year follow-up of a patient with an appendicolith and acute recurrent appendicitis. The literature about appendicoliths is reviewed. In the appropriate clinical setting, a history of prior episodes of similar right lower quadrant pain does not preclude the diagnosis of appendiceal disease. Awareness of the less common forms of appendicitis is important so that appropriate treatment is not delayed. PMID:3052484

  6. Noninvasive Fibrosis Marker Can Predict Recurrence of Hepatocellular Carcinoma after Radiofrequency Ablation

    PubMed Central

    Chung, Hyun Ah; Kim, Jeong-Han; Hwang, Young; Choi, Hong Seok; Ko, Soon Young; Choe, Won Hyeok; Kwon, So Young

    2016-01-01

    Background/Aims: Tumor recurrence after curative therapy is common for patients with hepatocellular carcinoma (HCC). As fibrosis and chronic inflammation contribute to the progression of HCC, we aimed to identify the predictive value of inflammatory and fibrosis markers for HCC recurrence after curative therapy using radiofrequency ablation (RFA). Materials and Methods: We retrospectively reviewed the records of patients with HCC treated with RFA between October 2005 and September 2013. The median duration of follow-up was 40 months (4–95 months). Inflammatory and fibrosis markers and demographic and clinical data were analyzed by Cox proportional hazards model using univariate and multivariate analyses and longitudinal analysis. Results: A total of 98 patients were included for analysis. There were 54 cases of HCC recurrence (55.1%). The aspartate aminotransferase-to-platelet ratio index (APRI; 2.3 ± 1.8 vs. 1.3 ± 1.4, P = 0.018) was significantly higher in the recurrence group than in the recurrence-free group. In multivariate analysis, APRI (hazard ratio, 2.64; confidence interval, 1.488–4.714; P = 0.001) was an independent risk factor for tumor recurrence. In particular, patients with APRI >1.38 showed a higher recurrence rate than patients with APRI ≤1.38 (P < 0.001). Longitudinal analysis showed persistently higher APRI values when assessed 12 months after RFA in patients who developed recurrence during follow-up than those who remained recurrence-free. Conclusions: These findings show that a high APRI value is associated with HCC recurrence after RFA. Therefore, APRI could play an important role in predicting HCC recurrence after RFA. PMID:26831608

  7. IGFBP-3 Gene Methylation in Primary Tumor Predicts Recurrence of Stage II Colorectal Cancers

    PubMed Central

    Fu, Tao; Pappou, Emmanouil P.; Guzzetta, Angela A.; de Freitas Calmon, Marilia; Sun, Lifeng; Herrera, Alexander; Li, Fan; Wolfgang, Christopher L.; Baylin, Stephen B.; Iacobuzio-Donahue, Christine A.; Tong, Weidong; Ahuja, Nita

    2015-01-01

    Objectives To evaluate the influence of IGFBP-3 methylation on recurrence in patients with stage II colorectal cancer (CRC) from 2 independent cohorts. Background The relationship between IGFBP-3 methylation in primary tumors (PTs) or lymph nodes (LNs) and risk of recurrence in patients with stage II CRC treated with surgery alone is unknown. Methods IGFBP-3 methylation of DNA from 115 PTs and 1641 LNs in patients with stage II CRC from 2 independent cohorts was analyzed. Forty patients developed recurrence, whereas 75 matched patients remained recurrence free for more than 2 years after surgery. Cox proportional hazard models were used to calculate hazard ratios (HRs) of recurrence, adjusted for patient and tumor characteristics. Results Methylation of IGFBP-3 in PTs was identified to be significantly associated with risk of recurrence in the training set. The signature was tested in a validation set and classified 40.7% of patients as high risk. Five-year recurrence-free survival rates were 76.4% and 58.3% for low- and high-risk patients, respectively, with an HR of 2.21 (95% confidence interval, 1.04–4.68; P = 0.039). In multivariate analysis, the signature remained the most significant prognostic factor, with an HR of 2.40 (95% confidence interval, 1.10–5.25; P = 0.029). A combined analysis of 1641 LNs from the 2 sets identified IGFBP-3 methylation in LNs was not associated with risk of recurrence. Conclusions Detection of IGFBP-3 methylation in PTs, but not in LNs, provides a powerful tool for the identification of patients with stage II CRC at high risk of recurrence. PMID:25822686

  8. High resolution time interval counter

    DOEpatents

    Condreva, Kenneth J.

    1994-01-01

    A high resolution counter circuit measures the time interval between the occurrence of an initial and a subsequent electrical pulse to two nanoseconds resolution using an eight megahertz clock. The circuit includes a main counter for receiving electrical pulses and generating a binary word--a measure of the number of eight megahertz clock pulses occurring between the signals. A pair of first and second pulse stretchers receive the signal and generate a pair of output signals whose widths are approximately sixty-four times the time between the receipt of the signals by the respective pulse stretchers and the receipt by the respective pulse stretchers of a second subsequent clock pulse. Output signals are thereafter supplied to a pair of start and stop counters operable to generate a pair of binary output words representative of the measure of the width of the pulses to a resolution of two nanoseconds. Errors associated with the pulse stretchers are corrected by providing calibration data to both stretcher circuits, and recording start and stop counter values. Stretched initial and subsequent signals are combined with autocalibration data and supplied to an arithmetic logic unit to determine the time interval in nanoseconds between the pair of electrical pulses being measured.

  9. High resolution time interval counter

    DOEpatents

    Condreva, K.J.

    1994-07-26

    A high resolution counter circuit measures the time interval between the occurrence of an initial and a subsequent electrical pulse to two nanoseconds resolution using an eight megahertz clock. The circuit includes a main counter for receiving electrical pulses and generating a binary word--a measure of the number of eight megahertz clock pulses occurring between the signals. A pair of first and second pulse stretchers receive the signal and generate a pair of output signals whose widths are approximately sixty-four times the time between the receipt of the signals by the respective pulse stretchers and the receipt by the respective pulse stretchers of a second subsequent clock pulse. Output signals are thereafter supplied to a pair of start and stop counters operable to generate a pair of binary output words representative of the measure of the width of the pulses to a resolution of two nanoseconds. Errors associated with the pulse stretchers are corrected by providing calibration data to both stretcher circuits, and recording start and stop counter values. Stretched initial and subsequent signals are combined with autocalibration data and supplied to an arithmetic logic unit to determine the time interval in nanoseconds between the pair of electrical pulses being measured. 3 figs.

  10. Oncolytic HSV-1716 in Treating Younger Patients With Refractory or Recurrent High Grade Glioma That Can Be Removed By Surgery

    ClinicalTrials.gov

    2016-05-26

    Recurrent Childhood Anaplastic Astrocytoma; Recurrent Childhood Anaplastic Oligoastrocytoma; Recurrent Childhood Anaplastic Oligodendroglioma; Recurrent Childhood Giant Cell Glioblastoma; Recurrent Childhood Glioblastoma; Recurrent Childhood Gliomatosis Cerebri; Recurrent Childhood Gliosarcoma

  11. Monte Carlo method for determining earthquake recurrence parameters from short paleoseismic catalogs: Example calculations for California

    USGS Publications Warehouse

    Parsons, T.

    2008-01-01

    Paleoearthquake observations often lack enough events at a given site to directly define a probability density function (PDF) for earthquake recurrence. Sites with fewer than 10-15 intervals do not provide enough information to reliably determine the shape of the PDF using standard maximum-likelihood techniques (e.g., Ellsworth et al., 1999). In this paper I present a method that attempts to fit wide ranges of distribution parameters to short paleoseismic series. From repeated Monte Carlo draws, it becomes possible to quantitatively estimate most likely recurrence PDF parameters, and a ranked distribution of parameters is returned that can be used to assess uncertainties in hazard calculations. In tests on short synthetic earthquake series, the method gives results that cluster around the mean of the input distribution, whereas maximum likelihood methods return the sample means (e.g., NIST/SEMATECH, 2006). For short series (fewer than 10 intervals), sample means tend to reflect the median of an asymmetric recurrence distribution, possibly leading to an overestimate of the hazard should they be used in probability calculations. Therefore a Monte Carlo approach may be useful for assessing recurrence from limited paleoearthquake records. Further, the degree of functional dependence among parameters like mean recurrence interval and coefficient of variation can be established. The method is described for use with time-independent and time-dependent PDFs, and results from 19 paleoseismic sequences on strike-slip faults throughout the state of California are given.

  12. Monte Carlo Method for Determining Earthquake Recurrence Parameters from Short Paleoseismic Catalogs: Example Calculations for California

    USGS Publications Warehouse

    Parsons, Tom

    2008-01-01

    Paleoearthquake observations often lack enough events at a given site to directly define a probability density function (PDF) for earthquake recurrence. Sites with fewer than 10-15 intervals do not provide enough information to reliably determine the shape of the PDF using standard maximum-likelihood techniques [e.g., Ellsworth et al., 1999]. In this paper I present a method that attempts to fit wide ranges of distribution parameters to short paleoseismic series. From repeated Monte Carlo draws, it becomes possible to quantitatively estimate most likely recurrence PDF parameters, and a ranked distribution of parameters is returned that can be used to assess uncertainties in hazard calculations. In tests on short synthetic earthquake series, the method gives results that cluster around the mean of the input distribution, whereas maximum likelihood methods return the sample means [e.g., NIST/SEMATECH, 2006]. For short series (fewer than 10 intervals), sample means tend to reflect the median of an asymmetric recurrence distribution, possibly leading to an overestimate of the hazard should they be used in probability calculations. Therefore a Monte Carlo approach may be useful for assessing recurrence from limited paleoearthquake records. Further, the degree of functional dependence among parameters like mean recurrence interval and coefficient of variation can be established. The method is described for use with time-independent and time-dependent PDF?s, and results from 19 paleoseismic sequences on strike-slip faults throughout the state of California are given.

  13. Monte Carlo method for determining earthquake recurrence parameters from short paleoseismic catalogs: Example calculations for California

    NASA Astrophysics Data System (ADS)

    Parsons, Tom

    2008-03-01

    Paleoearthquake observations often lack enough events at a given site to directly define a probability density function (PDF) for earthquake recurrence. Sites with fewer than 10-15 intervals do not provide enough information to reliably determine the shape of the PDF using standard maximum-likelihood techniques (e.g., Ellsworth et al., 1999). In this paper I present a method that attempts to fit wide ranges of distribution parameters to short paleoseismic series. From repeated Monte Carlo draws, it becomes possible to quantitatively estimate most likely recurrence PDF parameters, and a ranked distribution of parameters is returned that can be used to assess uncertainties in hazard calculations. In tests on short synthetic earthquake series, the method gives results that cluster around the mean of the input distribution, whereas maximum likelihood methods return the sample means (e.g., NIST/SEMATECH, 2006). For short series (fewer than 10 intervals), sample means tend to reflect the median of an asymmetric recurrence distribution, possibly leading to an overestimate of the hazard should they be used in probability calculations. Therefore a Monte Carlo approach may be useful for assessing recurrence from limited paleoearthquake records. Further, the degree of functional dependence among parameters like mean recurrence interval and coefficient of variation can be established. The method is described for use with time-independent and time-dependent PDFs, and results from 19 paleoseismic sequences on strike-slip faults throughout the state of California are given.

  14. Lapatinib in Treating Young Patients With Recurrent or Refractory Central Nervous System Tumors

    ClinicalTrials.gov

    2014-05-07

    Recurrent Childhood Anaplastic Astrocytoma; Recurrent Childhood Brain Stem Glioma; Recurrent Childhood Ependymoma; Recurrent Childhood Giant Cell Glioblastoma; Recurrent Childhood Glioblastoma; Recurrent Childhood Gliosarcoma; Recurrent Childhood Medulloblastoma; Recurrent Childhood Oligodendroglioma

  15. A Brownian model for recurrent earthquakes

    USGS Publications Warehouse

    Matthews, M.V.; Ellsworth, W.L.; Reasenberg, P.A.

    2002-01-01

    We construct a probability model for rupture times on a recurrent earthquake source. Adding Brownian perturbations to steady tectonic loading produces a stochastic load-state process. Rupture is assumed to occur when this process reaches a critical-failure threshold. An earthquake relaxes the load state to a characteristic ground level and begins a new failure cycle. The load-state process is a Brownian relaxation oscillator. Intervals between events have a Brownian passage-time distribution that may serve as a temporal model for time-dependent, long-term seismic forecasting. This distribution has the following noteworthy properties: (1) the probability of immediate rerupture is zero; (2) the hazard rate increases steadily from zero at t = 0 to a finite maximum near the mean recurrence time and then decreases asymptotically to a quasi-stationary level, in which the conditional probability of an event becomes time independent; and (3) the quasi-stationary failure rate is greater than, equal to, or less than the mean failure rate because the coefficient of variation is less than, equal to, or greater than 1/???2 ??? 0.707. In addition, the model provides expressions for the hazard rate and probability of rupture on faults for which only a bound can be placed on the time of the last rupture. The Brownian relaxation oscillator provides a connection between observable event times and a formal state variable that reflects the macromechanics of stress and strain accumulation. Analysis of this process reveals that the quasi-stationary distance to failure has a gamma distribution, and residual life has a related exponential distribution. It also enables calculation of "interaction" effects due to external perturbations to the state, such as stress-transfer effects from earthquakes outside the target source. The influence of interaction effects on recurrence times is transient and strongly dependent on when in the loading cycle step pertubations occur. Transient effects may

  16. Modeling disease progression of camellia twig blight using a recurrent event model.

    Technology Transfer Automated Retrieval System (TEKTRAN)

    To improve control of camellia twig blight (CTB) using sanitation methods, a more complete epidemiologic understanding of this disease is necessary. Three CTB disease stages were modeled using recurrent event analysis. Wound inoculated stems were observed at regular intervals for appearance of dise...

  17. Orders on Intervals Over Partially Ordered Sets: Extending Allen's Algebra and Interval Graph Results

    SciTech Connect

    Zapata, Francisco; Kreinovich, Vladik; Joslyn, Cliff A.; Hogan, Emilie A.

    2013-08-01

    To make a decision, we need to compare the values of quantities. In many practical situations, we know the values with interval uncertainty. In such situations, we need to compare intervals. Allen’s algebra describes all possible relations between intervals on the real line, and ordering relations between such intervals are well studied. In this paper, we extend this description to intervals in an arbitrary partially ordered set (poset). In particular, we explicitly describe ordering relations between intervals that generalize relation between points. As auxiliary results, we provide a logical interpretation of the relation between intervals, and extend the results about interval graphs to intervals over posets.

  18. Pigeons' Choices between Fixed-Interval and Random-Interval Schedules: Utility of Variability?

    ERIC Educational Resources Information Center

    Andrzejewski, Matthew E.; Cardinal, Claudia D.; Field, Douglas P.; Flannery, Barbara A.; Johnson, Michael; Bailey, Kathleen; Hineline, Philip N.

    2005-01-01

    Pigeons' choosing between fixed-interval and random-interval schedules of reinforcement was investigated in three experiments using a discrete-trial procedure. In all three experiments, the random-interval schedule was generated by sampling a probability distribution at an interval (and in multiples of the interval) equal to that of the…

  19. Gadolinium induced recurrent acute pancreatitis.

    PubMed

    Blasco-Perrin, H; Glaser, B; Pienkowski, M; Peron, J M; Payen, J L

    2013-01-01

    Acute pancreatitis is a sudden swelling and inflammation of the pancreas. The two most common causes are alcohol use and biliary stones. Drug-induced acute pancreatitis are rare (1.4-2%). In this present study, we present a case of recurrent acute pancreatitis induced by a specific magnetic-resonance-imaging (MRI) contrast agent called gadobenate dimeglumine. PMID:23395575

  20. Recurrent Processing during Object Recognition

    PubMed Central

    O’Reilly, Randall C.; Wyatte, Dean; Herd, Seth; Mingus, Brian; Jilk, David J.

    2013-01-01

    How does the brain learn to recognize objects visually, and perform this difficult feat robustly in the face of many sources of ambiguity and variability? We present a computational model based on the biology of the relevant visual pathways that learns to reliably recognize 100 different object categories in the face of naturally occurring variability in location, rotation, size, and lighting. The model exhibits robustness to highly ambiguous, partially occluded inputs. Both the unified, biologically plausible learning mechanism and the robustness to occlusion derive from the role that recurrent connectivity and recurrent processing mechanisms play in the model. Furthermore, this interaction of recurrent connectivity and learning predicts that high-level visual representations should be shaped by error signals from nearby, associated brain areas over the course of visual learning. Consistent with this prediction, we show how semantic knowledge about object categories changes the nature of their learned visual representations, as well as how this representational shift supports the mapping between perceptual and conceptual knowledge. Altogether, these findings support the potential importance of ongoing recurrent processing throughout the brain’s visual system and suggest ways in which object recognition can be understood in terms of interactions within and between processes over time. PMID:23554596

  1. Onychomycosis: Strategies to Minimize Recurrence.

    PubMed

    Gupta, Aditya K; Elewski, Boni E; Rosen, Ted; Caldwell, Bryan; Pariser, David M; Kircik, Leon H; Bhatia, Neal; Tosti, Antonella

    2016-03-01

    Recurrence (relapse or re-infection) in onychomycosis is common, occurring in 10% to 53% of patients. However, data on prevalence is limited as few clinical studies follow patients beyond 12 months. It has been suggested that recurrence after continuous terbinafine treatment may be less common than with intermittent or continuous itraconazole therapy, probably due to the fungicidal activity of terbinafine, although these differences tended not to be significant. Relapse rates also increase with time, peaking at month 36. Although a number of factors have been suggested to play a role in recurrence, only the co-existence of diabetes has been shown to have a significant impact. Data with topical therapy is sparse; a small study showed amorolfine prophylaxis may delay recurrence. High concentrations of efinaconazole have been reported in the nail two weeks' post-treatment suggesting twice monthly prophylaxis with topical treatments may be a realistic option, and may be an important consideration in diabetic patients with onychomycosis. Data suggest that prophylaxis may need to be continued for up to three years for optimal effect. Treating tinea pedis and any immediate family members is also critical. Other preventative strategies include avoiding communal areas where infection can spread (such as swimming pools), and decontaminating footwear. PMID:26954312

  2. Clostridium difficile recurrences in Stockholm.

    PubMed

    Sandell, Staffan; Rashid, Mamun-Ur; Jorup-Rönström, Christina; Ellström, Kristina; Nord, Carl Erik; Weintraub, Andrej

    2016-04-01

    Sixty-eight hospital-admitted patients with a first episode of Clostridium difficile infection (CDI) were included and followed up during 1 year. Faeces samples were collected at 1, 2, 6 and 12 months after inclusion and analyzed for the presence of C. difficile toxin B, genes for toxin A, toxin B, binary toxin and TcdC deletion by PCR. All strains were also PCR-ribotyped and the MICs of the isolates were determined against eight antimicrobial agents. In 68 patients initially included, antibiotics, clinical signs and co-morbidities were analyzed and 56 were evaluable for recurrences. The mean number of different antibiotics given during 3 months prior to inclusion was 2.6 (range 0-6). Six patients had not received any antibiotics and three of them had diagnosed inflammatory bowel disease. Thirty-two patients (57%) had either a microbiological or clinical recurrence, 16 of whom had clinical recurrences that were confirmed microbiologically (13, 23%) or unconfirmed by culture (3, 5%). Twenty-nine patients were positive in at least one of the follow-up tests, 16 had the same ribotype in follow-up tests, i.e. relapse, and 13 a different ribotype, i.e., reinfection. Most common ribotypes were 078/126, 020, 023, 026, 014/077, 001 and 005. No strain of ribotype 027 was found. Strains ribotype 078/126 and 023 were positive for binary toxin and were the strains most prone to cause recurrence. All strains were sensitive to vancomycin and metronidazole. Patients with recurrences were significantly older (p = 0.02) and all patients had a high burden of comorbidities, which could explain the high fatality rate, 26 (38%) patients died during the 1-year follow-up. PMID:26802875

  3. Recurrent erosion of the cornea.

    PubMed Central

    Brown, N.; Bron, A.

    1976-01-01

    Altogether, 80 patients aged between 24 and 73 years with recurrent erosion of the cornea have been studied and compared with a control group of 200. The patients' erosions were divisible into macroform and microform types. The macroform occurred in 10%, the microform in 56%, and both types in the same patients in 31%. The macroform was more commonly related to trauma than the microform. However, many (40%) were spontaneous in origin. The most common cause of the initial trauma was a finger nail. The recurrences occurred at around the time of waking, either just before or just after. Difficulty in opening the eye occurred in 10%. There was little evidence of precipitating factors, but eye rubbing was admitted by 10% and barbiturates were implicated in 3%. The corneae were examined in the healed state, when a high incidence (59%) were found to have superficial corneal dystrophies of the fingerprint lines, bleb, and Bietti's lacunar (map-like) types. These are considered individually, particular attention being paid to the distinction between the various types of line resembling the fingerprint line. Epithelial microcysts were also a common finding (59%) and were sometimes of the Cogan type. In only 11% of patients were there no corneal signs in the healed state. The need for careful examination of the cornea by retroillumination, using both the iris and the fundus, is stressed. The control group, in contrast, showed a very low incidence of dystrophies and cysts. Treatment was given initially with either drops or ointment and no differences in healing were found. Debridement was performed in 12 eyes as an initial treatment and also in four eyes which were not healing on medical treatment. Debridement assisted healing, but did not prevent recurrence. One eye was treated with debridement and scarification and seven with carbolization. These procedures appeared to reduce the recurrence rate. Sodium chloride ointment 5% was found useful as a prophylactic taken at bedtime

  4. Phototherapeutic keratectomy for recurrent granular dystrophy in postpenetrating keratoplasty eyes

    PubMed Central

    Rathi, Varsha M; Taneja, Mukesh; Murthy, Somasheila I; Bagga, Bhupesh; Vaddavalli, Pravin Krishna; Sangwan, Virender S

    2016-01-01

    Purpose: The purpose is to assess the clinical and visual outcome after phototherapeutic keratectomy (PTK) procedure in eyes with prior penetrating keratoplasty (PKP) for granular corneal dystrophy (GCD) and the time of performance of repeat PTK for recurrence. Methods: PTK was performed for visually significant recurrence: A reduction in best-corrected visual acuity (BCVA) by >2 lines over BCVA before recurrence was considered as visually significant recurrence. Three eyes had amniotic membrane patch performed with PTK. The main outcome measures were a recurrence of GCD, clinical course, and visual outcome. Intervals between repeat PTK procedures were noted. Results: Six patients (n = 10 eyes; males: 4, mean age 39 ± 13.97 years) underwent PTK. The mean pachymetry before first PTK was 527.1 ± 34 microns. The mean duration between PKP and first PTK was 85.1 months (range: 37–108 months). Two and three PTK procedures were done for seven and five eyes, respectively. Mean duration between first and second and second and third PTK was 62.12 ± 34.41 and 42.8 ± 13.54 months respectively. The average cut depth was 43.66 ± 19.57, 75 ± 43.30 and 39 ± 19.79 microns after the first, second and third PTK procedures, respectively. All eyes had a corneal haze. Prefirst PTK mean BCVA was 20/200 and improved significantly after the first two PTK procedures to 20/40 and after the third PTK procedure to 20/32 (P < 0.001). Five eyes had hyperopia. One acute graft rejection was managed successfully at 5 months with medical therapy. Conclusion: Multiple PTK procedures can be performed safely with improved visual acuity in grafts without compromising graft survival. PMID:27050350

  5. The Effects of Inhaled Steroids on Recurrent Wheeze After Acute Bronchiolitis

    PubMed Central

    Green, Patricia; Aronoff, Stephen C.

    2015-01-01

    Background. Acute bronchiolitis infection during infancy is associated with an increased risk of asthma later in life. The objective of this study was to determine if inhaled steroids are effective in preventing the development of recurrent wheeze or asthma following acute bronchiolitis. Methods. Multiple databases and bibliographies of selected references were searched. Inclusion required (a) a randomized controlled trial of inhaled steroids and control group, (b) at least 2 weeks duration of therapy started during the acute phase of disease, and (c) identification of the rate of recurrent wheeze or asthma at least 6 months after therapy. Results. Of 1410 studies reviewed, 8 reports were included in this meta-analysis (748 patients). The overall odds ratio for developing recurrent wheeze or asthma with treatment versus without treatment was 1.02 (95% confidence interval = 0.58-1.81). Conclusions. A course of inhaled steroids after acute bronchiolitis is not effective in preventing recurrent wheeze or asthma. PMID:27335972

  6. Min and Max Extreme Interval Values

    ERIC Educational Resources Information Center

    Jance, Marsha L.; Thomopoulos, Nick T.

    2011-01-01

    The paper shows how to find the min and max extreme interval values for the exponential and triangular distributions from the min and max uniform extreme interval values. Tables are provided to show the min and max extreme interval values for the uniform, exponential, and triangular distributions for different probabilities and observation sizes.

  7. Familiarity-Frequency Ratings of Melodic Intervals

    ERIC Educational Resources Information Center

    Jeffries, Thomas B.

    1972-01-01

    Objective of this study was to determine subjects' reliability in rating randomly played ascending and descending melodic intervals within the octave on the basis of their familiarity with each type of interval and the frequency of their having experienced each type of interval in music. (Author/CB)

  8. Left Atrial Enlargement and Stroke Recurrence: The Northern Manhattan Stroke Study

    PubMed Central

    Yaghi, Shadi; Moon, Yeseon P.; Mora-McLaughlin, Consuelo; Willey, Joshua Z.; Cheung, Ken; Tullio, Marco R. Di; Homma, Shunichi; Kamel, Hooman; Sacco, Ralph L.; Elkind, Mitchell S. V.

    2015-01-01

    Background and purpose While left atrial enlargement (LAE) increases incident stroke risk, the association with recurrent stroke is less clear. Our aim was to determine the association of LAE with recurrent stroke most likely related to embolism (cryptogenic and cardioembolic), and all ischemic stroke recurrences. Methods We followed 655 first ischemic stroke patients in the Northern Manhattan Stroke Study for up to 5 years. LA size from 2-D echocardiography was categorized as normal (52.7%), mild LAE (31.6%), and moderate-severe LAE (15.7%). We used Cox proportional hazard models to calculate the hazard ratios and 95% confidence intervals (HR, 95%CI) for the association of LA size and LAE with recurrent cryptogenic/cardioembolic and total recurrent ischemic stroke. Results LA size was available in 529 (81%) patients. Mean age at enrollment was 69±13 years; 45.8% were male, 54.0% Hispanic, and 18.5% had atrial fibrillation. Over a median of 4 years there were 65 recurrent ischemic strokes (29 were cardioembolic or cryptogenic). In multivariable models adjusted for confounders including atrial fibrillation and heart failure, moderate-severe LAE compared to normal LA size was associated with greater risk of recurrent cardioembolic/cryptogenic stroke (adjusted HR 2.83, 95% CI 1.03-7.81), but not total ischemic stroke (adjusted HR 1.06, 95% CI, 0.48-2.30). Mild LAE was not associated with recurrent stroke. Conclusion Moderate to severe LAE was an independent marker of recurrent cardioembolic or cryptogenic stroke in a multiethnic cohort of ischemic stroke patients. Further research is needed to determine whether anticoagulant use may reduce risk of recurrence in ischemic stroke patients with moderate to severe LAE. PMID:25908460

  9. Genetics Home Reference: recurrent hydatidiform mole

    MedlinePlus

    ... Rashid Y, Sheridan E, Bonthron DT. Genetic and epigenetic analysis of recurrent hydatidiform mole. Hum Mutat. 2009 ... on PubMed Nguyen NM, Slim R. Genetics and Epigenetics of Recurrent Hydatidiform Moles: Basic Science and Genetic ...

  10. MULTI-INSTRUMENT X-RAY OBSERVATIONS OF THERMONUCLEAR BURSTS WITH SHORT RECURRENCE TIMES

    SciTech Connect

    Keek, L.; Heger, A.; Galloway, D. K.; In't Zand, J. J. M.

