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Sample records for 20-year service life

  1. Rwanda 20 years on: investing in life

    PubMed Central

    Binagwaho, Agnes; Farmer, Paul E; Nsanzimana, Sabin; Karema, Corine; Gasana, Michel; de Dieu Ngirabega, Jean; Ngabo, Fidele; Wagner, Claire M; Nutt, Cameron T; Nyatanyi, Thierry; Gatera, Maurice; Kayiteshonga, Yvonne; Mugeni, Cathy; Mugwaneza, Placidie; Shema, Joseph; Uwaliraye, Parfait; Gaju, Erick; Muhimpundu, Marie Aimee; Dushime, Theophile; Senyana, Florent; Mazarati, Jean Baptiste; Gaju, Celsa Muzayire; Tuyisenge, Lisine; Mutabazi, Vincent; Kyamanywa, Patrick; Rusanganwa, Vincent; Nyemazi, Jean Pierre; Umutoni, Agathe; Kankindi, Ida; Ntizimira, Christian; Ruton, Hinda; Mugume, Nathan; Nkunda, Denis; Ndenga, Espérance; Mubiligi, Joel M; Kakoma, Jean Baptiste; Karita, Etienne; Sekabaraga, Claude; Rusingiza, Emmanuel; Rich, Michael L; Mukherjee, Joia S; Rhatigan, Joseph; Cancedda, Corrado; Bertrand-Farmer, Didi; Bukhman, Gene; Stulac, Sara N; Tapela, Neo M; van der Hoof Holstein, Cassia; Shulman, Lawrence N; Habinshuti, Antoinette; Bonds, Matthew H; Wilkes, Michael S; Lu, Chunling; Smith-Fawzi, Mary C; Swain, JaBaris D; Murphy, Michael P; Ricks, Alan; Kerry, Vanessa B; Bush, Barbara P; Siegler, Richard W; Stern, Cori S; Sliney, Anne; Nuthulaganti, Tej; Karangwa, Injonge; Pegurri, Elisabetta; Dahl, Ophelia; Drobac, Peter C

    2014-01-01

    Two decades ago, the genocide against the Tutsis in Rwanda led to the deaths of 1 million people, and the displacement of millions more. Injury and trauma were followed by the effects of a devastated health system and economy. In the years that followed, a new course set by a new government set into motion equity-oriented national policies focusing on social cohesion and people-centred development. Premature mortality rates have fallen precipitously in recent years, and life expectancy has doubled since the mid-1990s. Here we reflect on the lessons learned in rebuilding Rwanda’s health sector during the past two decades, as the country now prepares itself to take on new challenges in health-care delivery. PMID:24703831

  2. The Victorian Melanoma Service: A 20-year review of an Australian multidisciplinary cancer service.

    PubMed

    Meani, Rowena E; Pan, Yan; McLean, Catriona; Haydon, Andrew; Leung, Michael; Kelly, John W

    2016-08-01

    Australia has the highest incidence and mortality rates for melanoma in the world. The Victorian Melanoma Service began operation in 1994 as one of the first multidisciplinary melanoma clinics in Victoria. We conducted a review of the Victorian Melanoma Service database of 6721 patients and present the trends observed in a statewide referral centre in Australia. Our results highlight the importance of multidisciplinary care of melanoma patients and emphasise the significance of histological reviews and dermatological skin assessments for the detection of synchronous melanoma.

  3. Episodic Heavy Drinking and 20-Year Total Mortality Among Late-Life Moderate Drinkers

    PubMed Central

    Holahan, Charles J.; Brennan, Penny L.; Schutte, Kathleen K.; Holahan, Carole K.; Moos, Rudolf H.

    2014-01-01

    Background Analyses of moderate drinking have focused overwhelmingly on average consumption, which masks diverse underlying drinking patterns. This study examined the association between episodic heavy drinking and total mortality among moderate-drinking older adults. Methods At baseline, the sample was comprised of 446 adults aged 55 to 65: 74 moderate drinkers who engaged in episodic heavy drinking and 372 regular moderate drinkers. The database at baseline also included a broad set of sociodemographic, behavioral, and health status covariates. Death across a 20-year follow-up period was confirmed primarily by death certificate. Results In multiple logistic regression analyses, after adjusting for all covariates, as well as overall alcohol consumption, moderate drinkers who engaged in episodic heavy drinking had more than two times higher odds of 20-year mortality in comparison to regular moderate drinkers. Conclusions Among older moderate drinkers, those who engage in episodic heavy drinking show significantly increased total mortality risk compared to regular moderate drinkers. Episodic heavy drinking—even when average consumption remains moderate—is a significant public health concern. PMID:24588326

  4. Wine Consumption and 20-Year Mortality Among Late-Life Moderate Drinkers

    PubMed Central

    Holahan, Charles J.; Schutte, Kathleen K.; Brennan, Penny L.; North, Rebecca J.; Holahan, Carole K.; Moos, Bernice S.; Moos, Rudolf H.

    2012-01-01

    Objective: This study examined level of wine consumption and total mortality among 802 older adults ages 55–65 at baseline, controlling for key sociodemographic, behavioral, and health status factors. Despite a growing consensus that moderate alcohol consumption is associated with reduced total mortality, whether wine consumption provides an additional, unique protective effect is unresolved. Method: Participants were categorized in three subsamples: abstainers, high-wine-consumption moderate drinkers, and low-wine-consumption moderate drinkers. Alcohol consumption, sociodemographic factors, health behavior, and health problems were assessed at baseline; total mortality was indexed across an ensuing 20-year period. Results: After adjusting for all covariates, both high-wine-consumption and low-wine-consumption moderate drinkers showed reduced mortality risks compared with abstainers. Further, compared with moderate drinkers for whom a high proportion of ethanol came from wine, those for whom a low proportion of ethanol came from wine were older, were more likely to be male, reported more health problems, were more likely to be tobacco smokers, scored lower on socioeconomic status, and (statistical trend) reported engaging in less physical activity. Controlling only for overall ethanol consumption, compared with moderate drinkers for whom a high proportion of ethanol came from wine, those for whom a low proportion of ethanol came from wine showed a substantially increased 20-year mortality risk of 85%. However, after controlling for all covariates, the initial mortality difference associated with wine consumption was no longer significant. Conclusions: Among older adults who are moderate drinkers, the apparent unique effects of wine on longevity may be explained by confounding factors correlated with wine consumption. PMID:22152665

  5. A History of the Environmental Management Advisory Board: 20 Years of Service and Partnership - 13219

    SciTech Connect

    Ellis, Kristen; Schmitt, Elizabeth

    2013-07-01

    The Environmental Management Advisory Board (EMAB or Board) was chartered under the Federal Advisory Committee Act (FACA) in 1992 to provide the Assistant Secretary for Environmental Management (EM) with independent and external advice, information, and recommendations on corporate issues relating to accelerated site clean-up and risk reduction throughout the EM complex. Over the course of the past 20 years, the composition and focus of the Board have varied widely to address the changing needs of the program. EMAB began as the Environmental Restoration and Waste Management Advisory Committee, formed to provide advice on an EM Programmatic Environmental Impact Statement. In 1994, the Board was restructured to function more as an executive-level, limited member advisory board whose membership provides insight of leading industry experts and the viewpoints of representatives from critical stakeholder constituencies. Throughout the 20 years of its existence, EMAB has covered a wide variety of topics and produced nearly 200 recommendations. These recommendations have resulted in several policy changes and improvements within EM. Most recently, EMAB has been credited for its contribution to the EM Energy Park Initiative, forerunner of the DOE Asset Revitalization Initiative; creation of the EM Offices of Communications and External Affairs; improvement of acquisition and project management strategies and culture; and several recommendations related to the Waste Treatment Plant and the tank waste programs at Hanford and the Savannah River Site. The wealth of experience and knowledge the Assistant Secretary can leverage through utilization of the Board continues to support fulfillment of EM's mission. In commemoration of EMAB's 20. anniversary, this paper will provide further context for the evolution of the Board, the role FACA plays in its administration, and a look at the members' current objectives and EM's expectations for the future. (authors)

  6. Subjective Well-Being In Later Life: 20 years after the Butterworths monograph series on individual and population aging.

    PubMed

    Stones, Michael; Kozma, Albert; McNeil, Kevin; Worobetz, Sarah

    2011-09-01

    This article discusses developments in theory and research on happiness two decades after publication of Psychological Well-Being in Later Life (Butterworths, 1991) by Albert Kozma, Michael Stones, and Kevin McNeil. Major empirical advances include new knowledge about contributions to happiness resulting from genetically related effects and personality. Personality traits have stronger relationships with happiness than was apparent 20 years ago and contribute to covariance between happiness and some of its predictors. Evolving emphases in research include the ways in which genetically related effects influence how people shape, and react to, their environment.

  7. Predicting service life margins

    NASA Technical Reports Server (NTRS)

    Egan, G. F.

    1971-01-01

    Margins are developed for equipment susceptible to malfunction due to excessive time or operation cycles, and for identifying limited life equipment so monitoring and replacing is accomplished before hardware failure. Method applies to hardware where design service is established and where reasonable expected usage prediction is made.

  8. Predictive Service Life Tests for Roofing Membranes

    NASA Astrophysics Data System (ADS)

    Bailey, David M.; Cash, Carl G.; Davies, Arthur G.

    2002-09-01

    The average service life of roofing membranes used in low-slope applications on U.S. Army buildings is estimated to be considerably shorter than the industry-presumed 20-year design life, even when installers carefully adhere to the latest guide specifications. This problem is due in large part to market-driven product development cycles, which do not include time for long-term field testing. To reduce delivery costs, contractors may provide untested, interior membranes in place of ones proven satisfactory in long-term service. Federal procurement regulations require that roofing systems and components be selected according to desired properties and generic type, not brand name. The problem is that a material certified to have satisfactory properties at installation time will not necessarily retain those properties in service. The overall objective of this research is to develop a testing program that can be executed in a matter of weeks to adequately predict a membrane's long-term performance in service. This report details accelerated aging tests of 12 popular membrane materials in the laboratory, and describes outdoor experiment stations set up for long-term exposure tests of those same membranes. The laboratory results will later be correlated with the outdoor test results to develop performance models and predictive service life tests.

  9. Celebrating 20 Years of Hubble

    NASA Video Gallery

    NASA's Hubble Space Telescope began a remarkable journey of discovery on April 24, 1990. After 20 years in space, the observatory has shown humanity more of the universe than ever before. With the ...

  10. Yearbook 1988. IWGIA: 20 Years.

    ERIC Educational Resources Information Center

    Gray, Andrew

    The theme of this yearbook is the work of the International Work Group for Indigenous Affairs (IWGIA) during the 20 years of its existence and the enormous growth of the indigenous movement in that time. Section 1 traces IWGIA's history and includes the annual report for 1988. Section 2 is a global view of the main events in the indigenous world…

  11. Extending wire rope service life

    SciTech Connect

    Not Available

    1982-06-01

    Selecting the proper wire rope is not a simple procedure. Wire rope is a precision mining machine with scores of moving parts. It is therefore important for mining equipment users to know wire rope and how it is designed and constructed. Good lubrication and regular inspection is important for a safe and long service life.

  12. Exercise-based interventions and health-related quality of life in intermittent claudication: a 20-year (1989-2008) review.

    PubMed

    Guidon, Marie; McGee, Hannah

    2010-04-01

    Peripheral arterial disease (PAD) is a chronic, progressive disease with significant cardiovascular risk. Symptoms include pain in leg muscles on walking, relieved by rest (intermittent claudication). Treatment aims to maintain or improve quality of life (QoL) by minimising ischaemic symptoms and preventing progression to vascular occlusion. Management strategies include exercise-based interventions. Research from 1989 to 2008 was systematically reviewed to identify the QoL impact of exercise-based interventions in patients with intermittent claudication. Twenty-three studies were identified. Five were randomized controlled trials. Studies were summarized in terms of exercise interventions, QoL measures used and QoL findings. The majority used a generic QoL instrument; most commonly the Short Form Health Survey (SF-36). Eleven studies reported beneficial effects on the SF-36 Physical Functioning scale. Some also reported positive effects on the scales of Bodily Pain, Role-Physical, Vitality, General Health and the Physical Component Score. In seven studies, a disease-specific measure was used. In six of these, both generic and disease-specific questionnaires were used. Disease-specific measures demonstrated greater improvements across a range of QoL domains. Greater use of disease-specific measures and an extended follow-up period may enable a more definitive picture to emerge regarding effects of exercise on QoL in intermittent claudication.

  13. [Cribra orbitalia, dentin hypoplasia and life expectancy of 20-year-old persons as social and sex specific stress indicators in correlation with the health status of an early medieval population].

    PubMed

    Hotz, Gerhard

    2004-09-01

    The aim of this study is based on the analysis of diachronically social and sexual specific considerations on the life situation of the early medieval population of Schleitheim, Kanton Schaffhausen, Switzerland. Cribra orbitalia and the linear enamel hypoplasia of the teeth are considered as stressors. This study is based on the life expectancy of the 20 years old, as the life expectancy gives information on the health condition of a social group or an entire population. The considered indicators show the same tendencies in three of the four social groups (women social group A and group B/C, men of the social group A). The female and male population of the social group A show a steady decrease in the indicator from the 5th century to come to its lowest level in the 7th century. The same parameters indicate a continuous increase in stress for the female population of the group B/C. Only one of the three indicators, the Cribra orbitalia, shows a positive tendency in the male population of the social group B/C from the 6th century to the following period, while hypoplasia and the life expectancy on the other hand indicate a negative tendency. The results show equal tendencies in the three independent indicators concerning three of the four social groups. This proves the high reliability of the indicators. These results are astonishing in two ways. First of all, the tendencies show that the originally better life situation of women of the higher ranking social group decreases in the following periods, whereas the women of the lower social group show an inverse development. This female population of low life situation in the 5th century shows an increase in life qualities in the following periods. Remarkable, too, is the fact, that the female population of both social groups shows a lower level of stress than the corresponding male population. This fact is astonishing, as we would expect inverse results in a patriarchal society. This may point to a well known fact

  14. Human psychoneuroimmunology: 20 years of discovery.

    PubMed

    Irwin, Michael R

    2008-02-01

    An important component of psychoneuroimmunology research is to reveal the myriad ways that behaviors and health are inter-related, with a focus on the immunological mechanisms that underlie these interactions. Research in human psychoneuroimmunology has shown that immunoregulatory processes are an integral part of a complex network of adaptive responses. As such, this review provides a perspective from our laboratory over the last 20 years to define the inter-relationships between behavior and immunity; to identify the hypothalamic pituitary adrenal (HPA) and autonomic mechanisms that link the central nervous system and immune responses; to examine the clinical implications of immune alterations during depression or life stress on inflammatory and infectious disease risk; and to explore the reciprocal role of immune mediators on behavior in humans.

  15. Service engineering for grid services in medicine and life science.

    PubMed

    Weisbecker, Anette; Falkner, Jürgen

    2009-01-01

    Clearly defined services with appropriate business models are necessary in order to exploit the benefit of grid computing for industrial and academic users in medicine and life sciences. In the project Services@MediGRID the service engineering approach is used to develop those clearly defined grid services and to provide sustainable business models for their usage.

  16. Maritime vessel obsolescence, life cycle cost and design service life

    NASA Astrophysics Data System (ADS)

    Dinu, O.; Ilie, A. M.

    2015-11-01

    Maritime vessels have long service life and great costs of building, manning, operating, maintaining and repairing throughout their life. Major actions are needed to repair, renovate, sometime built or even replace those scrapped when technology or demand changes determine obsolescence. It is regarded as a concern throughout vessel's entire life cycle and reflects changes in expectation regarding performances in functioning, safety and environmental effects. While service live may differ from physical lives, expectations about physical lives is the main factors that determines design service life. Performance and failure are illustrated conceptually and represented in a simplified form considering the evolution of vessels parameters during its service life. In the proposed methodology an accumulated vessel lifecycle cost is analyzed and obsolescence is characterized from ship's design, performances, maintenance and management parameters point of view. Romanian ports feeding Black Sea are investigated in order to provide comprehensive information on: number and types of vessels, transport capacity and life cycle length. Recommendations are to be made in order to insure a best practice in lifecycle management in order to reduce costs.

  17. The Systems Librarian: Reflecting on 20 Years of Library Technology

    ERIC Educational Resources Information Center

    Breeding, Marshall

    2005-01-01

    In this column, the author relates his experiences in the use of library technology over his 20-year career at Vanderbilt University. He describes how computers in libraries have transformed almost every aspect of how the library provides its services and performs its work behind the scenes. In addition, the author shares a few successful…

  18. A geospatial data life cycle services framework

    NASA Astrophysics Data System (ADS)

    Meyer, Jörg; Ehbrecht, Carsten; Kindermann, Stephan

    2014-05-01

    We present an OGC standards based framework enabling the stepwise development and integration of data life cycle management services. We concentrate on data life cycle steps after the data generation: data identification, replication, publication and distribution. The framework exposes various data transport, data checking and metadata generation functionalities as individual services. These services can be chained to support users in cross institutional data management activities. The framework is currently being deployed as part of a distributed climate and environmental data life cycle lab initially supporting the following data management activities: - data transport and replication between home institute and a data center - data quality control at a remote compute site or remote data center - assignment of persistent identifiers to data entities - publication of quality results as well as data at a data portal A concrete application scenario is shown, where climate model data is transported to a data center and checked and published as part of a worldwide data federation. From a technology perspective the following basic services are integrated in the application scenario: - iRods middleware based data transport - Handle based persistent identifier assignment - domain specific quality control software - data publication services provided by the worldwide earth system grid data federation (ESGF). All these basic services are wrapped as OGC web processing services and integrated in the presented framework. Next steps include the integration of data services provided by the European EUDAT data infrastructure as well as supporting specific observational data application scenarios.

  19. Predicting the remaining service life of concrete

    SciTech Connect

    Clifton, J.F.

    1991-11-01

    Nuclear power plants are providing, currently, about 17 percent of the U.S. electricity and many of these plants are approaching their licensed life of 40 years. The U.S. Nuclear Regulatory Commission and the Department of Energy`s Oak Ridge National Laboratory are carrying out a program to develop a methodology for assessing the remaining safe-life of the concrete components and structures in nuclear power plants. This program has the overall objective of identifying potential structural safety issues, as well as acceptance criteria, for use in evaluations of nuclear power plants for continued service. The National Institute of Standards and Technology (NIST) is contributing to this program by identifying and analyzing methods for predicting the remaining life of in-service concrete materials. This report examines the basis for predicting the remaining service lives of concrete materials of nuclear power facilities. Methods for predicting the service life of new and in-service concrete materials are analyzed. These methods include (1) estimates based on experience, (2) comparison of performance, (3) accelerated testing, (4) stochastic methods, and (5) mathematical modeling. New approaches for predicting the remaining service lives of concrete materials are proposed and recommendations for their further development given. Degradation processes are discussed based on considerations of their mechanisms, likelihood of occurrence, manifestations, and detection. They include corrosion, sulfate attack, alkali-aggregate reactions, frost attack, leaching, radiation, salt crystallization, and microbiological attack.

  20. New coatings extend compressor service life

    SciTech Connect

    Chow, R.; McMordie, B.; Wiegand, R.

    1995-10-01

    To lengthen production runs, a Canadian ethylene operator experimented with a coating system to protect a critical compressor`s rotor from hydrocarbon-polymerization/fouling. In ethylene manufacturing, compressor fouling is an accepted ``fact of life.`` Past attempts to minimize fouling in the crack-gas compression train were unsuccessful or marginally cost-effective. Applying protective coatings to a critical-service ethylene compressor rotor slowed oiling, thus lengthening the production run time by one year.

  1. NCCN: 20 Years of Improving Patients' Lives.

    PubMed

    Carlson, Robert W

    2015-05-01

    In his Keynote Address at the NCCN 20th Annual Conference, Robert W. Carlson, MD, reflected on the achievements of NCCN and described how the organization will continue to grow under his leadership. Recognizing that the founding of NCCN was by a group of visionary leaders who came together 20 years ago to assure access of patients to high-quality cancer care, Dr. Carlson said "All our efforts within NCCN are focused on improving the quality, effectiveness, and efficiency of patient care, so that our patients can live better lives."

  2. Life as an acoustician in industry, academia, and government service

    NASA Astrophysics Data System (ADS)

    Hastings, Mardi C.

    2004-05-01

    Acoustics is a science that has very broad applications, which affect all different areas of our lives. During the last 20 years, I have combined family with a career as an acoustics engineer in industry, a tenured faculty member at a university and, most recently, a program manager in a government agency. In these positions I have worked in several areas of acoustics, including noise control, structural acoustics, building acoustics, sound quality, physical acoustics, acoustic materials, underwater acoustics, biomedical ultrasound, physiological acoustics, and bioacoustics. Although the fundamental science of sound is the foundation of all these areas, communication of ideas, problems, and solutions varies greatly from industry to academia to government. Thus knowing the science and how to use it are not enough, as communication skills and the ability to adapt them to changing environments are essential for a successful career. In addition to describing life as an acoustician in industry, academia, and government service, I will present several examples of how even though the acoustic fundamentals are the same, how they are communicated could become a disaster or save the day.

  3. Improving thermocouple service life in slagging gasifiers

    SciTech Connect

    Bennett, James P.; Kwong, Kyei-Sing; Powell, Cynthia A.; Thomas, Hugh; Krabbe, Rick

    2005-01-01

    The measurement of temperature within slagging gasifiers for long periods of time is difficult/impossible because of sensor failure or blockage of inputs used to monitor gasifier temperature. One of the most common means of temperature measurement in a gasifier is physically, through the use of thermocouples in a gasifier sidewall. These units can fail during startup, standby, or during the first 40-90 days of gasifier service. Failure can be caused by a number of issues; including thermocouple design, construction, placement in the gasifier, gasifier operation, and molten slag attack of the materials used in a thermocouple assembly. Lack of temperature control in a gasifier can lead to improper preheating, slag buildup on gasifier sidewalls, slag attack of gasifier refractories used to line a gasifier, or changes in desired gas output from a gasifier. A general outline of thermocouple failure issues and attempts by the Albany Research Center to improve the service life of thermocouples will be discussed.

  4. Solid Propulsion Systems, Subsystems, and Components Service Life Extension

    NASA Technical Reports Server (NTRS)

    Hundley, Nedra H.; Jones, Connor

    2011-01-01

    The service life extension of solid propulsion systems, subsystems, and components will be discussed based on the service life extension of the Space Transportation System Reusable Solid Rocket Motor (RSRM) and Booster Separation Motors (BSM). The RSRM is certified for an age life of five years. In the aftermath of the Columbia accident there were a number of motors that were approaching the end of their five year service life certification. The RSRM Project initiated an assessment to determine if the service life of these motors could be extended. With the advent of the Constellation Program, a flight test was proposed that would utilize one of the RSRMs which had been returned from the launch site due to the expiration of its five year service life certification and twelve surplus Chemical Systems Division BSMs which had exceeded their eight year service life. The RSRM age life tracking philosophy which establishes when the clock starts for age life tracking will be described. The role of the following activities in service life extension will be discussed: subscale testing, accelerated aging, dissecting full scale aged hardware, static testing full scale aged motors, data mining industry data, and using the fleet leader approach. The service life certification and extension of the BSMs will also be presented.

  5. Biological consequences of Chernobyl: 20 years on.

    PubMed

    Møller, Anders Pape; Mousseau, Timothy A

    2006-04-01

    The disaster at the Chernobyl nuclear power plant in 1986 released 80 petabecquerel of radioactive caesium, strontium, plutonium and other radioactive isotopes into the atmosphere, polluting 200 000 km(2) of land in Europe. As we discuss here, several studies have since shown associations between high and low levels of radiation and the abundance, distribution, life history and mutation rates of plants and animals. However, this research is the consequence of investment by a few individuals rather than a concerted research effort by the international community, despite the fact that the effects of the disaster are continent-wide. A coordinated international research effort is therefore needed to further investigate the effects of the disaster, knowledge that could be beneficial if there are further nuclear accidents, including the threat of a "dirty bomb".

  6. Service-Life Extension of Explosive Escape Devices

    NASA Technical Reports Server (NTRS)

    Bement, L. J.; Schimmel, M. L.

    1987-01-01

    Chemical and functional tests yield conservative service-life estimates. Approach to extension of service lives of explosive devices in aircraft escape system developed, supported by testing of representative candidate devices to evaluate quantitatively effects of service, age, and degradation, and to enable responsible, conservative service-life determinations. Five types of explosive components evaluated: rigid and flexible explosive transfer lines; one-way transfers; flexible, linear-shaped charges; and initiation-handles. Extension of service in realistic manner provides both cost savings and increased system reliability.

  7. Retardation analytical model to extend service life

    NASA Technical Reports Server (NTRS)

    Matejczyk, D.

    1984-01-01

    A fatigue crack growth model that incorporates crack growth retardation effects and is applicable to the materials characteristics and service environments of high performance LH2/LO2 engine systems was developed and tested.

  8. Multicultural Counseling Competencies Research: A 20-Year Content Analysis

    ERIC Educational Resources Information Center

    Worthington, Roger L.; Soth-McNett, Angela M.; Moreno, Matthew V.

    2007-01-01

    The authors conducted a 20-year content analysis of the entire field of empirical research on the multicultural counseling competencies (D. W. Sue et al., 1982). They conducted an exhaustive search for empirical research articles using PsycINFO, as well as complete reviews of the past 20 years of several journals (e.g., Journal of Counseling…

  9. Evaluation of Hose in Hose transfer line service life

    SciTech Connect

    EAGLE, O.H.

    2003-05-30

    This document presents a determination for the amount of expected service life from Hose-in-Hose Transfer Lines based on vendor information and past HIHTL experience. Based on the information presented in this report and referenced documentation, we conclude the service life of the inner hose establishes the limits of service life for the finished assemblies. Since the process and environmental conditions to which the transfer line is subjected will not adversely affect the hose, the effective service life is that stated by the vendor--three years from the date of initial transfer. Transfer line assemblies have a shelf life of seven years from the date of hose manufacture, if stored in accordance with Section 2.1. This evaluation provides documentation showing that a three year service life has been justified. In the event that transfer lines are to be operated after three years from the date of initial transfer and within the shelf life of seven years, they must be reevaluated for their ability to perform intended functions.

  10. Student-Life Stress in Education and Health Service Majors

    ERIC Educational Resources Information Center

    Zascavage, Victoria; Winterman, Kathleen G.; Buot, Max; Wies, Jennifer R.; Lyzinski, Natalie

    2012-01-01

    In order to better understand the effects of student-life stress on Education and Health Service majors (n = 195) at a private, religious, Midwestern university in the USA, we assessed student perception of overall stress level and physical stress level using the Student-life Stress Inventory. The targeted sample consisted of students with…

  11. A Life-Course Analysis of Military Service in Vietnam

    ERIC Educational Resources Information Center

    Wright, John Paul; Carter, David E.; Cullen, Francis T.

    2005-01-01

    Prior research demonstrates that military service disconnects men from past social and personal disadvantages and thus potentially alters normal life-course patterns of development. Much of this research, however, has been conducted only with World War II veterans. Relatively few studies have examined the influence of military service in Vietnam…

  12. Quality of Services and Quality of Life from Service Providers' Perspectives: Analysis with Focus Groups

    ERIC Educational Resources Information Center

    Jenaro, C.; Vega, V.; Flores, N.; Cruz, M.

    2013-01-01

    Background: Concepts such as support, quality of life and quality of services are customary in services for people with intellectual disabilities. The identification of the different ways of conceiving, prioritising and implementing these concepts by service providers can help to drive changes to achieve better personal outcomes for this…

  13. 20 Years after "The Ontogeny of Human Memory: A Cognitive Neuroscience Perspective," Where Are We?

    ERIC Educational Resources Information Center

    Jabès, Adeline; Nelson, Charles A.

    2015-01-01

    In 1995, Nelson published a paper describing a model of memory development during the first years of life. The current article seeks to provide an update on the original work published 20 years ago. Specifically, we review our current knowledge on the relation between the emergence of explicit memory functions throughout development and the…

  14. Investigation of mercury thruster isolators. [service life

    NASA Technical Reports Server (NTRS)

    Mantenieks, M. A.

    1973-01-01

    Mercury ion thruster isolator lifetime tests were performed using different isolator materials and geometries. Tests were performed with and without the flow of mercury through the isolators in an oil diffusion pumped vacuum facility and cryogenically pumped bell jar. The onset of leakage current in isolators tested occurred in time intervals ranging from a few hours to many hundreds of hours. In all cases, surface contamination was responsible for the onset of leakage current and subsequent isolator failure. Rate of increase of leakage current and the leakage current level increased approximately exponentially with isolator temperature. Careful attention to shielding techniques and the elimination of sources of metal oxides appear to have eliminated isolator failures as a thruster life limiting mechanism.

  15. Integrating service-life modeling and life-cycle assessment for recycled-aggregate concrete

    NASA Astrophysics Data System (ADS)

    Bergman, Todd Lee

    The development and implementation of one-dimensional (a) analytical and (b) numerical service-life models for chloride-induced corrosion of reinforced concrete containing both recycled-aggregates and supplementary cementitious materials (SCMs) are presented in this work. Both the analytical and numerical models account for initial chloride contamination levels due to previous applications. The effects of aggregate type (e.g., virgin, recycled aggregate, recycled mortar), aggregate replacement ratio, severity of chloride contamination levels, severity of in-service chloride exposure, reinforcement cover depth, SCM type (e.g., fly ash, slag, slice fume, metakaolin), and SCM replacement ratio on the expected service life of recycled-aggregate reinforced concrete were investigated. Results illustrated trends between concrete mixes and life cycle costs, which were employed to make conclusions on the trade-offs presented by cost, sustainability, and service life.

  16. Service Life Extension of the ISS Propulsion System Elements

    NASA Technical Reports Server (NTRS)

    Kamath, Ulhas; Grant, Gregory; Kuznetsov, Sergei; Shaevich, Sergey; Spencer, Victor

    2014-01-01

    The International Space Station (ISS) is a result of international collaboration in building a sophisticated laboratory of an unprecedented scale in Low Earth Orbit. After a complex assembly sequence spanning over a decade, some of the early modules launched at the beginning of the program would reach the end of their certified lives, while the newer modules were just being commissioned into operation. To maximize the return on global investments in this one-of-a-kind orbiting platform that was initially conceived for a service life until 2016, it is essential for the cutting edge research on ISS to continue as long as the station can be sustained safely in orbit. ISS Program is assessing individual modules in detail to extend the service life of the ISS to 2024, and possibly to 2028. Without life extension, Functional Cargo Block (known by its Russian acronym as FGB) and the Service Module (SM), two of the early modules on the Russian Segment, would reach the end of their certified lives in 2013 and 2015 respectively. Both FGB and SM are critical for the propulsive function of the ISS. This paper describes the approach used for the service life extension of the FGB propulsion system. Also presented is an overview of the system description along with the process adopted for developing the life test plans based on considerations of system failure modes, fault tolerance and safety provisions. Tests and analyses performed, important findings and life estimates are summarized. Based on the life extension data, FGB propulsion system, in general, is considered ready for a service life until 2028.

  17. Service Life Extension of the ISS Propulsion System Elements

    NASA Technical Reports Server (NTRS)

    Kamath, Ulhas; Grant, Gregory; Kuznetsov, Sergei; Shaevich, Sergey; Spencer, Victor

    2015-01-01

    The International Space Station (ISS) is a result of international collaboration in building a sophisticated laboratory of an unprecedented scale in Low Earth Orbit. After a complex assembly sequence spanning over a decade, some of the early modules launched at the beginning of the program would reach the end of their certified lives, while the newer modules were just being commissioned into operation. To maximize the return on global investments in this one-of-a-kind orbiting platform that was initially conceived for a service life until 2016, it is essential for the cutting edge research on ISS to continue as long as the station can be sustained safely in orbit. ISS Program is assessing individual modules in detail to extend the service life of the ISS to 2024, and possibly to 2028. Without life extension, Functional Cargo Block (known by its Russian acronym as FGB) and the Service Module (SM), two of the early modules on the Russian Segment, would reach the end of their certified lives in 2013 and 2015 respectively. Both FGB and SM are critical for the propulsive function of the ISS. This paper describes the approach used for the service life extension of the FGB propulsion system. Also presented is an overview of the system description along with the process adopted for developing the life test plans based on considerations of system failure modes, fault tolerance and safety provisions. Tests and analyses performed, important findings and life estimates are summarized. Based on the life extension data, FGB propulsion system, in general, is considered ready for a service life until 2028.

  18. Iron chemistry at the service of life.

    PubMed

    Sánchez, Manu; Sabio, Laura; Gálvez, Natividad; Capdevila, Mercè; Dominguez-Vera, Jose M

    2017-02-02

    Iron is an essential element for almost all organisms on Earth. It is necessary for a number of crucial processes such as hemoglobin and myoglobin transport and storage of oxygen in mammals; electron transfer support in a variety of iron-sulfur protein or cytochrome reactions; and activation and catalysis of reactions of a wide range of substrate like alkanes, olefins, and alcohols. Living organisms adopted iron as the main metal to carry out all of these functions due to the rich coordination chemistry of its two main redox states, Fe(2+) and Fe(3+) , and because of its abundance in the Earth's crust and oceans. This paper presents an overview of the coordination chemistry of iron that makes it suitable for a large variety of functions within biological systems. Despite iron's chemical advantages, organisms were forced to manage with some drawbacks: Fe(3+) insolubility and the formation of toxic radicals, especially the hydroxyl radical. Iron chemistry within biology is an example of how organisms evolved by creating molecular machinery to overcome these difficulties and perform crucial processes with extraordinary elegance and efficiency. © 2017 IUBMB Life, 2017.

  19. Genetics of hypertrophic cardiomyopathy after 20 years: clinical perspectives.

    PubMed

    Maron, Barry J; Maron, Martin S; Semsarian, Christopher

    2012-08-21

    Hypertrophic cardiomyopathy (HCM) is the most common familial heart disease with vast genetic heterogeneity, demonstrated over the past 20 years. Mutations in 11 or more genes encoding proteins of the cardiac sarcomere (>1,400 variants) are responsible for (or associated with) HCM. Explosive progress achieved in understanding the rapidly evolving science underlying HCM genomics has resulted in fee-for-service testing, making genetic information widely available. The power of HCM mutational analysis, albeit a more limited role than initially envisioned, lies most prominently in screening family members at risk for developing disease and excluding unaffected relatives, which is information not achievable otherwise. Genetic testing also allows expansion of the broad HCM disease spectrum and diagnosis of HCM phenocopies with different natural history and treatment options, but is not a reliable strategy for predicting prognosis. Interfacing a heterogeneous disease such as HCM with the vast genetic variability of the human genome, and high frequency of novel mutations, has created unforeseen difficulties in translating complex science (and language) into the clinical arena. Indeed, proband diagnostic testing is often expressed on a probabilistic scale, which is frequently incompatible with clinical decision making. Major challenges rest with making reliable distinctions between pathogenic mutations and benign variants, and those judged to be of uncertain significance. Genotyping in HCM can be a powerful tool for family screening and diagnosis. However, wider adoption and future success of genetic testing in the practicing cardiovascular community depends on a standardized approach to mutation interpretation, and bridging the communication gap between basic scientists and clinicians.

  20. Directions for effectiveness research to improve health services for late-life depression in the United States

    PubMed Central

    Hoeft, Theresa J.; Hinton, Ladson; Liu, Jessica; Unützer, Jürgen

    2015-01-01

    Considerable progress has been made in the treatment of late-life depression over the past 20 years, yet considerable gaps in care remain. Gaps in care are particularly pronounced for older men, certain racial and ethnic minority groups or those with comorbid medical or mental disorders. We reviewed the peer-reviewed literature and conducted interviews with experts in late-life depression to identify promising directions for effectiveness research to address these gaps in care. We searched PubMed, PsychInfo and CINHAL databases between January 01, 1998 – August 31, 2013 using terms related to late-life depression and any of the following: epidemiology, services organization, economics of care, underserved groups including health disparities, impact on caregivers, and interventions. The results of this selective review supplemented by more current recommendations from national experts highlight three priority research areas to improve health services for late-life depression: focusing on the unique needs of the patient through patient-centered care and culturally sensitive care, involving caregivers outside the traditional clinical care team, and involving alternate settings of care. We build on these results to offer five recommendations for future effectiveness research that hold considerable potential to advance intervention and health services development for late-life depression. PMID:26525996

  1. Service life evaluation of rigid explosive transfer lines

    NASA Technical Reports Server (NTRS)

    Bement, L. J.; Kayser, E. G.; Schimmel, M. L.

    1983-01-01

    This paper describes a joint Army/NASA-sponsored research program on the service life evaluation of rigid explosive transfer lines. These transfer lines are used to initiate emergency crew escape functions on a wide variety of military and NASA aircraft. The purpose of this program was to determine quantitatively the effects of service, age, and degradation on rigid explosive transfer lines to allow responsible, conservative, service life determination. More than 800 transfer lines were removed from the U.S. Army AH-1G and AH-1S, the U.S. Air Force B-1 and F-111, and the U.S. Navy F-14 aircraft for testing. The results indicated that the lines were not adversely affected by age, service, or a repeat of the thermal qualification tests on full-service lines. Extension of the service life of rigid explosive transfer lines should be considered, since considerable cost savings could be realized with no measurable decrease in system reliability.

  2. Probabilistic/Fracture-Mechanics Model For Service Life

    NASA Technical Reports Server (NTRS)

    Watkins, T., Jr.; Annis, C. G., Jr.

    1991-01-01

    Computer program makes probabilistic estimates of lifetime of engine and components thereof. Developed to fill need for more accurate life-assessment technique that avoids errors in estimated lives and provides for statistical assessment of levels of risk created by engineering decisions in designing system. Implements mathematical model combining techniques of statistics, fatigue, fracture mechanics, nondestructive analysis, life-cycle cost analysis, and management of engine parts. Used to investigate effects of such engine-component life-controlling parameters as return-to-service intervals, stresses, capabilities for nondestructive evaluation, and qualities of materials.

  3. Pre-Service Teachers in Second Life: Potentials of Simulations

    ERIC Educational Resources Information Center

    Teoh, Jase

    2012-01-01

    An in-depth qualitative study with nine secondary pre-service teachers from an undergraduate "Language and Literacy" class was conducted to examine the potential of simulation using Second Life (SL) in teacher education. Games and simulations were operationally defined in the broadest sense to distinguish key characteristics between…

  4. Bringing the Life Needs Model to life: implementing a service delivery model for pediatric rehabilitation.

    PubMed

    King, Gillian A; Tucker, Mary Ann; Baldwin, Patricia J; LaPorta, John A

    2006-01-01

    This article describes the use and utility of the Life Needs Model of Pediatric Service Delivery at a regional children's rehabilitation center. The model is a transdisciplinary, evidence-based model that guides pediatric service delivery to meet the long-range goals of community participation and quality of life for children and youth with disabilities. The article describes the use of the model as a tool to assist with the development of organizational culture, strategic and operational planning, the development of therapists' expertise, and the development of community partnerships. The model also has influenced human resources practices, community relations activities, and research. The model provides needed direction to service planners about the types of services that are important to provide in a geographical region, and fills a gap in outlining the nature of services that can be encompassed in pediatric rehabilitation.

  5. Evolution Of USDOE Performance Assessments Over 20 Years

    SciTech Connect

    Seitz, Roger R.; Suttora, Linda C.

    2013-02-26

    Performance assessments (PAs) have been used for many years for the analysis of post-closure hazards associated with a radioactive waste disposal facility and to provide a reasonable expectation of the ability of the site and facility design to meet objectives for the protection of members of the public and the environment. The use of PA to support decision-making for LLW disposal facilities has been mandated in United States Department of Energy (USDOE) directives governing radioactive waste management since 1988 (currently DOE Order 435.1, Radioactive Waste Management). Prior to that time, PAs were also used in a less formal role. Over the past 20+ years, the USDOE approach to conduct, review and apply PAs has evolved into an efficient, rigorous and mature process that includes specific requirements for continuous improvement and independent reviews. The PA process has evolved through refinement of a graded and iterative approach designed to help focus efforts on those aspects of the problem expected to have the greatest influence on the decision being made. Many of the evolutionary changes to the PA process are linked to the refinement of the PA maintenance concept that has proven to be an important element of USDOE PA requirements in the context of supporting decision-making for safe disposal of LLW. The PA maintenance concept represents the evolution of the graded and iterative philosophy and has helped to drive the evolution of PAs from a deterministic compliance calculation into a systematic approach that helps to focus on critical aspects of the disposal system in a manner designed to provide a more informed basis for decision-making throughout the life of a disposal facility (e.g., monitoring, research and testing, waste acceptance criteria, design improvements, data collection, model refinements). A significant evolution in PA modeling has been associated with improved use of uncertainty and sensitivity analysis techniques to support efficient

  6. Evolution of US DOE Performance Assessments Over 20 Years - 13597

    SciTech Connect

    Suttora, Linda C.; Seitz, Roger R.

    2013-07-01

    Performance assessments (PAs) have been used for many years for the analysis of post-closure hazards associated with a radioactive waste disposal facility and to provide a reasonable expectation of the ability of the site and facility design to meet objectives for the protection of members of the public and the environment. The use of PA to support decision-making for LLW disposal facilities has been mandated in United States Department of Energy (US DOE) directives governing radioactive waste management since 1988 (currently DOE Order 435.1, Radioactive Waste Management). Prior to that time, PAs were also used in a less formal role. Over the past 20+ years, the US DOE approach to conduct, review and apply PAs has evolved into an efficient, rigorous and mature process that includes specific requirements for continuous improvement and independent reviews. The PA process has evolved through refinement of a graded and iterative approach designed to help focus efforts on those aspects of the problem expected to have the greatest influence on the decision being made. Many of the evolutionary changes to the PA process are linked to the refinement of the PA maintenance concept that has proven to be an important element of US DOE PA requirements in the context of supporting decision-making for safe disposal of LLW. The PA maintenance concept is central to the evolution of the graded and iterative philosophy and has helped to drive the evolution of PAs from a deterministic compliance calculation into a systematic approach that helps to focus on critical aspects of the disposal system in a manner designed to provide a more informed basis for decision-making throughout the life of a disposal facility (e.g., monitoring, research and testing, waste acceptance criteria, design improvements, data collection, model refinements). A significant evolution in PA modeling has been associated with improved use of uncertainty and sensitivity analysis techniques to support efficient

  7. 20 Years Later: How One Flagship Has Changed

    ERIC Educational Resources Information Center

    Blumenstyk, Goldie

    2008-01-01

    This article examines how the University of Kansas has changed in 20 years. Twenty years ago, annual operating expenses for the University of Kansas campus here were $204-million. Today the institution spends more than triple that, even though its enrollment, 26,000, is almost exactly the same. During the same period, tuition and fees for in-state…

  8. Support-Staff Jobs Double in 20 Years, Outpacing Enrollment

    ERIC Educational Resources Information Center

    Brainard, Jeffrey; Fain, Paul; Masterson, Kathryn

    2009-01-01

    Colleges have added managers and support personnel at a steady, vigorous clip over the past 20 years, new research shows, far outpacing the growth in student enrollment and instructors. Support staff--like budget analysts, computer specialists, and loan counselors--nearly doubled from 1987 to 2007. Meanwhile, jobs for instructors increased by only…

  9. The Rainbow Reading Programme: A Review 20 Years on

    ERIC Educational Resources Information Center

    Dobson, Emma

    2013-01-01

    It has been 20 years since the Rainbow Reading programme was developed and trialled by its New Zealand creator, Meryl-Lynn Pluck. Rainbow Reading is an audio-facilitated reading programme, and is based on the method of assisted repeated reading. The programme is designed to provide older students reading below their chronological age with the…

  10. Are History Textbooks More "Considerate" after 20 Years?

    ERIC Educational Resources Information Center

    Berkeley, Sheri; King-Sears, Margaret E.; Hott, Brittany L.; Bradley-Black, Katherine

    2014-01-01

    Features of eighth-grade history textbooks were examined through replication of a 20-year-old study that investigated "considerateness" of textbooks. Considerate texts provide clear, coherent information and include features that promote students' comprehension, such as explicit use of organizational structures, a range of question types…

  11. Environmental Volunteering and Health Outcomes over a 20-Year Period

    ERIC Educational Resources Information Center

    Pillemer, Karl; Fuller-Rowell, Thomas E.; Reid, M. C.; Wells, Nancy M.

    2010-01-01

    Purpose: This study tested the hypothesis that volunteering in environmental organizations in midlife is associated with greater physical activity and improved mental and physical health over a 20-year period. Design and Methods: The study used data from two waves (1974 and 1994) of the Alameda County Study, a longitudinal study of health and…

  12. 20 Years of Investing in a Clear, Healthy Lake Tahoe

    EPA Pesticide Factsheets

    Community Information Fact Sheet with information about Lake Tahoe's history, the roles of EPA, state, and local government in protecting the Lake Tahoe Basin, priorities for the next 20 years, as well as actions that you can take to protect Lake Tahoe.

  13. Teacher Education 1992 and 2012: Reflecting on 20 Years

    ERIC Educational Resources Information Center

    McKeown, Rosalyn

    2012-01-01

    Over the past 20 years education for sustainable development (ESD) has become part of the discourse in teacher education and the teaching community has a better grasp of ESD's action-oriented and participatory pedagogies. The International Network of Teacher Education Institutions (TEIs) associated with the UNESCO Chair on Reorienting Teacher…

  14. Residential Transitions among Adults with Intellectual Disability across 20 Years

    ERIC Educational Resources Information Center

    Woodman, Ashley C.; Mailick, Marsha R.; Anderson, Kristy A.; Esbensen, Anna J.

    2014-01-01

    The present study addresses critical gaps in the literature by examining residential transitions among 303 adults with intellectual disability (ID) over 10 years (Part 1) and 75 adults with Down syndrome over 20 years (Part 2). All adults lived at home at the start of the study, but many moved to a variety of settings. Several characteristics of…

  15. Reflections on 20 Years of Research on Violence and Trauma

    ERIC Educational Resources Information Center

    Forde, David R.

    2005-01-01

    This article is part of a special issue reflecting on what people have learned about violence and trauma over the past 20 years and where we need to go in the next 10 years. The author emphasizes the importance of learning to communicate in order to form effective community partnerships. Evidence-based research is noted as a methodological…

  16. Probabilistic model for fracture mechanics service life analysis

    NASA Technical Reports Server (NTRS)

    Annis, Charles; Watkins, Tommie

    1988-01-01

    The service longevity of complex propulsion systems, such as the Space Shuttle Main Engine (SSME), can be at risk from several competing failure modes. Conventional life assessment practice focuses upon the most severely life-limited feature of a given component, even though there may be other, less severe, potential failure locations. Primary, secondary, tertiary failure modes, as well as their associated probabilities, must also be considered. Futhermore, these probabilities are functions of accumulated service time. Thus a component may not always succumb to the most severe, or even the most probable failure mode. Propulsion system longevity must be assessed by considering simultaneously the actions of, and interactions among, life-limiting influences. These include, but are not limited to, high frequency fatigue (HFF), low cycle fatigue (LCF), and subsequent crack propagation, thermal and acoustic loadings, and the influence of less-than-ideal nondestructive evaluation (NDE). An outline is provided for a probabilistic model for service life analysis, and the progress towards its implementation is reported.

  17. Computational Everyday Life Human Behavior Model as Servicable Knowledge

    NASA Astrophysics Data System (ADS)

    Motomura, Yoichi; Nishida, Yoshifumi

    A project called `Open life matrix' is not only a research activity but also real problem solving as an action research. This concept is realized by large-scale data collection, probabilistic causal structure model construction and information service providing using the model. One concrete outcome of this project is childhood injury prevention activity in new team consist of hospital, government, and many varieties of researchers. The main result from the project is a general methodology to apply probabilistic causal structure models as servicable knowledge for action research. In this paper, the summary of this project and future direction to emphasize action research driven by artificial intelligence technology are discussed.

  18. International Space Station Bacteria Filter Element Service Life Evaluation

    NASA Technical Reports Server (NTRS)

    Perry, J. L.

    2005-01-01

    The International Space Station (ISS) uses high-efficiency particulate air filters to remove particulate matter from the cabin atmosphere. Known as bacteria filter elements (BFEs), there are 13 elements deployed on board the ISS's U.S. segment in the flight 4R assembly level. The preflight service life prediction of 1 yr for the BFEs is based upon engineering analysis of data collected during developmental testing that used a synthetic dust challenge. While this challenge is considered reasonable and conservative from a design perspective, an understanding of the actual filter loading is required to best manage the critical ISS program resources. Testing was conducted on BFEs returned from the ISS to refine the service life prediction. Results from this testing and implications to ISS resource management are provided.

  19. Service Life Estimation Technique of Oxidized XLPE Cables

    NASA Astrophysics Data System (ADS)

    Hatanaka, Masaki; Nakade, Masahiko; Hirose, Takafumi; Sugimoto, Syuu; Namiki, Yukihiko

    XLPE which is the insulator of the XLPE cable will be oxidized by heat. But, an accident caused by oxidized XLPE has hardly reported until now. Therefore, oxidization of XLPE hasn’t been regard as important. But recently we found that XLPE cable used for a long time could break down due to the oxidization of XLPE by simulation result. So, we developed the service life estimation technique of oxidized XLPE cables used FT-IR.

  20. [False aneurysm on dacron prosthesis, 20 years after aortofemoral bypass].

    PubMed

    Illuminati, G; Bertagni, A; Nasti, A G; Montesano, G

    2001-10-01

    A 85-year-old male developed a false, non septic, non anastomotic aneurysm, 20 years after right aorto-femoral Dacron grafting for claudication. On account of the proximity to the femoral anastomosis, and the association with a profunda femoris stenosis, a conventional surgical repair was preferred to an endovascular treatment. The patient underwent a successful aneurysm resection followed by PTFE interposition between the primary graft and the profunda femoris artery, with uneventful recovery.

  1. Neoplasia in immunosuppressed renal transplant patients: a 20-year experience

    SciTech Connect

    Krueger, T.C.; Tallent, M.B. Jr.; Richie, R.E.; Johnson, H.K.; MacDonell, R.C.; Turner, B.

    1985-05-01

    This review examines a 20-year experience in renal transplantation at our center to determine the effects of immunosuppression on the subsequent development of malignancies. Twenty patients had 21 malignancies from primary sites other than skin, yielding an incidence of 2.5%. There were 0.65 malignancies for each 100 cumulative patient years of immunosuppression. Suppression of the host immune response is associated with an increased incidence of malignancies.

  2. LaRC 20-Year Center Revitalization Plan

    NASA Technical Reports Server (NTRS)

    Mangum, Cathy H.; Harris, Charles E.; Allen, Cheryl L.; Craft, Stephen J.; Hope, Drew J.; Kegelman, Jerome T.; Mastaler, Michael D; Weiser, Erik S.

    2012-01-01

    LaRC has developed a 20-Year Center Revitalization Plan. The objective of this plan is to assure that the center infrastructure is sustainable for the long-term and that the center will have the essential facilities and laboratories to execute the future NASA mission. The plan was developed by a centerwide team, VITAL, and was approved by the Center Leadership Council (CLC) in March 2012. The revitalization plan will be implemented through the Center Master Planning process.

  3. Effects of Planetary Gear Ratio on Mean Service Life

    NASA Technical Reports Server (NTRS)

    Savage, M.; Rubadeux, K. L.; Coe, H. H.

    1996-01-01

    Planetary gear transmissions are compact, high-power speed reductions which use parallel load paths. The range of possible reduction ratios is bounded from below and above by limits on the relative size of the planet gears. For a single plane transmission, the planet gear has no size at a ratio of two. As the ratio increases, so does the size of the planets relative to the sizes of the sun and ring. Which ratio is best for a planetary reduction can be resolved by studying a series of optimal designs. In this series, each design is obtained by maximizing the service life for a planetary with a fixed size, gear ratio, input speed power and materials. The planetary gear reduction service life is modeled as a function of the two-parameter Weibull distributed service lives of the bearings and gears in the reduction. Planet bearing life strongly influences the optimal reduction lives which point to an optimal planetary reduction ratio in the neighborhood of four to five.

  4. Effects of Planetary Speed Reduction Ratio on Mean Service Life

    NASA Technical Reports Server (NTRS)

    Savage, M.; Rubadeux, K. L.; Coe, H. H.

    1998-01-01

    Planetary gear transmissions are compact speed reductions which use parallel-load paths to transmit high power. The range of possible reduction ratios is bounded from below and above by limits on the relative size of the planet gears. For a single plane planetary transmission, the speed-reduction ratio must be greater than two for planet gears to exist. As the ratio increase, so does the size of the planets relative to the sizes of the sun and ring. Which ratio is best for a planetary reduction can be resolved by studying a series of optimal designs. In this series, each design is obtained by maximizing the service life for a spur-gear planetary with a fixed size, speed reduction ratio, input speed, power and materials. The planetary gear reduction service life is modeled as a function of the two-parameter Weibull distributed service lives of the ball bearings and spur gears in the reduction. Planet-bearing life strongly influences the optimal reduction lives which point to an optimal planetary reduction ratio in the neighborhood of four to five.

  5. LEVERAGING AGING MATERIALS DATA TO SUPPORT EXTENSION OF TRANSPORTATION SHIPPING PACKAGES SERVICE LIFE

    SciTech Connect

    Dunn, K.; Bellamy, S.; Daugherty, W.; Sindelar, R.; Skidmore, E.

    2013-08-18

    Nuclear material inventories are increasingly being transferred to interim storage locations where they may reside for extended periods of time. Use of a shipping package to store nuclear materials after the transfer has become more common for a variety of reasons. Shipping packages are robust and have a qualified pedigree for performance in normal operation and accident conditions but are only certified over an approved transportation window. The continued use of shipping packages to contain nuclear material during interim storage will result in reduced overall costs and reduced exposure to workers. However, the shipping package materials of construction must maintain integrity as specified by the safety basis of the storage facility throughout the storage period, which is typically well beyond the certified transportation window. In many ways, the certification processes required for interim storage of nuclear materials in shipping packages is similar to life extension programs required for dry cask storage systems for commercial nuclear fuels. The storage of spent nuclear fuel in dry cask storage systems is federally-regulated, and over 1500 individual dry casks have been in successful service up to 20 years in the US. The uncertainty in final disposition will likely require extended storage of this fuel well beyond initial license periods and perhaps multiple re-licenses may be needed. Thus, both the shipping packages and the dry cask storage systems require materials integrity assessments and assurance of continued satisfactory materials performance over times not considered in the original evaluation processes. Test programs for the shipping packages have been established to obtain aging data on materials of construction to demonstrate continued system integrity. The collective data may be coupled with similar data for the dry cask storage systems and used to support extending the service life of shipping packages in both transportation and storage.

  6. Aging mechanisms and service life of lead-acid batteries

    NASA Astrophysics Data System (ADS)

    Ruetschi, Paul

    In lead-acid batteries, major aging processes, leading to gradual loss of performance, and eventually to the end of service life, are: Anodic corrosion (of grids, plate-lugs, straps or posts). Positive active mass degradation and loss of adherence to the grid (shedding, sludging). Irreversible formation of lead sulfate in the active mass (crystallization, sulfation). Short-circuits. Loss of water. Aging mechanisms are often inter-dependent. For example, corrosion of the grids will lead to increased resistance to current flow, which will in turn impede proper charge of certain parts of the active mass, resulting in sulfation. Active mass degradation may lead to short-circuits. Sulfation may be the result of a loss of water, and so forth. The rates of the different aging processes strongly depend on the type of use (or misuse) of the battery. Over-charge will lead to accelerated corrosion and also to accelerated loss of water. With increasing depth-of-discharge during cycling, positive active mass degradation is accelerated. Some aging mechanisms are occurring only upon misuse. Short-circuits across the separators, due to the formation of metallic lead dendrites, for example, are usually formed only after (excessively) deep discharge. Stationary batteries, operated under float-charge conditions, will age typically by corrosion of the positive grids. On the other hand, service life of batteries subject to cycling regimes, will typically age by degradation of the structure of the positive active mass. Starter batteries are usually aging by grid corrosion, for instance in normal passenger car use. However, starter batteries of city buses, making frequent stops, may age (prematurely) by positive active mass degradation, because the batteries are subject to numerous shallow discharge cycles. Valve-regulated batteries often fail as a result of negative active mass sulfation, or water loss. For each battery design, and type of use, there is usually a characteristic

  7. Character Strengths and Life Satisfaction of Slovenian In-Service and Pre-Service Teachers

    ERIC Educational Resources Information Center

    Gradišek, Polona

    2012-01-01

    Character strengths and life satisfaction of Slovenian in-service and preservice teachers were researched. The VIA-IS self-assessment questionnaire has been translated into the Slovenian language and has been used for the first time in Slovenia. A total of 173 primary school teachers and 77 student teachers from the Faculty of Education,…

  8. Improving the service life of the 100-meter Green Bank Telescope azimuth track

    NASA Astrophysics Data System (ADS)

    Symmes, Arthur; Anderson, Robert; Egan, Dennis

    2008-07-01

    The NRAO Green Bank Telescope (GBT), located in Green Bank, West Virginia, is supported by 16 steel wheels which rest upon a composite steel and concrete Azimuth Track, 210 feet (64 meters) in diameter. From the start of observing in February 2001, the Azimuth Track design presented an operational problem for NRAO. By the spring of 2001, slippage of the top plate on the base plate was causing hold-down bolt failures. In July 2002, wear between the top and base plates (fretting) had become evident around the entire track circumference. NRAO engineers took immediate action to reduce both the track slippage and wear problems. But in January 2003, cracks were discovered in two adjacent top plates; by 2006 the top plates were cracking at a rate of almost one a month - an alarming rate given the design service life of 20 years. This paper will summarize the engineering analysis efforts that were subsequently conducted to assess the root cause of the GBT track degradation problem. We will also discuss a trial modification section that was installed in June 2004. Finally, we will discuss the design solution that was developed to remedy the track performance problem.

  9. 28. Graffiti in north cells: '20 years old 4315 CD ...

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

    28. Graffiti in north cells: '20 years old 4315 C-D Mamoru Yoshimoto 5/24/45 180 days Kumamoto'; '18 ' ' years old 1406-A Haruo Yokoi 6/17/45 270 days Nagoya'; '31 ' ' years old 5604-B Masaki Nishii 5/24/45 180 days Kumamoto'; '19 ' ' years old 1806-B Masaharu Yoshida 5/24/45 180 days Hiroshima'; 135mm lens with electronic flash illumination. - Tule Lake Project Jail, Post Mile 44.85, State Route 139, Newell, Modoc County, CA

  10. Intranasal and transantral ethmoidectomy: a 20-year experience.

    PubMed

    Friedman, W H; Katsantonis, G P

    1990-04-01

    Ethmoidectomy is an operation that has engendered controversy concerning the best route of surgical access. The purpose of this study was to present the results of the authors' experience in more than 1300 intranasal sphenoethmoidectomies and transantral sphenoethmoidectomies performed over a 20-year period. The authors contend that the most effective ethmoidectomy is the most complete ethmoidectomy and have previously presented a case for ethmoid marsupialization. Polyp recurrence rates of less than 20% and a major complication rate of less than 1% were reported in this study.

  11. [Surgical treatment of esophageal achalasia--20 years experience].

    PubMed

    Yaramov, N; Sokolov, M; Angelov, K; Toshev, S; Petrov, B

    2009-01-01

    Achalasia comes from a Greek word that means "failure to relax." Cardiospasm and achalasia refer to the same condition. This report addresses esophageal achalasia--its history, diagnosis, pathophysiology, and treatment options. We report our experience in treating this disorder surgically using modified Heller myotomy combined or not with partial gastric fundoplication. 47 patients with achalasia surgically operated in 20-years period are reported by authors. These features make it reasonable to reasses the relative indications for surgery and nonsurgical therapy in achalasia of the esophagus.

  12. 42 CFR 84.255 - Requirements for end-of-service-life indicator.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Requirements for end-of-service-life indicator. 84... Special Use Respirators § 84.255 Requirements for end-of-service-life indicator. (a) Each canister or... equipped with a canister or cartridge end-of-service-life indicator which shows a satisfactory...

  13. 42 CFR 84.255 - Requirements for end-of-service-life indicator.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 1 2011-10-01 2011-10-01 false Requirements for end-of-service-life indicator. 84... Special Use Respirators § 84.255 Requirements for end-of-service-life indicator. (a) Each canister or... equipped with a canister or cartridge end-of-service-life indicator which shows a satisfactory...

  14. Earth observation photography: Looking back 20 years after Skylab

    NASA Technical Reports Server (NTRS)

    Nicholson, James H.

    1992-01-01

    A committee of trained classroom teachers, backed by a volunteer team of technical experts and academic advisors has developed a program for earth science based on photographs obtained from low earth orbit. In selecting targeting objectives, immediate note was made of the fact nearly one generation (20 years) has passed since the United States' ambitious SKYLAB program was conducted. A critical part of those missions was the acquisition of earth photography using a six camera, multi-spectral camera system. This objective was systematically furthered through the term of three separate crew visits to the Space Station. Not merely an exercise in randomly photographing the Earth below, the purpose of the Earth Resource Experiment Package (EREP) was to determine what kind, and how much, photographic data could be acquired of the broad variety of Earth features witnessed on the mission's ground track. The collection of 35,000 photos produced by EREP represents the most complete coverage of Earth. However, it remains under used. GAS 324 intends to revisit, and to add a tier of relevancy to this inventory. The photography of GAS 324 should allow a direct examination and comparison of the changes in the globe in the last 20 years. format in both coverage and quality. The photogra phy acquired by CAN DO should allow a direct examination and comparison of the changes that have occured to the Globe in the last twenty years.

  15. Europe Unveils 20-Year Plan for Brilliant Future in Astronomy

    NASA Astrophysics Data System (ADS)

    2008-11-01

    Astronomy is enjoying a golden age of fundamental, exciting discoveries. Europe is at the forefront, thanks to 50 years of progress in cooperation. To remain ahead over the next two to three decades, Europe must prioritise and coordinate the investment of its financial and human resources even more closely. The ASTRONET network, backed by the entire European scientific community, supported by the European Commission, and coordinated by the CNRS, today presents its Roadmap for a brilliant future for European astronomy. ESO's European Extremely Large Telescope is ranked as one of two top-priority large ground-based projects. Astronet and the E-ELT ESO PR Photo 43a/08 The E-ELT Europe is a leader in astronomy today, with the world's most successful optical observatory, ESO's Very Large Telescope, and cutting-edge facilities in radio astronomy and in space. In an unprecedented effort demonstrating the potential of European scientific cooperation, all of European astronomy is now joining forces to define the scientific challenges for the future and construct a common plan to address them in a cost-effective manner. In 2007, a top-level Science Vision was prepared to assess the most burning scientific questions over the next quarter century, ranging from dark energy to life on other planets. European astronomy now presents its Infrastructure Roadmap, a comprehensive 20-year plan to coordinate national and community investments to meet these challenges in a cost-effective manner. The Roadmap not only prioritises the necessary new frontline research facilities from radio telescopes to planetary probes, in space and on the ground, but also considers such key issues as existing facilities, human resources, ICT infrastructure, education and outreach, and cost -- of operations as well as construction. This bold new initiative -- ASTRONET -- was created by the major European funding agencies with support from the European Commission and is coordinated by the National Institute

  16. Postmating Female Control: 20 Years of Cryptic Female Choice.

    PubMed

    Firman, Renée C; Gasparini, Clelia; Manier, Mollie K; Pizzari, Tommaso

    2017-03-16

    Cryptic female choice (CFC) represents postmating intersexual selection arising from female-driven mechanisms at or after mating that bias sperm use and impact male paternity share. Although biologists began to study CFC relatively late, largely spurred by Eberhard's book published 20 years ago, the field has grown rapidly since then. Here, we review empirical progress to show that numerous female processes offer potential for CFC, from mating through to fertilization, although seldom has CFC been clearly demonstrated. We then evaluate functional implications, and argue that, under some conditions, CFC might have repercussions for female fitness, sexual conflict, and intersexual coevolution, with ramifications for related evolutionary phenomena, such as speciation. We conclude by identifying directions for future research in this rapidly growing field.

