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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. Clinical outcome and quality of life of patients surviving 20 years or longer after heart transplantation.

    PubMed

    Galeone, Antonella; Kirsch, Matthias; Barreda, Eleodoro; Fernandez, Flor; Vaissier, Elisabeth; Pavie, Alain; Leprince, Pascal; Varnous, Shaida

    2014-06-01

    To evaluate outcome and quality of life (QoL) in ≥ 20 years survivors after heart transplantation. Patients surviving ≥ 20 years with a single graft were retrospectively reviewed. Heterotopic, multiorgan and retransplantations were excluded. QoL was evaluated using the SF-36 survey. Eight hundred and twenty-seven heart transplants were performed from 1981 to 1993, and among these, 131 (16%) patients survived ≥ 20 years; 98 (75%) were male and mean age at transplant was 43 ± 13 years. Conditional survival in these 20 years survivors was 74.1 ± 4.3% at 23 years and 60.9 ± 5.3% at 25 years (45 deaths, 34%). Forty-four (34%) patients suffered rejection ≥ 2R. Conditional survival free from rejection ≥ 2R was 68 ± 4.1% at 5 years and 66.4 ± 4.2% at 10 years. Thirty-five (27%) patients had cardiac allograft vasculopathy (CAV) grade 2-3. Conditional CAV-free survival was 76 ± 3.8% at 20 years and 72.1 ± 4% at 25. Sixty-nine (53%) patients developed malignancy, mostly skin cancers. Conditional malignancy-free survival was 53.5 ± 4.4% at 20 years and 45.2 ± 4.6% at 25 years. At latest follow-up, 24.0 ± 3.0 years after transplantation, mean left ventricular ejection fraction was 62 ± 11% and mean physical and mental scores were 57 ± 23 and 58 ± 21, respectively. Sixteen per cent of heart recipients survived ≥ 20 years with good ventricular performance and QoL. CAV and malignancies account for late morbidity and mortality. PMID:24606025

  3. Life Course and Intergenerational Continuity of Intimate Partner Aggression and Physical Injury: A 20-Year Study.

    PubMed

    Knight, Kelly E; Menard, Scott; Simmons, Sara B; Bouffard, Leana A; Orsi, Rebecca

    2016-01-01

    The objective of this study is to examine continuity of intimate partner aggression (IPA), which is defined as repeated annual involvement in IPA, across respondents' life course and into the next generation, where it may emerge among adult children. A national, longitudinal, and multigenerational sample of 1,401 individuals and their adult children is analyzed. Annual data on IPA severity and physical injury were collected by the National Youth Survey Family Study across a 20-year period from 1984 to 2004. Three hypotheses and biological sex differences are tested and effect sizes are estimated. First, findings reveal evidence for life course continuity (IPA is a strong predictor of subsequent IPA), but the overall trend decreases over time. Second, intergenerational continuity is documented (parents' IPA predicts adult children's IPA), but the effect is stronger for female than for male adult children. Third, results from combined and separate, more restrictive, measures of victimization and perpetration are nearly identical except in the intergenerational analyses. Fourth, evidence for continuity is not found when assessing physical injury alone. Together, these findings imply that some but not all forms of IPA are common, continuous, and intergenerational. Life course continuity appears stronger than intergenerational continuity. PMID:27076093

  4. 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)

  5. The 20th anniversary of EMBnet: 20 years of bioinformatics for the Life Sciences community

    PubMed Central

    D'Elia, Domenica; Gisel, Andreas; Eriksson, Nils-Einar; Kossida, Sophia; Mattila, Kimmo; Klucar, Lubos; Bongcam-Rudloff, Erik

    2009-01-01

    The EMBnet Conference 2008, focusing on 'Leading Applications and Technologies in Bioinformatics', was organized by the European Molecular Biology network (EMBnet) to celebrate its 20th anniversary. Since its foundation in 1988, EMBnet has been working to promote collaborative development of bioinformatics services and tools to serve the European community of molecular biology laboratories. This conference was the first meeting organized by the network that was open to the international scientific community outside EMBnet. The conference covered a broad range of research topics in bioinformatics with a main focus on new achievements and trends in emerging technologies supporting genomics, transcriptomics and proteomics analyses such as high-throughput sequencing and data managing, text and data-mining, ontologies and Grid technologies. Papers selected for publication, in this supplement to BMC Bioinformatics, cover a broad range of the topics treated, providing also an overview of the main bioinformatics research fields that the EMBnet community is involved in. PMID:19534734

  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. 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 ...

  9. 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…

  10. Factors associated with undernourishment among people 20 years old or over with HIV/AIDS, attending public health services in the São Paulo municipality, Brazil.

    PubMed

    Bassichetto, Katia Cristina; Bergamaschi, Denise Pimentel; Garcia, Vania Regina Salles; Veras, Maria Amélia de Sousa Mascena

    2014-12-01

    The study evaluated the nutritional status of 629 people living with HIV/AIDS attended at 12 specialized services of São Paulo's Municipal Health Department, Brazil. Data were obtained from medical records and through interviews during nutritional consultation. We used the classification criteria established by World Health Organization to assess malnourished individuals, a BMI < 18.5kg/m2. The prevalence of malnutrition in people with AIDS is 3.12 times that observed among people with HIV, and among people with co-infection it is 3.41 times that obtained among people without co-infection. This indicates how these conditions can harm the maintenance of the nutritional status, and shows that they demand a comprehensive understanding of the mechanisms involved in this phenomenon, as well as the development of strategies to improve the health care of individuals at nutritional risk.

  11. A Review of 20 Years of Research on Overdiagnosis and Underdiagnosis in the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) Project.

    PubMed

    Zimmerman, Mark

    2016-02-01

    The Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project represents an integration of research methodology into a community-based outpatient practice affiliated with an academic medical centre. The MIDAS project is the largest clinical epidemiological study using semi-structured interviews to assess a wide range of psychiatric disorders in a general clinical outpatient practice. In an early report from the MIDAS project, we found that across diagnostic categories clinicians using unstandardized, unstructured clinical interviews underrecognized diagnostic comorbidity, compared with the results of semi-structured interviews. Moreover, we found that the patients often wanted treatment for symptoms of disorders that were diagnosed as comorbid, rather than principal, conditions. This highlighted the importance, from the patient's perspective, of conducting thorough diagnostic interviews to diagnose disorders that are not related to the patient's chief complaint because patients often desire treatment for these additional diagnoses. While several of the initial papers from the MIDAS project identified problems with the detection of comorbid disorders in clinical practice, regarding the diagnosis of bipolar disorder we observed the emergence of an opposite phenomenon-clinician overdiagnosis. The results from the MIDAS project, along with other studies of diagnosis in routine clinical practice, have brought to the forefront the problem with diagnosis in routine clinical practice. An important question is what do these findings suggest about the community standard of care in making psychiatric diagnoses, and whether and how the standard of care should be changed? The implications are discussed. PMID:27253697

  12. A Review of 20 Years of Research on Overdiagnosis and Underdiagnosis in the Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) Project.

    PubMed

    Zimmerman, Mark

    2016-02-01

    The Rhode Island Methods to Improve Diagnostic Assessment and Services (MIDAS) project represents an integration of research methodology into a community-based outpatient practice affiliated with an academic medical centre. The MIDAS project is the largest clinical epidemiological study using semi-structured interviews to assess a wide range of psychiatric disorders in a general clinical outpatient practice. In an early report from the MIDAS project, we found that across diagnostic categories clinicians using unstandardized, unstructured clinical interviews underrecognized diagnostic comorbidity, compared with the results of semi-structured interviews. Moreover, we found that the patients often wanted treatment for symptoms of disorders that were diagnosed as comorbid, rather than principal, conditions. This highlighted the importance, from the patient's perspective, of conducting thorough diagnostic interviews to diagnose disorders that are not related to the patient's chief complaint because patients often desire treatment for these additional diagnoses. While several of the initial papers from the MIDAS project identified problems with the detection of comorbid disorders in clinical practice, regarding the diagnosis of bipolar disorder we observed the emergence of an opposite phenomenon-clinician overdiagnosis. The results from the MIDAS project, along with other studies of diagnosis in routine clinical practice, have brought to the forefront the problem with diagnosis in routine clinical practice. An important question is what do these findings suggest about the community standard of care in making psychiatric diagnoses, and whether and how the standard of care should be changed? The implications are discussed.