    2010-07-20

    Type I X-ray bursts from low-mass X-ray binaries result from a thermonuclear runaway in the material accreted onto the neutron star. Although typical recurrence times are a few hours, consistent with theoretical ignition model predictions, there are also observations of bursts occurring as promptly as 10 minutes or less after the previous event. We present a comprehensive assessment of this phenomenon using a catalog of 3387 bursts observed with the BeppoSAX/WFCs and RXTE/PCA X-ray instruments. This catalog contains 136 bursts with recurrence times of less than 1 hr, that come in multiples of up to four events, from 15 sources. Short recurrence times are not observed from the so-called ultra-compact binaries, indicating that hydrogen-burning processes play a crucial role. As far as the neutron star spin frequency is known, these sources all spin fast at over 500 Hz; the rotationally induced mixing may explain burst recurrence times of the order of 10 minutes. Short recurrence time bursts generally occur at all mass accretion rates where normal bursts are observed, but for individual sources the short recurrence times may be restricted to a smaller interval of accretion rate. The fraction of such bursts is roughly 30%. We also report the shortest known recurrence time of 3.8 minutes.

  11. Risk factors for recurrent Clostridium difficile infection in allogeneic hematopoietic cell transplant recipients.

    PubMed

    Mani, S; Rybicki, L; Jagadeesh, D; Mossad, S B

    2016-05-01

    Clostridium difficile infection (CDI) is one of the leading causes of hospital-acquired infections in recent times. Hematopoietic stem cell transplantation (HSCT) confers increased risk for CDI because of prolonged hospital stay, immunosuppression, the need to use broad-spectrum antibiotics and a complex interplay of preparative regimen and GvHD-induced gut mucosal damage. Our study evaluated risk factors (RF) for recurrent CDI in HSCT recipients given the ubiquity of traditional RF for CDI in this population. Of the 499 allogeneic HSCT recipients transplanted between 2005 and 2012, 61 (12%) developed CDI within 6 months before transplant or 2 years after transplant and were included in the analysis. Recurrent CDI occurred in 20 (33%) patients. One year incidence of CDI recurrence was 31%. Multivariable analyses identified the number of antecedent antibiotics other than those used to treat CDI as the only significant RF for recurrence (hazard ratio 1.96, 95% confidence interval 1.09-3.52, P=0.025). Most recurrences occurred within 6 months of the first CDI, and the recurrence of CDI was associated with a trend for increased risk of mortality. This prompts the need for further investigation into secondary prophylaxis to prevent recurrent CDI. PMID:26726944

  12. RECURRENT CHOROIDAL NEOVASCULARIZATION AFTER MACULAR TRANSLOCATION SURGERY WITH 360-DEGREE PERIPHERAL RETINECTOMY

    PubMed Central

    BAER, CLAXTON A.; RICKMAN, CATHERINE BOWES; SRIVASTAVA, SUNIL; MALEK, GOLDIS; STINNETT, SANDRA; TOTH, CYNTHIA A.

    2012-01-01

    Purpose To evaluate the pattern of age-related macular degeneration in the new foveal location after macular translocation surgery with 360 degree peripheral retinectomy for neovascular age-related macular degeneration. Methods Clinical data, fundus photos, and fluorescein angiograms of patients in the Duke Macular Translocation Study were reviewed with 2-year follow-up data. Results With 56 patients completing follow-up, no patient developed de novo choroidal neovascularization (CNV), geographic atrophy, or drusen in the new subfoveal retinal pigment epithelium bed. By 2 years, 14 patients (25%) developed recurrent CNV and 13 of these 14 recurrences clearly arose from the old CNV bed. Of the 13 recurrences clearly arising from the old bed, 12 of them had recurrent CNV that involved the margin of the bed closest to the repositioned fovea. Smokers were 5.3 times (95% confidence interval: 1.2–24) more likely to develop recurrent CNV over 2 years. Despite treatment, median visual acuity for the 14 eyes with recurrent CNV was 20/200 compared with 20/80 in eyes without recurrence. Conclusions Findings in this study support the hypotheses that the development of CNV occurs via a signaling mechanism from the fovea. PMID:18626416

  13. A prospective investigation of predictive parameters for post-surgical recurrences in sinonasal polyposis.

    PubMed

    Brescia, Giuseppe; Marioni, Gino; Franchella, Sebastiano; Ramacciotti, Giulia; Giacomelli, Luciano; Marino, Filippo; Martini, Alessandro

    2016-03-01

    Even after appropriate surgical therapy, a significant number of patients with chronic rhinosinusitis with nasal polyps (CRSwNP) experience recurrences. The end-point of this prospective study was to apply univariate and multivariate statistical models to identify clinical, pathological, and laboratory variables that could predict CRSwNP recurrence after endoscopic sinus surgery. The study enrolled 143 patients between 2010 and 2013, who were all treated by the same surgeon for CRSwNP. Twenty-one patients developed recurrent polyposis. The recurrence rate was significantly higher for the eosinophilic than for the non-eosinophilic type (p = 0.020). Among the patients who developed a recurrence, the disease-free interval was significantly shorter for those with eosinophilic-type polyposis (p = 0.003). Univariate statistical analysis disclosed significant associations between CRSwNP recurrence and age (p = 0.035), allergy (p = 0.014), and eosinophilic granulomatosis with polyangiitis (p = 0.01). The multivariate model showed that only histological evidence of the eosinophilic type of CRSwNP retained an independent prognostic significance in relation to recurrent polyposis (p = 0.033). Judging from our results, it is reasonable to consider both stricter follow-up protocols and postoperative adjuvant medical treatments for patients with a histological diagnosis of eosinophilic-type CRSwNP. PMID:25763571

  14. 14 CFR 121.427 - Recurrent training.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Recurrent training. 121.427 Section 121.427..., FLAG, AND SUPPLEMENTAL OPERATIONS Training Program § 121.427 Recurrent training. (a) Recurrent training must ensure that each crew member or dispatcher is adequately trained and currently proficient...

  15. 14 CFR 91.1107 - Recurrent training.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Recurrent training. 91.1107 Section 91.1107... Management § 91.1107 Recurrent training. (a) Each program manager must ensure that each crewmember receives recurrent training and is adequately trained and currently proficient for the type aircraft and...

  16. 14 CFR 135.351 - Recurrent training.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Recurrent training. 135.351 Section 135.351... AND ON DEMAND OPERATIONS AND RULES GOVERNING PERSONS ON BOARD SUCH AIRCRAFT Training § 135.351 Recurrent training. (a) Each certificate holder must ensure that each crewmember receives recurrent...

  17. Confidence Intervals in Qtl Mapping by Bootstrapping

    PubMed Central

    Visscher, P. M.; Thompson, R.; Haley, C. S.

    1996-01-01

    The determination of empirical confidence intervals for the location of quantitative trait loci (QTLs) was investigated using simulation. Empirical confidence intervals were calculated using a bootstrap resampling method for a backcross population derived from inbred lines. Sample sizes were either 200 or 500 individuals, and the QTL explained 1, 5, or 10% of the phenotypic variance. The method worked well in that the proportion of empirical confidence intervals that contained the simulated QTL was close to expectation. In general, the confidence intervals were slightly conservatively biased. Correlations between the test statistic and the width of the confidence interval were strongly negative, so that the stronger the evidence for a QTL segregating, the smaller the empirical confidence interval for its location. The size of the average confidence interval depended heavily on the population size and the effect of the QTL. Marker spacing had only a small effect on the average empirical confidence interval. The LOD drop-off method to calculate empirical support intervals gave confidence intervals that generally were too small, in particular if confidence intervals were calculated only for samples above a certain significance threshold. The bootstrap method is easy to implement and is useful in the analysis of experimental data. PMID:8725246

  18. Hydrodynamic simulations of recurrent novae

    NASA Astrophysics Data System (ADS)

    Starrfield, S.; Sparks, W. M.; Truran, J. W.; Sion, E. M.

    1984-12-01

    Simulations of the 1979 outburst of the recurrent nova U Scorpii using a Lagrangian, hydrodynamic computer code which incorporates accretion in the evolution to the outburst are discussed. Three evolutionary sequences were computed in an attempt to understand the very rapid outburst and short recurrence time of this most unusual nova. It is now possible to reproduce the CNO composition of the ejected material, the light curve, the amount of ejected material, and the kinetic energy of the ejecta. The best sequence studied involved accretion of solar rich material onto a 1.38 solar magnatude white dwarf at a rate of 1.6 x 10 to the minus 8 solar magnatude per year.

  19. Recurrent Dislocation of the Patella

    PubMed Central

    Benítez, Gustavo

    2015-01-01

    Purpose: To evaluate results of medial patellofemoral ligament (MPFL) reconstruction associated with lateral release and advancement of vastus medialis in recurrent dislocation of the patella. Methods: We retrospectively evaluated 11 patients with a mean follow-up of 19 months. Mean age was 23, mainly women. We did MPFL reconstruction with semitendinosus or gracilis tendon depending on BMI, associated with advancement of vastus medialis and lateral release. Results: Mean Kujala score improved from 46,54 pts. preoperative to 88,36 postoperative. Our main complication was 1 patient with rigid knee, who required movilization under anesthesia and arthroscopic arthrolisis to improve her outcome. Conclusion: The combination of this techniques are a good alternative to treat patients with recurrent patella disclocation, with good short and mid-term results. Biomechanic intra and postop complications of MPFL reconstruction are related to patellar fixation, anatomic positioning of femoral tunnel and knee position of the graft fixation.

  20. Microbiology relevant to recurrent miscarriage.

    PubMed

    Summers, P R

    1994-09-01

    The best evidence suggests that infection is an occasional cause of sporadic spontaneous abortion, and, consistent with statistical probability, recurrent miscarriage due to infection occurs with a frequency that is much lower. In the medical literature, the limited evidence linking infection and recurrent pregnancy loss in humans remains largely anecdotal and generally cannot be reproduced in prospective studies. This observation reflects the low frequency with which the necessary microbial and maternal factors combine to cause recurrent miscarriage. The patient's susceptibility to chronic infection must play a determining role in some of the reported cases. Susceptibility factors that allow severe chronic infection, such as immunocompromise, are rare in the general infertility population and may remain unrecognized in broad cumulative studies. Probable factors that play a role in the risk of abortion due to infection are the following: 1. Primary exposure during early gestation 2. The capability of the organism to cause placental infection 3. The development of an infectious carrier state 4. Immunocompromise caused by immunosuppressants, chemotherapy, corticosteroids, or acquired immune deficiency syndrome. Exposure to a microbe that can establish chronic infection that can spread to the placenta in an immunocompromised patient is probably the most obvious risk situation for habitual abortion. In routine medical practice, it is not necessary or efficient to screen universally for the unexpected, but it is necessary to be aware of the rare possibilities. Most patients with a history of recurrent miscarriage will not benefit from an extensive infection workup. All patients should first be categorized according to their own personal risk infection, as outlined in Table 2.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:7955656

  1. Is a Short-Interval Postradiation Mammogram Necessary After Conservative Surgery and Radiation in Breast Cancer?

    SciTech Connect

    Lin, Kevin Eradat, Jilbert B.S.; Mehta, Niraj H.; Bent, Chris; Lee, Steve P.; Apple, Sophia K.; Bassett, Lawrence W.

    2008-11-15

    Purpose: To examine, in a retrospective study, whether the initial posttreatment mammogram offers any benefit to patients. Methods and Materials: Patients were selected who had radiation after breast-conservation therapy from 1995 through 2005 and had follow-up mammography at University of California-Los Angeles (UCLA) within 1 year of completing radiotherapy. Results of the initial follow-up mammogram were analyzed to determine the yield of this initial mammogram. Results: Between 1995 and 2005, 408 patients treated with breast-conserving therapy and radiation had follow-up mammograms at UCLA within 1 year of completion of radiation. Median age at radiation completion was 56.9 years. Median interval between radiation and the initial mammogram was 3.1 months. Ten patients were found to have suspicious findings on the initial postradiation mammogram, prompting biopsy, but only 2 were found to have recurrent cancer. None of those lesions were palpable. In both cases the recurrences were ductal carcinoma in situ. Thus, the yield of the initial postoperative mammogram as compared with physical examination findings is estimated at 0.49 recurrences detected per 100 mammograms performed (95% confidence interval 0.059-1.759). Conclusions: The yield of the initial postradiation mammography at UCLA seems to be low, and only noninvasive carcinomas were found. Our data support the rationale to avoid the initial short-interval postradiation mammography and evaluate patients at 12 months.

  2. Remote delayed recurrence of craniopharyngioma after radiotherapy.

    PubMed

    Balasubramaniam, Chidambaram; Mohan, Santosh Rao; Subramaniam, K

    2015-01-01

    The aim was to present a rare case of recurrent craniopharyngioma remote from the primary site of origin. A young girl was operated for sellar region craniopharyngioma. For a small residual tumor, she underwent radiotherapy. Follow-up imaging did not reveal any residual tumor or recurrence. Surveillance magnetic resonance imaging after 5 years revealed a recurrence in the right Sylvian fissure. This tumor was totally excised. Recurrence of craniopharyngioma is well-known, but recurrence at a site remote from the original site after radiotherapy is extremely rare. One such case is being presented. PMID:25878741

  3. Remote delayed recurrence of craniopharyngioma after radiotherapy

    PubMed Central

    Balasubramaniam, Chidambaram; Mohan, Santosh Rao; Subramaniam, K.

    2015-01-01

    The aim was to present a rare case of recurrent craniopharyngioma remote from the primary site of origin. A young girl was operated for sellar region craniopharyngioma. For a small residual tumor, she underwent radiotherapy. Follow-up imaging did not reveal any residual tumor or recurrence. Surveillance magnetic resonance imaging after 5 years revealed a recurrence in the right Sylvian fissure. This tumor was totally excised. Recurrence of craniopharyngioma is well-known, but recurrence at a site remote from the original site after radiotherapy is extremely rare. One such case is being presented. PMID:25878741

  4. Intervals in evolutionary algorithms for global optimization

    SciTech Connect

    Patil, R.B.

    1995-05-01

    Optimization is of central concern to a number of disciplines. Interval Arithmetic methods for global optimization provide us with (guaranteed) verified results. These methods are mainly restricted to the classes of objective functions that are twice differentiable and use a simple strategy of eliminating a splitting larger regions of search space in the global optimization process. An efficient approach that combines the efficient strategy from Interval Global Optimization Methods and robustness of the Evolutionary Algorithms is proposed. In the proposed approach, search begins with randomly created interval vectors with interval widths equal to the whole domain. Before the beginning of the evolutionary process, fitness of these interval parameter vectors is defined by evaluating the objective function at the center of the initial interval vectors. In the subsequent evolutionary process the local optimization process returns an estimate of the bounds of the objective function over the interval vectors. Though these bounds may not be correct at the beginning due to large interval widths and complicated function properties, the process of reducing interval widths over time and a selection approach similar to simulated annealing helps in estimating reasonably correct bounds as the population evolves. The interval parameter vectors at these estimated bounds (local optima) are then subjected to crossover and mutation operators. This evolutionary process continues for predetermined number of generations in the search of the global optimum.

  5. Significance of microvascular density (MVD) in cervical cancer recurrence.

    PubMed

    Cantu De León, D; Lopez-Graniel, C; Frias Mendivil, M; Chanona Vilchis, G; Gomez, C; De La Garza Salazar, J

    2003-01-01

    The purpose of this retrospective study of 118 patients with squamous cell cervical cancer from January 1990 to December 1993 was to evaluate angiogenesis as predictive factor of recurrence in cervical cancer stages II-III treated with standard radiotherapy. Microvessel density (MVD) was evaluated and correlated with other prognostic factors. MVD was greater than 20 in 67.8% of patients with recurrence (P = 0.002) in comparison to 39% of patients without. Disease-free survival was shorter in stage IIA and MVD >20 (P = 0.0193) as well as for stage IIB (P < 0.05 ), but not for IIIB (P = 0.1613 ). Global survival was significantly shorter when MVD was >20 (P = 0.0316). For stage IIA and MVD >20 survival was shorter (P = 0.0008) for stage IIB (P < 0.05) but not for IIIB (P = 0.14). Patients younger than 40 years and MVD >20 had poorer disease-free interval and survival (P = 0.0029). MVD in patients with squamous cell cervical cancer stage II and age younger than 40 may play a role in predicting recurrence and survival. PMID:14675324

  6. Stress Reduction in Improving Quality of Life in Patients With Recurrent Gynecologic or Breast Cancer

    ClinicalTrials.gov

    2015-10-08

    Anxiety Disorder; Depression; Fatigue; Leydig Cell Tumor; Ovarian Sarcoma; Ovarian Stromal Cancer; Pain; Peritoneal Carcinomatosis; Pseudomyxoma Peritonei; Recurrent Breast Cancer; Recurrent Cervical Cancer; Recurrent Endometrial Carcinoma; Recurrent Fallopian Tube Cancer; Recurrent Gestational Trophoblastic Tumor; Recurrent Ovarian Epithelial Cancer; Recurrent Ovarian Germ Cell Tumor; Recurrent Primary Peritoneal Cavity Cancer; Recurrent Uterine Sarcoma; Recurrent Vaginal Cancer; Recurrent Vulvar Cancer

  7. Erlotinib and Temozolomide in Treating Young Patients With Recurrent or Refractory Solid Tumors

    ClinicalTrials.gov

    2013-06-04

    Previously Treated Childhood Rhabdomyosarcoma; Recurrent Childhood Brain Tumor; Recurrent Childhood Cerebellar Astrocytoma; Recurrent Childhood Cerebral Astrocytoma; Recurrent Childhood Ependymoma; Recurrent Childhood Malignant Germ Cell Tumor; Recurrent Childhood Medulloblastoma; Recurrent Childhood Rhabdomyosarcoma; Recurrent Childhood Soft Tissue Sarcoma; Recurrent Childhood Supratentorial Primitive Neuroectodermal Tumor; Recurrent Neuroblastoma; Recurrent Osteosarcoma

  8. Obatoclax and Bortezomib in Treating Patients With Aggressive Relapsed or Recurrent Non-Hodgkin Lymphoma

    ClinicalTrials.gov

    2015-12-03

    Adult Non-Hodgkin Lymphoma; Recurrent Adult Diffuse Large Cell Lymphoma; Recurrent Grade 1 Follicular Lymphoma; Recurrent Grade 2 Follicular Lymphoma; Recurrent Grade 3 Follicular Lymphoma; Recurrent Mantle Cell Lymphoma; Recurrent Marginal Zone Lymphoma; Recurrent Small Lymphocytic Lymphoma

  9. Recurrence Rates of Benign Phyllodes Tumors After Surgical Excision and Ultrasonography-Guided Vacuum-Assisted Excision.

    PubMed

    Kim, Ga Ram; Kim, Eun-Kyung; Yoon, Jung Hyun; Kim, Min Jung; Moon, Hee Jung

    2016-06-01

    The recurrence rates of benign phyllodes tumors diagnosed through surgery and ultrasound-guided vacuum-assisted excision (US-VAE) were evaluated. A total of 146 benign phyllodes tumors diagnosed by surgery (n = 126) or US-VAE (n = 20) in 144 patients who had further follow-up after surgery or US-VAE were included (median follow-up period, 32.3 months; range, 6.7-142.5 months). Comparisons of recurrence rate, interval to recurrence, patient age, initial tumor size, Breast Imaging Reporting and Data System category, or follow-up interval were performed between the surgery and VAE groups and between groups with and without recurrence. Three cases (2.1%, 3/146) had recurrence and all were in the surgery group (2.4%, 3/126). The surgery group demonstrated larger size than the VAE group (median, 25 vs 16 mm; P < 0.001). The median age of women in the surgery group was older than those in the VAE group (39 vs 33 years, P = 0.509). The median age of women with recurrence (n = 3) was older than those without recurrence (n = 143, 49 vs 38 years, P = 0.023). In conclusion, when benign phyllodes tumor is unexpectedly diagnosed at US-VAE, if there is no residual lesion at US, clinical follow-up rather than further surgery might be recommended. PMID:27233071

  10. Re-Irradiation for Recurrent Gliomas: Treatment Outcomes and Prognostic Factors

    PubMed Central

    Lee, Jeongshim; Cho, Jaeho

    2016-01-01

    Purpose The aim of this study was to evaluate the efficacy of re-irradiation in patients with recurrent gliomas and to identify subgroups for whom re-irradiation for recurrent gliomas is most beneficial. Materials and Methods We retrospectively reviewed 36 patients with recurrent or progressive gliomas who received re-irradiation between January 1996 and December 2011. Re-irradiation was offered to recurrent glioma patients with good performance or at least 6 months had passed after initial radiotherapy (RT), with few exceptions. Results Median doses of re-irradiation and initial RT were 45.0 Gy and 59.4 Gy, respectively. The median time interval between initial RT and re-irradiation was 30.5 months. Median overall survival (OS) and the 12-month OS rate were 11 months and 41.7%, respectively. In univariate analysis, Karnofsky performance status (KPS) ≥70 (p<0.001), re-irradiation dose ≥45 Gy (p=0.040), and longer time interval between initial RT and re-irradiation (p=0.040) were associated with improved OS. In multivariate analysis, KPS (p=0.030) and length of time interval between initial RT and re-irradiation (p=0.048) were important predictors of OS. A radiographically suspected mixture of radiation necrosis and progression after re-irradiation was seen in 5 patients. Conclusion Re-irradiation in conjunction with surgery could be a salvage treatment for selected recurrent glioma patients with good performance status and recurrence over a long time. PMID:27189273

  11. A family of Nikishin systems with periodic recurrence coefficients

    SciTech Connect

    Delvaux, Steven; Lopez, Abey; Lopez, Guillermo L

    2013-01-31

    Suppose we have a Nikishin system of p measures with the kth generating measure of the Nikishin system supported on an interval {Delta}{sub k} subset of R with {Delta}{sub k} Intersection {Delta}{sub k+1} = Empty-Set for all k. It is well known that the corresponding staircase sequence of multiple orthogonal polynomials satisfies a (p+2)-term recurrence relation whose recurrence coefficients, under appropriate assumptions on the generating measures, have periodic limits of period p. (The limit values depend only on the positions of the intervals {Delta}{sub k}.) Taking these periodic limit values as the coefficients of a new (p+2)-term recurrence relation, we construct a canonical sequence of monic polynomials {l_brace}P{sub n}{r_brace}{sub n=0}{sup {infinity}}, the so-called Chebyshev-Nikishin polynomials. We show that the polynomials P{sub n} themselves form a sequence of multiple orthogonal polynomials with respect to some Nikishin system of measures, with the kth generating measure being absolutely continuous on {Delta}{sub k}. In this way we generalize a result of the third author and Rocha [22] for the case p=2. The proof uses the connection with block Toeplitz matrices, and with a certain Riemann surface of genus zero. We also obtain strong asymptotics and an exact Widom-type formula for functions of the second kind of the Nikishin system for {l_brace}P{sub n}{r_brace}{sub n=0}{sup {infinity}}. Bibliography: 27 titles.

  12. Interval velocity analysis using wave field continuation

    SciTech Connect

    Zhusheng, Z. )

    1992-01-01

    In this paper, the author proposes a new interval velocity inversion method which, based on wave field continuation theory and fuzzy decision theory, uses CMP seismic gathers to automatically estimate interval velocity and two-way travel time in layered medium. The interval velocity calculated directly from wave field continuation is not well consistent with that derived from VSP data, the former is usually higher than the latter. Three major factors which influence the accuracy of interval velocity from wave field continuation are corrected, so that the two kinds of interval velocity are well consistent. This method brings better interval velocity, adapts weak reflection waves and resists noise well. It is a feasible method.

  13. Curative Resection of Adrenocortical Carcinoma: Rates and Patterns of Postoperative Recurrence

    PubMed Central

    Amini, Neda; Margonis, Georgios Antonios; Kim, Yuhree; Tran, Thuy B.; Postlewait, Lauren M.; Maithel, Shishir K.; Wang, Tracy S.; Evans, Douglas B.; Hatzaras, Ioannis; Shenoy, Rivfka; Phay, John E.; Keplinger, Kara; Fields, Ryan C.; Jin, Linda X.; Weber, Sharon M.; Salem, Ahmed; Sicklick, Jason K.; Gad, Shady; Yopp, Adam C.; Mansour, John C.; Duh, Quan-Yang; Seiser, Natalie; Solorzano, Carmen C.; Kiernan, Colleen M.; Votanopoulos, Konstantinos I.; Levine, Edward A.; Poultsides, George A.; Pawlik, Timothy M.

    2016-01-01

    Background Adrenocortical carcinoma (ACC) is a rare malignancy. The aim of this study was to determine the incidence and patterns of recurrence after curative-intent surgery for ACC. Methods Patients who underwent curative-intent resection for ACC between 1993 and 2014 were identified from 13 academic institutions participating in the United States ACC study group. Patients with metastasis or an R2 margin were excluded. Patterns and rates of recurrence were determined and classified as locoregional and distant recurrence. Results A total of 180 patients with a median age of 52 years (interquartile range 43–61) were identified. Most patients underwent open surgery (n = 111, 64.5 %) and had an R0 resection margin (n = 117, 75.0 %). At last followup, 116 patients (64.4 %) had experienced recurrence (locoregional only, n = 41, 36.3 %; distant only, n = 51, 45.1 %; locoregional and distant, n = 21, 18.6 %). Median time to recurrence was 18.8 months. Several factors were associated with locoregional recurrence, including left-sided ACC location (odds ratio [OR] 2.71, 95 % confidence interval [CI] 1.06–6.89) and T3/T4 disease (reference T1/T2, OR 3.04, 95 % CI 1.19–7.80) (both p < 0.05). Distant recurrence was associated with larger tumor size (OR 1.11, 95 % CI 1.01–1.24) and T3/T4 disease (reference T1/T2, OR 5.23, 95 % CI 1.70–16.10) (both p < 0.05). Patients with combined locoregional and distant recurrence had worse survival (3- and 5-year survival: 39.5, 19.7 %) versus patients with distant-only (3- and 5-year survival 55.1, 43.3 %) or locoregional-only recurrence (3- and 5-year survival 81.4, 64.1 %) (p = 0.01). Conclusions Nearly two-thirds of patients experienced disease recurrence after resection of ACC. Although a subset of patients experienced recurrence with locoregional disease only, many patients experienced recurrence with distant disease as a component of recurrence and had a poor prognosis. PMID:26282907

  14. Capacitated max -Batching with Interval Graph Compatibilities

    NASA Astrophysics Data System (ADS)

    Nonner, Tim

    We consider the problem of partitioning interval graphs into cliques of bounded size. Each interval has a weight, and the weight of a clique is the maximum weight of any interval in the clique. This natural graph problem can be interpreted as a batch scheduling problem. Solving a long-standing open problem, we show NP-hardness, even if the bound on the clique sizes is constant. Moreover, we give a PTAS based on a novel dynamic programming technique for this case.

  15. Recurrent spontaneous pneumomediastinum in a young female: Hamman's crunch revisited(†).

    PubMed

    Devaraj, Uma; Ramachandran, Priya; D'souza, George A

    2014-05-01

    Presence of free air in the mediastinum without any identifiable cause is defined as spontaneous pneumomediastinum (SPM). SPM is more common in young males. The common inciting event leading to SPM are retching, vomiting, acute asthma attack, intense sport activity, inhalation of drugs and weight loss as seen in anorexia nervosa. Analgesics and rest is the mainstay of treatment. Recurrence of SPM is rare. We present a case of recurrent SPM occurring in a young female within few months interval. We also present a brief literature review. PMID:25988012

  16. A note on the path interval distance.

    PubMed

    Coons, Jane Ivy; Rusinko, Joseph

    2016-06-01

    The path interval distance accounts for global congruence between locally incongruent trees. We show that the path interval distance provides a lower bound for the nearest neighbor interchange distance. In contrast to the Robinson-Foulds distance, random pairs of trees are unlikely to be maximally distant from one another under the path interval distance. These features indicate that the path interval distance should play a role in phylogenomics where the comparison of trees on a fixed set of taxa is becoming increasingly important. PMID:27040521

  17. Return times of hot and cold days via recurrences and extreme value theory

    NASA Astrophysics Data System (ADS)

    Faranda, Davide; Alvarez-Castro, M. Carmen; Yiou, Pascal

    2016-02-01

    In this paper we introduce a model evaluation and comparison metric based on the methodology introduced in Faranda et al. (Geophys Res Lett 40(21):5782-5786, 2013) to assess biases and their potential origins in a historical model simulation against long-term reanalysis. The metric is constructed by exploiting recent results of dynamical systems theory linking rare recurrences to the classical statistical theories of extreme events for time series. We compute rare recurrences for 100 years daily mean temperatures data obtained in a model with historical greenhouse forcing (the Institut Pierre-Simon Laplace, IPSL-CM5 model) and compare them with the same quantities obtained from two datasets of reanalysis (twentieth Century Reanalysis and ERA 20C). The period chosen for the comparison is 1900-2000 and the focus is on the European region. We show that with respect to the traditional approaches, the recurrence technique is sensitive to the change in the size of the selection window of extremes due to the conditions imposed by the dynamics.