  17. [Evaluation of 20 years' experience of enuresis in children].

    PubMed

    Averous, M; Lopez, C

    1997-06-01

    The clinical and urodynamic approach to enuretic children over a period of more than 20 years has allowed the authors to develop a multifactorial pathophysiological concept of this disorder. The main factors involved are psychological, familial, genetic, vesical, due to bladder immaturity, hormonal, due to a defect of nocturnal ADH secretion, hygiene and dietary habits, etc. The sleep factor is predominant in the majority of cases. Although nocturnal enuresis is apparently isolated in many cases, it is often associated with a state of bladder immaturity, sometimes latent during the day, but occurring at night with episodes of detrusor hyperactivity, occurring during various phases of sleep. In practice, the recognition, in children, of these factors, some of which require specific treatments, implies a management combining several of these therapeutic modalities.

  18. Carcinoma of the hand: a 20-year experience

    SciTech Connect

    Bean, D.J.; Rees, R.S.; O'Leary, J.P.; Lynch, J.B.

    1984-08-01

    The authors reviewed their 20-year experience with cutaneous carcinoma of the hand and identified 70 cases (basal cell 23%, squamous cell 77%). The documented risk factors included solar radiation, trauma, and irradiation. Lesions were treated surgically with amputation, excision, skin graft, or flap closure, and nonsurgically with cryosurgery, curettage, 5-fluorouracil, or irradiation. The recurrence was lower with surgical treatment (3%) than with nonsurgical (33%). Regional lymphadenectomy was required in four patients for metastatic squamous cell carcinoma. Recurrence was greater (9%) and metastasis more common (38%) in patients with Marjolin's type of secondary squamous cell carcinoma than with solar-induced lesions. Cause is an important factor in outcome and should be considered in initial treatment and long-term management.

  19. Carcinoma of the hand: a 20-year experience

    SciTech Connect

    Bean, D.J.; Rees, R.S.; O'Leary, J.P.; Lynch, J.B.

    1984-08-01

    We reviewed our 20-year experience with cutaneous carcinoma of the hand and identified 70 cases (basal cell 23%, squamous cell 77%). The documented risk factors included solar radiation, trauma, and irradiation. Lesions were treated surgically with amputation, excision, skin graft, or flap closure, and nonsurgically with cryosurgery, curettage, 5-fluorouracil, or irradiation. The recurrence was lower with surgical treatment (3%) than with nonsurgical (33%). Regional lymphadenectomy was required in four patients for metastatic squamous cell carcinoma. Recurrence was greater (9%) and metastasis more common (38%) in patients with Marjolin's type of secondary squamous cell carcinoma than with solar-induced lesions. Cause is an important factor in outcome and should be considered in initial treatment and long-term management.

  20. Imaging the elastic properties of tissue: the 20 year perspective.

    PubMed

    Parker, K J; Doyley, M M; Rubens, D J

    2011-01-07

    After 20 years of innovation in techniques that specifically image the biomechanical properties of tissue, the evolution of elastographic imaging can be viewed from its infancy, through a proliferation of approaches to the problem to incorporation on research and then clinical imaging platforms. Ultimately this activity has culminated in clinical trials and improved care for patients. This remarkable progression represents a leading example of translational research that begins with fundamentals of science and engineering and progresses to needed improvements in diagnostic and monitoring capabilities applied to major categories of disease, surgery and interventional procedures. This review summarizes the fundamental principles, the timeline of developments in major categories of elastographic imaging, and concludes with recent results from clinical trials and forward-looking issues.

  1. Residential Transitions among Adults with Intellectual Disability across 20 Years

    PubMed Central

    Woodman, Ashley C.; Mailick, Marsha R.; Anderson, Kristy A.; Esbensen, Anna J.

    2014-01-01

    The present study addresses critical gaps in the literature by examining residential transitions among 303 adults with intellectual disability over 10 years (Part 1) and 75 adults with Down syndrome over 20 years (Part 2). All adults lived at home at the start of the study, but many moved to a variety of settings. Several characteristics of the adults with intellectual disability differed across settings, most notably adaptive behavior and the number of residential transitions, while characteristics such as age, type of disability, and behavior problems were less predictive of residential placements. The number of moves over the course of the study varied widely, with critical links to earlier family dynamics, social relationships, and health and adaptive behavior. PMID:25354121

  2. African Savanna-Forest Boundary Dynamics: A 20-Year Study.

    PubMed

    Cuni-Sanchez, Aida; White, Lee J T; Calders, Kim; Jeffery, Kathryn J; Abernethy, Katharine; Burt, Andrew; Disney, Mathias; Gilpin, Martin; Gomez-Dans, Jose L; Lewis, Simon L

    2016-01-01

    Recent studies show widespread encroachment of forest into savannas with important consequences for the global carbon cycle and land-atmosphere interactions. However, little research has focused on in situ measurements of the successional sequence of savanna to forest in Africa. Using long-term inventory plots we quantify changes in vegetation structure, above-ground biomass (AGB) and biodiversity of trees ≥10 cm diameter over 20 years for five vegetation types: savanna; colonising forest (F1), monodominant Okoume forest (F2); young Marantaceae forest (F3); and mixed Marantaceae forest (F4) in Lopé National Park, central Gabon, plus novel 3D terrestrial laser scanning (TLS) measurements to assess forest structure differences. Over 20 years no plot changed to a new stage in the putative succession, but F1 forests strongly moved towards the structure, AGB and diversity of F2 forests. Overall, savanna plots showed no detectable change in structure, AGB or diversity using this method, with zero trees ≥10 cm diameter in 1993 and 2013. F1 and F2 forests increased in AGB, mainly as a result of adding recruited stems (F1) and increased Basal Area (F2), whereas F3 and F4 forests did not change substantially in structure, AGB or diversity. Critically, the stability of the F3 stage implies that this stage may be maintained for long periods. Soil carbon was low, and did not show a successional gradient as for AGB and diversity. TLS vertical plant profiles showed distinctive differences amongst the vegetation types, indicating that this technique can improve ecological understanding. We highlight two points: (i) as forest colonises, changes in biodiversity are much slower than changes in forest structure or AGB; and (ii) all forest types store substantial quantities of carbon. Multi-decadal monitoring is likely to be required to assess the speed of transition between vegetation types.

  3. African Savanna-Forest Boundary Dynamics: A 20-Year Study

    PubMed Central

    Cuni-Sanchez, Aida; White, Lee J. T.; Calders, Kim; Jeffery, Kathryn J.; Abernethy, Katharine; Burt, Andrew; Disney, Mathias; Gilpin, Martin; Gomez-Dans, Jose L.; Lewis, Simon L.

    2016-01-01

    Recent studies show widespread encroachment of forest into savannas with important consequences for the global carbon cycle and land-atmosphere interactions. However, little research has focused on in situ measurements of the successional sequence of savanna to forest in Africa. Using long-term inventory plots we quantify changes in vegetation structure, above-ground biomass (AGB) and biodiversity of trees ≥10 cm diameter over 20 years for five vegetation types: savanna; colonising forest (F1), monodominant Okoume forest (F2); young Marantaceae forest (F3); and mixed Marantaceae forest (F4) in Lopé National Park, central Gabon, plus novel 3D terrestrial laser scanning (TLS) measurements to assess forest structure differences. Over 20 years no plot changed to a new stage in the putative succession, but F1 forests strongly moved towards the structure, AGB and diversity of F2 forests. Overall, savanna plots showed no detectable change in structure, AGB or diversity using this method, with zero trees ≥10 cm diameter in 1993 and 2013. F1 and F2 forests increased in AGB, mainly as a result of adding recruited stems (F1) and increased Basal Area (F2), whereas F3 and F4 forests did not change substantially in structure, AGB or diversity. Critically, the stability of the F3 stage implies that this stage may be maintained for long periods. Soil carbon was low, and did not show a successional gradient as for AGB and diversity. TLS vertical plant profiles showed distinctive differences amongst the vegetation types, indicating that this technique can improve ecological understanding. We highlight two points: (i) as forest colonises, changes in biodiversity are much slower than changes in forest structure or AGB; and (ii) all forest types store substantial quantities of carbon. Multi-decadal monitoring is likely to be required to assess the speed of transition between vegetation types. PMID:27336632

  4. Purpose in life and use of preventive health care services.

    PubMed

    Kim, Eric S; Strecher, Victor J; Ryff, Carol D

    2014-11-18

    Purpose in life has been linked with better health (mental and physical) and health behaviors, but its link with patterns of health care use are understudied. We hypothesized that people with higher purpose would be more proactive in taking care of their health, as indicated by a higher likelihood of using preventive health care services. We also hypothesized that people with higher purpose would spend fewer nights in the hospital. Participants (n = 7,168) were drawn from the Health and Retirement Study, a nationally representative panel study of American adults over the age of 50, and tracked for 6 y. After adjusting for sociodemographic factors, each unit increase in purpose (on a six-point scale) was associated with a higher likelihood that people would obtain a cholesterol test [odds ratio (OR) = 1.18, 95% confidence interval (CI) = 1.08-1.29] or colonoscopy (OR = 1.06, 95% CI = 0.99-1.14). Furthermore, females were more likely to receive a mammogram/X-ray (OR = 1.27, 95% CI = 1.16-1.39) or pap smear (OR = 1.16, 95% CI = 1.06-1.28), and males were more likely to receive a prostate examination (OR = 1.31, 95% CI = 1.18-1.45). Each unit increase in purpose was also associated with 17% fewer nights spent in the hospital (rate ratio = 0.83, 95% CI = 0.77-0.89). An increasing number of randomized controlled trials show that purpose in life can be raised. Therefore, with additional research, findings from this study may inform the development of new strategies that increase the use of preventive health care services, offset the burden of rising health care costs, and enhance the quality of life among people moving into the ranks of our aging society.

  5. Purpose in life and use of preventive health care services

    PubMed Central

    Kim, Eric S.; Strecher, Victor J.; Ryff, Carol D.

    2014-01-01

    Purpose in life has been linked with better health (mental and physical) and health behaviors, but its link with patterns of health care use are understudied. We hypothesized that people with higher purpose would be more proactive in taking care of their health, as indicated by a higher likelihood of using preventive health care services. We also hypothesized that people with higher purpose would spend fewer nights in the hospital. Participants (n = 7,168) were drawn from the Health and Retirement Study, a nationally representative panel study of American adults over the age of 50, and tracked for 6 y. After adjusting for sociodemographic factors, each unit increase in purpose (on a six-point scale) was associated with a higher likelihood that people would obtain a cholesterol test [odds ratio (OR) = 1.18, 95% confidence interval (CI) = 1.08–1.29] or colonoscopy (OR = 1.06, 95% CI = 0.99–1.14). Furthermore, females were more likely to receive a mammogram/X-ray (OR = 1.27, 95% CI = 1.16–1.39) or pap smear (OR = 1.16, 95% CI = 1.06–1.28), and males were more likely to receive a prostate examination (OR = 1.31, 95% CI = 1.18–1.45). Each unit increase in purpose was also associated with 17% fewer nights spent in the hospital (rate ratio = 0.83, 95% CI = 0.77–0.89). An increasing number of randomized controlled trials show that purpose in life can be raised. Therefore, with additional research, findings from this study may inform the development of new strategies that increase the use of preventive health care services, offset the burden of rising health care costs, and enhance the quality of life among people moving into the ranks of our aging society. PMID:25368165

  6. Joy, 20 Years Later: A Conversation with Will Schutz.

    ERIC Educational Resources Information Center

    Leal, Anita

    1992-01-01

    Will C. Schutz, an encounter groups pioneer, is interviewed about his personal life; the turning points of his life that led to his involvement in group work; his experiences before, at, and after Esalen; and his views on the field of counseling. A list of suggested readings is included. (Author/NB)

  7. A 20-year simulated climatology of global dust aerosol deposition.

    PubMed

    Zheng, Yu; Zhao, Tianliang; Che, Huizheng; Liu, Yu; Han, Yongxiang; Liu, Chong; Xiong, Jie; Liu, Jianhui; Zhou, Yike

    2016-07-01

    Based on a 20-year (1991-2010) simulation of dust aerosol deposition with the global climate model CAM5.1 (Community Atmosphere Model, version 5.1), the spatial and temporal variations of dust aerosol deposition were analyzed using climate statistical methods. The results indicated that the annual amount of global dust aerosol deposition was approximately 1161±31Mt, with a decreasing trend, and its interannual variation range of 2.70% over 1991-2010. The 20-year average ratio of global dust dry to wet depositions was 1.12, with interannual variation of 2.24%, showing the quantity of dry deposition of dust aerosol was greater than dust wet deposition. High dry deposition was centered over continental deserts and surrounding regions, while wet deposition was a dominant deposition process over the North Atlantic, North Pacific and northern Indian Ocean. Furthermore, both dry and wet deposition presented a zonal distribution. To examine the regional changes of dust aerosol deposition on land and sea areas, we chose the North Atlantic, Eurasia, northern Indian Ocean, North Pacific and Australia to analyze the interannual and seasonal variations of dust deposition and dry-to-wet deposition ratio. The deposition amounts of each region showed interannual fluctuations with the largest variation range at around 26.96% in the northern Indian Ocean area, followed by the North Pacific (16.47%), Australia (9.76%), North Atlantic (9.43%) and Eurasia (6.03%). The northern Indian Ocean also had the greatest amplitude of interannual variation in dry-to-wet deposition ratio, at 22.41%, followed by the North Atlantic (9.69%), Australia (6.82%), North Pacific (6.31%) and Eurasia (4.36%). Dust aerosol presented a seasonal cycle, with typically strong deposition in spring and summer and weak deposition in autumn and winter. The dust deposition over the northern Indian Ocean exhibited the greatest seasonal change range at about 118.00%, while the North Atlantic showed the lowest seasonal

  8. Effect of Cumulative Damage on Rocket Motor Service Life

    NASA Astrophysics Data System (ADS)

    Gligorijević, Nikola; Živković, Saša; Subotić, Sredoje; Rodić, Vesna; Gligorijević, Ivan

    2015-10-01

    Two series of antihail rocket propellant grains failed only 3 months after production, due to the appearance of cracks in the grain channel. Structural integrity analysis demonstrated sufficient reliability at the beginning of service life. Further analysis showed that under temperature loads, cumulative damage during the short period in field stocks caused the grain failure, despite the established opinion that such failure can become significant only after lengthy storage. A linear cumulative damage law is evaluated by exposing a number of hydroxyl-terminated polybutadiene (HTPB) composite propellant specimens to different but constant stress levels. The analysis showed that cumulative damage must not be overlooked at the design stage. Further, a positive correlation between the propellant cumulative damage law and tensile strength is strongly indicated.

  9. Design and analysis of seals for extended service life

    NASA Technical Reports Server (NTRS)

    Bower, Mark V.

    1992-01-01

    Space Station Freedom is being developed for a service life of up to thirty years. As a consequence, the design requirements for the seals to be used are unprecedented. Full scale testing to assure the selected seals can satisfy the design requirements are not feasible. As an alternative, a sub-scale test program has been developed by MSFC to calibrate the analysis tools to be used to certify the proposed design. This research has been conducted in support of the MSFC Integrated Seal Test Program. The ultimate objective of this research is to correlate analysis and test results to qualify the analytical tools, which in turn, are to be used to qualify the flight hardware. This research is totally focused on O-rings that are compressed by perpendicular clamping forces. In this type of seal the O-ring is clamped between the sealing surfaces by loads perpendicular to the circular cross section.

  10. Approach for Service Life Extension of Explosive Devices for Aircraft Escape Systems

    NASA Technical Reports Server (NTRS)

    Bement, L. J.; Schimmel, M. L.

    1985-01-01

    The service life evaluation of explosive devices used in a wide variety of aircraft escape systems is described. The purpose was to develop a service extension approach, supported by tests on candidate devices, to evaluate the effects of service, age, and degradation, and allow responsible, conservative, service life determinations. An overview is given on the recommended approach and experimental procedures for accurate service evaluations with test results on rigid and flexible explosive transfer lines, one-way transfers, and flexible linear shaped charges.

  11. Practical theories for service life prediction of critical aerospace structural components

    NASA Technical Reports Server (NTRS)

    Ko, William L.; Monaghan, Richard C.; Jackson, Raymond H.

    1992-01-01

    A new second-order theory was developed for predicting the service lives of aerospace structural components. The predictions based on this new theory were compared with those based on the Ko first-order theory and the classical theory of service life predictions. The new theory gives very accurate service life predictions. An equivalent constant-amplitude stress cycle method was proposed for representing the random load spectrum for crack growth calculations. This method predicts the most conservative service life. The proposed use of minimum detectable crack size, instead of proof load established crack size as an initial crack size for crack growth calculations, could give a more realistic service life.

  12. 20 years of leptin: connecting leptin signaling to biological function.

    PubMed

    Allison, Margaret B; Myers, Martin G

    2014-10-01

    Hypothalamic leptin action promotes negative energy balance and modulates glucose homeostasis, as well as serving as a permissive signal to the neuroendocrine axes that control growth and reproduction. Since the initial discovery of leptin 20 years ago, we have learned a great deal about the molecular mechanisms of leptin action. An important aspect of this has been the dissection of the cellular mechanisms of leptin signaling, and how specific leptin signals influence physiology. Leptin acts via the long form of the leptin receptor LepRb. LepRb activation and subsequent tyrosine phosphorylation recruits and activates multiple signaling pathways, including STAT transcription factors, SHP2 and ERK signaling, the IRS-protein/PI3Kinase pathway, and SH2B1. Each of these pathways controls specific aspects of leptin action and physiology. Important inhibitory pathways mediated by suppressor of cytokine signaling proteins and protein tyrosine phosphatases also limit physiologic leptin action. This review summarizes the signaling pathways engaged by LepRb and their effects on energy balance, glucose homeostasis, and reproduction. Particular emphasis is given to the multiple mouse models that have been used to elucidate these functions in vivo.

  13. The Late-Divorce Phenomenon: The Causes and Impact of Ending 20-Year-Old or Longer Marriages

    ERIC Educational Resources Information Center

    Deckert, Pamela; Langelier, Regis

    1978-01-01

    This study examined late divorce occurring after 20 years or more of marriage. Divorce was rated the highest in stress for any major life event. Even though divorce resulted in much social readjustment and stress, it also resulted in positive feelings, personal independence, and relief. Subjects were 427 Quebec residents. (Author)

  14. Average and Bright Adults with Parents with Mild Cognitive Difficulties: The Huck Finn Syndrome 20 Years Later

    ERIC Educational Resources Information Center

    O'Neill, Audrey Myerson

    2011-01-01

    Background: This longitudinal study of 20 average and bright adults with parents with cognitive difficulties follows a study 20 years earlier of their childhood adaptation to their parents. Method: Semistructured interviews about life situation and changes and perception of family-of-origin. Results: The participants' socioeconomic status changed…

  15. Ulcerative Colitis in University Students (A 20 Year Interim Report)

    ERIC Educational Resources Information Center

    Ray, Mary M.

    1970-01-01

    In order to give students with colitis the best chance of completing school, a very close relationship between previous physicians and student health services, and university physicians and consulting gastroenterologists must be developed. (Author)

  16. Archiving Space Geodesy Data for 20+ Years at the CDDIS

    NASA Technical Reports Server (NTRS)

    Noll, Carey E.; Dube, M. P.

    2004-01-01

    Since 1982, the Crustal Dynamics Data Information System (CDDIS) has supported the archive and distribution of geodetic data products acquired by NASA programs. These data include GPS (Global Positioning System), GLONASS (GLObal NAvigation Satellite System), SLR (Satellite Laser Ranging), VLBI (Very Long Baseline Interferometry), and DORIS (Doppler Orbitography and Radiolocation Integrated by Satellite). The data archive supports NASA's space geodesy activities through the Solid Earth and Natural Hazards (SENH) program. The CDDIS data system and its archive have become increasingly important to many national and international programs, particularly several of the operational services within the International Association of Geodesy (IAG), including the International GPS Service (IGS), the International Laser Ranging Service (ILRS), the International VLBI Service for Geodesy and Astrometry (IVS), the International DORIS Service (IDS), and the International Earth Rotation Service (IERS). The CDDIS provides easy and ready access to a variety of data sets, products, and information about these data. The specialized nature of the CDDIS lends itself well to enhancement and thus can accommodate diverse data sets and user requirements. All data sets and metadata extracted from these data sets are accessible to scientists through ftp and the web; general information about each data set is accessible via the web. The CDDIS, including background information about the system and its user communities, the computer architecture, archive contents, available metadata, and future plans will be discussed.

  17. Altered speech following adenoidectomy: a 20 year experience.

    PubMed

    Stewart, K J; Ahmad, T; Razzell, R E; Watson, A C H

    2002-09-01

    Altered speech related to velopharyngeal insufficiency is a rare but well-recognised complication of adenoidectomy. Over a 20 year period, 42 patients were referred to the Edinburgh cleft team for investigation of altered speech persisting for more than 12 months after adenoidectomy. We studied the cases to ascertain the incidence, clinical features and causes of altered speech in these patients and to assess the efficacy of a selective treatment policy. All data were prospectively collected when the patients were assessed in a multidisciplinary clinic and investigated by videofluoroscopy. Nasopharyngoscopy was also possible in half of the patients. Overall, 27 patients were male and 15 were female, and their mean age was 6.5 years. The incidence was one in 1200 adenoidectomies. Diagnoses included five submucous cleft palates, six occult submucous cleft palates, 22 cases of velopharyngeal disproportion, seven developmental or neurological causes, one iatrogenic palatal injury and one case that defied diagnosis. In six patients treatment was not required, 13 responded to speech therapy and 23 required surgical intervention. The choice of operation was based on the findings at investigation. Ten patients were treated by a superiorly based pharyngeal flap, 10 underwent a sphincteric pharyngoplasty and three had an intravelar veloplasty. Speech outcome was assessed in 36 cases. Treatment resulted in significantly improved speech in all but one patient and normal speech in 16 patients. Persistently altered speech is a rare complication of adenoidectomy. Preoperative screening by clinical examination will prevent some but not all of such problems. When patients present they should undergo multidisciplinary assessment and multi-modality investigation. A good outcome can be anticipated in most patients.

  18. Deferiprone‐induced agranulocytosis: 20 years of clinical observations

    PubMed Central

    Uetrecht, Jack; Galanello, Renzo; Connelly, John; Rozova, Anna; Spino, Michael; Palmblad, Jan

    2016-01-01

    Use of the iron chelator deferiprone for treatment of iron overload in thalassemia patients is associated with concerns over agranulocytosis, which requires weekly absolute neutrophil counts (ANC). Here, we analyze all episodes of agranulocytosis (n = 161) and neutropenia (n = 250) during deferiprone use in clinical trials (CT) and postmarketing surveillance programs (PMSP). Rates of agranulocytosis and neutropenia in CT were 1.5% and 5.5%, respectively. Of the agranulocytosis cases, 61% occurred during the first 6 months of therapy and 78% during the first year. These events appeared to be independent of dose, and occurred three times more often in females than males. Their duration was not significantly shortened by use of G‐CSF. No patient with baseline neutropenia (n = 12) developed agranulocytosis during treatment, which raises questions about the validity of prior neutropenia as a contraindication to use. Only 1/7 novel neutropenia cases in CT progressed to agranulocytosis with continued treatment, indicating that neutropenia does not necessarily lead to agranulocytosis. The agranulocytosis fatality rate was 0% in CT and 15/143 (11%) in PMSP. Rechallenge with deferiprone produced agranulocytosis in 75% of patients in whom the event had already occurred, and in 10% with previous neutropenia. Weekly ANC monitoring allows early detection and interruption of therapy, but does not prevent agranulocytosis from occurring. Its relevance appears to decrease after the first year of therapy, when agranulocytosis occurs less often. Based upon analysis of data collected over the past 20 years, it appears that patient education may be the key to minimizing agranulocytosis‐associated risks during deferiprone therapy. Am. J. Hematol. 91:1026–1031, 2016. © 2016 The Authors. American Journal of Hematology Published by Wiley Periodicals, Inc. PMID:27415835

  19. A 20-Year Retrospective of the Career Development Quarterly.

    ERIC Educational Resources Information Center

    Duboltz, Walter C., Jr.; Savickas, Mark L.

    1994-01-01

    Reviews volumes 23-42 of "Career Development Quarterly," classifying 791 articles into 14 substantive areas of career research and practice devised by Fitzgerald and Rounds. Life-span perspectives on career development and career development interventions were noted as principle areas of research activity and publication. (Author/CRR)

  20. Assessment of Solder Joint Fatigue Life Under Realistic Service Conditions

    NASA Astrophysics Data System (ADS)

    Hamasha, Sa'd.; Jaradat, Younis; Qasaimeh, Awni; Obaidat, Mazin; Borgesen, Peter

    2014-12-01

    The behavior of lead-free solder alloys under complex loading scenarios is still not well understood. Common damage accumulation rules fail to account for strong effects of variations in cycling amplitude, and random vibration test results cannot be interpreted in terms of performance under realistic service conditions. This is a result of the effects of cycling parameters on materials properties. These effects are not yet fully understood or quantitatively predictable, preventing modeling based on parameters such as strain, work, or entropy. Depending on the actual spectrum of amplitudes, Miner's rule of linear damage accumulation has been shown to overestimate life by more than an order of magnitude, and greater errors are predicted for other combinations. Consequences may be particularly critical for so-called environmental stress screening. Damage accumulation has, however, been shown to scale with the inelastic work done, even if amplitudes vary. This and the observation of effects of loading history on subsequent work per cycle provide for a modified damage accumulation rule which allows for the prediction of life. Individual joints of four different Sn-Ag-Cu-based solder alloys (SAC305, SAC105, SAC-Ni, and SACXplus) were cycled in shear at room temperature, alternating between two different amplitudes while monitoring the evolution of the effective stiffness and work per cycle. This helped elucidate general trends and behaviors that are expected to occur in vibrations of microelectronics assemblies. Deviations from Miner's rule varied systematically with the combination of amplitudes, the sequences of cycles, and the strain rates in each. The severity of deviations also varied systematically with Ag content in the solder, but major effects were observed for all the alloys. A systematic analysis was conducted to assess whether scenarios might exist in which the more fatigue-resistant high-Ag alloys would fail sooner than the lower-Ag ones.

  1. Teaching Career/Life Planning: An In-Service Training Module for Teaching Affective Career/Life Planning Skills.

    ERIC Educational Resources Information Center

    Miller, Susan W.

    This workbook provides an in-service training module designed to assist community college educators and counselors in teaching effective planning skills for successful job hunting and employment. A rationale for career/life planning is followed by a discussion of the terminology and the processes involved in establishing life goals and designing…

  2. Bibliometric analysis of global environmental assessment research in a 20-year period

    SciTech Connect

    Li, Wei Zhao, Yang

    2015-01-15

    Based on the samples of 113,468 publications on environmental assessment (EA) from the past 20 years, we used a bibliometric analysis to study the literature in terms of trends of growth, subject categories and journals, international collaboration, geographic distribution of publications, and scientific research issues. By applying thresholds to network centralities, a core group of countries can be distinguished as part of the international collaboration network. A frequently used keywords analysis found that the priority in assessment would gradually change from project environmental impact assessment (EIA) to strategic environmental assessment (SEA). Decision-theoretic approaches (i.e., environmental indicator selection, life cycle assessment, etc.), along with new technologies and methods (i.e., the geographic information system and modeling) have been widely applied in the EA research field over the past 20 years. Hot spots such as “biodiversity” and “climate change” have been emphasized in current EA research, a trend that will likely continue in the future. The h-index has been used to evaluate the research quality among countries all over the world, while the improvement of developing countries' EA systems is becoming a popular research topic. Our study reveals patterns in scientific outputs and academic collaborations and serves as an alternative and innovative way of revealing global research trends in the EA research field.

  3. Telehealth at UC Davis--a 20-year experience.

    PubMed

    Nesbitt, Thomas S; Dharmar, Madan; Katz-Bell, Jana; Hartvigsen, Gunnar; Marcin, James P

    2013-05-01

    Telehealth at the University of California Health System began as a telefetal monitoring connection with a rural hospital in 1992 and evolved to become the Center for Health and Technology (CHT) in 2000. The Center supports the vision of the University of California Davis (UC Davis) Health System-a healthier world through bold innovation. The CHT focuses on the four pillars of the academic health center: clinical services, research and scholarly work, education, and public service. Since 1996, the Center has provided more than 33,000 telemedicine consultation (excluding teleradiology, telepathology, and phone consultations) in over 30 clinical specialties and at more than 90 locations across California. Research and continuous evaluation have played an integral role in shaping the telehealth program, as well as strategic collaborations and partnerships. In an effort to expand the field of telehealth the CHT provides telehealth training for health professionals, technical specialists, and administrators. Furthermore, it also plays an integral role in workforce development through the education of the next generation of community primary care physicians through Rural Programs In Medical Education (Rural PRIME) and continuing educational programs for working health professionals through videoconferencing and Web-based modalities. The Center is supported through a variety of funding sources, and its sustainability comes from a mix of fee-for-service payment, contracts, grants, gifts, and institutional funding. Together with key partners, UC Davis has educated and informed initiatives resulting in legislation and policies that advance telehealth. Looking toward the future, UC Davis is focused on technology-enabled healthcare and supporting synergy among electronic health records, health information exchange, mobile health, informatics, and telehealth.

  4. Sex differences in mathematical reasoning ability at age 13: their status 20 years later.

    PubMed

    Benbow, C P; Lubinski, D; Shea, D L; Eftekhari-Sanjani, H

    2000-11-01

    Reported is the 20-year follow-up of 1,975 mathematically gifted adolescents (top 1%) whose assessments at age 12 to 14 revealed robust gender differences in mathematical reasoning ability. Both sexes became exceptional achievers and perceived themselves as such; they reported uniformly high levels of degree attainment and satisfaction with both their career direction and their overall success. The earlier sex differences in mathematical reasoning ability did predict differential educational and occupational outcomes. The observed differences also appeared to be a function of sex differences in preferences for (a) inorganic versus organic disciplines and (b) a career-focused versus more-balanced life. Because profile differences in abilities and preferences are longitudinally stable, males probably will remain more represented in some disciplines, whereas females are likely to remain more represented in others. These data have policy implications for higher education and the world of work.

  5. Service Learning and Teacher Education. Linking Learning with Life.

    ERIC Educational Resources Information Center

    Swick, Kevin J.; Winecoff, H. Larry; Kemper, Richard; Rowls, Michael; Freeman, Nancy; Somerindyke, Jennifer; Mason, Janet; Williams, Terri

    This book concerns potential and actual uses of service learning as an instructional methodology in teacher education. Section 1 discusses how service and learning are primary to practically all roles teachers play. Section 2, a rationale for service learning and teacher education, shows consistency with Goals 2000, school-to-work transition, and…

  6. Successful outsourcing: improving quality of life through integrated support services.

    PubMed

    Bates, Jason; Sharratt, Martin; King, John

    2014-01-01

    This article examines the way that non-clinical support services are provided in healthcare settings through outsourcing partnerships. The integrated support services model and benefits to patient experience and safety as well as organizational efficiency and effectiveness are explored through an examination of services at a busy urban community hospital.

  7. Peace Corps Service as a Turning Point.

    ERIC Educational Resources Information Center

    Starr, Jerold M.

    1994-01-01

    Conducted longitudinal study of 21 U.S. Peace Corps volunteers, first interviewed in 1960s during tour of service in Republic of Philippines and then 20 years later as middle-aged adults. Life events reported after their service and high degree of response agreement in two interviews confirm that Peace Corps experience constituted turning point in…

  8. [The Colombian healthcare system: 20 years of achievements and problems].

    PubMed

    Calderón, Carlos Alberto Agudelo; Botero, Jaime Cardona; Bolaños, Jesús Ortega; Martínez, Rocio Robledo

    2011-06-01

    An overview of some of the key processes and results of Colombia's National Health System is presented. A systematic review of the literature evaluating the quality of the evidence published in indexed journals and literature not published in journals was made. Health system financial resources have seen a sustained increase while spending on health has remained at around 8% of GNP. Coverage, measured by affiliation to contributory and subsidized regimes, is in the order of 92% of the total population. The Mandatory Health Plan, defining the benefits to which one has access, has been broadly maintained but has been hampered by mechanisms for making legal complaints, thereby leading to financial deficits. The health system has contributed towards improving the poorest sector's income, but inequalities persist due to the lack of universal coverage, differences in health plans and the system's expenditure according to the population's income. Advances made in the National Health System have been positive but universality has not been achieved and this has stagnated in matters regarding access to services and equality.

  9. Developing a Meaningful Life: Social Reintegration of Service-Members and Veterans with Spinal Cord Injury

    DTIC Science & Technology

    2013-10-01

    Reintegration of Service-Members and Veterans with Spinal Cord Injury PRINCIPAL INVESTIGATOR: Seth D. Messinger...SUBTITLE Developing a Meaningful Life: Social Reintegration of Service- Social Reintegration of Service Me Members and Veterans with Spinal Cord...communities and cultural identities that is key to long-term success . 15. SUBJECT TERMS Spinal Cord Injury, Community Reintegration , Qualitative

  10. Sustaining the Image of Life: A Grounded Theory Study of Funeral Service Education

    ERIC Educational Resources Information Center

    Kelly, Sharen

    2012-01-01

    This grounded theory dissertation explores the educational experiences of funeral service students as they matriculate through the college of funeral service. Student interviews were utilized to explore the world of funeral service education. The analysis of the data led to the discovery of the theory, "Sustaining the Image of Life." The…

  11. An Analysis of the U.S. Navy P-3C Orion Service Life Extension Program

    DTIC Science & Technology

    2013-09-01

    arose during SRP. The P-3s had so much corrosion that SRP contract could not sustain the 221 aircraft fleet. As such, the aircraft went through a...service life assessment program (SLAP) to determine not only the severity of the corrosion problem, but also the structural life remaining on the...life to its limited fatigue life of 38 years. Unexpected findings, however, arose during SRP. The P-3s had so much corrosion that SRP contract

  12. MEST-Tyche will take its dark comets to impact our solar system in 20 years

    NASA Astrophysics Data System (ADS)

    Cao, Dayong

    2012-03-01

    Tyche has many dark comets like Oort cloud. It went near our solar system every 25-27 million years. It could take its dark comets to impact our earth. Tyche and its dark comet absorb light like a dark light which is a negative black-body radiation. (1) Eddν=-c1dνd^3dνe^c2dνd/Td-1. Among it, Ed: the dark energy, νd: the dark frequence, Td: the dark temperature, c1d,c2d: the constant. So when they go near us, their wave has a against Doppler redshift as 0.000165. And they will inbreak solar system at the rate of 99AU/y, from the distance of 1,500AU and in 20 years. It can cause the broken ozonosphere, the lithosphere to crack, many big activity volcanic and the continental drift. And it can darked the light and colded the climate to the Great Ice Age. Not only it will break our environment by a special ``nuclear explosion'' under low temperature, but also the dark life will change the Genetic code of our life. So it will kill many lives and will produce new life. So it could trigger the Mass Extinction. We can bulid up a new pair of nuclear reactor (include dark nuclear energy) to drive a universal craft and can change the orbit of our earth for evading the impaction. We need a new life-information technology to develop our life and consciousness.

  13. Australian Aboriginal Birth Cohort study: follow-up processes at 20 years

    PubMed Central

    2009-01-01

    Background In 1987, a prospective study of an Australian Aboriginal Birth Cohort was established focusing on the relationships of fetal and childhood growth with the risk of chronic adult disease. However as the study is being conducted in a highly marginalized population it is also an important resource for cross-sectional descriptive and analytical studies. The aim of this paper is to describe the processes of the third follow up which was conducted 20 years after recruitment at birth. Methods Progressive steps in a multiphase protocol were used for tracing, with modifications for the expected rural or urban location of the participants. Results Of the original 686 cohort participants recruited 68 were untraced and 27 were known to have died. Of the 591 available for examination 122 were not examined; 11 of these were refusals and the remainder were not seen for logistical reasons relating to inclement weather, mobility of participants and single participants living in very remote locations. Conclusion The high retention rate of this follow-up 20 years after birth recruitment is a testament to the development of successful multiphase protocols aimed at overcoming the challenges of tracing a cohort over a widespread remote area and also to the perseverance of the study personnel. We also interpret the high retention rate as a reflection of the good will of the wider Aboriginal community towards this study and that researchers interactions with the community were positive. The continued follow-up of this life course study now seems feasible and there are plans to trace and reexamine the cohort at age 25 years. PMID:19775475

  14. Diabetes in midlife and cognitive change over 20 years: the Atherosclerosis Risk in Communities Neurocognitive Study

    PubMed Central

    Rawlings, Andreea M.; Sharrett, A. Richey; Schneider, Andrea L.C.; Coresh, Josef; Albert, Marilyn; Couper, David; Griswold, Michael; Gottesman, Rebecca F.; Wagenknecht, Lynne E.; Windham, B. Gwen; Selvin, Elizabeth

    2015-01-01

    Background Type 2 diabetes mellitus is associated with dementia risk, however evidence is limited for possible associations of diabetes and pre-diabetes with cognitive decline. Objective To determine if diabetes in mid-life is associated with 20-year cognitive decline, and to characterize long-term cognitive decline across clinical categories of hemoglobin A1c (HbA1c). Design Prospective cohort. Setting The community-based Atherosclerosis Risk in Communities (ARIC) Study. Participants 13351 black and white adults aged 48-67 years at baseline (1990-1992). Measurements Diabetes was defined by self-report of physician diagnosis or medication use or HbA1c≥6.5%. Undiagnosed diabetes, pre-diabetes, and glucose control in persons with diagnosed diabetes were defined using clinical categories of HbA1c. Delayed Word Recall, Digit Symbol Substitution, and Word Fluency tests were used to assess cognitive performance, and were summarized using a global Z-score. Results Diabetes in midlife was associated with significantly greater cognitive decline over 20 years (adjusted global Z-score difference=-0.15, 95% CI:-0.22,-0.08), representing a 19% greater decline than those without diabetes. Cognitive decline was significantly greater among persons with pre-diabetes (HbA1c 5.7-6.4%) than those without diabetes and HbA1c<5.7%. Participants with poorly controlled diabetes (HbA1c≥7.0%) had a larger decline compared to persons whose diabetes was controlled (adjusted global Z-score difference=-0.16,p-value=0.071). Longer duration of diabetes was also associated with greater late-life cognitive decline (p-value-for-trend=<0.001). No significant differences in the rates of declines were seen in whites compared to blacks (p-value-for-interaction=0.4357). Limitations Single measurement of HbA1c at baseline, only one test to per cognitive domain, potential geographic confounding of race comparisons. Conclusions These findings suggest that diabetes prevention and glucose control in

  15. Black and White Chains of Risk for Hospitalization Over 20 Years*

    PubMed Central

    FERRARO, KENNETH F.; SHIPPEE, TETYANA PYLYPIV

    2009-01-01

    Drawing from the life course perspective, racial disparities in hospitalization are considered in light of a chain of risk. We ask whether race influences admission to, length of stay in, and mortality following hospitalization. Analyses address these questions with data from a national longitudinal sample of adults to assess racial disparities in the hospitalization experience (n = 6,833). Survey data were merged with hospital records abstracted over 20 years of observation. Multivariate analyses revealed that there were no racial differences in admission, but that black adults generally had longer stays. When isolating each stay prospectively, black adults had longer stays during the first, third, and fourth hospitalizations. Post-hospital mortality after the first stay was also higher for black adults than for their white counterparts, even after controlling for morbidity and status resources. The findings suggest that the racial disparities in hospital length of stay and mortality are explained by the cumulative effects of social and health inequalities over the life course. PMID:18649502

  16. Approach for service life extension of explosive devices for aircraft escape systems

    NASA Technical Reports Server (NTRS)

    Bement, L. J.; Schimmel, M. L.

    1985-01-01

    Service life extension of explosive devices used in aircraft escape systems can achieve considerable savings. An overall approach is needed to challenge the logic of explosive component service extension from design to removal from service for evaluation. The purpose of the effort described in this paper was to develop a service-extension approach on explosive devices used in aircraft systems, supported by actual testing of representative candidate devices, to evaluate quantitatively the effects of service, age, and degradation, and allow responsible, conservative service life determinations. Evaluated were five explosive components: rigid and flexible explosive transfer lines, one-way transfers, flexible linear shaped charges, and initiation handles. The service extension approach generated in this effort is summarized by eight recommendations.

  17. 38 CFR 8.12 - Payment of the cash value of National Service Life Insurance in monthly installments under...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of National Service Life Insurance in monthly installments under section 1917(e) of title 38 U.S.C. 8... SERVICE LIFE INSURANCE Cash Value and Policy Loan § 8.12 Payment of the cash value of National Service Life Insurance in monthly installments under section 1917(e) of title 38 U.S.C. (a) Effective January...

  18. 38 CFR 8.26 - Renewal of National Service Life Insurance on the 5-year level premium term plan.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Service Life Insurance on the 5-year level premium term plan. 8.26 Section 8.26 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Renewal of Term Insurance § 8.26 Renewal of National Service Life Insurance on the 5-year level premium term plan. (a)...

  19. 38 CFR 8.12 - Payment of the cash value of National Service Life Insurance in monthly installments under...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of National Service Life Insurance in monthly installments under section 1917(e) of title 38 U.S.C. 8... SERVICE LIFE INSURANCE Cash Value and Policy Loan § 8.12 Payment of the cash value of National Service Life Insurance in monthly installments under section 1917(e) of title 38 U.S.C. (a) Effective January...

  20. 38 CFR 8.26 - Renewal of National Service Life Insurance on the 5-year level premium term plan.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Service Life Insurance on the 5-year level premium term plan. 8.26 Section 8.26 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Renewal of Term Insurance § 8.26 Renewal of National Service Life Insurance on the 5-year level premium term plan. (a)...

  1. 38 CFR 8.7 - Reinstatement of National Service Life Insurance except insurance issued pursuant to section 1925...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Service Life Insurance except insurance issued pursuant to section 1925 of title 38 U.S.C. 8.7 Section 8.7 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Reinstatement § 8.7 Reinstatement of National Service Life Insurance except insurance issued pursuant to...

  2. Service Learning: Bringing the Business Classroom to Life

    ERIC Educational Resources Information Center

    Ayers, Lauren; Gartin, Tristan L.; Lahoda, Brannan D.; Veyon, Shannon R.; Rushford, Megan; Neidermeyer, Presha E.

    2010-01-01

    While service-learning may be easily incorporated into medical or legal fields, this type of active learning generally has not been historically integrated into any discipline within the business curriculum. This is unfortunate, as the utilization of business students in not-for-profit environments can provide a triple-win scenario: the students…

  3. Fruits of 20 Years of Highway Safety Legislative Advocacy in the United States

    PubMed Central

    Miller, Ted R.; Bhattacharya, Soma; Zaloshnja, Eduard

    2011-01-01

    This paper models the effects on crash fatalities and costs of 20 years of legislative actions resulting from Federal and state advocacy efforts. We catalogued road safety laws passed between 1990 and 2009 and motorcycle helmet law repeals that advocacy efforts narrowly defeated. We used NHTSA’s estimates of lives saved by airbags and published estimates of the percentage reduction in related crash fatalities associated with each type of law. State by state and year by year, from the actual fatality count for the year, we modeled how many fatalities each state's laws averted. We assumed, somewhat shakily, that the percentage reduction in nonfatal injury costs would mirror the fatality reduction. We used crash cost estimates for 10 years between 1990 and 2008 to estimate total crash costs from 1990–2009. The costs were built from NHTSA’s estimates of cost per crash. The state laws passed included 113 occupant protection laws, 131 impaired driving laws, and 76 teen driving laws, plus a Federal airbag mandate. These laws saved an estimated 120,000 lives. The life-saving benefits accelerated as the number of laws in force grew. By 2009, they resulted in 25% fewer crash fatalities. The largest life-saving benefits sprang from airbag, belt use, and impaired driving laws. Laws that affect narrow subpopulations had more modest impacts. The laws reduced insurance costs by more than $210 billion and saved government an estimated $42 billion. Including the value of lost quality of life, estimated savings exceeded $1.3 trillion. Legislative advocacy is truly a spark plug in the safety engine. PMID:22105410

  4. Bring Learning to Life: What Is Service-Learning? A Guide for Parents

    ERIC Educational Resources Information Center

    Kaye, Cathryn Berger

    2007-01-01

    Parental involvement is one of the most important factors in student success. This brochure, a companion piece to the Learn and Serve America video "Bring Learning to Life," provides information on the definition and benefits of service-learning as well as practical steps that parents can take to ensure service-learning is a part of their…

  5. Measuring the Effect of Tourism Services on Travelers' Quality of Life: Further Validation.

    ERIC Educational Resources Information Center

    Neal, Janet D.; Sirgy, M. Joseph; Uysal, Muzaffer

    2004-01-01

    lication and extension study provided additional validational support of the original tourism services satisfaction measure in relation to QOL-related measures.Neal, Sirgy and Uysal (1999) developed a model and a measure to capture the effect of tourism services on travelers' quality of life (QOL). They hypothesized that travelers' overall life…

  6. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Inspection of Lifesaving Equipment § 122.730 Servicing of inflatable liferafts, inflatable buoyant apparatus... apparatus must be serviced at a facility specifically approved by the Commandant for the particular brand... apparatus, inflatable life jackets, and inflated rescue boats. 122.730 Section 122.730 Shipping COAST...

  7. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Inspection of Lifesaving Equipment § 122.730 Servicing of inflatable liferafts, inflatable buoyant apparatus... apparatus must be serviced at a facility specifically approved by the Commandant for the particular brand... apparatus, inflatable life jackets, and inflated rescue boats. 122.730 Section 122.730 Shipping COAST...

  8. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... inflatable liferaft or inflatable buoyant apparatus must be serviced at a facility specifically approved by... apparatus, inflatable life jackets, and inflated rescue boats. 185.730 Section 185.730 Shipping COAST GUARD... Operational Readiness, Maintenance, and Inspection of Lifesaving Equipment § 185.730 Servicing of...

  9. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... inflatable liferaft or inflatable buoyant apparatus must be serviced at a facility specifically approved by... apparatus, inflatable life jackets, and inflated rescue boats. 185.730 Section 185.730 Shipping COAST GUARD... Operational Readiness, Maintenance, and Inspection of Lifesaving Equipment § 185.730 Servicing of...

  10. Assessment of Service Life for Regenerative ECLSS Resin Beds

    NASA Technical Reports Server (NTRS)

    Cloud, Dale L.; Keilich, Maria C.; Polis, Peter C.; Yanczura, Stephen J.

    2013-01-01

    The International Space Station (ISS) Water Processor Assembly (WPA) and Oxygen Generation Assembly (OGA) manage and process water at various levels of cleanliness for multiple purposes. The effluent of theWPA and the influent of the OGA require water at very high levels of purity. The bulk of the water purification that occurs in both systems is performed by consumable activated carbon and ion exchange resin beds. Replacement beds must be available on orbit in order to continue the ISS critical processes of water purification and oxygen generation. Various hurdles exist in order to ensure viable spare resin beds. These include the characteristics of resin beds such as: storage environment, shelf life requirements, microbial growth, and variations in the levels and species of contaminants the beds are required to remove. Careful consideration has been given to match water models, bed capacities and spares traffic models to ensure that spares are always viable. The results of these studies and considerations, in particular, how shelf life requirements affect resin bed life management, are documented in this paper.

  11. Penile curvature: an update for management from 20 years experience in a high volume centre.

    PubMed

    Sasso, Francesco; Vittori, Matteo; D'Addessi, Alessandro; Bassi, Pier Francesco

    2016-09-26

    Our aim was to review the literature and discuss about penile curvature in order to have an update for management after 20 years experience in the field.Penile curvature may be congenital or acquired. Congenital penile curvature is a relatively uncommon condition that may present in late adolescent or early adult life. The incidence is estimated to be 0.6 %. On the other side, acquired penile curvature has an overall prevalence of 0.5-13%. Three main factors seem to increase the risk of developing an acquired penile curvature, often related to Peyronie's disease: penile traumatism, genetic and familiar conditions and a history of diseases of the genital tract. In treating Peyronie's disease, no medical therapy is fully effective, and surgery remains the gold standard in cases of severe deformity and/or erectile disfunction. Peyronie's disease is associated with significant psychological stress for patients and their partners. Appropriate treatment should be individualized and tailored to the patient's goals and expectations. There is not the 'best' surgical technique and outcomes are satisfactory when proper treatment decisions are made.

  12. An Energy Based Fatigue Life Prediction Framework for In-Service Structural Components

    SciTech Connect

    H. Ozaltun; M. H.H. Shen; T. George; C. Cross

    2011-06-01

    An energy based fatigue life prediction framework has been developed for calculation of remaining fatigue life of in service gas turbine materials. The purpose of the life prediction framework is to account aging effect caused by cyclic loadings on fatigue strength of gas turbine engines structural components which are usually designed for very long life. Previous studies indicate the total strain energy dissipated during a monotonic fracture process and a cyclic process is a material property that can be determined by measuring the area underneath the monotonic true stress-strain curve and the sum of the area within each hysteresis loop in the cyclic process, respectively. The energy-based fatigue life prediction framework consists of the following entities: (1) development of a testing procedure to achieve plastic energy dissipation per life cycle and (2) incorporation of an energy-based fatigue life calculation scheme to determine the remaining fatigue life of in-service gas turbine materials. The accuracy of the remaining fatigue life prediction method was verified by comparison between model approximation and experimental results of Aluminum 6061-T6. The comparison shows promising agreement, thus validating the capability of the framework to produce accurate fatigue life prediction.

  13. A Mobile Service Robot for Life Science Laboratories

    NASA Astrophysics Data System (ADS)

    Schulenburg, Erik; Elkmann, Norbert; Fritzsche, Markus; Teutsch, Christian

    In this paper we presents a project that is developing a mobile service robot to assist users in biological and pharmaceutical laboratories by executing routine jobs such as filling and transporting microplates. A preliminary overview of the design of the mobile platform with a robotic arm is provided. Safety aspects are one focus of the project since the robot and humans will share a common environment. Hence, several safety sensors such as laser scanners, thermographie components and artificial skin are employed. These are described along with the approaches to object recognition.

  14. James F. Crow: His Life in Public Service

    PubMed Central

    Abrahamson, Seymour

    2012-01-01

    The readers of this journal may well be aware of Professor Crow’s scientific achievements and his role as the editor of Perspectives. In addition, for many thousands of students at the University of Wisconsin over many generations, James F. Crow was one of the most memorable teachers at both the undergraduate and graduate levels. What is less known is his major role in public service where he served as chair of many important committees for the National Academy of Sciences, the National Institutes of Health, the National Institutes of Justice as well as various international programs. In all of these efforts, Professor Crow has left a lasting impact. PMID:22219505

  15. Multilevel learning in the adaptive management of waterfowl harvests: 20 years and counting

    USGS Publications Warehouse

    Johnson, Fred A.; Boomer, G. Scott; Williams, Byron K.; Nichols, James D.; Case, David J.

    2015-01-01

    In 1995, the U.S. Fish and Wildlife Service implemented an adaptive harvest management program (AHM) for the sport harvest of midcontinent mallards (Anas platyrhynchos). The program has been successful in reducing long-standing contentiousness in the regulatory process, while integrating science and policy in a coherent, rigorous, and transparent fashion. After 20 years, much has been learned about the relationship among waterfowl populations, their environment, and hunting regulations, with each increment of learning contributing to better management decisions. At the same time, however, much has been changing in the social, institutional, and environmental arenas that provide context for the AHM process. Declines in hunter numbers, competition from more pressing conservation issues, and global-change processes are increasingly challenging waterfowl managers to faithfully reflect the needs and desires of stakeholders, to account for an increasing number of institutional constraints, and to (probabilistically) predict the consequences of regulatory policy in a changing environment. We review the lessons learned from the AHM process so far, and describe emerging challenges and ways in which they may be addressed. We conclude that the practice of AHM has greatly increased an awareness of the roles of social values, trade-offs, and attitudes toward risk in regulatory decision-making. Nevertheless, going forward the waterfowl management community will need to focus not only on the relationships among habitat, harvest, and waterfowl populations, but on the ways in which society values waterfowl and how those values can change over time. 

  16. Vegetation responses to the first 20 years of cattle grazing in an Australian desert.

    PubMed

    Fensham, R J; Fairfax, R J; Dwyer, J M

    2010-03-01

    Existing theoretical frameworks suggest three predictions relevant to grazing effects in Australian aridlands: grazing has a negative but moderate effect on plant species richness; a separate "state" resulting from degradation caused by extreme grazing will be evident; some plant species will have a strong association with grazing relief refuges that have only ever been subject to light grazing. These predictions were examined in the dune swales of an Australian desert, with data on herbaceous species collected along transects up to 14 km from artificial water points between four and 33 years old. A cumulative grazing index was constructed utilizing both the spatial occupation patterns of cattle and the length of exposure. Despite restricting sampling to a narrow habitat, silt/clay content and soil pH influence floristic patterns independent of grazing. The analysis of quadrat data in relation to grazing revealed almost no patterns in plant cover, species richness (at two different scales), or abundance across plant life-form groups. Five species had an increasing response, and seven a decreasing response, while the only species restricted to areas of extremely low grazing pressure was sufficiently rare that it could have occurred there by chance. The dominant annual grass, the most common shrub, and a perennial tussock-forming sedge all decrease with high levels of grazing. Most species exhibit an ephemeral life strategy in response to unreliable rainfall, and this boom and bust strategy effectively doubles as an adaptation to grazing. After 20 years of exposure to managed grazing with domestic stock in Australian dune swales, patterns in species richness have not emerged in response to grazing pressure, the ecosystem has not been transformed to another degradation "state," and there is no evidence that grazing relief refuges provide havens for species highly sensitive to grazing.

  17. BioCatalogue: a universal catalogue of web services for the life sciences.

    PubMed

    Bhagat, Jiten; Tanoh, Franck; Nzuobontane, Eric; Laurent, Thomas; Orlowski, Jerzy; Roos, Marco; Wolstencroft, Katy; Aleksejevs, Sergejs; Stevens, Robert; Pettifer, Steve; Lopez, Rodrigo; Goble, Carole A

    2010-07-01

    The use of Web Services to enable programmatic access to on-line bioinformatics is becoming increasingly important in the Life Sciences. However, their number, distribution and the variable quality of their documentation can make their discovery and subsequent use difficult. A Web Services registry with information on available services will help to bring together service providers and their users. The BioCatalogue (http://www.biocatalogue.org/) provides a common interface for registering, browsing and annotating Web Services to the Life Science community. Services in the BioCatalogue can be described and searched in multiple ways based upon their technical types, bioinformatics categories, user tags, service providers or data inputs and outputs. They are also subject to constant monitoring, allowing the identification of service problems and changes and the filtering-out of unavailable or unreliable resources. The system is accessible via a human-readable 'Web 2.0'-style interface and a programmatic Web Service interface. The BioCatalogue follows a community approach in which all services can be registered, browsed and incrementally documented with annotations by any member of the scientific community.

  18. BioCatalogue: a universal catalogue of web services for the life sciences

    PubMed Central

    Bhagat, Jiten; Tanoh, Franck; Nzuobontane, Eric; Laurent, Thomas; Orlowski, Jerzy; Roos, Marco; Wolstencroft, Katy; Aleksejevs, Sergejs; Stevens, Robert; Pettifer, Steve; Lopez, Rodrigo; Goble, Carole A.

    2010-01-01

    The use of Web Services to enable programmatic access to on-line bioinformatics is becoming increasingly important in the Life Sciences. However, their number, distribution and the variable quality of their documentation can make their discovery and subsequent use difficult. A Web Services registry with information on available services will help to bring together service providers and their users. The BioCatalogue (http://www.biocatalogue.org/) provides a common interface for registering, browsing and annotating Web Services to the Life Science community. Services in the BioCatalogue can be described and searched in multiple ways based upon their technical types, bioinformatics categories, user tags, service providers or data inputs and outputs. They are also subject to constant monitoring, allowing the identification of service problems and changes and the filtering-out of unavailable or unreliable resources. The system is accessible via a human-readable ‘Web 2.0’-style interface and a programmatic Web Service interface. The BioCatalogue follows a community approach in which all services can be registered, browsed and incrementally documented with annotations by any member of the scientific community. PMID:20484378

  19. The effect of service dogs on the improvement of health-related quality of life.

    PubMed

    Shintani, Mai; Senda, Masuo; Takayanagi, Tomoko; Katayama, Yoshimi; Furusawa, Kazunari; Okutani, Tamami; Kataoka, Masaki; Ozaki, Toshifumi

    2010-04-01

    To assess the effects of service dogs on health-related quality of life (HRQOL), we conducted a survey of 10 service dog owners using SF-36v2 (Medical Outcomes Study 36 Item Short-Form Health Survey Version 2.0) and compared it with a matched control group of people with physical disabilities who did not have service dogs but were eligible for one. The scores for mental health and role emotional of service dog owners were relatively high, and their mental component summary was higher than the general population norm. These results indicate that service dogs affect the mentality of their owners. The comparison with the control group indicated that service dogs alleviate the mental burden of daily activities, and subjectively improved the physical functioning of their owners. This study showed that service dogs have positive functional and mental effects on their disabled owners.

  20. Service Life Extension of the Propulsion System of Long-Term Manned Orbital Stations

    NASA Technical Reports Server (NTRS)

    Kamath, Ulhas; Kuznetsov, Sergei; Shaevich, Sergey; Spencer, Victor

    2014-01-01

    One of the critical non-replaceable systems of a long-term manned orbital station is the propulsion system. Since the propulsion system operates beginning with the launch of station elements into orbit, its service life determines the service life of the station overall. Weighing almost a million pounds, the International Space Station (ISS) is about four times as large as the Russian space station Mir and about five times as large as the U.S. Skylab. Constructed over a span of more than a decade with the help of over 100 space flights, elements and modules of the ISS provide more research space than any spacecraft ever built. Originally envisaged for a service life of fifteen years, this Earth orbiting laboratory has been in orbit since 1998. Some elements that have been launched later in the assembly sequence were not yet built when the first elements were placed in orbit. Hence, some of the early modules that were launched at the inception of the program were already nearing the end of their design life when the ISS was finally ready and operational. To maximize the return on global investments on ISS, it is essential for the valuable research on ISS to continue as long as the station can be sustained safely in orbit. This paper describes the work performed to extend the service life of the ISS propulsion system. A system comprises of many components with varying failure rates. Reliability of a system is the probability that it will perform its intended function under encountered operating conditions, for a specified period of time. As we are interested in finding out how reliable a system would be in the future, reliability expressed as a function of time provides valuable insight. In a hypothetical bathtub shaped failure rate curve, the failure rate, defined as the number of failures per unit time that a currently healthy component will suffer in a given future time interval, decreases during infant-mortality period, stays nearly constant during the service

  1. Effect of home care service on the quality of life in patients with gynecological cancer.

    PubMed

    Aktas, Demet; Terzioglu, Fusun

    2015-01-01

    The purpose of the research was to determine the effect of home care service on the quality of life in patients with gynecological cancer. This randomized case control study was carried out in a womans hospital between September 2011 and February 2012. Women undergoing gynecological cancer treatment were separated into intervention and control groups, of 35 patients each. The intervention group was provided with nursing care service through hospital and home visits (1st, 12th weeks) within the framework of a specifically developed nursing care plan. The control group was monitored without any intervention through the hospital routine protocols (1st, 12th weeks). Data were collected using An Interview Form, Home Visit Monitoring Form and Quality of Life Scale/Cancer Survivors. Effects of home care service on the quality of life in gynecological cancer patients were investigated using chi-square tests, McNemar's test, independent t-test and ANOVA. This study found that the intervention group receiving home care service had a moderately high quality of life (average mean: 6.01±0.64), while the control group had comparatively lower quality (average mean: 4.35±0.79) within the 12 week post- discharge period (p<0.05). This study found home care services to be efficient in improving the quality of life in patients with gynecological cancer.

  2. Evaluation of Hose in Hose Transfer Line Service Life for Hanford's Interim Stabilization Program

    SciTech Connect

    TORRES, T.D.

    2000-08-24

    RPP-6153, Engineering Task Plan for Hose-in-Hose Transfer System for the Interim Stabilization Program, defines the programmatic goals, functional requirements, and technical criteria for the development and subsequent installation of transfer line equipment to support Hanford's Interim Stabilization Program. RPP-6028, Specification for Hose in Hose Transfer Lines for Hanford's Interim Stabilization Program, has been issued to define the specific requirements for the design, manufacture, and verification of transfer line assemblies for specific waste transfer applications. Included in RPP-6028 are tables defining the chemical constituents of concern to which transfer lines will be exposed. Current Interim Stabilization Program planning forecasts that the at-grade transfer lines will be required to convey pumpable waste for as much as three years after commissioning. Prudent engineering dictates that the equipment placed in service have a working life in excess of this forecasted time period, with some margin to allow for future adjustments to the planned schedule. This document evaluates the effective service life of the Hose-in-Hose Transfer Lines, based on information submitted by the manufacturer and published literature. The effective service life of transfer line assemblies is a function of several factors. Foremost among these are process fluid characteristics, ambient environmental conditions, and the manufacturer's stated shelf life. This evaluation examines the manufacturer's certification of shelf life, the manufacturer's certifications of chemical compatibility with waste, and published literature on the effects of exposure to ionizing radiation on the mechanical properties of elastomeric materials to evaluate transfer line service life.

  3. Accounting for ecosystem services in life cycle assessment, Part I: a critical review.

    PubMed

    Zhang, Yi; Singh, Shweta; Bakshi, Bhavik R

    2010-04-01

    If life cycle oriented methods are to encourage sustainable development, they must account for the role of ecosystem goods and services, since these form the basis of planetary activities and human well-being. This article reviews methods that are relevant to accounting for the role of nature and that could be integrated into life cycle oriented approaches. These include methods developed by ecologists for quantifying ecosystem services, by ecological economists for monetary valuation, and life cycle methods such as conventional life cycle assessment, thermodynamic methods for resource accounting such as exergy and emergy analysis, variations of the ecological footprint approach, and human appropriation of net primary productivity. Each approach has its strengths: economic methods are able to quantify the value of cultural services; LCA considers emissions and assesses their impact; emergy accounts for supporting services in terms of cumulative exergy; and ecological footprint is intuitively appealing and considers biocapacity. However, no method is able to consider all the ecosystem services, often due to the desire to aggregate all resources in terms of a single unit. This review shows that comprehensive accounting for ecosystem services in LCA requires greater integration among existing methods, hierarchical schemes for interpreting results via multiple levels of aggregation, and greater understanding of the role of ecosystems in supporting human activities. These present many research opportunities that must be addressed to meet the challenges of sustainability.

  4. Portion Distortion! Do You Know How Food Portions Have Changed in 20 Years?

    MedlinePlus

    ... eNewsletters Calendar Portion Distortion Do You Know How Food Portions Have Changed in 20 Years? Anyone eating ... run or at restaurants has probably noticed that food portions have gotten larger. Some portions are called " ...

  5. An Application of USLE and SEDD Models to Estimate the Remaining Service Life of Kartalkaya Dam

    NASA Astrophysics Data System (ADS)

    Tanyas, H.

    2013-12-01

    The water requirement of today's world is such a hot topic that countries all over the world are severely searching for different alternatives to keep pace with increasing water demand. However, when the increasing population and water demand are considered, management of existing water resources is arguably more important than searching for additional resources. The construction and utilization of engineering structures (e.g., dams) is often used in water resource management, however their service life are often not considered or properly planned in advance. As a consequence, because of these unplanned applications, the maximum potential water supply cannot be reached in watersheds, in other words, water sources are wasted. This research demonstrates that it is possible to forecast the service life of a dam more properly and also identifies some precautions regarding the potential sources that might cause the shortened service life. Kartalkaya Dam located in Turkey has been operating since 1972, was constructed with the aims of irrigation and flood prevention and is near the end of its service life. At this point, the first objective of this study was conducted, which determines the remaining service life of the dam with reference to the amount of material transported through the corresponding catchment area and the amount accumulated in the reservoir. This was accomplished using the Universal Soil Loss Equation simulated in ArcGIS. The amount of eroded material per year for each 25x25 m cell of study area was determined and as a consequence, the areas which are more prone to be eroded were defined. The ongoing second stage of the study, applies the sediment delivery distributed (SEDD) model and calculates the amount of material deposited during the operation period of the dam and is used to forecast the remaining service life of the Kartalkaya Dam.