  13. CT Angiography after 20 Years

    PubMed Central

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

    2015-01-01

    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. PMID:24848958

  14. Reactor service life extension program

    SciTech Connect

    Caskey, G.R.; Sindelar, R.L.; Ondrejcin, R.S.; Baumann, E.W.

    1990-01-01

    A review of the Savannah River Site production reactor systems was initiated in 1980 and led to implementation of the Reactor Materials Program in 1984 to assess reactor safety and reactor service life. The program evaluated performance of the reactor tanks, primary coolant piping, and thermal shields, components of welded construction that were fabricated from Type 304 stainless steel. The structural integrity analysis of the primary coolant system has shown that the pressure boundary is not susceptible to gross rupture, including a double ended guillotine break or equivalent large area bank. Residual service life is potentially limited by two material degradation modes, irradiation damage and intergranular stress corrosion cracking. Analysis of the structural integrity of the tanks and piping has shown that continued safe operation of the reactors for several additional decades is not limited by the material performance of the primary coolant system. Although irradiation damage has not degraded material behavior to an unacceptable level, past experience has revealed serious difficulties with repair welding on irradiated stainless steel. Stress corrosion can be mitigated by newly identified limits on impurity concentrations in the coolant water and by stress mitigation of weld residual stresses. Work continues in several areas: the effects of helium on mechanical behavior of irradiated stainless steel; improved weld methods for piping and the reactor tanks; and a surveillance program to track irradiation effects on the tank walls.

  15. Reactor service life extension program

    SciTech Connect

    Caskey, G.R.; Sindelar, R.L.; Ondrejcin, R.S.; Baumann, E.W.

    1990-12-31

    A review of the Savannah River Site production reactor systems was initiated in 1980 and led to implementation of the Reactor Materials Program in 1984 to assess reactor safety and reactor service life. The program evaluated performance of the reactor tanks, primary coolant piping, and thermal shields, components of welded construction that were fabricated from Type 304 stainless steel. The structural integrity analysis of the primary coolant system has shown that the pressure boundary is not susceptible to gross rupture, including a double ended guillotine break or equivalent large area bank. Residual service life is potentially limited by two material degradation modes, irradiation damage and intergranular stress corrosion cracking. Analysis of the structural integrity of the tanks and piping has shown that continued safe operation of the reactors for several additional decades is not limited by the material performance of the primary coolant system. Although irradiation damage has not degraded material behavior to an unacceptable level, past experience has revealed serious difficulties with repair welding on irradiated stainless steel. Stress corrosion can be mitigated by newly identified limits on impurity concentrations in the coolant water and by stress mitigation of weld residual stresses. Work continues in several areas: the effects of helium on mechanical behavior of irradiated stainless steel; improved weld methods for piping and the reactor tanks; and a surveillance program to track irradiation effects on the tank walls.

  16. [Neurogenic bladder, 20 years later].

    PubMed

    Perrigot, M

    1995-10-28

    The therapeutic armamentarium--physical therapy, drugs, surgery--developed over the last 20 years now gives us the means of providing curative care to nearly all patients with manifestations of neuropathic bladder, meaning that the clinical examination and complementary tests must be conducted under strictly controlled conditions to identify the underlying mechanism. The examination of the perineum almost always reveals a defect when the origin is neurological but is often normal when gynaecologic or urologic factors are involved. Motor command, tonus, reflexes and sensitivity should all be carefully explored to distinguish between central and peripheral causes. Much progress has been made in complementary examinations. For example, nearly 100% of the neurological aetiologies can be identified with precision. Tests include electromyography of the perineum, measurement of the latency of the bulbocavernous reflex and that of the distal part of the internal pudental nerve. Complementary tests evaluating bladder and sphincter function include urine sediment with cytology, intravenous pyelography and echography of the urinary tract. Pressure measurements with cystomanometry, sphincterometry and flowmetry add further precisions. Whether the underlying mechanism of bladder dysfunction is purely neurological as is the case in many young patients with multiple sclerosis, spina bifida or caudia equina syndrome, results from several causes as in patients with Parkinson's disease and enlargement of the prostate, or is among the increasing number of post-radiation sequellae, the essential step is careful clinical examination and detailed interpretation of complementary examinations. Thus the wide range of techniques now available for the management of the neuropathic bladder can be adapted to each individual case according to the pathological processes causing the clinical manifestations. PMID:8545359

  17. 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.

  18. 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.

  19. Use of the lung cancer-specific Quality of Life Questionnaire EORTC QLQ-LC13 in clinical trials: A systematic review of the literature 20 years after its development.

    PubMed

    Koller, Michael; Warncke, Sophie; Hjermstad, Marianne J; Arraras, Juan; Pompili, Cecilia; Harle, Amelie; Johnson, Colin D; Chie, Wei-Chu; Schulz, Christian; Zeman, Florian; van Meerbeeck, Jan P; Kuliś, Dagmara; Bottomley, Andrew

    2015-12-15

    The European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13) covers 13 typical symptoms of lung cancer patients and was the first module developed in conjunction with the EORTC core quality-of-life (QL) questionnaire. This review investigates how the module has been used and reported in cancer clinical trials in the 20 years since its publication. Thirty-six databases were searched with a prespecified algorithm. This search plus an additional hand search generated 770 hits, 240 of which were clinical studies. Two raters extracted data using a coding scheme. Analyses focused on the randomized controlled trials (RCTs). Of the 240 clinical studies that were identified using the LC13, 109 (45%) were RCTs. More than half of the RCTs were phase 3 trials (n = 58). Twenty RCTs considered QL as the primary endpoint, and 68 considered it as a secondary endpoint. QL results were addressed in the results section of the article (n = 89) or in the abstract (n = 92); and, in half of the articles, QL results were presented in the form of tables (n = 53) or figures (n = 43). Furthermore, QL results had an impact on the evaluation of the therapy that could be clearly demonstrated in the 47 RCTs that yielded QL differences between treatment and control groups. The EORTC QLQ-LC13 fulfilled its mission to be used as a standard instrument in lung cancer clinical trials. An update of the LC13 is underway to keep up with new therapeutic trends and to ensure optimized and relevant QL assessment in future trials.

  20. Use of the lung cancer-specific Quality of Life Questionnaire EORTC QLQ-LC13 in clinical trials: A systematic review of the literature 20 years after its development.

    PubMed

    Koller, Michael; Warncke, Sophie; Hjermstad, Marianne J; Arraras, Juan; Pompili, Cecilia; Harle, Amelie; Johnson, Colin D; Chie, Wei-Chu; Schulz, Christian; Zeman, Florian; van Meerbeeck, Jan P; Kuliś, Dagmara; Bottomley, Andrew

    2015-12-15

    The European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire-Lung Cancer 13 (QLQ-LC13) covers 13 typical symptoms of lung cancer patients and was the first module developed in conjunction with the EORTC core quality-of-life (QL) questionnaire. This review investigates how the module has been used and reported in cancer clinical trials in the 20 years since its publication. Thirty-six databases were searched with a prespecified algorithm. This search plus an additional hand search generated 770 hits, 240 of which were clinical studies. Two raters extracted data using a coding scheme. Analyses focused on the randomized controlled trials (RCTs). Of the 240 clinical studies that were identified using the LC13, 109 (45%) were RCTs. More than half of the RCTs were phase 3 trials (n = 58). Twenty RCTs considered QL as the primary endpoint, and 68 considered it as a secondary endpoint. QL results were addressed in the results section of the article (n = 89) or in the abstract (n = 92); and, in half of the articles, QL results were presented in the form of tables (n = 53) or figures (n = 43). Furthermore, QL results had an impact on the evaluation of the therapy that could be clearly demonstrated in the 47 RCTs that yielded QL differences between treatment and control groups. The EORTC QLQ-LC13 fulfilled its mission to be used as a standard instrument in lung cancer clinical trials. An update of the LC13 is underway to keep up with new therapeutic trends and to ensure optimized and relevant QL assessment in future trials. PMID:26451520