  18. A systematic review of variations of the recurrent laryngeal nerve.

    PubMed

    Ling, Xing Yao; Smoll, Nicolas Roydon

    2016-01-01

    With thyroid cancer fast becoming one of the most common endocrine cancers, the frequency of thyroid surgery has increased. A common and debilitating concern with thyroid surgery is recurrent laryngeal nerve (RLN) paralysis leading to glottal obstruction and airway compromise. A systematic review regarding the anatomical variation of the recurrent laryngeal nerve was performed to determine the position of anatomical variants of the RLN in relation to the inferior thyroid artery (ITA) as well as the prevalence of nonrecurrent laryngeal nerve (NRLN). MEDLINE, Web of Science, MEDITEXT, AMED, CINAHL, Cochrane, ProQuest, Pubmed, and ScienceDirect. Databases were searched using the search terms "inferior thyroid artery," "recurrent laryngeal nerve," "nonrecurrent laryngeal nerve," and "anatomical variation." The reference sections of the articles found were searched for additional reports. The references of all articles were searched to find articles missed in the database search. A total of 8,655 RLN sides were included in this study. One thousand eight hundred and thirteen (20.95%; 95% confidence interval (CI) 20.09, 2,182) showed a Type A configuration of RLN in relation to the ITA, 2,432 (28.10%; 95% CI 27.15, 29.06) showed a Type B configuration and 4,410 (50.95%; 95% CI 49.89, 52.01) showed a Type C configuration between the RLN and the ITA. The second search returned with 38,568 recurrent laryngeal sides and only 221 (0.57%; 95%CI 0.5, 0.65) NRLN documented. The RLN is most commonly found in the posterior position, relative to the ITA. The incidence of the NRLN is low, only occurring in 0.57% of people. PMID:26297484

  19. Recurrent abdominal pain in children.

    PubMed

    Buch, Niyaz A; Ahmad, Sheikh Mushtaq; Ahmed, S Zubair; Ali, Syed Wazid; Charoo, B A; Hassan, Masood Ul

    2002-09-01

    Eighty five children with recurrent abdominal pain(RAP) were studied. Organic cause was noticed in 70 cases and non-organic in 15 cases. Giardiasis was the commonest organic cause in 57 (67.0 percent), either alone or with other parasitic infestations. Other organic causes include gallstones (4.7 percent), urinary infections (4.7 percent), esophagitis/gastritis (3.5 percent) and abdominal tuberculosis (2.3 percent). Single parent, school phobia, sibling rivalry, RAP in other family members and nocturnal enuresis are significant factors associated with nonorganic causes PMID:12368527

  20. BCG immunotherapy of bladder cancer: inhibition of tumor recurrence and associated immune responses.

    PubMed

    Lamm, D L; Thor, D E; Winters, W D; Stogdill, V D; Radwin, H M

    1981-07-01

    Fifty-one patients with confirmed bladder cancer have enrolled in a prospective evaluation of BCG immunotherapy. Following resection of existing tumors, patients were stratified according to tumor grade and number of previous recurrences and randomly assigned to control or BCG treatment groups. Immunotherapy consisted of six weekly administrations of Pasteur strain BCG using 120 mg intravesically and 5 mg percutaneously. Immunotherapy side effects were minimal and no patient required postponement of BCG treatments. Eleven control (46%) compared with five (22%) BCG-treated patients had tumor recurrence (P = 0.078, chi 2). Prolongation of the disease-free interval with BCG treatment was significantly at the P = 0.016 level by Wilcoxon analysis. Four control and two BCG-treated patients had multiple recurrences. Comparing total episodes of recurrence, nineteen of 79 (24%) control and eight of 85 (7%) BCG group cystoscopic examinations revealed tumor (P = 0.006, chi 2). Immunologic correlates of response to immunotherapy were not statistically significant since only five BCG-treated patients had tumor recurrence. However, four of these five patients evidenced impaired LIF response to PPD at the time of tumor recurrence, and impairment of skin test reactivity and BCG humoral antibody response were more commonly seen in this subgroup of patients. PMID:7016300

  1. Interval and Contour Processing in Autism

    ERIC Educational Resources Information Center

    Heaton, Pamela

    2005-01-01

    High functioning children with autism and age and intelligence matched controls participated in experiments testing perception of pitch intervals and musical contours. The finding from the interval study showed superior detection of pitch direction over small pitch distances in the autism group. On the test of contour discrimination no group…

  2. Optimal Approximation of Quadratic Interval Functions

    NASA Technical Reports Server (NTRS)

    Koshelev, Misha; Taillibert, Patrick

    1997-01-01

    Measurements are never absolutely accurate, as a result, after each measurement, we do not get the exact value of the measured quantity; at best, we get an interval of its possible values, For dynamically changing quantities x, the additional problem is that we cannot measure them continuously; we can only measure them at certain discrete moments of time t(sub 1), t(sub 2), ... If we know that the value x(t(sub j)) at a moment t(sub j) of the last measurement was in the interval [x-(t(sub j)), x + (t(sub j))], and if we know the upper bound D on the rate with which x changes, then, for any given moment of time t, we can conclude that x(t) belongs to the interval [x-(t(sub j)) - D (t - t(sub j)), x + (t(sub j)) + D (t - t(sub j))]. This interval changes linearly with time, an is, therefore, called a linear interval function. When we process these intervals, we get an expression that is quadratic and higher order w.r.t. time t, Such "quadratic" intervals are difficult to process and therefore, it is necessary to approximate them by linear ones. In this paper, we describe an algorithm that gives the optimal approximation of quadratic interval functions by linear ones.

  3. SINGLE-INTERVAL GAS PERMEABILITY ESTIMATION

    EPA Science Inventory

    Single-interval, steady-steady-state gas permeability testing requires estimation of pressure at a screened interval which in turn requires measurement of friction factors as a function of mass flow rate. Friction factors can be obtained by injecting air through a length of pipe...

  4. Medical treatment of recurrent meningiomas.

    PubMed

    Chamberlain, Marc C; Barnholtz-Sloan, Jill S

    2011-10-01

    Meningiomas are the second most common primary brain tumor and are primarily treated with surgery (with or without embolization) and radiotherapy. Increasingly today, meningiomas undergo multiple resections and two radiotherapy treatments (either stereotactic or conventional external beam) before consideration for hormonal, chemotherapy or targeted therapy. The failure of hormonal and cytotoxic chemotherapy in the treatment of recurrent meningioma and increasing understanding of potential molecular targets in meningioma has resulted in multiple studies utilizing single-agent targeted therapy directed at biologically relevant signaling pathways, such as somatostatin (Sandostatin(®) LAR, SOM230c), PDGF (imatinib), EGF (erlotinib) and VEGF (sunitinib and vatalanib). Early results using a targeted approach have been modest at best and are often associated with significant toxicity. Consequently and at present, the brain tumor guidelines recognize only three medical therapies for inoperable and radiation-refractory meningiomas: hydroxyurea, IFN-α and Sandostatin LAR, a somatostatin analogue. Clearly, there remains an unmet need in neuro-oncology with respect to the medical treatment of recurrent meningiomas. PMID:21955199

  5. [Recurrent urological cancer--diagnose and treatment].

    PubMed

    Takeshima, H; Akaza, H

    1998-02-01

    Clinical efforts to spare bladder function even in the case of muscle invasive recurrent bladder cancer is taking. Early detection of recurrence is essential for bladder sparing, and both urinary NMP22 and BTA are thought to have potency to detect recurrence of bladder cancer earlier than urinary cytology. Intravesical administration of BCG for superficial bladder cancer and intraarterial injection of chemoagents (Methotrexate and Cisplatin) with radiation for muscle invasive bladder cancer are thought to play important roles in sparing the bladder. Early detection of recurrent prostate cancer is becoming easier by ultrasensitive PSA assay. Though the value of early detection of recurrence is not proven since the benefits of early hormonal treatment have not yet been established, that should be a good indicator to evaluate new and coming treatments and play a important role to develop an effective treatment for recurrent prostate cancer. PMID:9492827

  6. Volcanic Event Recurrence Rate Model (VERRM): Incorporating Radiometric Ages, Volcanic Stratigraphy and Paleomagnetic Data into a Monte Carlo Simulation to Estimate Uncertainty in Recurrence Rate through Time

    NASA Astrophysics Data System (ADS)

    Wilson, J. A.; Richardson, J. A.

    2015-12-01

    Traditional methods used to calculate recurrence rate of volcanism, such as linear regression, maximum likelihood and Weibull-Poisson distributions, are effective at estimating recurrence rate and confidence level, but these methods are unable to estimate uncertainty in recurrence rate through time. We propose a new model for estimating recurrence rate and uncertainty, Volcanic Event Recurrence Rate Model. VERRM is an algorithm that incorporates radiometric ages, volcanic stratigraphy and paleomagnetic data into a Monte Carlo simulation, generating acceptable ages for each event. Each model run is used to calculate recurrence rate using a moving average window. These rates are binned into discrete time intervals and plotted using the 5th, 50th and 95th percentiles. We present recurrence rates from Cima Volcanic Field (CA), Yucca Mountain (NV) and Arsia Mons (Mars). Results from Cima Volcanic Field illustrate how several K-Ar ages with large uncertainties obscure three well documented volcanic episodes. Yucca Mountain results are similar to published rates and illustrate the use of using the same radiometric age for multiple events in a spatially defined cluster. Arsia Mons results show a clear waxing/waning of volcanism through time. VERRM output may be used for a spatio-temporal model or to plot uncertainty in quantifiable parameters such as eruption volume or geochemistry. Alternatively, the algorithm may be reworked to constrain geomagnetic chrons. VERRM is implemented in Python 2.7 and takes advantage of NumPy, SciPy and matplotlib libraries for optimization and quality plotting presentation. A typical Monte Carlo simulation of 40 volcanic events takes a few minutes to couple hours to complete, depending on the bin size used to assign ages.

  7. Interval colorectal carcinoma: An unsolved debate.

    PubMed

    Benedict, Mark; Galvao Neto, Antonio; Zhang, Xuchen

    2015-12-01

    Colorectal carcinoma (CRC), as the third most common new cancer diagnosis, poses a significant health risk to the population. Interval CRCs are those that appear after a negative screening test or examination. The development of interval CRCs has been shown to be multifactorial: location of exam-academic institution versus community hospital, experience of the endoscopist, quality of the procedure, age of the patient, flat versus polypoid neoplasia, genetics, hereditary gastrointestinal neoplasia, and most significantly missed or incompletely excised lesions. The rate of interval CRCs has decreased in the last decade, which has been ascribed to an increased understanding of interval disease and technological advances in the screening of high risk individuals. In this article, we aim to review the literature with regard to the multifactorial nature of interval CRCs and provide the most recent developments regarding this important gastrointestinal entity. PMID:26668498

  8. Constructing Confidence Intervals for Qtl Location

    PubMed Central

    Mangin, B.; Goffinet, B.; Rebai, A.

    1994-01-01

    We describe a method for constructing the confidence interval of the QTL location parameter. This method is developed in the local asymptotic framework, leading to a linear model at each position of the putative QTL. The idea is to construct a likelihood ratio test, using statistics whose asymptotic distribution does not depend on the nuisance parameters and in particular on the effect of the QTL. We show theoretical properties of the confidence interval built with this test, and compare it with the classical confidence interval using simulations. We show in particular, that our confidence interval has the correct probability of containing the true map location of the QTL, for almost all QTLs, whereas the classical confidence interval can be very biased for QTLs having small effect. PMID:7896108

  9. Interval colorectal carcinoma: An unsolved debate

    PubMed Central

    Benedict, Mark; Neto, Antonio Galvao; Zhang, Xuchen

    2015-01-01

    Colorectal carcinoma (CRC), as the third most common new cancer diagnosis, poses a significant health risk to the population. Interval CRCs are those that appear after a negative screening test or examination. The development of interval CRCs has been shown to be multifactorial: location of exam-academic institution versus community hospital, experience of the endoscopist, quality of the procedure, age of the patient, flat versus polypoid neoplasia, genetics, hereditary gastrointestinal neoplasia, and most significantly missed or incompletely excised lesions. The rate of interval CRCs has decreased in the last decade, which has been ascribed to an increased understanding of interval disease and technological advances in the screening of high risk individuals. In this article, we aim to review the literature with regard to the multifactorial nature of interval CRCs and provide the most recent developments regarding this important gastrointestinal entity. PMID:26668498

  10. Does psychosocial stress predict symptomatic herpes simplex virus recurrence? A meta-analytic investigation on prospective studies.

    PubMed

    Chida, Yoichi; Mao, Xin

    2009-10-01

    Previous psychological studies have paid extensive attention to the association between psychosocial stress and symptomatic herpes simplex virus (HSV) recurrence, but subsequent research has been conducted and conflicting findings have been published. We aimed to quantify the longitudinal association between psychosocial stress and recurrent HSV in the contemporary literature. We searched Medline; PsycINFO; Web of Science; PubMed up to March 2009, and included prospective studies that investigated associations between psychosocial stress and symptomatic HSV recurrence. Two reviewers independently extracted data on study characteristics, quality, and estimates of associations. The overall meta-analysis examining 11 articles (17 psychosocial and disease related relationships) exhibited a robust positive association between psychosocial stress and symptomatic HSV recurrence (correlation coefficient as combined effect size 0.083, 95% confidence interval 0.025-0.141, p=0.005). This finding was supported by more conservative analysis of aggregate effects and by sensitivity analysis of the methodologically strong studies. There were indications of publication bias in some analyses. Intriguingly, sensitivity analyses demonstrated that psychological distress was more strongly associated with symptomatic HSV recurrence than stress stimuli per se, and that psychosocial stress tended to be more strongly associated with oral than genital herpes recurrence. In conclusion, the current review reveals a robust relationship between psychosocial stress and symptomatic HSV recurrence, justifying further research in this field, especially clinical trials evaluating the efficacy of stress reduction interventions on HSV recurrence. PMID:19409481

  11. The Place of Extensive Surgery in Locoregional Recurrence and Limited Metastatic Disease of Breast Cancer: Preliminary Results

    PubMed Central

    Berlière, M.; Duhoux, F. P.; Taburiaux, L.; Lacroix, V.; Galant, C.; Leconte, I.; Fellah, L.; Lecouvet, F.; Bouziane, D.; Piette, Ph.; Lengele, B.

    2015-01-01

    The aims of this study were first to clearly define two different entities: locoregional recurrences and limited metastatic disease and secondly to evaluate the place of extensive surgery in these two types of recurrence. Material and Methods. Twenty-four patients were followed from June 2004 until May 2014. All patients underwent surgery but for 1 patient this surgery was stopped because the tumour was unresectable. Results. The median interval between surgery for the primary tumour and the locoregional recurrence or metastatic evolution was 129 months. Eight patients had pure nodal recurrences, 4 had nodal and muscular recurrences, 5 had muscular + skin recurrences, and 8 had metastatic evolution. Currently, all patients are still alive but 2 have liver metastases. Disease free survival was measured at 2 years and extrapolated at 5 years and was 92% at these two time points. No difference was observed for young or older women; limited metastatic evolution and locoregional recurrence exhibited the same disease free survival. Conclusion. Extensive surgery has a place in locoregional and limited metastatic breast cancer recurrences but this option must absolutely be integrated in the multidisciplinary strategy of therapeutic options and needs to be planned with a curative intent. PMID:25866810

  12. Assessment of Risk for Recurrent Diverticulitis

    PubMed Central

    Sallinen, Ville; Mali, Juha; Leppäniemi, Ari; Mentula, Panu

    2015-01-01

    Abstract Recurrence of acute diverticulitis is common, and—especially complicated recurrence—causes significant morbidity. To prevent recurrence, selected patients have been offered prophylactic sigmoid resection. However, as there is no tool to predict whose diverticulitis will recur and, in particular, who will have complicated recurrence, the indications for sigmoid resections have been variable. The objective of this study was to identify risk factors predicting recurrence of acute diverticulitis. This is a retrospective cohort study of patients presenting with computed tomography–confirmed acute diverticulitis and treated nonresectionally during 2006 to 2010. Risk factors for recurrence were identified using uni- and multivariate Cox regression. A total of 512 patients were included. History of diverticulitis was an independent risk factor predicting uncomplicated recurrence of diverticulitis (1–2 earlier diverticulitis HR 1.6, 3 or more—HR 3.2). History of diverticulitis (HR 3.3), abscess (HR 6.2), and corticosteroid medication (HR 16.1) were independent risk factors for complicated recurrence. Based on regression coefficients, risk scoring was created: 1 point for history of diverticulitis, 2 points for abscess, and 3 points for corticosteroid medication. The risk score was unable to predict uncomplicated recurrence (AUC 0.48), but was able to predict complicated recurrence (AUC 0.80). Patients were further divided into low-risk (0–2 points) and high-risk (>2 points) groups. Low-risk and high-risk groups had 3% and 43% 5-year complicated recurrence rates, respectively. Risk for complicated recurrence of acute diverticulitis can be assessed using risk scoring. The risk for uncomplicated recurrence increases along with increasing number of previous diverticulitis. PMID:25715253

  13. Recurrence quantification analysis of chimera states

    NASA Astrophysics Data System (ADS)

    Santos, M. S.; Szezech, J. D.; Batista, A. M.; Caldas, I. L.; Viana, R. L.; Lopes, S. R.

    2015-10-01

    Chimera states, characterised by coexistence of coherence and incoherence in coupled dynamical systems, have been found in various physical systems, such as mechanical oscillator networks and Josephson-junction arrays. We used recurrence plots to provide graphical representations of recurrent patterns and identify chimera states. Moreover, we show that recurrence plots can be used as a diagnostic of chimera states and also to identify the chimera collapse.

  14. Local Recurrence of Extremity Soft Tissue Sarcoma.

    PubMed

    Guerrero, Whitney M; Deneve, Jeremiah L

    2016-10-01

    The management of recurrent soft tissue sarcoma is a challenging problem for clinicians and has a significant physical, mental, emotional, and oncologic impact for the patient. Despite excellent limb-preservation therapies, approximately one-quarter of patients may eventually develop recurrence of disease. How to most appropriately manage these patients is a matter of debate. Several treatment options exist, including surgical resection, irradiation, systemic chemotherapy, amputation, and regional therapies. This article highlights the management of recurrent extremity soft tissue sarcoma. PMID:27542648

  15. What operation for recurrent rectal prolapse after previous Delorme’s procedure? A practical reality

    PubMed Central

    Javed, Muhammad A; Afridi, Faryal G; Artioukh, Dmitri Y

    2016-01-01

    AIM: To report our experience with perineal repair (Delorme’s procedure) of rectal prolapse with particular focus on treatment of the recurrence. METHODS: Clinical records of 40 patients who underwent Delorme’s procedure between 2003 and 2014 were reviewed to obtain the following data: Gender; duration of symptoms, length of prolapse, operation time, ASA grade, length of post-operative stay, procedure-related complications, development and treatment of recurrent prolapse. Analysis of post-operative complications, rate and time of recurrence and factors influencing the choice of the procedure for recurrent disease was conducted. Continuous variables were expressed as the median with interquartile range (IQR). Statistical analysis was carried out using the Fisher exact test. RESULTS: Median age at the time of surgery was 76 years (IQR: 71-81.5) and there were 38 females and 2 males. The median duration of symptoms was 6 mo (IQR: 3.5-12) and majority of patients presented electively whereas four patients presented in the emergency department with irreducible rectal prolapse. The median length of prolapse was 5 cm (IQR: 5-7), median operative time was 100 min (IQR: 85-120) and median post-operative stay was 4 d (IQR: 3-6). Approximately 16% of the patients suffered minor complications such as - urinary retention, delayed defaecation and infected haematoma. One patient died constituting post-operative mortality of 2.5%. Median follow-up was 6.5 mo (IQR: 2.15-16). Overall recurrence rate was 28% (n = 12). Recurrence rate for patients undergoing an urgent Delorme’s procedure who presented as an emergency was higher (75.0%) compared to those treated electively (20.5%), P value 0.034. Median time interval from surgery to the development of recurrence was 16 mo (IQR: 5-30). There were three patients who developed an early recurrence, within two weeks of the initial procedure. The management of the recurrent prolapse was as follows: No further intervention (n = 1

  16. Palbociclib Isethionate in Treating Younger Patients With Recurrent, Progressive, or Refractory Central Nervous System Tumors

    ClinicalTrials.gov

    2016-05-26

    Childhood Choroid Plexus Tumor; Childhood Ependymoblastoma; Childhood Grade III Meningioma; Childhood High-grade Cerebellar Astrocytoma; Childhood High-grade Cerebral Astrocytoma; Childhood Medulloepithelioma; Recurrent Childhood Anaplastic Astrocytoma; Recurrent Childhood Anaplastic Oligoastrocytoma; Recurrent Childhood Anaplastic Oligodendroglioma; Recurrent Childhood Brain Stem Glioma; Recurrent Childhood Cerebellar Astrocytoma; Recurrent Childhood Cerebral Astrocytoma; Recurrent Childhood Giant Cell Glioblastoma; Recurrent Childhood Glioblastoma; Recurrent Childhood Gliomatosis Cerebri; Recurrent Childhood Gliosarcoma; Recurrent Childhood Medulloblastoma; Recurrent Childhood Pineoblastoma; Recurrent Childhood Supratentorial Primitive Neuroectodermal Tumor

  17. [Recurrences and metastases of cystosarcoma phylloides (phylloid tumor, WHO). On the 150th birthday of a controversial diagnostic concept].

    PubMed

    Bässler, R; Zahner, J

    1989-01-01

    134 Cystosarcoma phyllodes were been observed in the course of 12 years among the diagnostic and consultative (n = 121) material. 133 tumors occurred in the female, one in the male breast. In 21 cases local recurrences and in 4 cases metastases developed. 6 recurrences following local excision were observed more than once: in one case 10 subsequent recurrent tumors, the last of these in the chest wall after mastectomy. Histopathologically, the recurrences were identified as benign (1 case), as borderline tumors (2 cases) and as malignant cystosarcoma (8 cases). In 10 further cases (48% of the recurrences) a stromal sarcoma was predominant. In accordance with the literature, we found in most cases a more aggressive growth and an enhanced malignancy. It is emphasized, that angioinvasive growth in the recurrent tumors can indicate distant metastases. The frequency of the recurrent cystosarcoma in our series was 16%, multiple subsequent tumors occurred in 29% of them. Recurrences are caused by proliferative remnants of the primary tumor following local excision, or they are tumors-de-novo induced by a extratumoral stromal hypercellularity of the surroundings like a new benign cystosarcoma. Therefore an initial wide excision is recommended for the benign and a mastectomy for the malignant cystosarcoma. The site of distant metastases of the 4 cases were the lung and the skeleton (rib and femur). In one case an axillary lymph node was involved by a recurrent giant cell stromal sarcoma. The interval between primary and metastases was 7 months to 5 years, between recurrent tumor and metastases 6 to 24 months or both tumors were observed simultaneously. Following the recent literature, distant metastases occur at an average rate of 19% of the malignant cystosarcomas. In single cases it is impossible to make a sure prognosis of cystosarcoma phyllodes, because recurrences and metastases are observed in all subtypes, but predominantly in the malignant cystosarcomas. PMID

  18. Cyclooxygenase-2 Expression as a Predictor of Para-Aortic Lymph Node Recurrence in Uterine Cervical Cancer

    SciTech Connect

    Kim, Jun-Sang Li Shengjin; Kim, Jin-Man; Yeo, Seung-Gu; Kim, Ki-Hwan; Cho, Moon-June

    2008-04-01

    Purpose: The overexpression of cyclooxygenase-2 (COX-2) is associated with a worse prognosis and the development of distant metastases in cervical cancer. This matched-pair analysis examined whether COX-2 expression is associated with para-aortic lymph node (PALN) recurrence in uterine cervical cancer treated with radiotherapy (RT). Methods and Materials: For this study, we matched 20 patients with PALN recurrence after definitive or postoperative RT by stage with 20 others who did not have PALN recurrence. Of the 20 patients with PALN recurrence, definitive or postoperative RT was performed in 11 and 9 patients, respectively. COX-2 expression was assessed immunohistochemically using a mouse monoclonal antibody on formalin-fixed paraffin-embedded tumor specimens taken before RT. A logistic regression model was used to predict for PALN recurrence. Results: COX-2 was expressed in 28 (70%) of the 40 patients. The staining intensity was as follows: weak in 19 (47%), moderate in 6 (15%), and strong in 3 (8%) patients. The patients with PALN recurrence had much greater expression of COX-2 (17 patients, 85%) than did the control group (11 patients, 55%; p = 0.04). Strong staining intensity of COX-2 was seen only in the PALN recurrence group. The statistically significant factors associated with PALN recurrence were positive pelvic lymph nodes (odds ratio, 7.61; 95% confidence interval, 1.55-37.37; p = 0.01) and COX-2 expression (odds ratio, 1.47; 95% confidence interval, 1.04-2.09; p = 0.03). Conclusion: Our findings suggest that COX-2 overexpression in the initial tumor tissue might be associated with PALN recurrence after RT in cervical cancer patients.

  19. CONFIDENCE INTERVALS AND STANDARD ERROR INTERVALS: WHAT DO THEY MEAN IN TERMS OF STATISTICAL SIGNIFICANCE?

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We investigate the use of confidence intervals and standard error intervals to draw conclusions regarding tests of hypotheses about normal population means. Mathematical expressions and algebraic manipulations are given, and computer simulations are performed to assess the usefulness of confidence ...