  6. Turkey Revisited: Reflections on Turkish Society and Culture after 20 Years of Absence

    DTIC Science & Technology

    1988-12-01

    0 o TURKEY REVISITED: REFLECTIONS ON TURKISH SOCIETY AND CULTURE AFTER 20 YEARS OF ABSENCE Graham E, Fuller December 1988 14 LECTEIff P-7513 mens... culture . He read dozens of Turkish novels of the time and became acquainted with many of their authors. As a result, he wrote a book- length analysis of the...SOCIETY AND CULTURE AFTER 20 YEARS OF ABSENCE Graham E. Fuller There is much merit in abandoning an intellectual discipline for lengthy periods of

  7. Extension of service life of rigid transfer lines /SMDC/. [explosive components for aircraft escape systems

    NASA Technical Reports Server (NTRS)

    Bement, L. J.; Kayser, E. G.; Schimmel, M. L.

    1982-01-01

    The results of a life evaluation program on rigid explosive transfer lines, which are used to initiate aircraft emergency crew escape functions, are presented in order to provide quantitative information on rigid explosive transfer lines which can contribute to responsible, conservative, service life determinations. The program involved the development of a test methodology, testing of the three types of transfer lines in use in the U.S., testing of these lines following a repeat of the thermal test conducted in the original qualification, and conducting a degradation investigation. Results from the testing of more than 800 components showed that rigid explosive transfer lines were not affected by age, service, or a repeat of the thermal qualification tests on full-service lines. The explosive degradation limits were approximated and the mechanisms examined. It is concluded that the service lives of rigid explosive transfer lines should be considered for extension in order to provide cost savings and increased system reliability.

  8. Perception of service satisfaction and quality of life of patients living with schizophrenia in Lagos, Nigeria

    PubMed Central

    Afe, Taiwo Opekitan; Bello-Mojeed, Mashudat; Ogunsemi, Olawale

    2016-01-01

    Objective: To assess service-satisfaction and quality of life among patients with schizophrenia in a tertiary psychiatric healthcare facility in Lagos, Nigeria. Methods: Cross-sectional survey of 101 (out of 120) patients diagnosed with schizophrenia attending the outpatient clinic of the Federal Neuro-Psychiatric Hospital Yaba, Lagos, Nigeria. The Structured Clinical Interview for DSM-IV diagnosis (SCID), Charleston Psychiatric Out-patient Scale (CPOSS), and the World-Health Organisation Quality of Life –Bref scale (WHOQOL-BREF) was used in assessing diagnosis, patient satisfaction and subjective quality of life respectively. Results: The ages of the patient ranged from 19-81. Males (49.5%) and females (50.5%) had almost equal distribution. Mean duration of attendance was 8.7years ± 8.50. Service satisfaction ranged between 25-60 on the CPOSS. Areas that had higher mean scores on CPOSS were with items (1) Helpfulness of the records clerk (3.70±1.1), (7) Helpfulness of services received (3.69±1.0). Subjective quality of life was high (3.65±1.8), satisfaction with health was also high (3.40±1.1). Service satisfaction correlated with Quality of life at P < 0.00. PMID:27114651

  9. Using the Major Field Test for a Bachelor's Degree in Business as a Learning Outcomes Assessment: Evidence from a Review of 20 Years of Institution-Based Research

    ERIC Educational Resources Information Center

    Ling, Guangming; Bochenek, Jennifer; Burkander, Kri

    2015-01-01

    By applying multilevel models with random effects, the authors reviewed and synthesized findings from 30 studies that were published in the last 20 years exploring the relationship between the Educational Testing Service Major Field Test for a Bachelor's Degree in Business (MFTB) and related factors. The results suggest that MFTB scores correlated…

  10. Soil-geographical and ecological tour in West-Russia: 20 years anniversary

    NASA Astrophysics Data System (ADS)

    Kuzyakov, Yakov

    2013-04-01

    Soil-geographical and agro-ecological tour in Russia celebrated in this summer its 20 years anniversary! More than 800 students, PhD students and researcher from Germany, Switzerland, Austria, Sweden and France participated at the tour since 1993. The majority of the participants were students studying soil science, geoecology, geography, agriculture and ecology. The tour is based on a classical Russian zonal approach: a cross-section of climatic zones starting from south taiga, through deciduous forest, forest steppe, steppe, dry steppe, to semi dessert and transition to the desert zone. In each zone the specifics of climate, vegetation, nutrient cycling, and of course soil genesis as well as soil use by forestry and agriculture are described. Half of the soil group units of WRB classification (2006) are presented on about 35 soil profile pits and are described with focus on pedogenic processes and soil forming factors. The following soil groups are described in details by horizons according to WRB soil classification (2006): Arenosols, Podzols, Albeluvisols Histosols, Gleysols, Luvisols, Phaeozems, Chernozems, Kastanozems, Calcisols, Vertisols, Leptosols, Fluvisols, Solonetzes, Solonchaks. In addition to natural conditions, large-scale experiments designing agricultural landscapes (stone steppe), biosphere reserves and conservation areas (Tula-Schneisen, Divnogor'je, Baskunchak), as well as collective agricultural farms (previously kolkhoz) are visited to evaluate the anthropogenic effects on ecosystems and especially on soils. The 2.5 weeks bus journey through many villages and small towns, visits of museums and historical monuments, introduction in the settlement development of different regions provide a broad presentation of Russian history, traditions, life style, and contemporary state. So, combination of very diverse educational part focused on soil and environmental conditions with anthropogenic impacts and local history as well as recent socioeconomic

  11. The Well-Being of Service Members and Veterans in the Light of Life-Quality Surveys in Poland

    DTIC Science & Technology

    2011-04-01

    RTO-MP-HFM-205 24 - 1 The Well -Being of Service Members and Veterans in the Light of Life -Quality Surveys in Poland Col. (Ret.) Stanisław...quality-of- life indicators obtained from survey research? The answer seems to be crucial for the strategy of maintaining the well -being of service...N/A 3. DATES COVERED - 4. TITLE AND SUBTITLE The Well -Being of Service Members and Veterans in the Light of Life -Quality Surveys in Poland 5a

  12. The evolving role of data scientist during 20 years of the British Atmospheric Data Centre (Invited)

    NASA Astrophysics Data System (ADS)

    Pascoe, S.; Parton, G.; Pascoe, C.; Guillory, A.; da Costa, E. D.

    2013-12-01

    In 2014 The British Atmospheric Data Centre (BADC), now part of the Centre of Environmental Data Archival (CEDA), will celebrate its 20th anniversary. During its lifetime, most BADC staff have defined themselves as data scientists by virtue of being scientists by background and "data workers" by practice. However, the definition of data scientist has been ill defined until recently. As the term has become popularised in the world of business and general information technology, we ask ourselves to what extent the popular definition fits our profession. We observe that data science, as practised at CEDA, encompasses several roles which overlap and compliment each other as we strive to be enablers of data exploitation. For us a data scientist's skills include elements of data curation, software engineering, data infrastructure management and data-intensive research. As data science has evolved the balance between these roles has shifted in response to changes in technology, demands of the research community and funding drivers. We have had to balance our role as enablers of data exploitation, by providing services and infrastructure to the geo-science community, with our role as pioneers of data exploitation itself. By telling the story of how these roles have evolved during the 20 year history of the BADC, we aim to explore the maturing role of data scientist as practised within the geo-sciences and contrast that role with its recently popularised usage. Looking forward we will address questions about how centres of expertise, such as CEDA, can best increase the data capabilities of geo-science research as a whole in order to facilitate the transition to data-intensive science.

  13. Experiences of drug use and ageing: health, quality of life, relationship and service implications

    PubMed Central

    Roe, Brenda; Beynon, Caryl; Pickering, Lucy; Duffy, Paul

    2010-01-01

    roe b., beynon c., pickering l. & duffy p. (2010)Experiences of drug use and ageing: health, quality of life, relationship and service implications. Journal of Advanced Nursing66(9), 1968–1979. Aim This paper is a report of an exploration of older people’s experiences of substance use in the context of ageing, and its impact on health, quality of life, relationships and service use. Background Use of illicit drugs by older people is a neglected policy, research and service provision and is generally perceived as a lifestyle of younger populations. Method A convenience sample of 11 people aged 49–61 years (mean 57 years) in contact with voluntary sector drug treatment services participated in qualitative semi-structured tape-recorded interviews and thematic content analysis was performed. The data were collected in 2008. Findings Drug use can have negative impacts on health status, quality of life, family relationships and social networks that accrue with age. Participants were identified as early or later onset users of drugs due to the impact of life events and relationships. A range of substances had been used currently and throughout their lives, with no single gateway drug identified as a prelude to personal drug careers. Life review and reflection were common, in keeping with ageing populations, along with regret of ever having started to use drugs. Living alone and their accommodation made them more susceptible to social isolation, and they reported experiences of death and dying of their contemporaries and family members earlier than usual in the life course. Conclusion Older people who continue to use drugs and require the support of services for treatment and care are an important emerging population and their specific needs should recognized. PMID:20626477

  14. Fatigue life prediction under service load considering strengthening effect of loads below fatigue limit

    NASA Astrophysics Data System (ADS)

    Zhao, Lihui; Zheng, Songlin; Feng, Jinzhi

    2014-11-01

    Lightweight design requires an accurate life prediction for structures and components under service loading histories. However, predicted life with the existing methods seems too conservative in some cases, leading to a heavy structure. Because these methods are established on the basis that load cycles would only cause fatigue damage, ignore the strengthening effect of loads. Based on Palmgren-Miner Rule (PMR), this paper introduces a new method for fatigue life prediction under service loadings by taking into account the strengthening effect of loads below the fatigue limit. In this method, the service loadings are classified into three categories: damaging load, strengthening load and none-effect load, and the process for fatigue life prediction is divided into two stages: stage I and stage II, according to the best strengthening number of cycles. During stage I, fatigue damage is calculated considering both the strengthening and damaging effect of load cycles. While during stage II, only the damaging effect is considered. To validate this method, fatigue lives of automobile half shaft and torsion beam rear axle are calculated based on the new method and traditional methods, such as PMR and Modified Miner Rule (MMR), and fatigue tests of the two components are conducted under service loading histories. The tests results show that the percentage errors of the predicted life with the new method to mean life of tests for the two components are -3.78% and -1.76% separately, much lesser than that with PMR and MMR. By considering the strengthening effect of loads below the fatigue limit, the new method can significantly improve the accuracy for fatigue life prediction. Thus lightweight design can be fully realized in the design stage.

  15. Service Life Extension of the Propulsion System of Long-Term Manned Orbital Stations

    NASA Technical Reports Server (NTRS)

    Kamath, Ulhas; Kuznetsov, Sergei; Spencer, Victor

    2014-01-01

    One of the critical non-replaceable systems of a long-term manned orbital station is the propulsion system. Since the propulsion system operates beginning with the launch of station elements into orbit, its service life determines the service life of the station overall. Weighing almost a million pounds, the International Space Station (ISS) is about four times as large as the Russian space station Mir and about five times as large as the U.S. Skylab. Constructed over a span of more than a decade with the help of over 100 space flights, elements and modules of the ISS provide more research space than any spacecraft ever built. Originally envisaged for a service life of fifteen years, this Earth orbiting laboratory has been in orbit since 1998. Some elements that have been launched later in the assembly sequence were not yet built when the first elements were placed in orbit. Hence, some of the early modules that were launched at the inception of the program were already nearing the end of their design life when the ISS was finally ready and operational. To maximize the return on global investments on ISS, it is essential for the valuable research on ISS to continue as long as the station can be sustained safely in orbit. This paper describes the work performed to extend the service life of the ISS propulsion system. A system comprises of many components with varying failure rates. Reliability of a system is the probability that it will perform its intended function under encountered operating conditions, for a specified period of time. As we are interested in finding out how reliable a system would be in the future, reliability expressed as a function of time provides valuable insight. In a hypothetical bathtub shaped failure rate curve, the failure rate, defined as the number of failures per unit time that a currently healthy component will suffer in a given future time interval, decreases during infant-mortality period, stays nearly constant during the service

  16. Using the International Classification of Functioning to Conceptualize Quality of Life among Rehabilitation Services Recipients

    ERIC Educational Resources Information Center

    Fleming, Allison R.; Leahy, Michael J.

    2014-01-01

    Researchers and policy makers have proposed that quality of life (QOL) is an important and useful way to measure the impact of services, although practical application of QOL in rehabilitation has been limited. In this study, a comprehensive framework (the International Classification of Functioning [ICF]) is used to compare the relationship…

  17. 78 FR 2618 - Self-Contained Breathing Apparatus Remaining Service-Life Indicator Performance Requirements

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-14

    ... of proposed rulemaking proposing to update respirator approval standards in response to a petition to... service-life indicators or warning devices. These indicators are built into a respirator to alert the user that the breathing air provided by the respirator is close to depletion. In this final rule,...

  18. Services and Supports, Partnership, and Family Quality of Life: Focus on Deaf-Blindness

    ERIC Educational Resources Information Center

    Kyzar, Kathleen B.; Brady, Sara E.; Summers, Jean Ann; Haines, Shana J.; Turnbull, Ann P.

    2016-01-01

    In this study, the authors examined the moderating effects of partnership on the relationship between services and supports adequacy and family quality of life (FQOL) for families of children with deaf-blindness ages birth to 21. A social-ecological approach enabled examining the impact of disability on the family system. A survey, consisting of…

  19. Method and apparatus to predict the remaining service life of an operating system

    DOEpatents

    Greitzer, Frank L.; Kangas, Lars J.; Terrones, Kristine M.; Maynard, Melody A.; Pawlowski, Ronald A. , Ferryman; Thomas A.; Skorpik, James R.; Wilson, Bary W.

    2008-11-25

    A method and computer-based apparatus for monitoring the degradation of, predicting the remaining service life of, and/or planning maintenance for, an operating system are disclosed. Diagnostic information on degradation of the operating system is obtained through measurement of one or more performance characteristics by one or more sensors onboard and/or proximate the operating system. Though not required, it is preferred that the sensor data are validated to improve the accuracy and reliability of the service life predictions. The condition or degree of degradation of the operating system is presented to a user by way of one or more calculated, numeric degradation figures of merit that are trended against one or more independent variables using one or more mathematical techniques. Furthermore, more than one trendline and uncertainty interval may be generated for a given degradation figure of merit/independent variable data set. The trendline(s) and uncertainty interval(s) are subsequently compared to one or more degradation figure of merit thresholds to predict the remaining service life of the operating system. The present invention enables multiple mathematical approaches in determining which trendline(s) to use to provide the best estimate of the remaining service life.

  20. Illicit drug use as a challenge to the delivery of end-of-life care services to homeless persons: perceptions of health and social services professionals.

    PubMed

    McNeil, Ryan; Guirguis-Younger, Manal

    2012-06-01

    Homeless persons tend to die younger than the housed population and have complex, often unmet, end-of-life care needs. High levels of illicit drug use among this population are a particular challenge for health and social services professionals involved in end-of-life care services delivery. This article explores the challenges of end-of-life care services to homeless illicit drug users based on data collected during a national study on end-of-life care services delivery to homeless persons in Canada. The authors conducted qualitative interviews with 50 health and social services professionals involved in health services delivery to homeless persons in five cities. Interviews were transcribed verbatim and analysed thematically. Themes were organised into two domains. First, barriers preventing homeless illicit drug users from accessing end-of-life care services, such as competing priorities (e.g. withdrawal management), lack of trust in healthcare providers and discrimination. Second, challenges to end-of-life care services delivery to this population in health and social care settings, including non-disclosure of illicit drug use, pain and symptom management, interruptions in care, and lack of experience with addictions. The authors identify a need for increased research on the role of harm reduction in end-of-life care settings to address these challenges.

  1. Low back pain during military service predicts low back pain later in life

    PubMed Central

    Mattila, Ville M.; Kyröläinen, Heikki; Santtila, Matti; Pihlajamäki, Harri

    2017-01-01

    The aim of the present study was to assess associations between physician diagnosed unspecified low back pain (LBP) during compulsory military service and self-reported LBP and physical fitness measured on average four years after military service. From a total of 1155 persons who had been pass medical examination for military service and who had completed physically demanding military training between 1997 and 2007, 778 men participated in a refresher military training course and physical tests. In this study, the association between LBP during military service and LBP in later life in addition to the association between LBP and physical fitness were examined. A total of 219 out of 778 participants (28%) had visited a physician due to some musculoskeletal symptom (ICD-10 M-diagnosis) during their military service. Seventy-four participants (9.5%) had visited a physician due to unspecified LBP during their service, and 41 (5.3%) had temporarily been absent from duty due to LBP. At the follow-up examination, 122 (15.7%) had reported LBP during the past month. LBP during military service was associated with self-reported LBP in the follow-up (p = 0.004). Of those who had been absent from duty due to LBP during their military service, 13 (31.7%) reported LBP during the past month. In risk factor analysis, no initial health behaviour and physical performance variables were associated with baseline LBP in the follow-up. The main finding of the present study was that unspecified LBP during military service predicts LBP in later life. On the basis of previous literature, it is also known that LBP is a common symptom and thus, one cannot expect to be symptomless the entire life. Interestingly, none of the health behaviours nor the physical performance studied in the follow-up were associated with baseline LBP. It appears that individuals prone to LBP have symptoms during physically demanding military service and also later in their life. PMID:28282419

  2. The national marrow donor program 20 years of unrelated donor hematopoietic cell transplantation.

    PubMed

    Ballen, Karen K; King, Roberta J; Chitphakdithai, Pintip; Bolan, Charles D; Agura, Edward; Hartzman, Robert J; Kernan, Nancy A

    2008-09-01

    In the 20 years since the National Marrow Donor Program (NMDP) facilitated the first unrelated donor transplant, the organization has grown to include almost 7 million donors, and has facilitated over 30,000 transplants on 6 continents. This remarkable accomplishment has been facilitated by the efforts of over 600 employees, and an extensive international network including 171 transplant centers, 73 donor centers, 24 cord blood banks, 97 bone marrow collection centers, 91 apheresis centers, 26 HLA typing laboratories, and 26 Cooperative Registries. In this article, we review the history of the NMDP, and cite the major trends in patient demographics, graft sources, and conditioning regimens over the last 20 years.

  3. Evaluation of Hose in Hose Transfer Line Service Life for Hanfords Interim Stabilization Program

    SciTech Connect

    TORRES, T.D.

    2001-03-23

    RPP-6153, Engineering Task Plan for Hose-in-Hose Transfer System for the Interim Stabilization Program (Torres, 2000a), defines the programmatic goals, functional requirements, and technical criteria for the development and subsequent installation of waste transfer line equipment to support Hanford's Interim Stabilization Program. RPP-6028, Specification for Hose in Hose Transfer Lines for Hanford's Interim Stabilization Program (Torres, 2000b), has been issued to define the specific requirements for the design, manufacture, and verification of transfer line assemblies for specific waste transfer applications associated with Interim Stabilization. Included in RPP-6028 are tables defining the chemical constituents of concern to which transfer lines will be exposed. Current Interim Stabilization Program planning forecasts that the at-grade transfer lines will be required to convey pumpable waste for as much as three years after commissioning, RPP-6028 Section 3.2.7. Performance Incentive Number ORP-05 requires that all the Single Shell Tanks be Interim Stabilized by September 30, 2003. The Tri-Party Agreement (TPA) milestone M-41-00, enforced by a federal consent decree, requires all the Single Shell Tanks to be Interim stabilized by September 30, 2004. By meeting the Performance Incentive the TPA milestone is met. Prudent engineering dictates that the equipment used to transfer waste have a life in excess of the forecasted operational time period, with some margin to allow for future adjustments to the planned schedule. This document evaluates the effective service life of the Hose-in-Hose Transfer Lines, based on information submitted by the manufacturer, published literature and calculations. The effective service life of transfer line assemblies is a function of several factors. Foremost among these are the hose material's resistance to the harmful effects of process fluid characteristics, ambient environmental conditions, exposure to ionizing radiation and the

  4. Collaborative Science Learning in Three-Dimensional Immersive Virtual Worlds: Pre-Service Teachers' Experiences in Second Life

    ERIC Educational Resources Information Center

    Nussli, Natalie; Oh, Kevin; McCandless, Kevin

    2014-01-01

    The purpose of this mixed methods study was to help pre-service teachers experience and evaluate the potential of Second Life, a three-dimensional immersive virtual environment, for potential integration into their future teaching. By completing collaborative assignments in Second Life, nineteen pre-service general education teachers explored an…

  5. 38 CFR 8.26 - Renewal of National Service Life Insurance on the 5-year level premium term plan.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Effective June 25, 1970, a 5-year level premium term policy which lapsed for nonpayment of the premium due... Service Life Insurance on the 5-year level premium term plan. 8.26 Section 8.26 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Renewal of Term...

  6. 38 CFR 8.26 - Renewal of National Service Life Insurance on the 5-year level premium term plan.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Effective June 25, 1970, a 5-year level premium term policy which lapsed for nonpayment of the premium due... Service Life Insurance on the 5-year level premium term plan. 8.26 Section 8.26 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Renewal of Term...

  7. 38 CFR 8.26 - Renewal of National Service Life Insurance on the 5-year level premium term plan.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Effective June 25, 1970, a 5-year level premium term policy which lapsed for nonpayment of the premium due... Service Life Insurance on the 5-year level premium term plan. 8.26 Section 8.26 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Renewal of Term...

  8. The Systemic Lupus International Collaborating Clinics (SLICC) group - it was 20 years ago today.

    PubMed

    Isenberg, D A; Ramsey-Goldman, R; Gladman, D; Hanly, J G

    2011-11-01

    The Systemic Lupus International Collaborating Clinics (SLICC) group is 20 years old this year (2011). This brief review traces the origins of the group focussing on its more recent history and reviewing some of its major contributions to lupus research during the past two decades.

  9. Intellectual Capital: For 20 Years, American Indian College Fund Has Been Investing

    ERIC Educational Resources Information Center

    Horwedel, Dina M.

    2009-01-01

    For 20 years, the American Indian College Fund (the Fund) has been helping students to afford a higher education. In addition to providing more than 4,000 scholarships for American Indian students last year, it also provides tribal colleges with funding and programmatic support. The Fund was created in 1989 by the tribal colleges and universities…

  10. Looking Back and Ahead: 20 Years of Technologies for Language Learning

    ERIC Educational Resources Information Center

    Godwin-Jones, Robert

    2016-01-01

    Over the last 20 years Robert Godwin-Jones has written 48 columns on "Emerging Technologies"; an additional six columns have been written by guest columnists. Several topics have been re-examined in regular intervals of approximately five years, namely digital literacy (Vol. 4, Num. 2; Vol. 10, Num. 2; Vol. 14, Num. 3; Vol. 19, Num. 3)…

  11. 20 Years of Autonomy and Technology: How Far Have We Come and Where to Next?

    ERIC Educational Resources Information Center

    Reinders, Hayo; White, Cynthia

    2016-01-01

    Learner autonomy has become an assumed goal of language education in many parts of the world. In the 20 years since the launch of "Language Learning & Technology," the relationship among computer-assisted language learning research and practice and autonomy has become both more complex and more promising. This article traces how the…

  12. Stature-for-Age and Weight-for-Age Percentiles: Boys, 2 to 20 Years

    MedlinePlus

    2 to 20 years: Boys NAME Stature-for-age and Weight-for-age percentiles RECORD # Mother’s Stature Date Age in cm 160 62 S 155 60 T 150 ... 14 15 16 17 18 19 20 BMI* AGE (YEARS) cm 95 190 90 185 75 180 ...

  13. Assessing Side Effects of Pharmacotherapy Treatment of Bipolar Disorder: A 20-Year Review of the Literature

    ERIC Educational Resources Information Center

    Matson, Johnny L.; Gonzalez, Melissa L.; Smith, Kimberly R.; Terlonge, Cindy; Thorson, Ryan T.; Dixon, Dennis R.

    2006-01-01

    A substantial literature on the effective treatment of bipolar disorder has begun to appear, particularly in the last 20 years.The majority of treatments studied have employed medications, particularly mood stabilizers, a typical antipsychotics and antidepressants. Most treatments produce side effects and medications are no exception. A review of…

  14. Q-Method 20 Years Later: Its Uses and Abuses in Communications Research.

    ERIC Educational Resources Information Center

    Freeman, Leonard

    William Stephenson's Q methodology has been linked to the future of communications research by some and condemned as treacherous by others. This study reviews the uses of Q in published mass communications research over the past 20 years. The survey found 30 mass communications studies published in English in the scholarly journals related to mass…

  15. Social Representations of Educability in Finland: 20 Years of Continuity and Change

    ERIC Educational Resources Information Center

    Raty, Hannu; Komulainen, Katri; Hirva, Laura

    2012-01-01

    This study set out to replicate a survey conducted 20 years ago on Finnish parents' social representations of educability. A nationwide sample of parents (N = 642) were asked to indicate their opinions on a set of statements pertaining to topical educational issues. The results indicated that educational discussion is still structured by two major…

  16. What Works: 20 Years of Curriculum Development and Research for Advanced Learners, 1988-2008

    ERIC Educational Resources Information Center

    VanTassel-Baska, Joyce, Ed.; Stambaugh, Tamra, Ed.

    2009-01-01

    The purpose of this document is to highlight "what works" based on the curriculum development and research work of the Center for Gifted Education during the past 20 years. Areas of study include curriculum development, instruction, assessment, and professional development. Through the use of the Integrated Curriculum Model as a template for …

  17. Changes and Challenges in 20 Years of Research into the Development of Executive Functions

    ERIC Educational Resources Information Center

    Hughes, Claire

    2011-01-01

    This review of 20 years of developmental research on Executive Functions (EF) offers a broad-brushstroke picture that touches on multiple issues including: (i) findings from typical and atypical groups, from infancy to adolescence; (ii) advances in assessment tools and in statistical analysis; (iii) the interplay between EF and other cognitive…

  18. Four Themes from 20 Years of Research on Infant Perception and Cognition

    ERIC Educational Resources Information Center

    Bremner, J. Gavin

    2011-01-01

    This paper reviews progress over the past 20 years in four areas of research on infant perception and cognition. Work on perception of dynamic events has identified perceptual constraints on perception of object unity and object trajectory continuity that have led to a perceptual account of early development that supplements Nativist accounts.…

  19. Understanding Rape and Sexual Assault: 20 Years of Progress and Future Directions

    ERIC Educational Resources Information Center

    Campbell, Rebecca; Wasco, Sharon M.

    2005-01-01

    During the past 20 years, researchers have documented the widespread problem of rape in American society. Approximately one in four women are raped in their adult lifetime, which causes severe psychological distress and long-term physical health problems. The impact of sexual assault extends far beyond rape survivors as their family, friends, and…

  20. Self-Rated Activity Levels and Longevity: Evidence from a 20 Year Longitudinal Study

    ERIC Educational Resources Information Center

    Mullee, Mark A.; Coleman, Peter G.; Briggs, Roger S. J.; Stevenson, James E.; Turnbull, Joanne C.

    2008-01-01

    The study reports on factors predicting the longevity of 328 people over the age of 65 drawn from an English city and followed over 20 years. Both the reported activities score and the individual's comparative evaluation of their own level of activity independently reduced the risk of death, even when health and cognitive status were taken into…

  1. 3D Heart Model and 4D Flow MRI 20 Years after Spiral Arterial Switch Operation

    PubMed Central

    Sievers, Hans-Hinrich; Kheradvar, Arash; Kramer, Hans-Heiner; Rickers, Carsten

    2016-01-01

    Case of a patient is presented here 20 years after spiral direct anastomosis of the great arteries in an arterial switch operation. Three-dimensional model of the heart combined with four-dimensional flow magnetic resonance imaging presents a novel comprehensive way to assess surgical results. PMID:28018823

  2. Reactive mesothelial hyperplasia associated with chronic peritonitis in a 20-year-old Quarter horse

    PubMed Central

    Hoon-Hanks, Laura L.; Rout, Emily D.; Vap, Linda M.; Aboellail, Tawfik A.; Hassel, Diana M.; Nout-Lomas, Yvette S.

    2016-01-01

    A 20-year-old gelding was diagnosed with peritonitis and severe reactive mesothelial hyperplasia. Exploratory laparotomy findings were suggestive of a neoplastic etiology; however, additional diagnostics ruled this out and the horse made a full recovery. This report demonstrates the difficulty and value of differentiating between reactive and neoplastic mesothelial processes. PMID:27152035

  3. Long-Term Instructional Development: A 20-Year ID and Implementation Project.

    ERIC Educational Resources Information Center

    Sullivan, Howard; Ice, Kay; Niedermeyer, Fred

    2000-01-01

    Discussion of long-term instructional development focuses on the development and implementation of a K-12 energy education curriculum over a 20-year period. Highlights include field testing; fund raising; learner performance on posttests; revisions and updates; and guidelines for long-term instructional development projects. (LRW)

  4. Posttraumatic Intrusion, Avoidance, and Social Functioning: A 20-Year Longitudinal Study

    ERIC Educational Resources Information Center

    Solomon, Zahava; Mikulincer, Mario

    2007-01-01

    The study assesses posttraumatic intrusion, avoidance, and social functioning among 214 Israeli combat veterans from the first Lebanon War with and without combat stress reaction (CSR) 1, 2, 3, and 20 years after the war. CSR veterans reported higher intrusion and avoidance than did non-CSR veterans. With time, there was a decline in these…

  5. Family Discord, Parental Depression, and Psychopathology in Offspring: 20-Year Follow-up

    ERIC Educational Resources Information Center

    Pilowsky, Daniel J.; Wickramaratne, Priya; Nomura, Yoko; Weissman, Myrna M.

    2006-01-01

    Objective: To determine the independent effects of parental depression and family discord on offspring psychopathology among children at high and low risk of depression. Method: Family discord factors were assessed when subjects were approximately 17 years old, and offspring diagnoses were assessed about 20 years later. Parental and offspring…

  6. In Patience and Hope: A 20-Year Narrative Study of a Family, School, and Community Partnership

    ERIC Educational Resources Information Center

    Higgins, Ann; Deegan, James G.

    2009-01-01

    This case study describes a 20-year journey of educational transformation from 1985 to 2005 in a bellwether, or highly developed, instance of one school, family, and community partnership--the Kileely Community Project--situated in a large social housing project in Limerick City in the Midwestern region of the Republic of Ireland. The study is a…

  7. College Student's Health, Drinking and Smoking Patterns: What Has Changed in 20 Years?

    ERIC Educational Resources Information Center

    Hensel, Desiree; Todd, Katherine Leigh; Engs, Ruth C.

    2014-01-01

    Problem: Institutes of higher learning are increasingly trying to address the issue of problem drinking. The purpose of this study was to determine how patterns in alcohol use and smoking by college students, as well as their illness patterns, have changed over 20 years. Methods: A cross-sectional serial survey design was used for this descriptive…

  8. Participation in Intellectual Disability Research: A Review of 20 Years of Studies

    ERIC Educational Resources Information Center

    Cleaver, S.; Ouellette-Kuntz, H.; Sakar, A.

    2010-01-01

    Background: Researchers have noted difficulties in attracting adequate numbers of participants with intellectual disabilities (ID) to their studies. Methods: This study was a review of participation by adults with ID in research conducted in South Eastern Ontario over a 20-year period (1987-2006). Original research studies were identified by local…

  9. The Politics of Educational Reform: The Alberta Charter School Experiment 20 Years Later

    ERIC Educational Resources Information Center

    Bosetti, Lynn; Butterfield, Phil

    2016-01-01

    In this paper we examine the public charter school movement in the Province of Alberta, Canada over the past 20 years to determine how charter school policy and regulations have limited and controlled the impact of charter schools on public education. Specifically we focus on the extent to which charter schools in Alberta fulfilled the aims and…

  10. Digital Distribution of Academic Journals and Its Impact on Scholarly Communication: Looking Back after 20 Years

    ERIC Educational Resources Information Center

    Solomon, David J.

    2013-01-01

    It has been approximately 20 years since distributing scholarly journals digitally became feasible. This article discusses the broad implications of the transition to digital distributed scholarship from a historical perspective and focuses on the development of open access (OA) and the various models for funding OA in the context of the roles…

  11. A Qualitative Study of Service Provision for Alcohol Related Health Issues in Mid to Later Life

    PubMed Central

    Haighton, Catherine; Wilson, Graeme; Ling, Jonathan; McCabe, Karen; Crosland, Ann; Kaner, Eileen

    2016-01-01

    Aims Epidemiological surveys over the last 20 years show a steady increase in the amount of alcohol consumed by older age groups. Physiological changes and an increased likelihood of health problems and medication use make older people more likely than younger age groups to suffer negative consequences of alcohol consumption, often at lower levels. However, health services targeting excessive drinking tend to be aimed at younger age groups. The aim of this study was to gain an in-depth understanding of experiences of, and attitudes towards, support for alcohol related health issues in people aged 50 and over. Methods Qualitative interviews (n = 24, 12 male/12 female, ages 51–90 years) and focus groups (n = 27, 6 male/21 female, ages 50–95 years) were carried out with a purposive sample of participants who consumed alcohol or had been dependent. Findings Participants’ alcohol misuse was often covert, isolated and carefully regulated. Participants tended to look first to their General Practitioner for help with alcohol. Detoxification courses had been found effective for dependent participants but only in the short term; rehabilitation facilities were appreciated but seen as difficult to access. Activities, informal groups and drop-in centres were endorsed. It was seen as difficult to secure treatment for alcohol and mental health problems together. Barriers to seeking help included functioning at a high level, concern about losing positive aspects of drinking, perceived stigma, service orientation to younger people, and fatalistic attitudes to help-seeking. Facilitators included concern about risk of fatal illness or pressure from significant people. Conclusion Primary care professionals need training on improving the detection and treatment of alcohol problems among older people. There is also a compelling need to ensure that aftercare is in place to prevent relapse. Strong preferences were expressed for support to be provided by those who had experienced

  12. A Comparison of Quality of Life Outcomes for People with Intellectual Disabilities in Supported Employment, Day Services and Employment Enterprises

    ERIC Educational Resources Information Center

    Beyer, Stephen; Brown, Tony; Akandi, Rachel; Rapley, Mark

    2010-01-01

    Background: Policy objectives for people with intellectual disabilities include day service modernization and the promotion of paid employment and quality of life. Quality of life is under represented as an outcome measure in vocational research. This research compares subjective and objective quality of life, and quality of work environment for…

  13. International Space Station Bacteria Filter Element Post-Flight Testing and Service Life Prediction

    NASA Technical Reports Server (NTRS)

    Perry, J. L.; von Jouanne, R. G.; Turner, E. H.

    2003-01-01

    The International Space Station uses high efficiency particulate air (HEPA) filters to remove particulate matter from the cabin atmosphere. Known as Bacteria Filter Elements (BFEs), there are 13 elements deployed on board the ISS's U.S. Segment. The pre-flight service life prediction of 1 year for the BFEs is based upon performance engineering analysis of data collected during developmental testing that used a synthetic dust challenge. While this challenge is considered reasonable and conservative from a design perspective, an understanding of the actual filter loading is required to best manage the critical ISS Program resources. Thus testing was conducted on BFEs returned from the ISS to refine the service life prediction. Results from this testing and implications to ISS resource management are discussed. Recommendations for realizing significant savings to the ISS Program are presented.

  14. Investigation of the Corrosion Mechanism and Determination of the EMS Estimated Service Life at Site 81

    DTIC Science & Technology

    2013-02-01

    nitric acid (HNO3 at 1:1 with deionized H2O). Solu- tions were then filtered and stored in vials. Chloride content analysis was performed using ion...ER D C SR -1 3- 1 Investigation of the Corrosion Mechanism and Determination of the EMS Estimated Service Life at Site 81 En gi ne er...at http://acwc.sdp.sirsi.net/client/default. ERDC SR-13-1 February 2013 Investigation of the Corrosion Mechanism and Determination of the

  15. The Videofil probe, a novel instrument to extend the coke oven service life

    SciTech Connect

    Gaillet, J.P.; Isler, D.

    1997-12-31

    To prolong the service life of coke oven batteries, the Centre de Pyrolyse de Marienau developed the Videofil probe, a novel instrument to conduct diagnoses and to help repair operations of coke ovens. The Videofil probe is a flexible non-water-cooled endoscope which is used to locate flue wall damage and estimate its importance, to define the oven zones to repair and guide the repair work and to control the quality of the repair work and its durability.

  16. Through Life Management of Naval Gas Turbines for Extended Service Lives and Reduced Lifetime Costs

    DTIC Science & Technology

    2003-02-01

    Symposium Partie A - Developpements dans le domaine de l’aeroacoustique et I’hydroacoustique numeriques ] [Symposium Partie B ... To order the complete...and Belgian Reduction Strategies developed by the UK Ministry of Defence in Navies, the Olympus operates in combination with direct acting support of... STRATEGIES IN REDUCING THROUGH LIFE COSTSTuRn! TIE DELIVERY PRI GRAMME SIMULATION INCLUDES Current strate2v: TAKE 91 ATES AND RANDOM FAILURES SERVICEABLE

  17. A method for predicting service life of zinc rich primers on carbon steel

    NASA Technical Reports Server (NTRS)

    Hoppesch, C. W.

    1986-01-01

    The service life of zinc rich primers on carbon steel can be estimated by immersing a primer coated glass slide into an aqueous copper sulfate solution and measuring the amount of zinc that reacts with the copper in 15 minutes. This zinc availability test was used to evaluate eleven primers currently available for which marine beach exposure data was available from previous programs. Results were evaluated and a correlation between zinc availability and ASTM rust grade was shown.

  18. Managing the equipment service life in rendering engineering support to NPP operation

    NASA Astrophysics Data System (ADS)

    Ryasnyy, S. I.

    2015-05-01

    Apart from subjecting metal to nondestructive testing and determining its actual state, which are the traditional methods used for managing the service life of NPP equipment during its operation, other approaches closely linked with rendering engineering support to NPP operation have emerged in recent decades, which, however, have been covered in publications to a lesser extent. Service life management matters occupy the central place in the structure of engineering support measures. Application of the concept of repairing NPP equipment based on assessing its technical state and the risk of its failure makes it possible to achieve significantly smaller costs for maintenance and repairs and produce a larger amount of electricity due to shorter planned outages. Decreasing the occurrence probability of a process-related abnormality through its prediction is a further development of techniques for monitoring the technical state of equipment and systems. The proposed and implemented procedure for predicting the occurrence of process-related deviations from normal NPP operation opens the possibility to record in the online mode the trends in changes of process parameters that are likely to lead to malfunctions in equipment operation and to reduce the probability of power unit unloading when an abnormal technical state of equipment occurs and develops by recording changes in the state at an early stage and taking timely corrective measures. The article presents the structure of interconnections between the objectives and conditions of adjustment and commissioning tests, in which the management of equipment service life (saving and optimizing the service life) occupies the central place. Special attention is paid to differences in resource saving and optimization measures.

  19. Nursing care at the end of life: a service learning course for undergraduate nursing students.

    PubMed

    Jeffers, Stephanie; Ferry, Dawn

    2014-01-01

    An elective course titled "Nursing Care at the End of Life" was designed for fourth-year nursing students in a baccalaureate nursing program. This course, taught by the authors, was designed to teach students about caring for the dying patient. Students were required to complete service learning with patients in a hospice or hospital setting. Students reported having a positive learning experience and gaining new knowledge and a deeper understanding of the needs of dying patients and their families.

  20. SMART-OLEV—An orbital life extension vehicle for servicing commercial spacecrafts in GEO

    NASA Astrophysics Data System (ADS)

    Kaiser, Clemens; Sjöberg, Fredrik; Delcura, Juan Manuel; Eilertsen, Baard

    2008-07-01

    Orbital Satellite Services Limited (OSSL) is a satellite servicing company that is developing an orbit life extension vehicle (OLEV) to extend the operational lifetime of geostationary satellites. The industrial consortium of SSC (Sweden), Kayser-Threde (Germany) and Sener (Spain) is in charge to develop and industrialize the space and ground segment. It is a fully commercial program with support of several space agencies during the development phase. The business plan is based on life extension for high value commercial satellites while also providing the satellite operators with various fleet management services such as graveyard burns, slot transfers and on orbit protection against replacement satellite or launch failures. The OLEV spacecraft will be able to dock with a geostationary satellite and uses an electrical propulsion system to extend its life by taking over the attitude control and station keeping functions. The OLEV system is building on the SMART-1 platform developed by Swedish Space Corporation. It was developed for ESA as a technology test-bed to demonstrate the use of electrical propulsion for interplanetary orbit transfer manoeuvres. The concept is called SMART-OLEV and takes advantage of the low cost, low mass SMART-1 platform by a maximum use of recurrent platform technology.

  1. Effects of Planetary Speed-Reduction Ratio on Mean Service Life

    NASA Technical Reports Server (NTRS)

    Savage, M.; Rubadeux, K. L.; Coe, H. H.

    1998-01-01

    Planetary-gear transmissions are compact speed reductions which use parallel-load paths to transmit high power. The range of possible reduction ratios is bounded from below and above by limits on the relative size of the planet gears. For a single-plane planetary transmission, the speed-reduction ratio must be greater than two for planet gears to exist. As the ratio increases, so does the size of the planets relative to the sizes of the sun and ring. Which ratio is best for a planetary reduction can be resolved by studying a series of optimal designs. In this series, each design is obtained by maximizing the service life for a spur-gear planetary with a fixed size, speed-reduction ratio, input speed, power and materials. The planetary-gear reduction service life is modeled as a function of the two-parameter Weibull distributed service lives of the ball bearings and spur gears in the reduction. Planet-bearing life strongly influences the optimal reduction lives which point to an optimal planetary reduction ratio in the neighborhood of four to five.

  2. Reactor Dosimetry Aspects of the Service Life Extension of the Hungarian Paks NPP

    NASA Astrophysics Data System (ADS)

    Zsolnay, Eva M.; Czifrus, Szabolcs; Fehér, Sándor; Hordósy, Gábor; Keresztúri, András; Kresz, Norbert; Oszvald, Ferenc

    2016-02-01

    The service life of the Hungarian Paks Nuclear Power Plant (NPP) will be extended from the originally planned 30 years to 50 years. To improve the reliability of the results obtained in frame of the old reactor pressure vessel (RPV) surveillance programme, new methods have been developed, and based on them, the old exposition data have been re-evaluated for all the four reactor units. At the same time, a new RPV surveillance programme has been developed and introduced, and long term irradiations have been performed to determine the radiation damage of the surveillance specimens due to the high fast neutron exposition. Neutron transport calculations have been performed with a validated neutron transport code system to determine the fast neutron exposition of the RPVs during the extended service life. The cavity dosimetry is in the introductory phase. This paper presents the new developments in the field of the RPV surveillance dosimetry and summarises the results obtained. According to the results the service life of the NPP can safely be extended for the planned 50 years.

  3. Impact of landfill liner time-temperature history on the service life of HDPE geomembranes.

    PubMed

    Rowe, R Kerry; Islam, M Z

    2009-10-01

    The observed temperatures in different landfills are used to establish a number of idealized time-temperature histories for geomembrane liners in municipal solid waste (MSW) landfills. These are then used for estimating the service life of different HDPE geomembranes. The predicted antioxidant depletion times (Stage I) are between 7 and 750 years with the large variation depending on the specific HDPE geomembrane product, exposure conditions, and most importantly, the magnitude and duration of the peak liner temperature. The higher end of the range corresponds to data from geomembranes aged in simulated landfill liner tests and a maximum liner temperature of 37 degrees C. The lower end of the range corresponds to a testing condition where geomembranes were immersed in a synthetic leachate and a maximum liner temperature of 60 degrees C. The total service life of the geomembranes was estimated to be between 20 and 3300 years depending on the time-temperature history examined. The range illustrates the important role that time-temperature history could play in terms of geomembrane service life. The need for long-term monitoring of landfill liner temperature and for geomembrane ageing studies that will provide improved data for assessing the likely long-term performance of geomembranes in MSW landfills are highlighted.

  4. The mismatch between patient life expectancy and the service life of implantable devices in current cardioverter-defibrillator therapy: a call for larger device batteries.

    PubMed

    Neuzner, Jörg

    2015-06-01

    In 2005, Bob Hauser published a paper in the Journal of the American College of Cardiology entitled "The growing mismatch between patient longevity and the service life of Implantable Cardioverter-Defibrillators". Now, nearly a decade later, I would like to perform a second look on the problem of a mismatching between ICD device service life and the survival of ICD recipients. Since 2005, the demographics of the ICD population has changed significantly. Primary prevention has become the dominant indication in defibrillator therapy and device implantation is indicated more and more in earlier stages of cardiac diseases. In former larger scale ICD trials, the patient average 5-year survival probability was in a range of 68-71%; in newer CRT-D trials in a range of 72-88%. Due to a progressively widened ICD indication and implantation preferentially performed in patients with better life expectancy, the problem of inadequate device service life is of growing importance. The early days of defibrillator therapy started with a generator volume of 145 ccm and a device service life <18 months. In this early period, the device miniaturization and extension of service life were similar challenges for the technicians. Today, we have reached a formerly unexpected extent of device miniaturization. However, technologic improvements were often preferentially translated in further device miniaturization and not in prolonging device service life. In his analysis, Bob Hauser reported a prolonged device service life of 2.3 years in ICD models with a larger battery capacity of 0.54 up to 0.69 Ah. Between 2008 and 2014, several studies had been published on the problem of ICD longevity in clinical scenarios. These analyses included "older" and currently used single chamber, dual chamber and CRT devices. The reported average 5-year device service life ranged from 0 to 75%. Assuming today technology, larger battery capacities will only result in minimal increase in device volume. Selected

  5. Associations of Quality of Life with Service Satisfaction in Psychotic Patients: A Meta-Analysis

    PubMed Central

    Petkari, Eleni; Pietschnig, Jakob

    2015-01-01

    Background Quality of life (QoL) has gained increasing attention as a desired outcome of psychosocial treatments targeting psychotic patients. Yet, the relationship between the patients’ satisfaction with services and QoL has not been clearly established, perhaps due to the multidimensionality of the QoL concept and the variability in its assessment. Aim This is the first systematic meta-analysis of all available evidence assessing the relationship between QoL and service satisfaction. Methods: In all, 19 studies reporting data of 21 independent samples (N = 5,337) were included in the present meta-analysis. In moderator analyses, effects of age, sex, diagnoses (schizophrenia vs. other psychoses), treatment context (inpatients vs. outpatients), study design (cross-sectional vs. longitudinal), and QoL domain (subjective vs. health-related) were examined. Results Analyses revealed a highly significant medium-sized effect (r = .30, p < .001) for the associations of QoL and service satisfaction. Effect sizes were significantly stronger for subjective than health-related quality of life (r = .35 vs. r = .14, respectively). Moreover, associations with subjective QoL remained largely robust when accounting for moderating variables, although there was a trend of stronger associations for outpatients compared to inpatients. In contrast, effect sizes for health-related QoL were small and only observable for samples with longitudinal designs. Conclusion Associations between QoL and service satisfaction appear to be robust but are differentiated in regard to QoL domain. Our findings suggest that agents responsible for service design and implementation need to take the patients’ perception of the service adequacy for achieving QoL enhancement into account. PMID:26275139

  6. Sources of happiness and stress for college students: a replication and comparison over 20 years.

    PubMed

    Staats, Sara; Cosmar, David; Kaffenberger, Joshua

    2007-12-01

    The advancement of positive psychology is dependent upon measures of happiness, both globally and in specific contexts. Data are presented on two measures of sources of college students' happiness from two samples. Testing of the two cohorts (Ns=258, 68) was separated by 20 years. Measures for both samples had acceptable psychometric properties. There was an increase in college students' self-reported happiness across the 20-year period in the rankings of different sources of college happiness and general happiness. In a second study, a different group of students (N= 176) were given a list and asked to select the most important uplifts and hassles in their lives. In general, mean scores on affect measures were relatively stable across time, but transportation hassles were reported as a new source of negative affect in the present study.

  7. Lung biopsies and patient care at university-affiliated hospitals: a 20-year experience.

    PubMed Central

    Collins, J. D.

    1990-01-01

    Lung biopsies have been performed since 1967 at the University of California at Los Angeles and its affiliated institutions. In the span of 20 years, the author performed 4285 cases and developed several procedures. This article discusses the importance of risk management and patient care and presents statistics on malignancies, complications, and contraindications. Images Figure 1A Figure 1B Figure 2A Figure 2B PMID:2398507

  8. Chinese medicines reported to have effects on contact dermatitis in the last 20 years.

    PubMed

    Jung, Youngchul; Kim, Byungju; Ryu, Mi Heon; Kim, Hyungwoo

    2017-03-02

    Contact dermatitis (CD) is one of the most common skin diseases in industrialized countries. Chinese medicines (CMs) have been investigated worldwide as complementary and alternative medicines for corticosteroids, which are the first choice for treatment of inflammatory skin diseases owing to their favorable efficacy. This article describes the CMs that have been reported to have anti-dermatitis effects against CD in the last 20 years.

  9. [The Health Surveillance database of a large hospital enterprise: a 20-year analysis].

    PubMed

    Talini, Donatella; Baldasseronil, Alberto; Cristaudo, Alfonso; Magnani, Aldo

    2014-01-01

    To evaluate the aging of the working population and its effects, a 20 years observational study was conducted on health surveillance data of a large healthcare company. The data showed a gradual increase in the mean age of workers, especially among subjects with restrictions/requirements regarding their job title. If no preventive/corrective measures are taken, the socio-economnic situation will get worse with economic and social damages.

  10. Publication trends in the medical informatics literature: 20 years of "Medical Informatics" in MeSH

    PubMed Central

    2009-01-01

    Background The purpose of this study is to identify publication output, and research areas, as well as descriptively and quantitatively characterize the field of medical informatics through publication trend analysis over a twenty year period (1987–2006). Methods A bibliometric analysis of medical informatics citations indexed in Medline was performed using publication trends, journal frequency, impact factors, MeSH term frequencies and characteristics of citations. Results There were 77,023 medical informatics articles published during this 20 year period in 4,644 unique journals. The average annual article publication growth rate was 12%. The 50 identified medical informatics MeSH terms are rarely assigned together to the same document and are almost exclusively paired with a non-medical informatics MeSH term, suggesting a strong interdisciplinary trend. Trends in citations, journals, and MeSH categories of medical informatics output for the 20-year period are summarized. Average impact factor scores and weighted average impact factor scores increased over the 20-year period with two notable growth periods. Conclusion There is a steadily growing presence and increasing visibility of medical informatics literature over the years. Patterns in research output that seem to characterize the historic trends and current components of the field of medical informatics suggest it may be a maturing discipline, and highlight specific journals in which the medical informatics literature appears most frequently, including general medical journals as well as informatics-specific journals. PMID:19159472

  11. 20 Years Experience with using Low Cost Launch Opportunities for 20 Small Satellite Missions

    NASA Astrophysics Data System (ADS)

    Meerman, Maarten; Sweeting, Martin, , Sir

    these larger 'small satellites' are too big to be carried 'piggy-back'. The entrepreneurial efforts of leading FSU rocket &missile organisations in converting existing vehicles to meet the small satellite launch market at an appropriate cost has resulted in the FSU now holding the prime position for providing launches for the small satellite community - and with an excellent track record of successful launches. However, negotiating and completing a Launch Services Agreement (LSA) for a nano-micro-minisatellite with any launcher organisation is a complex matter and risky territory for the unwary or inexperienced who may easily fall prey to unexpected additional costs and delays. Whilst this warning should be heeded when dealing with European and US organisations, it is particularly relevant when negotiating launches from the FSU where there is a plethora of agencies and organisations offering a bewildering range of launch vehicles and options. Furthermore, the FSU has developed a very different technical and managerial philosophy towards launchers when compared with the west and this can be unnerving to 'first-time buyers'. Organisations experienced in dealing in the FSU will encounter a different but excellent service - once the launch service agreement has been thoroughly and fiercely negotiated in every detail. The inexperienced, however, have encountered frustrating delays, lost opportunities, unexpected taxes and costs for additional services or facilities not originally specified, and bewilderment at the different procedures used in the FSU. Fortunately, all this can be avoided with proper experience and the FSU is the current mainstay for launching small satellites quickly, affordably and reliably. Surrey has unique experience gathered over 20 years in handling launches for 20 small satellites, ranging from a 6kg nanosatellite, 50-100kg microsatellites, and a 325kg minisatellite, using 7 different launchers from the USA, Russia, Ukraine, and Europe. By working

  12. Environmental accounting as a management tool in the Mediterranean context: the Spanish economy during the last 20 years.

    PubMed

    Lomas, Pedro L; Alvarez, Sergio; Rodríguez, Marta; Montes, Carlos

    2008-07-01

    Although human presence is one of the main characteristics of the Mediterranean identity since ancient times, a false dialectic between conservation and social-economic development has emerged in recent decades. On the one hand, an economic growth policy is taken as the paradigm of social-economic development; on the other hand, there is a multi-scale conservation policy, in which natural protected areas, as patches of preserved nature, are used as one of the main tools to deal with the challenge of sustainability. The Mediterranean Basin is the habitat of many unique species and one of the 25 main biodiversity hotspots in the world, and as a consequence a strong conservation policy has been used to protect environmental values. At the same time, Mediterranean countries are deeply involved in promoting strong economic growth policies, which are not always compatible with environmental ones. In this paper, Spain has been studied as one model of this situation. Due to political reasons, Spanish economic growth and conservationist policies were pursued together during the last 20 years. As a result, Spain owns one of the largest networks of natural protected areas in Western Europe, and at the same time it has experienced one of the strongest periods of economic growths in the European and Mediterranean context during the 1980s and 1990s. An historical series of resource use in five annual periods in the last 20 years of conservation policy, and the effects on the preservation of natural capital have been investigated by means of the eMergy (spelled with an 'm') synthesis approach, which was used to characterize the flow of environmental services supplied by ecosystems, but not in monetary terms. This study shows that Spain is becoming less self-sufficient and more inefficient in resource use, comprehensively measured in eMergy terms. A large part of Spain's economy depends on imported goods and services, and most economic activities are based on tourist services and

  13. Integrating the life course into MCH service delivery: from theory to practice.

    PubMed

    Brady, Carol; Johnson, Faye

    2014-02-01

    To describe the efforts of a community-based maternal and child health coalition to integrate the life course into its planning and programs, as well as implementation challenges and results of these activities. Jacksonville-Duval County has historically had infant mortality rates that are significantly higher than state and national rates, particularly among its African American population. In an effort to address this disparity, the Northeast Florida Healthy Start Coalition embraced the life course approach as a model. This model was adopted as a framework for (1) community needs assessment and planning; (2) delivery of direct services, including case management, education and support in the Magnolia Project, its federal Healthy Start program; (3) development of community collaborations, education and awareness; and, (4) advocacy and grass roots leadership development. Implementation experience as well as challenges in transforming traditional approaches to delivering maternal and child health services are described. Operationalizing the life course approach required the Coalition to think differently about risks, levels of intervention and the way services are organized and delivered. The organization set the stage by using the life course as a framework for its required local planning and needs assessments. Based on these assessments, the content of case management and other key services provided by our federal Healthy Start program was modified to address not only health behaviors but also underlying social determinants and community factors. Individual interventions were augmented with group activities to build interdependence among participants, increasing social capital. More meaningful inter-agency collaboration that moved beyond the usual referral relationships were developed to better address participants' needs. And finally, strategies to cultivate participant advocacy and community leadership skills, were implemented to promote social change at the

  14. Reports of child sexual abuse of boys and girls: Longitudinal trends over a 20-year period in Victoria, Australia.

    PubMed

    Mathews, Ben; Bromfield, Leah; Walsh, Kerryann; Cheng, Qinglu; Norman, Rosana E

    2017-02-17

    Although prevalence studies show girls are more frequently sexually abused than boys, a significant proportion of boys also experience child sexual abuse (CSA). The challenges for public policy are amplified for boys due to less developed public and professional sensitisation to boys' experiences, conceptions of masculinity, and less research on boys including into reporting trends and outcomes. We conducted a 20-year longitudinal time-trend analysis of government data to identify reporting trends and report outcomes for CSA in Victoria, Australia from 1993 to 2012. We stratified by child gender and reporter status. Results indicate a new sensitisation to CSA, especially for boys, although this trend was not stable. Marked change occurred in the last five years, likely influenced by major social and political events. Comparison over time revealed that from 1993 to 2012, the rate of reporting of boys increased 2.6-fold whereas there was a 1.5-fold increase for girls. Comparing genders, with regards to rate of reporting, in 1993, the sex ratio of girls to boys was 2:1, while by 2012 this ratio changed to 1.14:1. Reports by police and other mandated reporters accounted for the majority of the increase in reports over the 20-year period, suggesting unequal sensitisation. Positive report outcomes (i.e. substantiations, findings of harm, and referral to services) increased twelve-fold for boys, and nearly five-fold for girls, indicating the increased levels of reports were based in actual clinical need. Most of this increase occurred from 2009 to 2012, influenced by a compound of social, political and agency-related factors.

  15. Testing of Minuteman launch facility flooded lead acid batteries for service life projection

    SciTech Connect

    Oley, F.; Ang, V. |

    1996-11-01

    Capacity performance tests were completed on 47 flooded lead-calcium batteries ranging from 5- to 23-years-old. These batteries had been maintained in the Minuteman missile silos on float charge over the majority of their life to provide emergency or secondary power. Capacity results showed no capacity degradation in the oldest batteries and cell dissections revealed only minor deterioration of the lead calcium grids. However, an increase in the cell float voltage range was observed in the 23-year-old batteries. Although signs of deterioration have begun, the solid capacity results indicate additional service life is still available. Additional data is also presented from on-going cycle tests being performed on a 5- and 21-year-old battery which supports the performance capability remaining in these aged batteries.

  16. LASERS AND AMPLIFIERS: Service life of dye-impregnated polymer active laser elements at various energy densities and pump powers

    NASA Astrophysics Data System (ADS)

    Denisov, L. K.; Kytina, I. G.; Kytin, V. G.; Tsogoeva, S. A.; Saprykin, L. G.; Konstantinov, B. A.

    1997-02-01

    The dependence of the rate of photodecomposition of the dye rhodamine 6G in polymer active elements on the average pump intensity was studied. The service life of such active elements pumped transversely with low-intensity (less than 1MW cm-2) pump pulses was also investigated. When the average intensity was reduced below a certain value, the dye photodecomposition rate decreased significantly and the service life of the active elements rose strongly.

  17. Accounting for ecosystem services in Life Cycle Assessment, Part II: toward an ecologically based LCA.

    PubMed

    Zhang, Yi; Baral, Anil; Bakshi, Bhavik R

    2010-04-01

    Despite the essential role of ecosystem goods and services in sustaining all human activities, they are often ignored in engineering decision making, even in methods that are meant to encourage sustainability. For example, conventional Life Cycle Assessment focuses on the impact of emissions and consumption of some resources. While aggregation and interpretation methods are quite advanced for emissions, similar methods for resources have been lagging, and most ignore the role of nature. Such oversight may even result in perverse decisions that encourage reliance on deteriorating ecosystem services. This article presents a step toward including the direct and indirect role of ecosystems in LCA, and a hierarchical scheme to interpret their contribution. The resulting Ecologically Based LCA (Eco-LCA) includes a large number of provisioning, regulating, and supporting ecosystem services as inputs to a life cycle model at the process or economy scale. These resources are represented in diverse physical units and may be compared via their mass, fuel value, industrial cumulative exergy consumption, or ecological cumulative exergy consumption or by normalization with total consumption of each resource or their availability. Such results at a fine scale provide insight about relative resource use and the risk and vulnerability to the loss of specific resources. Aggregate indicators are also defined to obtain indices such as renewability, efficiency, and return on investment. An Eco-LCA model of the 1997 economy is developed and made available via the web (www.resilience.osu.edu/ecolca). An illustrative example comparing paper and plastic cups provides insight into the features of the proposed approach. The need for further work in bridging the gap between knowledge about ecosystem services and their direct and indirect role in supporting human activities is discussed as an important area for future work.

  18. Exclusive Alternating Chemotherapy and Radiotherapy in Nonmetastatic Inflammatory Breast Cancer: 20 Years of Follow-Up

    SciTech Connect

    Bourgier, Celine; Pessoa, Eduardo Lima; Dunant, Ariane; Heymann, Steve; Spielmann, Marc; Uzan, Catherine; Mathieu, Marie-Christine; Arriagada, Rodrigo; Marsiglia, Hugo

    2012-02-01

    Background: Locoregional treatment of inflammatory breast cancer (IBC) is crucial because local relapses may be highly symptomatic and are commonly associated with distant metastasis. With a median follow-up of 20 years, we report here the long-term results of a monocentric clinical trial combining primary chemotherapy (CT) with a schedule of anthracycline-based CT and an alternating split-course of radiotherapy (RT Asterisk-Operator CT) without mastectomy. Methods and Materials: From September 1983 to December 1989, 124 women with nonmetastatic IBC (T4d M0) were treated with three cycles of primary AVCMF chemotherapy (anthracycline, vincristine, cyclophosphamide, methotrexate, and 5-fluorouracil) and then an alternating RT Asterisk-Operator CT schedule followed by three cycles of FAC. Hormonal therapy was systematically administered: ovarian irradiation (12 Gy in four fractions) or tamoxifen 20 mg daily. Results: Local control was achieved in 82% of patients. The 10- and 20-year local relapse rates were 26% and 33%, respectively, but only 10% of locally controlled cases were not associated with concurrent distant metastasis. The 10- and 20-year overall survival rates were 39% and 19%, respectively. Severe fibrosis occurred in 54% of patients, grade 3 brachial plexus neuropathy in 4%, grade 2 pneumonitis in 9%. Grade 1, 2 and 3 cardiac toxicity was observed in 3.8%, 3.8% and 1.2% of cases respectively. Conclusions: This combined regimen allowed good long-term local control without surgery. Survival rates were similar to those obtained with conventional regimens (primary chemotherapy, total mastectomy, and adjuvant radiotherapy). Since IBC continues to be an entity with a dismal prognosis, this approach, safely combining preoperative or postoperative radiation therapy and systemic treatments, should be reassessed when suitable targeted agents are available.

  19. Petermann Glacier, North Greenland: Large Ice-Discharge Episodes from 20 Years of Satellite Observations

    NASA Astrophysics Data System (ADS)

    Babiker, M.; Johannessen, O. M.; Miles, M. W.; Miles, V. V.

    2009-12-01

    The major marine-terminating outlet glaciers of Greenland can undergo large mass losses through calving of icebergs and bottom melting from floating ice tongues. Recent observations of outlet glaiers around Greenland have shown that large and rapid changes in solid-ice fluxes are possible. The Petermann glacier in remote northern Greenland is the region’s largest floating-tongue glacier (~70 km by 10 km). In summer 2008 a large calving event was observed, as well as large cracks upstream of the remaining calving front, portending a more massive near-term loss. These observations may herald extraordinary and unprecedented change. However, the long-term variability of calving events and ice velocities are poorly known. Our research goal here is to identify the temporal variability and possible trends in solid-ice flux indicators - variability of the calving front and ice velocity - for Petermann glacier. The methodological approach is observational, based primarily on analysis of 20 years of repetitive satellite data over a period starting from 1990, together with sporadic earlier observations. The multisensor data range from high-resolution optical images from Landsat, SPOT and Terra ASTER and high-resolution synthetic aperture radar (SAR) images from ERS and ENVISAT. These disparate data have been imported, geo-registered and analysed within a Geographic Information System. The following measurements are made: (1) delineating changes in the calving front, (2) estimating the area of glacial ice loss during calving events, and (3) estimating the ice-surface velocity using sequential satellite images. We find evidence of a number of previous calving episodes of similar magnitude to the summer 2008. The ice-velocity estimates compare well with other estimates for particular years, and moreover are relatively consistent during the 20-year period. These findings suggest business-as-usual for Petermann glacier; however, a near-term calving event exceeding those observed

  20. Dyscirculatory encephalopathy in Chernobyl disaster clean-up workers (a 20-year study).

    PubMed

    Podsonnaya, I V; Shumakher, G I; Golovin, V A

    2010-05-01

    Results obtained over 20-years of following 536 Chernobyl clean-up workers and 436 control subjects are presented. Dyscirculatory encephalopathy developed more frequently in persons exposed to radiation at age 30 years. As compared with the control group, workers were characterized by early onset of disease, faster progression, stable symptomatology for 5-6 years, and further progression of disease in the form of autonomic dysfunction, psycho-organic syndrome, and epilepsy. Major strokes were also more common in clean-up workers.