  1. Conversations: 20 Years in American Education.

    ERIC Educational Resources Information Center

    Green, Joslyn

    Eleven influential individuals who have brought breadth of vision to their work in education answer questions and give comments on the next 20 years of education by looking back on the past 20 years. The panelists are: Alonzo Crim, superintendent of schools in Atlanta, Georgia; Russell Edgerton, president of the American Association for Higher…

  2. Pro-Life nurses uniting for service.

    PubMed

    Sutherland, K

    1994-01-01

    The Missouri Pro-Life Nurses claim that nurses have lost the ethical basis of their profession. Nurses need to reexamine their attitudes at a time when 1 in 5 physician-members of the American Society of Internal Medicine admits to deliberately helping a patient end his or her life, and when many physicians and nurses favor euthanasia and abortion. Former Georgia nurse Joseph Dewey Akin was sentenced in October 1992 to life imprisonment for injecting Robert Price, a quadriplegic, with a lethal dose of lidocaine. Hospice nurse Darlene Leon of California is on trial for injecting 17 of her patients with lethal doses of morphine. A nurse from Georgia was indicted on one count of aggravated assault for attempting to kill her 87-year-old patient with an injection of potassium. Georgia nurse Jenny Serbes was charged with murder in the death of her husband with a lethal injection of insulin. The fierce argument about abortion and euthanasia now raging in America is this century's civil war. 20 years ago, in an effort to combat this tide, the National Association of Pro-Life Nurses (NAPN) was started, and its 1000 members want to demonstrate positive concern for all human life. NAPN attempts to educate nurses and the health care community on the legal and medical aspects of the ethical issues facing the profession. In October 1993 the first meeting of Illinois Pro-Life Nurses was held in suburban Chicago. The nurse-patient relationship can be viewed as a contract. Implicit in this relationship is the understanding that the nurse will do no harm. If the relationship is broken, the foundation on which nursing and medicine rest is shaken. Pro-life nursing organizations are trying to steer the nursing profession back on the right course.

  3. 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.

  4. 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.

  5. Service life prediction of reinforced concrete structures

    SciTech Connect

    Liang, M.T.; Wang, K.L.; Liang, C.H.

    1999-09-01

    This paper is focused on the estimation of durability and service life of reinforced concrete structures. Assuming that the chloride ion in concrete can be absorbed on tricalcium aluminate, calcium silicate hydrate, and by other constituents of hardened cement paste, hydrated or not, the exact analytical solution of the governing partial differential equation together with its boundary and initial conditions can be obtained through nondimensional parameters and Laplace's transform. When the results of an exact analytical solution using suitable parameters were compared with the results of previous experimental work, the differences were found to be very small. This suggests that the absorption model is of considerable value. The exact analytical solution with the saturation parameter and time and diffusion coefficients under different effective electrical potential could be used to predict both the experimental results and the service life of reinforced concrete structures.

  6. CANADARM: 20 Years of Mission Success Through Adaptation

    NASA Technical Reports Server (NTRS)

    Hiltz, Michael; Rice, Craig; Boyle, Keith; Allison, Ronald

    2001-01-01

    As part of the National Aeronautics and Space Administration's Space Shuttle Transportation System, the Shuttle Remote Manipulator System has played a vital role in the success of 60 space missions. This paper concludes that the robustness and success of the Canadarm over its 20 year life can be attributed to the adaptations that have been made to it to meet the increased demands that have been placed on the system. Enhancements that have been made to the arm to improve its operational capabilities, reduce risk and extend its life are examined in this paper. Potential future enhancements based on operational trends are also discussed.

  7. 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.

  8. Service life of respirator cartridges for formaldehyde

    SciTech Connect

    Nelson, G.O.; Carlson, G.J.; Johnson, J.S.

    1981-11-20

    To date there is no NIOSH-approved air-purifying respirator which will effectively remove formaldehyde gas. Because of formaldehyde's high vapor pressure, service life values calculated using the adsorption isotherm and Wheeler equations indicate that organic vapor cartridges containing activated carbon will last less than 10 minutes at concentrations greater than 10 ppM. Studies were initiated to identify a suitable sorbent for this potentially dangerous material. The project involves the following steps: develop a method for producing relatively high concentrations (20 ppM) of a formaldehyde test mixture; verify this test concentration using the NIOSH-approved chromotropic acid wet chemical technique; and survey a wide variety of sorbents, both plain and impregnated, in hopes of identifying a suitable air-purifying cartridge for formaldehyde. A dynamic formaldehyde generation system was fabricated in which formaldehyde was produced by continuously injecting formalin using a syringe pump. The concentration was monitored using an infrared analyzer and checked using the chromotropic acid technique. Twenty-five cartridges were tested for service life at concentrations of formaldehyde gas from 7.1 to 14.8 ppM. Acid gas cartridges and those containing Pittsburgh FCA or ASC showed superior service life.

  9. Evaluation of HEPA filter service life

    SciTech Connect

    Fretthold, J.K.; Stithem, A.R.

    1997-07-14

    Rocky Flats Environmental Technology Site (RFETS), has approximately 10,000 High Efficiency Particulate Air (HEPA) Filters installed in a variety of filter plenums. These ventilation/filtration plenum systems are used to control the release of airborne particulate contaminates to the environment during normal operations and potential accidents. This report summarizes the results of destructive and non-destructive tests on HEPA filters obtained from a wide variety of ages and service conditions. These tests were performed to determine an acceptable service life criteria for HEPA filters used at Rocky Flats Environmental Technology Site (RFETS). A total of 140 filters of various ages (1972 to 1996) and service history (new, aged unused, used) were tested. For the purpose of this report, filter age from manufacture date/initial test date to the current sample date was used, as opposed to the actual time a filter was installed in an operating system.

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

    NASA Astrophysics Data System (ADS)

    Hastings, Mardi C.

    2001-05-01

    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.

  11. Psychology and Aging: The First 20 Years

    PubMed Central

    Zacks, Rose T.; Blanchard-Fields, Fredda; Haley, William E.

    2006-01-01

    This article provides a review of the first 20 years of Psychology and Aging, the American Psychological Association’s first and only scholarly journal devoted to the topic of aging. The authors briefly summarize its history, its contributions to the study of aging, and its broader status as a scholarly publication. One theme highlighted in our review is the diversity of content in the journal throughout its history. Another is the strong impact that articles published in the journal have had on both basic and applied topics in aging. Efforts to encompass the breadth of topics and methodologies in aging research while retaining excellent quality remain the exciting but essential challenge for Psychology and Aging. PMID:16594786

  12. Psychology and Aging: the first 20 years.

    PubMed

    Zacks, Rose T; Blanchard-Fields, Fredda; Haley, William E

    2006-03-01

    This article provides a review of the first 20 years of Psychology and Aging, the American Psychological Association's first and only scholarly journal devoted to the topic of aging. The authors briefly summarize its history, its contributions to the study of aging, and its broader status as a scholarly publication. One theme highlighted in our review is the diversity of content in the journal throughout its history. Another is the strong impact that articles published in the journal have had on both basic and applied topics in aging. Efforts to encompass the breadth of topics and methodologies in aging research while retaining excellent quality remain the exciting but essential challenge for Psychology and Aging.

  13. 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.

  14. The Challenges in Metadata Management: 20+ Years of ESO Data

    NASA Astrophysics Data System (ADS)

    Vera, I.; Da Rocha, C.; Dobrzycki, A.; Micol, A.; Vuong, M.