  20. Thrombomodulin gene c.1418C>T polymorphism and risk of recurrent venous thromboembolism.

    PubMed

    Ahmad, Abrar; Sundquist, Kristina; Zöller, Bengt; Svensson, Peter J; Sundquist, Jan; Memon, Ashfaque A

    2016-07-01

    Thrombomodulin gene (THBD) is a critical cofactor in protein C anticoagulant system. THBD c.1418C>T polymorphism is reported to be associated with higher risk of primary venous thromboembolism (VTE) but its role in VTE recurrence is unknown. The aim of this study was to investigate the role of THBD polymorphism in VTE recurrence. THBD c.1418C>T polymorphism was genotyped by using Taqman polymerase chain reaction in a prospective population based study of 1465 consecutive objectively verified VTE patients. Uni- and multivariate Cox regression were performed for the risk assessment of VTE recurrence. Patients who had VTE before inclusion or had recurrence or died during anticoagulant treatment were excluded. Among the remaining (N = 1046) patients, 126 (12.05 %) had VTE recurrence during the follow up period (from 1998 to 2008). THBD polymorphism was not significantly associated with risk of VTE recurrence in the univariate [Hazard ratio (HR) 1.11, 95 % confidence interval (CI) 0.78-1.59, p = 0.55] as well as the multivariate analysis adjusted for age, sex and thrombophilia (HR 1.11, 95 % CI 0.78-1.59, p = 0.54). Similarly, in unprovoked first VTE (n = 614), no association was observed between THBD polymorphism and risk of VTE recurrence (HR 1.22 and 95 % CI 0.78-1.89, p = 0.38). In this prospective study, our results do not suggest a predictive role for THBD c.1418C>T polymorphism in VTE recurrence. PMID:26743062

  1. Cholecystectomy for Prevention of Recurrence after Endoscopic Clearance of Bile Duct Stones in Korea

    PubMed Central

    Song, Myung Eun; Lee, Dong-Jun; Oh, Tak Geun; Park, Jeong Youp; Bang, Seungmin; Park, Seung Woo; Song, Si Young; Chung, Jae Bock

    2016-01-01

    Purpose Cholecystectomy in patients with an intact gallbladder after endoscopic removal of stones from the common bile duct (CBD) remains controversial. We conducted a case-control study to determine the risk of recurrent CBD stones and the benefit of cholecystectomy for prevention of recurrence after endoscopic removal of stones from the CBD in Korean patients. Materials and Methods A total of 317 patients who underwent endoscopic CBD stone extraction between 2006 and 2012 were included. Possible risk factors for the recurrence of CBD stones including previous cholecystectomy history, bile duct diameter, stone size, number of stones, stone composition, and the presence of a periampullary diverticulum were analyzed. Results The mean duration of follow-up after CBD stone extraction was 25.4±22.0 months. A CBD diameter of 15 mm or larger [odds ratio (OR), 1.930; 95% confidence interval (CI), 1.098 to 3.391; p=0.022] and the presence of a periampullary diverticulum (OR, 1.859; 95% CI, 1.014 to 3.408; p=0.045) were independent predictive factors for CBD stone recurrence. Seventeen patients (26.6%) in the recurrence group underwent elective cholecystectomy soon after endoscopic extraction of CBD stones, compared to 88 (34.8%) in the non-recurrence group; the difference was not statistically significant (p=0.212). Conclusion A CBD diameter of 15 mm or larger and the presence of a periampullary diverticulum were found to be potential predictive factors for recurrence after endoscopic extraction of CBD stones. Elective cholecystectomy after clearance of CBD stones did not reduce the incidence of recurrent CBD stones in Korean patients. PMID:26632393

  2. Telmisartan to Prevent Recurrent Stroke and Cardiovascular Events

    PubMed Central

    Yusuf, Salim; Diener, Hans-Christoph; Sacco, Ralph L.; Cotton, Daniel; Ôunpuu, Stephanie; Lawton, William A.; Palesch, Yuko; Martin, Reneé H.; Albers, Gregory W.; Bath, Philip; Bornstein, Natan; Chan, Bernard P.L.; Chen, Sien-Tsong; Cunha, Luis; Dahlöf, Björn; De Keyser, Jacques; Donnan, Geoffrey A.; Estol, Conrado; Gorelick, Philip; Gu, Vivian; Hermansson, Karin; Hilbrich, Lutz; Kaste, Markku; Lu, Chuanzhen; Machnig, Thomas; Pais, Prem; Roberts, Robin; Skvortsova, Veronika; Teal, Philip; Toni, Danilo; VanderMaelen, Cam; Voigt, Thor; Weber, Michael; Yoon, Byung-Woo

    2009-01-01

    BACKGROUND Prolonged lowering of blood pressure after a stroke reduces the risk of recurrent stroke. In addition, inhibition of the renin–angiotensin system in high-risk patients reduces the rate of subsequent cardiovascular events, including stroke. However, the effect of lowering of blood pressure with a renin–angiotensin system inhibitor soon after a stroke has not been clearly established. We evaluated the effects of therapy with an angiotensin-receptor blocker, telmisartan, initiated early after a stroke. METHODS In a multicenter trial involving 20,332 patients who recently had an ischemic stroke, we randomly assigned 10,146 to receive telmisartan (80 mg daily) and 10,186 to receive placebo. The primary outcome was recurrent stroke. Secondary outcomes were major cardiovascular events (death from cardiovascular causes, recurrent stroke, myocardial infarction, or new or worsening heart failure) and new-onset diabetes. RESULTS The median interval from stroke to randomization was 15 days. During a mean followup of 2.5 years, the mean blood pressure was 3.8/2.0 mm Hg lower in the telmisartan group than in the placebo group. A total of 880 patients (8.7%) in the telmisartan group and 934 patients (9.2%) in the placebo group had a subsequent stroke (hazard ratio in the telmisartan group, 0.95; 95% confidence interval [CI], 0.86 to 1.04; P = 0.23). Major cardiovascular events occurred in 1367 patients (13.5%) in the telmisartan group and 1463 patients (14.4%) in the placebo group (hazard ratio, 0.94; 95% CI, 0.87 to 1.01; P = 0.11). New-onset diabetes occurred in 1.7% of the telmisartan group and 2.1% of the placebo group (hazard ratio, 0.82; 95% CI, 0.65 to 1.04; P = 0.10). CONCLUSIONS Therapy with telmisartan initiated soon after an ischemic stroke and continued for 2.5 years did not significantly lower the rate of recurrent stroke, major cardiovascular events, or diabetes. (ClinicalTrials.gov number, NCT00153062.) PMID:18753639

  3. Effect of Interval to Definitive Breast Surgery on Clinical Presentation and Survival in Early-Stage Invasive Breast Cancer

    SciTech Connect

    Vujovic, Olga; Yu, Edward; Cherian, Anil; Perera, Francisco; Dar, A. Rashid; Stitt, Larry; Hammond, A.

    2009-11-01

    Purpose: To examine the effect of clinical presentation and interval to breast surgery on local recurrence and survival in early-stage breast cancer. Methods and Materials: The data from 397 patients with Stage T1-T2N0 breast carcinoma treated with conservative surgery and breast radiotherapy between 1985 and 1992 were reviewed at the London Regional Cancer Program. The clinical presentation consisted of a mammogram finding or a palpable lump. The intervals from clinical presentation to definitive breast surgery used for analysis were 0-4, >4-12, and >12 weeks. The Kaplan-Meier estimates of the time to local recurrence, disease-free survival, and cause-specific survival were determined for the three groups. Cox regression analysis was used to evaluate the effect of clinical presentation and interval to definitive surgery on survival. Results: The median follow-up was 11.2 years. No statistically significant difference was found in local recurrence as a function of the interval to definitive surgery (p = .424). A significant difference was noted in disease-free survival (p = .040) and cause-specific survival (p = .006) with an interval of >12 weeks to definitive breast surgery. However, the interval to definitive surgery was dependent on the presentation for cause-specific survival, with a substantial effect for patients with a mammographic presentation and a negligible effect for patients with a lump presentation (interaction p = .041). Conclusion: The results of this study suggest that an interval of >12 weeks to breast surgery might be associated with decreased survival for patients with a mammographic presentation, but it appeared to have no effect on survival for patients presenting with a palpable breast lump.

  4. Physiology and its Importance for Reference Intervals

    PubMed Central

    Sikaris, Kenneth A

    2014-01-01

    Reference intervals are ideally defined on apparently healthy individuals and should be distinguished from clinical decision limits that are derived from known diseased patients. Knowledge of physiological changes is a prerequisite for understanding and developing reference intervals. Reference intervals may differ for various subpopulations because of differences in their physiology, most obviously between men and women, but also in childhood, pregnancy and the elderly. Changes in laboratory measurements may be due to various physiological factors starting at birth including weaning, the active toddler, immunological learning, puberty, pregnancy, menopause and ageing. The need to partition reference intervals is required when there are significant physiological changes that need to be recognised. It is important that laboratorians are aware of these changes otherwise reference intervals that attempt to cover a widened inter-individual variability may lose their usefulness. It is virtually impossible for any laboratory to directly develop reference intervals for each of the physiological changes that are currently known, however indirect techniques can be used to develop or validate reference intervals in some difficult situations such as those for children. Physiology describes our life’s journey, and it is only when we are familiar with that journey that we can appreciate a pathological departure. PMID:24659833

  5. Interval Estimates of Multivariate Effect Sizes: Coverage and Interval Width Estimates under Variance Heterogeneity and Nonnormality

    ERIC Educational Resources Information Center

    Hess, Melinda R.; Hogarty, Kristine Y.; Ferron, John M.; Kromrey, Jeffrey D.

    2007-01-01

    Monte Carlo methods were used to examine techniques for constructing confidence intervals around multivariate effect sizes. Using interval inversion and bootstrapping methods, confidence intervals were constructed around the standard estimate of Mahalanobis distance (D[superscript 2]), two bias-adjusted estimates of D[superscript 2], and Huberty's…

  6. Recurrence of posterior uveal melanoma after /sup 60/Co episcleral plaque therapy

    SciTech Connect

    Karlsson, U.L.; Augsburger, J.J.; Shields, J.A.; Markoe, A.M.; Brady, L.W.; Woodleigh, R.

    1989-03-01

    The authors analyzed the clinical and follow-up data on 277 selected patients with primary choroidal or ciliochoroidal melanoma who were treated with /sup 60/Co plaque radiotherapy between 1976 and 1982. Local recurrence of the irradiated melanoma developed in 39 (14%) patients during the follow-up interval. The 5-year tumor recurrence rate (Kaplan-Meier) was estimated to be 12%. Multivariate prognostic factor analysis (Cox proportional hazards modeling) identified the largest linear tumor dimension and proximity of the posterior margin of the tumor to the optic nerve head as predictors of recurrence. The 5-year survival rate of patients whose tumors recurred (58%) was significantly (log-rank test P = 0.0023) worse than that of patients whose tumor remained clinically controlled (82%).

  7. Recurrent Glioblastoma: Where we stand

    PubMed Central

    Roy, Sanjoy; Lahiri, Debarshi; Maji, Tapas; Biswas, Jaydip

    2015-01-01

    Current first-line treatment regimens combine surgical resection and chemoradiation for Glioblastoma that provides a slight increase in overall survival. Age on its own should not be used as an exclusion criterion of glioblastoma multiforme (GBM) treatment, but performance should be factored heavily into the decision-making process for treatment planning. Despite aggressive initial treatment, most patients develop recurrent diseases which can be treated with re-resection, systemic treatment with targeted agents or cytotoxic chemotherapy, reirradiation, or radiosurgery. Research into novel therapies is investigating alternative temozolomide regimens, convection-enhanced delivery, immunotherapy, gene therapy, antiangiogenic agents, poly ADP ribose polymerase inhibitors, or cancer stem cell signaling pathways. Given the aggressive and resilient nature of GBM, continued efforts to better understand GBM pathophysiology are required to discover novel targets for future therapy. PMID:26981507

  8. Recurrent Glioblastoma: Where we stand.

    PubMed

    Roy, Sanjoy; Lahiri, Debarshi; Maji, Tapas; Biswas, Jaydip

    2015-01-01

    Current first-line treatment regimens combine surgical resection and chemoradiation for Glioblastoma that provides a slight increase in overall survival. Age on its own should not be used as an exclusion criterion of glioblastoma multiforme (GBM) treatment, but performance should be factored heavily into the decision-making process for treatment planning. Despite aggressive initial treatment, most patients develop recurrent diseases which can be treated with re-resection, systemic treatment with targeted agents or cytotoxic chemotherapy, reirradiation, or radiosurgery. Research into novel therapies is investigating alternative temozolomide regimens, convection-enhanced delivery, immunotherapy, gene therapy, antiangiogenic agents, poly ADP ribose polymerase inhibitors, or cancer stem cell signaling pathways. Given the aggressive and resilient nature of GBM, continued efforts to better understand GBM pathophysiology are required to discover novel targets for future therapy. PMID:26981507

  9. GPS constraints on M 7-8 earthquake recurrence times for the New Madrid seismic zone

    USGS Publications Warehouse

    Stuart, W.D.

    2001-01-01

    Newman et al. (1999) estimate the time interval between the 1811-1812 earthquake sequence near New Madrid, Missouri and a future similar sequence to be at least 2,500 years, an interval significantly longer than other recently published estimates. To calculate the recurrence time, they assume that slip on a vertical half-plane at depth contributes to the current interseismic motion of GPS benchmarks. Compared to other plausible fault models, the half-plane model gives nearly the maximum rate of ground motion for the same interseismic slip rate. Alternative models with smaller interseismic fault slip area can satisfy the present GPS data by having higher slip rate and thus can have earthquake recurrence times much less than 2,500 years.

  10. Prognostic factors and survival in patients with metastatic or recurrent carcinoma of the uterine cervix.

    PubMed

    Eralp, Y; Saip, P; Sakar, B; Kucucuk, S; Aydiner, A; Dincer, M; Aslay, I; Topuz, E

    2003-01-01

    The aim of this study is to identify the impact of various prognostic factors on survival in patients with recurrent carcinoma of the uterine cervix. Fifty-two patients who were treated with platinum-based chemotherapy for recurrent or metastatic disease were retrospectively evaluated. Twenty-seven patients (90%) had received pelvic radiation as primary treatment. Out of 45 evaluable patients, two (4.4%) had complete response (CR), three (6.7%) had a continuous CR after additional surgical treatment and irradiation. Five patients (11.1%) had partial response (PR). The majority of patients had progressive response to treatment (22 patients, 48.9%). After a median follow-up period of 19 months, 31 patients (60%) had died. Progression-free survival after initial diagnosis was observed to have a significant association with response to chemotherapy for recurrent disease (Fisher two-sided P = 0.027). The median survival duration for relapsed disease was 11.8 months. Those with a longer disease-free interval ( 8 months vs. recurrence and response to chemotherapy had a tendency for a longer survival duration after relapse by univariate analysis. Multivariate analysis revealed that progressive response to chemotherapy (P = 0.002, HR = 4.6) and recurrence within the previously irradiated field (P = 0.04, HR = 2.7) were significant independent prognostic factors for a shorter time to progression after recurrence. Furthermore, advanced stage at presentation (P = 0.001, HR = 3.0) and a short disease-free interval after primary treatment (<8 months, P = 0.003, HR = 3.4) were determined as independent prognostic factors with a significant negative influence on progression-free survival and overall survival from initial diagnosis, respectively. The use of toxic and expensive combinations for the treatment of recurrent cervical cancer patients should be well balanced against potential hazards. Based on our data, less toxic regimens

  11. Comparative Study of Different {beta}-Radiation Doses for Preventing Pterygium Recurrence

    SciTech Connect

    Yamada, Takayuki; Mochizuki, Hideki; Ue, Takahiro; Kiuchi, Yoshiaki; Takahashi, Yasuhiro; Oinaka, Matsuyoshi

    2011-12-01

    Purpose: To compare the pterygium recurrence rates after treatment with two different {beta}-radiation doses. Methods and Materials: A total of 84 patients with a mean age of 63.0 {+-} 10.3 years (men, 48 eyes, and women, 47 eyes) and initially treated with {beta}-radiation after pterygium excision were recruited. The mean follow-up period was 49.9 {+-} 51.3 months. The patients were assigned to two dose groups: a high-dose (40 Gy) or a low-dose (20 Gy) group. The statistical significance of differences in patient age, pterygium size, and interval between surgery and radiotherapy were analyzed in the 20-Gy group using the Cox proportional hazard model at p < .05. Results: The high- and low-dose groups included 28 and 67 eyes, respectively. Pterygia recurred in 11 eyes, all in the low-dose group. The interval between surgery and radiotherapy was not a significant predictor of recurrence. Smaller pterygia had a lower risk of recurrence than pterygia that had encroached the pupillary area (pterygium located within one-third of the corneal radius from the limbus, corrected hazard ratio [HR], 0.069; 95% confidence interval [CI], 0.006-0.766; p = .030; pterygium extending beyond one-third of the corneal radius, corrected HR, 0.188; 95% CI, 0.018-0.696; p = 0.019; and pterygium reaching the pupillary area, corrected HR, 0.184; 95% CI, 0.036-0.929; p = .040). Older age was marginally significant as a negative predictor of recurrence (HR, 0.943; 95% CI, 0.887-1.003; p = .061). No scleromalacia developed during the follow-up period. Conclusions: {beta}-Radiation at 40 Gy was more efficacious than at 20 Gy in preventing pterygium recurrence without scleromalacia development, particularly for large-size pterygia and those in young patients.

  12. Importance of QT interval in clinical practice.

    PubMed

    Ambhore, Anand; Teo, Swee-Guan; Bin Omar, Abdul Razakjr; Poh, Kian-Keong

    2014-12-01

    Long QT interval is an important finding that is often missed by electrocardiogram interpreters. Long QT syndrome (inherited and acquired) is a potentially lethal cardiac channelopathy that is frequently mistaken for epilepsy. We present a case of long QT syndrome with multiple cardiac arrests presenting as syncope and seizures. The long QTc interval was aggravated by hypomagnesaemia and drugs, including clarithromycin and levofloxacin. Multiple drugs can cause prolongation of the QT interval, and all physicians should bear this in mind when prescribing these drugs. PMID:25630313

  13. Short Interval Leaf Movements of Cotton 12

    PubMed Central

    Miller, Charles S.

    1975-01-01

    Gossypium hirsutum L. cv. Lankart plants exhibited three different types of independent short interval leaf movements which were superimposed on the circadian movements. The different types were termed SIRV (short interval rhythmical vertical), SIHM (short interval horizontal movements), and SHAKE (short stroked SIRV). The 36-minute period SIRV movements occurred at higher moisture levels. The 176-minute period SIHM occurred at lower moisture levels and ceased as the stress increased. The SHAKE movements were initiated with further stresses. The SLEEP (circadian, diurnal) movements ceased with further stress. The last to cease just prior to permanent wilting were the SHAKE movements. PMID:16659123

  14. Efficacy of Oral Vancomycin in Preventing Recurrent Clostridium difficile Infection in Patients Treated With Systemic Antimicrobial Agents.

    PubMed

    Van Hise, Nicholas W; Bryant, Alex M; Hennessey, Erin K; Crannage, Andrew J; Khoury, Jad A; Manian, Farrin A

    2016-09-01

    We compared rates of recurrent Clostridium difficile infection in patients receiving or not receiving oral vancomycin prophylaxis with systemic antimicrobial therapy. The incidence of C. difficile infection was significantly lower in patients receiving prophylaxis (4.2% vs 26.6% in those without prophylaxis; odds ratio, 0.12; 95% confidence interval, .04-.4; P < .001). PMID:27318333

  15. Oxaliplatin in Treating Young Patients With Recurrent Solid Tumors That Have Not Responded to Previous Treatment

    ClinicalTrials.gov

    2013-06-04

    Childhood Central Nervous System Germ Cell Tumor; Childhood Extragonadal Germ Cell Tumor; Childhood Hepatoblastoma; Childhood Hepatocellular Carcinoma; Childhood High-grade Cerebral Astrocytoma; Childhood Low-grade Cerebral Astrocytoma; Childhood Malignant Ovarian Germ Cell Tumor; Childhood Malignant Testicular Germ Cell Tumor; Childhood Teratoma; Recurrent Adrenocortical Carcinoma; Recurrent Childhood Brain Stem Glioma; Recurrent Childhood Cerebellar Astrocytoma; Recurrent Childhood Cerebral Astrocytoma; Recurrent Childhood Ependymoma; Recurrent Childhood Liver Cancer; Recurrent Childhood Malignant Germ Cell Tumor; Recurrent Childhood Rhabdomyosarcoma; Recurrent Childhood Soft Tissue Sarcoma; Recurrent Childhood Visual Pathway and Hypothalamic Glioma; Recurrent Colon Cancer; Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Recurrent Nasopharyngeal Cancer; Recurrent Neuroblastoma; Recurrent Osteosarcoma; Recurrent Rectal Cancer; Recurrent Renal Cell Cancer

  16. Survival analysis for recurrent event data: an application to childhood infectious diseases.

    PubMed

    Kelly, P J; Lim, L L

    2000-01-15

    Many extensions of survival models based on the Cox proportional hazards approach have been proposed to handle clustered or multiple event data. Of particular note are five Cox-based models for recurrent event data: Andersen and Gill (AG); Wei, Lin and Weissfeld (WLW); Prentice, Williams and Peterson, total time (PWP-CP) and gap time (PWP-GT); and Lee, Wei and Amato (LWA). Some authors have compared these models by observing differences that arise from fitting the models to real and simulated data. However, no attempt has been made to systematically identify the components of the models that are appropriate for recurrent event data. We propose a systematic way of characterizing such Cox-based models using four key components: risk intervals; baseline hazard; risk set, and correlation adjustment. From the definitions of risk interval and risk set there are conceptually seven such Cox-based models that are permissible, five of which are those previously identified. The two new variant models are termed the 'total time - restricted' (TT-R) and 'gap time - unrestricted' (GT-UR) models. The aim of the paper is to determine which models are appropriate for recurrent event data using the key components. The models are fitted to simulated data sets and to a data set of childhood recurrent infectious diseases. The LWA model is not appropriate for recurrent event data because it allows a subject to be at risk several times for the same event. The WLW model overestimates treatment effect and is not recommended. We conclude that PWP-GT and TT-R are useful models for analysing recurrent event data, providing answers to slightly different research questions. Further, applying a robust variance to any of these models does not adequately account for within-subject correlation. PMID:10623910

  17. Dietary flavonoids and colorectal adenoma recurrence in the Polyp Prevention Trial.

    PubMed

    Bobe, Gerd; Sansbury, Leah B; Albert, Paul S; Cross, Amanda J; Kahle, Lisa; Ashby, Jason; Slattery, Martha L; Caan, Bette; Paskett, Electra; Iber, Frank; Kikendall, James Walter; Lance, Peter; Daston, Cassandra; Marshall, James R; Schatzkin, Arthur; Lanza, Elaine

    2008-06-01

    Two recent case-control studies suggested that some flavonoid subgroups may play a role in preventing colorectal cancer. Previous prospective cohort studies generally reported no association; however, only a small subset of flavonoids was evaluated and partial flavonoid databases were used. We used the newly constructed U.S. Department of Agriculture flavonoid database to examine the association between consumption of total flavonoids, 6 flavonoid subgroups, and 29 individual flavonoids with adenomatous polyp recurrence in the Polyp Prevention Trial. The Polyp Prevention Trial was a randomized dietary intervention trial, which examined the effectiveness of a low-fat, high-fiber, high-fruit, and high-vegetable diet on adenoma recurrence. Intakes of flavonoids were estimated from a food frequency questionnaire. Multivariate logistic regression models (adjusted for age, body mass index, sex, regular non-steroidal anti-inflammatory use, and dietary fiber intake) were used to estimate odds ratios and 95% confidence intervals for both any and advanced adenoma recurrence within quartiles of energy-adjusted flavonoid intake (baseline, during the trial, and change during the trial). Total flavonoid intake was not associated with any or advanced adenoma recurrence. However, high intake of flavonols, which are at greater concentrations in beans, onions, apples, and tea, was associated with decreased risk of advanced adenoma recurrence (4th versus 1st quartile during the trial; odds ratio, 0.24; 95% confidence interval, 0.11, 0.53; P(trend) = 0.0006). Similar inverse associations were observed to a smaller extent for isoflavonoids, the flavonol kaempferol, and the isoflavonoids genistein and formononetin. Our data suggest that a flavonol-rich diet may decrease the risk of advanced adenoma recurrence. PMID:18559549

  18. Conservation treatment of the eye: Conformal proton reirradiation for recurrent uveal melanoma

    SciTech Connect

    Marucci, Laura; Lane, Anne M.; Li Wenjun; Egan, Kathleen M.; Gragoudas, Evangelos S.; Adams, Judy; Collier, John M.; Munzenrider, John E. . E-mail: jmunzenrider@partners.org

    2006-03-15

    Purpose: To evaluate the outcomes of a second course of proton beam radiation therapy (PBRT) in patients with recurrent uveal melanoma. Methods and Materials: Thirty-one patients received a second course of PBRT. The mean interval between the first and the second PBRT course was 50.2 months (range, 8-165 months). Most patients (87%) received 70 cobalt Gray equivalent (CGE) for both courses. Visual acuity was 20/200 or better in 30 patients initially and in 22 patients at the second treatment. The mean follow-up time after the second treatment was 50 months (range, 6-164 months). Results: At the time of the last follow-up, 20 patients were classified as having no evidence of disease, defined as tumor regression or an absence of tumor progression. Nine eyes (29%) were enucleated because of local recurrence (n = 5) or intractable pain (n = 4). The 5-year eye retention rate was 55% (95% confidence interval: 25.2-77.4). Six of the 22 patients who retained the eye (27%) had useful vision (20/200 or better). Conclusions A second course of PBRT for recurrent uveal melanoma to total doses between 118 and 140 CGE was associated with a relatively good probability of local control and a low enucleation rate. Although most patients lost vision, the majority were able to retain the reirradiated eye. Further evaluation is needed to assess metastasis-free survival of additional proton irradiation vs. enucleation after local recurrence.

  19. Lung stereotactic radiotherapy for oligometastases: comparison of oligo-recurrence and sync-oligometastases†

    PubMed Central

    Yamashita, Hideomi; Niibe, Yuzuru; Yamamoto, Takaya; Katsui, Kuniaki; Jingu, Keiichi; Kanazawa, Susumu; Terahara, Atsuro; Nakagawa, Keiichi

    2016-01-01

    Background Oligometastases can be divided into sync-oligometastases and oligo-recurrence. The difference is whether the primary site is uncontrolled or controlled. The goal of this multicenter study was to evaluate treatment outcomes and factors affecting survival after stereotactic body radiotherapy for pulmonary oligometastases. Methods The information after stereotactic body radiotherapy from January 2004 to April 2014 was retrospectively collected. Ninety-six patients (65 males, 31 females) were enrolled. Ten cases (10%) were sync-oligometastases, 79 cases (82%) were oligo-recurrences and 7 (7%) were unclassified oligometastases with <6 months of disease-free interval. The median disease-free interval between initial therapy and stereotactic body radiotherapy was 24 months. The median calculated biological effective dose was 105.6 Gy. Results The median follow-up period was 32 months for survivors. The 3-year overall survival and relapse-free survival rates were 53% and 32%, respectively. No Grade 5 toxicity occurred. The median overall survival was 23.9 months for sync-oligometastases and 66.6 months for oligo-recurrence (P = 0.0029). On multivariate analysis, sync-oligometastases and multiple oligometastatic tumors were significant unfavorable factors for both overall survival and relapse-free survival. Conclusions In stereotactic body radiotherapy for oligometastatic lung tumors, the state of oligo-recurrence has the potential of a significant prognostic factor for survival. PMID:27162324

  20. Recurrence Effects in the Parametric Spring Pendulum.

    ERIC Educational Resources Information Center

    Falk, Lars

    1978-01-01

    Gives a perturbation analysis to recurrence effects of the spring pendulum. The recurrence depends on two conservation laws which determine the motion in an intermediate region; oscillations outside this region are unstable and must return. Gives the relation to Fermi-Pasta-Ulam problem together with the explicit solution. (Author/GA)

  1. 28 CFR 51.14 - Recurrent practices.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Recurrent practices. 51.14 Section 51.14 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) PROCEDURES FOR THE ADMINISTRATION OF SECTION 5 OF THE VOTING RIGHTS ACT OF 1965, AS AMENDED General Provisions § 51.14 Recurrent practices. Where a jurisdiction implements a practice...

  2. Recurrence in Major Depression: A Conceptual Analysis

    ERIC Educational Resources Information Center

    Monroe, Scott M.; Harkness, Kate L.

    2011-01-01

    Theory and research on major depression have increasingly assumed a recurrent and chronic disease model. Yet not all people who become depressed suffer recurrences, suggesting that depression is also an acute, time-limited condition. However, few if any risk indicators are available to forecast which of the initially depressed will or will not…

  3. Late breast recurrence after lumpectomy and irradiation

    SciTech Connect

    Kurtz, J.M.; Spitalier, J.M.; Amalric, R.

    1983-08-01

    For 276 patients with early breast cancer followed from 10 to 21 years after lumpectomy and radiotherapy, the recurrence rate in the treated breast was 15.6%, and 7.2% developed contralateral breast cancer. Only 63% of breast recurrences occurred within 5 years, and the remainder were late failures, with 5 of the 43 recurrences observed after 10 years. The proportion of failures occurring late was greater for T/sub 1/ than for T/sub 2/ tumors (53% vs 25%). Twenty-six percent of early recurrences were inoperable, and an adverse impact of early recurrence on 10-year survival was clearly demonstrable. Late recurrences were all operable and did not appear to be associated with decreased survival. Only 16 of the 36 patients (44%) with operable breast recurrence ever developed metastatic disease, and 5 year survival following salvage therapy was 62%. Although the treated breast remains at continuous cancer risk even beyond 5 years, the prognosis of late recurrence appears quite similar to that of contralateral breast cancer.