  1. A 20-Year Study of Undergraduate Astronomy Students' Beliefs and Knowledge in Science and Technology

    NASA Astrophysics Data System (ADS)

    Buxner, S. R.; Antonellis, J.; Impey, C. D.

    2011-09-01

    This poster presents data from a 20-year study into the science literacy of undergraduates enrolled in introductory astronomy courses. Responses from almost 10,000 undergraduate students from 1989 to 2009 have been analyzed. We present students' responses to both science literacy and belief questions by year and demographic variables, as well as trends in open-ended responses. Analysis revealed that demographic variables accounted for only 7% of the variance in students' science literacy scores. The strongest predictor of a student's overall science literacy score was how many science courses they had completed, yet this only accounted for 4% of the variance, as did students' beliefs regarding science and technology issues.

  2. Primary Hyperparathyroidism with Extensive Brown Tumors and Multiple Fractures in a 20-Year-Old Woman

    PubMed Central

    Choi, Ju Hee; Kim, Kyoung Jin; Lee, Ye Jin; Kim, Sun Hwa; Kim, Sin Gon; Jung, Kwang Yoon; Choi, Dong Seop

    2015-01-01

    A brown tumor is a benign fibrotic, erosive bony lesion caused by localized, rapid osteoclastic turnover, resulting from hyperparathyroidism. Although brown tumors are one of the most pathognomonic signs of primary hyperparathyroidism, they are rarely seen in clinical practice. In this report, we present a case of 20-year-old woman with recurrent fractures and bone pain. Plain digital radiographs of the affected bones revealed multiple erosive bone tumors, which were finally diagnosed as brown tumors associated with primary hyperparathyroidism due to a parathyroid adenoma. This case shows that multiple, and clinically severe form of brown tumors can even occur in young patients. PMID:26354493

  3. Kawasaki Disease in India, Lessons Learnt Over the Last 20 Years.

    PubMed

    Singh, Surjit; Kawasaki, Tomisaku

    2016-02-01

    Over the last 20 years, Kawasaki disease is being increasingly recognized in India and it may soon replace acute rheumatic fever to become the commonest cause of acquired heart disease amongst children. However, the vast majority of children with Kawasaki disease in India are still not being diagnosed. Diagnosis of Kawasaki disease is based on a constellation of clinical findings which have a typical temporal sequence. All pediatricians must we familiar with the nuances involved in arriving at a diagnosis of Kawasaki disease. With early diagnosis and prompt treatment, the risk of coronary artery abnormalities can be significantly reduced.

  4. History of Division 29, 1993-2013: another 20 years of psychotherapy.

    PubMed

    Williams, Elizabeth Nutt; Barnett, Jeffrey E; Canter, Mathilda B

    2013-03-01

    The history of Division 29 (Psychotherapy) of the American Psychological Association (APA) from 1993 to 2013 is reviewed. The 20 years of history can be traced via the Division's primary publications (the journal Psychotherapy and its newsletter Psychotherapy Bulletin) as well as the history of those who have served leadership roles in the Division and have won Divisional awards. Several recurring themes emerge related to the Division's articulations of its own identity, the Division's advocacy efforts vis-à-vis the profession and the APA, and the work of the Division on behalf of major social issues (such as disaster relief and the nation's health care).

  5. Life-Course Timing and Sequencing of Marriage and Military Service and Their Effects on Marital Stability.

    ERIC Educational Resources Information Center

    Call, Vaughn R. A.; Teachman, Jay D.

    1996-01-01

    Examines the life-course sequencing hypothesis that marriage before military service has a greater disruptive effect on marital stability than marriage during or after military service. Used event-history data from a 13-year panel study of 2,857 white males from Washington State high schools in 1966. Compares Vietnam combat veterans (n=610),…

  6. End-of-Life Decision Making for Nursing Home Residents with Dementia: A Survey of Nursing Home Social Services Staff

    ERIC Educational Resources Information Center

    Lacey, Debra

    2006-01-01

    The purpose of this survey was to describe nursing home social services staff roles and perceptions related to end-of-life medical decision making for nursing home residents in endstage dementia. Using a self-designed questionnaire, 138 nursing home social services staff from across New York State answered questions about advance directives,…

  7. Quality of Life: Domains for Understanding Maths Anxiety in First Year Pre-Service Teachers through Identity Work

    ERIC Educational Resources Information Center

    Wilson, Sue

    2016-01-01

    Mathematics anxiety in primary pre-service teachers' affects their future teaching of mathematics and achievement of students. Data collected via Critical Incident Technique were used to investigate this anxiety as perceived and identified by first year pre-service teachers. This paper proposes the application of the Quality of Life conceptual…

  8. Leveraging Available Data to Support Extension of Transportation Packages Service Life

    SciTech Connect

    Dunn, K.; Abramczyk, G.; Bellamy, S.; Daugherty, W.; Hackney, B.; Hoffman, E.; Skidmore, E.; Stefek, T.

    2012-06-12

    Data obtained from testing shipping package materials have been leveraged to support extending the service life of select shipping packages while in nuclear materials transportation. Increasingly, nuclear material inventories are being transferred to an interim storage location where they will reside for extended periods of time. Use of a shipping package to store nuclear materials in an interim storage location has become more attractive for a variety of reasons. Shipping packages are robust and have a qualified pedigree for their performance in normal operation and accident conditions within the approved shipment period and storing nuclear material within a shipping package results in reduced operations for the storage facility. However, the shipping package materials of construction must maintain a level of integrity as specified by the safety basis of the storage facility through the duration of the storage period, which is typically well beyond the one year transportation window. Test programs have been established to obtain aging data on materials of construction that are the most sensitive/susceptible to aging in certain shipping package designs. The collective data are being used to support extending the service life of shipping packages in both transportation and storage.

  9. Early excision and grafting of face and neck burns in patients over 20 years.

    PubMed

    Cole, Jana K; Engrav, Loren H; Heimbach, David M; Gibran, Nicole S; Costa, Beth A; Nakamura, Dana Y; Moore, Merilyn L; Blayney, Carolyn B; Hoover, Carolyn L

    2002-04-01

    Although excision and grafting of burns has become common and standard, many surgeons have been reluctant to excise and graft face burns. In fact, we could find photographic results at 1 year after grafting of only eight patients in the English literature. We began excision and grafting of face burns in 1979 and presented our first 16 patients in 1986 in this journal. With encouragement from Janzekovic and Jackson, we continued and have now used essentially the same procedure for more than 20 years in approximately 100 patients and, from this large series, are able to present outcomes. From January of 1979 to May of 1999, we performed excision and grafting on 91 patients with deep face burns. Data were recorded and 35-mm photographs were obtained throughout the 20-year period. We reviewed that database and the slide files of these patients. We found 45 patients with complete photographic sets including 1-year follow-up. Since, in our opinion, there is no useful, objective measure of appearance, we decided to simply publish all 45 sets of complete photographs, permitting the reader to subjectively form an opinion of the outcome of this procedure. The results are all shown as "full" face burns and two "partial" face burns. We continue to believe that early excision and grafting is indicated for face burns that will not heal within 3 weeks and that the procedure yields results that permit the burn victims to return to society and minimizes the time off work or out of school.

  10. A 20-year data set of surface longwave fluxes in the Arctic

    SciTech Connect

    Jennifer Francis

    2004-06-15

    Creation of 20-year data set of surface infrared fluxes from satellite measurements. A reliable estimate of the surface downwelling longwave radiation flux (DLF) is a glaring void in available forcing data sets for models of Arctic sea ice and ocean circulation. We have developed a new method to estimate the DLF from a combination of satellite sounder retrievals and brightness temperatures from the TIROS Operational Vertical Sounder (TOVS), which has flown on NOAA polar-orbiting satellites continuously since late 1979. The overarching goal of this project was to generate a 20-year data set of surface downwelling longwave flux measurements from TOVS data over the Arctic Ocean. Daily gridded fields of DLF were produced with a spatial resolution of (100 km){sup 2} north of 60{sup o}N for 22.5 years rather than only 20. Surface measurements from the field station at Barrow, AK--part of the Atmospheric Radiation Measurement (ARM) Program --and from the Surface Heat Budget of the Arctic (SHEBA) were used to validate the satellite-derived fluxes and develop algorithm improvements for conditions that had resulted in systematic errors in early versions of the algorithm. The resulting data set has already been sent to two other investigators for incorporation into their research, and we will soon complete preparations to send the products to the National Snow and Ice Data Center and ARM data archive, where it can be disseminated to the scientific community.

  11. A Report to the People. 20 Years of Your National Commitment to Public Broadcasting, 1967-1987. 1986 Annual Report.

    ERIC Educational Resources Information Center

    Corporation for Public Broadcasting, Washington, DC.

    This annual report for the Corporation for Public Broadcasting (CPB) for fiscal year 1986 also summarizes the CPB's activities over the last 20 years. The front inside cover folds out to three pages and provides a chronology of the important events in CPB history from its inception in 1967 to 1987. A narrative report on the CPB's 20 years of…

  12. Prediction of the 20-year incidence of diabetes in older Chinese

    PubMed Central

    Liu, Xiangtong; Fine, Jason Peter; Chen, Zhenghong; Liu, Long; Li, Xia; Wang, Anxin; Guo, Jin; Tao, Lixin; Mahara, Gehendra; Tang, Zhe; Guo, Xiuhua

    2016-01-01

    Abstract The competing risk method has become more acceptable for time-to-event data analysis because of its advantage over the standard Cox model in accounting for competing events in the risk set. This study aimed to construct a prediction model for diabetes using a subdistribution hazards model. We prospectively followed 1857 community residents who were aged ≥ 55 years, free of diabetes at baseline examination from August 1992 to December 2012. Diabetes was defined as a self-reported history of diabetes diagnosis, taking antidiabetic medicine, or having fasting plasma glucose (FPG) ≥ 7.0 mmol/L. A questionnaire was used to measure diabetes risk factors, including dietary habits, lifestyle, psychological factors, cognitive function, and physical condition. Gray test and a subdistribution hazards model were used to construct a prediction algorithm for 20-year risk of diabetes. Receiver operating characteristic (ROC) curves, bootstrap cross-validated Wolber concordance index (C-index) statistics, and calibration plots were used to assess model performance. During the 20-year follow-up period, 144 cases were documented for diabetes incidence with a median follow-up of 10.9 years (interquartile range: 8.0–15.3 years). The cumulative incidence function of 20-year diabetes incidence was 11.60% after adjusting for the competing risk of nondiabetes death. Gray test showed that body mass index, FPG, self-rated heath status, and physical activity were associated with the cumulative incidence function of diabetes after adjusting for age. Finally, 5 standard risk factors (poor self-rated health status [subdistribution hazard ratio (SHR) = 1.73, P = 0.005], less physical activity [SHR = 1.39, P = 0.047], 55–65 years old [SHR = 4.37, P < 0.001], overweight [SHR = 2.15, P < 0.001] or obesity [SHR = 1.96, P = 0.003], and impaired fasting glucose [IFG] [SHR = 1.99, P < 0.001]) were significantly associated with incident

  13. Publication Trends in Acupuncture Research: A 20-Year Bibliometric Analysis Based on PubMed

    PubMed Central

    Dong, Ming; Zhou, Kehua; Mita, Carol; Liu, Jianping; Wayne, Peter M.

    2016-01-01

    Objective Acupuncture has become popular and widely practiced in many countries around the world. Despite the large amount of acupuncture-related literature that has been published, broader trends in the prevalence and scope of acupuncture research remain underexplored. The current study quantitatively analyzes trends in acupuncture research publications in the past 20 years. Methods A bibliometric approach was used to search PubMed for all acupuncture-related research articles including clinical and animal studies. Inclusion criteria were articles published between 1995 and 2014 with sufficient information for bibliometric analyses. Rates and patterns of acupuncture publication within the 20 year observational period were estimated, and compared with broader publication rates in biomedicine. Identified eligible publications were further analyzed with respect to study type/design, clinical condition addressed, country of origin, and journal impact factor. Results A total of 13,320 acupuncture-related publications were identified using our search strategy and eligibility criteria. Regression analyses indicated an exponential growth in publications over the past two decades, with a mean annual growth rate of 10.7%. This compares to a mean annual growth rate of 4.5% in biomedicine. A striking trend was an observed increase in the proportion of randomized clinical trials (RCTs), from 7.4% in 1995 to 20.3% in 2014, exceeding the 4.5% proportional growth of RCTs in biomedicine. Over the 20 year period, pain was consistently the most common focus of acupuncture research (37.9% of publications). Other top rankings with respect to medical focus were arthritis, neoplasms/cancer, pregnancy or labor, mood disorders, stroke, nausea/vomiting, sleep, and paralysis/palsy. Acupuncture research was conducted in 60 countries, with the top 3 contributors being China (47.4%), United States (17.5%), and United Kingdom (8.2%). Retrieved articles were published mostly in complementary and

  14. A Developmental Perspective on Alcohol and Youths 16 to 20 Years of Age

    PubMed Central

    Brown, Sandra A.; McGue, Matthew; Maggs, Jennifer; Schulenberg, John; Hingson, Ralph; Swartzwelder, Scott; Martin, Christopher; Chung, Tammy; Tapert, Susan F.; Sher, Kenneth; Winters, Ken C.; Lowman, Cherry; Murphy, Stacia

    2009-01-01

    Late adolescence (ie, 16-20 years of age) is a period characterized by escalation of drinking and alcohol use problems for many and by the onset of an alcohol use disorder for some. This heightened period of vulnerability is a joint consequence of the continuity of risk from earlier developmental stages and the unique neurologic, cognitive, and social changes that occur in late adolescence. We review the normative neurologic, cognitive, and social changes that typically occur in late adolescence, and we discuss the evidence for the impact of these transitions on individual drinking trajectories. We also describe evidence linking alcohol abuse in late adolescence with neurologic damage and social impairments, and we discuss whether these are the bases for the association of adolescent drinking with increased risks of mental health, substance abuse, and social problems in adulthood. Finally, we discuss both the challenges and successes in the treatment and prevention of adolescent drinking problems. PMID:18381495

  15. Age-associated losses of brain volume predict longitudinal cognitive declines over 8 to 20 years.

    PubMed

    Rabbitt, Patrick; Ibrahim, Said; Lunn, Mary; Scott, Marietta; Thacker, Neil; Hutchinson, Charles; Horan, Michael; Pendleton, Neil; Jackson, Alan

    2008-01-01

    Absolute differences in global brain volume predict differences in cognitive ability among healthy older adults. However, absolute differences confound lifelong differences in brain size with amounts of age-related shrinkage. Measurements of cerebrospinal fluid (CSF) volume were made to estimate age-related shrinkage in 93 healthy volunteers aged 63 to 86 years. Their current levels of brain shrinkage predicted their amounts of decline over the previous 8 to 20 years on repeated assessments during a longitudinal study on the Cattell "Culture Fair" Intelligence Test, on two tests of information processing speed, and marginally on the Wechsler Adult Intelligence Scale (D. Wechsler, 1981), but not on three memory tests. Loss of brain volume is an effective marker both for current cognitive status and for amounts and rates of previous age-related cognitive losses.

  16. Assessment of benthic changes during 20 years of monitoring the Mexican Salina Cruz Bay.

    PubMed

    González-Macías, C; Schifter, I; Lluch-Cota, D B; Méndez-Rodríguez, L; Hernández-Vázquez, S

    2009-02-01

    In this work a non-parametric multivariate analysis was used to assess the impact of metals and organic compounds in the macro infaunal component of the mollusks benthic community using surface sediment data from several monitoring programs collected over 20 years in Salina Cruz Bay, Mexico. The data for benthic mollusks community characteristics (richness, abundance and diversity) were linked to multivariate environmental patterns, using the Alternating Conditional Expectations method to correlate the biological measurements of the mollusk community with the physicochemical properties of water and sediments. Mollusks community variation is related to environmental characteristics as well as lead content. Surface deposit feeders are increasing their relative density, while subsurface deposit feeders are decreasing with respect to time, these last are expected to be more related with sediment and more affected then by its quality. However gastropods with predatory carnivore as well as chemosymbiotic deposit feeder bivalves have maintained their relative densities along time.

  17. Lingual access for third molar surgery: a 20-year retrospective audit.

    PubMed

    Moss, C E; Wake, M J

    1999-08-01

    We describe a technique for obtaining lingual access for the insertion of a wide metal retractor to protect the lingual nerve from accidental damage during third molar surgery. We also report an audit of a single practice over a 20-year period using the technique described. The approach involves raising soft tissues on the lingual side of the lower third molar tooth to allow insertion of a broad Hovell's lingual retractor. We conclude that raising lingual tissues to form a wide tension-free flap and inserting a specifically designed retractor does not increase the incidence of lingual nerve morbidity. Indeed, the overall incidence of lingual nerve damage was particularly low compared with those in other published series.

  18. How do animal territories form and change? Lessons from 20 years of mechanistic modelling

    PubMed Central

    Potts, Jonathan R.; Lewis, Mark A.

    2014-01-01

    Territory formation is ubiquitous throughout the animal kingdom. At the individual level, various behaviours attempt to exclude conspecifics from regions of space. At the population level, animals often segregate into distinct territorial areas. Consequently, it should be possible to derive territorial patterns from the underlying behavioural processes of animal movements and interactions. Such derivations are an important element in the development of an ecological theory that can predict the effects of changing conditions on territorial populations. Here, we review the approaches developed over the past 20 years or so, which go under the umbrella of ‘mechanistic territorial models’. We detail the two main strands to this research: partial differential equations and individual-based approaches, showing what each has offered to our understanding of territoriality and how they can be unified. We explain how they are related to other approaches to studying territories and home ranges, and point towards possible future directions. PMID:24741017

  19. Cuban Meningococcal BC Vaccine: Experiences & Contributions from 20 Years of Application.

    PubMed

    Sotolongo, Franklin; Campa, Concepción; Casanueva, Victoria; Fajardo, Esther María; Cuevas, Iván Edelberto; González, Noel

    2008-10-01

    This paper reviews 20 years of experience and scientific contributions of the Cuban meningococcal BC vaccine (VA-MENGOC-BC®) obtained by the Finlay Institute in Havana, Cuba. The vaccine is the first of its type in the world that is safe, effective, and commercially available for preventing meningococcal disease caused by serogroup B meningococcus; it is also effective against serogroup C. VA-MENGOC-BC® has shown satisfactory results, with no serious adverse events, after application of approximately 55 million doses in some 15 countries. Also included is background information on meningococcal disease, as well as the main characteristics of VA-MENGOC-BC®, the strategy used for controlling meningococcal disease and its prevention in Cuba, and a summary of the main scientific results obtained in basic research, development, clinical evaluation, and post-marketing results (safety, efficacy-effectiveness, post-vaccination adverse events, etc.) in Cuba and elsewhere.

  20. Cuban Meningococcal BC Vaccine: Experiences & Contributions from 20 Years of Application.

    PubMed

    Sotolongo, Franklin; Campa, Concepción; Casanueva, Victoria; Fajardo, Esther María; Cuevas, Iván Edelberto; González, Noel

    2007-10-01

    This paper reviews 20 years of experience and scientific contributions of the Cuban meningococcal BC vaccine (VA-MENGOC-BC®) obtained by the Finlay Institute in Havana, Cuba. The vaccine is the first of its type in the world that is safe, effective, and commercially available for preventing meningococcal disease caused by serogroup B meningococcus; it is also effective against serogroup C. VA-MENGOC-BC® has shown satisfactory results, with no serious adverse events, after application of approximately 55 million doses in some 15 countries. Also included is background information on meningococcal disease, as well as the main characteristics of VA-MENGOC-BC®, the strategy used for controlling meningococcal disease and its prevention in Cuba, and a summary of the main scientific results obtained in basic research, development, clinical evaluation, and post-marketing results (safety, efficacy-effectiveness, post-vaccination adverse events, etc.) in Cuba and elsewhere.

  1. [A glaucoma follow-up of 1500 persons over 20 years].

    PubMed

    Fitoussi, Y; Corbe, C; Hamard, H; Perdriel, G

    1988-01-01

    The parameters of glaucoma risk have been compiled and computer processed on 1,571 patients during 20 years at the C.P.E.M.P.N. (Medical Evaluation Center for the Aeronautic Staff) of Paris. The goal of this study is to follow in real time the évolution of these parameters and to determine their physiological variations across time in terms of age and professional categories. An average intra-ocular pressure of 15.1 mmHg as well as hypertonia and glaucoma percentages respectively of 3.88% and 0.6% have been recorded in this study. These results were below the results of other previous surveys due to the greater age range of our study the youngest being 15 years old. There was no significant difference among pilots and non pilots. The optic disc examination was not decisive for diagnostic screening.

  2. [20 years of a sex education clinic. Are family planning centers still needed?].

    PubMed

    Alfsen, G C; Hokstad, S

    1992-02-28

    The Sexual Information Clinic in Oslo was founded more than 20 years ago. The clinic is the largest family planning centre in Norway, treating 4,000-6,000 patients per year. In recent years the treatment of venereal diseases has become the major component of the daily work. The authors describe the different groups of patients who visit the clinic. The meanage of the patients is 21 years. The high number of legal abortions among younger women and the rising incidence of sexually transmitted diseases prove the continued existence of a need for family planning centres. The authors discuss the situation of family planning centres in Norway in general and stress the importance of their work. They argue that all venereal diseases should be treated free of charge.

  3. Echoes of Bedford: a 20-year social psychology memoir on participatory action research hatched behind bars.

    PubMed

    Fine, Michelle

    2013-11-01

    Responding to Martin Luther King Jr.'s 1968 address at the American Psychological Association calling for a psychology that would educate Whites about racial injustice, this article challenges the widening epistemological gap between those who suffer from inequality and those who conduct social policy research on inequality. In this 20-year memoir on the echoes of a single piece of participatory policy research, Changing Minds: The Impact of College in a Maximum-Security Prison (Fine et al., 2001), readers are invited to explore how deep critical participation by a collaborative team of university and prisoner researchers has facilitated theoretical and methodological complexity, enhanced contextual and construct validity, thickened commitments to ethics and action, and fueled the political sustainability and generalizability of the findings over time and space.

  4. Stability of the interstellar hydrogen inflow longitude from 20 years of SOHO/SWAN observations

    NASA Astrophysics Data System (ADS)

    Koutroumpa, D.; Quémerais, E.; Katushkina, O.; Lallement, R.; Bertaux, J.-L.; Schmidt, W.

    2017-01-01

    Aims: A recent debate on the decade-long stability of the interstellar He flow vector, and in particular the flow longitude, has prompted us to check for any variability in the interstellar H flow vector as observed by the SWAN instrument on board SOHO. Methods: We used a simple model-independent method to determine the interstellar H flow longitude, based on the parallax effects induced on the Lyman-α intensity measured by SWAN following the satellite motion around the Sun. Results: Our results show that the interstellar H flow vector longitude does not vary significantly from an average value of 252.9°± 1.4° throughout the 20-year span of the SWAN dataset, further strengthening the arguments for the stability of the interstellar gas flow.

  5. Unintended compositional changes in genetically modified (GM) crops: 20 years of research.

    PubMed

    Herman, Rod A; Price, William D

    2013-12-04

    The compositional equivalency between genetically modified (GM) crops and nontransgenic comparators has been a fundamental component of human health safety assessment for 20 years. During this time, a large amount of information has been amassed on the compositional changes that accompany both the transgenesis process and traditional breeding methods; additionally, the genetic mechanisms behind these changes have been elucidated. After two decades, scientists are encouraged to objectively assess this body of literature and determine if sufficient scientific uncertainty still exists to continue the general requirement for these studies to support the safety assessment of transgenic crops. It is concluded that suspect unintended compositional effects that could be caused by genetic modification have not materialized on the basis of this substantial literature. Hence, compositional equivalence studies uniquely required for GM crops may no longer be justified on the basis of scientific uncertainty.

  6. Factitious aortic dissection leading to thoracotomy in a 20-year-old man.

    PubMed

    Chambers, Elise; Yager, Joel; Apfeldorf, William; Camps-Romero, Eduardo

    2007-01-01

    A 20-year-old man presented to an emergency department with dramatic, sudden-onset, tearing chest pain. He also claimed to have been previously diagnosed with Ehler-Danlos syndrome and a previous Type I aortic dissection (intimal tear of ascending aorta), rapidly increasing his treating physician's suspicion of an emergent aortic dissection. The patient was quickly transferred to a large university hospital, where he underwent a median sternotomy and thoracotomy, with no aortic pathology found on operation and biopsy. After the patient's postoperative recovery, he was treated at a mental health facility, where he remained ambivalent about his psychiatric condition and did not respond well to treatment. This case report describes a unique case of factitious disorder that led to a serious operative intervention and subsequent psychiatric care and assesses factors that might have contributed to his hospital course.

  7. [Meeting Report: 20 years after the First International Symposium on hepatitis C virus and related viruses].

    PubMed

    Carnero, Elena; Díez, Juana; Fortes, Purificación; Gastaminza, Pablo; Majano, Pedro; Martínez, Miguel Angel; Pérez-del-Pulgar, Sofía; Quer, Josep; López-Labrador, F Xavier

    2013-12-01

    The hepatitis C virus (HCV) was discovered by the team of Michael Houghton at Chiron Corporation in 1989 and the first symposium on HCV and related viruses was held in Venice, Italy, shortly after, in 1992. This conference was organized to advance knowledge on what then was a mysterious virus responsible for most cases of «non-A, non-B» hepatitis. During the 20 years since the first conference, the scientific quality of presentations has steadily increased, together with the tremendous advances in basic and clinical research and epidemiology. What started as a small conference on a new virus, about which there were very few data, has today become a first-in-class congress: a meeting place for basic researchers, clinicians, epidemiologists, public health experts, and industry members to present the most important advances and their application to HCV treatment and control. The nineteenth HCV symposium was held in September 2012, once again in Venice.

  8. [Improvements in the diagnosis of dystrophinopathies: what have we learnt in these last 20 years?].

    PubMed

    López-Hernández, Luz B; Ayala-Madrigal, M Luz; van Heusden, Dave; Estrada-Mena, Francisco J; Canto, Patricia; Sandoval-Ramírez, Lucila; Gómez-Díaz, Benjamín; Coral-Vázquez, Ramón M

    2011-02-16

    INTRODUCTION. Dystrophinopathies are X-linked genetic disorders caused by mutations in the DMD gene. Genetic tests are of utmost importance for management and genetic counseling of these diseases. However, the complexity of the DMD gene is a challenge for diagnosis. AIM. To describe recent advances in the diagnosis of dystrophinopathies, after 20 years since the firsts molecular assays for genetic screening for these diseases. DEVELOPMENT. Currently, a variety of strategies such as automated mutation detection, cell-based methods and high throughput haplotyping have been developed to facilitate diagnosis of dystrophinopathies, carrier detection, prenatal and preimplantation diagnosis. CONCLUSION. New technologies have improved early detection and optimal management of dystrophinopathies and have established the basis for future molecular medicine. The most significant advances in dystrophinopathy diagnosis are reviewed herein.

  9. [Familial Mediterranean fever in Mexico City. A 20-year follow-up].

    PubMed

    Halabe-Cherem, José; Pérez-Jiménez, Carolina; Nellen-Hummel, Haiko; Mercado-Atri, Moisés; Sigala-Rodríguez, Carolina; Castañón-González, Jorge

    2004-01-01

    Familial Mediterranean fever (MFF) is an autosomic recessive, inherited inflammatory disease principally seen in persons from the Mediterranean area. Clinical findings include fever, abdominal pain, and pleuritis. The most severe complication of MFF is renal amyloidosis, manifested as nephrotic syndrome, which evolves into chronic renal failure. In this study, we described clinical findings, evolution, and response to treatment in 52 patients diagnosed with MFF living in Mexico City in whom the most important clinical features were fever and abdominal pain. Differing from previous reported series of patients from the Mediterranean area, patient developed renal amyloidosis during the 20-year follow-up, which suggests that an environmental factor might have a significant influence in development of renal amyloidosis.

  10. The New 20-Year Global Precipitation Climatology Project (GPCP) Merged Satellite and Rainguage Monthly Analysis

    NASA Technical Reports Server (NTRS)

    Adler, Robert; Huffman, George; Xie, Ping Ping; Rudolf, Bruno; Gruber, Arnold; Janowiak, John

    1999-01-01

    A new 20-year, monthly, globally complete precipitation analysis has been completed as part of the World Climate Research Program's (WCRP/GEWEX) Global Precipitation Climatology Project (GPCP). This Version 2 of the community generated data set is a result of combining the procedures and data sets as described. The global, monthly, 2.5x 2.5 degree latitude-longitude product utilizes precipitation estimates from low-orbit microwave sensors (SSM/1) and geosynchronous IR sensors and raingauge information over land. The low-orbit microwave estimates are used to adjust or correct the geosynchronous IR estimates, thereby maximizing the utility of the more physically-based microwave estimates and the finer time sampling of the geosynchronous observations. Information from raingauges is blended into the analyses over land. In the 1986-present period TOVS-based precipitation estimates are adjusted to GPCP fields and used in polar regions to produce globally-complete results. The extension back to 1979 utilizes the procedures of Xie and Arkin and their OLR Precipitation Index (OPI). The 20-year climatology of the Version 2 GPCP analysis indicates the expected features of a very strong Pacific Ocean ITCZ and SPCZ with maximum 20-year means approaching 10 mm/day. A similar strength maximum over land is evident over Borneo. Weaker maxima in the tropics occur in the Atlantic ITCZ and over South America and Africa. In mid-latitudes of the Northern Hemisphere the Western Pacific and Western Atlantic maxima have values of approximately 7 mm/day, while in the Southern Hemisphere the mid-latitude maxima are located southeast of Africa, in mid-Pacific as an extension of the SPCZ and southeast of South America. In terms of global totals the GPCP analysis shows 2.7 mm/day (3.0 mm/day over ocean; 2.1 mm/day over land), similar to the Jaeger climatology, but not other climatologies. Zonal averages peak at 6 mm/day at 7*N with mid-latitude peaks of about 3 mm/day at 40-45* latitude

  11. Role of 3-D ultrasound in clinical obstetric practice: evolution over 20 years.

    PubMed

    Tonni, Gabriele; Martins, Wellington P; Guimarães Filho, Hélio; Araujo Júnior, Edward

    2015-05-01

    The use of 3-D ultrasound in obstetrics has undergone dramatic development over the past 20 years. Since the first publications on this application in clinical practice, several 3-D ultrasound techniques and rendering modes have been proposed and applied to the study of fetal brain, face and cardiac anatomy. In addition, 3-D ultrasound has improved calculations of the volume of fetal organs and limbs and estimations of fetal birth weight. And furthermore, angiographic patterns of fetal organs and the placenta have been assessed using 3-D power Doppler ultrasound quantification. In this review, we aim to summarize current evidence on the clinical relevance of these methodologies and their application in obstetric practice.

  12. Complete response and long-term survival (>20 years) of a child with tectal glioma: a case report.

    PubMed

    Burzynski, Stanislaw R; Burzynski, Gregory S; Janicki, Tomasz J; Marszalek, Ania

    2015-01-01

    Tectal glioma is a midbrain tumor. The patient generally presents with symptoms related to increased intracranial pressure and requires treatment for hydrocephalus. No effective pharmacological treatments have yet been introduced. This report discusses a case of a 13-year-old male diagnosed with tectal glioma who obtained a complete response and long-term survival after the treatment with antineoplastons (ANP) in phase II trial. Prior treatment consisted of placement of a ventriculoperitoneal shunt. After 6 years of stabilization there had been an increase in tumor size with signs of malignant transformation. The patient received treatment with ANP A10 and AS2-1 infusions for 20 months, obtained a complete response, and was switched to maintenance with ANP capsules. All treatments were discontinued in December 2003. Adverse events according to CTCAE v3.0 included: hypernatremia (two events of grade 3, one event of grade 2, four events of grade 1), one case of fatigue (grade 2), and one allergic reaction (grade 1). Currently, over 20 years from his diagnosis and over 13 years from treatment start he is symptom-free and leads a normal life. This report indicates that it is possible to obtain long-term survival of a child with tectal glioma with currently available investigational treatment.

  13. Psychotic symptoms in young adults exposed to childhood trauma--a 20 year follow-up study.

    PubMed

    Galletly, Cherrie; Van Hooff, Miranda; McFarlane, Alexander

    2011-04-01

    Childhood adversity has been shown to increase the risk of psychotic symptoms in adult life. However, there are no previous studies looking at the association between experiencing a natural disaster during childhood and the development of psychotic symptoms in young adulthood. Eight hundred and six bushfire-exposed children and 725 control children were evaluated following the 1983 South Australian bushfires. Five hundred and twenty nine (65.6%) of the bushfire group and 464 (64%) controls participated in a follow up study 20 years later. Childhood data on emotional and behavioural disorders and dysfunctional parenting was available. The adult assessment included the Australian National Health and Well-Being psychosis screen and detailed information about trauma, childhood adversity and alcohol and cannabis abuse. 5.6% of subjects responded positively to the psychosis screen and 2.6% responded positively to a further probe question. Psychotic symptoms were more common in subjects exposed to a greater number of traumas, and were associated with higher rates of childhood adversity, emotional and behavioural disturbance, dysfunctional parenting, and alcohol and cannabis abuse. Subjects exposed to bushfires as children did not have a greater risk of psychosis. Our results indicate that exposure to multiple traumas, rather than a single major trauma, increases the risk of later psychosis.

  14. What is the best management strategy for a 20-year-old woman with premature ovarian failure?

    PubMed

    Davies, Melanie C; Cartwright, Beth

    2012-08-01

    The diagnosis of premature ovarian failure (POF) for a 20-year-old woman is devastating and will impact on many areas of her life. She deserves prompt confirmation of the diagnosis and accurate, honest information about the condition including the chances of conception and long-term health issues. She should be offered investigation of aetiology, although this may be hard to establish, and assessment of associated medical conditions. Oestrogen replacement should be advised for long-term use until the normal age of menopause, and she should be fully counselled on the benefits and risks of hormone replacement and her options of which preparation to take. Long-term follow-up is needed, and this is likely to require multidisciplinary input, including that from a gynaecologist, clinical psychologist and fertility team. POF may not be the appropriate terminology for this condition. Ovarian function often fluctuates in young women with POF, who may continue to menstruate occasionally and even conceive spontaneously. In view of this unpredictability, 'premature ovarian insufficiency' is a better description of the condition and carries a less negative connotation than 'ovarian failure' which can cause great distress. We recommend that the condition is termed 'premature ovarian insufficiency' (Clinical Endocrinology 2008;68:499).

  15. Cardiac Magnetic Resonance Imaging Findings in 20-year Survivors of Mediastinal Radiotherapy for Hodgkin's Disease

    SciTech Connect

    Machann, Wolfram; Beer, Meinrad; Breunig, Margret; Stoerk, Stefan; Angermann, Christiane; Seufert, Ines; Schwab, Franz; Koelbl, Oliver; Flentje, Michael; Vordermark, Dirk

    2011-03-15

    Purpose: The recognition of the true prevalence of cardiac toxicity after mediastinal radiotherapy requires very long follow-up and a precise diagnostic procedure. Cardiac magnetic resonance imaging (MRI) permits excellent quantification of cardiac function and identification of localized myocardial defects and has now been applied to a group of 20-year Hodgkin's disease survivors. Methods and materials: Of 143 patients treated with anterior mediastinal radiotherapy (cobalt-60, median prescribed dose 40 Gy) for Hodgkin's disease between 1978 and 1985, all 53 survivors were invited for cardiac MRI. Of those, 36 patients (68%) presented for MRI, and in 31 patients (58%) MRI could be performed 20-28 years (median, 24) after radiotherapy. The following sequences were acquired on a 1.5-T MRI: transversal T1-weighted TSE and T2-weighted half-fourier acquisition single-shot turbo-spin-echo sequences, a steady-state free precession (SSFP) cine sequence in the short heart axis and in the four-chamber view, SSFP perfusion sequences under rest and adenosine stress, and a SSFP inversion recovery sequence for late enhancement. The MRI findings were correlated with previously reconstructed doses to cardiac structures. Results: Clinical characteristics and reconstructed doses were not significantly different between survivors undergoing and not undergoing MRI. Pathologic findings were reduced left ventricular function (ejection fraction <55%) in 7 (23%) patients, hemodynamically relevant valvular dysfunction in 13 (42%), late myocardial enhancement in 9 (29%), and any perfusion deficit in 21 (68%). An association of regional pathologic changes and reconstructed dose to cardiac structures could not be established. Conclusions: In 20-year survivors of Hodgkin's disease, cardiac MRI detects pathologic findings in approximately 70% of patients. Cardiac MRI has a potential role in cardiac imaging of Hodgkin's disease patients after mediastinal radiotherapy.

  16. Characteristics of dissolved organic matter following 20years of peatland restoration.

    PubMed

    Höll, Bettina S; Fiedler, Sabine; Jungkunst, Hermann F; Kalbitz, Karsten; Freibauer, Annette; Drösler, Matthias; Stahr, Karl

    2009-12-15

    The changes in the amounts and composition of dissolved organic matter (DOM) following long-term peat restoration are unknown, although this fraction of soil organic matter affects many processes in such ecosystems. We addressed this lack of knowledge by investigating a peatland in south-west Germany that was partly rewetted 20 years ago. A successfully restored site and a moderately drained site were compared, where the mean groundwater levels were close to the soil surface and around 30 cm below surface, respectively. The concentrations of dissolved organic carbon (DOC) at 4 depths were measured over one year. The specific absorbance was measured at 280 nm and the fluorescence spectra were used to describe the aromaticity and complexity of DOM. The investigations showed that 20 years of peatland restoration was able to create typical peatland conditions. The rewetted site had significantly lower DOC concentrations at different depths compared to the drained site. The specific UV absorbance showed that the rewetted site had a lower level of aromatic DOM structures. The decreasing specific UV absorbance might indicate an increasing contribution of small organic molecules to DOM. It was hypothesized that the decreasing DOC concentrations and the relative enrichment of small, readily degradable organic molecules, reflect the slower decomposition of organic matter after the re-establishment of the water table. Seasonal trends provided substantial evidence for our hypothesis that reduced DOC concentrations were caused by reduced peat decomposition. During summer, the elevated DOC values were accompanied by an increase in DOM aromaticity and complexity. Our results demonstrated a close link between C mineralization and DOC production. We concluded that long-term peatland restoration in the form of the successful re-establishment of the water table might result in reduced peat decomposition and lower DOC concentrations. The restoration of peatlands seems to have a

  17. Changes in plant species composition of coastal dune habitats over a 20-year period

    PubMed Central

    Del Vecchio, Silvia; Prisco, Irene; Acosta, Alicia T. R.; Stanisci, Angela

    2015-01-01

    Coastal sandy ecosystems are increasingly being threatened by human pressure, causing loss of biodiversity, habitat degradation and landscape modifications. However, there are still very few detailed studies focussing on compositional changes in coastal dune plant communities over time. In this work, we investigated how coastal dune European Union (EU) habitats (from pioneer annual beach communities to Mediterranean scrubs on the landward fixed dunes) have changed during the last 20 years. Using phytosociological relevés conducted in 1989–90 and in 2010–12, we investigated changes in floristic composition over time. We then compared plant cover and the proportion of ruderal, alien and habitat diagnostic species (‘focal species’) in the two periods. Finally, we used Ellenberg indicator values to define the ‘preferences’ of the plant species for temperature and moisture. We found that only fore dune habitats showed significant differences in species cover between the two time periods, with higher plant cover in the more recent relevés and a significant increase in thermophilic species. Although previous studies have demonstrated consistent habitat loss in this area, we observed that all coastal dune plant communities remain well represented, after a 20-year period. However, fore dunes have been experiencing significant compositional changes. Although we cannot confirm whether the observed changes are strictly related to climatic changes, to human pressure or to both, we hypothesize that a moderate increment in average yearly temperature may have promoted the increase in plant cover and the spread of thermophilic species. Thus, even though human activities are major driving forces of change in coastal dune vegetation, at the community scale climatic factors may also play important roles. Our study draws on re-visitation studies which appear to constitute a powerful tool for the assessment of the conservation status of EU habitats. PMID:25750408

  18. Anterior cruciate ligament injury after more than 20 years: I. Physical activity level and knee function.

    PubMed

    Tengman, E; Brax Olofsson, L; Nilsson, K G; Tegner, Y; Lundgren, L; Häger, C K

    2014-12-01

    Little is known about physical activity level and knee function including jump capacity and fear of movement/reinjury more than 20 years after injury of the anterior cruciate ligament (ACL). Seventy persons with unilateral ACL injury participated (23 ± 2 years post-injury): 33 treated with physiotherapy in combination with surgical reconstruction (ACLR ), and 37 treated with physiotherapy alone (ACLPT ). These were compared with 33 age- and gender-matched controls. Assessment included knee-specific and general physical activity level [Tegner activity scale, International Physical Activity Questionnaire (IPAQ)], knee function [Lysholm score, Knee injury and Osteoarthritis Outcome Score (KOOS)], jump capacity (one-leg hop, vertical jump, side hops), and fear of movement/reinjury [Tampa Scale for Kinesiophobia (TSK)]. Outcomes were related to degree of osteoarthritis (OA). ACL-injured had lower Lysholm, KOOS, and Tegner scores than controls (P < 0.001), while IPAQ score was similar. ACL-injured demonstrated inferior jump capacity in injured compared with noninjured leg (6-25%, P < 0.001-P = 0.010 in the different jumps), while noninjured leg had equal jump capacity as controls. ACL groups scored 33 ± 7 and 32 ± 7 of 68 on TSK. Lower scores on Lysholm and KOOS symptom were seen for persons with moderate-to-high OA than for no-or-low OA, while there were no differences for physical activity and jump capacity. Regardless of treatment, there are still negative knee-related effects of ACL injury more than 20 years later.

  19. Temporal and Spatial Trends of Mercury Speciation in the Mediterranean Sea - 20 years of measurements

    NASA Astrophysics Data System (ADS)

    Horvat, M.; Kotnik, J.; Fajon, V.; Zivkovic, I.; Begu, E.; Pirrone, N.; Sprovieri, F.

    2015-12-01

    Despite the geological mercury anomaly in the Mediterranean Basin, the concentrations of Hg Hg and its compounds are generally lower than those found in the Atlantic and Pacific waters. Temporal and spatial trends of total mercury and its species in surface and deep waters (dissolved gaseous mercury - DGM, mono and di-methylmercuy - MMHg, and DMHg) obtained during last 20 years will be presented. Total mercury Hg levels in open waters are generally very low (0.81-2.33 pM, av. 1.46 pM) and remain constant over the years. Hg speciation data showed that DGM accounts for up to 50% while MMHg accounted to up to 15% of total Hg in water. Significant spatial and temporal differences were observed for mercury speciation. The relatively high concentrations and fractions of DGM and MMHg indicate the high reactivity of Hg in open marine waters. DGM was present in surface waters mainly as Hg0 as no DMHg was detected at the surface, while towards the bottom a noticeable, but relatively small fraction of DMHg was present. It was found that DGM species were lower in surface with an increasing trend towards the bottom, especially in the tectonically active areas, indicating its geotectonic origin. In surface waters, DGM exhibited higher values in summer. MMHg profiles are mostly related to Chl-a and oxygen concentrations. This underlines the role of planktonic production and regeneration in methylation/ demethylation processes. The low MMHg concentrations found in shelf edge or coastal sediments and water over sediment indicate that coastal or shelf sediments are not a significant MMHg source for adjacent open sea waters. Anthropogenic and natural point sources show local enrichments, while natural diffusive sources influence Hg speciation over larger areas. The results allowed estimation of temporal mass balances to be evaluated for the Mediterranean Sea. Comparability of the measured results was secured by strict quality control measures over the 20 years.

  20. Pharmacogenetics research on chemotherapy resistance in colorectal cancer over the last 20 years.

    PubMed

    Panczyk, Mariusz

    2014-08-07

    During the past two decades the first sequencing of the human genome was performed showing its high degree of inter-individual differentiation, as a result of large international research projects (Human Genome Project, the 1000 Genomes Project International HapMap Project, and Programs for Genomic Applications NHLBI-PGA). This period was also a time of intensive development of molecular biology techniques and enormous knowledge growth in the biology of cancer. For clinical use in the treatment of patients with colorectal cancer (CRC), in addition to fluoropyrimidines, another two new cytostatic drugs were allowed: irinotecan and oxaliplatin. Intensive research into new treatment regimens and a new generation of drugs used in targeted therapy has also been conducted. The last 20 years was a time of numerous in vitro and in vivo studies on the molecular basis of drug resistance. One of the most important factors limiting the effectiveness of chemotherapy is the primary and secondary resistance of cancer cells. Understanding the genetic factors and mechanisms that contribute to the lack of or low sensitivity of tumour tissue to cytostatics is a key element in the currently developing trend of personalized medicine. Scientists hope to increase the percentage of positive treatment response in CRC patients due to practical applications of pharmacogenetics/pharmacogenomics. Over the past 20 years the clinical usability of different predictive markers has been tested among which only a few have been confirmed to have high application potential. This review is a synthetic presentation of drug resistance in the context of CRC patient chemotherapy. The multifactorial nature and volume of the issues involved do not allow the author to present a comprehensive study on this subject in one review.

  1. Changes in plant species composition of coastal dune habitats over a 20-year period.

    PubMed

    Del Vecchio, Silvia; Prisco, Irene; Acosta, Alicia T R; Stanisci, Angela

    2015-03-05

    Coastal sandy ecosystems are increasingly being threatened by human pressure, causing loss of biodiversity, habitat degradation and landscape modifications. However, there are still very few detailed studies focussing on compositional changes in coastal dune plant communities over time. In this work, we investigated how coastal dune European Union (EU) habitats (from pioneer annual beach communities to Mediterranean scrubs on the landward fixed dunes) have changed during the last 20 years. Using phytosociological relevés conducted in 1989-90 and in 2010-12, we investigated changes in floristic composition over time. We then compared plant cover and the proportion of ruderal, alien and habitat diagnostic species ('focal species') in the two periods. Finally, we used Ellenberg indicator values to define the 'preferences' of the plant species for temperature and moisture. We found that only fore dune habitats showed significant differences in species cover between the two time periods, with higher plant cover in the more recent relevés and a significant increase in thermophilic species. Although previous studies have demonstrated consistent habitat loss in this area, we observed that all coastal dune plant communities remain well represented, after a 20-year period. However, fore dunes have been experiencing significant compositional changes. Although we cannot confirm whether the observed changes are strictly related to climatic changes, to human pressure or to both, we hypothesize that a moderate increment in average yearly temperature may have promoted the increase in plant cover and the spread of thermophilic species. Thus, even though human activities are major driving forces of change in coastal dune vegetation, at the community scale climatic factors may also play important roles. Our study draws on re-visitation studies which appear to constitute a powerful tool for the assessment of the conservation status of EU habitats.

  2. Pharmacogenetics research on chemotherapy resistance in colorectal cancer over the last 20 years

    PubMed Central

    Panczyk, Mariusz

    2014-01-01

    During the past two decades the first sequencing of the human genome was performed showing its high degree of inter-individual differentiation, as a result of large international research projects (Human Genome Project, the 1000 Genomes Project International HapMap Project, and Programs for Genomic Applications NHLBI-PGA). This period was also a time of intensive development of molecular biology techniques and enormous knowledge growth in the biology of cancer. For clinical use in the treatment of patients with colorectal cancer (CRC), in addition to fluoropyrimidines, another two new cytostatic drugs were allowed: irinotecan and oxaliplatin. Intensive research into new treatment regimens and a new generation of drugs used in targeted therapy has also been conducted. The last 20 years was a time of numerous in vitro and in vivo studies on the molecular basis of drug resistance. One of the most important factors limiting the effectiveness of chemotherapy is the primary and secondary resistance of cancer cells. Understanding the genetic factors and mechanisms that contribute to the lack of or low sensitivity of tumour tissue to cytostatics is a key element in the currently developing trend of personalized medicine. Scientists hope to increase the percentage of positive treatment response in CRC patients due to practical applications of pharmacogenetics/pharmacogenomics. Over the past 20 years the clinical usability of different predictive markers has been tested among which only a few have been confirmed to have high application potential. This review is a synthetic presentation of drug resistance in the context of CRC patient chemotherapy. The multifactorial nature and volume of the issues involved do not allow the author to present a comprehensive study on this subject in one review. PMID:25110414

  3. Climate correlates of 20 years of trophic changes in a high-elevation riparian system

    USGS Publications Warehouse

    Martin, T.E.

    2007-01-01

    The consequences of climate change for ecosystem structure and function remain largely unknown. Here, I examine the ability of climate variation to explain long-term changes in bird and plant populations, as well as trophic interactions in a high-elevation riparian system in central Arizona, USA, based on 20 years of study. Abundances of dominant deciduous trees have declined dramatically over the 20 years, correlated with a decline in overwinter snowfall. Snowfall can affect overwinter presence of elk, whose browsing can significantly impact deciduous tree abundance. Thus, climate may affect the plant community indirectly through effects on herbivores, but may also act directly by influencing water availability for plants. Seven species of birds were found to initiate earlier breeding associated with an increase in spring temperature across years. The advance in breeding time did not affect starvation of young or clutch size. Earlier breeding also did not increase the length of the breeding season for single-brooded species, but did for multi-brooded species. Yet, none of these phenology-related changes was associated with bird population trends. Climate had much larger consequences for these seven bird species by affecting trophic levels below (plants) and above (predators) the birds. In particular, the climate-related declines in deciduous vegetation led to decreased abundance of preferred bird habitat and increased nest predation rates. In addition, summer precipitation declined over time, and drier summers also were further associated with greater nest predation in all species. The net result was local extinction and severe population declines in some previously common bird species, whereas one species increased strongly in abundance, and two species did not show clear population changes. These data indicate that climate can alter ecosystem structure and function through complex pathways that include direct and indirect effects on abundances and interactions

  4. Survival Trends After Surgery for Acute Subdural Hematoma in Adults Over a 20-year Period

    PubMed Central

    Fountain, Daniel M.; Kolias, Angelos G.; Lecky, Fiona E.; Bouamra, Omar; Lawrence, Thomas; Adams, Hadie; Bond, Simon J.; Hutchinson, Peter J.

    2017-01-01

    Objective: We sought to determine 30-day survival trends and prognostic factors following surgery for acute subdural hematomas (ASDHs) in England and Wales over a 20-year period. Summary of Background Data: ASDHs are still considered the most lethal type of traumatic brain injury. It remains unclear whether the adjusted odds of survival have improved significantly over time. Methods: Using the Trauma Audit and Research Network (TARN) database, we analyzed ASDH cases in the adult population (>16 yrs) treated surgically between 1994 and 2013. Two thousand four hundred ninety-eight eligible cases were identified. Univariable and multiple logistic regression analyses were performed, using multiple imputation for missing data. Results: The cohort was 74% male with a median age of 48.9 years. Over half of patients were comatose at presentation (53%). Mechanism of injury was due to a fall (<2 m 34%, >2 m 24%), road traffic collision (25%), and other (17%). Thirty-six per cent of patients presented with polytrauma. Gross survival increased from 59% in 1994 to 1998 to 73% in 2009 to 2013. Under multivariable analysis, variables independently associated with survival were year of injury, Glasgow Coma Scale, Injury Severity Score, age, and pupil reactivity. The time interval from injury to craniotomy and direct admission to a neurosurgical unit were not found to be significant prognostic factors. Conclusions: A significant improvement in survival over the last 20 years was observed after controlling for multiple prognostic factors. Prospective trials and cohort studies are expected to elucidate the distribution of functional outcome in survivors. PMID:27172128

  5. [A 20-year follow-up study of a sample of 50 pairs of twins with neurotic-psychosomatic disorders].

    PubMed

    Muhs, A; Schepank, H; Manz, R

    1990-01-01

    As part of a research project, examination was made of a sample of 50 pairs of twins (21 pairs of identical twins, 16 pairs of non-identical twins of the same sex, and 13 pairs of male-female twins [n = 100 test persons]) between 1963 and 1969 and again recently after a period of 20 years. The index twins were drawn from among the patients who made use of the services of an out-patient psychotherapeutic clinic, and they were determined to be either psychoneurotic, character neurotic, or psychosomatically ill. The question examined was again one of nature vs. nurture. Identical twins showed a significantly higher similarity with regard to the seriousness of their neuroses and the manifestation of neurotic symptoms than did non-identical twins. Noticeable similarities existed in cases of depressive disturbances, disturbances of oral and aggressive behavior, and disturbances of interpersonal contact. With regard to the influence of variables in the environment, we examined the effect of factors in early childhood on neurotic development. Lack of a reference person, a negative attitude on the part of parents toward the child, etc., frustration within and outside the family have an effect on the manifestation of neuroses and on the course of their development. The influence of early childhood factors on the degree of neurotic disorder is still to be noted in the current point prevalence.

  6. Reduced work ability in middle-aged men with asthma from youth--a 20-year follow-up.

    PubMed

    Lindström, Irmeli; Pallasaho, Paula; Luukkonen, Ritva; Suojalehto, Hille; Karjalainen, Jouko; Lauerma, Antti; Karjalainen, Antti

    2011-06-01

    We studied, whether asthma diagnosed in childhood or early adulthood affects work ability 20 years later. We used Finnish Defence Force registers, 1986-1990, to select: (1) conscripts with asthma to represent a mild/moderate asthma group (n=485), (2) asthmatics who were exempted from military service to represent a relatively severe asthma group (n=393) and (3) a control group (n 1500) without asthma. A questionnaire consisting of validated questions on asthma and work ability was sent out in 2009. A total of 54% of the men in the first study group, 44% of those in the second study group and 44% of the controls answered. The mean age of the participants was 41 (range 37-51). Self-assessed current work ability compared with lifetime best had decreased in 28.9% of the first asthma group, in 31.1% of the second asthma group, and in 19.7% of the controls (p = 0.0007). Current smoking (OR 2.5), only basic education (OR 2.6), being a manual worker (OR 2.7) and current severe asthma (OR 3.8) associated most strongly with decreased work ability among the asthmatics. Both mild and more severe asthma at the age of around 20 seems to be associated with reduced work ability in 40-year-old males.

  7. The Belgian supercontainer concept: Study of the concrete buffer behaviour in service life

    NASA Astrophysics Data System (ADS)

    Poyet, S.

    2006-11-01

    The ONDRAF/NIRAS agency for radioactive waste and enriched fissile materials is in charge of the management of the radioactive wastes in Belgium. In the framework of the study of a new concept for the disposal of high level wastes, a project of a supercontainer has been considered and studied. The main goal of this study was to estimate the Thermo-Hydrological behaviour of the concrete buffer in service life. Water (liquid and vapour) and heat transfers were described through coupled differential equations by the means of the procedure THYDR developed at the Department of Physico-Chemistry of the French Commission for Atomic Energy (CEA/DPC) and implemented in the code CAST3M. Two different configurations for the concrete buffer were investigated: concrete cured with no water loss or partially dried. The simulations allowed the estimation of the evolution of both vapour pressure and liquid saturation.

  8. Prediction of Service Life of Cordierite-Mullite Refractory Materials by Non-Destructive Methods

    SciTech Connect

    Boccaccini, D. N.; Kamseu, Elie; Cannio, M.; Romagnoli, M.; Veronesi, P.; Leonelli, C.; Volkov-Husoviae, T. D.; Dlouhy, I.; Boccaccini, A. R.

    2008-02-15

    Ultrasonic pulse velocity testing was used to perform non-destructive quality control of refractory plates used as substrates in fast firing of porcelain whitewares. The measurement of the ultrasonic velocity was used to asses the presence of internal voids or cracks originated from the manufacturing procedure. Image analysis was used to predict thermal stability of the refractory materials. Two cordierite-mullite compositions were investigated that are characterized by different microstructure morphologies and crack propagation behaviour. A brief discussion about the correlation between microstructure, crack propagation behaviour and thermal shock resistance is presented. Moreover, empirical models were developed to predict the service life of refractory plates from measured values of ultrasonic velocities in plates in the as-received state.

  9. Migration of formaldehyde and melamine from melaware and other amino resin tableware in real life service.

    PubMed

    Mannoni, Veruscka; Padula, Giorgio; Panico, Oronzo; Maggio, Antonino; Arena, Claudio; Milana, Maria-Rosaria

    2017-01-01

    The migration of formaldehyde and melamine monomers has been measured on 90 samples of plastic tableware in three different situations - new articles, already used articles and artificially aged articles - by using simulant, contact times and temperatures prescribed by Commission Regulation (EU) No. 10/2011. Formaldehyde was determined by ultraviolet spectroscopy analysis of the coloured complex obtained by reaction with chromotropic acid. Melamine was measured by an ultra high performance liquid chromatography method. Fourier Transformed - Infrared Analysis was applied to characterise the plastic. The results highlighted the presence of different amino resins based on formaldehyde-melamine, urea-formaldehyde or melamine-urea-formaldehyde with different migration behaviour. The migration of monomers was related to progressive degradation of the resins. Ageing studies demonstrated that the potential degradation of the resins and the consequent migration of the monomers may continue throughout the service life of the product. The specific migration limit (SML) of melamine was exceeded after ageing.

  10. Evaluation of Peri-Implant Bone Response in Implants Retrieved for Fracture After More Than 20 Years of Loading: A Case Series.

    PubMed

    Mangano, Carlo; Piattelli, Adriano; Mortellaro, Carmen; Mangano, Francesco; Perrotti, Vittoria; Iezzi, Giovanna

    2015-08-01

    Analysis of human retrieved dental implants is a useful tool in the evaluation of implant success and failure. More human histological data are needed from samples of long-term implant service. The aim of the present case series was a histological and histomorphometrical evaluation of the peri-implant bone responses in implants retrieved for fracture after more than 20 years loading. The archives of the Implant Retrieval Center of the Department of Medical, Oral and Biotechnological Sciences of the University of Chieti-Pescara, Italy were searched. A total of 5 implants, retrieved after a loading period of more than 20 years, were found: 2 had been retrieved after 20 years, 1 after 22 years, 1 after 25 years, and 1 after 27 years. All these implants were histologically processed. Compact, mature bone in close contact with the implant surface was observed in all specimens, with no gaps or connective tissue at the interface. Bone in different maturation stages was found around some implants. Primarily newly formed bone was observed in proximity of the implant surface, while mature compact bone with many remodeling areas and cement lines were detected in areas distant from the implant. Many primary and secondary osteons were present. Bone to implant contact percentage varied from 37.2% to 76%. In conclusion, histology and histomorphometry showed that even after many years of function, all implants presented more than adequate bone to implant contact and they appeared to be very well integrated in the peri-implant bone.

  11. A 20-year follow-up of signs and symptoms of temporomandibular disorders and malocclusions in subjects with and without orthodontic treatment in childhood.

    PubMed

    Egermark, Inger; Magnusson, Tomas; Carlsson, Gunnar E

    2003-04-01

    This investigation analyzes the influence of orthodontic treatment on signs and symptoms of temporomandibular disorders (TMDs) and different malocclusions during a 20-year period. Originally, 402 randomly selected 7-, 11-, and 15-year-old subjects were examined clinically and by means of a questionnaire for signs and symptoms of TMDs. The examination was repeated after five and ten years. After 20 years, 320 subjects (85% of the traced subjects) completed the questionnaire. The oldest age group,now 35 years of age, was invited to a clinical examination, and 100 subjects (81% of the traced subjects) were examined. The correlations between signs and symptoms of TMD and different malocclusions were mainly weak, although sometimes statistically significant. Lateral forced bite and unilateral crossbite were correlated with TMD signs and symptoms at the 10- and 20-year follow-ups (r = 0.38, P < .05 and r = 0.34, P < .01, respectively). Subjects with malocclusion over a long period of time tended to report more symptoms of TMD and to show a higher dysfunction index, compared with subjects with no malocclusion at all. There were no statistically significant differences in the prevalence of TMD signs and symptoms between subjects with or without previous experience of orthodontic treatment. This 20-year follow-up supports the opinion that no single occlusal factor is of major importance for the development of TMD, but a lateral forced bite between retruded contact position (RCP) and intercuspal position (ICP), as well as unilateral crossbite, may be a potential risk factor in this respect. Furthermore, subjects with a history of orthodontic treatment do not run a higher risk of developing TMD later in life, compared with subjects with no such experience.

  12. Quality of life of public health service dental hygienists in Goiânia, Brazil.

    PubMed

    Nunes, M F; Freire, M C M; Leles, C R

    2008-02-01

    The aim of this study was to assess quality of life (QoL) and related factors among dental hygienists. A cross-sectional study was conducted in a sample of dental hygienists working in the public health service of Goiânia, Central-West Region, Brazil, in 2004. All active dental hygienists received a mailed questionnaire containing the shortened version of the World Health Organization instrument to measure quality of life (WHOQOL-Bref), demographic and job-related data, and questions about self-rated general health status and QoL. Response rate was 58.5% (n = 93). Descriptive statistics, simple and multiple logistic regressions were used in the analysis of data. The WHOQOL-Bref instrument revealed that the Social Relationships domain had the highest mean score (70.56), followed by the Physical (65.49), Psychological (61.3) and Environment domains (56.25). Most of the dental hygienists had a high QoL in the Social Relationships domain and a low QoL in the Physical, Psychological and Environment domains. There was an association between self-rated health status and the Physical domain; satisfaction with health and the Physical, Psychological and Social Relationships domain and self-rated QoL and the Psychological and Social Relationships domains. The conclusion is that a low QoL was common among the dental hygienists and has perceptible effects on their perceptions of their health status and QoL.

  13. LifeWatch Greece data-services: Discovering Biodiversity Data using Semantic Web Technologies

    PubMed Central

    Marketakis, Yannis; Doerr, Martin; Bekiari, Chryssoula; Papadakos, Panagiotis; Gougousis, Alexandros; Bailly, Nicolas; Arvanitidis, Christos

    2016-01-01

    Abstract Background Biodiversity data is characterized by its cross-disciplinary character, the extremely broad range of data types and structures, and the variety of semantic concepts that it encompasses. Furthermore there is a plethora of different data sources providing resources for the same piece of information in a heterogeneous way. Even if we restrict our attention to Greek biodiversity domain, it is easy to see that biodiversity data remains unconnected and widely distributed among different sources. New information To cope with these issues, in the context of the LifeWatch Greece project, i) we supported cataloguing and publishing of all the relevant metadata information of the Greek biodiversity domain, ii) we integrated data from heterogeneous sources by supporting the definitions of appropriate models, iii) we provided means for efficiently discovering biodiversity data of interest and iv) we enabled the answering of complex queries that could not be answered from the individual sources. This work has been exploited, evaluated and scientificaly confirmed by the biodiversity community through the services provided by the LifeWatch Greece portal. PMID:27932908

  14. 38 CFR 8.0 - Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... in connection with title 38 CFR, part 8, National Service Life Insurance. 8.0 Section 8.0 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS NATIONAL SERVICE LIFE INSURANCE Applications § 8.0 Definitions of terms used in connection with title 38 CFR, part 8, National Service...

  15. Fee-for-service cancer rehabilitation programs improve health-related quality of life

    PubMed Central

    Kirkham, A.A.; Neil-Sztramko, S.E.; Morgan, J.; Hodson, S.; Weller, S.; McRae, T.; Campbell, K.L.