    2015-09-01

    The European Southern Observatory Science Archive Facility has been in operations for more than 20 years. It contains data produced by ESO telescopes as well as the metadata needed for characterizing and distributing those data. This metadata is used to build the different archive services provided by the Archive. Over these years, services have been added, modified or even decommissioned creating a cocktail of new, evolved and legacy data systems. The challenge for the Archive is to harmonize the differences of those data systems to provide the community with a homogeneous experience when using ESO data. In this paper, we present ESO experience in three particular challenging areas. First discussion is dedicated to the problem of metadata quality over the time, second discusses how to integrate obsolete data models on the current services and finally we will present the challenges of ever growing databases. We describe our experience dealing with those issues and the solutions adopted to mitigate them.

  15. The Forties field: 20 years young

    SciTech Connect

    Brand, P.J.; Clyne, P.A.; Kirkwood, F.G.; Williams, P.W.

    1996-04-01

    In Oct. 1970, BP`s semisubmersible drilling rig SeaQuest struck oil in Upper Paleocene (Tertiary) sandstones of U.K. Continental Shelf Block 21/10. Four appraisal wells drilled in 1970 and 1971 delineated a large oil reservoir at a depth of 7,000 ft., covering an area of 36 sq miles. The maximum thickness of the oil-bearing sandstone was estimated at 614 ft. Reserves were calculated to be 1,800 MMSTB from an oil in place (OIP) of 4,600 MMSTB, and production was projected to continue until Year 2000. In 1971, Shell/Esso drilled a successful well, Well 22/6-1, that demonstrated the southeastern extension of the field into Block 22/6. The field is a four-way-dip-closed anticline that overlies the Forties-Montrose Ridge and is close to the junction of the Central, South Viking, and Witch Ground grabens. The reservoir occurs in thick Upper Paleocene sandstones deposited as a sand-rich submarine fan sequence. This paper describes how the development of the Forties field has evolved over the past 20 years, the current issues and activities, and the direction for the future.

  16. Calcium-sensing receptor 20 years later

    PubMed Central

    Alfadda, Tariq I.; Saleh, Ahmad M. A.; Houillier, Pascal

    2014-01-01

    The calcium-sensing receptor (CaSR) has played an important role as a target in the treatment of a variety of disease states over the past 20 plus years. In this review, we give an overview of the receptor at the cellular level and then provide details as to how this receptor has been targeted to modulate cellular ion transport mechanisms. As a member of the G protein-coupled receptor (GPCR) family, it has a high degree of homology with a variety of other members in this class, which could explain why this receptor has been identified in so many different tissues throughout the body. This diversity of locations sets it apart from other members of the family and may explain how the receptor interacts with so many different organ systems in the body to modulate the physiology and pathophysiology. The receptor is unique in that it has two large exofacial lobes that sit in the extracellular environment and sense changes in a wide variety of environmental cues including salinity, pH, amino acid concentration, and polyamines to name just a few. It is for this reason that there has been a great deal of research associated with normal receptor physiology over the past 20 years. With the ongoing research, in more recent years a focus on the pathophysiology has emerged and the effects of receptor mutations on cellular and organ physiology have been identified. We hope that this review will enhance and update the knowledge about the importance of this receptor and stimulate future potential investigations focused around this receptor in cellular, organ, and systemic physiology and pathophysiology. PMID:24871857

  17. 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.

  18. Life Skill Service Needs: Perspectives of Homeless Youth

    ERIC Educational Resources Information Center

    Aviles, Ann; Helfrich, Christine

    2004-01-01

    The present study describes the service needs related to life skill development from the perspective of sheltered homeless youth. Qualitative semistructured life narrative interviews addressing the use of services at an emergency shelter were administered to 30 youth. All youth were residig in an emergency shelter located in a large metropolitan…

  19. 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.

  20. Retardation analytical model to extend service life

    NASA Technical Reports Server (NTRS)

    Matejczyk, J.

    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 is discussed. Future Research plans are outlined.

  1. 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.

  2. 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…

  3. Pressure Transducer Has Long Service Life

    NASA Technical Reports Server (NTRS)

    Prout, R. E.; Chaves, A. J.

    1982-01-01

    Differential-pressure transducer includes a piston, helical springs, and a linear variable-differential transformer concentric with piston. Transducer senses motion of piston in response to changes in pressure differential. Eight seals within the transducer prevent fluid leakage from one pressure line to the other. Reliability and operating life of the new unit are superior to many conventional transducers.

  4. 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.

  5. Choroidal osteoma: evidence of progression and decalcification over 20 years.

    PubMed

    Chen, Jennifer; Lee, Lawrence; Gass, J Donald M

    2006-03-01

    Choroidal osteoma is a rare, benign, ossifying tumour of the choroid of unknown aetiology. In contrast to other types of intraocular ossification, choroidal osteoma is found typically in young healthy females in the second or third decades of life with no history of systemic or ocular disease. Choroidal osteoma is a deep, pale yellow lesion with distinct geographic borders at the juxtapapillary or macular region, with branching 'spider' vessels on the surface of the tumour. These features should help differentiate choroidal osteoma from other types of intraocular tumour and the diagnosis can be confirmed with ultrasonography and computerised tomography. Here we report an initially unilateral case of choroidal osteoma, which decalcified over 20 years but during the same period the fellow eye also developed a choroidal osteoma to become a bilateral case. Despite the benign nature of the tumour, vision may be compromised by gradual atrophy of the overlying retina, serous retinal detachment, accumulation of sub-retinal fluid and sub-retinal haemorrhage associated with choroidal neovascularisation. Frequent examinations are recommended for patients with choroidal osteoma, for early detection of a subretinal neovascular membrane and potential treatment with laser photocoagulation.

  6. 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…

  7. Service as Learning, Life-Style, and Faculty Function

    ERIC Educational Resources Information Center

    Duley, John

    1977-01-01

    Examples of service-learning at Stanford and Michigan State illustrate one dimension of the service function and point to two other dimensions as life-style possibilities for students and career goals for faculty. Specific programs and their rationale are described. (Editor/LBH)

  8. 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…

  9. 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…

  10. Service life of metals at low temperatures

    NASA Technical Reports Server (NTRS)

    Verkin, B. I.; Lyubarskiy, I. M.; Grinberg, N. M.; Yakovenko, L. F.

    1974-01-01

    Current concepts of the nature of fatigue failure at low temperatures are presented on the basis of experimental results of various investigators. The fundamental approach to the technique for studying low-temperature fatigue is examined. The necessity for using the same medium at different fatigue test temperatures and also the necessity for taking into account the magnitude of the plastic deformation amplitude are confirmed. Experimental data from a study of the influence of low temperatures (down to liquid nitrogen temperatures) on the fatigue life of copper and armco-iron in dry air, over a wide range of deformations, are presented. These results are compared with microscopic and electron microscopic pictures of the surface of the deformed specimens.

  11. 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.

  12. Average American 15 Pounds Heavier Than 20 Years Ago

    MedlinePlus

    ... page: https://medlineplus.gov/news/fullstory_160233.html Average American 15 Pounds Heavier Than 20 Years Ago ... since the late 1980s and early 1990s, the average American has put on 15 or more additional ...

  13. QUANTIFICATION OF STRESSFUL LIFE EVENTS IN SERVICE PERSONNEL

    PubMed Central

    Raju, M.S.V.K.; Srivastava, Kalpana; Chaudhury, S.; Salujha, S.K.

    2001-01-01

    The role of stressful life events in the etiology of various disorders has been of interest to investigators attempting to establish a link between stressful life events and disorders. None of the available scales are relevant to service personnel. In the present study an attempt was made to construct a scale to measure stressful life events in service personnel. In the first stage of study open-ended questions along with items generated by the expert group by consensus method were administered to 50 soldiers. During the second stage the scale comprising of 59 items was administered in group setting to 165 service personnel. Weightage was assigned on 0-100 range Frequency of occurrence of life events within past one year and lifetime was also noted. Findings revealed that service personnel experience more number of life events within a year as well as in lifetime. Some general items, which are common to civilians are having consistency of weightage being assigned. There is a pattern of uniformity with the civilian counterparts along with differences in the items specific to service personnel. PMID:21407857

  14. 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.