  4. Natural history of recurrences in endometrial carcinoma

    PubMed Central

    SORBE, BENGT; JURESTA, CHRISTIAN; AHLIN, CECILIA

    2014-01-01

    The aim of the present study was to evaluate the natural history of endometrial cancer recurrences with regard to predictive and prognostic factors. Between 1990 and 1999, 100 patients were treated for recurrences of endometrial carcinoma (all FIGO stages). Overall, 90 tumors were of endometrioid type. A total of 82 patients were treated with surgery, 41 patients received adjuvant external irradiation and 91 patients received vaginal brachytherapy. The median time to recurrence (TTR) was 32 months. The recurrences were treated using a combination of high-dose-rate brachytherapy and external pelvic irradiation in 35 cases. In addition, 44 patients were treated with chemotherapy and 21 patients received other types of therapy. The complete remission rate was 29% and the overall response rate was 44%. Among patients treated with radiotherapy, the response rate was 88% and, for those treated with chemotherapy, the rate was 33%. The local control of vaginal recurrences treated with combined radiotherapy was 93%. In 45 patients (45%) a second recurrence was identified and a third recurrence occurred in 12 patients. The overall five-year survival rate was 44%. Age, FIGO grade, nuclear grade, TTR and response to treatment were found to be independent and significant prognostic factors for overall survival rate. Locoregional recurrences were associated with a generalized extra-pelvic disease in 63% of the cases. PMID:25202413

  5. Intact Interval Timing in Circadian CLOCK Mutants

    PubMed Central

    Cordes, Sara; Gallistel, C. R.

    2008-01-01

    While progress has been made in determining the molecular basis for the circadian clock, the mechanism by which mammalian brains time intervals measured in seconds to minutes remains a mystery. An obvious question is whether the interval timing mechanism shares molecular machinery with the circadian timing mechanism. In the current study, we trained circadian CLOCK +/− and −/− mutant male mice in a peak-interval procedure with 10 and 20-s criteria. The mutant mice were more active than their wild-type littermates, but there were no reliable deficits in the accuracy or precision of their timing as compared with wild-type littermates. This suggests that expression of the CLOCK protein is not necessary for normal interval timing. PMID:18602902

  6. Calibration intervals at Bendix Kansas City

    SciTech Connect

    James, R.T.

    1980-01-01

    The calibration interval evaluation methods and control in each calibrating department of the Bendix Corp., Kansas City Division is described, and a more detailed description of those employed in metrology is provided.

  7. Combination of structural reliability and interval analysis

    NASA Astrophysics Data System (ADS)

    Qiu, Zhiping; Yang, Di; Elishakoff, Isaac

    2008-02-01

    In engineering applications, probabilistic reliability theory appears to be presently the most important method, however, in many cases precise probabilistic reliability theory cannot be considered as adequate and credible model of the real state of actual affairs. In this paper, we developed a hybrid of probabilistic and non-probabilistic reliability theory, which describes the structural uncertain parameters as interval variables when statistical data are found insufficient. By using the interval analysis, a new method for calculating the interval of the structural reliability as well as the reliability index is introduced in this paper, and the traditional probabilistic theory is incorporated with the interval analysis. Moreover, the new method preserves the useful part of the traditional probabilistic reliability theory, but removes the restriction of its strict requirement on data acquisition. Example is presented to demonstrate the feasibility and validity of the proposed theory.

  8. Almost primes in almost all short intervals

    NASA Astrophysics Data System (ADS)

    TERÄVÄINEN, JONI

    2016-09-01

    Let $E_k$ be the set of positive integers having exactly $k$ prime factors. We show that almost all intervals $[x,x+\\log^{1+\\varepsilon} x]$ contain $E_3$ numbers, and almost all intervals $[x,x+\\log^{3.51} x]$ contain $E_2$ numbers. By this we mean that there are only $o(X)$ integers $1\\leq x\\leq X$ for which the mentioned intervals do not contain such numbers. The result for $E_3$ numbers is optimal up to the $\\varepsilon$ in the exponent. The theorem on $E_2$ numbers improves a result of Harman, which had the exponent $7+\\varepsilon$ in place of $3.51$. We will also consider general $E_k$ numbers, and find them on intervals whose lengths approach $\\log x$ as $k\\to \\infty$.

  9. Local Recurrence After Uveal Melanoma Proton Beam Therapy: Recurrence Types and Prognostic Consequences

    SciTech Connect

    Caujolle, Jean-Pierre; Paoli, Vincent; Chamorey, Emmanuel; Maschi, Celia; Baillif, Stéphanie; Herault, Joël; Gastaud, Pierre; Hannoun-Levi, Jean Michel

    2013-04-01

    Purpose: To study the prognosis of the different types of uveal melanoma recurrences treated by proton beam therapy (PBT). Methods and Materials: This retrospective study analyzed 61 cases of uveal melanoma local recurrences on a total of 1102 patients treated by PBT between June 1991 and December 2010. Survival rates have been determined by using Kaplan-Meier curves. Prognostic factors have been evaluated by using log-rank test or Cox model. Results: Our local recurrence rate was 6.1% at 5 years. These recurrences were divided into 25 patients with marginal recurrences, 18 global recurrences, 12 distant recurrences, and 6 extrascleral extensions. Five factors have been identified as statistically significant risk factors of local recurrence in the univariate analysis: large tumoral diameter, small tumoral volume, low ratio of tumoral volume over eyeball volume, iris root involvement, and safety margin inferior to 1 mm. In the local recurrence-free population, the overall survival rate was 68.7% at 10 years and the specific survival rate was 83.6% at 10 years. In the local recurrence population, the overall survival rate was 43.1% at 10 years and the specific survival rate was 55% at 10 years. The multivariate analysis of death risk factors has shown a better prognosis for marginal recurrences. Conclusion: Survival rate of marginal recurrences is superior to that of the other recurrences. The type of recurrence is a clinical prognostic value to take into account. The influence of local recurrence retreatment by proton beam therapy should be evaluated by novel studies.

  10. Interstitial Photodynamic Therapy in Treating Patients With Recurrent Head and Neck Cancer

    ClinicalTrials.gov

    2016-08-16

    Recurrent Laryngeal Squamous Cell Carcinoma; Recurrent Laryngeal Verrucous Carcinoma; Recurrent Lip and Oral Cavity Squamous Cell Carcinoma; Recurrent Metastatic Squamous Cell Carcinoma in the Neck With Occult Primary; Recurrent Oral Cavity Verrucous Carcinoma; Recurrent Oropharyngeal Squamous Cell Carcinoma; Tongue Carcinoma

  11. Analysis of regression confidence intervals and Bayesian credible intervals for uncertainty quantification

    NASA Astrophysics Data System (ADS)

    Lu, Dan; Ye, Ming; Hill, Mary C.

    2012-09-01

    Confidence intervals based on classical regression theories augmented to include prior information and credible intervals based on Bayesian theories are conceptually different ways to quantify parametric and predictive uncertainties. Because both confidence and credible intervals are used in environmental modeling, we seek to understand their differences and similarities. This is of interest in part because calculating confidence intervals typically requires tens to thousands of model runs, while Bayesian credible intervals typically require tens of thousands to millions of model runs. Given multi-Gaussian distributed observation errors, our theoretical analysis shows that, for linear or linearized-nonlinear models, confidence and credible intervals are always numerically identical when consistent prior information is used. For nonlinear models, nonlinear confidence and credible intervals can be numerically identical if parameter confidence regions defined using the approximate likelihood method and parameter credible regions estimated using Markov chain Monte Carlo realizations are numerically identical and predictions are a smooth, monotonic function of the parameters. Both occur if intrinsic model nonlinearity is small. While the conditions of Gaussian errors and small intrinsic model nonlinearity are violated by many environmental models, heuristic tests using analytical and numerical models suggest that linear and nonlinear confidence intervals can be useful approximations of uncertainty even under significantly nonideal conditions. In the context of epistemic model error for a complex synthetic nonlinear groundwater problem, the linear and nonlinear confidence and credible intervals for individual models performed similarly enough to indicate that the computationally frugal confidence intervals can be useful in many circumstances. Experiences with these groundwater models are expected to be broadly applicable to many environmental models. We suggest that for

  12. Probability Distribution for Flowing Interval Spacing

    SciTech Connect

    S. Kuzio

    2004-09-22

    Fracture spacing is a key hydrologic parameter in analyses of matrix diffusion. Although the individual fractures that transmit flow in the saturated zone (SZ) cannot be identified directly, it is possible to determine the fractured zones that transmit flow from flow meter survey observations. The fractured zones that transmit flow as identified through borehole flow meter surveys have been defined in this report as flowing intervals. The flowing interval spacing is measured between the midpoints of each flowing interval. The determination of flowing interval spacing is important because the flowing interval spacing parameter is a key hydrologic parameter in SZ transport modeling, which impacts the extent of matrix diffusion in the SZ volcanic matrix. The output of this report is input to the ''Saturated Zone Flow and Transport Model Abstraction'' (BSC 2004 [DIRS 170042]). Specifically, the analysis of data and development of a data distribution reported herein is used to develop the uncertainty distribution for the flowing interval spacing parameter for the SZ transport abstraction model. Figure 1-1 shows the relationship of this report to other model reports that also pertain to flow and transport in the SZ. Figure 1-1 also shows the flow of key information among the SZ reports. It should be noted that Figure 1-1 does not contain a complete representation of the data and parameter inputs and outputs of all SZ reports, nor does it show inputs external to this suite of SZ reports. Use of the developed flowing interval spacing probability distribution is subject to the limitations of the assumptions discussed in Sections 5 and 6 of this analysis report. The number of fractures in a flowing interval is not known. Therefore, the flowing intervals are assumed to be composed of one flowing zone in the transport simulations. This analysis may overestimate the flowing interval spacing because the number of fractures that contribute to a flowing interval cannot be

  13. Return volatility interval analysis of stock indexes during a financial crash

    NASA Astrophysics Data System (ADS)

    Li, Wei-Shen; Liaw, Sy-Sang

    2015-09-01

    We investigate the interval between return volatilities above a certain threshold q for 10 countries data sets during the 2008/2009 global financial crisis, and divide these data into several stages according to stock price tendencies: plunging stage (stage 1), fluctuating or rebounding stage (stage 2) and soaring stage (stage 3). For different thresholds q, the cumulative distribution function always satisfies a power law tail distribution. We find the absolute value of the power-law exponent is lowest in stage 1 for various types of markets, and increases monotonically from stage 1 to stage 3 in emerging markets. The fractal dimension properties of the return volatility interval series provide some surprising results. We find that developed markets have strong persistence and transform to weaker correlation in the plunging and soaring stages. In contrast, emerging markets fail to exhibit such a transformation, but rather show a constant-correlation behavior with the recurrence of extreme return volatility in corresponding stages during a crash. We believe this long-memory property found in recurrence-interval series, especially for developed markets, plays an important role in volatility clustering.

  14. Pelvic recurrence of stage 1a well-differentiated endometrial carcinoma after 13 years: A case report

    PubMed Central

    Kim, Annie; Nguyen, Long; Kalir, Tamara; Chuang, Linus

    2016-01-01

    A great majority of endometrial carcinoma recurrences are observed in high-risk patients and within the first 3 years of treatment. The relapse of endometrial carcinoma occurring more than 10 years after initial treatment has rarely been described. Initially diagnosed and treated for International Federation of Gynecology and Obstetrics (FIGO) stage 1a, grade 1 adenocarcinoma, our patient presented 13 years later with an isolated pelvic recurrence, demonstrating, to our knowledge, the longest disease-free interval with recurrence in the pelvis reported in literature. After surgical resection, the patient is being considered for enrollment in a clinical trial. Despite favorable prognostic features, it is possible to observe the recurrence of endometrial carcinoma even 5 years after surveillance and remission. Successful salvage therapies are available but may depend upon early diagnosis. PMID:27026780

  15. Triggered activity as a mechanism of recurrent ventricular tachycardia.

    PubMed Central

    Bhandari, A K; Hong, R A; Rahimtoola, S H

    1988-01-01

    Triggered activity was shown to be the likely mechanism of recurrent tachycardia in a 28 year old Vietnamese man. During baseline electrophysiological testing the tachycardia was induced consistently by prolonged atrial or ventricular pacing but not by premature extrastimuli. Moreover, the tachycardia coupling intervals varied directly with the cycle length of the initiating drive. Procainamide and propranolol did not suppress tachycardia, but verapamil terminated it and prevented its reinitiation. The origin of the tachycardia was localised to the left ventricular inferoapical segment and four direct current countershocks of 200 J each delivered via an electrode catheter abolished the tachycardia. During 12 months of follow up the patient was not treated with antiarrhythmic agents and the tachycardia did not recur. PMID:3370186

  16. Pharmacotherapy for recurrent ovarian cancer: current status and future perspectives.

    PubMed

    Matsumoto, Koji; Onda, Takashi; Yaegashi, Nobuo

    2015-05-01

    Several 'lines of therapy' that utilize cytotoxic agents and are driven by platinum-free intervals are the current standard of care for patients with recurrent ovarian cancer. For patients with platinum-resistant disease, single agent chemotherapy (pegylated liposomal doxorubicin, topotecan, gemcitabine or weekly paclitaxel) is the standard of care. For patients with platinum-sensitive disease, combination chemotherapy (carboplatin plus paclitaxel, pegylated liposomal doxorubicin or gemcitabine) is the standard of care. In addition, antiangiogenic therapy using bevacizumab is an established option. Future directions could include 'lines of therapy' with biologic agents driven by specific biologic targets. Data from antiangiogenic agents (trebananib, pazopanib and cediranib), antifolate drugs (farletuzumab and vintafolide), poly(ADP-ribose) polymerase inhibitors (olaparib and veliparib), mTOR inhibitors (everolimus and temsirolimus) and immune editing agents (nivolumab) have been summarized in this review. PMID:25765457

  17. Calmodulin Mutations Associated with Recurrent Cardiac Arrest in Infants

    PubMed Central

    Crotti, Lia; Johnson, Christopher N.; Graf, Elisabeth; De Ferrari, Gaetano M.; Cuneo, Bettina F.; Ovadia, Marc; Papagiannis, John; Feldkamp, Michael D.; Rathi, Subodh G.; Kunic, Jennifer D.; Pedrazzini, Matteo; Wieland, Thomas; Lichtner, Peter; Beckmann, Britt-Maria; Clark, Travis; Shaffer, Christian; Benson, D. Woodrow; Kääb, Stefan; Meitinger, Thomas; Strom, Tim M.; Chazin, Walter J.; Schwartz, Peter J.; George, Alfred L.

    2013-01-01

    Background Life-threatening disorders of heart rhythm may arise during infancy and can result in the sudden and tragic death of a child. We performed exome sequencing on two unrelated infants presenting with recurrent cardiac arrest to discover a genetic cause. Methods and Results We ascertained two unrelated infants (probands) with recurrent cardiac arrest and dramatically prolonged QTc interval who were both born to healthy parents. The two parent-child trios were investigated using exome sequencing to search for de novo genetic variants. We then performed follow-up candidate gene screening on an independent cohort of 82 subjects with congenital long-QT syndrome without an identified genetic cause. Biochemical studies were performed to determine the functional consequences of mutations discovered in two genes encoding calmodulin. We discovered three heterozygous de novo mutations in either CALM1 or CALM2, two of the three human genes encoding calmodulin, in the two probands and in two additional subjects with recurrent cardiac arrest. All mutation carriers were infants who exhibited life-threatening ventricular arrhythmias combined variably with epilepsy and delayed neurodevelopment. Mutations altered residues in or adjacent to critical calcium binding loops in the calmodulin carboxyl-terminal domain. Recombinant mutant calmodulins exhibited several fold reductions in calcium binding affinity. Conclusions Human calmodulin mutations disrupt calcium ion binding to the protein and are associated with a life-threatening condition in early infancy. Defects in calmodulin function will disrupt important calcium signaling events in heart affecting membrane ion channels, a plausible molecular mechanism for potentially deadly disturbances in heart rhythm during infancy. PMID:23388215

  18. Palliative Treatment of Rectal Carcinoma Recurrence Using Radiofrequency Ablation

    SciTech Connect

    Mylona, Sophia Karagiannis, Georgios Patsoura, Sofia; Galani, Panagiota; Pomoni, Maria; Thanos, Loukas

    2012-08-15

    Purpose: To evaluate the safety and efficacy of CT-guided radiofrequency (RF) ablation for the palliative treatment of recurrent unresectable rectal tumors. Materials and Methods: Twenty-seven patients with locally recurrent rectal cancer were treated with computed tomography (CT)-guided RF ablation. Therapy was performed with the patient under conscious sedation with a seven- or a nine-array expandable RF electrode for 8-10 min at 80-110 Degree-Sign C and a power of 90-110 W. All patients went home under instructions the next day of the procedure. Brief Pain Inventory score was calculated before and after (1 day, 1 week, 1 month, 3 months, and 6 months) treatment. Results: Complete tumor necrosis rate was 77.8% (21 of a total 27 procedures) despite lesion location. BPI score was dramatically decreased after the procedure. The mean preprocedure BPI score was 6.59, which decreased to 3.15, 1.15, and 0.11 at postprocedure day 1, week 1, and month 1, respectively, after the procedure. This decrease was significant (p < 0.01 for the first day and p < 0.001 for the rest of the follow-up intervals (paired Student t test; n - 1 = 26) for all periods during follow-up. Six patients had partial tumor necrosis, and we were attempted to them with a second procedure. Although the necrosis area showed a radiographic increase, no complete necrosis was achieved (secondary success rate 65.6%). No immediate or delayed complications were observed. Conclusion: CT-guided RF ablation is a minimally invasive, safe, and highly effective technique for treatment of malignant rectal recurrence. The method is well tolerated by patients, and pain relief is quickly achieved.

  19. Wrightwood and the earthquake cycle: What a long recurrence record tells us about how faults work

    USGS Publications Warehouse

    Weldon, R.; Scharer, K.; Fumal, T.; Biasi, G.

    2004-01-01

    The concept of the earthquake cycle is so well established that one often hears statements in the popular media like, "the Big One is overdue" and "the longer it waits, the bigger it will be." Surprisingly, data to critically test the variability in recurrence intervals, rupture displacements, and relationships between the two are almost nonexistent. To generate a long series of earthquake intervals and offsets, we have conducted paleoseismic investigations across the San Andreas fault near the town of Wrightwood, California, excavating 45 trenches over 18 years, and can now provide some answers to basic questions about recurrence behavior of large earthquakes. To date, we have characterized at least 30 prehistoric earthquakes in a 6000-yr-long record, complete for the past 1500 yr and for the interval 3000-1500 B.C. For the past 1500 yr, the mean recurrence interval is 105 yr (31-165 yr for individual intervals) and the mean slip is 3.2 m (0.7-7 m per event). The series is slightly more ordered than random and has a notable cluster of events, during which strain was released at 3 times the long-term average rate. Slip associated with an earthquake is not well predicted by the interval preceding it, and only the largest two earthquakes appear to affect the time interval to the next earthquake. Generally, short intervals tend to coincide with large displacements and long intervals with small displacements. The most significant correlation we find is that earthquakes are more frequent following periods of net strain accumulation spanning multiple seismic cycles. The extent of paleoearthquake ruptures may be inferred by correlating event ages between different sites along the San Andreas fault. Wrightwood and other nearby sites experience rupture that could be attributed to overlap of relatively independent segments that each behave in a more regular manner. However, the data are equally consistent with a model in which the irregular behavior seen at Wrightwood

  20. Dasatinib in Treating Patients With Recurrent or Persistent Ovarian, Fallopian Tube, Endometrial or Peritoneal Cancer

    ClinicalTrials.gov

    2016-09-08

    Endometrial Clear Cell Adenocarcinoma; Estrogen Receptor Negative; Ovarian Clear Cell Cystadenocarcinoma; Recurrent Fallopian Tube Carcinoma; Recurrent Ovarian Carcinoma; Recurrent Primary Peritoneal Carcinoma; Recurrent Uterine Corpus Carcinoma

  1. Alisertib in Treating Young Patients With Recurrent or Refractory Solid Tumors or Leukemia

    ClinicalTrials.gov

    2016-07-20

    Hepatoblastoma; Previously Treated Childhood Rhabdomyosarcoma; Recurrent Childhood Acute Lymphoblastic Leukemia; Recurrent Childhood Acute Myeloid Leukemia; Recurrent Childhood Kidney Neoplasm; Recurrent Childhood Malignant Germ Cell Tumor; Recurrent Childhood Rhabdomyosarcoma; Recurrent Childhood Soft Tissue Sarcoma; Recurrent Ewing Sarcoma/Peripheral Primitive Neuroectodermal Tumor; Recurrent Neuroblastoma; Recurrent Osteosarcoma

  2. The Recurrent Vulvovaginal Candidiasis: Proposal of a Personalized Therapeutic Protocol

    PubMed Central

    Murina, F.; Graziottin, A.; Felice, R.; Radici, G. L.; Di Francesco, S.

    2011-01-01

    Background. Recurrent vulvovaginal candidiasis (RVC) is an increasing challenge in clinical practice. Objective. The purpose of this study was to reduce the episodes of RVC through the intake of fluconazole 200 mg/dose with a personalized regimen at growing administration intervals with a probiotic. Method. 55 patients received a 200 mg fluconazole as an induction dose for 3 alternate days. Symptoms resolution after 10–14 days made the patients eligible to continue with a maintenance therapy of fluconazole weekly for one month, followed by 200 mg after 10, 15, 20 and 30 days. Patients were allowed to move on to the next level of maintenance therapy only if they were symptom free. Patients were also given a probiotic with Beta Glucan and Echinacea Purpurea. Results. Among the 55 patients enrolled, four (7%) have withdrawn after the induction phase. 51 patients completed the whole therapeutic maintenance period, and eight (15,6%) experienced a recurrence before the end of the therapy. Five women (9,8%) relapsed (two after 2 months and three after 6 months). Conclusion. The positive results of our study prove the effectiveness of an individualized protocol for a rather short period, with a slowly decreasing administration of fluconazole + probiotic. PMID:21845227

  3. Recurring patterns in stationary intervals of abdominal uterine electromyograms during gestation.

    PubMed

    Di Marco, Luigi Yuri; Di Maria, Costanzo; Tong, Wing-Chiu; Taggart, Michael J; Robson, Stephen C; Langley, Philip

    2014-08-01

    Abdominal uterine electromyograms (uEMG) studies have focused on uterine contractions to describe the evolution of uterine activity and preterm birth (PTB) prediction. Stationary, non-contracting uEMG has not been studied. The aim of the study was to investigate the recurring patterns in stationary uEMG, their relationship with gestation age and PTB, and PTB predictivity. A public database of 300 (38 PTB) three-channel (S1-S3) uEMG recordings of 30 min, collected between 22 and 35 weeks' gestation, was used. Motion and labour contraction-free intervals in uEMG were identified as 5-min weak-sense stationarity intervals in 268 (34 PTB) recordings. Sample entropy (SampEn), percentage recurrence (PR), percentage determinism (PD), entropy (ER), and maximum length (L MAX) of recurrence were calculated and analysed according to the time to delivery and PTB. Random time series were generated by random shuffle (RS) of actual data. Recurrence was present in actual data (p<0.001) but not RS. In S3, PR (p<0.005), PD (p<0.01), ER (p<0.005), and L MAX (p<0.05) were higher, and SampEn lower (p<0.005) in PTB. Recurrence indices increased (all p<0.001) and SampEn decreased (p<0.01) with decreasing time to delivery, suggesting increasingly regular and recurring patterns with gestation progression. All indices predicted PTB with AUC≥0.62 (p<0.05). Recurring patterns in stationary non-contracting uEMG were associated with time to delivery but were relatively poor predictors of PTB. PMID:25008004

  4. Prolonged clot lysis time increases the risk of a first but not recurrent venous thrombosis.

    PubMed

    Karasu, Alev; Baglin, Trevor P; Luddington, Roger; Baglin, Caroline A; van Hylckama Vlieg, Astrid

    2016-03-01

    The role of the fibrinolytic system in the development of venous thrombosis (VT) is unclear. We studied the risk of first and recurrent VT associated with reduced fibrinolysis, as measured by clot lysis time (CLT). We also studied the relationship between CLT and thrombin generation to determine if any relationship between CLT and VT was affected by thrombin generation. Analyses were performed in the Thrombophilia Hypercoagulability Environmental risk for Venous Thromboembolism Study, a two-centre population-based case-control study, including 579 patients and 338 controls, with patients followed from the event to determine incidence of recurrent VT. Hypofibrinolysis was associated with a 1·8-fold increased risk of a first VT [95% confidence interval (CI) 1·2-2·7]. Adjustment for sex, age, study location and Endogenous Thrombin Potential (ETP) did not change the result. The risk of VT was 2·9-fold increased when the 90th percentiles of prolonged CLT and high ETP were combined, with the highest risk for unprovoked first events (Odds Ratio = 4·2, 95% CI 1·3-13·5). In the follow-up study the Hazard Ratio for a recurrent VT associated with hypofibrinolysis was 1·5 (95% CI 0·9-2·6). A weak dose response effect was observed in relation to prolongation of CLT and recurrent VT. Although hypofibrinolysis constitutes a risk factor for a first VT, an association with recurrence is, at best, weak. PMID:26773756

  5. Prevention of immediate recurrence of atrial fibrillation with low-dose landiolol after radiofrequency catheter ablation

    PubMed Central

    Ishigaki, Daisuke; Arimoto, Takanori; Iwayama, Tadateru; Hashimoto, Naoaki; Kutsuzawa, Daisuke; Kumagai, Yu; Nishiyama, Satoshi; Takahashi, Hiroki; Shishido, Tetsuro; Miyamoto, Takuya; Watanabe, Tetsu; Kubota, Isao

    2015-01-01

    Background Immediate recurrence of atrial fibrillation (AF) after radiofrequency (RF) catheter ablation is commonly observed within 3 d after the procedure. The mechanism and pharmacological management of immediate AF recurrence remain unclear. Methods A total of 50 consecutive patients with paroxysmal AF were randomized to receive either low-dose landiolol (landiolol group) or a placebo (placebo group). In the landiolol group, intravenous landiolol (0.5 μg kg−1 min−1) was administered for 3 d after AF ablation. Results No serious adverse event associated with RF catheter ablation or landiolol administration was observed. The prevalence of immediate AF recurrence (≤3 d after RF catheter ablation) was significantly lower in the landiolol group than in the placebo group (16% vs. 48%, p=0.015). Although the postprocedural change in heart rate was significantly lower in the landiolol group compared to that in the placebo group, the changes in blood pressure and body temperature were not different between the two groups. Multiple logistic regression analysis revealed that landiolol treatment was the only independent predictor of immediate AF recurrence after ablation (odds ratio: 0.180; 95% confidence interval: 0.044–0.729; p=0.016). Conclusions Prophylactic administration of low-dose landiolol after AF ablation may be effective and safe for preventing immediate AF recurrence within 3 d after AF ablation. PMID:26550083

  6. Early Local Recurrence Presents Adverse Effect on Outcomes of Primary Breast Sarcoma

    PubMed Central

    Hu, Qun-Chao; Mei, Xin; Feng, Yan; Ma, Jin-Li; Yang, Zhao-Zhi; Shao, Zhi-Min; Yu, Xiao-Li; Guo, Xiao-Mao

    2016-01-01

    Abstract Primary breast sarcomas (PBSs) are spectrum heterogeneous sarcomas in breast and the optimal treatment for them is still under discussion. Our study was to investigate clinical characteristics and identify potential prognostic factors for this rare malignancy. The authors retrospectively reviewed 38 patients with PBSs between October 2000 and February 2014 in FuDan University Shanghai Cancer Center. Local control rate and overall survival (OS) were determined by Kaplan–Meier actuarial method. Univariate analysis and Cox proportional hazards model were applied to identify potential prognostic factors. With median follow-up of 40.19 months, 14 patients (14/38) were found with local recurrence. Extensive operation like mastectomy was not superior to local resection (P = 0.167). Three-year recurrence-free survival and OS rate were 61.9% and 89%, respectively. Larger tumor size and local recurrence were indicated as unfavorable prognostic factors in univariate analysis. Cox model identified narrow interval of recurrence free survival as an unfavorable factor (P = 0.048). Surgery remains crucial treatment for PBSs. Mastectomy, however, is not routinely necessary if clear margin could be achieved by local excision. Early recurrence indicates a poor OS. PMID:26735546

  7. Feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer

    PubMed Central

    Choi, Chel Hun; Bae, Duk-Soo

    2016-01-01

    Objective To assess the feasibility of laparoscopic cytoreduction in patients with localized recurrent epithelial ovarian cancer (EOC) by comparing its outcomes to those of laparotomy. Methods We performed retrospective analysis in 79 EOC patients who had a localized single recurrent site, as demonstrated by computed tomography (CT) scan, magnetic resonance imaging, or positron emission tomography/CT scan; had no ascites; were disease-free for 12 or more months prior; and who had undergone secondary cytoreduction (laparoscopy in 31 patients, laparotomy in 48 patients) at Samsung Medical Center between 2002 and 2013. By reviewing the electronic medical records, we investigated the patients’ baseline characteristics, surgical characteristics, and surgical outcomes. Results There were no statistically significant differences between laparoscopy and laparotomy patients in terms of age, body mass index, cancer antigen 125 level, tumor type, initial stage, grade, recurrence site, type of procedures used in the secondary cytoreduction, adjuvant chemotherapy, and disease-free interval from the previous treatment. With regards to surgical outcomes, reduced operating time, shorter hospital stay, and less estimated blood loss were achieved in the laparoscopy group. Complete debulking was achieved in all cases in the laparoscopy group. Conclusion The laparoscopic approach is feasible without compromising morbidity and survival in selected groups of patients with recurrent EOC. The laparoscopic approach can be a possible treatment option for recurrent EOC. PMID:27029745

  8. MDX-010 in Treating Patients With Recurrent or Refractory Lymphoma

    ClinicalTrials.gov

    2014-05-22

    Adult Grade III Lymphomatoid Granulomatosis; B-cell Chronic Lymphocytic Leukemia; Cutaneous B-cell Non-Hodgkin Lymphoma; Extranodal Marginal Zone B-cell Lymphoma of Mucosa-associated Lymphoid Tissue; Intraocular Lymphoma; Nodal Marginal Zone B-cell Lymphoma; Recurrent Adult Burkitt Lymphoma; Recurrent Adult Diffuse Large Cell Lymphoma; Recurrent Adult Diffuse Mixed Cell Lymphoma; Recurrent Adult Diffuse Small Cleaved Cell Lymphoma; Recurrent Adult Grade III Lymphomatoid Granulomatosis; Recurrent Adult Hodgkin Lymphoma; Recurrent Adult Immunoblastic Large Cell Lymphoma; Recurrent Adult Lymphoblastic Lymphoma; Recurrent Grade 1 Follicular Lymphoma; Recurrent Grade 2 Follicular Lymphoma; Recurrent Mantle Cell Lymphoma; Recurrent Marginal Zone Lymphoma; Refractory Hairy Cell Leukemia; Small Intestine Lymphoma; Splenic Marginal Zone Lymphoma; Testicular Lymphoma; Waldenström Macroglobulinemia

  9. Discontinuation of antidepressant medication after mindfulness-based cognitive therapy for recurrent depression: randomised controlled non-inferiority trial

    PubMed Central

    Huijbers, Marloes J.; Spinhoven, Philip; Spijker, Jan; Ruhé, Henricus G.; van Schaik, Digna J. F.; van Oppen, Patricia; Nolen, Willem A.; Ormel, Johan; Kuyken, Willem; van der Wilt, Gert Jan; Blom, Marc B. J.; Schene, Aart H.; Rogier, A.; Donders, T.; Speckens, Anne E. M.