    2016-01-01

    Background Rigorously applied exercise interventions undertaken in a research setting result in improved health-related quality of life (hrqol) in cancer survivors, but research to demonstrate effective translation of that research to practice is needed. The objective of the present study was to determine the effect of fee-for-service cancer rehabilitation programs in the community on hrqol and on self-reported physical activity and its correlates. Methods After enrolment and 17 ± 4 weeks later, new clients (n = 48) to two fee-for-service cancer rehabilitation programs completed the 36-Item Short Form Health Survey (rand-36: rand Corporation, Santa Monica, CA, U.S.A.), the Godin Leisure-Time Exercise Questionnaire, and questions about physical activity correlates. Normal fee-for-service operations were maintained, including a fitness assessment and individualized exercise programs supervised in a group or one-on-one setting, with no minimum attendance required. Fees were associated with the assessment and with each exercise session. Results Of the 48 participants, 36 (75%) completed both questionnaires. Improvements in the physical functioning, role physical, pain, and energy/fatigue scales on the rand-36 exceeded minimally important differences and were of a magnitude similar to improvements reported in structured, rigorously applied, and free research interventions. Self-reported levels of vigorous-intensity (p = 0.021), but not moderate-intensity (p = 0.831) physical activity increased. The number of perceived barriers to exercise (p = 0.035) and the prevalence of fatigue as a barrier (p = 0.003) decreased. Exercise self-efficacy improved only in participants who attended 11 or more sessions (p = 0.002). Exercise enjoyment did not change (p = 0.629). Conclusions Enrolment in fee-for-service cancer rehabilitation programs results in meaningful improvements in hrqol comparable to those reported by research interventions, among other benefits. The fee-for-service

  16. Cargo Commercial Orbital Transportation Services Environmental Control and Life Support Integration

    NASA Technical Reports Server (NTRS)

    Duchesne, Stephanie; Thacker, Karen; Williams, Dave

    2012-01-01

    The International Space Station s (ISS) largest crew and cargo resupply vehicle, the Space Shuttle, retired in 2011. To help augment ISS resupply and return capability, NASA announced a project to promote the development of Commercial Orbital Transportation Services (COTS) for the ISS in January of 2006. By December of 2008, NASA entered into space act agreements with SpaceX and Orbital Sciences Corporation for COTS development and ISS Commercial Resupply Services (CRS). The intent of CRS is to fly multiple resupply missions each year to ISS with SpaceX s Dragon vehicle providing resupply and return capabilities and Orbital Science Corporation s Cygnus vehicle providing resupply capability to ISS. The ISS program launched an integration effort to ensure that these new commercial vehicles met the requirements of the ISS vehicle and ISS program needs. The Environmental Control and Life Support System (ECLSS) requirements cover basic cargo vehicle needs including maintaining atmosphere, providing atmosphere circulation, and fire detection and suppression. The ISS-COTS integration effort brought unique challenges combining NASA s established processes and design knowledge with the commercial companies new initiatives and limited experience with human space flight. This paper will discuss the ISS ECLS COTS integration effort including challenges, successes, and lessons learned.

  17. Commercial Orbital Transportation Cargo Services Environmental Control and Life Support Integration

    NASA Technical Reports Server (NTRS)

    Duchesne, Stephanie; Williams, Dave; Orozco, Nicole; Philistine, Cynthia

    2010-01-01

    The International Space Station s (ISS) largest crew and cargo resupply vehicle, the Space Shuttle, will retire in 2011. To help augment ISS resupply and return capability, NASA announced a project to promote the development of Commercial Orbital Transportation Services (COTS) for the ISS in January of 2006. By December of 2008, NASA entered into space act agreements with SpaceX and Orbital Sciences Corporation for COTS development and ISS Commercial Resupply Services (CRS). The intent of CRS is to fly multiple resupply missions each year to ISS with SpaceX s Dragon vehicle providing resupply and return capabilities and Orbital Science Corporation s Cygnus vehicle providing resupply capability to ISS. The ISS program launched an integration effort to ensure that these new commercial vehicles met the requirements of the ISS vehicle and ISS program needs. The Environmental Control and Life Support System (ECLSS) requirements cover basic cargo vehicle needs including maintaining atmosphere, providing atmosphere circulation, and fire detection and suppression. The ISS-COTS integration effort brought unique challenges combining NASA s established processes and design knowledge with the commercial companies new initiatives and limited experience with human space flight. This paper will discuss the ISS ECLS COTS integration effort including challenges, successes, and lessons learned.

  18. A service life extension (SLEP) approach to operating aging aircraft beyond their original design lives

    NASA Astrophysics Data System (ADS)

    Pentz, Alan Carter

    With today's uncertain funding climate (including sequestration and continuing budget resolutions), decision makers face severe budgetary challenges to maintain dominance through all aspects of the Department of Defense (DoD). To meet war-fighting capabilities, the DoD continues to extend aircraft programs beyond their design service lives by up to ten years, and occasionally much more. The budget requires a new approach to traditional extension strategies (i.e., reuse, reset, and reclamation) for structural hardware. While extending service life without careful controls can present a safety concern, future operations planning does not consider how much risk is present when operating within sound structural principles. Traditional structural hardware extension methods drive increased costs. Decision makers often overlook the inherent damage tolerance and fatigue capability of structural components and rely on simple time- and flight-based cycle accumulation when determining aircraft retirement lives. This study demonstrates that decision makers should consider risk in addition to the current extension strategies. Through an evaluation of eight military aircraft programs and the application and simulation of F-18 turbine engine usage data, this dissertation shows that insight into actual aircraft mission data, consideration of fatigue capability, and service extension length are key factors to consider. Aircraft structural components, as well as many critical safety components and system designs, have a predefined level of conservatism and inherent damage tolerance. The methods applied in this study would apply to extensions of other critical structures such as bridges. Understanding how much damage tolerance is built into the design compared to the original design usage requirements presents the opportunity to manage systems based on risk. The study presents the sensitivity of these factors and recommends avenues for further research.

  19. [1986-2006: 20 years of failed international policy to control AIDS in Africa].

    PubMed

    Kerouedan, D

    2007-10-01

    Agencies of the United Nations and other international organizations involved in fighting AIDS in Africa have been wrong for 20 years. Despite this failure that was publicly avowed for the first time by a high UNAIDS official in Brazzaville in March 2006, the international community continues to propose a strategy based exclusively on organizational and financial solutions for a highly complex human tragedy that requires a much more comprehensive, coordinated public health approach. Organization of the fight against AIDS has taken many forms over the period between 1986 and 2006. The WHO Global Programme against AIDS program initiated only five years after the beginning of the epidemic in the United States was followed ten years later by the joint United Nations program named UNAIDS. The period between 2000 and 2006 saw a growing number of worldwide initiatives outside the framework of the United Nations. With programs based on cooperation of bilateral agencies, the European Commission, and the World Bank with expert technical agencies and civilian representatives, the whole international community felt that they were "in the driver's seat ". However analysis of the strategy deployed against AIDS during this period shows a shift from "total emphasis on prevention" (1986-1996) to "total emphasis on ARV treatment" (1996-2006). This shift occurred with no assessment of the benefits of the previous strategy for the main users, i.e., the populations of Africa and health care officials. Financial pledges have considerably increased in the context of global public partnerships such as the Global Fund against HIV/AIDS, TB and Malaria, with no change in the overall strategic vision to control the pandemic. There has been a total lack of planning and leadership in controlling the pandemic. Even though we failed to treat 3 million people before the end of 2005 within the framework of the "3x5" initiative despite the availability of ARV in Africa since 1998, WHO called for

  20. Global Patterns of Precipitation Anomalies Related to ENSO as Determined by the 20-Year GPCP Analysis

    NASA Technical Reports Server (NTRS)

    Adler, Robert; Curtis, Scott; Huffman, George; Bolvin, Dave; Einaudi, Franco (Technical Monitor)

    2000-01-01

    The new 20-year, monthly, globally complete precipitation analysis of the Global Precipitation Climatology Project (GPCP) is used to analyze ENSO-related precipitation anomalies over the globe. This Version 2 of the community generated data set is global, monthly, at 2.5 deg x 2.5 deg latitude-longitude resolution and utilizes precipitation estimates from low-orbit microwave sensors (SSM/I) and geosynchronous IR sensors and raingauge information over land. In the 1987-present period the low-orbit microwave (SSM/I) estimates are used to adjust or correct the geosynchronous IR estimates, thereby maximizing the utility of the more physically-based microwave estimates and the finer time sampling of the geosynchronous observations. Information from raingauges is blended into the analyses over land. The extension back to 1979 utilizes the OLR Precipitation Index (OPI) for the satellite component. An ENSO Precipitation Index (ESPI) using gradients of precipitation anomalies in the Maritime-Continent/Pacific Ocean region is used to define El Nino/La Nina months during the 20-year record. Mean anomalies for El Nino and La Nina are examined along with variations with respect to season and for individual events. The El Nino and La Nina mean anomalies are near mirror images of each other and when combined produce an ENSO signal with significant spatial continuity over large distances. This El Nino minus La Nina standardized precipitation anomaly map shows the usual positive anomaly over the central and eastern Pacific Ocean with the negative anomaly over the maritime continent along with an additional negative anomaly over Brazil and the Atlantic Ocean extending into Africa and a positive anomaly over the Horn of Africa and the western Indian Ocean. From these features along the Equator narrow positive and negative anomalies extend into middle latitudes in a V-shaped pattern open to the East as described by previous investigators. A number of the features are shown to continue

  1. Comparison of Cardiovascular Risk Factors in Different Areas of Health Care Over a 20-Year Period

    PubMed Central

    Jardim, Thiago Veiga; Sousa, Ana Luiza Lima; Povoa, Thais Rolim; Barroso, Weimar Sebba; Chinem, Brunela; Jardim, Paulo Cesar Veiga

    2014-01-01

    Background Cardiovascular diseases (CVDs) are the leading cause of death worldwide. Knowledge about cardiovascular risk factors (CVRFs) in young adults and their modification over time are measures that change the risks and prevent CVDs. Objectives To determine the presence of CVRFs and their changes in different health care professionals over a period of 20 years. Methods All students of medicine, nursing, nutrition, odontology, and pharmacy departments of Federal University of Goiás who agreed to participate in this study were evaluated when they started their degree courses and 20 years afterward. Questionnaires on CVRFs [systemic arterial hypertension (SAH), diabetes mellitus, dyslipidemia, and family history of early CVD, smoking, alcohol consumption, and sedentarism] were administered. Cholesterol levels, blood sugar levels, blood pressure, weight, height, and body mass index were determined. The Kolmogorov-Smirnov test was used to evaluate distribution, the chi-square test was used to compare different courses and sexes, and the McNemar test was used for comparing CVRFs. The significance level was set at a p value of < 0.05. Results The first stage of the study included 281 individuals (91% of all the students), of which 62.9% were women; the mean age was 19.7 years. In the second stage, 215 subjects were reassessed (76% of the initial sample), of which 59.07% were women; the mean age was 39.8 years. The sample mostly consisted of medical students (with a predominance of men), followed by nursing, nutrition, and pharmacy students, with a predominance of women (p < 0.05). Excessive weight gain, SAH, and dyslipidemia were observed among physicians and dentists (p < 0.05). Excessive weight gain and SAH and a reduction in sedentarism (p < 0.05) were observed among pharmacists. Among nurses there was an increase in excessive weight and alcohol consumption (p < 0.05). Finally, nutritionists showed an increase in dyslipidemia (p < 0.05). Conclusion In general

  2. Apparatus for determining past-service conditions and remaining life of thermal barrier coatings and components having such coatings

    DOEpatents

    Srivastava, Alok Mani; Setlur, Anant Achyut; Comanzo, Holly Ann; Devitt, John William; Ruud, James Anthony; Brewer, Luke Nathaniel

    2004-05-04

    An apparatus for determining past-service conditions and/or remaining useful life of a component of a combustion engine and/or a thermal barrier coating ("TBC") of the component comprises a radiation source that provides the exciting radiation to the TBC to excite a photoluminescent ("PL") material contained therein, a radiation detector for detecting radiation emitted by the PL material, and means for relating a characteristic of an emission spectrum of the PL material to the amount of a crystalline phase in the TBC, thereby inferring the past-service conditions or the remaining useful life of the component or the TBC.

  3. Semi-automatic web service composition for the life sciences using the BioMoby semantic web framework.

    PubMed

    DiBernardo, Michael; Pottinger, Rachel; Wilkinson, Mark

    2008-10-01

    Researchers in the life-sciences are currently limited to small-scale informatics experiments and analyses because of the lack of interoperability among life-sciences web services. This limitation can be addressed by annotating services and their interfaces with semantic information, so that interoperability problems can be reasoned about programmatically. The Moby semantic web framework is a popular and mature platform that is used for this purpose. However, the number of services that are available to select from when building a workflow is becoming unmanageable for users. As such, attempts have been made to assist with service selection and composition. These tasks fall under the general label of automated service composition. We present a prototype workflow assembly client that reduces the number of choices that users have to make by (1) restricting the overall set of services presented to them and (2) ranking services so that the the most desirable ones are presented first. We demonstrate via an evaluation of this prototype that a unification of relatively simple techniques can rank desirable services highly while maintaining interactive response times.

  4. Research on laser protection: an overview of 20 years of activities at Fraunhofer IOSB

    NASA Astrophysics Data System (ADS)

    Ritt, G.; Walter, D.; Eberle, B.

    2013-10-01

    Since the advent of the laser in 1960, the protection of human eyes and sensors against intended or unintended damage by laser radiation is a hot research topic. As long as the parameters of a laser source such as the wavelength and the output power are known, adequate laser safety can be ensured simply by utilizing conventional laser protection filters which are based on absorption or interference effects. This is typically the case in cooperative environments like a laboratory or industrial facilities. A very different situation prevails in military defense or civil security. There, the parameters of encountering laser threats are usually unknown. Protection measures, helping against all types of laser threats, are the long desired objective of countless research activities. The biggest challenge in finding an effective measure arises from single laser pulses of unknown wavelength. The problem demands for a passive protection concept and may be based for example on intensity dependent effects. Moreover, the requested solutions shall comprise add-on possibilities like thin films to be put on existing optics, windshields or glasses. Unfortunately, such an all-embracing solution is still far out of reach. The Fraunhofer IOSB has been working on the evaluation and development of non-conventional laser protection methods for more than 20 years. An overview of the past and present research activities shall be presented, comprising protection measures against laser damaging and laser dazzling.

  5. Cre-Lox Neurogenetics: 20 Years of Versatile Applications in Brain Research and Counting…

    PubMed Central

    Tsien, Joe Z.

    2016-01-01

    Defining and manipulating specific neurons in the brain has garnered enormous interest in recent years, because such an approach is now widely recognized as crucial for deepening our understanding of how the brain works. When I started exploring the Cre-loxP recombination for brain research in the early 1990s, it was written off as a dead-end project by a young fool. Yet over the past 20 years, Cre-lox recombination-mediated neurogenetics has emerged as one of the most powerful and versatile technology platforms for cell-specific gene knockouts, transgenic overexpression, Brainbow imaging, neural pathway tracing with retrovirus and CLARITY, chemical genetics, and optogenetics. Its popularity and greater utility in neuroscience research is also largely thanks to the NIH’s bold Blueprint for Neuroscience Research Initiative to launch several Cre-driver resource projects, as well as individual laboratories and private research organizations. With newly-discovered, genetically-encoded molecules that are capable of responding to sonar and magnetic stimulation, for sonogenetics or magnetogenetics, respectively, or detecting rapid voltage changes in neurons, Cre-lox neurogenetics will continue to aid brain research for years to come. PMID:26925095

  6. How have researchers studied multiracial populations: A content and methodological review of 20 years of research

    PubMed Central

    Charmaraman, Linda; Woo, Meghan; Quach, Ashley; Erkut, Sumru

    2014-01-01

    The U. S. Census shows that the racial-ethnic make-up of over 9 million people (2.9% of the total population) who self-identified as multiracial is extremely diverse. Each multiracial subgroup has unique social and political histories that may lead to distinct societal perceptions, economic situations, and health outcomes. Despite the increasing academic and media interest in multiracial individuals, there are methodological and definitional challenges in studying the population resulting in conflicting representations in the literature. This content and methods review of articles on multiracial populations provides a comprehensive understanding of which multiracial populations have been included in research and how they have been studied both to recognize the emerging research and to identify gaps for guiding future research on this complex but increasingly visible population. We examine 125 U.S.-based peer-reviewed journal articles published over the past 20 years (1990–2009) containing 133 separate studies focused on multiracial individuals from primarily the fields of psychology, sociology, social work, education, and public health. Findings include (a) descriptive data regarding the sampling strategies, methodologies, and demographic characteristics of studies, including which multiracial subgroups are most studied, gender, age range, region of country, socioeconomic status; (b) major thematic trends in research topics concerning multiracial populations; (c) implications and recommendations for future studies. PMID:25045946

  7. An Analysis of 20 Years of Space Weathering Effects on the Boeing 376 Spacecraft

    NASA Technical Reports Server (NTRS)

    Frith, James; Anz-Meador, Phillip; Cowardin, Heather; Buckalew, Brent; Lederer, Susan

    2015-01-01

    The Boeing HS-376 spin stabilized spacecraft was a popular design that was launched continuously into geosynchronous orbit starting in 1980, with the last launch occurring in 2003. Over 50 of the HS-376 buses were produced to fulfill a variety of different communication missions for countries all over the world. The design of the bus is easily approximated as a telescoping cylinder that is covered with solar cells and an Earth-facing antenna that is despun at the top of the cylinder. The similarity in design and the number of spacecraft launched over a long period of time make the HS-376 a prime target for studying the effects of solar weathering on solar panels as a function of time. A selection of primarily non-operational HS-376 spacecraft launched over a 20-year time period were observed using the United Kingdom Infrared Telescope on Mauna Kea and multi-band, near-infrared photometry produced. Each spacecraft was observed for an entire night cycling through ZYJHK filters and time-varying colors produced to compare near-infrared color as a function of launch date. The resulting analysis shown here may help in the future to set launch date constraints on the parent object of unidentified debris objects or other unknown spacecraft.

  8. Responses of high-altitude graminoids and soil fungi to 20 years of experimental warming.

    PubMed

    Rudgers, Jennifer A; Kivlin, Stephanie N; Whitney, Kenneth D; Price, Mary V; Waser, Nickolas M; Harte, John

    2014-07-01

    High-elevation ecosystems are expected to be particularly sensitive to climate warming because cold temperatures constrain biological processes. Deeper understanding of the consequences of climate change will come from studies that consider not only the direct effects of temperature on individual species, but also the indirect effects of altered species interactions. Here we show that 20 years of experimental warming has changed the species composition of graminoid (grass and sedge) assemblages in a subalpine meadow of the Rocky Mountains, USA, by increasing the frequency of sedges and reducing the frequency of grasses. Because sedges typically have weak interactions with mycorrhizal fungi relative to grasses, lowered abundances of arbuscular mycorrhizal (AM) fungi or other root-inhabiting fungi could underlie warming-induced shifts in plant species composition. However, warming increased root colonization by AM fungi for two grass species, possibly because AM fungi can enhance plant water uptake when soils are dried by experimental warming. Warming had no effect on AM fungal colonization of three other graminoids. Increased AM fungal colonization of the dominant shrub Artemisia tridentata provided further grounds for rejecting the hypothesis that reduced AM fungi caused the shift from grasses to sedges. Non-AM fungi (including dark septate endophytes) also showed general increases with warming. Our results demonstrate that lumping grasses and sedges when characterizing plant community responses can mask significant shifts in the responses of primary producers, and their symbiotic fungi, to climate change.

  9. Rhabdomyolysis and Cardiomyopathy in a 20-Year-Old Patient with CPT II Deficiency

    PubMed Central

    Vavlukis, M.; Eftimov, A.; Zafirovska, P.; Caparovska, E.; Pocesta, B.; Kedev, S.; Dimovski, A. J.

    2014-01-01

    Aim. To raise the awareness of adult-onset carnitite palmitoyltransferase II deficiency (CPT II) by describing clinical, biochemical, and genetic features of the disease occurring in early adulthood. Method. Review of the case characteristics and literature review. Results. We report on a 20-year-old man presenting with dyspnea, fatigue, fever, and myoglobinuria. This was the second episode with such symptoms (the previous one being three years earlier). The symptoms occurred after intense physical work, followed by a viral infection resulting in fever treated with NSAIDs. Massive rhabdomyolysis was diagnosed, resulting in acute renal failure necessitating plasmapheresis and hemodialysis, acute hepatic lesion, and respiratory insufficiency. Additionally, our patient had cardiomyopathy with volume overload. After a detailed workup, CPT II deficiency was suspected. We did a sequencing analysis for exons 1, 3, and 4 of the CPT II gene and found that the patient was homozygote for Ser 113 Leu mutation in exon 3 of the CPT II gene. The patient recovery was complete except for the cardiomiopathy with mildly impaired systolic function. Conclusion. Whenever a patient suffers recurrent episodes of myalgia, followed by myoglobinuria due to rhabdomyolysis, we should always consider the possibility of this rare condition. The definitive diagnose of this condition is achieved by genetic testing. PMID:24563797

  10. Ability of Oral and Maxillofacial Surgery Residents in Diagnosing Jaw Cysts: A Retrospective 20 Years Study

    PubMed Central

    Mohajerani, Hassan; Esmaeelinejad, Mohammad

    2016-01-01

    Introduction Diagnosis of odontogenic cysts despite of their benign nature is a critical and challenging problem especially among undergraduate and postgraduate students. Aim This study aimed to evaluate the capability of oral and maxillofacial surgery residents in diagnosing odontogenic cysts. Materials and Methods This cross-sectional study was executed on 312 patient records over the past 20 years since October 1995 till December 2014 in Taleghani Hospital, Tehran, Iran. All recorded data was based on 2005 World Health Organization (WHO) classifications. The differential diagnosis was made by 65 residents based on clinical and paraclinical evaluations established in the charts. Differential diagnoses made by the residents were compared to the histopathological examination as the gold standard for identifying the nature of the cysts. Weighted kappa test was used to show the degree of agreement. Results Data extracted from 312 records were analyzed. The mean age of examined patients was 27.6 years. The accuracy of diagnosis among the residents was moderate (kw=0.5). The diagnosis made by the residents was significantly related to the radiographic view of the cysts (p<0.05). The residents were able to identify odontogenic keratocysts and dentigerous cysts in most cases. Conclusion There are several factors associated with the occurrence of pathologic odontogenic cysts which could help either the clinician or the pathologist in diagnosing the odontogenic cysts of the jaws. The surgeons should consider these related factors before the final diagnosis and choosing the appropriate treatment plan. PMID:28209002

  11. A 20-Year-Old Retained Surgical Gauze Mimicking a Spinal Tumor: A Case Report

    PubMed Central

    Lee, Sungjoon; Kim, Bomi; Kim, Jung Soo

    2016-01-01

    A 79-year-old man visited our clinic complaining of lower back and left leg radiating pain that began 1 month prior to his presentation. He underwent surgery for lumbar disc herniation 20 years ago at another hospital. Magnetic resonance imaging revealed left-sided foraminal stenosis at L4-5. In addition, a paraspinal mass occupying the L4 spinous process and left lamina was observed. We subsequently performed an L4-5 decompression and fusion. During the operation, retained surgical gauze with granulation tissue was found. The term gossypiboma is used to define a mass lesion consisting of retained surgical gauzes and an adjacent foreign body reaction. Gossypibomas are uncommon in the paraspinal area and are mostly asymptomatic in chronic cases. Because there are no specific clinical or radiological signs, they can be confused with other tumorous conditions. Gossypibomas should be included in the differential diagnosis of paraspinal soft-tissue masses detected in patients with a history of prior spinal surgery. PMID:27799998

  12. Sport and infectious risk: a systematic review of the literature over 20 years.

    PubMed

    Grosset-Janin, A; Nicolas, X; Saraux, A

    2012-11-01

    The development of sports activities promoted as a health factor should not hide the increased risk for diseases, more particularly infections. A review of articles made over the last 20 years was made with a descriptive epidemiological purpose. The most marked risk is skin infection with methicillin-resistant community acquired Staphylococcus aureus (27.4% of the articles), followed by Tinea corporis and capitis (13.7%), and leptospirosis (11.7%). The risk of blood-borne infection seems low, and articles are rare (3.9%). The risk of disease with respiratory transmission (measles, meningococcal meningitis) must be taken into account. The effect of physical activity on the immune system depends on the type and duration of the work out: it seems to be beneficial for a workout of a moderate intensity, and deleterious for a sustained acute work out, or a period of intensive training. These periods of protection or susceptibility to infections are described as "open window" and "J curve". The only recommendations for prevention of sport-related infections arise from the frequency of skin infections and the severity of blood-borne infections. These recommendations are published by American and international sports authorities. The specificity of athletes' management is due to imperatives of competitiveness (maintaining physical performance) and the necessity of temporary eviction from sports, in case of contagiousness. The athletes must make sure their recommended vaccinations are up-to-date.

  13. Optimising treatment strategies in spinal ependymoma based on 20years of experience at a single centre.

    PubMed

    Keil, Vera C; Schmitt, Anne J; Martin, Sean C; Cadoux-Hudson, Tom A D; Pereira, Erlick A C

    2016-07-01

    Spinal ependymomas are rare tumours, with total resection favoured where possible. Several case series assessing the outcome following neurosurgical treatment for spinal ependymoma advocate the usage of adjuvant radiotherapy in cases of subtotal resection, or in unencapsulated tumours. We assessed the outcome of 61 consecutive cases of spinal ependymoma in a single centre over a 20year period using a variety of outcome measures. Sex distribution was equal, with a mean age at surgery of 43.6years (range 5-76years). Overall, most tumours occurred in the lumbosacral region (70.5%), with fewer in the thoracic (27.9%) and cervical regions (18.0%). Myxopapillary features were seen in 41.0% of tumours, and were more common when occurring in the lumbar region (51.2%). Gross total resection was achieved in 52.5%, subtotal resection in 37.7% and biopsy alone in 9.8% of patients and 31.1% received adjuvant radiotherapy. Two-thirds of patients achieved an excellent post-operative neurological outcome (Frankel grade E). Tumour recurrence was rare. Gross total resection and good preoperative neurological condition were most strongly predictive of good outcome. Post-operative radiotherapy did not seem to confer survival benefit in this case series, even in cases of incomplete resection, leading us to question its utility for all cases of spinal cord ependymoma.

  14. Cystic lesions of the adrenal gland: our experience over the last 20 years.

    PubMed

    Sebastiano, Christopher; Zhao, Xiangrong; Deng, Fang-Ming; Das, Kasturi

    2013-09-01

    Cystic lesions of the adrenal gland are uncommon, often presenting with nonspecific clinical and radiologic findings, and are thus underrecognized. They are occasionally associated with malignant neoplasms, which can greatly mimic benign lesions and carry detrimental clinical consequences if misdiagnosed. Here we present our 20-year experience (1992-2012) with these lesions at an academic medical center. Among more than 4500 adrenal gland specimens, 31 cases of adrenal lesions with a predominant cystic component were identified in 30 patients with an age range of 34 to 86 years (median, 55.5 years) and a male/female ratio of 13:17. Macroscopic descriptions, available histologic and immunostain slides, and available radiologic records were reviewed for all included cases. Radiologic studies and gross examination correlated well, and hemorrhage (26 cases; 84%) and encapsulation (25 cases; 81%) appeared to be nonspecific radiologic/gross features shared across histologic subtypes. Microscopic review identified 12 cases (39%) of pseudocysts, 2 cases (6%) of endothelium-derived cysts, and 17 cases (55%) of epithelium-derived cysts. Among these 31 cystic adrenal lesions, 2 cases (6%) were malignant neoplasms (1 epithelioid angiosarcoma, 1 adrenocortical carcinoma). Radiologic impression and histopathologic diagnosis were concordant in 11 (73%) of the 15 cases for which radiologic records were available. This study represents the second largest case series to date on cystic adrenal lesions and presents a comprehensive review on their demographic, clinical, radiologic, and gross and microscopic pathologic features, as well as their differential diagnoses.

  15. Trends in RCT nursing research over 20 years: mind the gap.

    PubMed

    Baldi, Ileana; Dal Lago, Elisa; De Bardi, Sara; Sartor, Giada; Soriani, Nicola; Zanotti, Renzo; Gregori, Dario

    Randomised controlled trial (RCT) literature plays a fundamental role in informing evidence-based medicine and nursing. This paper aims to track geographical and temporal trends in the publication of RCTs in nursing over the past 20 years by means of a bibliometric analysis. The PubMed database was searched for articles published from 1 January 1991 to 31 October 2011 and satisfying this search strategy: nursing [MeSH Terms] AND (RCT OR trial* OR 'experimental study' OR randomised OR randomisation) AND (English[lang]). Abstracts were reviewed to assess whether they met the criteria for an RCT. A manual search of information on country of origin was carried out and Journal Citation Reports® was used to allocate journals to subject areas. RCT methodology is increasingly drawing the attention of nursing researchers worldwide. However, there is a large disparity in research productivity, at least in terms of number of published RCTs in the English language and listed on PubMed, between the most productive continents, North America and Europe, and the others.

  16. Trends in acoustic neuroma management: a 20-year review of the oxford skull base clinic.

    PubMed

    Mackeith, Samuel A C; Kerr, Richard S; Milford, Chris A

    2013-08-01

    Objective To describe the change in the management of acoustic neuromas at one United Kingdom center over a 20-year period and to compare this with what is known regarding trends in practice on a national and international scale. Design, Setting, and Participants Data was collected prospectively on all patients attending the Oxford Skull Base Clinic between 1990 and 2009. Main Outcome Measures The proportion of patients managed initially by observation versus radiotherapy versus surgery was recorded for each year. Results Significantly more patients received radiation treatment (instead of surgery) between 2000 and 2009 when compared with 1990 to 1999. Compared with national audit data, the Oxford Skull Base Clinic treats a higher proportion of patients with radiotherapy and significantly lower proportion with surgery, though the trend nationally is toward more observation and radiotherapy and less surgery. Conclusion Surgery will remain crucial in the management of some patients with acoustic neuromas (usually those with the larger tumors where radiosurgery is recognized to be less appropriate), but using current trends to predict future practice would suggest that alternative nonmicrosurgical treatment may play an increasingly important role in the future.

  17. Progress on obesity prevention over 20 years in Australia and New Zealand.

    PubMed

    Swinburn, B; Wood, A

    2013-11-01

    The lessons learned from over 20 years of obesity prevention efforts in Australia and New Zealand are presented. The obesity epidemic started in the 1980s but poor monitoring systems meant the rise in obesity prevalence initially went undetected. In the 1990 s, experts started advocating for government action; however, it was the rapid increase in media reports on obesity in the early 2000s which created the pressure for action. Several, comprehensive reports produced some programme investment but no regulatory policies were implemented. The powerful food industry lobby ensured this lack of policies on front-of-pack food labelling, restrictions on unhealthy food marketing to children, or taxes on unhealthy foods. The New Zealand government even backpedalled by rescinding healthy school food guidelines and withdrawing funding for the comprehensive national obesity strategy. In 2007, Australian Governments started a major long term-investment in preventive health in order to improve economic productivity. Other positive initiatives, especially in Australia, were: the establishment of several advocacy organizations; successful, long-term, whole-of-community projects reducing childhood obesity; a national knowledge exchange system for practitioners; and some innovative programmes and social marketing. However, despite multiple reports and strong advocacy, key recommended regulatory policies remain unimplemented, largely due to the private sector interests dominating public policy development.

  18. The problem of pattern and scale in ecology: what have we learned in 20 years?

    PubMed

    Chave, Jérôme

    2013-05-01

    Over the past 20 years, major advances have clarified how ecological patterns inform theory, and how in turn theory informs applied ecology. Also, there has been an increased recognition that the problem of scale at which ecological processes should be considered is critical if we are to produce general predictions. Ecological dynamics is always stochastic at small scales, but variability is conditional on the scale of description. The radical changes in the scope and aims of ecology over the past decades reflect in part the need to address pressing societal issues of environmental change. Technological advances in molecular biology, global positioning, sensing instrumentation and computational power should not be overlooked as an explanation for these radical changes. However, I argue that conceptual unification across ecology, genetics, evolution and physiology has fostered even more fertile questions. We are moving away from the view that evolution is played in a fixed ecological theatre: the theatre is being rapidly and relentlessly redesigned by the players themselves. The maintenance of ecosystem functions depends on shifts in species assemblages and on cellular metabolism, not only on flows of energy and matter. These findings have far reaching implications for our understanding of how ecosystem function and biodiversity will withstand (or not) environmental changes in the 21st century.

  19. Wet atmospheric deposition of nitrogen: 20 years measurement in Shenzhen City, China.

    PubMed

    Huang, Yilong; Lu, XiXi; Chen, Kai

    2013-01-01

    We presented measurements of wet deposition of NH(4)(+)-N and NO(3)(-)-N from 1986 to 2006 in Shenzhen City, China. Over the past 20 years, NO(3)(-)-N concentration had significantly increased, but a reverse trend was found for NH(4)(+)-N. The main form of total inorganic nitrogen (TIN) was NH(4)(+)-N and the average NH(4)(+)-N/NO(3)(-)-N ratio was 1.57 in this area. The contribution of NO(3)(-)-N to TIN increased from 28-42% in the period of 1986-2000 to 50-63% during 2001-2006. The increased deposition flux of NO(3)(-)-N resulted in the increasing trend of TIN, although NH(4)(+)-N showed a decreasing trend over time. Average deposition flux of TIN during 1986-2006 was 13.24 kg/ha/year, with a minimum value of 6.03kg/ha/year in 1988 and a maximum value of 20.52 kg/ha/year in 1997. Wet deposition fluxes of N appeared to vary with season, 81% occurred in the warm season (from April to September). The wet deposition of TIN to the Shenzhen Reservoir reached 8,902 kg in 2006, which contributed 9.95% of the total nonpoint pollution to the reservoir and will be increased in the future.

  20. A 20 Year Lifecycle Study for Launch Facilities at the Kennedy Space Center

    NASA Technical Reports Server (NTRS)

    Kolody, Mark R.; Li. Wenyan; Hintze, Paul E.; Calle, Luz-Marina

    2009-01-01

    The lifecycle cost analysis was based on corrosion costs for the Kennedy Space Center's Launch Complexes and Mobile Launch Platforms. The first step in the study involved identifying the relevant assets that would be included. Secondly, the identification and collection of the corrosion control cost data for the selected assets was completed. Corrosion control costs were separated into four categories. The sources of cost included the NASA labor for civil servant personnel directly involved in overseeing and managing corrosion control of the assets, United Space Alliance (USA) contractual requirements for performing planned corrosion control tasks, USA performance of unplanned corrosion control tasks, and Testing and Development. Corrosion control operations performed under USA contractual requirements were the most significant contributors to the total cost of corrosion. The operations include the inspection of the pad, routine maintenance of the pad, medium and large scale blasting and repainting activities, and the repair and replacement of structural metal elements. Cost data was collected from the years between 2001 and 2007. These costs were then extrapolated to future years to calculate the 20 year lifecycle costs.

  1. CT angiography after 20 years: a transformation in cardiovascular disease characterization continues to advance.

    PubMed

    Rubin, Geoffrey D; Leipsic, Jonathon; Joseph Schoepf, U; Fleischmann, Dominik; Napel, Sandy

    2014-06-01

    Through a marriage of spiral computed tomography (CT) and graphical volumetric image processing, CT angiography was born 20 years ago. Fueled by a series of technical innovations in CT and image processing, over the next 5-15 years, CT angiography toppled conventional angiography, the undisputed diagnostic reference standard for vascular disease for the prior 70 years, as the preferred modality for the diagnosis and characterization of most cardiovascular abnormalities. This review recounts the evolution of CT angiography from its development and early challenges to a maturing modality that has provided unique insights into cardiovascular disease characterization and management. Selected clinical challenges, which include acute aortic syndromes, peripheral vascular disease, aortic stent-graft and transcatheter aortic valve assessment, and coronary artery disease, are presented as contrasting examples of how CT angiography is changing our approach to cardiovascular disease diagnosis and management. Finally, the recently introduced capabilities for multispectral imaging, tissue perfusion imaging, and radiation dose reduction through iterative reconstruction are explored with consideration toward the continued refinement and advancement of CT angiography.

  2. Suicide and Fire: A 20-Year Study of Self-Immolation Death in Sousse, Tunisia.

    PubMed

    Jedidi, Maher; Cherif El Khal, Mohamed; Mlayeh, Souheil; Masmoudi, Tasnim; Mahjoub, Mohamed; Yassine Brahem, Mohamed; Ben Dhiab, Mohamed; Zemni, Majed; Kamel Souguir, Mohamed

    2016-11-15

    Self-immolation is a self-destructive conduct described since antiquity. Its frequency is variable from one country to another and it is a real public health problem in parts of the world. In Tunisia, after the 2011 revolution the problem of self-immolation protest has been highly publicized giving the impression of an increase in this phenomenon. This is a retrospective analysis of all fatal self-immolation cases, collected over a 20-year period (1996-2015) at the Forensic Medicine Department of the Farhat Hached University Hospital, Sousse, Tunisia. A total of 41 cases were collected, of which 23 were men (56%). The mean age was 36.1 years. Prior to 2011, 78.9% of the victims of self-immolation were women and after 2011, 86.4% were men. The rural origin of the victims was found in 56.25% of the cases. History of psychiatric illness was found in four individuals. The self-immolation took place in the victims' homes in 19 cases (46.3%). It came after a conjugal or family conflict in 14 cases (34.1%) and it is of protest character in 8 cases (19.5%). This study confirmed the increasing frequency of self-immolation in Tunisia after the 2011 revolution and noted a change in the victims' profiles.

  3. A 20-year study on 190 patients with primary hyperparathyroidism in a developing country: Turkey experience.

    PubMed

    Usta, Arif; Alhan, Etem; Cinel, Akif; Türkyılmaz, Serdar; Erem, Cihangir

    2015-04-01

    The aim of this study was to present our 20-year experience regarding primary hyperparathyroidism (PHPT). PHPT patients who underwent parathyroidectomy in our clinic were reviewed retrospectively. There were 190 PHPT patients, of whom 137 were asymptomatic (72%). The mean serum calcium at the time of diagnosis was 11.9 ± 2.2 mg/dL. The mean parathyroid hormone (PTH) level was 467 ± 78 pg/mL. Ultrasonography (USG) identified all abnormal glands accurately (82.6%) and Technetium-99m sestamibi scintigraphy (MIBI) was used in 89.4% of the patients and magnetic resonance imaging (MRI) in 61%. The common use of USG and MIBI detected 92% of the lesions. Bilateral neck exploration (BNE) was performed in 12.2% of the patients and focused unilateral neck exploration (FUNE) in the remaining 87.8%. Surgical intervention was unsuccessful in 1 patient (0.5%). The conversion ratio from FUNE to BNE was 5.2%. The mean operation time and mean hospital stay decreased significantly in patients with FUNE. Pathologic examination revealed single adenoma in 93% of the patients. New imaging techniques result in the conversion of surgical treatments of PHPT. FUNE in parathyroidectomy performed by an experienced surgeon may provide successful treatment rates.

  4. Successfully breaking a 20-year cycle of hospitalizations with recovery-oriented cognitive therapy for schizophrenia.

    PubMed

    Grant, Paul M; Reisweber, Jarrod; Luther, Lauren; Brinen, Aaron P; Beck, Aaron T

    2014-05-01

    Individuals with severe and persistent schizophrenia can present challenges (e.g., difficulties sustaining motivation and conducting information processing tasks) to the implementation of recovery-oriented care. We present a successful application of recovery-oriented cognitive therapy (CT-R), a fusion of the spirit and principles of the recovery movement with the evidence base and know-how of cognitive therapy, that helped an individual with schizophrenia move along her recovery path by overcoming specific obstacles, including a 20-year cycle of hospitalizations (five per year), daily phone calls to local authorities, threatening and berating "voices," the belief that she would be killed at any moment, and social isolation. Building on strengths, treatment included collaboratively identifying meaningful personal goals that were broken down into successfully accomplishable tasks (e.g., making coffee) that disconfirmed negative beliefs and replaced the phone calling. At the end of treatment and at a 6-month follow-up, the phone calls had ceased, psychosocial functioning and neurocognitive performance had increased, and avolition and positive symptoms had decreased. She was not hospitalized once in 24 months. Results suggest that individuals with schizophrenia have untapped potential for recovery that can be mobilized through individualized, goal-focused psychosocial interventions.

  5. [The Italian Places of Nicholas Green 20 years after his assassination].

    PubMed

    De Santo, Natale Gaspare; Scarabelli, Andrea; Citterio, Franco; De Santo, Luca S; De Rosa, Giusy

    2014-01-01

    Twenty years ago, Nicholas Green, a 7- year-old American boy was shot, while on vacation, on the Autostrada (motorway) Salerno to Reggio Calabria in Italy. His organs, with the consent of his parents, Reg and Maggie, were removed and 7 persons had their lives changed. In Italy in these last 20 years, organ donation has increased powerfully from 6.2 to 18.2 per million population with a peak at 20 in 2006. Reg and Maggie Green, after Nicholas death, started campaigning for organ donation by making full use of the media. Italian justice was efficient and the criminals were imprisoned quickly. With popular enthusiasm, a total of 103 places were dedicated to Nicholas (schools, halls, squares, streets, parks, gardens, private collections), a proof of great appreciation. Teaching organ donation to children, nurses and medical students is a powerful tool to convey the message of organ donation. To prevent opposition to organ removal when brain death occurs as Professor Francesco Casavola says signing for organ donation should be a family decision and laws for organ donation should be updated frequently in order to meet the progress of modernity.

  6. Eastern Mediterranean Health Journal (EMHJ): a 20-year overview (1995-2014).

    PubMed

    Mandil, A; Curlet, F; El-Din, H Nour; Abu-Saleh, N; Soliman, M

    2016-11-02

    The EMHJ was established in 1995 to provide a peer-reviewed platform for health professionals to share their research with the scientific community. The objective of this review was to examine EMR public health research trends, as reflected by EMHJ publications in 20 years (1995-2014), through secondary data analysis. Published articles were categorized according to EMR strategic priority areas (93%), i.e. health systems strengthening (25%); reproductive and child health (22%); communicable diseases (26%); noncommunicable diseases (25%); emergency preparedness (1.5%). Most papers were original research articles (85 %), published in English (94 %), but just over half (52 %) mentioned obtaining a form of ethical clearance in the text. Six countries had each over 100 papers published during the study period, i.e. Iran, Egypt, Saudi Arabia, Jordan, Iraq, Pakistan. Half EMHJ publications during this period came from 4 countries only (Iran, Egypt, Saudi Arabia, Jordan), which calls for further study to evaluate why other EMR nations are less well represented and how to encourage greater contribution from them over the coming years.

  7. Implant survival and radiographic outcome of total hip replacement in patients less than 20 years old

    PubMed Central

    Tsukanaka, Masako; Halvorsen, Vera; Nordsletten, Lars; EngesæTer, Ingvild Ø; EngesæTer, Lars B; Marie Fenstad, Anne; Röhrl, Stephan M

    2016-01-01

    Background and purpose Total hip replacement (THR) is not recommended for children and very young teenagers because early and repetitive revisions are likely. We investigated the clinical and radiographic outcomes of THR performed in children and teenage patients. Patients and methods We included 111 patients (132 hips) who underwent THR before 20 years of age. They were identified in the Norwegian Arthroplasty Register, together with information on the primary diagnosis, types of implants, and any revisions that required implant change. Radiographs and Harris hip score (HHS) were also evaluated. Results The mean age at primary THR was 17 (11–19) years and the mean follow-up time was 14 (3–26) years. The 10-year survival rate after primary THR (with the endpoint being any revision) was 70%. 39 patients had at least 1 revision and 16 patients had 2 or more revisions. In the latest radiographs, osteolysis and atrophy were observed in 19% and 27% of the acetabulae and 21% and 62% of the femurs, respectively. The mean HHS at the final follow-up was 83 (15–100). Interpretation The clinical score after THR in these young patients was acceptable, but many revisions had been performed. However, young patients with developmental dysplasia of the hip had lower implant survival. Moreover, the bone stock in these patients was poor, which could complicate future revisions. PMID:27435903

  8. Parental Stress, Socioeconomic Status, Satisfaction with Services, and Family Quality of Life among Parents of Children Receiving Special Education Services

    ERIC Educational Resources Information Center

    Lundy, Heather F.

    2011-01-01

    Family quality of life (FQOL) refers to the degree to which families of individuals with disabilities are able to meet their basic needs, enjoy time together, and pursue leisure interests and activities (Park et al., 2003). Researchers have identified barriers that families of individuals with disabilities encounter as they pursue a life of…

  9. The American Association of Women in Community and Junior Colleges (AAWCJC): Celebrating 20 Years of Growth & Service, 1973-1993.

    ERIC Educational Resources Information Center

    Cox, Diana Hester, Ed.; And Others

    1994-01-01

    The annual Journal of the American Association of Women in Community and Junior Colleges (AAWCJC) publishes articles on research, model programs, and teaching/learning strategies of interest to women students and staff at community, junior, and technical colleges. It provides a forum for the discussion of issues related to women in higher…

  10. Cruciate Paralysis in a 20- year -old Male with an Undisplaced Type III Odontoid Fracture

    PubMed Central

    A, Mansukhani Sameer; V, Tuteja Sanesh; B, Dhar Sanjay

    2016-01-01

    Introduction: Cruciate Paralysis is a rare incomplete spinal cord syndrome presenting as brachial diplegia with minimal or no involvement of the lower extremities. It occurs as a result of trauma to the cervical spine and is associated with fractures of the axis and/or atlas. Diagnosis is confirmed on MRI and is managed by treatment of the underlying pathology. Prognosis depends on the extent of spinal cord injury and the exact cause. Case Presentation: A 20-year-old male presented to the casualty with a history of an injury to the back of the head as a result of a fall. He had severe pain in the neck and shoulder region and experienced difficulty in raising both arms and gripping objects. On examination, he had weakness of both arms, more on the right, involving the C5 to T1 distribution and brisk reflexes. There was no sensory deficit. Radiograph and a computed tomography (CT) scan of the cervical spine showed a type III undisplaced odontoid fracture. MRI showed a signal abnormality in the spinal cord at the level of the cervicomedullary junction extending up to the body of C2 vertebra. The patient was treated with traction in Gardner Wells tongs for six weeks and a sterno-occipital-mandibular immobilizer immobilizer (SOMI) brace thereafter. At three-month follow-up, he had attained complete neurological recovery. Conclusion: Cruciate Paralysis is an important cause of brachial diplegia and must be differentiated from Acute Central Cord syndrome which can have similar clinical features. PMID:28111622

  11. Toxoplasma gondii infection in marrow transplant recipients: a 20 year experience.

    PubMed

    Slavin, M A; Meyers, J D; Remington, J S; Hackman, R C

    1994-05-01

    Twelve of 3803 consecutive marrow allograft patients treated at this center over the past 20 years have had a post-transplant tissue diagnosis of toxoplasmosis: 10 at autopsy and 2 by brain biopsy. This infection was identified in none of 509 autologous marrow recipients. Occurrence of toxoplasmosis was 0.31 cases per 100 allogeneic transplants and 1.0 per 100 autopsies. An estimated 15% of allogeneic transplant recipients were seropositive for Toxoplasma gondii and 2% of seropositive patients developed toxoplasmosis. Pre-transplant serology was positive by both dye and agglutination tests in 11 infected patients tested. Sequential IgG, IgM, IgA, IgE antibody titers to T. gondii and the differential agglutination ratio were not helpful in diagnosing toxoplasmosis. Median day of clinical presentation was day 59 post-transplant (35-97 days) and of diagnosis, day 62 after transplant (37-143 days). Eleven patients had graft-versus-host disease (GVHD) of grades II-IV. All 12 patients died. Infection was diagnosed prior to death in only 16% of patients and contributed to death in at least 40%. Histopathology revealed tachyzoites of T. gondii most prevalent in brain (100%), heart (67%) and lungs (33%), and toxoplasma cysts alone in heart (33%) and lungs (22%). Toxoplasma infection was diagnosed in two patients receiving trimethoprim-sulfamethoxazole for Pneumocystis carinii pneumonia prophylaxis suggesting this was insufficient prophylaxis for toxoplasmosis. Toxoplasmosis appeared to occur by reactivation within the first 6 months after marrow transplant. Infection developed in patients who were seropositive for T. gondii pre-transplant, had received allogeneic marrow and had severe GVHD.

  12. 20 Years of persistent identifiers - Which systems are here to stay?

    NASA Astrophysics Data System (ADS)

    Klump, Jens; Huber, Robert; Lehnert, Kerstin

    2016-04-01

    Web-based persistent identifiers have been around for more than 20 years, a period long enough to start observing patterns of success and failure. Persistent identifiers were invented to address challenges arising from the distributed and disorganised nature of the internet, which not only allowed new technologies to emerge, it also made it difficult to maintain a persistent record of science. Persistent identifiers now allow unambiguous identification of resources on the net. The expectations were that persistent identifiers would lead to greater accessibility, transparency and reproducibility of research results. Over the past two decades a number of persistent identifier systems have been built, one of them being Digital Object Identifiers (DOI). While DOI were originally invented by the publishing industry, they quickly became an established way for the identification of research resources. At first, these resources referred to scholarly literature and related resources. Other identifier systems, some of them using DOI as an example, were developed as grass-roots efforts by the scientific community. The concept of using persistent identifiers has since been expanded to other, non-textual resources, like datasets (DOI, EPIC) and geological specimens (IGSN), and more recently to authors and contributors of scholarly works (ORCID), and to software and instruments. A common witticism states that "a great thing about standards is that there are so many to choose from." Setting up identifier systems is technically trivial. The real challenge lies in creating a governance system for the respective identifiers. Which systems will stand the test of time? Drawing on data from the Registry of Research Data Repositories (re3data.org) and our own experience in the field, this presentation looks at the history and adoption of existing identifier systems and how this gives us some indications towards factors influencing sustainability of these systems.

  13. 20 years of long-term atrazine monitoring in a shallow aquifer in western Germany.

    PubMed

    Vonberg, David; Vanderborght, Jan; Cremer, Nils; Pütz, Thomas; Herbst, Michael; Vereecken, Harry

    2014-03-01

    Atrazine was banned in Germany in 1991 due to findings of atrazine concentrations in ground- and drinking waters exceeding threshold values. Monitoring of atrazine concentrations in the groundwater since then provides information about the resilience of the groundwater quality to changing agricultural practices. In this study, we present results of a monitoring campaign of atrazine concentrations in the Zwischenscholle aquifer. This phreatic aquifer is exposed to intensive agricultural land use and susceptible to contaminants due to a shallow water table. In total 60 observation wells (OWs) have been monitored since 1991, of which 15 are sampled monthly today. Descriptive statistics of monitoring data were derived using the "regression on order statistics" (ROS) data censoring approach, estimating values for nondetects. The monitoring data shows that even 20 years after the ban of atrazine, the groundwater concentrations of sampled OWs remain on a level close to the threshold value of 0.1 μg l(-1) without any considerable decrease. The spatial distribution of atrazine concentrations is highly heterogeneous with OWs exhibiting permanently concentrations above the regulatory threshold on the one hand and OWs were concentrations are mostly below the limit of quantification (LOQ) on the other hand. A deethylatrazine-to-atrazine ratio (DAR) was used to distinguish between diffuse - and point-source contamination, with a global mean value of 0.84 indicating mainly diffuse contamination. Principle Component Analysis (PCA) of the monitoring dataset demonstrated relationships between the metabolite desisopropylatrazine, which was found to be exclusively associated with the parent compound simazine but not with atrazine, and between deethylatrazine, atrazine, nitrate, and the specific electrical conductivity. These parameters indicate agricultural impacts on groundwater quality. The findings presented in this study point at the difficulty to estimate mean concentrations

  14. Tracking 20 years of compound-to-target output from literature and patents.

    PubMed

    Southan, Christopher; Varkonyi, Peter; Boppana, Kiran; Jagarlapudi, Sarma A R P; Muresan, Sorel

    2013-01-01

    The statistics of drug development output and declining yield of approved medicines has been the subject of many recent reviews. However, assessing research productivity that feeds development is more difficult. Here we utilise an extensive database of structure-activity relationships extracted from papers and patents. We have used this database to analyse published compounds cumulatively linked to nearly 4000 protein target identifiers from multiple species over the last 20 years. The compound output increases up to 2005 followed by a decline that parallels a fall in pharmaceutical patenting. Counts of protein targets have plateaued but not fallen. We extended these results by exploring compounds and targets for one large pharmaceutical company. In addition, we examined collective time course data for six individual protease targets, including average molecular weight of the compounds. We also tracked the PubMed profile of these targets to detect signals related to changes in compound output. Our results show that research compound output had decreased 35% by 2012. The major causative factor is likely to be a contraction in the global research base due to mergers and acquisitions across the pharmaceutical industry. However, this does not rule out an increasing stringency of compound quality filtration and/or patenting cost control. The number of proteins mapped to compounds on a yearly basis shows less decline, indicating the cumulative published target capacity of global research is being sustained in the region of 300 proteins for large companies. The tracking of six individual targets shows uniquely detailed patterns not discernible from cumulative snapshots. These are interpretable in terms of events related to validation and de-risking of targets that produce detectable follow-on surges in patenting. Further analysis of the type we present here can provide unique insights into the process of drug discovery based on the data it actually generates.

  15. Assessing the global zoo response to the amphibian crisis through 20-year trends in captive collections.

    PubMed

    Dawson, Jeff; Patel, Freisha; Griffiths, Richard A; Young, Richard P

    2016-02-01

    Global amphibian declines are one of the biggest challenges currently facing the conservation community, and captive breeding is one way to address this crisis. Using information from the International Species Information System zoo network, we examined trends in global zoo amphibian holdings across species, zoo region, and species geographical region of origin from 1994 to 2014. These trends were compared before and after the 2004 Global Amphibian Assessment to assess whether any changes occurred and whether zoo amphibian conservation effort had increased. The numbers of globally threatened species (GTS) and their proportional representation in global zoo holdings increased and this rate of increase was significantly greater after 2004. North American, European, and Oceanian GTS were best represented in zoos globally, and proportions of Oceanian GTS held increased the most since 2004. South American and Asian GTS had the lowest proportional representation in zoos. At a regional zoo level, European zoos held the lowest proportions of GTS, and this proportion did not increase after 2004. Since 1994, the number of species held in viable populations has increased, and these species are distributed among more institutions. However, as of 2014, zoos held 6.2% of globally threatened amphibians, a much smaller figure than for other vertebrate groups and one that falls considerably short of the number of species for which ex situ management may be desirable. Although the increased effort zoos have put into amphibian conservation over the past 20 years is encouraging, more focus is needed on ex situ conservation priority species. This includes building expertise and capacity in countries that hold them and tracking existing conservation efforts if the evidence-based approach to amphibian conservation planning at a global level is to be further developed.

  16. High Overweight and Obesity in Fontan Patients: A 20-Year History.

    PubMed

    Chung, Stephanie T; Hong, Borah; Patterson, Lance; Petit, Christopher J; Ham, J Nina

    2016-01-01

    The prevalence of obesity in long-term survivors with complex congenital heart disease may be increasing, and little is known about the timing and onset of weight gain and growth patterns in these high-risk patients. Prevalence rates of overweight/obesity and longitudinal changes in body mass index (BMI) with age were determined in 606 patients with Fontan circulation seen at a tertiary care cardiology center from 1992 to 2012. The number of clinic encounters (n) was stratified by age group (n = 401, 2-5 years; n = 333, 6-11 years; n = 217, 12-19 years; and n = 129, >20 years). Among adults, 39% were overweight/obese at last clinic visit; 22% overweight, and 17% obese. Childhood anthropometric data were available for 82 adults, of which 15% (n = 12/82) were overweight/obese in childhood. The likelihood of being overweight/obese as an adult was three times higher if there was a BMI ≥ 85th percentile in childhood (CI 2.1-4.5, P < 0.01). Overweight/obesity in adulthood was associated with lower heart failure rates (4 vs. 19%, P = 0.03). Pediatric rates of overweight/obesity were comparable to national data (NHANES 2011-2012) in every age group: at 2-5 years, (25 vs. 23%), 6-11 years (26 vs. 34%), and 12-19 years (15 vs. 35%). Systolic blood pressure was higher in overweight/obese children as young as 2-5 years of age. Childhood and adult survivors with Fontan circulation have high rates of overweight/obesity. Childhood obesity is a strong predictor of future adiposity and is linked to changes in systolic blood pressure at a very young age.

  17. When folic acid fails: Insights from 20 years of neural tube defect surveillance in South Carolina.

    PubMed

    Bupp, Caleb P; Sarasua, Sara M; Dean, Jane H; Stevenson, Roger E

    2015-10-01

    Neural tube defects (NTDs) are the most common of the severe malformations of the brain and spinal cord. Increased maternal intake of folic acid (FA) during the periconceptional period is known to reduce NTD risk. Data from 1046 NTD cases in South Carolina were gathered over 20 years of surveillance. It was possible to determine maternal periconceptional FA use in 615 NTD-affected pregnancies. In 163 occurrent (26.9%) and two recurrent (22%) NTD cases, the mothers reported periconceptional FA use. These women were older and more likely to be white. Maternal periconceptional FA usage was reported in 40.4% of cases of spina bifida with other anomalies but in only 25.2% of isolated spina bifida cases (P = 0.02). This enrichment for associated anomalies was not noted among cases of anencephaly or of encephalocele. Among the 563 subsequent pregnancies to mothers with previous NTD-affected pregnancies, those taking FA had a 0.4% NTD recurrence rate, but the recurrence without FA was 8.5%. NTDs with other associated findings were less likely to be prevented by FA, suggesting there is a background NTD rate that cannot be further reduced by FA. Nonetheless, the majority (73.9%) of NTDs in pregnancies in which the mothers reported periconceptional FA use were isolated NTDs of usual types. Cases in which FA failed in prevention of NTDs provide potential areas for further study into the causation of NTDs. The measures and techniques implemented in South Carolina can serve as an effective and successful model for prevention of NTD occurrence and recurrence.

  18. Tracking 20 Years of Compound-to-Target Output from Literature and Patents

    PubMed Central

    Southan, Christopher; Varkonyi, Peter; Boppana, Kiran; Jagarlapudi, Sarma A.R.P.; Muresan, Sorel

    2013-01-01

    The statistics of drug development output and declining yield of approved medicines has been the subject of many recent reviews. However, assessing research productivity that feeds development is more difficult. Here we utilise an extensive database of structure-activity relationships extracted from papers and patents. We have used this database to analyse published compounds cumulatively linked to nearly 4000 protein target identifiers from multiple species over the last 20 years. The compound output increases up to 2005 followed by a decline that parallels a fall in pharmaceutical patenting. Counts of protein targets have plateaued but not fallen. We extended these results by exploring compounds and targets for one large pharmaceutical company. In addition, we examined collective time course data for six individual protease targets, including average molecular weight of the compounds. We also tracked the PubMed profile of these targets to detect signals related to changes in compound output. Our results show that research compound output had decreased 35% by 2012. The major causative factor is likely to be a contraction in the global research base due to mergers and acquisitions across the pharmaceutical industry. However, this does not rule out an increasing stringency of compound quality filtration and/or patenting cost control. The number of proteins mapped to compounds on a yearly basis shows less decline, indicating the cumulative published target capacity of global research is being sustained in the region of 300 proteins for large companies. The tracking of six individual targets shows uniquely detailed patterns not discernible from cumulative snapshots. These are interpretable in terms of events related to validation and de-risking of targets that produce detectable follow-on surges in patenting. Further analysis of the type we present here can provide unique insights into the process of drug discovery based on the data it actually generates. PMID

  19. Lifestyle and Weight Predictors of a Healthy Overweight Profile over a 20 year Follow-up

    PubMed Central

    Fung, Michael; Canning, Karissa L.; Mirdamadi, Paul; Ardern, Chris I.; Kuk, Jennifer L.

    2016-01-01

    Objectives To examine whether changes in modifiable risk factors (physical activity, cardiorespiratory fitness (CRF), body weight and diet composition) are associated with the transition to metabolically healthy overweight/obese (MHO) versus metabolically abnormal overweight/obese. Methods This analysis included 1358 adults (aged 25.0 (3.5) years) from the CARDIA study who were healthy at baseline and overweight/obese at follow-up. Participants with zero or one of the following six risk factors were classified as MHO: elevated triglycerides, LDL, blood pressure, fasting glucose and HOMA-insulin resistance and low HDL. Results Over the 20 year follow-up, the sample gained weight (BMI 24.5 kg/m2 to 31.1 kg/m2) and the prevalence of MHO was 47% of overweight/obese at follow-up. After adjusting for changes in CRF, diet and weight change, physical activity and macronutrient intake were not independently associated with MHO (p>0.05), while changes in CRF (fit-unfit: RR (95%) = 0.58, 0.52–0.66; unfit-unfit: RR = 0.67, 0.58–0.76, versus fit-fit) and weight (gain: RR (95%) = 0.54, 0.43–0.67; cycle: RR = 0.74, 0.57–0.94; versus stable) were independently associated with MHO. Conclusion Focusing on high CRF and strategies to limit weight gain may be important for individuals with overweight and obesity in early to mid-adulthood to maintain a metabolically healthy profile. PMID:26010328

  20. Accelerated 20-year sunlight exposure simulation of a photochromic foldable intraocular lens in a rabbit model

    PubMed Central

    Werner, Liliana; Abdel-Aziz, Salwa; Peck, Carolee Cutler; Monson, Bryan; Espandar, Ladan; Zaugg, Brian; Stringham, Jack; Wilcox, Chris; Mamalis, Nick

    2011-01-01

    PURPOSE To assess the long-term biocompatibility and photochromic stability of a new photochromic hydrophobic acrylic intraocular lens (IOL) under extended ultraviolet (UV) light exposure. SETTING John A. Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. DESIGN Experimental study. METHODS A Matrix Aurium photochromic IOL was implanted in right eyes and a Matrix Acrylic IOL without photochromic properties (n = 6) or a single-piece AcrySof Natural SN60AT (N = 5) IOL in left eyes of 11 New Zealand rabbits. The rabbits were exposed to a UV light source of 5 mW/cm2 for 3 hours during every 8-hour period, equivalent to 9 hours a day, and followed for up to 12 months. The photochromic changes were evaluated during slitlamp examination by shining a penlight UV source in the right eye. After the rabbits were humanely killed and the eyes enucleated, study and control IOLs were explanted and evaluated in vitro on UV exposure and studied histopathologically. RESULTS The photochromic IOL was as biocompatible as the control IOLs after 12 months under conditions simulating at least 20 years of UV exposure. In vitro evaluation confirmed the retained optical properties, with photochromic changes observed within 7 seconds of UV exposure. The rabbit eyes had clinical and histopathological changes expected in this model with a 12-month follow-up. CONCLUSIONS The new photochromic IOL turned yellow only on exposure to UV light. The photochromic changes were reversible, reproducible, and stable over time. The IOL was biocompatible with up to 12 months of accelerated UV exposure simulation. PMID:21241924

  1. Rationale, scope, and 20-year experience of vascular surgical training with lifelike pulsatile flow models.

    PubMed

    Eckstein, Hans-Henning; Schmidli, Jürg; Schumacher, Hardy; Gürke, Lorenz; Klemm, Klaus; Duschek, Nikolaus; Meile, Toni; Assadian, Afshin

    2013-05-01

    technical skills of vascular surgical residents at national or international board examinations. This article gives an overview of our experiences of >20 years of practical training of beginners and advanced vascular surgeons using lifelike pulsatile vascular surgical training models.

  2. Food price and diet and health outcomes: 20 years of The CARDIA Study

    PubMed Central

    Duffey, Kiyah J.; Gordon-Larsen, Penny; Shikany, James M.; Guilkey, David; Jacobs, David R; Popkin, Barry M.