  15. 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.

  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

    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.

  17. The Parent-Child Home Program in Western Manitoba: A 20-Year Evaluation

    ERIC Educational Resources Information Center

    Gfellner, Barbara M.; McLaren, Lorraine; Metcalfe, Arron

    2008-01-01

    This article is a 20-year evaluation of the Parent-Child Home Program (PCHP) of Child and Family Services in Western Manitoba. Following Levenstein's (1979, 1988) approach, home visitors model parent-child interchanges using books and toys to enhance children's cognitive development through appropriate parenting behaviors. The evaluation provides…

  18. The Shenandoah Watershed Study: 20 years of Catchment Hydrogeochemistry

    NASA Astrophysics Data System (ADS)

    Galloway, J.

    2002-05-01

    changes and understanding of landscape controls (especially geologic setting) on watershed processes. This poster will present an overview of the critical findings of this 20-year research program.

  19. End of life care services for patients with heart failure.

    PubMed

    Charnock, Louise A

    2014-08-26

    Heart failure has high incidence and prevalence in the UK. However, access to palliative care services for patients with heart failure is inequitable. Patients with heart failure often do not receive specialist palliative care at the end of life, or referral is made only in the last days of life. This results in lost opportunities for advance care planning, psychological support for patients and families and symptom management. Prognostic tools are useful in ensuring appropriate referral. However, the controversy regarding the Liverpool Care Pathway has created uncertainty for healthcare professionals, patients and families. This article examines palliative care and end of life care services for patients with heart failure. It presents the case for service development and examines the benefits for patients who traditionally may not have had access to this care. PMID:25138875

  20. Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States.

    PubMed

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

    2016-01-01

    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, and 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 the PubMed, PsychInfo, and CINHAL databases between January 1, 1998, through 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.

  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. Design of a long service life integration CES

    NASA Astrophysics Data System (ADS)

    Tu, Zhijun; Deng, Loulou; Mei, Zhiwu; Hu, Xinchao

    2015-10-01

    In order to satisfy the reliability demand of the long-life satellite, and solve the weak link, we design an kind of the long service life integration CES (LFICES). In order to solve the problem from the late resistance increased product life, we perform the high torque motor technology research. Then we performed the accelerated life test of the rotating device. In the accelerated life test, we simulated operation of eight years, and the test results showed that the rotating device meet the design requirements of eight years. In this paper, we gives the design scheme of the LFICES. The telemetering data of the 26th remote sensing satellite in-orbit flight shows that the LFICES can stably work.

  4. Theoretical Foundation for Mechanical Products Service Life Prediction

    NASA Astrophysics Data System (ADS)

    Konovodov, V. V.; Valentov, A. V.; Lafetova, T. V.; Basalaev, M. N.

    2016-04-01

    The article presents theoretical foundations for prediction of service life of mechanical products, based on the fatigue theory and fatigue limit. Ultimate amplitude and ultimate stress diagrams are presented. Wohler curve, characterizing material durability, is constructed on the results of the tests.

  5. Ion Engine Service Life Validation by Analysis and Testing

    NASA Technical Reports Server (NTRS)

    Brophy, John R.; Polk, James E.; Rawlin, Vincent K.

    1996-01-01

    Assessment of the NSTAR ion engine service life is being accomplished through a combination of long duration testing and probabilistic analyses of the credible failure modes. A literature review that examined 65 ion engine endurance tests perfromed over the past 35 years was conducted to compile a list of possible ion engine failure modes.

  6. Ion Engine Service Life Validation by Analysis and Testing

    NASA Technical Reports Server (NTRS)

    Brophy, John R.; Polk, James E.; Rawlin, Vincent K.

    1997-01-01

    Assessment of the NSTAR ion engine service life is being accomplished through a combination of long duration testing and probabilistic analyses of the credible failure modes. A literature review that examined 65 ion engine endurance tests perfromed over the past 35 years was conducted to compile a list of possible ion engine failure modes.

  7. 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.

  8. 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

  9. 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

  10. New Horizons 20 Years On. Occasional Papers Series: No. 7.

    ERIC Educational Resources Information Center

    Gordon, Margaret

    New Horizons is a course offered by the University of Edinburgh's Centre for Continuing Education that is aimed at first-time returners to education. In the 20 years since New Horizons was developed for women returners to education and/or employment, it has retained its original developmental outcomes but broadened its target group in response to…

  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. Building-Based Budgeting and Decentralization: A 20 Year Perspective.

    ERIC Educational Resources Information Center

    Ilg, Timothy J.; Raisch, C. Daniel

    This paper examines the effects of site-based budgeting in education. It describes and presents a school-based budgetary decision-making model that was designed originally to shift the balance of power from the central office to the building level. The model has been refined and successfully utilized in one school district for 20 years, and its…

  13. 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…

  14. Lavoisier Preempted Gay-Lussac by 20 Years!

    ERIC Educational Resources Information Center

    Laing, Michael

    1998-01-01

    Lavoisier showed that water was formed by chemical reaction between hydrogen and oxygen. In Lavoisier's "Traite Elementaire" of 1789, he states that the reaction to form water requires exactly two volumes of hydrogen gas to react completely with one volume of oxygen gas. This was 20 years before Gay-Lussac studied the reactions between different…

  15. 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…

  16. Adenomatoid odontogenic tumour in a 20-year-old woman

    PubMed Central

    Virupakshappa, Deepti; Rajashekhara, Bhari Sharanesha; Manjunatha, Bhari Sharanesha; Das, Nagarajappa

    2014-01-01

    Adenomatoid odontogenic tumour is a relatively rare and distinct odontogenic tumour that is exclusively odontogenic epithelium in origin. It comprises 3% of all odontogenic tumours. This report describes the surgical therapy, clinical course and morphological characteristics of an adenomatoid odontogenic tumour that developed in the left maxilla of a 20-year-old patient. PMID:24810436

  17. 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…

  18. 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…

  19. 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.

  20. 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.

  1. The Chilean health system: 20 years of reforms.

    PubMed

    Manuel, Annick

    2002-01-01

    The Chilean health care system has been intensively reformed in the past 20 years. Reforms under the Pinochet government (1973-1990) aimed mainly at the decentralization of the system and the development of a private sector. Decentralization involved both a deconcentration process and the devolution of primary health care to municipalities. The democratic governments after 1990 chose to preserve the core organization but introduced reforms intended to correct the system's failures and to increase both efficiency and equity. The present article briefly explains the current organization of the Chilean health care system. It also reviews the different reforms introduced in the past 20 years, from the Pinochet regime to the democratic governments. Finally, a brief discussion describes the strengths and weaknesses of the system, as well as the challenges it currently faces.

  2. Servicing multi-cultural needs at the end of life.

    PubMed

    Koffman, Jonathan

    2014-09-01

    Ethnic and cultural diversity are widespread across the world, but there is growing concern that end-of-life care is not offering Black Asian and Minority Ethnic (BAME) groups the most appropriate services. This article explores the experiences of BAME patients with advanced disease and the response of the healthcare professionals who care for them. Key questions include cultural influences on symptoms of advanced disease, communication and the role of religion and spirituality.

  3. [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.

  4. 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.

  5. [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. PMID:11692765

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. Review: R28 retinal precursor cells: The first 20 years

    PubMed Central

    2014-01-01

    The R28 retinal precursor cell line was established 20 years ago, originating from a postnatal day 6 rat retinal culture immortalized with the 12S E1A (NP-040507) gene of the adenovirus in a replication-incompetent viral vector. Since that time, R28 cells have been characterized and used for a variety of in vitro and in vivo studies of retinal cell behavior, including differentiation, neuroprotection, cytotoxicity, and light stimulation, as well as retinal gene expression and neuronal function. While no cell culture is equivalent to the intact eye, R28 cells continue to provide an important experimental system for the study of many retinal processes. PMID:24644404

  12. 42 CFR 84.83 - Timers; elapsed time indicators; remaining service life indicators; minimum requirements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... indicators; remaining service life indicators; minimum requirements. (a) Elapsed time indicators shall be... minutes of remaining service life. (c) Timers shall be readable by sight and by touch during use by the... period of 7 seconds or more after the preset time has elapsed. (e) Remaining service-life indicators...