    2016-01-01

    Background Mindfulness-based cognitive therapy (MBCT) and maintenance antidepressant medication (mADM) both reduce the risk of relapse in recurrent depression, but their combination has not been studied. Aims To investigate whether MBCT with discontinuation of mADM is non-inferior to MBCT+mADM. Method A multicentre randomised controlled non-inferiority trial (ClinicalTrials.gov: NCT00928980). Adults with recurrent depression in remission, using mADM for 6 months or longer (n = 249), were randomly allocated to either discontinue (n = 128) or continue (n = 121) mADM after MBCT. The primary outcome was depressive relapse/recurrence within 15 months. A confidence interval approach with a margin of 25% was used to test non-inferiority. Key secondary outcomes were time to relapse/recurrence and depression severity. Results The difference in relapse/recurrence rates exceeded the non-inferiority margin and time to relapse/recurrence was significantly shorter after discontinuation of mADM. There were only minor differences in depression severity. Conclusions Our findings suggest an increased risk of relapse/recurrence in patients withdrawing from mADM after MBCT. PMID:26892847

  10. Prospective Study of Plasmodium vivax Malaria Recurrence after Radical Treatment with a Chloroquine-Primaquine Standard Regimen in Turbo, Colombia.

    PubMed

    Zuluaga-Idárraga, Lina; Blair, Silvia; Akinyi Okoth, Sheila; Udhayakumar, Venkatachalam; Marcet, Paula L; Escalante, Ananias A; Alexander, Neal; Rojas, Carlos

    2016-08-01

    Plasmodium vivax recurrences help maintain malaria transmission. They are caused by recrudescence, reinfection, or relapse, which are not easily differentiated. A longitudinal observational study took place in Turbo municipality, Colombia. Participants with uncomplicated P. vivax infection received supervised treatment concomitantly with 25 mg/kg chloroquine and 0.25 mg/kg/day primaquine for 14 days. Incidence of recurrence was assessed over 180 days. Samples were genotyped, and origins of recurrences were established. A total of 134 participants were enrolled between February 2012 and July 2013, and 87 were followed for 180 days, during which 29 recurrences were detected. The cumulative incidence of first recurrence was 24.1% (21/87) (95% confidence interval [CI], 14.6 to 33.7%), and 86% (18/21) of these events occurred between days 51 and 110. High genetic diversity of P. vivax strains was found, and 12.5% (16/128) of the infections were polyclonal. Among detected recurrences, 93.1% (27/29) of strains were genotyped as genetically identical to the strain from the previous infection episode, and 65.5% (19/29) of infections were classified as relapses. Our results indicate that there is a high incidence of P. vivax malaria recurrence after treatment in Turbo municipality, Colombia, and that a large majority of these episodes are likely relapses from the previous infection. We attribute this to the primaquine regimen currently used in Colombia, which may be insufficient to eliminate hypnozoites. PMID:27185794

  11. [Annexins and recurrent pregnancy loss].

    PubMed

    Udry, Sebastián; Aranda, Federico; Latino, Omar; Larrañaga, Gabriela de

    2013-01-01

    Recurrent Pregnancy Loss (RPL) affects public health and directly compromises the quality of life of hundreds of women, with a detrimental effect on their physical and mental health. Approximately 50% of RPL are not associated to any of the currently known etiology and will be considered idiopathic. Recently, it has been demonstrated that the expression of annexin 5 (ANXA5), a protein found on the trophoblastic surface, plays a fundamental role in the development of pregnancy due to its immunomodulator and anticoagulant function at the placentary level. Some genetic haplotypes of ANXA5 are associated to alterations in the expression of this gene, such as haplotype M2 which is associated to a decrease in the expression of ANXA5. The presence of this haplotype is related to the following conditions occurring during pregnancy: RPL, foetal intrauterine growth restriction, low child weight at birth, preeclampsia and maternal pulmonary thromboembolism. This review describes the structure, function and genetic expression of ANXA5, as well as its possible implication in RPL. PMID:24152411

  12. [Chronic recurrent multifocal osteomyelitis (CRMO)].

    PubMed

    Schilling, F

    1998-02-01

    Chronic recurrent multifocal osteomyelitis (CRMO) is an unusual clinical entity. More than 200 cases are described in the literature and it is presented here with special reference to its radiological aspects. It is an acquired disease of the skeleton which occurs predominantly during childhood and adolescence. About ten per cent of cases begin in early or, rarely, in later adult life. This variant is described here for the first time and is discussed as "adult CRMO". The underlying pathology is a bland, predominantly lympho-plasma cellular osteomyelitis which is self-limiting and leads to bone sclerosis (Garrè). It probably involves an abnormal immune process which follows an infection but remains clinically latent and remains aseptic and sterile. In a quarter of cases there is an association with pustulosis palmo-plantaris and its relationship with psoriatic arthropathy is discussed. The clinical, histopathological and imaging features (radiological and particularly MRT) and the bone changes are described. This provides a spectrum of symptoms; the radiological differential diagnosis and the relationship with hyperostotic spondyloarthroses during adult life are discussed. The relationship between CRMO, the SAPHO syndrome and acquired hyperostosis syndrome are analysed. PMID:9519042

  13. Immunopathogenesis of recurrent vulvovaginal candidiasis.

    PubMed Central

    Fidel, P L; Sobel, J D

    1996-01-01

    Recurrent vulvovaginal candidiasis (RVVC) is a prevalent opportunistic mucosal infection, caused predominantly by Candida albicans, which affects a significant number of otherwise healthy women of childbearing age. Since there are no known exogenous predisposing factors to explain the incidence of symptomatic vaginitis in most women with idiopathic RVVC, it has been postulated that these particular women suffer from an immunological abnormality that prediposes them to RVVC. Because of the increased incidence of mucosal candidiasis in individuals with depressed cell-mediated immunity (CMI), defects in CMI are viewed as a possible explanation for RVVC. In this review, we attempt to place into perspective the accumulated information regarding the immunopathogenesis of RVVC, as well as to provide new immunological perspectives and hypotheses regarding potential immunological deficiencies that may predispose to RVVC and potentially other mucosal infections by the same organism. The results of both clinical studies and studies in an animal model of experimental vaginitis suggest that systemic CMI may not be the predominant host defense mechanism against C. albicans vaginal infections. Rather, locally acquired mucosal immunity, distinct from that in the peripheral circulation, is now under consideration as an important host defense at the vaginal mucosa, as well as the notion that changes in local CMI mechanism(s) may predispose to RVVC. PMID:8809464

  14. Epidemiology of recurrent respiratory papillomatosis.

    PubMed

    Larson, Daniel A; Derkay, Craig S

    2010-06-01

    Recurrent respiratory papillomatosis (RRP) was first described in the 1800s, but it was not until the 1980s when it was convincingly attributed to human papilloma virus (HPV). RRP is categorized into juvenile onset and adult onset depending on presentation before or after the age of 12 years, respectively. The prevalence of this disease is likely variable depending on the age of presentation, country and socioeconomic status of the population being studied, but is generally accepted to be between 1 and 4 per 100 000. Despite the low prevalence, the economic burden of RRP is high given the multiple procedures required by patients. Multiple studies have shown that the most likely route of transmission of HPV in RRP is from mother to child during labor. Exceptions to this may include patients with congenital RRP who have been exposed in utero and adult patients who may have been exposed during sexual contact. Although cesarean section may prevent the exposure of children to the HPV virus during childbirth, its effectiveness in preventing RRP is debatable and the procedure itself carries an increased risk of complications. The quadrivalent HPV vaccine holds the most promise for the prevention of RRP by eliminating the maternal reservoir for HPV. PMID:20553527

  15. Recurrent seizures after lidocaine ingestion.

    PubMed

    Aminiahidashti, Hamed; Laali, Abolghasem; Nosrati, Nazanin; Jahani, Fatemeh

    2015-01-01

    Lidocaine has a concentration-dependent effect on seizures. Concentrations above 15 μg/mL frequently result in seizures in laboratory animals and human. We report a case of central nervous system (CNS) lidocaine toxicity and recurrent seizure after erroneous ingestion of lidocaine solution. A 4-year-old boy presented to the Emergency Department of Imam Hospital of Sari in December 2013 due to tonic-clonic generalized seizures approximately 30 min ago. 3 h before seizure, his mother gave him 2 spoons (amount 20-25 cc) lidocaine hydrochloride 2% solution instead of pediatric gripe by mistake. Seizure with generalized tonic-clonic occurred 3 times in home. Neurological examination was essentially unremarkable except for the depressed level of consciousness. Personal and medical history was unremarkable. There was no evidence of intracranial ischemic or hemorrhagic lesions in computed tomography scan. There were no further seizures, the condition of the patient remained stable, and he was discharged 2 days after admission. The use of viscous lidocaine may result in cardiovascular and CNS toxicity, particularly in children. Conservative management is the best option for treatment of lidocaine induced seizure. PMID:25709968

  16. Recurrent seizures after lidocaine ingestion

    PubMed Central

    Aminiahidashti, Hamed; Laali, Abolghasem; Nosrati, Nazanin; Jahani, Fatemeh

    2015-01-01

    Lidocaine has a concentration-dependent effect on seizures. Concentrations above 15 μg/mL frequently result in seizures in laboratory animals and human. We report a case of central nervous system (CNS) lidocaine toxicity and recurrent seizure after erroneous ingestion of lidocaine solution. A 4-year-old boy presented to the Emergency Department of Imam Hospital of Sari in December 2013 due to tonic-clonic generalized seizures approximately 30 min ago. 3 h before seizure, his mother gave him 2 spoons (amount 20–25 cc) lidocaine hydrochloride 2% solution instead of pediatric gripe by mistake. Seizure with generalized tonic-clonic occurred 3 times in home. Neurological examination was essentially unremarkable except for the depressed level of consciousness. Personal and medical history was unremarkable. There was no evidence of intracranial ischemic or hemorrhagic lesions in computed tomography scan. There were no further seizures, the condition of the patient remained stable, and he was discharged 2 days after admission. The use of viscous lidocaine may result in cardiovascular and CNS toxicity, particularly in children. Conservative management is the best option for treatment of lidocaine induced seizure. PMID:25709968

  17. Prognostic factors of tumor recurrence in completely resected non-small cell lung cancer

    PubMed Central

    Tantraworasin, Apichat; Saeteng, Somcharoen; Lertprasertsuke, Nirush; Arreyakajohn, Nuttapon; Kasemsarn, Choosak; Patumanond, Jayanton

    2013-01-01

    Background Patients with completely resected non-small cell lung cancer (NSCLC) have an excellent outcome; however tumor recurs in 30%–77% of patients. This study retrospectively analyzed the clinicopathologic features of patients with any operable stage of NSCLC to identify the prognostic factors that influence tumor recurrence, including intratumoral blood vessel invasion (IVI), tumor size, tumor necrosis, and intratumoral lymphatic invasion. Methods From January 2002 to December 2011, 227 consecutive patients were enrolled in this study. They were divided into two groups: the “no recurrence” group and the “recurrence” group. Recurrence-free survival was analyzed by multivariable Cox regression analysis, stratified by tumor staging, chemotherapy, and nodal involvement. Results IVI, tumor necrosis, tumor diameter more than 5 cm, and nodal involvement were identified as independent prognostic factors of tumor recurrence. The hazard ratio (HR) of patients with IVI was 2.1 times higher than that of patients without IVI (95% confident interval [CI]: 1.4–3.2) (P = 0.001).The HR of patients with tumor necrosis was 2.1 times higher than that of patients without tumor necrosis (95% CI: 1.3–3.4) (P = 0.001). Patients who had a maximum tumor diameter greater than 5 cm had significantly higher risk of recurrence than patients who had a maximum tumor diameter of less than 5 cm (HR 1.9, 95% CI: 1.0–3.5) (P = 0.033). Conclusion IVI, tumor diameter more than 5 cm, and tumor necrosis are prognostic factors of tumor recurrence in completely resected NSCLC. Therefore, NSCLC patients, with or without nodal involvement, who have one or more prognostic factors of tumor recurrence may benefit from adjuvant chemotherapy for prevention of tumor recurrence. PMID:23785244

  18. Intensity-Modulated Radiation Therapy in the Salvage of Locally Recurrent Nasopharyngeal Carcinoma

    SciTech Connect

    Qiu Sufang; Lin Shaojun; Tham, Ivan W.K.; Pan Jianji; Lu Jun; Lu, Jiade J.

    2012-06-01

    Purpose: Local recurrences of nasopharyngeal carcinoma (NPC) may be salvaged by reirradiation with conventional techniques, but with significant morbidity. Intensity-modulated radiation therapy (IMRT) may improve the therapeutic ratio by reducing doses to normal tissue. The aim of this study was to address the efficacy and toxicity profile of IMRT for a cohort of patients with locally recurrent NPC. Methods and Materials: Between August 2003 and June 2009, 70 patients with radiologic or pathologically proven locally recurrent NPC were treated with IMRT. The median time to recurrence was 30 months after the completion of conventional radiation to definitive dose. Fifty-seven percent of the tumors were classified asrT3-4. The minimum planned doses were 59.4 to 60 Gy in 1.8- to 2-Gy fractions per day to the gross disease with margins, with or without chemotherapy. Results: The median dose to the recurrent tumor was 70 Gy (range, 50-77.4 Gy). Sixty-five patients received the planned radiation therapy; 5 patients received between 50 and 60 Gy because of acute side effects. With a median follow-up time of 25 months, the rates of 2-year locoregional recurrence-free survival, disease-free survival, and overall survival were 65.8%, 65.8%, and 67.4%, respectively. Moderate to severe late toxicities were noted in 25 patients (35.7%). Eleven patients (15.7%) had posterior nasal space ulceration, 17 (24.3%) experienced cranial nerve palsies, 12 (17.1%) had trismus, and 12 (17.1%) experienced deafness. Extended disease-free interval (relative risk 2.049) and advanced T classification (relative risk 3.895) at presentation were adverse prognostic factors. Conclusion: Reirradiation with IMRT provides reasonable long-term control in patients with locally recurrent NPC.

  19. Aortic Complex Plaque Predicts the Risk of Cryptogenic Ischemic Cerebrovascular Disease Recurrence

    PubMed Central

    Dong, Jing; Ma, Xin; Qie, Jingyuan; Ji, Xunming

    2016-01-01

    To evaluate the correlations between aortic complex plaque (ACP) and the recurrence of cryptogenic ischemic cerebrovascular disease (CICVD), and to investigate the clinical significance of ACP in CICVD. Methods CICVD patients (aged 17 to 84 years) admitted into the Department of Neurology, Xuanwu Hospital, from July 2011 to December 2013, were consecutively recruited, and divided into ACP and non-ACP groups according to head and neck computerized tomographic (CT) angiography. Recurrences of cerebral ischemic events (CIEs) were compared between these groups after follow-up. Results A total of 117 patients were enrolled (ACP group: 69, non-ACP group: 48) and followed up for a mean of 9.86 months (range: 3-33). The average age of the ACP group was 62.88 years, with 59.4% older than 60 years; the average age of the non-ACP group was 50.29 years, with 37.5% older than 60 years. At the 6-month follow-up, the recurrence rate of CIEs in the ACP group was significantly higher than that of the non-ACP group (17.0% [7/47] and 0% [0/36], respectively; χ2 = 4.283, P = 0.046). The cumulative recurrence risk for CIEs of the ACP group was significantly higher than for the non-ACP group (P = 0.004). Multivariate Cox survival analysis showed that ACP presence was an independent risk factor for CIE recurrence for CICVD patients (relative risk [RR] = 7.803, 95% confidence interval [CI], 1.827~33.319, P = 0.006). Conclusions ACP increased the recurrence risk of CIE in CICVD, and elderly CICVD patients should receive greater attention regarding the significance of ACP in recurrent CICVD. PMID:27114844

  20. Sunspot Time Series: Passive and Active Intervals

    NASA Astrophysics Data System (ADS)

    Zięba, S.; Nieckarz, Z.

    2014-07-01

    Solar activity slowly and irregularly decreases from the first spotless day (FSD) in the declining phase of the old sunspot cycle and systematically, but also in an irregular way, increases to the new cycle maximum after the last spotless day (LSD). The time interval between the first and the last spotless day can be called the passive interval (PI), while the time interval from the last spotless day to the first one after the new cycle maximum is the related active interval (AI). Minima of solar cycles are inside PIs, while maxima are inside AIs. In this article, we study the properties of passive and active intervals to determine the relation between them. We have found that some properties of PIs, and related AIs, differ significantly between two group of solar cycles; this has allowed us to classify Cycles 8 - 15 as passive cycles, and Cycles 17 - 23 as active ones. We conclude that the solar activity in the PI declining phase (a descending phase of the previous cycle) determines the strength of the approaching maximum in the case of active cycles, while the activity of the PI rising phase (a phase of the ongoing cycle early growth) determines the strength of passive cycles. This can have implications for solar dynamo models. Our approach indicates the important role of solar activity during the declining and the rising phases of the solar-cycle minimum.

  1. Natural frequencies of structures with interval parameters

    NASA Astrophysics Data System (ADS)

    Sofi, A.; Muscolino, G.; Elishakoff, I.

    2015-07-01

    This paper deals with the evaluation of the lower and upper bounds of the natural frequencies of structures with uncertain-but-bounded parameters. The solution of the generalized interval eigenvalue problem is pursued by taking into account the actual variability and dependencies of uncertain structural parameters affecting the mass and stiffness matrices. To this aim, interval uncertainties are handled by applying the improved interval analysis via extra unitary interval (EUI), recently introduced by the first two authors. By associating an EUI to each uncertain-but-bounded parameter, the cases of mass and stiffness matrices affected by fully disjoint, completely or partially coincident uncertainties are considered. Then, based on sensitivity analysis, it is shown that the bounds of the interval eigenvalues can be evaluated as solution of two appropriate deterministic eigenvalue problems without requiring any combinatorial procedure. If the eigenvalues are monotonic functions of the uncertain parameters, then the exact bounds are obtained. The accuracy of the proposed method is demonstrated by numerical results concerning truss and beam structures with material and/or geometrical uncertainties.

  2. Robust dynamical recurrences based on Floquet spectrum

    NASA Astrophysics Data System (ADS)

    Ayub, M.; Naseer, K.; Saif, F.

    2011-10-01

    Robust recurrence behavior of wave packets in periodically driven systems and coupled higher dimensional systems is analyzed, which takes place in the realm of higher coupling/modulation strength. We analyze the wave packet dynamics close to nonlinear resonances developed in the systems and provide the analytical understanding of recurrence times. We apply these analytical results to investigate the recurrence times of matter waves in optical lattice in the presence of external periodic forcing. The obtained analytical results can experimentally be observed using currently available experimental setups.

  3. Surgical management of recurrent ovarian cancer.

    PubMed

    Leitao, Mario M; Chi, Dennis S

    2009-04-01

    Surgery is the cornerstone of treatment for patients with advanced ovarian cancer. The majority of patients with advanced ovarian cancer who experience a clinical remission after initial surgery will develop a recurrence. The optimal management for patients with recurrent ovarian cancer remains to be defined. Chemotherapy is frequently used with varying response rates. Repeat surgical cytoreduction appears to offer a survival benefit for select patients with recurrent ovarian cancer and should be considered. Surgery also plays a role in the palliation of certain patients. Continued investigations, especially randomized trials, are needed to further define the optimal treatment modalities for these patients. PMID:19332245

  4. Esophageal recurrence of medullary thyroid carcinoma.

    PubMed

    Muñoz de Nova, Jose Luis; Dworzynska, Agnieszka; Lorente-Poch, Leyre; Sancho, Juan Jose; Sitges-Serra, Antonio

    2015-12-01

    Medullary thyroid carcinoma (MTC) metastasizes to the regional lymph nodes and to the lungs, liver and bones. Only one case of recurrence of MTC involving the upper gastrointestinal tract has been reported so far. We describe the case of a 38-year-old woman with MTC, who developed an upper esophageal submucosal recurrence after two previous local recurrences treated surgically and one ethanol injection. After resection of the right lateral esophageal wall, calcitonin dropped by 60% and showed a doubling time >1 year. We cannot rule out the role of deep ethanol injection in the involvement of the cervical esophagus wall. PMID:26645011

  5. Recurrent stroke: what have we learnt?

    PubMed

    Rabia, K; Khoo, Em

    2007-01-01

    Stroke is the third leading cause of death, a major cause of disability in adults, and is frequently more disabling than fatal. With a decline in mortality from initial cerebral infarction and an increase in the life expectancy of the population, the number of patients with recurrent stroke and ensuing cardiovascular events will become greater. Thus it is important to find out those patients at high risk of stroke recurrence. This case report illustrates the process of recurrent stroke and the resulting disabilities and morbidities in a 42-year- old man. The role of integrated stroke rehabilitation programme is described. PMID:25606084

  6. [Chronic subdural hematoma--recurrence and prevention].

    PubMed

    Sakakibara, Fumihiro; Tsuzuki, Nobusuke; Uozumi, Yoichi; Nawashiro, Hiroshi; Shima, Katsuji

    2011-01-01

    Chronic subdural hematoma is one of the most common disorders observed in routine neurosurgical care. In the vast majority of cases, this disorder is treated by surgical evacuation, which usually yields a good prognosis. However, the recurrence rates after this initial procedure range from approximately 5% to 30%. In this study, we focused on the recurrence rate of chronic subdural hematoma and its prevention. We reviewed the risk factors for recurrence, surgical procedures used, perioperative management, timing of operation, and medical treatment. PMID:21228450

  7. Esophageal recurrence of medullary thyroid carcinoma

    PubMed Central

    Dworzynska, Agnieszka; Lorente-Poch, Leyre; Sancho, Juan Jose; Sitges-Serra, Antonio

    2015-01-01

    Medullary thyroid carcinoma (MTC) metastasizes to the regional lymph nodes and to the lungs, liver and bones. Only one case of recurrence of MTC involving the upper gastrointestinal tract has been reported so far. We describe the case of a 38-year-old woman with MTC, who developed an upper esophageal submucosal recurrence after two previous local recurrences treated surgically and one ethanol injection. After resection of the right lateral esophageal wall, calcitonin dropped by 60% and showed a doubling time >1 year. We cannot rule out the role of deep ethanol injection in the involvement of the cervical esophagus wall. PMID:26645011

  8. Recurrent spigelian hernia: a case report.

    PubMed

    Losanoff, Julian E; Richman, Bruce W; Jones, James W

    2003-02-01

    Only seven cases of spigelian hernia recurrence have been previously reported. We report the case of a 75-year-old male patient who presented with extremely large hernia after four unsuccessful suture repairs over 12 years. The abdominal wall defect was repaired with Marlex mesh. The advantage of using prosthetic mesh in both primary and recurrent spigelian hernia is supported by recent clinical research data indicating a generalized collagen metabolism disorder in patients with primary and recurrent hernia. Mesh repair allows for tension-free anatomic restoration of distorted tissues associated with repair failures. PMID:12641349

  9. Prevention of Recurrent Staphylococcal Skin Infections.

    PubMed

    Creech, C Buddy; Al-Zubeidi, Duha N; Fritz, Stephanie A

    2015-09-01

    Staphylococcus aureus infections pose a significant health burden. The emergence of community-associated methicillin-resistant S aureus has resulted in an epidemic of skin and soft tissue infections (SSTI), and many patients experience recurrent SSTI. As S aureus colonization is associated with subsequent infection, decolonization is recommended for patients with recurrent SSTI or in settings of ongoing transmission. S aureus infections often cluster within households, and asymptomatic carriers serve as reservoirs for transmission; therefore, a household approach to decolonization is more effective than measures performed by individuals alone. Novel strategies for the prevention of recurrent SSTI are needed. PMID:26311356

  10. Pigeons' choices between fixed-interval and random-interval schedules: utility of variability?

    PubMed

    Andrzejewski, Matthew E; Cardinal, Claudia D; Field, Douglas P; Flannery, Barbara A; Johnson, Michael; Bailey, Kathleen; Hineline, Philip N

    2005-03-01

    Pigeons' choosing between fixed-interval and random-interval schedules of reinforcement was investigated in three experiments using a discrete-trial procedure. In all three experiments, the random-interval schedule was generated by sampling a probability distribution at an interval (and in multiples of the interval) equal to that of the fixed-interval schedule. Thus the programmed delays to reinforcement on the random alternative were never shorter and were often longer than the fixed interval. Despite this feature, the fixed schedule was not strongly preferred. Increases in the probability used to generate the random interval resulted in decreased preferences for the fixed schedule. In addition, the number of consecutive choices on the preferred alternative varied directly with preference, whereas the consecutive number of choices on the nonpreferred alternative was fairly constant. The probability of choosing the random alternative was unaffected by the immediately prior interval encountered on that schedule, even when it was very long relative to the average value. The results loosely support conceptions of a "preference for variability" from foraging theory and the "utility of behavioral variability" from human decision-making literatures. PMID:15828591

  11. Perceptual interference decays over short unfilled intervals.

    PubMed

    Schulkind, M D

    2000-09-01

    The perceptual interference effect refers to the fact that object identification is directly related to the amount of information available at initial exposure. The present article investigated whether perceptual interference would dissipate when a short, unfilled interval was introduced between exposures to a degraded object. Across three experiments using both musical and pictorial stimuli, identification performance increased directly with the length of the unfilled interval. Consequently, significant perceptual interference was obtained only when the interval between exposures was relatively short (< 500 msec for melodies; < 300 msec for pictures). These results are consistent with explanations that attribute perceptual interference to increased perceptual noise created by exposures to highly degraded objects. The data also suggest that perceptual interference is mediated by systems that are not consciously controlled by the subject and that perceptual interference in the visual domain decays more rapidly than perceptual interference in the auditory domain. PMID:11105520

  12. Intervality and coherence in complex networks.

    PubMed

    Domínguez-García, Virginia; Johnson, Samuel; Muñoz, Miguel A

    2016-06-01

    Food webs-networks of predators and prey-have long been known to exhibit "intervality": species can generally be ordered along a single axis in such a way that the prey of any given predator tend to lie on unbroken compact intervals. Although the meaning of this axis-usually identified with a "niche" dimension-has remained a mystery, it is assumed to lie at the basis of the highly non-trivial structure of food webs. With this in mind, most trophic network modelling has for decades been based on assigning species a niche value by hand. However, we argue here that intervality should not be considered the cause but rather a consequence of food-web structure. First, analysing a set of 46 empirical food webs, we find that they also exhibit predator intervality: the predators of any given species are as likely to be contiguous as the prey are, but in a different ordering. Furthermore, this property is not exclusive of trophic networks: several networks of genes, neurons, metabolites, cellular machines, airports, and words are found to be approximately as interval as food webs. We go on to show that a simple model of food-web assembly which does not make use of a niche axis can nevertheless generate significant intervality. Therefore, the niche dimension (in the sense used for food-web modelling) could in fact be the consequence of other, more fundamental structural traits. We conclude that a new approach to food-web modelling is required for a deeper understanding of ecosystem assembly, structure, and function, and propose that certain topological features thought to be specific of food webs are in fact common to many complex networks. PMID:27368797

  13. Intervality and coherence in complex networks

    NASA Astrophysics Data System (ADS)

    Domínguez-García, Virginia; Johnson, Samuel; Muñoz, Miguel A.