    2010-01-01

    Background Despite surging interest in taxation as a policy to address poor food choice, US research directly examining the association of food prices with individual intake is scarce. Methods This 20-year longitudinal study included 12,123 respondent days from 5,115 participants in the Coronary Artery Risk Development in Young Adults (CARDIA) Study. Associations between food price, dietary intake, overall energy intake, weight, and HOMA insulin resistance (HOMA-IR) scores were assessed using conditional log-log and linear regression models. Results The real price (inflated to 2006 dollars) of soda and pizza decreased over time; the price of whole milk increased. A 10% increase in the price of soda or pizza was associated with a -7.12% (95% confidence interval [CI]: -63.5, -10.71) or -11.5% (95%CI: -17.50, -5.50) change in energy from these foods respectively. A $1.00 increase in soda price was also associated with lower daily energy intake (-124 [95%CI: -198, -50] kcal), lower weight (-2.34 [95%CI: -4.00, -0.68] lbs), and lower HOMA-IR score (0.42 [95%CI: -0.60, -0.23]); similar trends were observed for pizza. A $1.00 increase in the price of both soda and pizza was associated with greater changes in total energy intake (-181.49 [95%CI: -247.79, -115.18] kcal), body weight (-3.66 [95%CI: -5.19, -2.14] lbs), and HOMA-IR (-0.45 [95%CI: -0.59, -0.31]). Conclusions Policies aimed at altering the price of soda or away-from-home pizza may be effective mechanisms to steer US adults toward a more healthful diet and help reduce long-term weight gain or insulin levels over time. PMID:20212177

  3. The next 20 years: how customer and workforce attitudes will evolve.

    PubMed

    Howe, Neil; Strauss, William

    2007-01-01

    Business projects with very long time horizons--such as those involving product R&D, workplace design, and total compensation planning--have to contend with a crucial question: What will be the needs, demands, and desires of consumers and employees decades from now? If you think the answer is "Just more of the same," you're in for a surprise. Howe and Strauss, the authors of Generations, The Fourth Turning, Millennials Rising, and other books, have studied the differences among generations for some 30 years. Their extensive research has revealed a fascinating pattern--one so strong that it supports a measure of predictability. On the basis of historical precedent, they say, we can foresee how the generations that are alive today will think and act in decades to come. Three of those generations will still be vital forces in American society 20 years from now: Boomers, Generation X, and Millennials. Their attitudes and behaviors will have profound effects on the economy, the workplace, and social institutions in general. For example, as aging Boomers eschew high-tech medicine in favor of holistic self-care, natural foods, and mind-body healing techniques, some hospitals are opening new wings featuring alternative medicine and spiritual counseling. Gen Xers, having grown up in an era of failing schools and marriages, will remain alienated, disaffected, and pragmatic as they enter midlife. Already the greatest entrepreneurial generation in U.S. history, they will be highly effective at pushing innovation, efficiency, and mass customization. In contrast, young adult Millennials will favor teamwork, close family relationships, job security, and a bland popular culture. Their unprecedented digital empowerment and talent for organizing will create a political powerhouse and may even revitalize the union movement.

  4. Modelling 20 years of synchrotron flaring in the jet of 3C 273

    NASA Astrophysics Data System (ADS)

    Türler, M.; Courvoisier, T. J.-L.; Paltani, S.

    2000-09-01

    We present a phenomenological jet model which is able to reproduce well the observed variations of the submillimetre-to-radio emission of the bright quasar 3C 273 during the last 20 years. It is a generalization of the original shock model of Marscher & Gear (1985), which is now able to describe an accelerating or decelerating shock wave, in a curved, non-conical and non-adiabatic jet. The model defines the properties of a synchrotron outburst which is expected to be emitted by the jet material in a small region just behind the shock front. By a proper parameterization of the average outburst's evolution and of the peculiarities of individual outbursts, we are able to decompose simultaneously thirteen long-term light-curves of 3C 273 in a series of seventeen distinct outbursts. It is the first time that a model is so closely confronted to the long-term multi-wavelength variability properties of a quasar. The ability of the model to reproduce the very different shapes of the submillimetre-to-radio light curves of 3C 273 gives strong support to the shock model of Marscher & Gear (1985). Indirectly, it also reinforces the idea that the outbursts seen in the light-curves are physically linked to the distinct features observed to move along the jet with apparently superluminal velocities. The more than 5000 submillimetre-to-radio observations in the different light-curves are able to constrain the physical properties of the jet. The results suggest, for instance, that the magnetic field behind the shock front is rather turbulent. There is also some evidence that the jet radius does not increase linearly with distance down the jet or, alternatively, that the synchrotron emitting material decelerates with distance and/or bends away from the line-of-sight.

  5. 20 Years of sea-levels, accretion, and vegetation on two Long ...

    EPA Pesticide Factsheets

    The long-term 1939-2013 rate of RSLR (Relative Sea-Level Rise) at the New London, CT tide gauge is ~2.6 mm/yr, near the maximum rate of salt marsh accretion reported in eastern Long Island Sound salt marshes. Consistent with recent literature RSLR at New London has accelerated since the 1980s; inter-annual variability can be high, but over the last three decades rates have averaged ~4.5 mm/yr, more than double the first 40 years of the New London record. Marsh surface elevation has been followed for 10 years with a SET array at the Barn Island system on Little Narragansett Bay and 20 years using an accretion pin array at Mamacoke Marsh on the Thames River. From 2003 – 2013 accretion averaged 2.3 mm/yr on the Barn Island marshes while RSLR increased 5.4 mm/yr. The increased hydroperiod is driving vegetation change at Barn Island, particularly in areas that started with lower “elevation capital”. Over two decades Mamacoke accretion closely matched RSLR: 4.7 vs 4.9 mm/yr, with no significant shifts in vegetation. For the 1st 12 years at Mamacoke, accretion was slower than RSLR: 3.2 vs 8.1 mm/yr. From 2006 to 2014, however elevation increase averaged 7.0 mm/yr while sea level rose just 7 mm. By 2014 accretion rates across the marsh ranged from 1.3 to 16.1 mm /yr. Preliminary core analysis confirms highly organic peat, but reveals sand concentrations at 2–4 cm in some areas, suggesting that Hurricanes Irene (2011) and Sandy (2012) may have contributed to Mama

  6. Ecosystem development after mangrove wetland creation: plant-soil change across a 20-year chronosequence

    USGS Publications Warehouse

    Osland, Michael J.; Spivak, Amanda C.; Nestlerode, Janet A.; Lessmann, Jeannine M.; Almario, Alejandro E.; Heitmuller, Paul T.; Russell, Marc J.; Krauss, Ken W.; Alvarez, Federico; Dantin, Darrin D.; Harvey, James E.; From, Andrew S.; Cormier, Nicole; Stagg, Camille L.

    2012-01-01

    Mangrove wetland restoration and creation efforts are increasingly proposed as mechanisms to compensate for mangrove wetland losses. However, ecosystem development and functional equivalence in restored and created mangrove wetlands are poorly understood. We compared a 20-year chronosequence of created tidal wetland sites in Tampa Bay, Florida (USA) to natural reference mangrove wetlands. Across the chronosequence, our sites represent the succession from salt marsh to mangrove forest communities. Our results identify important soil and plant structural differences between the created and natural reference wetland sites; however, they also depict a positive developmental trajectory for the created wetland sites that reflects tightly coupled plant-soil development. Because upland soils and/or dredge spoils were used to create the new mangrove habitats, the soils at younger created sites and at lower depths (10-30 cm) had higher bulk densities, higher sand content, lower soil organic matter (SOM), lower total carbon (TC), and lower total nitrogen (TN) than did natural reference wetland soils. However, in the upper soil layer (0-10 cm), SOM, TC, and TN increased with created wetland site age simultaneously with mangrove forest growth. The rate of created wetland soil C accumulation was comparable to literature values for natural mangrove wetlands. Notably, the time to equivalence for the upper soil layer of created mangrove wetlands appears to be faster than for many other wetland ecosystem types. Collectively, our findings characterize the rate and trajectory of above- and below-ground changes associated with ecosystem development in created mangrove wetlands; this is valuable information for environmental managers planning to sustain existing mangrove wetlands or mitigate for mangrove wetland losses.

  7. A levels and intelligence as predictors of medical careers in UK doctors: 20 year prospective study

    PubMed Central

    McManus, I C; Smithers, Eleni; Partridge, Philippa; Keeling, A; Fleming, Peter R

    2003-01-01

    Objective To assess whether A level grades (achievement) and intelligence (ability) predict doctors' careers. Design Prospective cohort study with follow up after 20 years by postal questionnaire. Setting A UK medical school in London. Participants 511 doctors who had entered Westminster Medical School as clinical students between 1975 and 1982 were followed up in January 2002. Main outcome measures Time taken to reach different career grades in hospital or general practice, postgraduate qualifications obtained (membership/fellowships, diplomas, higher academic degrees), number of research publications, and measures of stress and burnout related to A level grades and intelligence (result of AH5 intelligence test) at entry to clinical school. General health questionnaire, Maslach burnout inventory, and questionnaire on satisfaction with career at follow up. Results 47 (9%) doctors were no longer on the Medical Register. They had lower A level grades than those who were still on the register (P < 0.001). A levels also predicted performance in undergraduate training, performance in postregistration house officer posts, and time to achieve membership qualifications (Cox regression, P < 0.001; b=0.376, SE=0.098, exp(b)=1.457). Intelligence did not independently predict dropping off the register, career outcome, or other measures. A levels did not predict diploma or higher academic qualifications, research publications, or stress or burnout. Diplomas, higher academic degrees, and research publications did, however, significantly correlate with personality measures. Conclusions Results of achievement tests, in this case A level grades, which are particularly used for selection of students in the United Kingdom, have long term predictive validity for undergraduate and postgraduate careers. In contrast, a test of ability or aptitude (AH5) was of little predictive validity for subsequent medical careers. PMID:12869457

  8. Dental health status among sensory impaired and blind institutionalized children aged 6 to 20 years

    PubMed Central

    Sanjay, Venkataraam; Shetty, Sumanth M; Shetty, Rashmi G; Managoli, Noopur A; Gugawad, Sachin C; Hitesh, D

    2014-01-01

    Background: This study was planned to assess the dental caries status among disabled children as dental health is an integral part of general body health and this group is deprived of health care needs. Materials & Methods: A sample of 310 disabled children was gathered including 195- Hearing impaired, 115 – blind. Of which 226 were males and 84 were females. A study questionnaire was prepared to include demographic information and WHO oral health assessment form (1997) to record dental caries status.Data was analysed using student’s test and ANOVA test was used at p≤0.05. Results: The overall mean for DMFT scores for males and females was 2.11 (1.753) and 1.75 (1.275) respectively. Similarly overall mean for dft was 0.31 (0.254) for males and 0.27 (0.143) for females. Mean DMFT of blind students was more as compared to hearing impaired ones as 2.16 (2.005) and 1.80 (1.264) respectively. Age factor showed a significant increase in the mean DMFT scores with advancing age at p ≤ 0.001. Conclusion: Overall mean scores of caries was very high and it increased with increasing age. Blind children experienced more caries then hearing impaired children in permanent, whereas it was opposite in primary dentition. So there is urgent need of both comprehensive and incremental dental care for this subgroup of population. How to cite the article: Sanjay V, Shetty SM, Shetty RG, Managoli NA, Gugawad SC, Hitesh D. Dental health status among sensory impaired and blind institutionalized children aged 6 to 20 years. J Int Oral Health 2014;6(1):55-8. PMID:24653604

  9. Water balance along a chain of tundra lakes: A 20-year isotopic perspective

    NASA Astrophysics Data System (ADS)

    Gibson, J. J.; Reid, R.

    2014-11-01

    Stable isotope measurements and isotope mass balance (IMB) calculations are presented in support of an unprecedented 20-year water balance assessment for a tailings pond and a chain of downstream lakes at the Salmita-Tundra mine site, situated near Courageous Lake, Northwest Territories, Canada (65°03‧N; 111°11‧W). The method is shown to provide a comprehensive annual and interannual perspective of water balance fluxes along a chain of lakes during the period 1991-2010, without the need for continuous streamflow gauging, and reveals important lake-order-dependent patterns of land-surface runoff, discharge accumulation, and several key diagnostic ratios, i.e., evaporation/inflow, evaporation/evapotranspiration, land-surface-runoff/precipitation and discharge/ precipitation. Lake evaporation is found to be a significant component of the water balance, accounting for between 26% and 32% of inflow to natural lakes and between 72% and 100% of inflow to mine-tailings ponds. Evaporation/evapotranspiration averages between 7% and 22% and is found to be higher in low-precipitation years, and in watersheds with a higher proportion of lakes. Runoff ratios for land-surface drainages and runoff ratios for watersheds (including lakes) ranged between 14-47% and 20-47%, respectively, and were higher in low precipitation years, in watersheds with a higher proportion of lakes, and in watersheds less affected by mining development. We propose that in general these two runoff ratios will likely converge as lake order increases and as land cover conditions become regionally representative. Notably, the study demonstrates application of IMB, validated with streamflow measurements, to constrain local water balance in a remote low-arctic region. For IMB chain-of-lakes applications, it underlines the importance of accounting for evaporatively-enriched upstream sources to avoid overestimation of evaporation losses.

  10. Meeting a Growing Demand: Texas A&M AgriLife Extension Service's Early Childhood Educator Online Training Program

    ERIC Educational Resources Information Center

    Green, Stephen

    2013-01-01

    Demand for professional development training in the early childhood field has grown substantially in recent years. To meet the demand, Texas A&M AgriLife Extension Service's Family Development and Resource Management unit developed the Early Childhood Educator Online Training Program, a professional development system that currently offers…

  11. Investigating the Relationship between Pre-Service Teachers' Scientific Literacy, Environmental Literacy and Life-Long Learning Tendency

    ERIC Educational Resources Information Center

    Saribas, D.

    2015-01-01

    The study investigates the relationship between pre-service teachers' scientific literacy (SL) and their environmental literacy (EL). It also seeks significant differences in SL at different levels of a tendency towards life-long learning (LLT). With the world facing critical environmental problems, an interdisciplinary approach to teaching…

  12. Evaluation of a passive optical based end of service life indicator (ESLI) for organic vapor respirator cartridges

    PubMed Central

    Checky, Melissa; Frankel, Kevin; Goddard, Denise; Johnson, Erik; Thomas, J. Christopher; Zelinsky, Maria; Javner, Cassidy

    2016-01-01

    ABSTRACT A passive visual end of service life indicator (ESLI) for certain organic vapors has been attached to the inside wall of an organic vapor respirator cartridge. The opposite side of the ESLI touches activated carbon inside the cartridge. During use, organic vapors moving through the cartridge adsorb into both the carbon and the ESLI. The cartridge body is clear so that when vapor concentrations meet a certain threshold, the user may observe the progressive development of an indicator bar down the side of the ESLI. The cartridge is deemed ready to change when any part of the indicator bar touches a marked end line. The performance of the ESLI was observed when the cartridge was tested against a variety of organic vapors, exposure concentrations above the minimum indication level, humidities, temperatures, flow rates, and mixtures. In all cases, the ESLI indicated end of service life with more than 10% cartridge service life remaining (which is a NIOSH test criteria). The results were also compared to mathematical predictions of cartridge service life. PMID:26418577

  13. 77 FR 37862 - Open-Circuit Self-Contained Breathing Apparatus Remaining Service-Life Indicator Performance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    .... ACTION: Notice of proposed rulemaking. SUMMARY: As a component of its ongoing update of respirator...) remaining service-life indicators (indicators), which are devices built into a respirator to alert the user that the breathing air provided by the respirator is close to depletion. HHS intends to revise...

  14. Comparing the Life Cycle Energy Consumption, GlobalWarming and Eutrophication Potentials of Several Water andWaste Service Options

    EPA Science Inventory

    Managing the water-energy-nutrient nexus for the built environment requires, in part, a full system analysis of energy consumption, global warming and eutrophication potentials of municipal water services. As an example, we evaluated the life cycle energy use, greenhouse gas (GHG...

  15. Health Care Service Needs and Correlates of Quality of Life: A Case Study of Elderly Chinese Immigrants in Canada

    ERIC Educational Resources Information Center

    Chow, Henry P. H.

    2012-01-01

    This study explored the health care service needs and the major correlates of quality of life among 127 community-dwelling elderly Chinese immigrants in a western Canadian city. Participants were interviewed in their homes by trained, bilingual interviewers employing a structured questionnaire that covered a wide range of topics including health…

  16. Comparing the Life Cycle Energy Consumption, Global Warming and Eutrophication Potentials of Several Water and Waste Service Options

    EPA Science Inventory

    Managing the water-energy-nutrient nexus for the built environment requires, in part, a full system analysis of energy consumption, global warming and eutrophication potentials of municipal water services. As an example, we evaluated the life cycle energy use, greenhouse gas (GHG...

  17. Long-term Outcomes of Military Service in Aging and the Life Course: A Positive Re-envisioning.

    PubMed

    Spiro, Avron; Settersten, Richard A; Aldwin, Carolyn M

    2016-02-01

    Most research on military service focuses on its short-term negative consequences, especially the mental and physical injuries of those deployed in warzones. However, studies of long-term outcomes reveal surprisingly positive effects of military service--both those early in adulthood that grow over time and others that can emerge later in life. These multidomain effects have been found in veterans of World War II and the Korean War and are now being seen in veterans of the Vietnam War. Although some are directly attributable to public policies such as the GI Bill, which facilitate educational and economic gains, there are personal developmental gains as well, including autonomy, emotional maturity and resilience, mastery, and leadership skills, that lead to better health and well-being in later life. These long-term effects vary across persons, change over time within persons, and often reflect processes of cumulative advantage and disadvantage. We propose a life-span model of the effects of military service that provides a perspective for probing both long-term positive and negative outcomes for aging veterans. We further explicate the model by focusing on both sociocultural dynamics and individual processes. We identify public-use data that can be examined to evaluate this model, and offer a set of questions that can be used to assess military service. Finally, we outline an agenda for dedicated inquiry into such effects and consider policy implications for the health and well-being of aging veterans in later life.

  18. Internet Service Cognition and Use, and Their Promotion of Quality of Life in Taiwan

    ERIC Educational Resources Information Center

    Liang, Te-Hsin

    2011-01-01

    The "e-Taiwan Program" implemented by Taiwan government is aimed at showing the e-advantage in people's life and bring about essential benefits. This research follows the e-Life indicators of the Quality of Life measurement system developed by "e-Taiwan Program", which including four major dimensions of e-Daily Life,…

  19. PREFACE: Celebrating 20 years of Journal of Physics: Condensed Matter—in honour of Richard Palmer Celebrating 20 years of Journal of Physics: Condensed Matter—in honour of Richard Palmer

    NASA Astrophysics Data System (ADS)

    Ferry, David; Dowben, Peter; Inglesfield, John

    2009-11-01

    This year marks the 20th anniversary of the launch of Journal of Physics: Condensed Matter in 1989. The journal was formed from the merger of Journal of Physics C: Solid State Physics and Journal of Physics F: Metal Physics which had separated in 1971. In the 20 years since its launch, Journal of Physics: Condensed Matter has more than doubled in size, while raising standards. Indeed, Journal of Physics: Condensed Matter has become one of the leading scientific journals for our field. This could not have occurred without great leadership at the top. No one has been more responsible for this growth in both size and quality than our Senior Publisher, Richard Palmer. Richard first started work at IOP in March 1971 as an Editorial Assistant with J. Phys. B After a few months, he transferred to J. Phys.C The following year, the Assistant Editor of J. Phys. C, Malcolm Haines, left suddenly in order to work on his family vineyard in France, and Richard stepped into the breach. In those days, external editors had a much more hands-on role in IOP Publishing and he had to travel to Harwell to be interviewed by Alan Lidiard, the Honorary Editor of J. Phys. C, before being given the job of Assistant Editor permanently. Since J. Phys. C and J. Phys. F re-merged to form Journal of Physics: Condensed Matter, Richard gradually shed his other journal responsibilities, except for Reports on Progress in Physics, to build up Journal of Physics: Condensed Matter. He has worked closely with four Editors-in-Chief of J. Phys. C and five of Journal of Physics: Condensed Matter. When Richard announced his retirement this past winter, we met it with a great deal of both happiness and sadness. Of course, we are happy that he is going to be allowed to enjoy his retirement, but we remain very sad to lose such a valuable member of our team, especially the one who had provided the heart and soul of the journal over its 20 years. We will be able to rely upon the team which Richard ably trained as

  20. Assessment of Life Cycle Impacts on Ecosystem Services: Promise, Problems, and Prospects.

    PubMed

    Othoniel, Benoit; Rugani, Benedetto; Heijungs, Reinout; Benetto, Enrico; Withagen, Cees

    2016-02-02

    The analysis of ecosystem services (ES) is becoming a key-factor to implement policies on sustainable technologies. Accordingly, life cycle impact assessment (LCIA) methods are more and more oriented toward the development of harmonized characterization models to address impacts on ES. However, such efforts are relatively recent and have not reached full consensus yet. We investigate here on the transdisciplinary pillars related to the modeling of LCIA on ES by conducting a critical review and comparison of the state-of-the-art in both LCIA and ES domains. We observe that current LCIA practices to assess impacts on "ES provision" suffer from incompleteness in modeling the cause-effect chains; the multifunctionality of ecosystems is omitted; and the "flow" nature of ES is not considered. Furthermore, ES modeling in LCIA is limited by its static calculation framework, and the valuation of ES also experiences some limitations. The conceptualization of land use (changes) as the main impact driver on ES, and the corresponding approaches to retrieve characterization factors, eventually embody several methodological shortcomings, such as the lack of time-dependency and interrelationships between elements in the cause-effect chains. We conclude that future LCIA modeling of ES could benefit from the harmonization with existing integrated multiscale dynamic integrated approaches.

  1. Integrated earth system dynamic modeling for life cycle impact assessment of ecosystem services.

    PubMed

    Arbault, Damien; Rivière, Mylène; Rugani, Benedetto; Benetto, Enrico; Tiruta-Barna, Ligia

    2014-02-15

    Despite the increasing awareness of our dependence on Ecosystem Services (ES), Life Cycle Impact Assessment (LCIA) does not explicitly and fully assess the damages caused by human activities on ES generation. Recent improvements in LCIA focus on specific cause-effect chains, mainly related to land use changes, leading to Characterization Factors (CFs) at the midpoint assessment level. However, despite the complexity and temporal dynamics of ES, current LCIA approaches consider the environmental mechanisms underneath ES to be independent from each other and devoid of dynamic character, leading to constant CFs whose representativeness is debatable. This paper takes a step forward and is aimed at demonstrating the feasibility of using an integrated earth system dynamic modeling perspective to retrieve time- and scenario-dependent CFs that consider the complex interlinkages between natural processes delivering ES. The GUMBO (Global Unified Metamodel of the Biosphere) model is used to quantify changes in ES production in physical terms - leading to midpoint CFs - and changes in human welfare indicators, which are considered here as endpoint CFs. The interpretation of the obtained results highlights the key methodological challenges to be solved to consider this approach as a robust alternative to the mainstream rationale currently adopted in LCIA. Further research should focus on increasing the granularity of environmental interventions in the modeling tools to match current standards in LCA and on adapting the conceptual approach to a spatially-explicit integrated model.

  2. Development of a Hydrogen Sulfide End-of-Service-Life Indicator for Respirator Cartridges Using Cobinamide.

    PubMed

    Greenawald, Lee A; Boss, Gerry R; Reeder, Aaron; Bell, Suzanne

    2016-07-01

    An inexpensive paper-based sensor was developed for detecting low ppm concentrations of hydrogen sulfide gas. A piece of filter paper containing aquohydroxocobinamide [OH(H2O)Cbi] was placed on the end of a bifurcated optical fiber, and the reflectance spectrum of the OH(H2O)Cbi was monitored during exposure to 10.0 ppm hydrogen sulfide gas (NIOSH recommended exposure limit). Reaction of sulfide (HS-) yielded an increase in reflectance from 400-450 nm, and decrease from 470-550 nm. Spectral changes were monitored as a function of time at 25, 50, and 85% relative humidity. Spectral shifts at high-er humidity suggested reduction of the Cbi(III) compound. The sensor was used to detect hydrogen sulfide breakthrough from respirator carbon beds and results correlated well with a standard electrochemical detector. The simple paper-based sensor could provide a real-time end-of-service-life alert for hydrogen sulfide gas.

  3. [Years of potential life lost in Mexico. Applications in the planning of health services].

    PubMed

    Borja-Aburto, V H; Bustamante-Montes, P; López Carrillo, L; Lona Zamora, A; López Cervantes, M

    1989-01-01

    During health care services planning, rational and coherent information is required in order to allocate resources in accordance with local relative need. In an attempt to recognize the national condition, Stone's method was used. This is a semi-quantitative method for analysing the relationship between health care resources and need. Years of potential life lost index was used for need assessment among the states, and confronted to its Federal Public Health Investment. The optimum resource/need ratio is regarded as that pertaining to the reference population, the nation as a whole. Deviation from the optimum ratio in the states is interpreted as a manifestation of inequitable resource distribution. The results show striking differences in needs and resources. Resource/need ratio varied from 0.21 in Oaxaca to 3.79 in Distrito Federal. The states least favoured in resource sharing were Oaxaca, Puebla, Hidalgo and México. On the other hand, Tamaulipas, Baja California Sur, Quintana Roo and Distrito Federal exceeded the optimum. These indexes permit a quantitative expression of the relationship between need and resources in order to reach geographical equity.

  4. Analysis on regulation strategies for extending service life of hydropower turbines

    NASA Astrophysics Data System (ADS)

    Yang, W.; Norrlund, P.; Yang, J.

    2016-11-01

    Since a few years, there has been a tendency that hydropower turbines experience fatigue to a greater extent, due to increasingly more regulation movements of governor actuators. The aim of this paper is to extend the service life of hydropower turbines, by reasonably decreasing the guide vane (GV) movements with appropriate regulation strategies, e.g. settings of PI (proportional-integral) governor parameters and controller filters. The accumulated distance and number of GV movements are the two main indicators of this study. The core method is to simulate the long-term GV opening of Francis turbines with MATLAB/Simulink, based on a sequence of one-month measurements of the Nordic grid frequency. Basic theoretical formulas are also discussed and compared to the simulation results, showing reasonable correspondence. Firstly, a model of a turbine governor is discussed and verified, based on on-site measurements of a Swedish hydropower plant. Then, the influence of governor parameters is discussed. Effects of different settings of controller filters (e.g. dead zone, floating dead zone and linear filter) are also examined. Moreover, a change in GV movement might affect the quality of the frequency control. This is also monitored via frequency deviation characteristics, determined by elementary simulations of the Nordic power system. The results show how the regulation settings affect the GV movements and frequency quality, supplying suggestions for optimizing the hydropower turbine operation for decreasing the wear and tear.

  5. Identifying Life Challenges of Women at a Branch Campus through Life Course Interviews: Implications for Service Delivery

    ERIC Educational Resources Information Center

    Horn-Johnson, Tancy Clarissa

    2016-01-01

    An increasing number of women are returning to school as nontraditional students to complete their bachelor's degrees. These women may have specific needs related to life transitions and re-entry into postsecondary education that traditional students do not. The purpose of this study was to gain insight into the experiences of women who are…

  6. Black and White Chains of Risk for Hospitalization over 20 Years

    ERIC Educational Resources Information Center

    Ferraro, Kenneth F.; Shippee, Tetyana Pylypiv

    2008-01-01

    Drawing from the life course perspective, racial disparities in hospitalization are considered in light of a chain of risk. We ask whether race influences admission to, length of stay in, and mortality following hospitalization. Analyses address these questions with data from a national longitudinal sample of adults to assess racial disparities in…

  7. Men and Health Promotion in the United Kingdom: 20 Years Further Forward?

    ERIC Educational Resources Information Center

    Robertson, Steve; Baker, Peter

    2017-01-01

    Despite overall improvements in life expectancy, rates of premature male mortality, particularly for men in areas of socioeconomic deprivation, remain an important issue of concern in the United Kingdom. Interventions to engage men and promote their health and wellbeing have developed, albeit sporadically, over recent decades in response to this…

  8. Neurotoxicity in young adults 20 years after childhood exposure to lead: the Bunker Hill experience

    PubMed Central

    Stokes, L.; Letz, R.; Gerr, F.; Kolczak, M.; McNeill, F. E.; Chettle, D. R.; Kaye, W. E.

    1998-01-01

    OBJECTIVES: An epidemiological study of young adults was conducted to determine whether environmental exposure to lead during childhood was associated with current adverse neurobehavioural effects. METHODS: The exposed group consisted of 281 young adults who had been exposed environmentally to lead as children and the unexposed referent group consisted of 287 age and sex frequency matched subjects. Information on demographics, past and current health, and past exposures to neurotoxicants, and responses to the Swedish Q16 questionnaire were collected by interview. Standard neurobehavioural and neurophysiological tests were administered by computer or trained technicians. K x ray fluorescence was used to estimate tibial bone lead concentrations among the exposed and unexposed groups. Associations were examined between the exposed group and referents and tibial bone lead concentration and the neurobehavioural and neurophysiological outcomes of interest. RESULTS: Among the measures of peripheral nerve function, after controlling for confounders, sural sensory nerve evoked response amplitude, peroneal motor nerve compound motor action potential amplitude, vibrotactile thresholds of fingers and toes, and standing steadiness were significantly associated with exposure group. Among the neurobehavioural tests, hand-eye coordination, simple reaction time latency, trails B latency, symbol digit latency, serial digit, and learning error score were also significantly associated with exposure group after controlling for confounders. Exposed subjects had significantly more neuropsychiatric symptoms than the referents. Associations between tibial bone lead concentration and scores for vocabulary, vibrotactile thresholds of the fingers, and vibrotactile thresholds of the toes approached significance. CONCLUSIONS: Significant adverse central and peripheral neurological effects were found in a group of young adults 20 years after childhood environmental exposure to lead when compared

  9. 20 years of ClO measurements in the Antarctic lower stratosphere

    NASA Astrophysics Data System (ADS)

    Nedoluha, Gerald E.; Connor, Brian J.; Mooney, Thomas; Barrett, James W.; Parrish, Alan; Gomez, R. Michael; Boyd, Ian; Allen, Douglas R.; Kotkamp, Michael; Kremser, Stefanie; Deshler, Terry; Newman, Paul; Santee, Michelle L.

    2016-08-01

    We present 20 years (1996-2015) of austral springtime measurements of chlorine monoxide (ClO) over Antarctica from the Chlorine Oxide Experiment (ChlOE1) ground-based millimeter wave spectrometer at Scott Base, Antarctica, as well 12 years (2004-2015) of ClO measurements from the Aura Microwave Limb Sounder (MLS). From August onwards we observe a strong increase in lower stratospheric ClO, with a peak column amount usually occurring in early September. From mid-September onwards we observe a strong decrease in ClO. In order to study interannual differences, we focus on a 3-week period from 28 August to 17 September for each year and compare the average column ClO anomalies. These column ClO anomalies are shown to be highly correlated with the average ozone mass deficit for September and October of each year. We also show that anomalies in column ClO are strongly anti-correlated with 30 hPa temperature anomalies, both on a daily and an interannual timescale. Making use of this anti-correlation we calculate the linear dependence of the interannual variations in column ClO on interannual variations in temperature. By making use of this relationship, we can better estimate the underlying trend in the total chlorine (Cly = HCl + ClONO2 + HOCl + 2 × Cl2 + 2 × Cl2O2 + ClO + Cl). The resultant trends in Cly, which determine the long-term trend in ClO, are estimated to be -0.5 ± 0.2, -1.4 ± 0.9, and -0.6 ± 0.4 % year-1, for zonal MLS, Scott Base MLS (both 2004-2015), and ChlOE (1996-2015) respectively. These trends are within 1σ of trends in stratospheric Cly previously found at other latitudes. The decrease in ClO is consistent with the trend expected from regulations enacted under the Montreal Protocol.

  10. [20 years' experience in the treatment of children with terminal renal insufficiency in Yugoslavia].

    PubMed

    Peco-Antić, A; Popović-Rolović, M; Jovanović, O; Marsenić, O; Babić, D; Kostić, M; Kruscić, O; Culić, D; Trajković, D

    2000-01-01

    The first specialized haemodialysis (HD) paediatric centre in former Yugoslavia was established at the University Children's Hospital in Belgrade in January 1980. A total of 194 children (F: 98, M: 96), aged less than 19 years (10.12 +/- 4.23), were treated for renal replacement therapy (RRT) over 20 years. Average annual incidence rate was 1.59 per million of child population (pmcp) aged less than 19 years for the period 1980-1990 (former Yugoslavia) and 2.85 pmcp aged less than 19 years for the period 1990-2000 (present Yugoslavia). Reflux nephropathy was the most frequent underlying disease and accounted for 37.06% of total cases, while other primary renal diseases were: glomerulonephritis (GN) 17.26%, cystic/hereditary familial nephropathy 12.69%, congenital disease 11.68%, interstitial nephritis 5.58%, non-recovered tubular necrosis 3.55%, secondary GN 1.52% and 10.66% remained with doubtful diagnosis. HD was the first RRT in 84.02%, peritoneal dialysis (PD) in 14.43% and pre-emptive transplantation in 1.55% of all patients. A total of 53 patients (27.3% of total terminal renal failure (TRF) patients) received 56 kidney transplants (58.93% live related, 37.50% cadaveric, 3.57% live-non related). Actual survival in RRT was 64.53% 5 in years; 51.68% in 10 and 48.23% in 15 years. Patient survival in HD was significantly better over the last ten-year period than in the first ten-year period (35.88% vs. 75.75%; p < 0.005) as well as the survival of transplanted patients in the same two periods (67.62% vs. 95.45%). Graft survival was 79.85% in 5 and 70.50% in 10 years. Cardiovascular complications were the most common cause of death of patients on RRT (56.10 posto) followed by infection (24.39). On December 31, 1999, 54 patients on RRT were alive less than 19 years: 75.92% in HD; 22.22% with functioning graft and 1.85% on automatic PD. This is the first national-wide long-term study of incidence and aetiology of paediatric TRF and outcome of paediatric RRT in

  11. Spinal cord stimulation: a 20-year retrospective analysis in 260 patients.

    PubMed

    Reig, Enrique; Abejón, David

    2009-07-01

    Introduction. Spinal cord stimulation (SCS) is used clinically by many pain physicians and neurosurgeons alike without regard to their own outcome data. Methods. We reviewed our 20-year experience retrospectively of patients receiving SCS implants and analyzed our data by pain type and group. Results. We present 260 patients, 140 men and 120 women. The most frequent type of pain in our series was neuropathic pain in 44.25% and the most frequent diagnosis was peripheral vascular disease (PVD) with 98 cases. The second was failed back surgery syndrome (FBSS) with 65 cases and the third was complex regional pain syndrome type I (CRPS I), with 40 cases. In CRPS group, the mean visual analog scale (VAS) of this group was 77.89 ± 13.38. In total, 5% had no pain relief, 40% had poor pain relief, 47.5% had good pain relief, and 7.5% had excellent pain relief. In FBSS group, the mean VAS was 79.62 ± 11.69 mm. A total of 13.80% had no pain relief at all, 35.39% had poor pain relief, 50.76% had good pain relief, and there were no patients in this group who had complete pain relief. A total of 98 patients, 78 men and 20 women, were diagnosed with PVD. The mean VAS of this group was 69.75 ± 14.36 mm. A total of 11.22% had poor pain relief, 87.75% had good pain relief. One patient had complete pain relief and all patients in this group perceived at least some improvement in their symptoms. The rate of complications was close to 28% in our overall sample. Conclusions. In conclusion, we demonstrated the utility over time of this type of treatment is comparable with other series of efficacy of SCS. The analgesic efficacy was close to 65% in the overall group. The therapy was not free of complications. The preponderance of our patients was patients with the diagnosis of PVD and our results in this group of patients were excellent. These excellent results of more than 90% improvement suggest to us that SCS be considered as a first-line approach to the

  12. Antimicrobial-Resistant Escherichia coli Survived in Dust Samples for More than 20 Years

    PubMed Central

    Schulz, Jochen; Ruddat, Inga; Hartung, Jörg; Hamscher, Gerd; Kemper, Nicole; Ewers, Christa

    2016-01-01

    that under particular conditions, dust from farm animal houses can be reservoirs for antimicrobial-resistant E. coli for at least 20 years. The survival strategies that allow E. coli to survive such long periods in environmental samples are not fully understood and could be an interesting research topic for future studies. PMID:27375587

  13. Trends in cerebrovascular mortality and in its risk factors in Finland during the last 20 years.

    PubMed

    Sarti, C; Vartiainen, E; Torppa, J; Tuomilehto, J; Puska, P

    1994-01-01

    At the beginning of the 1970s, the mortality rates from cerebrovascular disease in Finland were among the highest in the world. In addition, the levels of the main known risk factors for cardiovascular disease, such as high blood pressure, elevated serum cholesterol level and cigarette smoking, were by international comparisons very high. Within Finland, higher mortality from both stroke and ischemic heart disease was observed in the eastern part of the country, where the levels of the risk factors mentioned were higher than in the western regions. Official mortality statistics show that deaths from stroke in Finland declined steeply in the 1970s, and continued to decline, although at a slower pace, during the 1980s. Furthermore, the decline in stroke mortality was greater in eastern Finland than in the western part of the country, such that the gap observed between east and west Finland in stroke mortality has now almost disappeared. These findings are supported by the trends observed from the North Karelia stroke register and from the FINMONICA stroke register. A cohort study has demonstrated that high blood pressure, high blood cholesterol level and cigarette smoking are risk factors for fatal stroke in the male population of eastern Finland. In women, only high blood pressure was found to be a risk factor for fatal stroke, while for cigarette smoking and high blood cholesterol levels the risk, though increased, was not statistically significant. A national strategy has been developed to control and reduce the main cardiovascular risk factors in Finland. The North Karelia project, started in Finland in 1972, was the first program of its type aimed at the reduction of risk factors in a whole population. Arterial blood pressure and total blood cholesterol levels have decreased significantly during the last 20 years in both men and women. The prevalence of cigarette smoking has been reduced only in men. The changes in risk factors that have occurred parallel the

  14. 20 Years of ClO Measurements in the Antarctic Lower Stratosphere

    NASA Technical Reports Server (NTRS)

    Nedoluha, Gerald E.; Connor, Brian J.; Mooney, Thomas; Barrett, James W.; Parrish, Alan; Gomez, R. Michael; Boyd, Ian; Allen, Douglas R.; Kotkamp, Michael; Kremser, Stefanie; Deshler, Terry; Newman, Paul; Santee, Michelle L.

    2016-01-01

    We present 20 years (1996-2015) of austral springtime measurements of chlorine monoxide (ClO) over Antarctica from the Chlorine Oxide Experiment (ChlOEl) ground-based millimeter wave spectrometer at Scott Base, Antarctica, as well 12 years (2004-2015) of ClO measurements from the Aura Microwave Limb Sounder (MLS). From August onwards we observe a strong increase in lower stratospheric ClO, with a peak column amount usually occurring in early September. From mid-September onwards we observe a strong decrease in ClO. In order to study interannual differences, we focus on a 3-week period from 28 August to 17 September for each year and compare the average column ClO anomalies. These column ClO anomalies are shown to be highly correlated with the average ozone mass deficit for September and October of each year. We also show that anomalies in column ClO are strongly anti-correlated with 30 hPa temperature anomalies, both on a daily and an interannual timescale. Making use of this anti-correlation we calculate the linear dependence of the interannual variations in column C1O on interannual variations in temperature. By making use of this relationship, we can better estimate the underlying trend in the total chlorine (Cl(sub y) = HCl + ClONO2 + HOCl + 2 x Cl2 + 2 x Cl2+ ClO + Cl). The resultant trends in Cl(sub y), which determine the long-term trend in ClO, are estimated to be -0.5 +/-0.2, -1.40.9, and -0.60.4% per year, for zonal MLS, Scott Base MLS (both 2004-2015), and ChlOE (1996-2015) respectively. These trends are within 1sigma of trends in stratospheric Cl(sub y) previously found at other latitudes. The decrease in ClO is consistent with the trend expected from regulations enacted under the Montreal Protocol.

  15. Vertical patterns of ecoenzyme activities in forest soils after 20 years of simulated nitrogen deposition

    NASA Astrophysics Data System (ADS)

    Forstner, Stefan J.; Kloss, Stefanie; Keiblinger, Katharina M.; Schleppi, Patrick; Hagedorn, Frank; Gundersen, Per; Wanek, Wolfgang; Gerzabek, Martin H.; Zechmeister-Boltenstern, Sophie

    2015-04-01

    The below-ground part of terrestrial carbon (C), nitrogen (N) and phosphorus (P) cycles are controlled by soil microorganisms. In order to meet their energy and nutrient requirements, soil microbes produce enzymes which catalyze the release of smaller molecules from decomposing organic matter. Recent work has shown that the potential activities of commonly measured enzymes for C-, N-, and P-acquisition can be related to microbial demand of these elements and link stoichiometry of soil microbes and their resources. Regulation of enzyme production might therefore be an important mechanism for microbes to adapt to different resource regimes. To investigate links between ecoenzyme activities, soil depth and N availability we make use of two long-term experiments where N has been added to two temperate forest stands for over 20 years. At both sites Norway spruce is the dominating tree whereas other site characteristics like soil type, climate, parent material and morphology differ. Increased N deposition was simulated by regularly applying NH4NO3 in the range of 35 kg N ha-1 y-1 (Klosterhede, Denmark; since 1992) and 25 kg N ha-1 y-1 (Alptal, Switzerland; since 1995), respectively. We hypothesize that ecoenzyme activities will decline exponentially with depth reflecting well-established similar trends in organic matter and microbial biomass. However, when normalized to microbial biomass we further hypothesize that activities will not change or even increase down the soil profile. Concerning microbial nutrient limitation, we expect to see a shift from N- to C-limitation with depth which should be reflected in increasing ratios of C- to N-acquiring enzymes. Preliminary results suggest that activity of hydrolytic enzymes generally decreases with depth, although this drop in activity is not so pronounced when normalized to microbial biomass. Oxidative enzymes, on the other hand, do not follow this pattern, often showing increased activities with depth. We further see site

  16. Insights into the dynamics of Etna volcano from 20-year time span microgravity and GPS observations

    NASA Astrophysics Data System (ADS)

    Bonforte, Alessandro; Fanizza, Giovanni; Greco, Filippo; Matera, Alfredo; Sulpizio, Roberto

    2016-04-01

    A common ground deformation and microgravity array of benchmarks lies on the southern slope of Mt. Etna volcano and is routinely measured by GPS and relative gravimetry methods. The array was installed for monitoring the ground motion and underground mass changes along the southern rift of the volcano and data are usually processed and interpreted independently. The benchmarks have been installed mainly along a main road crossing the southern side of the volcano with an E-W direction and reaching 2000 m of altitude. The gravity array covers the entire path of the road, while the ground deformation one only the upper one, due to the woods at lower altitude preventing good GPS measurements. Furthermore, microgravity surveys are usually carried out more frequently with respect to the GPS ones. In this work, an integrated analysis of microgravity and ground deformation is performed over a 20-year time span (1994-2014). Gravity variations have been first corrected for the free-air effect using the GPS observed vertical deformation and the theoretical vertical gravity gradient (-308.6 μGal/m). The free-air corrected gravity changes were then reduced from the high frequency variations (noise) and the seasonal fluctuations, mainly due to water-table fluctuations. This long-term dataset constitutes a unique opportunity to examine the behavior of Etna in a period in which the volcano exhibited different styles of activity characterized by recharging phases, flank eruptions and fountaining episodes. The gravity and deformation data allow investigating the response of the volcano in a wider perspective providing insights into the definition of its dynamic behavior and posing the basis to track the unrest evolution and to forecast the style of the eruption. The joint analysis highlights common periods, in which the signals underwent contemporaneous changes occurring mainly in the central and eastern stations. On the other hand, no significant changes in the behavior of

  17. DUACS DT2014: the new multi-mission altimeter data set reprocessed over 20 years

    NASA Astrophysics Data System (ADS)

    Pujol, Marie-Isabelle; Faugère, Yannice; Taburet, Guillaume; Dupuy, Stéphanie; Pelloquin, Camille; Ablain, Michael; Picot, Nicolas

    2016-09-01

    The new DUACS DT2014 reprocessed products have been available since April 2014. Numerous innovative changes have been introduced at each step of an extensively revised data processing protocol. The use of a new 20-year altimeter reference period in place of the previous 7-year reference significantly changes the sea level anomaly (SLA) patterns and thus has a strong user impact. The use of up-to-date altimeter standards and geophysical corrections, reduced smoothing of the along-track data, and refined mapping parameters, including spatial and temporal correlation-scale refinement and measurement errors, all contribute to an improved high-quality DT2014 SLA data set. Although all of the DUACS products have been upgraded, this paper focuses on the enhancements to the gridded SLA products over the global ocean. As part of this exercise, 21 years of data have been homogenized, allowing us to retrieve accurate large-scale climate signals such as global and regional MSL trends, interannual signals, and better refined mesoscale features.An extensive assessment exercise has been carried out on this data set, which allows us to establish a consolidated error budget. The errors at mesoscale are about 1.4 cm2 in low-variability areas, increase to an average of 8.9 cm2 in coastal regions, and reach nearly 32.5 cm2 in high mesoscale activity areas. The DT2014 products, compared to the previous DT2010 version, retain signals for wavelengths lower than ˜ 250 km, inducing SLA variance and mean EKE increases of, respectively, +5.1 and +15 %. Comparisons with independent measurements highlight the improved mesoscale representation within this new data set. The error reduction at the mesoscale reaches nearly 10 % of the error observed with DT2010. DT2014 also presents an improved coastal signal with a nearly 2 to 4 % mean error reduction. High-latitude areas are also more accurately represented in DT2014, with an improved consistency between spatial coverage and sea ice edge

  18. Utility and drawbacks of continuous use of a copper T IUD for 20 years.

    PubMed

    Sivin, Irving

    2007-06-01

    This article examines interrelated questions concerning the extent of need for contraception in women 40 years and older and the degree to which that need can be served when use of collared T IUDs is initiated in women aged 25-35 years. Differentials in the impacts of intrauterine device (IUD) use on health issues in the second decade of contraception are also addressed. Although fertility of all women aged 40-44 years is below 100 per 1000 in all regions of the world today, the risk of pregnancy among married or cohabiting women who do not use contraception is estimated at 270-300 per 1000 or 27-30% per year. At ages 45-49 years, the annual risk of pregnancy to women in union who do not use contraception lies at or above 10% per year. Data from three studies show that users of collared copper IUDs who continued using the same device beyond the completion of 10 years experienced no pregnancies through the end of 15 years. A small number of women continued with the same IUD through 20 years and still experienced no pregnancies. Use of collared copper T IUDs beyond 10 years was not associated with intensification of side effects nor with an increase in the relative frequency of those effects, with the exception of the experience of perimenopausal symptoms and problems. Neither increased bleeding nor increased severity of pelvic disease was manifest in the second decade of continuous use of the same IUD, as compared with the first decade of such use. Under our current understanding of the duration of IUD effectiveness, only a small percentage of women complete 10 years of use. Even with revised understanding of the duration of effectiveness of long-acting copper devices, average annual continuation rates must be quite high in order that 20% of women aged 25-35 years initiate a second decade of continuous IUD use. Those who do so would find considerable protection against pregnancy and reasonable economic benefits in continuing to use the same device.

  19. A 20-year Longitudinal Perspective on the Vocational Experiences of Persons with Spinal Cord Injury.

    ERIC Educational Resources Information Center

    Crewe, Nancy M.

    2000-01-01

    Uses interviews conducted in 1974 and 1994 to investigate the vocational experiences of individuals with spinal cord injuries. Participants had received a spinal cord injury 22-45 years previously. Results revealed that all but seven of the participants had been in remunerative employment. Work experiences, comprehensive rehabilitation service,…

  20. Life extension of semi-submersible drilling unit

    SciTech Connect

    Hadley, I.; Sinclair, C.I.K.; Magne, E.

    1995-12-31

    This paper describes the life extension of a semi-submersible drilling rig built in the early 1970`s. A nominal design life of 20 years was estimated at the time of building; however, in the interim period, numerous improvements have been made in fatigue life estimation ad life improvement techniques, raising the possibility that a further 20 years of operation could be considered. The life extension strategy made use of a number of aspects of offshore technology which were not available at the time of construction of the rig. Finite element studies and results from offshore research programs were used to gauge the effect of fatigue life improvement techniques. The program demonstrated the feasibility of extending the operation of the rig for a further 20 years, with the interval between in-service inspection increased to every five years. It also provided a valuable database of fracture toughness data for the rig materials, which may be used in future work to address reliability issues.

  1. Long-term Outcomes of Military Service in Aging and the Life Course: A Positive Re-envisioning

    PubMed Central

    Spiro, Avron; Settersten, Richard A.; Aldwin, Carolyn M.

    2016-01-01

    Most research on military service focuses on its short-term negative consequences, especially the mental and physical injuries of those deployed in warzones. However, studies of long-term outcomes reveal surprisingly positive effects of military service—both those early in adulthood that grow over time and others that can emerge later in life. These multidomain effects have been found in veterans of World War II and the Korean War and are now being seen in veterans of the Vietnam War. Although some are directly attributable to public policies such as the GI Bill, which facilitate educational and economic gains, there are personal developmental gains as well, including autonomy, emotional maturity and resilience, mastery, and leadership skills, that lead to better health and well-being in later life. These long-term effects vary across persons, change over time within persons, and often reflect processes of cumulative advantage and disadvantage. We propose a life-span model of the effects of military service that provides a perspective for probing both long-term positive and negative outcomes for aging veterans. We further explicate the model by focusing on both sociocultural dynamics and individual processes. We identify public-use data that can be examined to evaluate this model, and offer a set of questions that can be used to assess military service. Finally, we outline an agenda for dedicated inquiry into such effects and consider policy implications for the health and well-being of aging veterans in later life. PMID:26655859

  2. 38 CFR 8.0 - Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... § 8.0 Definitions of terms used in connection with title 38 CFR, part 8, National Service Life... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance. 8.0 Section 8.0...

  3. Postabortion Care: 20 Years of Strong Evidence on Emergency Treatment, Family Planning, and Other Programming Components

    PubMed Central

    Huber, Douglas; Curtis, Carolyn; Irani, Laili; Pappa, Sara; Arrington, Lauren

    2016-01-01

    ABSTRACT Worldwide 75 million women need postabortion care (PAC) services each year following safe or unsafe induced abortions and miscarriages. We reviewed more than 550 studies on PAC published between 1994 and 2013 in the peer-reviewed and gray literature, covering emergency treatment, postabortion family planning, organization of services, and related topics that impact practices and health outcomes, particularly in the Global South. In this article, we present findings from studies with strong evidence that have major implications for programs and practice. For example, vacuum aspiration reduced morbidity, costs, and time in comparison to sharp curettage. Misoprostol 400 mcg sublingually or 600 mcg orally achieved 89% to 99% complete evacuation rates within 2 weeks in multiple studies and was comparable in effectiveness, safety, and acceptability to manual vacuum aspiration. Misoprostol was safely introduced in several PAC programs through mid-level providers, extending services to secondary hospitals and primary health centers. In multiple studies, postabortion family planning uptake before discharge increased by 30–70 percentage points within 1–3 years of strengthening postabortion family planning services; in some cases, increases up to 60 percentage points in 4 months were achieved. Immediate postabortion contraceptive acceptance increased on average from 32% before the interventions to 69% post-intervention. Several studies found that women receiving immediate postabortion intrauterine devices and implants had fewer unintended pregnancies and repeat abortions than those who were offered delayed insertions. Postabortion family planning is endorsed by the professional organizations of obstetricians/gynecologists, midwives, and nurses as a standard of practice; major donors agree, and governments should be encouraged to provide universal access to postabortion family planning. Important program recommendations include offering all postabortion women

  4. NASA five-ball fatigue tester: Over 20 years of research

    NASA Technical Reports Server (NTRS)

    Zaretsky, E. V.; Parker, R. J.; Anderson, W. J.

    1981-01-01

    Studies were conducted to determine the effect on rolling-element fatigue life of contact angle, material hardness, chemistry, heat treatment and processing, lubricant type and chemistry, elastohydrodynamic film thickness, deformation and wear, vacuum, and temperature as well as Hertzian and residual stresses. Correlation was established between the results obtained using the five-ball tester and those obtained with full scale rolling-element bearings.

  5. Future Economics of Liver Transplantation: A 20-Year Cost Modeling Forecast and the Prospect of Bioengineering Autologous Liver Grafts.

    PubMed

    Habka, Dany; Mann, David; Landes, Ronald; Soto-Gutierrez, Alejandro

    2015-01-01

    During the past 20 years liver transplantation has become the definitive treatment for most severe types of liver failure and hepatocellular carcinoma, in both children and adults. In the U.S., roughly 16,000 individuals are on the liver transplant waiting list. Only 38% of them will receive a transplant due to the organ shortage. This paper explores another option: bioengineering an autologous liver graft. We developed a 20-year model projecting future demand for liver transplants, along with costs based on current technology. We compared these cost projections against projected costs to bioengineer autologous liver grafts. The model was divided into: 1) the epidemiology model forecasting the number of wait-listed patients, operated patients and postoperative patients; and 2) the treatment model forecasting costs (pre-transplant-related costs; transplant (admission)-related costs; and 10-year post-transplant-related costs) during the simulation period. The patient population was categorized using the Model for End-Stage Liver Disease score. The number of patients on the waiting list was projected to increase 23% over 20 years while the weighted average treatment costs in the pre-liver transplantation phase were forecast to increase 83% in Year 20. Projected demand for livers will increase 10% in 10 years and 23% in 20 years. Total costs of liver transplantation are forecast to increase 33% in 10 years and 81% in 20 years. By comparison, the projected cost to bioengineer autologous liver grafts is $9.7M based on current catalog prices for iPS-derived liver cells. The model projects a persistent increase in need and cost of donor livers over the next 20 years that's constrained by a limited supply of donor livers. The number of patients who die while on the waiting list will reflect this ever-growing disparity. Currently, bioengineering autologous liver grafts is cost prohibitive. However, costs will decline rapidly with the introduction of new manufacturing

  6. Impact of health financing policies in Cambodia: A 20 year experience.

    PubMed

    Ensor, Tim; Chhun, Chhim; Kimsun, Ton; McPake, Barbara; Edoka, Ijeoma

    2017-03-01

    Improving financial access to services is an essential part of extending universal health coverage in low resource settings. In Cambodia, high out of pocket spending and low levels of utilisation have impeded the expansion of coverage and improvement in health outcomes. For twenty years a series of health financing policies have focused on mitigating costs to increase access particularly by vulnerable groups. Demand side financing policies including health equity funds, vouchers and community health insurance have been complemented by supply side measures to improve service delivery incentives through contracting. Multiple rounds of the Cambodia Socio-Economic Survey are used to investigate the impact of financing policies on health service utilisation and out of pocket payments both over time using commune panel data from 1997 to 2011 and across groups using individual data from 2004 and 2009. Policy combinations including areas with multiple interventions were examined against controls using difference-in-difference and panel estimation. Widespread roll-out of financing policies combined with user charge formalisation has led to a general reduction in health spending by the poor. Equity funds are associated with a reduction in out of pocket payments although the effect of donor schemes is larger than those financed by government. Vouchers, which are aimed only at reproductive health services, has a more modest impact that is enhanced when combined with other schemes. At the aggregate level changes are less pronounced although there is evidence that policies take a number of years to have substantial effect. Health financing policies and the supportive systems that they require provide a foundation for more radical extension of coverage already envisaged by a proposed social insurance system. A policy challenge is how disparate mechanisms can be integrated to ensure that vulnerable groups remain protected.

  7. Methane Seepage From the Arctic Shelf; 20 Years of Research on the Beaufort Sea Margin

    NASA Astrophysics Data System (ADS)

    Lorenson, T. D.; Paull, C. K.; Collett, T. S.; Dallimore, S. R.

    2008-12-01

    The U. S. Geological Survey has lead or played major roles in several efforts over the past 20 years to find geochemical evidence for gas hydrate dissociation on the Beaufort Sea shelf, a region of complex and varied geologic features that include: 1) several river deltas entering the Arctic Ocean, the largest of which is the Mackenzie River, 2) submerged continental shelf underlain by permafrost, 3) known petroleum systems of northern Alaska and the Mackenzie River Delta - Canada, 4), submerged pingo-like features (PLF's ) and, 5) pockmark fields. The results of these studies show that gas hydrate is present and that methane source can be both microbial and thermogenic. In light of our rapidly changing climate, the instability and potential methane release from Arctic gas hydrate deposits are reemerging as pivotal uncertainties. On the Alaskan Beaufort Shelf in water depths or about 10 m or less, methane concentrations in seawater are elevated relative to atmosphere. This methane likely originates from microbial degradation of organic matter deposited by rivers or coastal currents, and may be associated with organics in destabilized from recently thawed submerged shelf permafrost. In deeper water, north and west of the Prudhoe Bay area, some exceptionally high bottom water methane concentrations were measured with carbon isotopic signatures very similar (about -46 to -48‰) to gas hydrate sampled from the Mount Elbert 01 gas hydrate test well drilled in 2007 in the same area. This methane is presumably associated with the Prudhoe Bay gas hydrate and petroleum system, and likely from either gas hydrate dissociation or simple gas migration. Gas venting in and around the Mackenzie River delta is associated with offshore Pingo-like features (PLF's) and pockmarks. These PLF's resemble onshore pingos, but with an unknown origin. The region is underlain by an active petroleum system, submerged shelf permaforst, and gas hydrate. Methane concentrations are elevated in

  8. 20 years of surface ozone measurements at El Tololo, Chile (2200 m asl)

    NASA Astrophysics Data System (ADS)

    Gérard Anet, Julien; Steinbacher, Martin; Emmenegger, Lukas; Buchmann, Brigitte

    2016-04-01

    Globally consistent in situ-observations of high precision and known quality are one key element in understanding global climate change and effects of human activity on the Earth's atmosphere. The spatial coverage of available data strongly depends on the species of interest and varies highly around the globe. In case of surface ozone (O3), the observational network is particularly sparse in Africa, Asia, and South America. The southern hemispheric pristine GAW-regional station "El Tololo", located in the foothills of the Chilean Andes (30.17° S, 70.80° W, 2220 m asl), has been equipped with an ozone photometer in 1995 and has since then been measuring tropospheric ozone permanently. However, these measurements were neither entirely systematically processed nor quality-controlled until recently. This situation was drastically improved in 2015 the framework of the Capacity Building and Twinning for Climate Observing Systems (CATCOS) project (www.meteoswiss.ch/catcos). Empa, in coordination with the local operator, Dirección Meteorológica de Chile (DMC), and the University of Santiago, revised the entire surface ozone measurements. The unique 20-year-long ozone data-set has been made publicly available on the World Data Centre for Greenhouse Gases (WDCGG, Japan) in mid-2015 and represents an exceptional piece of information on the southern hemispheric surface ozone distribution. In contrary to northern hemispheric stations, the positive trend in the measurements of tropospheric ozone at "El Tololo" did not level off in the recent past. More specifically, "El Tololo" shows a steady positive trend of 0.7 ppb/decade in agreement with other stations on the Southern hemisphere. However, the seasonal cycle differs strongly in behaviour, as maximum values in ozone do not peak in austral winter, but in austral spring - most probably due to stratospheric influence. We also find that the spring maximum has a retrograding tendency of around 5 days per decade. A combined

  9. Landsat: Planning the Next 20 Years of Earth Observation and Science

    NASA Astrophysics Data System (ADS)

    Ryker, S. J.; Larsen, M. C.; Newman, T. R.

    2013-12-01

    The Landsat series of Earth-observing satellites began 41 years ago as a partnership between the U.S. Department of the Interior (DOI) and NASA. The U.S. Geological Survey (USGS), as DOI's Earth science agency, provides Landsat's ground systems and data and develops value-added science products and applications. In 2013 the Administration committed to continue the Landsat program for the long term, and directed NASA and USGS to develop a series of spaceborne systems to provide global, continuous Landsat-quality multispectral and thermal infrared measurements for at least 20 years beyond Landsat 9. The Administration also directed the USGS to develop the program's long-term science directions, with special emphasis on making Landsat data more easily used in a wide variety of disciplines and fields of practice. With Landsats 7 and 8 on orbit, the USGS provides data every eight days for any location on the Earth's land masses. Given eight-day data collection and Landsat's 41-year historical archive, researchers and decision-makers can assess phenomena occurring at weekly to decadal time scales. With this in mind, the USGS has identified a set of Landsat-based science products that will improve applications used by natural resource managers and will contribute to the international and interagency climate monitoring community's initiative to develop consistent climate data records (CDRs) and essential climate variables (ECVs). Key Landsat-derived CDRs include surface reflectance and surface temperature, and ECV products will include measures of fire disturbance, snow covered area, surface water extent, land cover, and above-ground green biomass. These interpretive products will provide an authoritative basis for regional to continental scale identification of historical change, monitoring of current conditions, and predicting future conditions. The Administration has also assigned USGS the responsibility to analyze Landsat users' needs to inform future operational

  10. Landslide risk impact management and web services for improving resilience: the LIFE+IMAGINE project approach

    NASA Astrophysics Data System (ADS)

    Congi, Maria Pia; Campo, Valentina; Cipolloni, Carlo; Delmonaco, Giuseppe; Guerrieri, Luca; Iadanza, Carla; Spizzichino, Daniele; Trigila, Alessandro

    2014-05-01

    The increasing damage caused by natural disasters in the last decades points out the need for interoperable added-value services to support environmental safety and human protection, by reducing vulnerability of exposed elements as well as improving the resilience of the involved communities. For this reason, to provide access to harmonized and customized data is only one of several steps towards delivering adequate support to risk assessment, reduction and management. Scope of the present work is to illustrate a methodology under development for analysis of potential impacts in areas prone to landslide hazard in the framework of the EC project LIFE+IMAGINE. The project aims to implement an infrastructure based on web services for environmental analysis, that integrates in its own architecture specifications and results from INSPIRE, SEIS and GMES. Existing web services will be customized during the project to provide functionalities for supporting the environmental integrated management. The implemented infrastructure will be applied to landslide risk scenarios, to be developed in selected pilot areas, aiming at: i) application of standard procedures to implement a landslide risk analysis; ii) definition of a procedure for assessment of potential environmental impacts, based on a set of indicators to estimate the different exposed elements with their specific vulnerability in the pilot area. More in detail, the landslide pilot will be aimed at providing a landslide risk scenario through the implementation and analysis of: 1) a landslide inventory from available historical databases and maps; 2) landslide susceptibility and hazard maps; 3) assessment of exposure and vulnerability on selected typologies of elements at risk; 4) implementation of a landslide risk scenario for different sets of exposed elements (e.g. population, road network, residential area, cultural heritage). The pilot will be implemented in Liguria, Italy, in two different catchment areas located

  11. Converging Streams: The Power of Collaboration among Service Groups. Linking Learning with Life.

    ERIC Educational Resources Information Center

    Drew, Sam F., Jr.

    This booklet discusses the collective power of collaboration among the three agencies that compose the Corporation for National Service (AmeriCorps, Learn and Serve America, and the National Senior Service Corps) and introduces the reader to a process of collaboration intended to strengthen existing services and to create new and higher-quality…

  12. Associations of retrospective and concurrent lipid levels with subclinical atherosclerosis prediction after 20 years of follow-up: the Coronary Artery Risk Development in Young Adults (CARDIA) study

    PubMed Central

    Raynor, Lewis A.; Schreiner, Pamela J.; Loria, Catherine M.; Carr, J. Jeffrey; Pletcher, Mark J.; Shikany, James M.

    2017-01-01

    Purpose Using data from the Coronary Artery Risk Development in Young Adults (CARDIA) study, we sought to determine how well lipids measured at baseline and at 20 years predict the presence of subclinical atherosclerosis. Methods Complete risk factor, coronary artery calcification (CAC), and carotid intima media thickness (CIMT) data were available for 2435 participants. Lipids were categorized into quartiles, CAC at Y20 was dichotomized as present/absent, and CIMT was dichotomized as ≥84 or <84th overall percentile. Multivariable logistic regression was used to model the association between lipids and CAC/CIMT. C statistics were used to assess the discriminative value of each lipid measure in predicting the presence of CAC or CIMT at Y20. Results Lipid levels measured in young adulthood as well as middle age were both associated with subclinical disease in middle age. The discriminatory value of lipids was virtually identical at baseline, when participants were 18–30 years of age, and 20 years later. Neither baseline nor Y20 lipid data were strong predictors of Y20 subclinical disease despite statistically significant associations. Conclusions These results are consistent with a growing body of evidence that early-life exposure to nonoptimal lipids matters and lifestyle modifications administered earlier in the lifespan could slow the progress of the atherosclerotic plaques. PMID:23889858

  13. Determining pump wear and remaining life from electric submersible pump test curves. [Wear and service life estimation of oil well pumps

    SciTech Connect

    Divine, D.L.; Lannom, R.W.; Johnson, R.A. )

    1993-08-01

    The remaining useful life of an electric submersible pump (ESP) is an important economic consideration in deciding whether the used pump should be returned to service without repair. This paper presents quantitative and qualitative techniques to determine the type and amount of wear that a pump has experienced from analysis of pump test data. This paper discusses methods of categorizing used pumps, depending on the wear and associated performance deterioration. This work also describes failure modes, pump reliability, and the concept of pump (product) infant mortality. The authors show that a used pump can be more reliable and have a longer run life than a new or rebuilt pump. They use test data, tear-down analysis, and a case history to develop these concepts.