  13. 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.

  14. 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

  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. Technology development: HEPA filter service life test plan

    SciTech Connect

    Kirchner, K.N.; Cummings, K.G.; Leck, W.C.; Fretthold, J.K.

    1995-05-31

    Rocky Flats Environmental Technology Site (the Site) has approximately 10,000 High Efficiency Particulate Air (HEPA) Filters installed in a variety of filter plenums. These ventilation/filtration plenum systems are used to control the release of airborne particulate contaminates to the environment during normal operations and also during potential design-based accidents. The operational integrity of the HEPA filter plenums is essential to maintaining the margins of safety as required by building specific Final Safety Analysis Reports (FSARS) for protection of the public and environment. An Unreviewed Safety Question Determination (USQD), USDQ-RFP94.0615-ARS, was conducted in 1994 addressing the potential inadequacy of the safety envelope for Protected Area building HEPA plenums. While conducting this USQD, questions were raised concerning the maximum service life criteria for HEPA filters. Accident scenarios in existing FSARs identify conditions that could potentially cause plugging or damage of down stream HEPA filters as a result of impaction from failed filters. Additionally, available data indicates that HEPA filters experience structural degradation due to the effects of age. The Unresolved Safety Question (USQ) compensatory measures thus require testing and analysis of used HEPA filters in order to determine and implement service life criteria.

  17. Endoscopic-assisted epiphysiodesis: technique and 20-year experience.

    PubMed

    Ledesma, Justin B; Wang, Tianyi; Desmond, Elizabeth; Imrie, Meghan; Gamble, James G; Rinsky, Lawrence A

    2016-01-01

    The aim of the study was to describe the endoscopic-assisted epiphysiodesis technique and review our 20-year experience with it. A retrospective review of 44 patients who underwent proximal tibia and/or distal femur endoscopic-assisted epiphysiodesis was carried out. Only patients who had preoperative and postoperative scanograms with clinical follow-up of at least 6 months were included. The mean length of follow-up was 36.8 months. All patients had radiographic evidence of physeal fusion within 6-12 months from the index procedure. No patient required revision surgery. Endoscopic-assisted epiphysiodesis is safe, effective, and achieves predictable physeal fusion. Advantages over current techniques include reduced radiation exposure and lack of requirement for hardware placement.

  18. Leptin, 20 years of searching for glucose homeostasis.

    PubMed

    Fernández-Formoso, Gabriela; Pérez-Sieira, Sonia; González-Touceda, David; Dieguez, Carlos; Tovar, Sulay

    2015-11-01

    Leptin was discovered in 1994 (20 years ago). In addition to having well-characterized effects on the regulation of energy homeostasis, leptin clearly also plays a major role in metabolic homeostasis. In fact, leptin plays an important role in the regulation of glucose homeostasis independent of food intake and body weight. The mechanism underlying the modulation of glucose metabolism by leptin is not completely understood, although evidence indicates that the effect occurs at both the central and peripheral levels. In this review, we will focus on the role of leptin in glucose homeostasis at the central level and its role in insulin secretion and in counteracting hormones, such as glucagon, growth hormone, cortisol and catecholamines.

  19. 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

  20. 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.

  1. 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.

  2. EDITORIAL: Nonlinearity is 20 years old in 2008!

    NASA Astrophysics Data System (ADS)

    Keating, J. P.; Neishtadt, A. I.

    2008-01-01

    During the past 20 years the journal has published many of the subject-defining papers in the field of nonlinear mathematics and its applications. These have ranged from fundamental developments in the theory of dynamical systems and differential equations to applications in atmospheric dynamics, astrophysics, biology, chemistry, fluid dynamics, networks, quantum chaos and statistical physics, to give just a few examples. The field has changed considerably since the journal was founded. In particular, some applications, once considered little more than wishful thinking, have now matured and spun off to form their own journals, or to find homes in journals that might once have thought them too esoteric or too mathematical. In their place have come exciting new applications for which the fundamental mathematical ideas are still to be developed. Nonlinearity has played a leading role in these developments and we look back with pride. But birthdays are also occasions when one should look forward, and with this in mind, as part of our birthday celebrations, we have commissioned for publication in 2008 a series of short articles, entitled Open Problems, from leading researchers in the field. Each article represents the author's personal selection of some interesting and/or important open problems or conjectures. They are not intended to be systematic lists, or encyclopaedic in coverage, but are, rather, individual perspectives on some of the problems and challenges, large and small, that would be worth solving. Our hope is that these articles will contribute to setting the agenda for the next 20 years, and beyond. We took great pleasure in inviting these articles and hope that readers of Nonlinearity will find them interesting, stimulating, and perhaps, in some cases, even provocative. We certainly look forward to seeing, and maybe even publishing, solutions to the problems they describe!

  3. 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. PMID:27336632

  4. 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

  5. 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.

  6. 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.

  7. 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

  8. 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. PMID:25368165

  9. Infant feeding, growth and mortality: a 20-year study of an Australian Aboriginal community.

    PubMed

    Dugdale, A E

    1980-10-01

    The data are presented on infant mortality, growth and feeding for an Australian Aboriginal Settlement over 20 years from 1953 to 1972. During this period the infant mortality rate fell from about 280/1000 to about 40/1000 although the growth, infant feeding and health facilities remained almost the same. It is proposed, as a hypothesis worthy of further exploration, that major factors leading to improvement in infant mortality have been a changed attitude to small infants and an ability to use health services appropriately. These factors may be important in all developing communities. PMID:7453611

  10. 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

  11. 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)

  12. Recent advances in elastomer service-life prediction

    NASA Technical Reports Server (NTRS)

    Landel, R. F.; Fedors, R. F.; Moacanin, J.

    1973-01-01

    The mechanical properties of an elastomer, including rupture and its time dependence, are defined uniquely by a tensile property surface in normalized stress-strain-time coordinates. In practice, the property surface is determined from short-time constant strain-rate uniaxial tests. By using the time reduction properties of both temperature and cross-link density, an effective time scale of over ten decades of log time can be covered. Changes in cross-link density, filler content, or swelling do not affect the limits of the property surface when plotted in logarithmic coordinates but merely shift their positions. The shape, however, may be modified in certain cases. The service life of an elastomer in the absence of aging reactions can be estimated from the property surface and expected in-use conditions such as strains (static or dynamic).

  13. Design and analysis of seals for extended service life

    NASA Astrophysics Data System (ADS)

    Bower, Mark V.

    1992-12-01

    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.

  14. 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.

  15. 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.

  16. 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…

  17. Who Needs a Revision? 20 Years of Cambridge Shunt Lab.

    PubMed

    Czosnyka, Zofia; Czosnyka, Marek; Pickard, John D; Chari, Aswin

    2016-01-01

    Shunt testing independent of manufacturers provides knowledge that can significantly improve the management of patients with hydrocephalus. The Cambridge Shunt Evaluation Laboratory was created 20 years ago. Thanks to financial support from the Department of Health (1993-1998), all shunts in use in the UK were systematically evaluated, with "blue reports" being published. Later new devices were tested as they appeared in public domain.Twenty-six models have been evaluated. The majority of the valves had a non-physiologically low hydrodynamic resistance that may result in over-drainage, both related to posture and during nocturnal cerebral vasogenic waves. A long distal catheter increases the resistance of these valves by 100-200 %. Drainage through valves without a siphon-preventing mechanism is very sensitive to body posture. Shunts with siphon-preventing accessories offer a reasonable resistance to negative outlet pressure. Bench parameters were used to test shunt performance in vivo using infusion tests. A criterion for correctly performing a shunt procedure was established. Pressure measured in the shunt prechamber during the plateau phase of infusion should not remain more than 5 mmHg above the le shunt's operating pressure plus hydrodynamic resistance of the valve multiplied by the infusion rate. "Critical levels" for every shunt and every performance level have been used in the shunt testing wizard of ICM+ software.