    2016-06-01

    Food webs—networks of predators and prey—have long been known to exhibit "intervality": species can generally be ordered along a single axis in such a way that the prey of any given predator tend to lie on unbroken compact intervals. Although the meaning of this axis—usually identified with a "niche" dimension—has remained a mystery, it is assumed to lie at the basis of the highly non-trivial structure of food webs. With this in mind, most trophic network modelling has for decades been based on assigning species a niche value by hand. However, we argue here that intervality should not be considered the cause but rather a consequence of food-web structure. First, analysing a set of 46 empirical food webs, we find that they also exhibit predator intervality: the predators of any given species are as likely to be contiguous as the prey are, but in a different ordering. Furthermore, this property is not exclusive of trophic networks: several networks of genes, neurons, metabolites, cellular machines, airports, and words are found to be approximately as interval as food webs. We go on to show that a simple model of food-web assembly which does not make use of a niche axis can nevertheless generate significant intervality. Therefore, the niche dimension (in the sense used for food-web modelling) could in fact be the consequence of other, more fundamental structural traits. We conclude that a new approach to food-web modelling is required for a deeper understanding of ecosystem assembly, structure, and function, and propose that certain topological features thought to be specific of food webs are in fact common to many complex networks.

  14. Children's artistic responses to musical intervals.

    PubMed

    Smith, L D; Williams, R N

    1999-01-01

    In one experiment, White South African boys drew pictures in response to four musical intervals. In the second, the subjects were of both sexes and drawn from White, urban Black, and rural Black populations. Six intervals were used. Drawing content was similar cross-culturally. Consonances were perceived as generally positive; dissonances, generally negative. There was also an activity dimension. Children in a lower grade drew more concrete pictures than did those in a higher grade, regardless of age. Even young listeners were fairly consistent in their responses. This suggests that perception of musical meaning is a universal rather than culturally based phenomenon. PMID:10696271

  15. Optimal Colonoscopy Surveillance Interval after Polypectomy

    PubMed Central

    Kim, Tae Oh

    2016-01-01

    The detection and removal of adenomatous polyps and postpolypectomy surveillance are considered important for the control of colorectal cancer (CRC). Surveillance using colonoscopy is an effective tool for preventing CRC after colorectal polypectomy, especially if compliance is good. In current practice, the intervals between colonoscopies after polypectomy are variable. Different recommendations for recognizing at risk groups and defining surveillance intervals after an initial finding of colorectal adenomas have been published. However, high-grade dysplasia and the number and size of adenomas are known major cancer predictors. Based on this, a subgroup of patients that may benefit from intensive surveillance colonoscopy can be identified. PMID:27484812

  16. Classical and Recurrent Nova Models

    NASA Astrophysics Data System (ADS)

    José, Jordi; Casanova, Jordi; García-Berro, Enrique; Hernanz, Margarita; Shore, Steven N.; Calder, Alan C.

    2013-01-01

    Remarkable progress in the understanding of nova outbursts has been achieved through combined efforts in photometry, spectroscopy and numerical simulations. According to the thermonuclear runaway model, novae are powered by thermonuclear explosions in the hydrogen-rich envelopes transferred from a low-mass stellar companion onto a close white dwarf star. Extensive numerical simulations in 1-D have shown that the accreted envelopes attain peak temperatures ranging between 108 and 4 × 108 K, for about several hundred seconds, hence allowing extensive nuclear processing which eventually shows up in the form of nucleosynthetic fingerprints in the ejecta. Indeed, it has been claimed that novae can play a certain role in the enrichment of the interstellar medium through a number of intermediate-mass elements. This includes 17O, 15N, and 13C, systematically overproduced with respect to solar abundances, plus a lower contribution in a number of other species (A < 40), such as 7Li, 19F, or 26Al. At the turn of the XXI Century, classical novae have entered the era of multidimensional models, which provide a new insight into the physical mechanisms that drive mixing at the core-envelope interface. In this review, we will present hydrodynamic models of classical novae, from the onset of accretion up to the explosion and ejection stages, both for classical and recurrent novae, with special emphasis on their gross observational properties and their associated nucleosynthesis. The impact of nuclear uncertainties on the final yields will be discussed. Recent results from 2-D models of mixing during classical nova outbursts will also be presented.

  17. Isolated Supratentorial Intraventricular Recurrence of Medulloblastoma

    PubMed Central

    Winslow, Nolan; Flouty, Oliver; Kirby, Patricia

    2015-01-01

    Medulloblastoma is a common pediatric tumor typically diagnosed before the age of fifteen. Initial therapy includes surgical resection and radiation of the entire neuro-axis. Recurrence is common and typically occurs within 2 years of initial diagnosis. Those fitting Collin's Law is considered tumor-free. We report a case of single supratentorial recurrence 13 years after initial diagnosis. Here we present a 22 year old male presenting 13 years after initial diagnosis with isolated septum pellucidum recurrence. He underwent complete resection of the tumor. Medulloblastoma is a common in the pediatric population. Late recurrence to the ventricular system is uncommon. Long term follow-up is recommended in these patients. PMID:26819693

  18. Dietary and medical management of recurrent nephrolithiasis.

    PubMed

    Shah, Silvi; Calle, Juan Camilo

    2016-06-01

    Dietary approaches and medical treatment can prevent recurrence of urinary stones. Some interventions are appropriate for all types of stones, but there are particular risk factors that may need directed therapy. PMID:27281259

  19. Mindfulness Therapy May Help Ease Recurrent Depression

    MedlinePlus

    ... 158537.html Mindfulness Therapy May Help Ease Recurrent Depression Review of 9 studies suggests it helps patients ... help reduce the risk of repeated bouts of depression, researchers report. One expert not connected to the ...

  20. Oral mucosal disease: recurrent aphthous stomatitis.

    PubMed

    Scully, Crispian; Porter, Stephen

    2008-04-01

    Recurrent aphthous stomatitis (RAS; aphthae; canker sores) is common worldwide. Characterised by multiple, recurrent, small, round, or ovoid ulcers with circumscribed margins, erythematous haloes, and yellow or grey floors, it usually presents first in childhood or adolescence. Its aetiology and pathogenesis is not entirely clear, but there is genetic predisposition, with strong associations with interleukin genotypes, and sometimes a family history. Diagnosis is on clinical grounds alone, and must be differentiated from other causes of recurrent ulceration, particularly Behçet disease - a systemic disorder in which aphthous-like ulcers are associated with genital ulceration, and eye disease (particularly posterior uveitis). Management remains unsatisfactory, as topical corticosteroids and most other treatments only reduce the severity of the ulceration, but do not stop recurrence. PMID:17850936

  1. Isolated Supratentorial Intraventricular Recurrence of Medulloblastoma.

    PubMed

    Abode-Iyamah, Kingsley O; Winslow, Nolan; Flouty, Oliver; Kirby, Patricia

    2015-12-01

    Medulloblastoma is a common pediatric tumor typically diagnosed before the age of fifteen. Initial therapy includes surgical resection and radiation of the entire neuro-axis. Recurrence is common and typically occurs within 2 years of initial diagnosis. Those fitting Collin's Law is considered tumor-free. We report a case of single supratentorial recurrence 13 years after initial diagnosis. Here we present a 22 year old male presenting 13 years after initial diagnosis with isolated septum pellucidum recurrence. He underwent complete resection of the tumor. Medulloblastoma is a common in the pediatric population. Late recurrence to the ventricular system is uncommon. Long term follow-up is recommended in these patients. PMID:26819693

  2. Recurrence risk for germinal mosaics revisited.

    PubMed Central

    van der Meulen, M A; van der Meulen, M J; te Meerman, G J

    1995-01-01

    A formula to calculate recurrence risk for germline mosaicism published by Hartl in 1971 has been updated to include marker information. For practical genetic counselling new, more elaborate tables are given. PMID:7760316

  3. Zermelo, Boltzmann, and the recurrence paradox

    NASA Astrophysics Data System (ADS)

    Steckline, Vincent S.

    1983-10-01

    The papers exchanged by Ludwig Boltzmann and Ernst Zermelo concerning the recurrence paradox are summarized. The historical context of the paradox, Zermelo's proof of the paradox, his opinions of its consequences, Boltzmann's reply, and the ensuing discussion are described.

  4. Poincaré recurrences of DNA sequences

    NASA Astrophysics Data System (ADS)

    Frahm, K. M.; Shepelyansky, D. L.

    2012-01-01

    We analyze the statistical properties of Poincaré recurrences of Homo sapiens, mammalian, and other DNA sequences taken from the Ensembl Genome data base with up to 15 billion base pairs. We show that the probability of Poincaré recurrences decays in an algebraic way with the Poincaré exponent β≈4 even if the oscillatory dependence is well pronounced. The correlations between recurrences decay with an exponent ν≈0.6 that leads to an anomalous superdiffusive walk. However, for Homo sapiens sequences, with the largest available statistics, the diffusion coefficient converges to a finite value on distances larger than one million base pairs. We argue that the approach based on Poncaré recurrences determines new proximity features between different species and sheds a new light on their evolution history.

  5. Evaluation for postoperative recurrence of Crohn disease.

    PubMed

    Swoger, Jason M; Regueiro, Miguel

    2012-06-01

    Disease recurrence following resective surgery for Crohn disease remains a challenging clinical problem, and more studies are needed to better define risk stratification and treatment recommendations in the postoperative setting. Endoscopy remains the gold standard for the assessment of postoperative disease recurrence, and all Crohn disease patients who undergo surgery should undergo ileocolonoscopy within 6 to 12 months of surgery. The degree of endoscopic recurrence in the neoterminal ileum during this procedure provides prognostic information regarding the severity of the future disease course. WCE, MRE, and SICUS are all promising noninvasive modalities to assess for postoperative Crohn disease activity. However, further studies are needed to better define scoring systems, operating characteristics and variability, and prognostic data for each of these modalities. In patients at risk for early disease recurrence, more aggressive prophylactic therapy should be considered, in hopes of delivering true “top-down” therapy that may offer maximum impact in altering the natural history of Crohn disease. PMID:22500519

  6. Radiographic findings in recurrent parathyroid carcinoma

    SciTech Connect

    Krudy, A.G.; Doppman, J.L.; Marx, S.J.; Brennan, M.F.; Spiegel, A.; Aurback, G.D.

    1982-03-01

    Seven cases of recurrent parathyroid carcinoma were reviewed. Subperiosteal resorption was seen in 6, pulmonary nodules in 4, renal calculi in 5, brown tumors in 5, and pancreatic calcifications in 1. Angiography was performed in 5 patients, showing 1 definite and 2 probable cervical recurrences, 1 mediastinal lesion, and 1 case of possible bone metastases. Venous sampling for parathyroid hormone was carried out in 4 patients and suggested residual disease in 2; in addition, there were 1 false and 1 true negative. CT was performed in 4 patients and was useful in delineating metastatic pulmonary nodules, cervical recurrence, and hepatic metastases. The radiographic approach to recurrent parathryoid carcinoma and the use of CT and angiography are discussed.

  7. Salvage HDR Brachytherapy for Recurrent Prostate Cancer After Previous Definitive Radiation Therapy: 5-Year Outcomes

    SciTech Connect

    Chen, Chien Peter; Weinberg, Vivian; Shinohara, Katsuto; Roach, Mack; Nash, Marc; Gottschalk, Alexander; Chang, Albert J.; Hsu, I-Chow

    2013-06-01

    Purpose: Evaluate efficacy and toxicity of salvage high-dose-rate brachytherapy (HDRB) for locally recurrent prostate cancer after definitive radiation therapy (RT). Methods and Materials: We retrospectively analyzed 52 consecutively accrued patients undergoing salvage HDRB between 1998 and 2009 for locally recurrent prostate cancer after previous definitive RT. After pathologic confirmation of locally recurrent disease, patients received 36 Gy in 6 fractions. Twenty-four patients received neoadjuvant hormonal therapy before salvage, and no patients received adjuvant hormonal therapy. Determination of biochemical failure after salvage HDRB was based on the Phoenix definition. Overall survival (OS) and bF distributions were calculated using the Kaplan-Meier method. Univariate analyses were performed to identify predictors of biochemical control. Acute and late genitourinary (GU) and gastrointestinal (GI) toxicities, based on Common Terminology Criteria for Adverse Events (version 4), were documented. Results: Median follow-up after salvage HDRB was 59.6 months. The 5-year OS estimate was 92% (95% confidence interval [CI]: 80%-97%) with median survival not yet reached. Five-year biochemical control after salvage was 51% (95% CI: 34%-66%). Median PSA nadir postsalvage was 0.1 (range: 0-7.2) reached at a median of 10.2 months after completing HDRB. As for complications, acute and late grade 3 GU toxicities were observed in only 2% and 2%, respectively. No grade 2 or higher acute GI events and 4% grade 2 GI late events were observed. On univariate analysis, disease-free interval after initial definitive RT (P=.07), percent of positive cores at the time of diagnosis (P=.08), interval from first recurrence to salvage HDRB (P=.09), and pre-HDRB prostate-specific antigen (P=.07) were each of borderline significance in predicting biochemical control after salvage HDRB. Conclusions: Prostate HDRB is an effective salvage modality with relatively few long-term toxicities. We

  8. Multivariate linear recurrences and power series division

    PubMed Central

    Hauser, Herwig; Koutschan, Christoph

    2012-01-01

    Bousquet-Mélou and Petkovšek investigated the generating functions of multivariate linear recurrences with constant coefficients. We will give a reinterpretation of their results by means of division theorems for formal power series, which clarifies the structural background and provides short, conceptual proofs. In addition, extending the division to the context of differential operators, the case of recurrences with polynomial coefficients can be treated in an analogous way. PMID:23482936

  9. Recurrent Keratocystic Odontogenic Tumor After Effective Decompression.

    PubMed

    Zhang, Qian; Li, Wei; Han, Fangkai; Huang, Xiaofeng; Yang, Xudong

    2016-07-01

    Keratocystic odontogenic tumor (KCOT) has potential aggressive and infiltrative behavior. Decompression has been widely preferred for large KCOTs due to safety and lower recurrence rates. However, KCOT is still likely to recur even after effective decompression. Here, we present a rare and interesting case of recurrent KCOT after effective decompression with adjunctive enucleation. Redecompression was then performed again, and the effect was still satisfactory on long-term follow-up. PMID:27391520

  10. Persistent and Recurrent Clostridium difficile Colitis

    PubMed Central

    Cole, Shola A.; Stahl, Thomas J.

    2015-01-01

    Clostridium difficile infection (CDI) is the most frequent cause of nosocomial diarrhea. It has become a significant dilemma in the treatment of patients, and causes increasing morbidity that, in extreme cases, may result in death. Persistent and recurrent disease hamper attempts at eradication of this infection. Escalating levels of treatment and novel therapeutics are being utilized and developed to treat CDI. Further trials are warranted to definitively determine what protocols can be used to treat persistent and recurrent disease. PMID:26034401

  11. Heterogeneous recurrence monitoring and control of nonlinear stochastic processes

    SciTech Connect

    Yang, Hui Chen, Yun

    2014-03-15

    Recurrence is one of the most common phenomena in natural and engineering systems. Process monitoring of dynamic transitions in nonlinear and nonstationary systems is more concerned with aperiodic recurrences and recurrence variations. However, little has been done to investigate the heterogeneous recurrence variations and link with the objectives of process monitoring and anomaly detection. Notably, nonlinear recurrence methodologies are based on homogeneous recurrences, which treat all recurrence states in the same way as black dots, and non-recurrence is white in recurrence plots. Heterogeneous recurrences are more concerned about the variations of recurrence states in terms of state properties (e.g., values and relative locations) and the evolving dynamics (e.g., sequential state transitions). This paper presents a novel approach of heterogeneous recurrence analysis that utilizes a new fractal representation to delineate heterogeneous recurrence states in multiple scales, including the recurrences of both single states and multi-state sequences. Further, we developed a new set of heterogeneous recurrence quantifiers that are extracted from fractal representation in the transformed space. To that end, we integrated multivariate statistical control charts with heterogeneous recurrence analysis to simultaneously monitor two or more related quantifiers. Experimental results on nonlinear stochastic processes show that the proposed approach not only captures heterogeneous recurrence patterns in the fractal representation but also effectively monitors the changes in the dynamics of a complex system.

  12. An Empirical Method for Establishing Positional Confidence Intervals Tailored for Composite Interval Mapping of QTL

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Improved genetic resolution and availability of sequenced genomes have made positional cloning of moderate-effect QTL (quantitative trait loci) realistic in several systems, emphasizing the need for precise and accurate derivation of positional confidence intervals (CIs). Support interval (SI) meth...

  13. FSGS Recurrence in Adults after Renal Transplantation

    PubMed Central

    Rudnicki, Michael

    2016-01-01

    Recurrence of focal segmental glomerulosclerosis (FSGS) in the allograft occurs in 30–50% of patients, and it is associated with poor renal allograft survival. Major risk factors for recurrence are younger age at diagnosis, rapid progression to end-stage renal disease, white race, and the loss of previous allografts due to recurrence. Recent data support the hypothesis that circulating permeability factors play a crucial role in podocyte injury and progression of FSGS. Due to lack of controlled trials, the management of recurrent FSGS is inconsistent and highly empirical. Prophylactic and perioperative treatment with plasmapheresis and high-dose (intravenous) cyclosporine represent the main cornerstones of immunosuppressive therapy. In recent years, therapy with rituximab has shown promising results. Despite evidence of activation of the renin-angiotensin system (RAS) in recurrent FSGS and its association with progression, only limited data exist on the renoprotective role of RAS blockade in this setting. Further well designed studies are needed on pathogenesis risk factors and therapeutical options in FSGS and its recurrence after transplantation. PMID:27144163

  14. Coefficient Omega Bootstrap Confidence Intervals: Nonnormal Distributions

    ERIC Educational Resources Information Center

    Padilla, Miguel A.; Divers, Jasmin

    2013-01-01

    The performance of the normal theory bootstrap (NTB), the percentile bootstrap (PB), and the bias-corrected and accelerated (BCa) bootstrap confidence intervals (CIs) for coefficient omega was assessed through a Monte Carlo simulation under conditions not previously investigated. Of particular interests were nonnormal Likert-type and binary items.…

  15. Interval scanning photomicrography of microbial cell populations.

    NASA Technical Reports Server (NTRS)

    Casida, L. E., Jr.

    1972-01-01

    A single reproducible area of the preparation in a fixed focal plane is photographically scanned at intervals during incubation. The procedure can be used for evaluating the aerobic or anaerobic growth of many microbial cells simultaneously within a population. In addition, the microscope is not restricted to the viewing of any one microculture preparation, since the slide cultures are incubated separately from the microscope.

  16. Duration perception in crossmodally-defined intervals.

    PubMed

    Mayer, Katja M; Di Luca, Massimiliano; Ernst, Marc O

    2014-03-01

    How humans perform duration judgments with multisensory stimuli is an ongoing debate. Here, we investigated how sub-second duration judgments are achieved by asking participants to compare the duration of a continuous sound to the duration of an empty interval in which onset and offset were marked by signals of different modalities using all combinations of visual, auditory and tactile stimuli. The pattern of perceived durations across five stimulus durations (ranging from 100 ms to 900 ms) follows the Vierordt Law. Furthermore, intervals with a sound as onset (audio-visual, audio-tactile) are perceived longer than intervals with a sound as offset. No modality ordering effect is found for visualtactile intervals. To infer whether a single modality-independent or multiple modality-dependent time-keeping mechanisms exist we tested whether perceived duration follows a summative or a multiplicative distortion pattern by fitting a model to all modality combinations and durations. The results confirm that perceived duration depends on sensory latency (summative distortion). Instead, we did not find evidence for multiplicative distortions. The results of the model and the behavioural data support the concept of a single time-keeping mechanism that allows for judgments of durations marked by multisensory stimuli. PMID:23953664

  17. Sensory superstition on multiple interval schedules.

    PubMed

    Starr, B C; Staddon, J E

    1982-03-01

    Pigeons were exposed to multiple schedules in which an irregular repeating sequence of five stimulus components was correlated with the same reinforcement schedule throughout. Stable, idiosyncratic, response-rate differences developed across components. Components were rank-ordered by response rate; an approximately linear relation was found between rank order and the deviation of mean response rate from the overall mean rate. Nonzero slopes of this line were found for multiple fixed-interval and variable-time schedules and for multiple variable-interval schedules both when number of reinforcements was the same in all components and when it varied. The steepest function slopes were found in the variable schedules with relatively long interfood intervals and relatively short component durations. When just one stimulus was correlated with all components of a multiple variable-interval schedule, the slope of the line was close to zero. The results suggest that food-rate differences may be induced initially by different reactions to the stimuli and subsequently maintained by food. PMID:7069361

  18. Sensory superstition on multiple interval schedules.

    PubMed Central

    Starr, B C; Staddon, J E

    1982-01-01

    Pigeons were exposed to multiple schedules in which an irregular repeating sequence of five stimulus components was correlated with the same reinforcement schedule throughout. Stable, idiosyncratic, response-rate differences developed across components. Components were rank-ordered by response rate; an approximately linear relation was found between rank order and the deviation of mean response rate from the overall mean rate. Nonzero slopes of this line were found for multiple fixed-interval and variable-time schedules and for multiple variable-interval schedules both when number of reinforcements was the same in all components and when it varied. The steepest function slopes were found in the variable schedules with relatively long interfood intervals and relatively short component durations. When just one stimulus was correlated with all components of a multiple variable-interval schedule, the slope of the line was close to zero. The results suggest that food-rate differences may be induced initially by different reactions to the stimuli and subsequently maintained by food. PMID:7069361

  19. MEETING DATA QUALITY OBJECTIVES WITH INTERVAL INFORMATION

    EPA Science Inventory

    Immunoassay test kits are promising technologies for measuring analytes under field conditions. Frequently, these field-test kits report the analyte concentrations as falling in an interval between minimum and maximum values. Many project managers use field-test kits only for scr...

  20. Gauss-Laguerre interval quadrature rule

    NASA Astrophysics Data System (ADS)

    Milovanovic, Gradimir V.; Cvetkovic, Aleksandar S.

    2005-10-01

    In this paper we prove the existence and uniqueness of the Gaussian interval quadrature formula with respect to the generalized Laguerre weight function. An algorithm for numerical construction has also investigated and some suitable solutions are proposed. A few numerical examples are included.

  1. Happiness Scale Interval Study. Methodological Considerations

    ERIC Educational Resources Information Center

    Kalmijn, W. M.; Arends, L. R.; Veenhoven, R.

    2011-01-01

    The Happiness Scale Interval Study deals with survey questions on happiness, using verbal response options, such as "very happy" and "pretty happy". The aim is to estimate what degrees of happiness are denoted by such terms in different questions and languages. These degrees are expressed in numerical values on a continuous [0,10] scale, which are…

  2. Precise Interval Timer for Software Defined Radio

    NASA Technical Reports Server (NTRS)

    Pozhidaev, Aleksey (Inventor)

    2014-01-01

    A precise digital fractional interval timer for software defined radios which vary their waveform on a packet-by-packet basis. The timer allows for variable length in the preamble of the RF packet and allows to adjust boundaries of the TDMA (Time Division Multiple Access) Slots of the receiver of an SDR based on the reception of the RF packet of interest.

  3. Coefficient Alpha Bootstrap Confidence Interval under Nonnormality

    ERIC Educational Resources Information Center

    Padilla, Miguel A.; Divers, Jasmin; Newton, Matthew

    2012-01-01

    Three different bootstrap methods for estimating confidence intervals (CIs) for coefficient alpha were investigated. In addition, the bootstrap methods were compared with the most promising coefficient alpha CI estimation methods reported in the literature. The CI methods were assessed through a Monte Carlo simulation utilizing conditions…

  4. A Retrospective Cohort Study Comparing Stroke Recurrence Rate in Ischemic Stroke Patients With and Without Acupuncture Treatment.