  14. Fracture-mechanical analysis of the residual service life of the welded main girders of the highway bridges of Ruedersdorf

    NASA Astrophysics Data System (ADS)

    Edel, Karl-Otto

    1992-07-01

    A fracture mechanics analysis was carried out on a certain type of weld defect contained in the main girders of the Ruedersdorf highway bridges (River Luehlen, Germany). To assess fatigue cracks which start from welding defects of about 10 mm height at the end of the inner cover plates, specimens were taken from the bridges. The fracture mechanical properties of the 55 years old steel and the stress intensity factors were determined to analyze the unstable and stable crack extension. The essential influence on the residual life is the extending traffic density. The assesssment of the critical crack size and that of the crack growth show a residual service life of some years. Only limited data can be generated from specimens removed from the bridges, and the effect of the service environment of any specific structure must be taken into account.

  15. Hearing Aid Satisfaction: What Does Research from the Past 20 Years Say?

    PubMed Central

    Wong, Lena L. N.; Hickson, Louise; McPherson, Bradley

    2003-01-01

    Hearing aid satisfaction is a pleasurable emotional experience as an outcome of an evaluation of performance. Many tools have been designed to measure the degree of satisfaction overall, or along the dimensions of cost, appearance, acoustic benefit, comfort, and service. Various studies have used these tools to examine the relationships between satisfaction and other factors. Findings are not always consistent across studies, but in general, hearing aid satisfaction has been found to be related to experience, expectation, personality and attitude, usage, type of hearing aids, sound quality, listening situations, and problems in hearing aid use. Inconsistent findings across studies and difficulties in evaluating the underlying relationships are probably caused by problems with the tools (eg, lack of validity) and the methods used to evaluate relationships (eg, correlation analyses evaluate association and not causal effect). Whether satisfaction changes over time and how service satisfaction contributes to device satisfaction are unclear. It is hoped that this review will help readers understand current satisfaction measures, how various factors affect satisfaction, and how the way satisfaction is measured may be improved to yield more reliable and valid data. PMID:15004650

  16. What has happened in about the last 20 years in the Canyoles watershed?

    NASA Astrophysics Data System (ADS)

    Ángel González Peñaloza, Félix; Cerdà, Artemi; Díaz del Olmo, Fernando

    2013-04-01

    Along history, the Mediterranean arid lands have undergone widespread land use transformation, especially in recent decades (Piqueras, 2012). There are changes driven by socio-economic conditions, such as European Agricultural Policies (MacDonald et al., 2000; Keenleyside and Tucker, 2010; Renwick et al., 2013), which have caused land degradation processes (soil erosion, soil sealing, water pollution, salinization, wildfires, land abandonment, urban sprawl and intensive agricultural practices). Land degradation is the results of a complex Socio Ecological System (SES) which should be addressed using the Geographical Information System (GIS) to identify and assess the spatial variation of land use change. Therefore, the aim of this work has been to describe and assess the land use change by human activities in a typical Mediterranean watershed (Cànyoles Valley) located at South-East of Iberian Peninsula as a part of the Land Ecosystem and Degradation Desertification Response Assessment (LEDDRA) project, which has undergone a quick land use change in last two decades (1986 - 2005). Results reveal that the surface area devoted to rainfed crops (e.g., olive crops (47 %) and vineyards (28 %) and forestry have decline significantly; while the citrus orchards (irrigated crops) and unproductive areas (e.g., roads and railways, urban areas) have been increasing its surface in just about last 20 years in 45 % and 67 %, respectively. According to the literature review (Cerdà, 1994; Cerdá et al., 1999, 2007; Cerdà, 2007; Bodí et al., 2012; González-Peñaloza, 2012) these recent changes, in the study site, have caused many environmental disturbances mainly due to the lack control strategies plans of land degradation. Acknowledgements This research is being conducted by the EU project "Land Ecosystem and Degradation Desertification: Assessing the Fit of Responses" LEDDRA 243857 CONSORTIUM AGREEMENT. TR07 - VII PROGRAMA MARCO - ENERGÍA FP7-ENERGY-2007-2-TREN. - European

  17. Has External Quality Assurance Actually Improved Quality in Higher Education over the Course of 20 Years of the "Quality Revolution"?

    ERIC Educational Resources Information Center

    Kristensen, Bente

    2010-01-01

    At the beginning of the last 20 years so-called "quality revolution" it was expected from most of the established national quality agencies that internal quality systems and the development of an internal quality culture would emerge automatically in the HEI from the external quality impact. The author argues that a better balance must be found…

  18. Themes, Orientations, Synergies and a Shared Agenda: The First 20?Years of the SEDA Series of Books

    ERIC Educational Resources Information Center

    Pickford, Ruth; Brown, Sally

    2013-01-01

    Over 20?years, 25 books have been published to date in the SEDA series, and this review article aims to analyse the ways in which books within the series have contributed to thinking in higher education pedagogy over this time. We have approached the texts through three lenses, analysing them chronologically, thematically and by the orientation of…

  19. A 20 year audit of nose-tip symmetry in patients with unilateral cleft lip and palate.

    PubMed

    Timoney, N; Smith, G; Pigott, R W

    2001-06-01

    The purpose of this study was to audit the process and outcome in terms of nasal-tip symmetry of the first 20 patients with unilateral complete cleft lip and palate treated by the Pigott alar leapfrog primary nasal correction in the early 1970s and followed for 20 years. Symmetry was assessed using the Coghlan computer-based analysis of frontal and basal views to determine the stability of the correction. The Abyholm technique of alveolar bone grafting was performed in 12 of the 20 patients. Various other secondary procedures have been performed on the nose tip and septum to improve the airway or appearance. Photographs were taken within one year of ages 5, 10, 15 and 20 years, and the lower border of the nose, the alar domes and the nostrils were assessed. To assess the overall change from 5 years to 20 years, both views were available for 17 patients. No significant change was found in the lower border or nostril symmetry, but significant deterioration at the P< 0.01 level was found on the basal view. We assessed the 10, 15 and 20 year views of all 12 patients who had undergone alveolar bone grafting to determine early and late changes. No significant benefit was found from alveolar bone grafting or minor secondary procedures for appearance. Consequently, our criteria for undertaking minor adjustments to improve appearance have become more stringent. We consider that objective reporting of appearance should become essential in peer-reviewed journals.

  20. Take a Bite Out of Crime: Get Ready To Celebrate 20 Years. Crime Prevention Month Action Kit.

    ERIC Educational Resources Information Center

    National Crime Prevention Council, Washington, DC.

    This Crime Prevention Month kit is designed to help plan crime prevention month activities for 1999 and into 2000, the year the Take a Bite Out of Crime character, McGruff the Crime Dog, celebrates 20 years of existence. This 15-month planning calendar provides long-term strategies for preventing crime in the community, which can be carried out…

  1. Back to the Future: Help! It Was 20 Years Ago, and We've Only Just Arrived!

    ERIC Educational Resources Information Center

    Coffield, Kate

    This paper traces an educator's experiences with computers over a span of 20 years, and describes the computerization of and concomitant obstacles faced by the Humanities department at the American University in Cairo, Egypt (AUC). The computerization of AUC began in the 1980s, with workstations mainly in the science, math, engineering, and…

  2. Symptoms, functioning and quality of life after treatment in a residential sub-acute mental health service in Australia.

    PubMed

    Thomas, Kerry A; Rickwood, Debra J; Brown, Patricia M

    2017-01-01

    The aim of this study was to assess clients' and service providers' perspectives on changes in mental health after an admission to a residential recovery-focused, sub-acute service, in Australia. Clients were either step-up clients, entering the service directly from the community, or step-down clients who were transitioning from an inpatient unit to home. During the 30-month period of data collection (August 2011 to January 2014) all clients (N = 102) were invited to participate in the longitudinal study and 41 clients consented to be involved (38% response rate). At admission and exit, participants completed the Behaviour and Symptom Identification Scale (Basis-32) and service providers completed the Life Skills Profile-16 and Health of the Nations Outcome Scales. Follow-up data 3 months after exit were available for 12 clients, including the Basis-32 and a self-report measure of quality of life (Assessment of Quality of Life 8-dimension). Both client groups reported positive improvements between admission and exit in the areas of relation to self and others, psychosis, daily living and presence of depression or anxiety symptoms. Service providers reported gains for clients in the areas of self-care, level of symptoms and presence of social problems. At 3 months, clients generally reported positive quality of life, although there was no significant change in symptoms and functioning. This study demonstrates that after an admission to a sub-acute service, step-up clients experience an improvement in their symptoms and functioning, have avoided a hospital admission and are well enough to return home. Step-down clients also experience further improvements in their symptoms and functioning, indicating that the service has assisted them in their transition to independent living after a hospital admission. Sub-acute residential units provide a continuation of care for inpatients preparing to return home, and people with a mental health problem living in the

  3. NASA five-ball fatigue tester - Over 20 years of research

    NASA Technical Reports Server (NTRS)

    Zaretsky, E. V.; Parker, R. J.; Anderson, W. J.

    1981-01-01

    The paper reviews, from both a technical and historic perspective, the results of research conducted using the NASA Five-Ball Fatigue Tester. The test rig was conceived by W. J. Anderson in late 1958. The first data was generated in March 1959. Since then a total of approximately 500,000 test hours have been accumulated on a group of eight test rigs which are capable of running 24 hours a day, 7 days a week. Studies have been conducted to determine the effect on rolling-element fatigue life of contact angle, material hardness, chemistry, heat treatment, and processing, lubricant type and chemistry, elastohydrodynamic film thickness, deformation and wear, vacuum, and temperature as well as Hertzian and residual stresses. Correlation was established between the results obtained using the five-ball tester and those obtained with full-scale rolling-element bearings.

  4. Determinants of life satisfaction among Japanese elderly women attending health care and welfare service facilities.

    PubMed

    Onishi, Chiemi; Yuasa, Kyoko; Sei, Masako; Ewis, Ashraf A; Nakano, Takuro; Munakata, Hokuma; Nakahori, Yutaka

    2010-02-01

    Prolonged life expectancy must be recognized as an excellent achievement of modern medicine, but not all the elderly people are satisfied with their lives. Life satisfaction is a multi-dimensional issue that depends on many objective and subjective characteristics. In this study, we aimed at investigating the factors affecting life satisfaction of 314 elderly Japanese women attending in 28 elderly-care and welfare facilities at Tokushima Prefecture, Japan. Our results indicated that elderly subjects with depression tendencies always show significantly lower degrees of life satisfaction than others who are not depressed (p<0.001) regardless of their cognitive status. Furthermore, elderly women who shared decision for their living place and whose opinions were considered for daily life decisions reported significantly more life satisfaction levels than others. We conclude that elderly life satisfaction is affected by various determinants however, with different influencing weight. Life satisfaction of elderly people, with or without dementia, is greatly affected by their mood status and share in decision making. Avoiding elderly people depressive mood, sharing them in various daily decisions, considering their opinions, and allowing them to decide their elderly-care facility placement are crucial determinants for their life satisfaction and essential for their coping, adaptation, well-being and successful aging.

  5. NASA's Evolutionary Xenon Thruster (NEXT) Project Qualification Propellant Throughput Milestone: Performance, Erosion, and Thruster Service Life Prediction After 450 kg

    NASA Technical Reports Server (NTRS)

    Herman, Daniel A.

    2010-01-01

    The NASA s Evolutionary Xenon Thruster (NEXT) program is tasked with significantly improving and extending the capabilities of current state-of-the-art NSTAR thruster. The service life capability of the NEXT ion thruster is being assessed by thruster wear test and life-modeling of critical thruster components, such as the ion optics and cathodes. The NEXT Long-Duration Test (LDT) was initiated to validate and qualify the NEXT thruster propellant throughput capability. The NEXT thruster completed the primary goal of the LDT; namely to demonstrate the project qualification throughput of 450 kg by the end of calendar year 2009. The NEXT LDT has demonstrated 28,500 hr of operation and processed 466 kg of xenon throughput--more than double the throughput demonstrated by the NSTAR flight-spare. Thruster performance changes have been consistent with a priori predictions. Thruster erosion has been minimal and consistent with the thruster service life assessment, which predicts the first failure mode at greater than 750 kg throughput. The life-limiting failure mode for NEXT is predicted to be loss of structural integrity of the accelerator grid due to erosion by charge-exchange ions.

  6. Using architecture and technology to promote improved quality of life for military service members with traumatic brain injury.

    PubMed

    Pasquina, Paul F; Pasquina, Lavinia Fici; Anderson-Barnes, Victoria C; Giuggio, Jeffrey S; Cooper, Rory A

    2010-02-01

    Today, injured service members are surviving wounds that would have been fatal in previous wars. A recent RAND report estimates that approximately 320,000 service members may have experienced a traumatic brain injury (TBI) during deployment, and it is not uncommon for a soldier to sustain multiple associated injuries such as limb loss, paralysis, sensory loss, and psychological damage. As a result, many military service members and their families face significant challenges returning to a high quality of independent life. The architectural concepts of universal design (UD) and evidence-based design (EBD) are gaining interest as an integral part of the rehabilitation process of veterans with TBI. This article examines the possibilities presented by UD and EBD in accordance with the Americans with Disabilities Act of 1990, in terms of high-end building and interior design quality, and possible technological options for individuals with disabilities.

  7. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 185.730 Section 185.730 Shipping COAST GUARD... liferafts, inflatable buoyant apparatus, inflatable life jackets, and inflated rescue boats. (a) An... inflated rescue boats must be in accordance with the manufacturer's instructions. All repairs must be...

  8. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 122.730 Section 122.730 Shipping COAST GUARD..., inflatable life jackets, and inflated rescue boats. (a) An inflatable liferaft or inflatable buoyant... other standard specified by the Commandant. (e) Repair and maintenance of inflated rescue boats must...

  9. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 185.730 Section 185.730 Shipping COAST GUARD... liferafts, inflatable buoyant apparatus, inflatable life jackets, and inflated rescue boats. (a) An... inflated rescue boats must be in accordance with the manufacturer's instructions. All repairs must be...

  10. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 122.730 Section 122.730 Shipping COAST GUARD..., inflatable life jackets, and inflated rescue boats. (a) An inflatable liferaft or inflatable buoyant... other standard specified by the Commandant. (e) Repair and maintenance of inflated rescue boats must...

  11. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 185.730 Section 185.730 Shipping COAST GUARD... liferafts, inflatable buoyant apparatus, inflatable life jackets, and inflated rescue boats. (a) An... inflated rescue boats must be in accordance with the manufacturer's instructions. All repairs must be...

  12. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... apparatus, inflatable life jackets, and inflated rescue boats. 122.730 Section 122.730 Shipping COAST GUARD..., inflatable life jackets, and inflated rescue boats. (a) An inflatable liferaft or inflatable buoyant... other standard specified by the Commandant. (e) Repair and maintenance of inflated rescue boats must...

  13. The Connection Competencies of Pre-Service Mathematics Teachers about Geometric Concepts to Daily-Life

    ERIC Educational Resources Information Center

    Pirasa, Nimet

    2016-01-01

    However, geometry is the area with the most concrete possibility of mathematical topics which contains more abstract concepts, students experience difficulties while understanding. Therefore, the connection of issues with daily life to concrete the subjects and the ability of connecting geometric concepts with daily life of the teachers and…

  14. Life Enhancement Counseling: A Psychosocial Model of Services for Cuban Elders.

    ERIC Educational Resources Information Center

    Szapocznik, Jose; And Others

    The Life Enhancement Counseling Model was developed specifically for the treatment of the problems of meaninglessness and purposelessness among depressed Cuban elders. The model is based on psychosocial development and ecological theoretical orientations. A life review approach is used to help the depressed individuals complete unfinished business…

  15. Duty and Service: Life and Career of a Tamil Teacher of English in Sri Lanka

    ERIC Educational Resources Information Center

    Hayes, David

    2010-01-01

    This article discusses the life and career of a Tamil teacher of English working in the government education system in northern Sri Lanka. Based on data gathered in an extended life history interview, the article explores the teacher's own experiences of schooling, his reasons for entering teaching as a profession, his professional training, and…

  16. Macroinvertebrate instream flow studies after 20 years: A role in stream management and restoration

    USGS Publications Warehouse

    Gore, J.A.; Layzer, J.B.; Mead, J.

    2001-01-01

    Over the past two decades of refinement and application of instream flow evaluations, we have examined the hydraulic habitat of aquatic macroinvertebrates in a variety of conditions, along with the role of these macroinverte-brates in sustaining ecosystem integrity. Instream flow analyses assume that predictable changes in channel flow characteristics can, in turn, be used to predict the change in the density or distribution of lotic species or, more appropriately, the availability of useable habitat for those species. Five major hydraulic conditions most affect the distribution and ecological success of lotic biota: suspended load, bedload movement, and water column effects, such as turbulence, velocity profile, and substratum interactions (near-bed hydraulics). The interactions of these hydraulic conditions upon the morphology and behavior of the individual organisms govern the distribution of aquatic biota. Historically, management decisions employing the Physical Habitat Simulation (PHABSIM) have focused upon prediction of available habitat for life stages of target fish species. Regulatory agencies have rarely included evaluation of benthos for flow reservations. Although 'taxonomic discomfort' may be cited for the reluctant use or creation of benthic criteria, we suggest that a basic misunderstanding of the links between benthic macroinvertebrate and the fish communities is still a problem. This is derived from the lack of a perceived 'value' that can be assigned to macroinvertebrate species. With the exception of endangered mussel species (for which PHABSIM analysis is probably inappropriate), this is understandable. However, it appears that there is a greater ability to predict macroinvertebrate distribution (that is, a response to the change in habitat quality or location) and diversity without complex population models. Also, habitat suitability criteria for water quality indicator taxa (Ephemeroptera, Plecoptera, and Trichoptera; the so-called 'EPTs

  17. OPPIDUM surveillance program: 20 years of information on drug abuse in France.

    PubMed

    Frauger, Elisabeth; Moracchini, Christophe; Le Boisselier, Reynald; Braunstein, David; Thirion, Xavier; Micallef, Joëlle

    2013-12-01

    It is important to assess drug abuse liability in 'real life' using different surveillance systems. Some are based on specific population surveys, such as individuals with drug abuse or dependence, or under opiate maintenance treatment, because this population is very familiar with drugs and is more likely to divert or abuse them. In France, an original surveillance system based on this specific population and called 'Observation of illegal drugs and misuse of psychotropic medications (OPPIDUM) survey' was set up in 1990 as the first of its kind. The aim of this article is to describe this precursor of French drug abuse surveillance using different examples, to demonstrate its ability to effectively give health authorities and physicians interesting data on drug abuse. OPPIDUM is an annual, cross-sectional survey that anonymously collects information on abuse and dependence observed in patients recruited in specialized care centers dedicated to drug dependence. From 1990 to 2010, a total of 50,734 patients were included with descriptions of 102,631 psychoactive substance consumptions. These data have outlined emergent behaviors such as the misuse of buprenorphine by intravenous or nasal administration. It has contributed to assess abuse liability of emergent drugs such as clonazepam or methylphenidate. This surveillance system was also able to detect the decrease of flunitrazepam abuse following implementation of regulatory measures. OPPIDUM's twenty years of experience clearly demonstrate that collection of valid and useful data on drug abuse is possible and can provide helpful information for physicians and health authorities.

  18. Laparoscopic Reversal of Hartmann's Procedure: State of the Art 20 Years after the First Reported Case

    PubMed Central

    Ardiri, Annalisa; Mannino, Maurizio; Politi, Antonio; Di Stefano, Andrea; Aftab, Zia; Abdelaal, Abdelrahman; Arcerito, Maria Concetta; Cavallaro, Andrea; Cavallaro, Marco; Bertino, Gaetano; Di Carlo, Isidoro

    2014-01-01

    Introduction. Aim of the present work is to review the literature to point out the role of laparoscopic reversal of Hartmann procedure. Material and Methods. Number of patients, age, sex, etiology, Hinchey classification, interval between procedure and reversal, position of the first trocars, mean operative time (min), number and causes of conversion, length of stay, mortality, complications, and quality of life were considered. Results. 238 males (52.4%) and 216 females (47.6%) between 38 and 67 years were analyzed. The etiology was diverticulitis in 292 patients (72.1%), carcinoma in 43 patients (10.6%), and other in 70 patients (17.3%). Only 7 articles (22.6%) reported Hinchey classification. The interval between initial procedure and reversal was between 50 and 330 days. The initial trocar was open positioned in 182 patients (43.2%) through umbilical incision, in 177 patients (41.9%) in right upper quadrant, and in 63 patients (14.9%) in colostomy site. The operative time was between 69 and 285 minutes. A total of 83 patients (12.1%) were converted and the causes were reported in 67.4%. The length of stay was between 3 and 12 days. 5 patients (0.7%) died. The complications concern 112 cases (16.4%). Conclusion. The laparoscopic Hartmann's reversal is safer and achieves faster positive results. PMID:25210510

  19. High Remission Rate of Chronic Immune Thrombocytopenia in Children: Result of 20-Year Follow-Up

    PubMed Central

    Kim, Chae Young; Lee, Eun Hye

    2016-01-01

    Purpose This study examined the outcomes of children with chronic immune thrombocytopenia (ITP). Materials and Methods We retrospectively analyzed the medical records of all patients diagnosed with ITP from January 1992 to December 2011 at our institution. Results A total of 128 patients (64%) satisfied the criteria for newly diagnosed ITP, 31 (15%) for persistent ITP, and 41 (21%) for chronic ITP. The median age at diagnosis was 4.5 years (range, 1 month to 18 years). The median platelet count at diagnosis was 32×109/L. A comparison of the initial treatment data from 2001 to 2011 with those from 1992 to 2000 showed that the number of bone marrow examinations decreased, whereas observation increased. Chronic ITP presented at an older age than newly diagnosed and persistent ITP (6.6 years vs. 3.8 years vs. 4.1 years, respectively); however, the difference did not reach statistical significance (p=0.17). The probability of complete remission of chronic ITP was 50% and 76% at 2 and 5 years after diagnosis, respectively. Patients aged <1 year at diagnosis had a significantly better prognosis than did older patients (hazard ratio, 3.86; p=0.02). Conclusion Children with chronic ITP showed a high remission rate after long-term follow-up. This study suggests that invasive treatments such as splenectomy in children with chronic ITP can be delayed for 4 to 5 years if thrombocytopenia and therapeutic medication do not affect the quality of life. PMID:26632392

  20. Laparoscopic Reversal of Hartmann's Procedure: State of the Art 20 Years after the First Reported Case.

    PubMed

    Toro, Adriana; Ardiri, Annalisa; Mannino, Maurizio; Politi, Antonio; Di Stefano, Andrea; Aftab, Zia; Abdelaal, Abdelrahman; Arcerito, Maria Concetta; Cavallaro, Andrea; Cavallaro, Marco; Bertino, Gaetano; Di Carlo, Isidoro

    2014-01-01

    Introduction. Aim of the present work is to review the literature to point out the role of laparoscopic reversal of Hartmann procedure. Material and Methods. Number of patients, age, sex, etiology, Hinchey classification, interval between procedure and reversal, position of the first trocars, mean operative time (min), number and causes of conversion, length of stay, mortality, complications, and quality of life were considered. Results. 238 males (52.4%) and 216 females (47.6%) between 38 and 67 years were analyzed. The etiology was diverticulitis in 292 patients (72.1%), carcinoma in 43 patients (10.6%), and other in 70 patients (17.3%). Only 7 articles (22.6%) reported Hinchey classification. The interval between initial procedure and reversal was between 50 and 330 days. The initial trocar was open positioned in 182 patients (43.2%) through umbilical incision, in 177 patients (41.9%) in right upper quadrant, and in 63 patients (14.9%) in colostomy site. The operative time was between 69 and 285 minutes. A total of 83 patients (12.1%) were converted and the causes were reported in 67.4%. The length of stay was between 3 and 12 days. 5 patients (0.7%) died. The complications concern 112 cases (16.4%). Conclusion. The laparoscopic Hartmann's reversal is safer and achieves faster positive results.

  1. Public health microbiology in Germany: 20 years of national reference centers and consultant laboratories.

    PubMed

    Beermann, Sandra; Allerberger, Franz; Wirtz, Angela; Burger, Reinhard; Hamouda, Osamah

    2015-10-01

    In 1995, in agreement with the German Federal Ministry of Health, the Robert Koch Institute established a public health microbiology system consisting of national reference centers (NRCs) and consultant laboratories (CLs). The goal was to improve the efficiency of infection protection by advising the authorities on possible measures and to supplement infectious disease surveillance by monitoring selected pathogens that have high public health relevance. Currently, there are 19 NRCs and 40 CLs, each appointed for three years. In 2009, an additional system of national networks of NRCs and CLs was set up in order to enhance effectiveness and cooperation within the national reference laboratory system. The aim of these networks was to advance exchange in diagnostic methods and prevention concepts among reference laboratories and to develop geographic coverage of services. In the last two decades, the German public health laboratory reference system coped with all major infectious disease challenges. The European Union and the European Centre for Disease Prevention and Control (ECDC) are considering implementing a European public health microbiology reference laboratory system. The German reference laboratory system should be well prepared to participate actively in this upcoming endeavor.

  2. The Port Arthur massacre and the National Firearms Agreement: 20 years on, what are the lessons?

    PubMed

    Dudley, Michael J; Rosen, Alan; Alpers, Philip A; Peters, Rebecca

    2016-06-06

    The 20th anniversary of the National Firearms Agreement (NFA) offers lessons for mental health and public health. Along with similar international legislation, the NFA exemplifies how firearms regulation can prevent firearm mortality and injuries. The gun lobby claims that mental illness underpins gun violence and should be a key site for intervention. A modest but significant link exists between mental disorders and community violence. However, the vast majority of mentally ill individuals are not violent. Despite media portrayals of their dangerousness, they are more likely to be victims of violence and of suicide. Most violent individuals do not have mental illness, and most mass murderers do not have identifiable severe mental illness. Many have maladaptive personality configurations. Gun availability and gun ownership, not severe mental illness, determines most gun homicides. Following recent gun massacres in the United States, there have been calls for better resourcing of mental health services to help identify and respond to those at risk and to regulate firearms access. Screening mentally ill populations for violence risk is misguided. However, clinicians can play a key role in working with legal authorities to monitor and assist regulation of firearm access, especially among high risk populations. Clinician involvement must be complemented by wider gun control measures. The gun lobby's turning the firearms availability debate into a question about whether people with mental illness histories should access such weapons is a calculated appeal to prejudice.

  3. CERAD (Consortium to Establish a Registry for Alzheimer’s Disease) The first 20 years

    PubMed Central

    Fillenbaum, Gerda G.; van Belle, Gerald; Morris, John C.; Mohs, Richard C.; Mirra, Suzanne S.; Davis, Patricia C.; Tariot, Pierre N.; Silverman, Jeremy M.; Clark, Christopher M.; Welsh-Bohmer, Kathleen A.; Heyman, Albert

    2009-01-01

    The Consortium to Establish a Registry for Alzheimer’s Disease (CERAD) was funded by the National Institute on Aging in 1986 to develop standardized, validated measures for the assessment of Alzheimer’s disease (AD). The present report describes the measures that CERAD developed during its first decade, and their continued use in their original and translated forms. These measures include clinical, neuropsychological, neuropathological and behavioral assessments of AD, and also assessment of family history and parkinsonism in AD. An approach to evaluating neuroimages did not meet the standards desired. Further evaluations which could not be completed because of lack of funding (but where some materials are available), include evaluation of very severe AD, and of service use and need by patient and caregiver. The information that was developed in the U.S. and abroad permits standardized assessment of AD in clinical practice, facilitates epidemiological studies, and provides information valuable for individual and public health planning. CERAD materials and data remain available for those wishing to use them. PMID:18631955

  4. Service-Learning in Christian Higher Education: Bringing Our Mission to Life

    ERIC Educational Resources Information Center

    Schaffer, Regan Harwell

    2004-01-01

    The purpose of the study reported in this paper was to develop a working definition of service-learning, identify the best practices of service-learning in the context of Christian colleges and universities and, based upon that information, develop a model for replication. The study undertaken included: (a) examination of the findings of…

  5. Counseling and Connecting with the Military Undergraduate: The Intersection of Military Service and University Life

    ERIC Educational Resources Information Center

    Bonar, Ted C.; Domenici, Paula L.

    2011-01-01

    The majority of military undergraduates at universities are National Guard and Reserve personnel and prior-service military veterans, all difficult to identify on campus. These students face unique cultural challenges. Though the academic literature primarily addresses disability services and administrative programs often focus on "wounded…

  6. Take a Class Outdoors. A Guidebook for Environmental Service Learning. Linking Learning with Life.

    ERIC Educational Resources Information Center

    Clifton, Linda; Mauney, Tammy; Falkner, Rebekah

    This guidebook focuses on the addition of environmental service learning in elementary, middle, or high school. Sections 1 and 2 describe an administrator's view of the success of service learning in her middle school and a student's opinion of her encounters with Mississippi's natural resources. Section 3 provides a rationale for environmental…

  7. Protecting our life support systems: US federal research and policy on ecosystem services

    EPA Science Inventory

    In the United States, a broad range of federal entities are conducting research related to ecosystem services, and government agencies at all levels are increasingly interested in measuring the outcomes of proposed policy options in terms of ecosystem service benefits. However, ...

  8. Future Economics of Liver Transplantation: A 20-Year Cost Modeling Forecast and the Prospect of Bioengineering Autologous Liver Grafts

    PubMed Central

    Habka, Dany; Mann, David; Landes, Ronald; Soto-Gutierrez, Alejandro

    2015-01-01

    During the past 20 years liver transplantation has become the definitive treatment for most severe types of liver failure and hepatocellular carcinoma, in both children and adults. In the U.S., roughly 16,000 individuals are on the liver transplant waiting list. Only 38% of them will receive a transplant due to the organ shortage. This paper explores another option: bioengineering an autologous liver graft. We developed a 20-year model projecting future demand for liver transplants, along with costs based on current technology. We compared these cost projections against projected costs to bioengineer autologous liver grafts. The model was divided into: 1) the epidemiology model forecasting the number of wait-listed patients, operated patients and postoperative patients; and 2) the treatment model forecasting costs (pre-transplant-related costs; transplant (admission)-related costs; and 10-year post-transplant-related costs) during the simulation period. The patient population was categorized using the Model for End-Stage Liver Disease score. The number of patients on the waiting list was projected to increase 23% over 20 years while the weighted average treatment costs in the pre-liver transplantation phase were forecast to increase 83% in Year 20. Projected demand for livers will increase 10% in 10 years and 23% in 20 years. Total costs of liver transplantation are forecast to increase 33% in 10 years and 81% in 20 years. By comparison, the projected cost to bioengineer autologous liver grafts is $9.7M based on current catalog prices for iPS-derived liver cells. The model projects a persistent increase in need and cost of donor livers over the next 20 years that’s constrained by a limited supply of donor livers. The number of patients who die while on the waiting list will reflect this ever-growing disparity. Currently, bioengineering autologous liver grafts is cost prohibitive. However, costs will decline rapidly with the introduction of new manufacturing

  9. Renal Transplant Immunology in the Last 20 Years: A Revolution Towards Graft and Patient Survival Improvement.

    PubMed

    Sá, Helena; Leal, Rita; Rosa, Manuel Santos

    2016-09-28

    To deride the hope of progress is the ultimate fatuity, the last word in poverty of spirit and meanness of mind. There is no need to be dismayed by the fact that we cannot yet envisage a definitive solution of our problems, a resting-place beyond which we need not try to go. -P.B. Medawar, 1969* [Formula: see text] Thomas E. Starlz, also known as the Father of Clinical Transplantation, once said that organ transplantation was the supreme exception to the rule that most major advances in medicine spring from discoveries in basic science [Starzl T. The mystique of organ transplantation. J Am Coll Surg 2005 Aug;201(2):160-170]. In fact, the first successful identical-twin kidney transplantation performed by Murray's team in December 1954 (Murray J et al. Renal homotransplantations in identical twins. Surg Forum 1955;6:432-436) was the example of an upside down translation medicine: Human clinical transplantation began and researchers tried to understand the underlying immune response and how to control the powerful rejection pathways through experimental models. In the last 20 years, we have witnessed an amazing progress in the knowledge of immunological mechanisms regarding alloimmune response and an outstanding evolution on the identification and characterization of major and minor histocompatibility antigens. This review presents an historical and clinical perspective of those important advances in kidney transplantation immunology in the last 20 years, which contributed to the improvement in patients' quality of life and the survival of end-stage renal patients. In spite of these significant progresses, some areas still need substantial progress, such as the definition of non-invasive biomarkers for acute rejection; the continuous reduction of immunosuppression; the extension of graft survival, and finally the achievement of real graft tolerance extended to HLA mismatch donor: recipient pairs.

  10. Playing Darwin. Part B. 20 years of domestication in Drosophila subobscura.

    PubMed

    Santos, Marta; Fragata, Inês; Santos, Josiane; Simões, Pedro; Marques, Ana; Lima, Margarida; Matos, Margarida

    2010-09-01

    Adaptation to a new environment (as well as its underlying mechanisms) is one of the most important topics in Evolutionary Biology. Understanding the adaptive process of natural populations to captivity is essential not only in general evolutionary studies but also in conservation programmes. Since 1990, the Group of Experimental Evolution (CBA/FCUL) has been performing long-term, real-time evolutionary studies, with the characterization of laboratory adaptation in populations of Drosophila subobscura founded in different times and from different locations. Initially, these experiments involved phenotypic assays and more recently were expanded to studies at the molecular level (microsatellite and chromosomal polymorphisms) and with different population sizes. Throughout these two decades, a clear pattern of evolutionary convergence to long-established laboratory populations has been consistently observed in several life-history traits. However, contingencies across foundations were also found during the adaptive process. In characters with complex evolutionary trajectories, the data suggested that the comparative method lacked predictive capacity relative to real-time evolutionary trajectories (experimental evolution). Microsatellite analysis revealed general similarity in gene diversity and allele number between studied populations, as well as an unclear association between genetic variability and evolutionary potential. Nevertheless, ongoing studies in all foundations are being carried out to further test this hypothesis. A comparison between recently introduced and long-term populations (founded from the same natural location) has shown higher degree of chromosomal polymorphism in recent ones. Finally, our findings suggest higher heterogeneity between small-sized populations, as well as a slower evolutionary rate in characters close to fitness (such as fecundity and mating behaviour). This comprehensive study is aimed at better understanding the processes and

  11. The effect of health-related quality of life (HRQOL) on health service utilisation of a Chinese population.

    PubMed

    Lam, Cindy L K; Fong, Daniel Y T; Lauder, Ian J; Lam, Tai-Pong D

    2002-11-01

    This study was designed to find out whether health-related quality of life (HRQOL) was an independent determinant of health service utilisation of a Chinese population and to determine whether the addition of HRQOL data to sociodemographic and morbidity factors could significantly increase the explanatory power of risk-adjustment models. A cross-sectional random telephone survey of the general adult Chinese population in Hong Kong was conducted among 2410 Chinese aged 18-88yr old, 52% were females and 38% had one or more chronic diseases. Health service utilisation was measured by annual consultation, monthly consultation and hospitalisation rates. HRQOL was measured by the SF-36. Multivariate regressions were used to test the dependence of service utilisation rates on sociodemographic factors, chronic morbidity and the SF-36 scores. Structured multiphase regression analyses were used to determine the magnitude of the effect of the SF-36 scores, in addition to those of sociodemographic and chronic morbidity factors, on service utilisation. Five of eight SF-36 scores were independent determinants of consultation rates. They doubled and tripled the percentages of variance explained for annual and monthly consultation rates, respectively. Role limitation by physical problems and bodily pain scores had a significant effect on hospitalisation rates. This was the first study showing a linear relationship between HRQOL and service utilisation on a Chinese population. It confirmed the clinical relevance of the SF-36 to a culture and health care system that is different from that of the United States where the instrument originated.

  12. Payment by salary or fee-for-service. Effect on health care resource use in the last year of life.

    PubMed Central

    Lee, S.; Cowie, S.; Slobodian, P.

    1999-01-01

    OBJECTIVE: To investigate the effect of physician payment method on use of health care resources. DESIGN: Retrospective analysis of patient health care data collected for 3 years (1994 to 1996) from the Vital Statistics Department of the British Columbia Ministry of Health. Billing numbers identified physician payment method. SETTING: Salaried and fee-for-service primary care practices in the Capital Region District of Victoria, BC. PARTICIPANTS: A total of 582 patients in their last year of life: 106 were attended by salaried family physicians at a community health clinic; 476 were attended by fee-for-service practitioners. Groups were comparable in age, sex, and geographical location. MAIN OUTCOME MEASURES: Number and cost of specialist and diagnostic services and medications, number of days in hospital (acute and extended care), and main causes of death. RESULTS: None of the dependent measures showed any statistically significant differences based on comparisons between many variables for patients in the two groups. Costs of pharmaceutical, specialist, and diagnostic services were not significantly different for the two groups. There were three main causes of death, according to codes on death certificates: heart disease, malignant neoplasms, and cerebrovascular disease. CONCLUSION: Whether physicians were paid by salary or fee-for-service had no empirical effect on health care resource use. PMID:10509221

  13. The Baby-Friendly Hospital Initiative 20 years on: facts, progress, and the way forward.

    PubMed

    Saadeh, Randa Jarudi

    2012-08-01

    The BFHI provides a framework for addressing the major factors that have contributed to the erosion of breastfeeding, that is, maternity care practices that interfere with breastfeeding. Until practices improve, attempts to promote breastfeeding outside the health service will be impeded. Although inappropriate maternity care cannot be held solely responsible for low exclusive breastfeeding rates and short breastfeeding duration, appropriate care may be a prerequisite for raising them. In many industrialized countries, BFHI activities were slow to start. Over the past 10 years and as the evidence was becoming increasingly solid and the commitment of health workers and decision makers has become stronger, considerable efforts are being made in most industrialized countries to implement the BFHI. However, coordinators of the BFHI in industrialized countries face obstacles to successful implementation that appear unique to these countries. Problems reported include opposition from the health care establishment, lack of support from national authorities, and lack of awareness or acceptance of the need for the initiative among government departments, the health care system, and parents. It is worth highlighting these facts to enable the BFHI coordinators in these countries to make well-designed and targeted plans with achievable objectives. Strengthening and scaling up the BFHI is an undisputed way to reduce infant mortality and improve quality of care for mothers and children. The BFHI has had great impact on breastfeeding practices. Reflecting new infant feeding research findings and recommendations, the tools and courses used to change hospital practices in line with Baby-Friendly criteria are available and ready to be used and implemented. Governments should ensure that all personnel who are involved in health, nutrition, child survival, or maternal health are fully informed and energized to take advantage of an environment that is conducive to revitalizing the BFHI

  14. CAHRD Consultation 2014: the 10-20 year Horizon Introduction and Overview – as circulated to Consultation participants

    PubMed Central

    2015-01-01

    The overall aim of the 2014 Consultation is to bring together internal and external partners to help shape the strategic direction for CAHRD over the 10 to 20 year horizon. Our strategic thinking will be guided by our vision of a healthy future for low and middle income populations and our mission to transform health systems to improve the health of these populations. Partnership between northern and southern institutions is integral to this work and critical in the consultation process. The Consultation considers four selected areas of the current work of CAHRD: Lung Health, Maternal & Newborn Health, Neglected Tropical Diseases, and Health Systems. We aim to foster dialogue and learning between these and across contexts and disciplines. The major challenges that will need to be addressed over the next 10 to 20 years will be scoped and pathways to possible solutions proposed. The overall vision is a process of co-production of knowledge

  15. Effect of Coal Contaminants on Solid Oxide Fuel System Performance and Service Life

    SciTech Connect

    Krishnan, Gopala N.; Jayaweera, Palitha; Perez, Jordi; Hornbostel, M.; Albritton, John R.; Gupta, Raghubir P.

    2007-10-31

    samples suffered less than 1% in when exposed to contaminants such as HCl(g), Hg(g), and Zn(g), and SbO(g) at levels of 8 ppm and above. AsH3 vapor at 0.5 ppm did not affect the electrical performance of an SOFC sample even after 1000 h at 750°C. In Phase II of the program, long-term tests will be performed with multiple contaminants at a temperature range of 750° to 850°C. These tests will be at contaminant levels typical of coal-derived gas streams that have undergone gas cleanup using Selexol technology. The chemical nature of the contaminant species will be identified at the operating temperature of SOFC and compare them with thermodynamic equilibrium calculations. The results of the testing will be used to recommend the sensitivity limits for SOFC operation and to assess the reduction in the service life of the SOFC for trace level contaminants.

  16. 20 years of production of UO(2) by the integrated route: A BNEFL perspective on dry conversion

    SciTech Connect

    Ion, S.E.; Watson, R.H.

    1993-11-01

    British Nuclear Fuels plc (BNFL) has been involved with the conversion of UF6 to ceramic-grade UO2 since the late 1960s. This paper summarizes key points arising from the 20-year history of the process: the consistency and reliability of the product, its performance from a fuel fabricator`s viewpoint, and developments made to improve the process since its introduction.

  17. Sex differences in schizophrenia and other psychotic disorders: a 20-year longitudinal study of psychosis and recovery.

    PubMed

    Grossman, Linda S; Harrow, Martin; Rosen, Cherise; Faull, Robert; Strauss, Gregory P

    2008-01-01

    This longitudinal study was designed to provide data on sex differences in the course of schizophrenia and other psychotic disorders. Ninety-seven participants (43 women and 54 men) were assessed during index hospitalization when they were in the acute phase of illness and then reassessed prospectively at 6 consecutive follow-ups over a 20-year period. Patients were evaluated by a series of standardized measures on many aspects of illness including the presence of psychosis, global outcome, and rate of recovery. When women were compared to men in this sample, the data demonstrated a lower percentage of psychotic activity for women over the course of illness (significant at the 7.5- and 20-year follow-ups), and a significant improvement in psychotic activity over 20 years for women (P < .05), but not for men. In addition, women showed significantly better global functioning (P < .05) at 3 of the 6 follow-ups (the 2-, 7.5-, and 10-year follow-ups). Significantly higher percentages (P < .05) of women were in recovery at 2 of the 6 follow-up years (the 2- and 10-year follow-ups). Cumulatively, 61% of the women with schizophrenia showed a period of recovery at some point during the 20-year period compared to 41% of the men. The sex difference patterns were similar for patients with schizophrenia and for those with other types of psychotic disorders. Sex differences in this sample were specifically not attributable to differences in age of onset or premorbid developmental achievements.

  18. [Purpura pigmentosa progressiva in type III cryoglobulinemia and tartrazine intolerance. A follow-up over 20 years].

    PubMed

    Kalinke, D U; Wüthrich, B

    1999-01-01

    A 58 year old patient with hepatitis virus C (HCV) infection had a secondary polyclonal IgG-IgM cryoglobulinemia with a benign 20 year course. Clinically the patient suffered from progressive pigmented purpura (PPP). Histologic evaluation revealed a lymphocytic vasculitis. Food containing tartrazine triggered flares of the PPP, as demonstrated with controlled oral provocation testing. In most of the previously described cases of HCV and type III cryoglobulinemia, the typical cutaneous finding was palpable purpura with leukocytoclastic vasculitis.

  19. Dietary pattern and 20 year mortality in elderly men in Finland, Italy, and The Netherlands: longitudinal cohort study.

    PubMed Central

    Huijbregts, P.; Feskens, E.; Räsänen, L.; Fidanza, F.; Nissinen, A.; Menotti, A.; Kromhout, D.

    1997-01-01

    OBJECTIVE: To investigate the association of dietary pattern and mortality in international data. DESIGN: Cohort study with 20 years' follow up of mortality. SETTING: Five cohorts in Finland, the Netherlands, and Italy. SUBJECTS: Population based random sample of 3045 men aged 50-70 years in 1970. MAIN OUTCOME MEASURES: Food intake was estimated using a cross check dietary history. In this dietary survey method, the usual food consumption pattern in the 6-12 months is estimated. A healthy diet indicator was calculated for the dietary pattern, using the World Health Organisation's guidelines for the prevention of chronic diseases. Vital status was verified after 20 years of follow up, and death rates were calculated. RESULTS: Dietary intake varied greatly in 1970 between the three countries. In Finland and the Netherlands the intake of saturated fatty acids and cholesterol was high and the intake of alcohol was low; in Italy the opposite was observed. In total 1796 men (59%) died during 20 years of follow up. The healthy diet indicator was inversely associated with mortality (P for trend < 0.05). After adjustment for age, smoking, and alcohol consumption, the relative risk in the group with the healthiest diet indicator compared with the group with the least healthy was 0.87 (95% confidence interval 0.77 to 0.98). Estimated relative risks were essentially similar within each country. CONCLUSIONS: Dietary intake of men aged 50-70 is associated with a 20 year, all cause mortality in different cultures. The healthy diet indicator is useful in evaluating the relation of mortality to dietary patterns. PMID:9233319

  20. 20-Year Status Report on the Human Systems Integration (HSI)/Manpower and Personnel Integration (MANPRINT) Soldier Survivability Domain

    DTIC Science & Technology

    2015-05-01

    as a special report on the 20-year status of the MANPRINT Soldier Survivability Domain after being established by Army Regulation 602-2 on its...Board (TAB) Review, 8 July 2014 57 Appendix B. Excerpted Army Regulation 602-2 and Army Regulation 70- 75 Language that Applies to US Army Research...Survivability (SSv) domain after being established by Army Regulation 602-2 on its effective date of 7 October 1994. This report was first initiated

  1. Factors influencing the end of the service life of protective gloves used in car repair shops: a preliminary report.

    PubMed

    Emilia, Irzmańska; Agnieszka, Stefko; Katarzyna, Dyńska-Kukulska

    2015-01-01

    The paper presents the results of an end-of-service-life study on 2 kinds of protective gloves designed for workplaces in which workers are exposed to mineral oils and mechanical factors. The authors developed their own end-of-service-life study method that takes into account factors occurring during real-life use of protective gloves. The examined gloves were subjected to mechanical, chemical, and physical factors. The objective of the study was to compare the protective in new gloves subjected to a laboratory simulation test and in gloves used at workplaces in car repair shops. A further goal was to design a glove assessment procedure that would ensure comprehensive analysis of the actual level of performance provided by gloves exposed to selected chemical and mechanical factors as well as subjected to the influence of temperature and humidity, mechanical damage, and chemical degradation of material. The results lead to the conclusion that simultaneous exposure of protective gloves to mechanical, chemical, and physical factors significantly decreases their performance levels. Furthermore, similar performance levels were obtained for gloves subjected to laboratory simulation tests and for those used in the workplace.

  2. A resolution honoring the life and service of the late Staff Sergeant Robert Henry Anderson.

    THOMAS, 113th Congress

    Sen. McCain, John [R-AZ

    2014-11-18

    11/18/2014 Referred to the Committee on Armed Services. (text of measure as introduced: CR S6097) (All Actions) Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

  3. Protecting Our Life Support Systems: An Inventory of US Federal Research on Ecosystem Services

    EPA Science Inventory

    In the United States, a broad range of federal resource management and environmental agencies are conducting research related to ecosystem services, and government agencies at all levels are increasingly interested in measuring the outcomes of proposed decision and policy options...

  4. Developing a Meaningful Life: Social Reintegration of Service-Members and Veterans with Spinal Cord Injury

    DTIC Science & Technology

    2012-10-01

    Reintegration of Service-Members and Veterans with Spinal Cord Injury PRINCIPAL INVESTIGATOR: Seth D. Messinger, PhD... Reintegration of Service- 5a. CONTRACT NUMBER Members and Veterans with Spinal Cord Injury 5b. GRANT NUMBER W81XWH-11-1-0811 5c. PROGRAM ELEMENT... success . 15. SUBJECT TERMS Spinal Cord Injury, Community Reintegration , Qualitative Research 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF

  5. A longitudinal follow-up of posttraumatic stress: from 9 months to 20 years after a major road traffic accident

    PubMed Central

    2011-01-01

    Background Although road traffic accidents (RTA) are a major cause of injury and a cause of posttraumatic stress (PTS) in the aftermath, little is known about the long-term psychological effects of RTA. Methods This prospective longitudinal study assessed long-term PTS, grief, and general mental health after a bus carrying 23 sixth-grade schoolchildren crashed on a school outing and 12 children died. Directly affected (i.e., children in the crash) and indirectly affected children (i.e., all pupils in the sixth grade who were not in the crash) were surveyed at 9 months (N = 102), 4 years (N = 51), and 20 years (N = 40) after the event. Psychological distress was assessed by single items, including sadness, avoidance, intrusions, and guilt. After 20 years, PTS was assessed by the Impact of Event Scale-Revised. Results Stress reactions were prevalent 9 months after the event, with sadness (69%) and avoidance (59%) being highly represented in both directly and indirectly affected groups, whereas, nightmares (60%) and feelings of guilt (50%) were only frequent in those directly affected. The frequency of sadness and avoidance decreased after 4 years in the indirectly exposed (ps < .05). After 20 years, the directly affected had a higher prevalence of PTS (p = .003), but not decreased general mental health (p = .14), than those indirectly affected. Conclusions The limitations preclude assertive conclusions. Nonetheless, the findings corroborate previous studies reporting traumatic events are associated with long-term PTS, but not with decreased general mental health. PMID:21396118

  6. Longer life for glyco-based stationary engine coolants

    SciTech Connect

    Hohlfeld, R.

    1996-07-01

    Large, stationary diesel engines used to compress natural gas that is to be transported down pipelines generate a great deal of heat. Unless this heat is dissipated efficiently, it will eventually cause an expensive breakdown. Whether the coolant uses ethylene glycol or propylene glycol, the two major causes of glycol degradation are heat and oxidation. The paper discusses inhibitors that enhance coolant service life and presents a comprehensive list of do`s and don`ts for users to gain a 20-year coolant life.

  7. Towards virtual knowledge broker services for semantic integration of life science literature and data sources.

    PubMed

    Harrow, Ian; Filsell, Wendy; Woollard, Peter; Dix, Ian; Braxenthaler, Michael; Gedye, Richard; Hoole, David; Kidd, Richard; Wilson, Jabe; Rebholz-Schuhmann, Dietrich

    2013-05-01

    Research in the life sciences requires ready access to primary data, derived information and relevant knowledge from a multitude of sources. Integration and interoperability of such resources are crucial for sharing content across research domains relevant to the life sciences. In this article we present a perspective review of data integration with emphasis on a semantics driven approach to data integration that pushes content into a shared infrastructure, reduces data redundancy and clarifies any inconsistencies. This enables much improved access to life science data from numerous primary sources. The Semantic Enrichment of the Scientific Literature (SESL) pilot project demonstrates feasibility for using already available open semantic web standards and technologies to integrate public and proprietary data resources, which span structured and unstructured content. This has been accomplished through a precompetitive consortium, which provides a cost effective approach for numerous stakeholders to work together to solve common problems.

  8. Prevalence and clinical presentation of headache in a National Neurofibromatosis 1 Service and impact on quality of life.

    PubMed

    Afridi, Shazia K; Leschziner, Guy D; Ferner, Rosalie E

    2015-10-01

    In our clinical practice, we noticed a high frequency of headaches amongst NF1 patients. We sought to characterize the phenotype and prevalence of headache in our cohort of NF1 patients attending the London NF clinic and to determine the impact on quality of life. Participants over the age of 16 fulfilling diagnostic criteria for NF1 from the general NF1 outpatient clinics at Guy's and St. Thomas' NHS Foundation Trust and the nationally commissioned Complex NF1 service were asked to fill in a questionnaire during the clinic consultation. Data were recorded regarding the headache frequency, intensity, duration, and phenotype, and a validated quality of life questionnaire, HIT-6 was also completed by the participant. IHS (International Headache Society) criteria were used to diagnose migraine. One hundred fifteen patients (48 males, 67 females) completed the questionnaire. The age range of participants was 16-67 with a mean age of 36 years. Twenty-five reported no headaches. Seventy-five (65%) fulfilled IHS diagnostic criteria for migraine (15 with aura). The mean HIT-6 score was 56 (out of a maximum 78) implying a significant effect on quality of life. Migraine is common in our NF1 population and has a significant impact on quality of life. Patients may not volunteer information regarding headache and this should be actively sought during consultations and the headache phenotype should be carefully characterized.

  9. Long-term effects of sulfur mustard on civilians’ mental health 20 years after exposure (The Sardasht-Iran Cohort Study)

    PubMed Central

    2013-01-01

    Background Sulfur mustard (SM) is an alkylating agent that induces short and long term toxicity on various organs. The aim of this study was to assess the long-term psychological symptoms among samples of exposed to sulfur mustard gas compared with unexposed civilians 20 years after exposure. Methods This historical cohort study was conducted on 495 civilians of Sardasht and Rabat in two age matched groups, including 367 sulfur mustard exposed participants from Sardasht and 128 unexposed subjects from Rabat. Psychological symptoms was assessed using the Symptom Check List-90 Revised (SCL-90-R) including measures of somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, and psychoticism providing three global distress indices namely: Global Severity Index (GSI), Positive Symptom Total (PST) and Positive Symptom Distress Index (PSDI). Comparison was made between exposed and unexposed civilians. Results There were significant differences in somatization (P = 0.002), obsessive-compulsive (P = 0.031), depression (P = 0.007), anxiety (P = 0.042), and hostility (P = 0.002), between the exposed and unexposed groups. In addition there were significant differences between two groups concerning the GSI (P = 0.045) and the PSDI (P < 0.001). The differences between two groups in other subscales were not significant. Conclusions The findings from this study showed that civilians who exposed to sulfur mustard gas were suffering from a number of psychological symptoms even 20 years after exposure. Providing mental health services and more resource allocation for this community are highly recommended. PMID:23618038

  10. Art Therapy Services to Support Veterans' Transition to Civilian Life: The Studio and the Gallery

    ERIC Educational Resources Information Center

    DeLucia, Jennifer Marie

    2016-01-01

    Beyond having knowledge of the treatment of combat-related trauma, art therapists need to understand veterans' experiences of transition from military to civilian life in order to offer effective interventions. This article reviews the literature on veteran transition and the challenges common to transition difficulty and describes two major…

  11. Integrating Speech-Language Pathology Services in Palliative End-of-Life Care

    ERIC Educational Resources Information Center

    Pollens, Robin D.

    2012-01-01

    Clinical speech-language pathologists (SLPs) may receive referrals to consult with teams serving patients who have a severe and/or terminal disease. Palliative care focuses on the prevention or relief of suffering to maximize quality of life for these patients and their families. This article describes how the role of the SLP in palliative care…

  12. Techniques for Developing Health Quality of Life Scales for Point of Service Use

    ERIC Educational Resources Information Center

    Lee, Young-Sun; Douglas, Jeffrey; Chewning, Betty

    2007-01-01

    Clinical and health policy research frequently involves health status measurement using generic or disease specific instruments. These instruments are generally developed to arrive at several scales, each measuring a distinct domain of health quality of life (HQOL). Clinical settings are starting to explore how to integrate patient perspectives of…

  13. A Comparison of Alternative Models of Individual Quality of Life for Social Service Recipients

    ERIC Educational Resources Information Center

    Gomez, Laura E.; Verdugo, Miguel Angel; Arias, Benito; Arias, Victor

    2011-01-01

    There is considerable debate in the area of individual quality of life research regarding the factor structure of the QOL construct that is focused on the number and composition of QOL factors and domains, and its hierarchical nature. The main goal of this study involve testing by means of confirmatory factor analyses five models that have been…

  14. Creating a Pedagogical Space That Fosters the (Re)Construction of Self through Life Stories of Pre-Service English Language Teachers

    ERIC Educational Resources Information Center

    Quintero Polo, Álvaro Hernán

    2016-01-01

    People's true selves comprise a life story that may be considered as a narrative. With that idea in mind, the purpose of this article is to report on a pedagogical intervention that bridged life stories and a narrative perspective to examine nine, out of eighty, pre-service English language teachers' (re)construction of their true selves while…

  15. Water for Life: The Impact of the Privatization of Water Services on Child Mortality.

    ERIC Educational Resources Information Center

    Galiani, Sebastian; Gertler, Paul; Schargrodsky, Ernesto

    2005-01-01

    While most countries are committed to increasing access to safe water and thereby reducing child mortality, there is little consensus on how to actually improve water services. One important proposal under discussion is whether to privatize water provision. In the 1990s Argentina embarked on one of the largest privatization campaigns in the world,…

  16. Behavioral Health and Adjustment to College Life for Student Service Members/Veterans

    ERIC Educational Resources Information Center

    Schonfeld, Lawrence; Braue, Lawrence A.; Stire, Sheryl; Gum, Amber M.; Cross, Brittany L.; Brown, Lisa M.

    2015-01-01

    Objective: Increasing numbers of student service members/veterans (SSM/Vs) are enrolling in college. However, little is known about how their previous military experience affects their adjustment to this new role. The present study tested the hypothesis that SSM/Vs who report adjustment problems in college have a higher incidence of posttraumatic…

  17. Service Learning and Character Education: Walking the Talk. Linking Learning with Life.

    ERIC Educational Resources Information Center

    Swick, Kevin J.; Winecoff, Larry; Nesbit, Ben; Kemper, Richard; Rowls, Michael; Freeman, Nancy K.; Creech, Nena; Mason, Janet; Kent, Laura Brinker

    This guidebook is designed to provide teachers, schools, parents, and other community leaders with the needed ideas, strategies, and resources to combine service learning and character education in meaningful educational activities for children and young people. The booklet contains seven short sections that provide an overview of character…

  18. Achieving a safer health service: Part 1. Making safety a way of life.

    PubMed

    Woodward, Suzette

    2004-01-01

    Patient safety incidents are a major problem in the health service and it is acknowledged that blaming and reprimanding staff for actual or potential mistakes does not encourage an open and safe culture in which to work. In the first paper in a three-part series the National Patient Safety Agency's seven key to steps to achieving patient safety are discussed.

  19. Deconstructing the surrogate species concept:a life history approach to the protection of ecosystem services.

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The use of the surrogate species concept is widespread in environmental risk assessment and in particular the protection of species that provide ecosystem services, yet there are no standard protocols in place for the choice of surrogates. Surrogates are often chosen on the basis of convenience or v...

  20. Deconstructing the surrogate species concept: a life history approach to the protection of ecosystem services

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The use of the surrogate species concept is widespread in environmental risk assessment and in particular the protection of species that provide ecosystem services, yet there are no standard protocols in place for the choice of surrogates. Surrogates are often chosen on the basis of convenience or ...

  1. Job and Life Stress and Strain Outcomes among Service and Clerical Workers.

    ERIC Educational Resources Information Center

    Dytell, Rita Scher

    The National Institute for Occupational Safety and Health has ranked 130 jobs in terms of the level of stress they engender. According to this ranking, clerical and service workers are in occupations which engender very high levels of stress. This study examined the relative contribution of a variety of occupational and nonoccupational sources of…

  2. Public Special Services Provided to People with Intellectual Disabilities in Sweden: A Life-Span Perspective

    ERIC Educational Resources Information Center

    Umb-Carlsson, Oie

    2008-01-01

    This study describes public special services, support, and health care provided to an administratively defined county sample of people with intellectual disabilities from early childhood to adult age. Comparisons were made on the variables year of birth, sex, and assessed level of intellectual disabilities in 1974. Information was obtained from…

  3. 38 CFR 8.0 - Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance. 8.0 Section 8.0 Pensions... § 8.0 Definitions of terms used in connection with title 38 CFR, part 8, National Service...

  4. 38 CFR 8.0 - Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance. 8.0 Section 8.0 Pensions... § 8.0 Definitions of terms used in connection with title 38 CFR, part 8, National Service...

  5. Seasonal cycle of volume transport through Kerama Gap revealed by a 20-year global HYbrid Coordinate Ocean Model reanalysis

    NASA Astrophysics Data System (ADS)

    Yu, Zhitao; Metzger, E. Joseph; Thoppil, Prasad; Hurlburt, Harley E.; Zamudio, Luis; Smedstad, Ole Martin; Na, Hanna; Nakamura, Hirohiko; Park, Jae-Hun

    2015-12-01

    The temporal variability of volume transport from the North Pacific Ocean to the East China Sea (ECS) through Kerama Gap (between Okinawa Island and Miyakojima Island - a part of Ryukyu Islands Arc) is investigated using a 20-year global HYbrid Coordinate Ocean Model (HYCOM) reanalysis with the Navy Coupled Ocean Data Assimilation from 1993 to 2012. The HYCOM mean transport is 2.1 Sv (positive into the ECS, 1 Sv = 106 m3/s) from June 2009 to June 2011, in good agreement with the observed 2.0 Sv transport during the same period. This is similar to the 20-year mean Kerama Gap transport of 1.95 ± 4.0 Sv. The 20-year monthly mean volume transport (transport seasonal cycle) is maximum in October (3.0 Sv) and minimum in November (0.5 Sv). The annual variation component (345-400 days), mesoscale eddy component (70-345 days), and Kuroshio meander component (< 70 days) are separated to determine their contributions to the transport seasonal cycle. The annual variation component has a close relation with the local wind field and increases (decreases) transport into the ECS through Kerama Gap in summer (winter). Most of the variations in the transport seasonal cycle come from the mesoscale eddy component. The impinging mesoscale eddies increase the transport into the ECS during January, February, May, and October, and decrease it in March, April, November, and December, but have little effect in summer (June-September). The Kuroshio meander components cause smaller transport variations in summer than in winter.

  6. A study comparing changes in loading conditions of an extended service life system using aluminum 2024-T351

    NASA Astrophysics Data System (ADS)

    Beal, Roger Zack

    The current fiscally austere environment prevalent in the military and industry is driving extreme measures to save money. In the United States Air Force, this has driven enormous efforts to trim sustainment spending on extended life aircraft. The challenge to the aerospace engineer is to ensure flight safety in the midst of this economic pressure. One method of cutting costs is to increase the time an aircraft is in service by delaying the point when the aircraft is taken out of service for depot maintenance. To ensure flight safety, in depth fatigue and fracture analysis needs to be accomplished to assess increasing the inspection interval. The purpose of this study was to determine the sensitivity of Aluminum 2024-T351 alloy, a common material used in tension dominated aerospace applications, to two different loading spectra---one that is aggressive and the other that is benign. This was accomplished by conducting five different combinations of the two spectra, developing computer simulations using the AFGROW software and comparing with the measured data. The results showed that the material demonstrated significantly different behavior between the two spectra. These results provide a valuable tool for the aerospace engineer for fatigue life prediction and inspection interval evaluation.

  7. A Plasma Reactor for the Synthesis of High-Temperature Materials: Electro Thermal, Processing and Service Life Characteristics

    NASA Astrophysics Data System (ADS)

    Galevskiy, G. V.; Rudneva, V. V.; Galevskiy, S. G.; Tomas, K. I.; Zubkov, M. S.

    2016-08-01

    The three-jet direct-flow plasma reactor with a channel diameter of 0.054 m was studied in terms of service life, thermal, technical, and functional capabilities. It was established that the near-optimal combination of thermal efficiency, required specific enthalpy of the plasma-forming gas and its mass flow rate is achieved at a reactor power of 150 kW. The bulk temperature of plasma flow over the rector of 12 gauges long varies within 5500÷3200 K and the wall temperature within 1900÷850 K, when a cylinder from zirconium dioxide of 0.005 m thick is used to thermally insulate the reactor. The specific electric power reaches a high of 1214 MW/m3. The rated service life of electrodes is 4700 hours for a copper anode and 111 hours for a tungsten cathode. The projected contamination of carbides and borides with elec-trode-erosion products doesn't exceed 0.0001% of copper and 0.00002% of tungsten.