  18. The odontogenic keratocyst: a 20-year clinicopathologic review.

    PubMed

    Meara, J G; Shah, S; Li, K K; Cunningham, M J

    1998-02-01

    The odontogenic keratocyst (OKC) is a jaw cyst with a proclivity for local invasion and recurrence. This 20-year retrospective study was conducted to evaluate methods of treatment and recurrence rates. Forty-nine patients were identified with an average age at presentation of 39.5 years. The molar region of either the mandible or maxilla was the principal primary location; the maxillary antrum was also a common site. The majority of cysts were unilocular and associated with adjacent dentition. Initial therapy was typically enucleation with or without extraction of associated teeth; seven cases of recurrent or second primary odontogenic keratocysts required more extensive surgery. Follow-up ranged from 1 to 15 years with an average duration of 4.3 years. The overall recurrence rate was 35%, and the average time to recurrence 4 years. A recurrence rate of 60% was documented for patients with basal cell nevus syndrome or a family history thereof. Long-term follow-up is necessary following initial OKC treatment. The high rate of recurrence in patients with documented or suspected basal cell nevus syndrome suggests the need for more aggressive initial surgical management in this selected patient population.

  19. Water survival: 20 years Canadian Forces aircrew experience.

    PubMed

    Brooks, C J; Rowe, K W

    1984-01-01

    A 20 year review of Canadian Forces (CF) aircrew ejection/ditching, survival/rescue times and injury patterns in salt and fresh water is presented. Of the 595 A, B, and C category accidents which have been reviewed (1962-1982), 37 were water-entry. Of the 116 crew which were involved, 38 died (4 in fresh water). The Sea King helicopter is most at risk from sea water immersion, and the single-engine Otter has been the most vulnerable to fresh water immersion. A water immersion can be expected approximately once every 170,000 h of total flying time. In 92% of cases, the crew had less than 1 min warning that immersion was imminent and in 78% had less than 15 s to make a practical response. There were two clinical cases of hypothermia. In the absence of injuries, aircrew trained in water survival, qualified on the Dilbert Dunker, and who are strong swimmers or sports divers, have a better chance to survival. Time to rescue in all cases was under 3 h, and in 16 out of 24 cases crew members were rescued in under 15 min.

  20. Juvenile angiofibroma: the lessons of 20 years of modern imaging.

    PubMed

    Lloyd, G; Howard, D; Phelps, P; Cheesman, A

    1999-02-01

    Seventy-two patients with juvenile angiofibroma have been investigated by computerized tomography (CT) and/or magnetic resonance imaging (MRI) over a period of 20 years. The evidence from these studies indicates that angiofibroma takes origin in the pterygo-palatine fossa at the aperture of the pterygoid (vidian) canal. An important extension of the tumour is posteriorly along the pterygoid canal with invasion of the cancellous bone of the pterygoid base, and greater wing of the sphenoid (60 per cent of patients). Distinctive features of angiofibroma are the high recurrence rate, and the rapidity with which many tumours recur. It is postulated that the principal determinant of recurrence is a high tumour growth rate at the time of surgery coupled with incomplete surgical excision. The inability to remove the tumour in toto is principally due to deep invasion of the sphenoid, as described above. In this series 93 per cent of recurrences occurred with this type of tumour extension. A contributory cause in these patients is the use of pre-operative embolization. The treatment implications of these findings are examined.

  1. 20 years of microplasma research: a status report

    NASA Astrophysics Data System (ADS)

    Schoenbach, Karl H.; Becker, Kurt

    2016-02-01

    The field of microplasmas gained recognition as a well-defined area of research and application within the larger field of plasma science and technology about 20 years ago. Since then, the activity in microplasma research and applications has continuously increased. A survey of peer reviewed papers on microplasmas published annually shows a steady increase from fewer than 20 papers in 1995 to about 75 in 2005 and more than 150 in 2014. This count excludes papers that deal exclusively with technological applications where the microplasma is used solely as a tool. This topical review aims to provide a snap shot of the current state of microplasma research and applications. Given the rapid proliferation of microplasma applications, the topical review will focus primarily on the status of microplasma science and our understanding of the physics principles that enable microplasma operation. Where appropriate, we will also address microplasma applications, however, we will limit the discussion of microplasma applications to examples where the application is closely tied to the plasma science. No attempt is made to provide a comprehensive and in-depth review of the diverse range of all microplasma applications, except for the inclusion of a few key references to recent reviews of microplasma applications.

  2. 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.

  3. 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.

  4. 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)

  5. 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…

  6. 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.

  7. RSIC after 20 years: a look back and a look ahead

    SciTech Connect

    Maskewitz, B.F.; Roussin, R.W.; Trubev, D.K.

    1983-01-01

    On the occasion of RSIC's 20th anniversary year, this review includes highlights and lessons learned. In June 1963, the first RSIC Newsletter was published, and information analyses procedures and practices were initiated. Evidence indicates that RSIC served for 20 years as the focal point for the exchange and transfer of radiation transport technology and contributed to the advancement of the state of the art. The original concept is found to be sound: operate an information analysis center by collecting, organizing, evaluating, and analyzing all relevant information and making the information available in a form readily useful to scientists and engineers. Computing technology, a computer-based literature information system, and an advisory service remain important elements of the center. Continuing interaction between the center, developers, and users of information products and services has been a key to RSIC success. A look to the future reflects optimism.

  8. Bringing Together Simulated ~20 Year Variability in Coupled Climate Models

    NASA Astrophysics Data System (ADS)

    Menary, M.; Hodson, D.; Robson, J.; Sutton, R.; Wood, R. A.

    2014-12-01

    Many climate models simulate significant spectral power in large scale, North Atlantic subpolar gyre indices at timescales of around 20 years. Despite similar periodicities, the underlying mechanisms reported in individual models can vary greatly. For example, the timescale can be set by any combination of geostrophic self advection, Rossby wave propagation, or advection by the mean circulation. The role of the overturning circulation can either be active or passive, and the ultimate driver of density changes in the deep water formation regions is split roughly evenly in the literature between salinity and temperature - with implications for any feedback mechanisms. These simulations typically span many centuries with constant external forcings to capture internal climate variability. The extent to which either this periodicity carries over to the real world under increasingly strong external forcing, or which, if any, of the modelled feedbacks are applicable, is unclear. We present new results from a state-of-the-art high resolution coupled climate model (HadGEM3) in which the mechanism of internal decadal variability in the North Atlantic is diagnosed and discuss the causes of differences from previous work. Due to the non-linear equation of state, biases in the simulated mean state can explain some of the inter-model differences via the relative importance of temperature or salinity in density changes. These biases can then propagate throughout the mechanistic chain resulting in fundamentally different simulated mechanisms. For example, whether temperature or salinity control densities in the Labrador Sea influences whether a strengthening overturning circulation acts as a negative or positive feedback. Although analysis of the model proceeds via lagged regressions, this is generally not possible with observational data. We use a combination of palaeo reconstructions and targeted process-based analysis to investigate whether there is any signal of bidecadal

  9. 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.

  10. Viscoelastic analysis of seals for extended service life

    NASA Astrophysics Data System (ADS)

    Bower, Mark V.

    1993-11-01

    The space station 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 (2) 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. Seals are simple devices, in wide spread use. The most common type of seal is the O-ring. O-ring seals are typically rings of rubber with a circular cross section. The rings are placed between the surfaces to be sealed, usually in a groove of some design. The particular design may differ based on a number of different factors. This research is focused on O-rings that are staticly compressed by perpendicular clamping forces, commonly referred to as face seals. In this type of seal the O-ring is clamped between the sealing surfaces by loads perpendicular to the circular cross section.