    PubMed

    Shih, Chun-Chuan; Liao, Chien-Chang; Sun, Mao-Feng; Su, Yi-Chang; Wen, Chi-Pang; Morisky, Donald E; Sung, Fung-Chang; Hsu, Chung Y; Lin, Jaung-Geng

    2015-09-01

    Little was known about the effects of acupuncture on stroke recurrence. The aim of this study is to investigate whether ischemic stroke patients receiving acupuncture treatment have a decreased risk of stroke recurrence. A retrospective cohort study of 30,058 newly diagnosed cases of ischemic stroke in 2000 to 2004 was conducted based on the claims of Taiwan National Health Insurance Research Database. The use of acupuncture treatment and stroke recurrence were identified during the follow-up period from 2000 to 2009. This study compared the risk of stroke recurrence between ischemic stroke cohorts with and without acupuncture treatment by calculating adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) of acupuncture associated with stroke recurrence in the Cox proportional hazard model. The stroke recurrence rate per 1000 person-years decreased from 71.4 without to 69.9 with acupuncture treatment (P < 0.001). Acupuncture treatment was associated with reduced risk of stroke recurrence (HR 0.88; 95% CI 0.84-0.91). The acupuncture effect was noted in patients with or without medical treatment for stroke prevention but its impact decreased with aging of stroke patients. Compared with stroke patients without acupuncture treatment and medication therapy, the hazard ratios of stroke recurrence for those had medication therapy only, acupuncture only, and both were 0.42 (95% CI 0.38-0.46), 0.50 (95% CI 0.43-0.57), and 0.39 (95% CI 0.35-0.43), respectively. This study raises the possibility that acupuncture might be effective in lowering stroke recurrence rate even in those on medications for stroke prevention. Results suggest the need of prospective sham-controlled and randomized trials to establish the efficacy of acupuncture in preventing stroke. PMID:26426630

  5. A Retrospective Cohort Study Comparing Stroke Recurrence Rate in Ischemic Stroke Patients With and Without Acupuncture Treatment

    PubMed Central

    Shih, Chun-Chuan; Liao, Chien-Chang; Sun, Mao-Feng; Su, Yi-Chang; Wen, Chi-Pang; Morisky, Donald E.; Sung, Fung-Chang; Hsu, Chung Y.; Lin, Jaung-Geng

    2015-01-01

    Abstract Little was known about the effects of acupuncture on stroke recurrence. The aim of this study is to investigate whether ischemic stroke patients receiving acupuncture treatment have a decreased risk of stroke recurrence. A retrospective cohort study of 30,058 newly diagnosed cases of ischemic stroke in 2000 to 2004 was conducted based on the claims of Taiwan National Health Insurance Research Database. The use of acupuncture treatment and stroke recurrence were identified during the follow-up period from 2000 to 2009. This study compared the risk of stroke recurrence between ischemic stroke cohorts with and without acupuncture treatment by calculating adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) of acupuncture associated with stroke recurrence in the Cox proportional hazard model. The stroke recurrence rate per 1000 person-years decreased from 71.4 without to 69.9 with acupuncture treatment (P < 0.001). Acupuncture treatment was associated with reduced risk of stroke recurrence (HR 0.88; 95% CI 0.84–0.91). The acupuncture effect was noted in patients with or without medical treatment for stroke prevention but its impact decreased with aging of stroke patients. Compared with stroke patients without acupuncture treatment and medication therapy, the hazard ratios of stroke recurrence for those had medication therapy only, acupuncture only, and both were 0.42 (95% CI 0.38–0.46), 0.50 (95% CI 0.43–0.57), and 0.39 (95% CI 0.35–0.43), respectively. This study raises the possibility that acupuncture might be effective in lowering stroke recurrence rate even in those on medications for stroke prevention. Results suggest the need of prospective sham-controlled and randomized trials to establish the efficacy of acupuncture in preventing stroke. PMID:26426630

  6. 2002 AA 29: Earth's recurrent quasi-satellite?

    NASA Astrophysics Data System (ADS)

    Wajer, Paweł

    2009-03-01

    We study the dynamical evolution of Asteroid 2002 AA 29. This object moves in the co-orbital region of the Earth and is the first known asteroid which experiences recurrent horseshoe-quasi-satellite transitions. The transitions between the HS and QS states are unique among other known Earth co-orbital asteroids and in the QS state 2002 AA 29 remains very close to Earth (within 0.2 AU for several decades [Connors, M., Chodas, P., Mikkola, S., Wiegert, P., Veillet, C., Innanen, K., 2002. Meteorit. Planet. Sci. 37, 1435-1441]). Based on results obtained analytically by Brasser et al. [Brasser, R., Heggie, D.C., Mikkola, S., 2004b. Celest. Mech. Dynam. Astron. 88, 123-152] we developed a simple analytical method to describe and analyze the motion of 2002 AA 29. We distinguish a few moments in time crucial for understanding its dynamics. Near 2400 and 2500 this object will be close to going through the maxima of the averaged disturbing function and it will either change its co-orbital regime by transition from the HS into QS state, or leave the librating mode. These approaches generate instability in the motion of 2002 AA 29. By means of 66 observations, covering a two-year interval, we extend the analysis of the long term evolution of this object presented by Connors et al. [Connors, M., Chodas, P., Mikkola, S., Wiegert, P., Veillet, C., Innanen, K., 2002. Meteorit. Planet. Sci. 37, 1435-1441] and Brasser et al. [Brasser, R., Innanen, K.A., Connors, M., Veillet, C., Wiegert, P., Mikkola, S., Chodas, P.W., 2004a. Icarus 171, 102-109]. Our analysis is based on a sample of 100 cloned orbits. We show that the motion of 2002 AA 29 is predictable in the time interval [-2600,7100] and outside of this interval the past and future orbital history can be studied using statistical methods.

  7. Earthquake recurrence rate estimates for eastern Washington and the Hanford Site

    SciTech Connect

    Rohay, A.C.

    1989-08-01

    The historical and instrumental records of earthquakes were used to estimate earthquake recurrence rates for input to a new seismic hazard analysis at the Hanford Site in eastern Washington. Two areas were evaluated, the eastern Washington region and the smaller Yakima Fold Belt, in which the Hanford Site is located. The completeness of a catalog of earthquakes was evaluated for earthquakes with Modified Mercalli Intensity (MMI) IV through VII. Only one MMI VII earthquake was reported in the last 100 years in eastern Washington. The reporting of MMI VI earthquakes appears to be complete for the last 80 years, and the reporting of MMI V earthquakes appears to be complete for the last 65 years. However, MMI IV earthquakes are consistently under-reported. For a limited set of earthquakes, both MMI and magnitude (M/sub L/) have been reported. A plot of these data indicated that the Gutenberg-Richter relationship could be used to estimate earthquakes magnitudes from intensities. A recurrence curve for the historical earthquake data was calculated using the maximum likelihood method, including corrections for the width of the magnitude conversion. The slope of the recurrence curve (i.e., b-value) was found to be -1.15. Another catalog, one that listed instrumentally detected earthquakes from 1969 to the present, was used to supplement the historical earthquake data. Magnitudes were determined using a coda-length method (M/sub c/) that had been approximately calibrated to local magnitude M/sub L/. For earthquakes whose M/sub c/ was between 3 and 5, the b-value ranged from -1.07 to - 1.12. 12 refs., 9 figs., 9 tabs.

  8. Recurrence risk after anticoagulant treatment of limited duration for late, second venous thromboembolism

    PubMed Central

    van der Hulle, Tom; Tan, Melanie; den Exter, Paul L.; van Roosmalen, Mark J.G.; van der Meer, Felix J.M.; Eikenboom, Jeroen; Huisman, Menno V.; Klok, Frederikus A.

    2015-01-01

    Patients with a second venous thromboembolism generally receive anticoagulant treatment indefinitely, although it is known that the recurrence risk diminishes over time while the risk of hemorrhage persists with continued anticoagulation and increases with age. Based on these arguments and limited evidence for indefinitely prolonged treatment, the Dutch guidelines recommend considering treatment of a limited duration (i.e. 12 months) for a ‘late’ second venous thromboembolism, defined by a second venous thromboembolism diagnosed more than 1 year after discontinuing treatment for a first event. It is hypothesized that the risk of continued anticoagulation might outweigh the benefits in such circumstances. We evaluated this management in daily practice. Since 2003, limited duration of treatment was systematically considered at our hospital in consecutive patients, in whom we determined the recurrence risk. Of 131 patients with late second venous thromboembolism, 77 were treated for a limited duration, of whom 26 developed a symptomatic third venous thromboembolism thereafter during a cumulative follow-up of 277 years, resulting in an incidence rate of 9.4/100 patient-years (95% confidence interval: 6.1–14). The incidence rates in patients with unprovoked and provoked venous thromboembolism were 12/100 patient-years (95% confidence interval: 7.4–19) and 5.6/100 patient-years (95% confidence interval: 2.2–12), respectively [adjusted hazard ratio 2.8 (95% confidence interval: 1.1–7.2)]. The recurrence risk after treatment of limited duration for ‘late’ second venous thromboembolism exceeded the risk of hemorrhage associated with extended anticoagulation. Most patients may, therefore, be better served by treatment of indefinite duration, although the risk-benefit ratio of extended anticoagulation should be weighed for every patient. PMID:25261098

  9. Trastuzumab re-treatment following adjuvant trastuzumab and the importance of distant disease-free interval: the HERA trial experience.

    PubMed

    Metzger-Filho, Otto; de Azambuja, Evandro; Procter, Marion; Krieguer, Magalie; Smith, Ian; Baselga, Jose; Cameron, David; Untch, Michael; Jackisch, Christian; Bell, Richard; Gianni, Luca; Goldhirsch, Aron; Piccart, Martine; Gelber, Richard D

    2016-01-01

    This retrospective analysis conducted using data from patients enrolled onto the Herceptin Adjuvant has two objectives: The first is to evaluate the impact of the time interval between the end of adjuvant trastuzumab and distant recurrence (TDRI) upon overall survival (OS). The second is to describe the duration of trastuzumab-based regimens in the metastatic setting for patients previously treated with adjuvant trastuzumab. The first objective included 187 patients treated with adjuvant trastuzumab and diagnosed with distant recurrence at 4-year median follow-up. The second objective included data from questionnaires sent to investigators retreating patients with trastuzumab upon distant recurrence: 144 of 156 questionnaires were returned (93 %), and 90 patients were selected based on available clinical information and consent for subsequent studies. There was no statistically significant relationship between TDRI following 1 year of adjuvant trastuzumab and OS from distant recurrence: hazard ratio 0.991, p = 0.46. The median OS from distant recurrence was numerically longer among patients with a TDRI of ≥12 months (n = 103) than <12 months (n = 84) but not statistically significant (23.7 vs. 17.8 months, p = 0.47). The median duration of first-line trastuzumab-based regimens for patients previously treated with adjuvant trastuzumab and diagnosed with distant disease recurrence was 8.8 months (n = 88). This retrospective, exploratory study suggests that TDRI did not impact on OS measured from distant recurrence. We argue that prospective collection of treatment information beyond disease progression should be included in future clinical studies. PMID:26708471

  10. Length of intervals between epidemics: evaluating the influence of maternal transfer of immunity

    PubMed Central

    Garnier, Romain; Gandon, Sylvain; Harding, Karin C; Boulinier, Thierry

    2014-01-01

    The length of intervals between epidemic outbreaks of infectious diseases is critical in epidemiology. In several species of marine mammals and birds, it is pivotal to also consider the life history of the species of concern, as the contact rate between individuals can have a seasonal flux, for example, due to aggregations during the breeding season. Recently, particular interest has been given to the role of the dynamics of immunity in determining the intervals between epidemics in wild animal populations. One potentially powerful, but often neglected, process in this context is the maternal transfer of immunity. Here, we explore theoretically how the transfer of maternal antibodies can delay the recurrence of epidemics using Phocine Distemper in harbor seals as an example of a system in which epidemic outbreaks are followed by pathogen extinction. We show that the presence of temporarily protected newborns can significantly increase the predicted interval between epidemics, and this effect is strongly dependent on the degree of synchrony in the breeding season. Furthermore, we found that stochasticity in the onset of epidemics in combination with maternally acquired immunity increases the predicted intervals between epidemics even more. These effects arise because newborns with maternal antibodies temporarily boost population level immunity above the threshold of herd immunity, particularly when breeding is synchronous. Overall, our results show that maternal antibodies can have a profound influence on the dynamics of wildlife epidemics, notably in gregarious species such as many marine mammals and seabirds. PMID:25035798

  11. Length of intervals between epidemics: evaluating the influence of maternal transfer of immunity.

    PubMed

    Garnier, Romain; Gandon, Sylvain; Harding, Karin C; Boulinier, Thierry

    2014-03-01

    The length of intervals between epidemic outbreaks of infectious diseases is critical in epidemiology. In several species of marine mammals and birds, it is pivotal to also consider the life history of the species of concern, as the contact rate between individuals can have a seasonal flux, for example, due to aggregations during the breeding season. Recently, particular interest has been given to the role of the dynamics of immunity in determining the intervals between epidemics in wild animal populations. One potentially powerful, but often neglected, process in this context is the maternal transfer of immunity. Here, we explore theoretically how the transfer of maternal antibodies can delay the recurrence of epidemics using Phocine Distemper in harbor seals as an example of a system in which epidemic outbreaks are followed by pathogen extinction. We show that the presence of temporarily protected newborns can significantly increase the predicted interval between epidemics, and this effect is strongly dependent on the degree of synchrony in the breeding season. Furthermore, we found that stochasticity in the onset of epidemics in combination with maternally acquired immunity increases the predicted intervals between epidemics even more. These effects arise because newborns with maternal antibodies temporarily boost population level immunity above the threshold of herd immunity, particularly when breeding is synchronous. Overall, our results show that maternal antibodies can have a profound influence on the dynamics of wildlife epidemics, notably in gregarious species such as many marine mammals and seabirds. PMID:25035798

  12. Impact of wildfire return interval on the ectomycorrhizal resistant propagules communities of a Mediterranean open forest.

    PubMed

    Buscardo, Erika; Rodríguez-Echeverría, Susana; Martín, María P; De Angelis, Paolo; Pereira, João Santos; Freitas, Helena

    2010-08-01

    Ectomycorrhizal (ECM) fungi, in particular their spores and other resistant propagules, play an important role in secondary succession processes that facilitate regeneration after disturbance events. In this study, the effects of high and low wildfire frequencies (respectively short and long fire return intervals) on the resistant propagules communities (RPCs) of a Mediterranean open pine forest were compared. Soil samples were collected in four mountain sites with different fire return intervals and used to test ectomycorrhiza development in two hosts, Pinus pinaster and Quercus suber. RPCs were characterized by direct sequencing of fungal internal transcribed spacer (ITS) regions from individual ECM root tips. Eighteen ECM species were detected in the bioassay. The most frequently found fungi were Cenococcum geophilum, Inocybe jacobi, Thelephora terrestris, Tomentella ellisii on both hosts and Rhizopogon luteolus and R. roseolus on maritime pine. A short fire return interval reduced the species richness of the ECM community found on Q. suber, promoted species like R. roseolus and reduced the abundance of other species (e.g. R. luteolus). The abundance of I. jacobi was positively affected by long fire return interval, but decreased significantly with recurrent fires. These results indicate that changes in fire frequency can alter the structure, composition and diversity of ECM communities, which could compromise the resilience of the ecosystem in highly disturbed areas. PMID:20943174

  13. Prognostic significance of Ki-67 index value at the primary breast tumor in recurrent breast cancer

    PubMed Central

    NISHIMURA, REIKI; OSAKO, TOMOFUMI; NISHIYAMA, YASUYUKI; TASHIMA, RUMIKO; NAKANO, MASAHIRO; FUJISUE, MAMIKO; TOYOZUMI, YASUO; ARIMA, NOBUYUKI

    2014-01-01

    The Ki-67 index value is a prognostic factor in primary breast cancer and is a proliferation marker that also distinguishes between luminal type A and type B breast cancer. Moreover, a change in Ki-67 index values due to treatment and recurrence is considered to be important in treating breast cancer. In this study, we investigated whether the baseline Ki-67 value in the primary tumor is useful as a prognostic factor following disease recurrence. Immunohistochemical analysis of the Ki-67 index was performed on 4,701 patients with primary breast cancer from 1987 until March, 2013. Among these patients, there were 666 consecutive cases exhibiting recurrence after primary surgery. The fraction of proliferating cells was based on a count of at least 500 tumor cells in the area including the hot spot. The Ki-67 values were divided into 3 groups, namely <20, ≥20 and ≥50%. The investigated items included estrogen receptor (ER), progesterone receptor (PgR), human epidermal growth factor receptor 2 (HER2), tumor size, nodal status for the primary tumor, recurrence site (soft tissue, bone and viscera) and disease-free interval (DFI). The Cox’s proportional hazard model was used to perform univariate and multivariate analyses of the factors associated with overall survival (OS) following recurrence. The median follow-up period was 65.9 months in the surviving group. The median Ki-67 value at baseline was 20% in all the cases and 27% in the recurrent cases. The Ki-67 values were low (24%) in patients with bone metastasis and significantly higher in patients with liver or brain metastasis (38 and 55%, respectively). Moreover, DFI was found to be inversely correlated with the Ki-67 values. Univariate analysis was performed to identify the prognostic factors for OS after recurrence. The significant factors included tumor size, lymph node status, ER, PgR, DFI, recurrence site and Ki-67 index value. Among these factors, a multivariate analysis identified the Ki-67 index value

  14. Evaluation of the Prostate Bed for Local Recurrence After Radical Prostatectomy Using Endorectal Magnetic Resonance Imaging

    SciTech Connect

    Liauw, Stanley L.; Pitroda, Sean P.; Eggener, Scott E.; Stadler, Walter M.; Pelizzari, Charles A.; Vannier, Michael W.; Oto, Aytek

    2013-02-01

    Purpose: To summarize the results of a 4-year period in which endorectal magnetic resonance imaging (MRI) was considered for all men referred for salvage radiation therapy (RT) at a single academic center; to describe the incidence and location of locally recurrent disease in a contemporary cohort of men with biochemical failure after radical prostatectomy (RP), and to identify prognostic variables associated with MRI findings in order to define which patients may have the highest yield of the study. Methods and Materials: Between 2007 and 2011, 88 men without clinically palpable disease underwent eMRI for detectable prostate-specific antigen (PSA) after RP. The median interval between RP and eMRI was 32 months (interquartile range, 14-57 months), and the median PSA level was 0.30 ng/mL (interquartile range, 0.19-0.72 ng/mL). Magnetic resonance imaging scans consisting of T2-weighted, diffusion-weighted, and dynamic contrast-enhanced imaging were evaluated for features consistent with local recurrence. The prostate bed was scored from 0-4, whereby 0 was definitely normal, 1 probably normal, 2 indeterminate, 3 probably abnormal, and 4 definitely abnormal. Local recurrence was defined as having a score of 3-4. Results: Local recurrence was identified in 21 men (24%). Abnormalities were best appreciated on T2-weighted axial images (90%) as focal hypointense lesions. Recurrence locations were perianastomotic (67%) or retrovesical (33%). The only risk factor associated with local recurrence was PSA; recurrence was seen in 37% of men with PSA >0.3 ng/mL vs 13% if PSA {<=}0.3 ng/mL (P<.01). The median volume of recurrence was 0.26 cm{sup 3} and was directly associated with PSA (r=0.5, P=.02). The correlation between MRI-based tumor volume and PSA was even stronger in men with positive margins (r=0.8, P<.01). Conclusions: Endorectal MRI can define areas of local recurrence after RP in a minority of men without clinical evidence of disease, with yield related to PSA

  15. Recurrent IVF failure and hereditary thrombophilia

    PubMed Central

    Safdarian, Leila; Najmi, Zahra; Aleyasin, Ashraf; Aghahosseini, Marzieh; Rashidi, Mandana; Asadollah, Sara

    2014-01-01

    Background: The largest percentage of failed invitro fertilization (IVF (cycles, are due to lack of implantation. As hereditary thrombophilia can cause in placentation failure, it may have a role in recurrent IVF failure. Objective: Aim of this case-control study was to determine whether hereditary thrombophilia is more prevalent in women with recurrent IVF failures. Materials and Methods: Case group comprised 96 infertile women, with a history of recurrent IVF failure. Control group was comprised of 95 healthy women with proven fertility who had conceived spontaneously. All participants were assessed for the presence of inherited thrombophilias including: factor V Leiden, methilen tetrahydrofolate reductase (MTHFR) mutation, prothrombin mutation, homocystein level, protein S and C deficiency, antithrombin III (AT-III) deficiency and plasminogen activator inhibitor-1 (PAI-1) mutation. Presence of thrombophilia was compared between groups. Results: Having at least one thrombophilia known as a risk factor for recurrent IVF failure (95% CI=1.74-5.70, OR=3.15, p=0.00). Mutation of factor V Leiden (95% CI=1.26-10.27, OR=3.06, P=0.01) and homozygote form of MTHFR mutation (95% CI=1.55-97.86, OR=12.33, p=0.05) were also risk factors for recurrent IVF failure. However, we could not find significant difference in other inherited thrombophilia’s. Conclusion: Inherited thrombophilia is more prevalent in women with recurrent IVF failure compared with healthy women. Having at least one thrombophilia, mutation of factor V Leiden and homozygote form of MTHFR mutation were risk factors for recurrent IVF failure. PMID:25114668

  16. Growth hormone therapy and risk of recurrence/progression in intracranial tumors: a meta-analysis.

    PubMed

    Shen, Liang; Sun, Chun Ming; Li, Xue Tao; Liu, Chuan Jin; Zhou, You Xin

    2015-10-01

    Growth hormone deficiency is common in intracranial tumors, which is usually treated with surgery and radiotherapy. A number of previous studies have investigated the relationship between the growth hormone replacement therapy (GHRT) and risk of tumor recurrence/progression; however, the evidence remains controversial. We conducted a meta-analysis of published studies to estimate the potential relation between GHRT and intracranial tumors recurrence/progression. Three comprehensive databases, PUBMED, EMBASE, and Cochrane Library, were researched with no limitations, covering all published studies till the end of July, 2014. Reference lists from identified studies were also screened for additional database. The summary relative risks (RR) and 95% confidence intervals (CI) were calculated by fixed-effects models for estimation. Fifteen eligible studies, involving more than 2232 cases and 3606 controls, were included in our meta-analysis. The results indicated that intracranial tumors recurrence/progression was not associated with GHRT (RR 0.48, 95% CI 0.39-0.56), and for children, the pooled RR was 0.44 and 95% CI was 0.34-0.54. In subgroup analysis, risks of recurrence/progression were decreased for craniopharyngioma, medulloblastoma, astrocytoma, glioma, but not for pituitary adenomas, and non-functioning pituitary adenoma (NFPA), ependymoma. Results from our analysis indicate that GHRT decreases the risk of recurrence/progression in children with intracranial tumors, craniopharyngioma, medulloblastoma, astrocytoma, or glioma. However, GHRT for pituitary adenomas, NFPA, and ependymoma was not associated with the recurrence/progression of the tumors. GH replacement seems safe from the aspect of risk of tumor progression. PMID:26048536

  17. Risk factors differ between recurrent and incident preeclampsia: a hospital-based cohort study

    PubMed Central

    Boghossian, Nansi S.; Yeung, Edwina; Mendola, Pauline; Hinkle, Stefanie N.; Laughon, S. Katherine; Zhang, Cuilin; Albert, Paul S.

    2014-01-01

    Purpose Examine whether risk factors, including prepregnancy body mass index (BMI), differ between recurrent and incident preeclampsia. Methods Data included electronic medical records of nulliparas (n=26,613) delivering ≥2 times in Utah (2002–2010). Modified Poisson regression models were used to examine: 1) adjusted relative risks (RR) of preeclampsia and 95% confidence intervals (CI) associated with prepregnancy BMI; 2) maternal risk factor differences between incident and recurrent preeclampsia among primiparous women. Results In the 1st pregnancy, compared to normal weight women [BMI:18.5–24.9], preeclampsia risks for overweight [BMI:25–29.9], obese class I [BMI:30–34.9], and obese class II/III [BMI: ≥35] women were 1.82 (95% CI=1.60–2.06), 2.10 (95% CI=1.76–2.50), and 2.84 (95% CI=2.32–3.47), respectively while 2nd pregnancy incident preeclampsia risks were 1.66 (95% CI=1.27–2.16), 2.31 (95% CI=1.67–3.20), and 4.29 (95% CI=3.16–5.82), respectively. Recurrent preeclampsia risks associated with BMI were highest among obese class I women (RR=1.60; 95% CI=1.06–2.42) without increasing in a dose-response manner. Non-white women had higher recurrence risk than white women (RR=1.70; 95% CI=1.16–2.50) while 2nd pregnancy incident preeclampsia risk did not differ by race. Conclusion Prepregnancy BMI appeared to have stronger associations with risk of incident preeclampsia either in the 1st or 2nd pregnancy, than with recurrence risk. Non-white women had higher recurrence risk. PMID:25453345

  18. Carotid Plaque Hemorrhage on Magnetic Resonance Imaging Strongly Predicts Recurrent Ischemia and Stroke

    PubMed Central

    Hosseini, Akram A; Kandiyil, Neghal; MacSweeney, Shane T S; Altaf, Nishath; Auer, Dorothee P

    2013-01-01

    Objective There is a recognized need to improve selection of patients with carotid artery stenosis for carotid endarterectomy (CEA). We assessed the value of magnetic resonance imaging (MRI)-defined carotid plaque hemorrhage (MRIPH) to predict recurrent ipsilateral cerebral ischemic events, and stroke in symptomatic carotid stenosis. Methods One hundred seventy-nine symptomatic patients with ≥50% stenosis were prospectively recruited, underwent carotid MRI, and were clinically followed up until CEA, death, or ischemic event. MRIPH was diagnosed if the plaque signal intensity was >150% that of the adjacent muscle. Event-free survival analysis was done using Kaplan–Meier plots and Cox regression models controlling for known vascular risk factors. We also undertook a meta-analysis of reported data on MRIPH and recurrent events. Results One hundred fourteen patients (63.7%) showed MRIPH, suffering 92% (57 of 62) of all recurrent ipsilateral events and all but 1 (25 of 26) future strokes. Patients without MRIPH had an estimated annual absolute stroke risk of only 0.6%. Cox multivariate regression analysis proved MRIPH as a strong predictor of recurrent ischemic events (hazard ratio [HR] = 12.0, 95% confidence interval [CI] = 4.8–30.1, p < 0.001) and stroke alone (HR = 35.0, 95% CI = 4.7–261.6, p = 0.001). Meta-analysis of published data confirmed this association between MRIPH and recurrent cerebral ischemic events in symptomatic carotid artery stenosis (odds ratio = 12.2, 95% CI = 5.5–27.1, p < 0.00001). Interpretation MRIPH independently and strongly predicts recurrent ipsilateral ischemic events, and stroke alone, in symptomatic ≥50% carotid artery stenosis. The very low stroke risk in patients without MRIPH puts into question current risk–benefit assessment for CEA in this subgroup. ANN NEUROL 2013;73:774–784 PMID:23463579

  19. Stereotactic body radiotherapy for lung metastases as oligo-recurrence: a single institutional study

    PubMed Central

    Aoki, Masahiko; Hatayama, Yoshiomi; Kawaguchi, Hideo; Hirose, Katsumi; Sato, Mariko; Akimoto, Hiroyoshi; Miura, Hiroyuki; Ono, Shuichi; Takai, Yoshihiro

    2016-01-01

    The purpose of this study was to investigate clinical outcomes following stereotactic body radiotherapy (SBRT) for lung metastases as oligo-recurrence. From May 2003 to June 2014, records for 66 patients with 76 oligo-recurrences in the lungs treated with SBRT were retrospectively reviewed. Oligo-recurrence primary sites and patient numbers were as follows: lungs, 31; colorectal, 13; head and neck, 10; esophagus, 3; uterus, 3; and others, 6. The median SBRT dose was 50 Gy (range, 45–60 Gy) administered in a median of 5 (range, 5–9) fractions. All patients received SBRT, with no acute toxicity. Surviving patients had a median follow-up time of 36.5 months. The 3-year rates of local control, overall survival and disease-free survival were 90.6%, 76.0% and 53.7%, respectively. Longer disease-free interval from initial treatment to SBRT, and non-colorectal cancer were both associated with favorable outcomes. Disease progression after SBRT occurred in 31 patients, most with distant metastases (n = 24) [among whom, 87.5% (n = 21) had new lung metastases]. Among these 21 patients, 12 were judged as having a second oligo-recurrence. Additional SBRT was performed for these 12 patients, and all 12 tumors were controlled without disease progression. Three patients (4.5%) developed Grade 2 radiation pneumonitis. No other late adverse events of Grade ≥2 were identified. Thus, SBRT for oligo-recurrence achieved acceptable tumor control, with additional SBRT also effective for selected patients with a second oligo-recurrence after primary SBRT. PMID:26494115

  20. The Rotator Interval of the Shoulder

    PubMed Central

    Frank, Rachel M.; Taylor, Dean; Verma, Nikhil N.; Romeo, Anthony A.; Mologne, Timothy S.; Provencher, Matthew T.

    2015-01-01

    Biomechanical studies have shown that repair or plication of rotator interval (RI) ligamentous and capsular structures decreases glenohumeral joint laxity in various directions. Clinical outcomes studies have reported successful outcomes after repair or plication of these structures in patients undergoing shoulder stabilization procedures. Recent studies describing arthroscopic techniques to address these structures have intensified the debate over the potential benefit of these procedures as well as highlighted the differences between open and arthroscopic RI procedures. The purposes of this study were to review the structures of the RI and their contribution to shoulder instability, to discuss the biomechanical and clinical effects of repair or plication of rotator interval structures, and to describe the various surgical techniques used for these procedures and outcomes. PMID:26779554