  8. Anagrelide: 20 years later.

    PubMed

    Emadi, Ashkan; Spivak, Jerry L

    2009-01-01

    Thrombocytosis is a common feature of chronic myeloproliferative disorders (MPD) and may be asymptomatic or associated with transient microvascular vaso-occlusive symptoms or large vessel arterial or venous thrombosis. Failure of either the hematocrit or the platelet count to correlate with thrombotic events is a peculiar conundrum of the MPDs. Asymptomatic thrombocytosis in young MPD patients with no cardiovascular risk factors does not require treatment. It is also undisputed that lowering the platelet count reduces the incidence of microvascular events in MPD patients. At the same time, no study to date has demonstrated that platelet count reduction prolongs survival in MPD patients. Agents such as hydroxyurea, busulfan, IFN-alpha and anagrelide, have been used to reduce an elevated platelet count and decrease thrombohemorrhagic events in at-risk patients with thrombocytosis associated with an MPD. When treatment is required, it makes sense to use drugs that are not myelotoxic or mutagenic. Based on the Primary Thrombocythaemia 1 study, hydroxyurea is the treatment of choice for thrombocytosis-associated transient ischemic attacks. However, hydroxyurea does not prevent venous thrombosis, is not more effective in preventing arterial thrombosis than anagrelide and its long-term safety is not established. Therefore, unless curative therapy is planned, one should use the least myelotoxic agent when platelet count reduction is required. In this regard, anagrelide can be considered a first-line drug. With regard to long-term safety of anagrelide, the EMEA has required close monitoring of the safety points identified in future Periodic Safety Update Reports and in a Post Authorisation Safety Study in the EU, which will focus especially on cardiovascular events and acute leukemia. In this article, we review anagrelide pharmacology, the physiology of thrombopoiesis, the differential diagnosis of thrombocytosis and the management of patients with an elevated platelet count.

  9. 20 Years and Counting

    ERIC Educational Resources Information Center

    Kuzyk, Raya

    2008-01-01

    In commemoration of the Librarian of the Year Award's 20th anniversary, this article presents brief vignettes on all 19 of the title holders. When "Library Journal" named them Librarians of the Year, these inimitable 19 (for the 20th, Norma Blake, see EJ788676) had singled themselves out as risk takers, visionaries, bulldogs, pragmatists,…

  10. COBE: 20 Years Ago

    NASA Video Gallery

    NASA's Cosmic Background Explorer (COBE) satellite rocketed into Earth orbit on Nov. 18, 1989, and quickly revolutionized our understanding of the early cosmos. This archival video was reissued by ...

  11. Nitrous Oxide Abuse and Vitamin B12 Action in a 20-Year-Old Woman: A Case Report.

    PubMed

    Duque, Miriam Andrea; Kresak, Jesse L; Falchook, Adam; Harris, Neil S

    2015-01-01

    Herein, we report a case of a 20-year-old (ethnicity not reported) woman with a history of nitrous oxide abuse and clinical symptoms consistent with spinal cord subacute combined degeneration with associated low serum concentrations of vitamin B12, elevated methylmalonic acid levels, and radiologic evidence of demyelination of the dorsal region of the spinal column. The health of the patient improved dramatically with B12 supplementation. In this case, we discuss the interaction of nitrous oxide with the enzymatic pathways involved in the biochemistry of vitamin B12.

  12. Celebrating 20 years of evidence from the Cochrane Collaboration: what has been the impact of systematic reviews on nephrology?

    PubMed

    Palmer, Suetonia C; Craig, Jonathan C; Jones, Ann; Higgins, Gail; Willis, Narelle; Strippoli, Giovanni F M

    2015-06-01

    It has been 20 years since the Cochrane Collaboration started the global effort to synthesize evidence to improve healthcare. Since 1997, the Cochrane Renal Group has produced over 100 systematic reviews that have collectively had an important impact on nephrology care, guidelines and policy. In this article, we reflect on the ongoing need for randomized trials and systematic reviews in contemporary nephrology and the achievements of the Cochrane Collaboration so far. We also describe some of the challenges in clinical research still faced by the nephrology community today.

  13. Geostatistical Model-Based Estimates of Schistosomiasis Prevalence among Individuals Aged ≤20 Years in West Africa

    PubMed Central

    Schur, Nadine; Hürlimann, Eveline; Garba, Amadou; Traoré, Mamadou S.; Ndir, Omar; Ratard, Raoult C.; Tchuem Tchuenté, Louis-Albert; Kristensen, Thomas K.; Utzinger, Jürg; Vounatsou, Penelope

    2011-01-01

    Background Schistosomiasis is a water-based disease that is believed to affect over 200 million people with an estimated 97% of the infections concentrated in Africa. However, these statistics are largely based on population re-adjusted data originally published by Utroska and colleagues more than 20 years ago. Hence, these estimates are outdated due to large-scale preventive chemotherapy programs, improved sanitation, water resources development and management, among other reasons. For planning, coordination, and evaluation of control activities, it is essential to possess reliable schistosomiasis prevalence maps. Methodology We analyzed survey data compiled on a newly established open-access global neglected tropical diseases database (i) to create smooth empirical prevalence maps for Schistosoma mansoni and S. haematobium for individuals aged ≤20 years in West Africa, including Cameroon, and (ii) to derive country-specific prevalence estimates. We used Bayesian geostatistical models based on environmental predictors to take into account potential clustering due to common spatially structured exposures. Prediction at unobserved locations was facilitated by joint kriging. Principal Findings Our models revealed that 50.8 million individuals aged ≤20 years in West Africa are infected with either S. mansoni, or S. haematobium, or both species concurrently. The country prevalence estimates ranged between 0.5% (The Gambia) and 37.1% (Liberia) for S. mansoni, and between 17.6% (The Gambia) and 51.6% (Sierra Leone) for S. haematobium. We observed that the combined prevalence for both schistosome species is two-fold lower in Gambia than previously reported, while we found an almost two-fold higher estimate for Liberia (58.3%) than reported before (30.0%). Our predictions are likely to overestimate overall country prevalence, since modeling was based on children and adolescents up to the age of 20 years who are at highest risk of infection. Conclusion/Significance We

  14. Developing a Meaningful Life: Social Reintegration of Service-Members and Veterans with SCI

    DTIC Science & Technology

    2014-10-01

    military veteran who suffered a service-related traumatic SCI. Methods: An in-depth anthropological interview was used with Jake, a 28-year old marine...spinal cord injury. 9 Participants Seth Messinger, Principal Investigator Associate Professor of Anthropology Seth Messinger is responsible...Networks for Veterans with Spinal Cord Injury in Obtaining Employment. Annals of Anthropological Practice. 37,2:40-56 Fritz, H., Lysack, C

  15. Research to Improve Emotional Health and Quality of Life Among Service Members with Disabilities (RESTORE LIVES)

    DTIC Science & Technology

    2013-10-01

    Lester D. Post-traumatic stress disorder and suicide risk: a systematic review. Archives of Suicide Research 2010;14:1-23. 8. Oquendo MA, Friend JM...Statement of Work and milestones. 15. SUBJECT TERMS Post-traumatic stress disorder, psychotherapy, stress , mild traumatic brain injury, women veterans...with varying levels of stress -induced comorbidities. It is anticipated that the proposed day of recognition and services for female veterans within

  16. The Impact of Community-Based Supports and Services on Quality of Life Among the Elderly in China: A Longitudinal Study.

    PubMed

    Zhang, Yongkang; Yeager, Valerie A; Hou, Shengtian

    2016-08-01

    Community-based supports and services (CBSS) have been developing rapidly in China as a new way of satisfying the needs of elderly people. However, it is not clear how pervasive these services are or whether the availability of CBSS impacts quality of life. This study examines trends in CBSS and the impact of the perceived CBSS availability on self-reported quality of life among the elderly in China. We found a significant increase in perceived CBSS availability from 2005 to 2011, but the perceived availability of CBSS varies by the type of CBSS. Multivariate analyses show that home medical visits (β = .181, p = .03), psychological support (β = .332, p = .02), social and recreation activities (β = .231, p = .02), and legal consulting services (β = .271, p = .02) were each significantly associated with a good quality of life. Results from this study provide insight that can inform CBSS strategies and the development of new services for the elderly in China.

  17. The effect of service satisfaction and spiritual well-being on the quality of life of patients with schizophrenia.

    PubMed

    Lanfredi, Mariangela; Candini, Valentina; Buizza, Chiara; Ferrari, Clarissa; Boero, Maria E; Giobbio, Gian M; Goldschmidt, Nicoletta; Greppo, Stefania; Iozzino, Laura; Maggi, Paolo; Melegari, Anna; Pasqualetti, Patrizio; Rossi, Giuseppe; de Girolamo, Giovanni

    2014-05-15

    Quality of life (QOL) has been considered an important outcome measure in psychiatric research and determinants of QOL have been widely investigated. We aimed at detecting predictors of QOL at baseline and at testing the longitudinal interrelations of the baseline predictors with QOL scores at a 1-year follow-up in a sample of patients living in Residential Facilities (RFs). Logistic regression models were adopted to evaluate the association between WHOQoL-Bref scores and potential determinants of QOL. In addition, all variables significantly associated with QOL domains in the final logistic regression model were included by using the Structural Equation Modeling (SEM). We included 139 patients with a diagnosis of schizophrenia spectrum. In the final logistic regression model level of activity, social support, age, service satisfaction, spiritual well-being and symptoms' severity were identified as predictors of QOL scores at baseline. Longitudinal analyses carried out by SEM showed that 40% of QOL follow-up variability was explained by QOL at baseline, and significant indirect effects toward QOL at follow-up were found for satisfaction with services and for social support. Rehabilitation plans for people with schizophrenia living in RFs should also consider mediators of change in subjective QOL such as satisfaction with mental health services.

  18. Urinary Incontinence Symptoms and Impact on Quality of Life in Patients Seeking Outpatient Physical Therapy Services

    PubMed Central

    Alappattu, Meryl; Neville, Cynthia; Beneciuk, Jason; Bishop, Mark

    2016-01-01

    Objective The objective of this study was to examine the frequency and types of urinary incontinence (UI) in patients seeking outpatient physical therapy for neuro-musculoskeletal conditions. Design Retrospective cross-sectional analysis. Patients A convenience sample of patients that positively responded to a UI screening question were included in this study. Methods Data were collected for age, sex, and primary treatment condition classified into one of the following (i.e. urinary dysfunction; fecal dysfunction; pelvic pain; spine; neurological disorders; or extremity disorders); UI type (i.e. mixed, urge, stress, or insensible); UI symptom severity; and quality of life impact. Main Outcome Measures Frequency of UI type, symptom severity, health-related quality of life (HRQoL) impact, and pad use were compared between treatment groups. Results The mean age of the sample (n=599) was 49.8 years (SD=18.5) and 94.7% were female. The urinary dysfunction group comprised 44.2% of the total sample, followed by the spine group with 25.7%, and pelvic pain with 17.2%. The urinary dysfunction group scored significantly higher on UI symptom severity and impact on quality of life compared to the pelvic pain and spine groups, but not compared to the extremity disorders, fecal dysfunction, or neurological disorders group. Conclusion These preliminary data indicate that UI is a condition afflicting many individuals who present to outpatient physical therapy beyond those seeking care for UI. We recommend using a simple screening measure for UI and its impact on HRQoL as part of a routine initial evaluation in outpatient physical therapy settings. PMID:26863987

  19. The impact of lean production on musculoskeletal and psychosocial risks: an examination of sociotechnical trends over 20 years.

    PubMed

    Koukoulaki, Theoni

    2014-03-01

    This paper provides an extensive review of studies carried out in lean production environments in the last 20 years. It aims to identify the effects of lean production (negative or positive) on occupational health and related risk factors. Thirty-six studies of lean effects were accepted from the literature search and sorted by sector and type of outcome. Lean production was found to have a negative effect on health and risk factors; the most negative outcomes being found in the earliest studies in the automotive industry. However, examples of mixed and positive effects were also found in the literature. The strongest correlations of lean production with stress were found for characteristics found in Just-In-Time production that related to reduced cycle time and reduction of resources. Increased musculoskeletal risk symptoms were related to increases of work pace and lack of recovery time also found in Just-In-Time systems. An interaction model is developed to propose a pathway from lean production characteristics to musculoskeletal and psychosocial risk factors and also positive outcomes. An examination is also made of the changing focus of studies investigating the consequences of lean production over a 20-year period. Theories about the effects of lean production have evolved from a conceptualization that it is an inherently harmful management system, to a view that it can have mixed effects depending on the management style of the organization and the specific way it is implemented.

  20. Agoraphobia With and Without Panic Disorder: A 20-Year Follow-up of Integrated Exposure and Psychodynamic Therapy.

    PubMed

    Hoffart, Asle; Hedley, Liv M; Svanøe, Karol; Langkaas, Tomas Formo; Sexton, Harold

    2016-02-01

    The aim of the current study was to compare the 20-year outcome in panic disorder with agoraphobia (PD with AG) and agoraphobia without panic disorder (AG without PD) patients after inpatient psychological treatment. Of 53 eligible patients having completed a medication-free integrated exposure and psychodynamic treatment, 38 (71.7%)-25 PD with AG and 13 AG without PD patients-attended 20-year follow-up. AG without PD patients improved less than PD with AG patients did on primary outcome measures. In the PD with AG group, there were large uncontrolled effect sizes (<-2.30). More of the AG without PD patients had avoidant personality disorder at pretreatment, but the presence of this disorder did not predict outcome. The follow-up results support that PD with AG and AG without PD are two different disorders. The results also suggest that the very long-term outcome in PD with AG patients is excellent for this integrated treatment.

  1. Depleted uranium contamination by inhalation exposure and its detection after approximately 20 years: implications for human health assessment.

    PubMed

    Parrish, Randall R; Horstwood, Matthew; Arnason, John G; Chenery, Simon; Brewer, Tim; Lloyd, Nicholas S; Carpenter, David O

    2008-02-01

    Inhaled depleted uranium (DU) aerosols are recognised as a distinct human health hazard and DU has been suggested to be responsible in part for illness in both military and civilian populations that may have been exposed. This study aimed to develop and use a testing procedure capable of detecting an individual's historic milligram-quantity aerosol exposure to DU up to 20 years after the event. This method was applied to individuals associated with or living proximal to a DU munitions plant in Colonie New York that were likely to have had a significant DU aerosol inhalation exposure, in order to improve DU-exposure screening reliability and gain insight into the residence time of DU in humans. We show using sensitive mass spectrometric techniques that when exposure to aerosol has been unambiguous and in sufficient quantity, urinary excretion of DU can be detected more than 20 years after primary DU inhalation contamination ceased, even when DU constitutes only approximately 1% of the total excreted uranium. It seems reasonable to conclude that a chronically DU-exposed population exists within the contamination 'footprint' of the munitions plant in Colonie, New York. The method allows even a modest DU exposure to be identified where other less sensitive methods would have failed entirely. This should allow better assessment of historical exposure incidence than currently exists.

  2. The 20-year history of the evolution of air pollution control legislation in the U.S.A.

    NASA Astrophysics Data System (ADS)

    Schulze, Richard H.

    Over the past 20 years, the U.S. Congress has passed four acts relating to clean air. The 1970 act set out a comprehensive plan for federal-state partnership to require all areas in the country to meet National Ambient Air Quality Standards. In 1977, the act was amended and expanded, both to address many of the problems encountered in the 1970 act and to reorient the law to limit significantly emissions of any sort, even if there were no currently identified health-related reasons. In 1986, the Emergency Planning and Community Right-to-know Act was passed, as an amendment to a solid waste law, in response to the desire to prevent chemical release tragedies. After 10 years of effort, Congress finally passed the 1990 Clean Air Act amendments which require a number of new programs aimed at curbing urban ozone, rural acid rain, stratospheric ozone, toxic air pollutant emissions and vehicle emissions, and establishing a new, uniform national permit system. This paper discusses some of the consequences of the various acts and suggests ways that others might learn from our 20 years of experience. Certain programs have worked quite well, while some alternatives could have improved other programs.

  3. Persistence of antibodies and immune memory to hepatitis B vaccine 20 years after infant vaccination in Thailand.

    PubMed

    Poovorawan, Yong; Chongsrisawat, Voranush; Theamboonlers, Apiradee; Bock, Hans L; Leyssen, Maarten; Jacquet, Jeanne-Marie

    2010-01-08

    Booster vaccination against hepatitis B (HBV) is not currently recommended, although debate continues on the duration of protection after priming. We assessed antibody persistence and immune memory to hepatitis B 20 years after priming with a recombinant HBV-vaccine during infancy. Infants were vaccinated at birth, 1, 2 and 12 months of age. A subset received a booster dose at Year 5. Antibody persistence was measured approximately yearly until Year 20. Immune memory was assessed by administration of HBV booster dose. At Year 20, anti-HBs seroprotection rates and GMCs tended to be higher in Year 5 boosted than unboosted recipients (83.9% versus 60.5%). After the Year 20 booster dose, anti-HBs anamnestic responses were within the same range 95.8% of subjects in both groups. Primary and booster vaccination with HBV-vaccine in infants induces sustained seroprotection and immune memory against hepatitis B for up to 20 years. Higher persisting seroprotection rates in subjects boosted at Year 5 did not translate into apparent differences in immune memory in a high endemic country.

  4. The Pu'u 'O'o-Kupaianaha Eruption of Kilauea Volcano, Hawaii: The First 20 Years

    USGS Publications Warehouse

    Heliker, Christina C.; Swanson, Donald A.; Takahashi, Taeko Jane

    2003-01-01

    The Pu'u 'O'o-Kupaianaha eruption started on January 3, 1983. The ensuing 20-year period of nearly continuous eruption is the longest at Kilauea Volcano since the famous lava-lake activity of the 19th century. No rift-zone eruption in more than 600 years even comes close to matching the duration and volume of activity of these past two decades. Fortunately, such a landmark event came during a period of remarkable technological advancements in volcano monitoring. When the eruption began, the Global Positioning System (GPS) and the Geographic Information System (GIS) were but glimmers on the horizon, broadband seismology was in its infancy, and the correlation spectrometer (COSPEC), used to measure SO2 flux, was still very young. Now, all of these techniques are employed on a daily basis to track the ongoing eruption and construct models about its behavior. The 12 chapters in this volume, written by present or past Hawaiian Volcano Observatory staff members and close collaborators, celebrate the growth of understanding that has resulted from research during the past 20 years of Kilauea's eruption. The chapters range widely in emphasis, subject matter, and scope, but all present new concepts or important modifications of previous ideas - in some cases, ideas long held and cherished.

  5. A Study of Military-Civil Service Differences in Quality of Life

    DTIC Science & Technology

    1976-12-01

    for a Job well done, considered their glade too low for their work, had more freedom to do their jobs, expressed more satisfaction with their jobs... satisfaction with the F,’UITY aspects of their lives. The only relevant differences found in the PEOPI.E aspects of the ,uality of Air Force Life between...major determinant of JOB SATISF,ýCTICN’ however, tVhe zue-.tlon of feed- back affecting JCB SATISFACTION is not as well documented, nor uas it

  6. Models for estimation of service life of concrete barriers in low-level radioactive waste disposal

    SciTech Connect

    Walton, J.C.; Plansky, L.E.; Smith, R.W. )

    1990-09-01

    Concrete barriers will be used as intimate parts of systems for isolation of low level radioactive wastes subsequent to disposal. This work reviews mathematical models for estimating the degradation rate of concrete in typical service environments. The models considered cover sulfate attack, reinforcement corrosion, calcium hydroxide leaching, carbonation, freeze/thaw, and cracking. Additionally, fluid flow, mass transport, and geochemical properties of concrete are briefly reviewed. Example calculations included illustrate the types of predictions expected of the models. 79 refs., 24 figs., 6 tabs.

  7. Soil management, fertilization and plant nutrition in organic systems in Spain: A review of the research in last 20 years

    NASA Astrophysics Data System (ADS)

    Gonzalvez, Victor; Raigon Jiménez, M.° Dolores

    2016-04-01

    The Spanish Society for Agroecology/Organic Farming (SEAE) is a private charity association, founded in 1992, with the purpose to support organic farming practitioners. The principal aim is to join the efforts farmers, technicians and scientifics and others organizations and persons, related to develop sustainable agriculture systems, based on ecological and socioeconomic principles promoted by the international organic farming movement, with the purpose to obtain foods and first resources with high quality, considering the vulnerability of the environment and preserving the soil fertility, with the optimal and adequate use of the local resources, taking in account the rural culture and the ethical value of the social development and the life quality. One of the most relevant and know activity of SEAE is the celebration of one (scientific) Congress every two years. This is the most important event on this issue in Spain. In the last 20 year, eleven events of this kind have been organised in 11 different places (Toledo, Pamplona, Valencia, Córdoba, Gijón-Asturias, Almeria, Zaragoza, Bullas-Murcia, Lleida, Albacete, Vitoria-Gasteiz). The average participation in the Congress was growing up from 100 to 350 persons), from all over Spain. During this events, researchers, advisors, trainers, politicians and operators (farmers, processors, certifiers, marketers, consumers, etc.) shared and update the scientific results, projects in force, political measures, statistics and proposals to develop the organic farming sector Research in organic farming is still low in Spain and the majority of the results in this matter are being presented as papers in this Congresses. Over 1500 papers from over 100 spanish research groups giving information about the research results have been presented in this events, One of the most relevant topic of this research is done on soil conservation, soil fertility and organic crop fertilization and organic matter management in the soil, after

  8. Experiences concerning the service life of rubber linings applied in flue gas desulfurization plants

    SciTech Connect

    Berger, W.

    1999-11-01

    Since the beginning of the eighties scrubbers and other components in European FGD plants have been protected against corrosion using rubber lining. Extensive experience is available based on service lives of rubber lining of more than 15 years. The paper will consider the various rubber types and curing systems used. While the USA and Japan had already begun retrofitting their existing coal-fired power stations with flue gas desulfurization (FGD) plants in the seventies, Germany followed suit in the eighties as a result of the decree issued for large-scale firing plants. Concurrent with this development retrofitting has also been enhanced in other European countries like Austria and the Netherlands, later followed by Denmark, Finland and England. After the collapse of the Eastern Bloc retrofitting work has been implemented in Eastern Germany, Poland, the Czech Republic and Slovakia. Today FGD plants are being put into operation in Spain, Italy, Turkey and Greece or are on the verge of being put into service. More than 150 plants of this kind are operated by using the wet-scrubbing process with limestone or calcium hydroxide suspensions.

  9. 20 Years of EUROCALL: Learning from the Past, Looking to the Future. Proceedings [of the] 2013 EUROCALL Conference (Évora, Portugal, September 11-14, 2013)

    ERIC Educational Resources Information Center

    Bradley, Linda, Ed.; Thouësny, Sylvie, Ed.

    2013-01-01

    EUROCALL 2013's theme was "20 Years of EUROCALL: Learning from the Past, Looking to the Future." The conference seeked to establish an overview of EUROCALL's twentieth anniversary. As a professional organization, EUROCALL has been aiming, along its 20 years of existence, to promote innovative research, development and practice in the…

  10. Quality of life in mental health services with a focus on psychiatric rehabilitation practice.

    PubMed

    Gigantesco, Antonella; Giuliani, Massimo

    2011-01-01

    Only recently the interest in the quality of life (QoL) has gained prominence in mental health practice with respect to other medical disciplines, such as oncology or cardiology, perhaps because the QoL measures were considered as tautological and largely overlapping with measures of psychopathology. Moreover, most of the recognized components of QoL represent the main areas of psychiatric intervention. For example, psychological functioning impairment represents the main area of psychotherapeutic and psychopharmacological interventions, social functioning impairment the main area of rehabilitation intervention. In addition, measures of QoL in psychiatric patients may be biased by some aspects of the disease, including impaired evaluation capacity or decreased expectations. Nowadays, QoL issues in relation to mental health care are especially relevant with regard to part of evaluation of treatment outcomes. Suggestions for the choice of the most appropriate QoL instruments for research and routine evaluation in mental health care are given.

  11. Shifts in malaria vector species composition and transmission dynamics along the Kenyan coast over the past 20 years

    PubMed Central

    2013-01-01

    Background Over the past 20 years, numerous studies have investigated the ecology and behaviour of malaria vectors and Plasmodium falciparum malaria transmission on the coast of Kenya. Substantial progress has been made to control vector populations and reduce high malaria prevalence and severe disease. The goal of this paper was to examine trends over the past 20 years in Anopheles species composition, density, blood-feeding behaviour, and P. falciparum sporozoite transmission along the coast of Kenya. Methods Using data collected from 1990 to 2010, vector density, species composition, blood-feeding patterns, and malaria transmission intensity was examined along the Kenyan coast. Mosquitoes were identified to species, based on morphological characteristics and DNA extracted from Anopheles gambiae for amplification. Using negative binomial generalized estimating equations, mosquito abundance over the period were modelled while adjusting for season. A multiple logistic regression model was used to analyse the sporozoite rates. Results Results show that in some areas along the Kenyan coast, Anopheles arabiensis and Anopheles merus have replaced An. gambiae sensu stricto (s.s.) and Anopheles funestus as the major mosquito species. Further, there has been a shift from human to animal feeding for both An. gambiae sensu lato (s.l.) (99% to 16%) and An. funestus (100% to 3%), and P. falciparum sporozoite rates have significantly declined over the last 20 years, with the lowest sporozoite rates being observed in 2007 (0.19%) and 2008 (0.34%). There has been, on average, a significant reduction in the abundance of An. gambiae s.l. over the years (IRR = 0.94, 95% CI 0.90–0.98), with the density standing at low levels of an average 0.006 mosquitoes/house in the year 2010. Conclusion Reductions in the densities of the major malaria vectors and a shift from human to animal feeding have contributed to the decreased burden of malaria along the Kenyan coast. Vector species

  12. Trends of tropical tropospheric ozone from 20 years of European satellite measurements and perspectives for the Sentinel-5 Precursor

    NASA Astrophysics Data System (ADS)

    Heue, Klaus-Peter; Coldewey-Egbers, Melanie; Delcloo, Andy; Lerot, Christophe; Loyola, Diego; Valks, Pieter; van Roozendael, Michel

    2016-10-01

    In preparation of the TROPOMI/S5P launch in early 2017, a tropospheric ozone retrieval based on the convective cloud differential method was developed. For intensive tests we applied the algorithm to the total ozone columns and cloud data of the satellite instruments GOME, SCIAMACHY, OMI, GOME-2A and GOME-2B. Thereby a time series of 20 years (1995-2015) of tropospheric column ozone was generated. To have a consistent total ozone data set for all sensors, one common retrieval algorithm, namely GODFITv3, was applied and the L1 reflectances were also soft calibrated. The total ozone columns and the cloud data were input into the tropospheric ozone retrieval. However, the tropical tropospheric column ozone (TCO) for the individual instruments still showed small differences and, therefore, we harmonised the data set. For this purpose, a multilinear function was fitted to the averaged difference between SCIAMACHY's TCO and those from the other sensors. The original TCO was corrected by the fitted offset. GOME-2B data were corrected relative to the harmonised data from OMI and GOME-2A. The harmonisation leads to a better agreement between the different instruments. Also, a direct comparison of the TCO in the overlapping periods proves that GOME-2A agrees much better with SCIAMACHY after the harmonisation. The improvements for OMI were small. Based on the harmonised observations, we created a merged data product, containing the TCO from July 1995 to December 2015. A first application of this 20-year record is a trend analysis. The tropical trend is 0.7 ± 0.12 DU decade-1. Regionally the trends reach up to 1.8 DU decade-1 like on the African Atlantic coast, while over the western Pacific the tropospheric ozone declined over the last 20 years with up to 0.8 DU decade-1. The tropical tropospheric data record will be extended in the future with the TROPOMI/S5P data, where the TCO is part of the operational products.

  13. Investigation and rehabilitation to extend service life of DSS-13 antenna concrete foundation

    NASA Astrophysics Data System (ADS)

    Riewe, A. A., Jr.

    1984-08-01

    An investigation to establish the cause and, devise a repair technique to maintain the serviceability of the DSS-13 26 meter antenna is described. Core samples are obtained from the concrete and various laboratory tests conducted. In-place nondestructive type tests are also performed. The tests established that the concrete is deteriorating because of alkali aggregate reactivity. This is a phenomenon wherein certain siliceous constituents present in some aggregates react with alkalies in the portland cement to produce a silica gel which, in turn, imbibes water, swells, and cracks the concrete. The scheme consists of a supplemental steel frame friction pile anchored grade beam encircling the existing foundation. This system provides adequate bracing against base shear and overturning due to seismic loading. Larger cracks are sealed using a pressure injected two-component epoxy.

  14. Investigation and Rehabilitation to Extend Service Life of DSS-13 Antenna Concrete Foundation

    NASA Technical Reports Server (NTRS)

    Riewe, A. A., Jr.

    1984-01-01

    An investigation to establish the cause and, devise a repair technique to maintain the serviceability of the DSS-13 26 meter antenna is described. Core samples are obtained from the concrete and various laboratory tests conducted. In-place nondestructive type tests are also performed. The tests established that the concrete is deteriorating because of alkali aggregate reactivity. This is a phenomenon wherein certain siliceous constituents present in some aggregates react with alkalies in the portland cement to produce a silica gel which, in turn, imbibes water, swells, and cracks the concrete. The scheme consists of a supplemental steel frame friction pile anchored grade beam encircling the existing foundation. This system provides adequate bracing against base shear and overturning due to seismic loading. Larger cracks are sealed using a pressure injected two-component epoxy.

  15. The effect of social networks and social support on mental health services use, following a life event, among the Baltimore Epidemiologic Catchment Area cohort.

    PubMed

    Maulik, Pallab K; Eaton, William W; Bradshaw, Catherine P

    2011-01-01

    The study examined the association between life events and mental health services use, accounting for social networks and social support. Main and stress-buffering effects were estimated using longitudinal data from the Baltimore Epidemiologic Catchment Area cohort (1,920 participants in 1993-1996, of whom 1,071 were re-interviewed in 2004-2005). Following a life event, the odds of using general medical services were increased by almost 50% when there was increased social support from spouse/partner (referral function). The odds of using mental health services within general health setup were reduced by 60% when there was increased support from relatives (stress-reduction function). Increased social support from friends and relatives was associated with a 40-60% decreased odds of using specialty psychiatric services after experiencing different life events (stress-reduction function). Overall, social support rather than social networks were more strongly associated with increased mental health service use following a life event. The implications for service delivery and program development are discussed.

  16. Microbiological monitoring of bivalves from the Ria Formosa Lagoon (south coast of Portugal): a 20 years of sanitary survey.

    PubMed

    Almeida, Catarina; Soares, Florbela

    2012-02-01

    The microbiological pollution of coastal waters is a major problem, especially in shellfish areas. This article shows the faecal contamination in bivalves from the Ria Formosa Lagoon (south coast of Portugal) along 20 years (1990-2009). The highest values of Escherichia coli in bivalves were obtained during the 90s, related with the discharge of untreated wastewaters and agricultural runoff. In the 2000s contamination levels decreased, with 83% of the population already served by new or remodelled sewage treatment plants. The highest levels were found in bivalves close to the largest city, where punctual and diffuse contamination sources still exist. Bivalves from the less impacted site showed the lowest contamination, an area with more water renewal. Seasonally, the highest levels were in autumn and winter, due to the runoff of waters from rainfall. These were opposite to those in spring and summer, when the highest temperatures and salinity showed a bactericidal effect.

  17. Enrichment of natural (15)N abundance during soil N losses under 20years of continuous cereal cropping.

    PubMed

    Jones, Andrew R; Dalal, Ram C

    2017-01-01

    It is generally accepted that the enrichment of natural (15)N abundance in soil over time is reflective of historic N cycling and loss, but this process in cropping soils is not yet clear. In this study, we identified an enrichment gradient of natural (15)N abundance during 20-year chronosequence of cereal cropping on Alfisols in southwest Queensland, Australia, that have no history of fertilisation. We demonstrate that the increase in soil (15)N abundance is explained by isotopic fractionation of (15)N during organic N mineralisation and nitrification, which lead to isotopically heavier ammonium retained in the soil and isotopically lighter soil nitrate taken up and removed by seasonal crops during harvest. Here we present a framework for natural (15)N isotopic fractionation co-occurring with N losses during long-term cultivation.

  18. [Interdisciplinary orthodontic surgical treatment of children with cleft lip and palate from 9 to 20 years of age].

    PubMed

    Kuijpers-Jagtman, A M; Mink van der Molen, A B; Bierenbroodspot, F; Borstlap, W A

    2015-11-01

    Cleft lip and palate is a common congenital malformation with a prevalence of 1:600 newborns. Children with orofacial clefts are treated by an interdisciplinary team of specialists while parents and child play a key role in their own care process. The orthodontic and facial orthopedic treatment of a child with a cleft takes many years. Children often get bored of the long treatment and this can cause problems with compliance and oral hygiene. Therefore it is advisable to distinguish 5 well-defined stages in the orthodontic treatment and to attempt to have some 'orthodontics free' time in between. The 3 orthodontic treatment phases between the age of 9 and 20 years consist of orthodontic treatment concerning the closing of the cleft with a bone transplant, the treatment of the permanent dentition and, finally, a possible combined orthodontic surgical treatment at the end of the period of growth. Good interdisciplinary collaboration among the different dental disciplines is essential in this regard.

  19. A review of dental CAD/CAM: current status and future perspectives from 20 years of experience.

    PubMed

    Miyazaki, Takashi; Hotta, Yasuhiro; Kunii, Jun; Kuriyama, Soichi; Tamaki, Yukimichi

    2009-01-01

    In this article, we review the recent history of the development of dental CAD/CAM systems for the fabrication of crowns and fixed partial dentures (FPDs), based on our 20 years of experience in this field. The current status of commercial dental CAD/CAM systems developed around the world is evaluated, with particular focus on the field of ceramic crowns and FPDs. Finally, we discuss the future perspectives applicable to dental CAD/CAM. The use of dental CAD/CAM systems is promising not only in the field of crowns and FPDs but also in other fields of dentistry, even if the contribution is presently limited. CAD/CAM technology will contribute to patients' health and QOL in the aging society.

  20. Tobacco Research in the Military: Reflections on 20 Years of Research in the United States Air Force.

    PubMed

    Talcott, G Wayne; Ebbert, Jon O; Klesges, Robert C; Linde, Brittany D; Seals, Robert W; Krukowski, Rebecca A; Grieser, Emily A; Oh, John Y; Martin-Zona, Denise M

    2015-08-01

    The U.S. military is one of the world's largest employers. Approximately 30% of active duty military personnel smoke cigarettes and more than 14% use smokeless tobacco. The military has historically supported tobacco use and more recently is attempting to combat its use. Through 20 years of collaborative research with the United States Air Force, we have learned that smoking bans are effective, recruits who have never previously smoked cigarettes initiate tobacco use, smokeless tobacco serves as a gateway for smoking initiation, smoking is associated with discharge, smoking adds significant proximal training costs, tobacco use increases during deployment, and tobacco quitline counseling with a provision of medication is effective. Our findings may provide groundwork for future tobacco control efforts in the U.S. military.

  1. Reclaiming the individual from Hofstede's ecological analysis--a 20-year odyssey: comment on Oyserman et al. (2002).

    PubMed

    Bond, Michael Harris

    2002-01-01

    D. Oyserman, H. M. Coon, and M. Kemmelmeier (2002) challenge the stereotype that European Americans are more individualistic and less collectivistic than persons from most other ethnic groups. The author contends that this stereotype took firm empirical root with G. Hofstede's (1980) monumental publication identifying the United States as the most individualistic of his then 40 nations. This empirical designation arose because of challengeable decisions Hofstede made about the analysis of his data and the labeling of his dimensions. The conflation of concepts under the rubric of cultural individualism plus psychologists' unwarranted psychologizing of the construct then combined with Hofstede's empirical location of America to set a 20-year agenda for data collection. Oyserman et al. disentangle and organize this mass of studies, enabling the discipline of cross-cultural psychology to forge ahead in more productive directions, less reliant on previous assumptions and measures.

  2. Changes in orthodontic treatment modalities in the past 20 years: exploring the link between technology and scientific evidence.

    PubMed

    Bradley, T Gerard

    2013-01-01

    STATEMENT OF THE ISSUE: Is there a link between the many perceived advances in orthodontic techniques/therapy and science in the past 20 years? The purpose of this paper is to take five topics and match the perceptions with the scientific evidence. The variety of appliances and the swings in treatment philosophy have been dramatic, including the swing from extraction to non-extraction therapy, the introduction of space-age wires, appliances that grow mandibles, the introduction and extraordinary growth of Invisalign, and reduced friction brackets to reduce treatment time, all with claims by manufacturers of better results than ever before. The focus is on faster treatment, reduced visits/appointments and superior results. Most of these 'advancements' represent what has been the 'juggernaut of technology'. Five questions are posed, and an evidence-based approach is used to critically examine the literature in these selected topics.

  3. Cloud-Based Service Information System for Evaluating Quality of Life after Breast Cancer Surgery

    PubMed Central

    Kao, Hao-Yun; Wu, Wen-Hsiung; Liang, Tyng-Yeu; Lee, King-The; Hou, Ming-Feng; Shi, Hon-Yi

    2015-01-01

    Objective Although recent studies have improved understanding of quality of life (QOL) outcomes of breast conserving surgery, few have used longitudinal data for more than two time points, and few have examined predictors of QOL over two years. Additionally, the longitudinal data analyses in such studies rarely apply the appropriate statistical methodology to control for censoring and inter-correlations arising from repeated measures obtained from the same patient pool. This study evaluated an internet-based system for measuring longitudinal changes in QOL and developed a cloud-based system for managing patients after breast conserving surgery. Methods This prospective study analyzed 657 breast cancer patients treated at three tertiary academic hospitals. Related hospital personnel such as surgeons and other healthcare professionals were also interviewed to determine the requirements for an effective cloud-based system for surveying QOL in breast cancer patients. All patients completed the SF-36, Quality of Life Questionnaire (QLQ-C30) and its supplementary breast cancer measure (QLQ-BR23) at baseline, 6 months, 1 year, and 2 years postoperatively. The 95% confidence intervals for differences in responsiveness estimates were derived by bootstrap estimation. Scores derived by these instruments were interpreted by generalized estimating equation before and after surgery. Results All breast cancer surgery patients had significantly improved QLQ-C30 and QLQ-BR23 subscale scores throughout the 2-year follow-up period (p<0.05). During the study period, QOL generally had a negative association with advanced age, high Charlson comorbidity index score, tumor stage III or IV, previous chemotherapy, and long post-operative LOS. Conversely, QOL was positively associated with previous radiotherapy and hormone therapy. Additionally, patients with high scores for preoperative QOL tended to have high scores for QLQ-C30, QLQ-BR23 and SF-36 subscales. Based on the results of

  4. Climate-change-related shifts in annual phenology of a temperate snake during the last 20 years

    NASA Astrophysics Data System (ADS)

    Rugiero, Lorenzo; Milana, Giuliano; Petrozzi, Fabio; Capula, Massimo; Luiselli, Luca

    2013-08-01

    Global warming is thought to be a far-reaching threat to biodiversity, and is supposed to influence several aspects of the ecology of animals. Global warming should influence especially the ectotherm vertebrates, which depend directly from the external thermal conditions for their activities and performances. Here, we analyze the changes in phenology which have occurred in the last 20 years in a marked population of vipers, Vipera aspis, and we try to relate these changes with the intervening climatic changes. We analyzed three metrics of viper's annual phenology: (i) annual onset of above-ground activity (hereby AOA); (ii) annual onset of feeding period (AOF); (iii) annual onset of the hibernation (AOH). The annual variations of these three phenological metrics were correlated to five variables of climatic data: (1) mean annual air temperature, (2) mean February air temperature, (3) mean July air temperature, (4) yearly number of rainy days, and (5) yearly number of days with rainstorm. We observed a statistically significant reduction of AOA values from >28 days between 1987 and 1997, to approximately 20 days from 1998 to 2011, with a similar statistical trend also found for AOF values. The number of days of delay in entering hibernation increased significantly since 1998. Three sets of relationships between climatic variables and metrics of viper phenology were statistically significant, i.e. the correlation (i) between annual mean temperature and AOA (negative), (ii) between annual mean temperature and AOF (negative), and (iii) between annual mean temperature and AOH (positive). The percent of field days (between 20th February and 20th March) with no viper observed also decreased significantly over the years. Our study showed that three different traits of the annual phenology of a Mediterranean snake are shifting in the 20+ years of monitoring, and that there is correlational evidence that these shifts are linked to intervening climate change.

  5. The changes of subtypes in pediatric diabetes and their clinical and laboratory characteristics over the last 20 years

    PubMed Central

    Kwon, Eun Byul; Lee, Hae Sang; Shim, Young Seok; Jeong, Hwal Rim

    2016-01-01

    Purpose We studied the changes in subtypes of diabetes mellitus (DM) in children and evaluated the characteristics of each group over the past 20 years. In addition, we also examined the correlation between the glycated hemoglobin (HbA1c) values at the time of diagnosis and lipid profiles. Methods The patients were divided into 2 groups: there were a total of 190 patients under 20 years of age firstly diagnosed with DM in Ajou University Hospital. The patients in groups I and II were diagnosed from September 1995 to December 2004 and from January 2005 to April 2014, respectively. Results The characteristics were compared between the 2 groups of patients. The result showed an increase in percentage of type 2 diabetes and maturity onset diabetes of the young (MODY) patients between the 2 groups. HbA1c and total cholesterol level had statistical significances to explain increasing the low-density lipoprotein cholesterol level among age, HbA1c, total cholesterol level, and z-scores of weight and body mass index (BMI) in type 2 diabetes. R-square was 0.074. However, z-score of BMI and total cholesterol level, not HbA1c, had statistical significances in type 1 diabetic patients. R-square was 0.323. Conclusion The increase in the proportions of both type 2 diabetes and MODY in the last 10 years needed to be reminded when diagnosing the subtypes of DM, and the dyslipidemia should be attended more as a common problem of pediatric diabetic patients. PMID:27462584

  6. Developmental histories of perceived racial discrimination and diurnal cortisol profiles in adulthood: A 20-year prospective study.

    PubMed

    Adam, Emma K; Heissel, Jennifer A; Zeiders, Katharine H; Richeson, Jennifer A; Ross, Emily C; Ehrlich, Katherine B; Levy, Dorainne J; Kemeny, Margaret; Brodish, Amanda B; Malanchuk, Oksana; Peck, Stephen C; Fuller-Rowell, Thomas E; Eccles, Jacquelynne S

    2015-12-01

    Perceived racial discrimination (PRD) has been associated with altered diurnal cortisol rhythms in past cross-sectional research. We investigate whether developmental histories of PRD, assessed prospectively, are associated with adult diurnal cortisol profiles. One-hundred and twelve (N=50 Black, N=62 White) adults from the Maryland Adolescent Development in Context Study provided saliva samples in adulthood (at approximately age 32 years) at waking, 30min after waking, and at bedtime for 7 days. Diurnal cortisol measures were calculated, including waking cortisol levels, diurnal cortisol slopes, the cortisol awakening response (CAR), and average daily cortisol (AUC). These cortisol outcomes were predicted from measures of PRD obtained over a 20-year period beginning when individuals were in 7th grade (approximately age 12). Greater average PRD measured across the 20-year period predicted flatter adult diurnal cortisol slopes for both Black and White adults, and a lower CAR. Greater average PRD also predicted lower waking cortisol for Black, but not White adults. PRD experiences in adolescence accounted for many of these effects. When adolescent and young adult PRD are entered together predicting cortisol outcomes, PRD experiences in adolescence (but not young adulthood) significantly predicted flatter diurnal cortisol slopes for both Black and White adults. Adolescent, but not young adult PRD, also significantly predicted lower waking and lower average cortisol for Black adults. Young adult PRD was, however, a stronger predictor of the CAR, predicting a marginally lower CAR for Whites, and a significantly larger CAR for Blacks. Effects were robust to controlling for covariates including health behaviors, depression, income and parent education levels. PRD experiences interacted with parent education and income to predict aspects of the diurnal cortisol rhythm. Although these results suggest PRD influences on cortisol for both Blacks and Whites, the key findings

  7. Estimating the Burden of Leptospirosis among Febrile Subjects Aged below 20 Years in Kampong Cham Communities, Cambodia, 2007-2009

    PubMed Central

    Hem, Sopheak; Ly, Sowath; Votsi, Irene; Vogt, Florian; Asgari, Nima; Buchy, Philippe; Heng, Seiha; Picardeau, Mathieu; Sok, Touch; Ly, Sovann; Huy, Rekol; Guillard, Bertrand; Cauchemez, Simon; Tarantola, Arnaud

    2016-01-01

    Background Leptospirosis is an emerging but neglected public health challenge in the Asia/Pacific Region with an annual incidence estimated at 10–100 per 100,000 population. No accurate data, however, are available for at-risk rural Cambodian communities. Method We conducted anonymous, unlinked testing for IgM antibodies to Leptospira spp. on paired sera of Cambodian patients <20 years of age between 2007–2009 collected through active, community-based surveillance for febrile illnesses in a convenience sample of 27 rural and semi-rural villages in four districts of Kampong Cham province, Cambodia. Leptospirosis testing was done on paired serological samples negative for Dengue, Japanese encephalitis and Chikungunya viruses after random selection. Convalescent samples found positive while initial samples were negative were considered as proof of acute infection. We then applied a mathematical model to estimate the risk of fever caused by leptospirosis, dengue or other causes in rural Cambodia. Results A total of 630 samples are coming from a randomly selected subset of 2358 samples. IgM positive were found on the convalescent serum sample, among which 100 (15.8%) samples were IgM negative on an earlier sample. Seventeen of these 100 seroconversions were confirmed using a Microagglutination Test. We estimated the probability of having a fever due to leptospirosis at 1. 03% (95% Credible Interval CI: 0. 95%–1. 22%) per semester. In comparison, this probability was 2. 61% (95% CI: 2. 55%, 2. 83%) for dengue and 17. 65% (95% CI: 17. 49%, 18. 08%) for other causes. Conclusion Our data from febrile cases aged below 20 years suggest that the burden of leptospirosis is high in rural Cambodian communities. This is especially true during the rainy season, even in the absence of identified epidemics. PMID:27043016

  8. A 20-year experience in unilateral cleft lip repair: From Millard to the triple unilimb Z-plasty technique

    PubMed Central

    Rossell-Perry, Percy

    2016-01-01

    Background: This study describes a 20-year experience of treating patients with unilateral cleft lip. During this time, various techniques were used including Millard's technique and its modification and two types of geometrically designed procedures. The study objective was to compare surgical outcomes of different surgical techniques for unilateral cleft lip repair. Materials and Methods: This is a retrospective audit of outcomes after unilateral cleft lip repair performed by a single surgeon since 1995. Of the 827 patients who underwent surgery, 277 met the criterion of having anthropometric measurements performed ≥1 year postoperatively. The patients were stratified into three groups according to cleft severity: incomplete, complete with less deficiency (3–6 mm difference between cleft and non-cleft lip height) and complete with more deficiency (>6 mm difference between cleft and non-cleft lip height). Anthropometric measurements, scar assessment and complications were recorded. Results: There were no differences in outcomes between Millard and Reichert-Millard techniques for incomplete unilateral cleft lip. For complete unilateral cleft lip and less tissue deficiency, lip symmetry was better using upper rotation advancement plus double unilimb Z-plasty than the Reichert-Millard technique. For complete unilateral cleft lip and more tissue deficiency, lip symmetry was better after triple unilimb Z-plasty than after upper rotation advancement plus double unilimb Z-plasty. Conclusions: We presented a 20-year experience performing unilateral cleft lip repair. An individualised classification system with corresponding surgical techniques was successfully used during this period. The individualised surgical protocol used in this study allowed us to achieve improved surgical outcomes. PMID:28216814

  9. The microbiologic profile of diabetic foot infections in Turkey: a 20-year systematic review: diabetic foot infections in Turkey.

    PubMed

    Hatipoglu, M; Mutluoglu, M; Uzun, G; Karabacak, E; Turhan, V; Lipsky, B A

    2014-06-01

    The causative pathogens in diabetic foot infections differ in studies of European compared with Asian populations. The purpose of this study was to determine the causative microorganisms and their antibiotic sensitivity patterns in diabetic patients with a foot infection in Turkey, a country at the crossroads of these two continents. We performed a comprehensive literature search to identify all published studies pertaining to DFIs in patients cared for in Turkey. To assess changes in causative organisms and their antibiotic sensitivity patterns over time, we compared the results of just the most recent 5 years (2007-2011) with those of the past 20-years (1989-2011). We identified 31 studies meeting our inclusion criteria. Overall, these studies reported 2,097 patients, from whom 1,974 microorganisms were isolated. The total percentage of gram-negative and gram-positive aerobic bacteria were similar in each of the assessed periods. The rate of isolation of Staphylococcus aureus during the entire period, compared with just the past 5 years, was 23.8% and 19.1%, respectively, while the rate of methicillin-resistant S. aureus was 7.8% and 5.7%, respectively. The isolation rate of Pseudomonas aeruginosa was 13.7% for the entire period and 14.9% for the past 5 years. While linezolid, vancomycin and teicoplanin were the most active agents against gram-positive microorganisms, imipenem and cefoperazone-sulbactam were the most active against gram-negative microorganisms. This systematic review demonstrated few substantial changes in diabetic foot microbiology over the past 20 years. The data may help develop and update local clinical guidelines regarding antibiotic therapy for diabetic foot infections in Turkey. Further studies, especially with optimal culture methods, would be useful to validate these findings.

  10. Towards Practical Carbonation Prediction and Modelling for Service Life Design of Reinforced Concrete Structures

    NASA Astrophysics Data System (ADS)

    Ekolu, O. S.

    2015-11-01

    Amongst the scientific community, the interest in durability of concrete structures has been high for quite a long time of over 40 years. Of the various causes of degradation of concrete structures, corrosion is the most widespread durability problem and carbonation is one of the two causes of steel reinforcement corrosion. While much scientific understanding has been gained from the numerous carbonation studies undertaken over the past years, it is still presently not possible to accurately predict carbonation and apply it in design of structures. This underscores the complex nature of the mechanisms as influenced by several interactive factors. Based on critical literature and some experience of the author, it is found that there still exist major challenges in establishing a mathematical constitutive relation for realistic carbonation prediction. While most current models employ permeability /diffusion as the main model property, analysis shows that the most practical material property would be compressive strength, which has a low coefficient of variation of 20% compared to 30 to 50% for permeability. This important characteristic of compressive strength, combined with its merit of simplicity and data availability at all stages of a structure's life, promote its potential use in modelling over permeability. By using compressive strength in carbonation prediction, the need for accelerated testing and permeability measurement can be avoided. This paper attempts to examine the issues associated with carbonation prediction, which could underlie the current lack of a sound established prediction method. Suggestions are then made for possible employment of different or alternative approaches.

  11. Semantic-JSON: a lightweight web service interface for Semantic Web contents integrating multiple life science databases.

    PubMed

    Kobayashi, Norio; Ishii, Manabu; Takahashi, Satoshi; Mochizuki, Yoshiki; Matsushima, Akihiro; Toyoda, Tetsuro

    2011-07-01

    Global cloud frameworks for bioinformatics research databases become huge and heterogeneous; solutions face various diametric challenges comprising cross-integration, retrieval, security and openness. To address this, as of March 2011 organizations including RIKEN published 192 mammalian, plant and protein life sciences databases having 8.2 million data records, integrated as Linked Open or Private Data (LOD/LPD) using SciNetS.org, the Scientists' Networking System. The huge quantity of linked data this database integration framework covers is based on the Semantic Web, where researchers collaborate by managing metadata across public and private databases in a secured data space. This outstripped the data query capacity of existing interface tools like SPARQL. Actual research also requires specialized tools for data analysis using raw original data. To solve these challenges, in December 2009 we developed the lightweight Semantic-JSON interface to access each fragment of linked and raw life sciences data securely under the control of programming languages popularly used by bioinformaticians such as Perl and Ruby. Researchers successfully used the interface across 28 million semantic relationships for biological applications including genome design, sequence processing, inference over phenotype databases, full-text search indexing and human-readable contents like ontology and LOD tree viewers. Semantic-JSON services of SciNetS.org are provided at http://semanticjson.org.

  12. Dental pain, use of dental services and oral health-related quality of life in southern Brazil.

    PubMed

    Cavalheiro, Charles Henrique; Abegg, Claides; Fontanive, Victor Nascimento; Davoglio, Rosane Silvia

    2016-08-18

    This study aimed at assessing the relationship between dental pain and the reason for using dental services and oral health quality of life in people aged 50 to 74 years in southern Brazil. A cross-sectional population-based study was conducted with 720 individuals aged 50 to 74 years, living in three health districts in the city of Porto Alegre. Dental impacts on daily life and sociodemographic data were assessed using structured interviews. The Oral Impacts on Daily Performance - OIDP instrument was used to measure oral impacts. The information was analyzed by Poisson regression with robust variance adjustment, taking into account cluster sampling. Dental pain was present in 32.5% of those reporting an oral impact on their daily activities. Dental pain most frequently affected talking (37.6%), cleaning teeth and gums (37.0%) and enjoying the companionship of people (36.5%). After adjustments to the multivariate analysis, the reason for dental visits due to dental pain was found to have a high impact on daily activities [RP 1.68 (1.11 - 2.54].

  13. Health-Related Quality of Life: Expanding a Conceptual Framework to Include Older Adults Who Receive Long-Term Services and Supports

    ERIC Educational Resources Information Center

    Zubritsky, Cynthia; Abbott, Katherine M.; Hirschman, Karen B.; Bowles, Kathryn H.; Foust, Janice B.; Naylor, Mary D.

    2013-01-01

    For older adults receiving long-term services and supports (LTSS), health-related quality of life (HRQoL) has emerged as a critical construct to examine because of its focus on components of well-being, which are affected by progressive changes in health status, health care, and social support. HRQoL is a health-focused quality of life (QOL)…

  14. Compensatory mechanisms in higher-educated subjects with Alzheimer's disease: a study of 20 years of cognitive decline.

    PubMed

    Amieva, Hélène; Mokri, Hind; Le Goff, Mélanie; Meillon, Céline; Jacqmin-Gadda, Hélène; Foubert-Samier, Alexandra; Orgogozo, Jean-Marc; Stern, Yaakov; Dartigues, Jean-François

    2014-04-01

    A better knowledge of long-term trajectories of cognitive decline is a central feature of the study of the process leading to Alzheimer's dementia. Several factors may mitigate such decline, among which is education, a major risk factor for Alzheimer's disease. The aim of our work was to compare the pattern and duration of clinical trajectories before Alzheimer's dementia in individuals with low and high education within the PAQUID cohort involving 20 years of follow-up. The sample comprises 442 participants with incident Alzheimer's disease (27.2% were male)--171 with low education (mean age=86.2 years; standard deviation=5.3 years) and 271 with higher education (mean age=86.5; standard deviation=5.4)--and 442 control subjects matched according to age, sex and education. At each visit and up to the 20-year follow-up visit, several cognitive and clinical measures were collected and incident cases of Alzheimer's disease clinically diagnosed. The evolution of clinical measures in pre-demented subjects and matched controls was analysed with a semi-parametric extension of the mixed effects linear model. The results show that the first signs of cognitive decline occurred 15 to 16 years before achieving dementia threshold in higher-educated subjects whereas signs occurred at 7 years before dementia in low-educated subjects. There seemed to be two successive periods of decline in higher-educated subjects. Decline started ∼15 to 16 years before dementia with subtle impairment restricted to some cognitive tests and with no impact during the first 7 to 8 years on global cognition, cognitive complaints, or activities of daily living scales. Then, ∼7 years before dementia, global cognitive abilities begin to deteriorate, along with difficulties dealing with complex activities of daily living, the increase in self-perceived difficulties and depressive symptoms. By contrast, lower-educated subjects presented a single period of decline lasting ∼7 years, characterized by

  15. Developmental histories of perceived racial discrimination and diurnal cortisol profiles in adulthood: A 20-year prospective study

    PubMed Central

    Adam, Emma K.; Heissel, Jennifer A.; Zeiders, Katharine H.; Richeson, Jennifer A.; Ross, Emily C.; Ehrlich, Katherine B.; Levy, Dorainne J.; Kemeny, Margaret; Brodish, Amanda B.; Malanchuk, Oksana; Peck, Stephen C.; Fuller-Rowell, Thomas E.; Eccles, Jacquelynne S.

    2015-01-01

    Perceived racial discrimination (PRD) has been associated with altered diurnal cortisol rhythms in past cross-sectional research. We investigate whether developmental histories of PRD, assessed prospectively, are associated with adult diurnal cortisol profiles. One-hundred and twelve (N = 50 Black, N = 62 White) adults from the Maryland Adolescent Development in Context Study provided saliva samples in adulthood (at approximately age 32 years) at waking, 30 min after waking, and at bedtime for 7 days. Diurnal cortisol measures were calculated, including waking cortisol levels, diurnal cortisol slopes, the cortisol awakening response (CAR), and average daily cortisol (AUC). These cortisol outcomes were predicted from measures of PRD obtained over a 20-year period beginning when individuals were in 7th grade (approximately age 12). Greater average PRD measured across the 20-year period predicted flatter adult diurnal cortisol slopes for both Black and White adults, and a lower CAR. Greater average PRD also predicted lower waking cortisol for Black, but not White adults. PRD experiences in adolescence accounted for many of these effects. When adolescent and young adult PRD are entered together predicting cortisol outcomes, PRD experiences in adolescence (but not young adulthood) significantly predicted flatter diurnal cortisol slopes for both Black and White adults. Adolescent, but not young adult PRD, also significantly predicted lower waking and lower average cortisol for Black adults. Young adult PRD was, however, a stronger predictor of the CAR, predicting a marginally lower CAR for Whites, and a significantly larger CAR for Blacks. Effects were robust to controlling for covariates including health behaviors, depression, income and parent education levels. PRD experiences interacted with parent education and income to predict aspects of the diurnal cortisol rhythm. Although these results suggest PRD influences on cortisol for both Blacks and Whites, the key

  16. The use of long term monitoring data for the extension of the service duration of existing wind turbine support structures

    NASA Astrophysics Data System (ADS)

    Loraux, C.; Brühwiler, E.

    2016-09-01

    Actual wind energy converter (WEC) are designed for a relatively short service life of 20 years and the limiting criterion is the fatigue safety. However, effective fatigue loading endured by the structural components of the wind turbines (WT) is likely to be much below design assumptions provided by current codes. This paper describes a simple but efficient long term monitoring system that allows owners to verify the fatigue safety of their existing WTs. The monitored data will also help to drastically extend the service life of existing wind turbine support structure and will thus reduce the global environmental footprint of WTs.

  17. NIR Color vs Launch Date: A 20-Year Analysis of Space Weathering Effects on the Boeing 376 Spacecraft

    NASA Technical Reports Server (NTRS)

    Frith, James; Anz-Meador, Philip; Lederer, Sue; Cowardin, Heather; Buckalew, Brent

    2015-01-01

    The Boeing HS-376 spin stabilized spacecraft was a popular design that was launched continuously into geosynchronous orbit starting in 1980 with the last launch occurring in 2002. Over 50 of the HS-376 buses were produced to fulfill a variety of different communication missions for countries all over the world. The design of the bus is easily approximated as a telescoping cylinder that is covered with solar cells and an Earth facing antenna that is despun at the top of the cylinder. The similarity in design and the number of spacecraft launched over a long period of time make the HS-376 a prime target for studying the effects of solar weathering on solar panels as a function of time. A selection of primarily non-operational HS-376 spacecraft launched over a 20 year time period were observed using the United Kingdom Infrared Telescope on Mauna Kea and multi-band near-infrared photometry produced. Each spacecraft was observed for an entire night cycling through ZYJHK filters and time-varying colors produced to compare near-infrared color as a function of launch date. The resulting analysis shown here may help in the future to set launch date constraints on the parent object of unidentified debris objects or other unknown spacecraft.

  18. Sibling cord blood donor program for hematopoietic cell transplantation: the 20-year experience in the Rome Cord Blood Bank.

    PubMed

    Screnci, Maria; Murgi, Emilia; Valle, Veronica; Tamburini, Anna; Pellegrini, Maria Grazia; Strano, Sabrina; Corona, Francesca; Ambrogi, Eleonora Barbacci; Girelli, Gabriella

    2016-03-01

    Umbilical cord blood (UCB) represents a source of hematopoietic stem cells for patients lacking a suitably matched and readily available related or unrelated stem cell donor. As UCB transplantation from compatible sibling provides good results in children therefore directed sibling UCB collection and banking is indicated in family who already have a child with a disease potentially treatable with an allogeneic hematopoietic stem cell transplantation. Particularly, related UCB collection is recommended when the patients urgently need a transplantation. To provide access to all patients in need, we developed a "Sibling cord blood donor program for hematopoietic cell transplantation". Here we report results of this project started 20years ago. To date, in this study a total of 194 families were enrolled, a total of 204 UCB samples were successfully collected and 15 pediatric patients have been transplanted. Recently, some authors have suggested novel role for UCB other than in the transplantation setting. Therefore, future studies in the immunotherapy and regenerative medicine areas could expand indication for sibling directed UCB collection.

  19. The clinical picture of late-onset PTSD: a 20-year longitudinal study of Israeli war veterans.

    PubMed

    Horesh, Danny; Solomon, Zahava; Keinan, Giora; Ein-Dor, Tsachi

    2013-08-15

    Delayed-onset posttraumatic stress disorder (PTSD) has been under medico-legal debate for years. Previous studies examining the prevalence and clinical characteristics of delayed-onset PTSD have yielded inconclusive findings. This study prospectively examines the prevalence and clinical picture of late-onset PTSD among Israeli war veterans. It also evaluates whether or not late-onset PTSD erupts after a completely non-symptomatic period. 675 Israeli veterans from the 1982 Lebanon War, with and without antecedent combat stress reaction (CSR), have been assessed 1, 2 and 20 years post-war. They were divided into 4 groups, according to the duration of delay in PTSD onset. Participants completed self-report questionnaires tapping psychopathology, combat exposure and socio-demographics. 16.5% of the veterans suffered from late-onset PTSD. A longer delay in PTSD onset was associated with less severe psychopathology. Also, CSR was associated with a shorter delay in PTSD onset. Finally, the vast majority of veterans already suffered from PTSD symptoms prior to late PTSD onset. Our results offer further validation for the existence of delayed-onset PTSD. Delayed-onset PTSD appears to be a unique sub-type of PTSD, with an attenuated clinical picture. In addition, delayed-onset PTSD may be the result of an incubation process, wherein symptoms already exist prior to PTSD onset.

  20. Observation of asteroid 2013 TV135 supports my idea that a new impaction will come in 20 years

    NASA Astrophysics Data System (ADS)

    Cao, Dayong

    2014-03-01

    Asteroid 2013 TV135 who will impact in 2023 was newly discovered by Ukrainian astronomers in 2013. It supports my idea that a new impaction will come in 20 years. http://www.nasa.gov/mission_pages/asteroids/news/asteroid20131017.html, http://meetings.aps.org/link/BAPS.2011.DFD.LA.24, http://meetings.aps.org/link/BAPS.2012.APR.K1.78, http://meetings.aps.org/link/BAPS.2013.APR.S2.14. The Sun's companion-dark hole, which is made of dark matter seasonal took its dark comets belt, dark matter, dark lives, and the pressed asteroids belt to impact near our earth. These impactions and dark matter's killers caused seasonal extinctions and produced new species. By many dark comets and asteroids impacting, the dark impaction model is a high probability impaction model; the impaction would not change the orbit of the invisible dark hole, so that it could keep accurate periodicity impactions. With the space-time center, the dark hole system is a negative Einstein's model by ``mass-energy coordinate.'' Sun and Dark hole build up the balance system. Through studying the model, the rule of the impaction can be calculated. Avoid Earth Extinction Association.