  11. Viscoelastic analysis of seals for extended service life

    NASA Technical Reports Server (NTRS)

    Bower, Mark V.

    1993-01-01

    The space station 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 (2) 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. Seals are simple devices, in wide spread use. The most common type of seal is the O-ring. O-ring seals are typically rings of rubber with a circular cross section. The rings are placed between the surfaces to be sealed, usually in a groove of some design. The particular design may differ based on a number of different factors. This research is focused on O-rings that are staticly compressed by perpendicular clamping forces, commonly referred to as face seals. In this type of seal the O-ring is clamped between the sealing surfaces by loads perpendicular to the circular cross section.

  12. 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.

  13. Trends in Avoidable Death over 20 Years in Korea

    PubMed Central

    Chung, Ji In; Choi, Ji Sook; Kim, Bo Mi

    2008-01-01

    To evaluate the achievement of health care services in Korea independent of other socioeconomic factors, we observed the time trend of avoidable death between 1983 and 2004. A list of avoidable causes of death was constructed based on the European Community Atlas of "Avoidable Death". We calculated sex- and age-standardized mortality rates of Korean aged 1-64 yr using data of the Korea National Statistical Office. The avoidable mortality rate (per 100,000 persons) decreased from 225 to 84 in men and from 122 to 41 in women. Accordingly, the proportion of avoidable deaths among all classifiable deaths was reduced by 8.1% in men and 6.4% in women. However, mortality rates from some preventable causes such as ischemic heart disease and malignant neoplasms of lung, breast, cervix, and colorectum have been on the rise. Mortality preventable by appropriate medical care showed the greatest reduction (by 77.8%), while the mortality preventable by primary prevention showed the least reduction (by 50.0%). These findings suggest that health care service has significantly contributed to the improvement of health in Korea. However, more effective intervention programs would be needed given the less reduction in mortality avoidable by primary or secondary prevention than expected and unexpectedly increasing mortality from several preventable causes. PMID:19119439

  14. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... servicing sticker affixed under 46 CFR 160.151-57(n), except that servicing may be delayed until the next... 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)...

  15. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... servicing sticker affixed under 46 CFR 160.151-57(n), except that servicing may be delayed until the next... 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)...

  16. 46 CFR 185.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... servicing sticker affixed under 46 CFR 160.151-57(n), except that servicing may be delayed until the next... 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)...

  17. 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.

  18. Parent Involvement in Service Learning. Linking Learning with Life.

    ERIC Educational Resources Information Center

    Kaye, Cathryn Berger

    This guide focuses on the crucial role parents have regarding children and service. Section 1, developing a strategy for parent involvement, discusses parent support for service learning at school and parents' reinforcement of family participation in community service. Section 2, keeping parents informed, addresses three topics: information to…

  19. Damage control surgery: it's evolution over the last 20 years.

    PubMed

    Waibel, Brett H; Rotondo, Michael M F

    2012-01-01

    In less than twenty years, what began as a concept for the treatment of exsanguinating truncal trauma patients has become the primary treatment model for numerous emergent, life threatening surgical conditions incapable of tolerating traditional methods. Its core concepts are relative straightforward and simple in nature: first, proper identification of the patient who is in need of following this paradigm; second, truncation of the initial surgical procedure to the minimal necessary operation; third, aggressive, focused resuscitation in the intensive care unit; fourth, definitive care only once the patient is optimized to tolerate the procedure. These simple underlying principles can be molded to a variety of emergencies, from its original application in combined major vascular and visceral trauma to the septic abdomen and orthopedics. A host of new resuscitation strategies and technologies have been developed over the past two decades, from permissive hypotension and damage control resuscitation to advanced ventilators and hemostatic agents, which have allowed for a more focused resuscitation, allowing some of the morbidity of this model to be reduced. The combination of the simple, malleable paradigm along with better understanding of resuscitation has proven to be a potent blend. As such, what was once an almost lethal injury (combined vascular and visceral injury) has become a survivable one.

  20. [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. PMID:21709979

  1. [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.

  2. 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…

  3. Caregivers’ Quality of Life and Quality of Services for Children with Cancer: A Review from Iran

    PubMed Central

    Sajjadi, Homeira; Vameghi, Meroe; Ghazinour, Mehdi; KhodaeiArdakani, Mohammadreza

    2013-01-01

    Objective: Caregivers of cancer patients are exposed to different types of psychosocial stress which influence their quality of life. The purposes of this study were to assess quality of life in caregivers of children with cancer and to investigate the relationship between the caregivers’ quality of life and quality of services in the social work section. Method: 125 caregivers were recruited. Quality of life was measured by the Iranian version of the WHOQOL-BREF questionnaire and data concerning service quality were obtained from the Iranian version of the SERVQUAL questionnaire. Findings: Scores in physical health, psychological status and environmental conditions for caregivers of children with cancer were significantly lower than the general population. There was a negative correlation between the tangible domain of SERVQUAL and the psychological status and environmental conditions of quality of life. The tangible dimension was the only aspect of service quality to predict caregivers’ quality of life regarding psychological status and environmental conditions. Conclusion: Caregivers of children with a disease are care consumers and, like all consumers, they expect good service. Delivering high quality services consistently is difficult but profitable for a service organization. In other words, trying to deliver more appropriate services than patients expect to receive from their social work care is one of the most reliable ways to promote caregivers’ satisfaction and quality of life. PMID:23618487

  4. 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.

  5. 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.

  6. 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...

  7. 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)...

  8. 38 CFR 8.12 - Payment of the cash value of National Service Life Insurance in monthly installments under...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 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...

  9. 38 CFR 8.12 - Payment of the cash value of National Service Life Insurance in monthly installments under...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 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...

  10. 38 CFR 8.12 - Payment of the cash value of National Service Life Insurance in monthly installments under...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 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...

  11. 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...

  12. Oro-facial injuries in Central American and Caribbean sports games: a 20-year experience.

    PubMed

    Amy, Enrique

    2005-06-01

    Dental services in sports competitions in the Games sponsored by the International Olympic Committee are mandatory. In every Central American, Pan American and Olympic Summer Games, as well as Winter Games, the Organizing Committee has to take all the necessary measures to assure dental services to all competitors. In all Olympic villages, as part of the medical services, a dental clinic is set up to treat any dental emergency that may arise during the Games. Almost every participating country in the Games has its own medical team and some may include a dentist. The major responsibilities of the team dentist as a member of the national sports delegation include: (i) education of the sports delegation about different oral and dental diseases and the illustration of possible problems that athletes or other personnel may encounter during the Games, (ii) adequate training and management of orofacial trauma during the competition, (iii) knowledge about the rules and regulations of the specific sport that the dentist is working, (iv) understanding of the anti-doping control regulations and procedures, (v) necessary skills to fabricate a custom-made and properly fitted mouth guard to all participants in contact or collision sports of the delegation. This study illustrates the dental services and occurrence of orofacial injury at the Central American and Caribbean Sports Games of the Puerto Rican Delegation for the past 20 years. A total of 2107 participants made up the six different delegations at these Games. Of these 279 or 13.2% were seen for different dental conditions. The incidence of acute or emergency orofacial conditions was 18 cases or 6% of the total participants. The most frequent injury was lip contusion with four cases and the sport that experienced more injuries was basketball with three cases. PMID:15876321

  13. Oro-facial injuries in Central American and Caribbean sports games: a 20-year experience.

    PubMed

    Amy, Enrique

    2005-06-01

    Dental services in sports competitions in the Games sponsored by the International Olympic Committee are mandatory. In every Central American, Pan American and Olympic Summer Games, as well as Winter Games, the Organizing Committee has to take all the necessary measures to assure dental services to all competitors. In all Olympic villages, as part of the medical services, a dental clinic is set up to treat any dental emergency that may arise during the Games. Almost every participating country in the Games has its own medical team and some may include a dentist. The major responsibilities of the team dentist as a member of the national sports delegation include: (i) education of the sports delegation about different oral and dental diseases and the illustration of possible problems that athletes or other personnel may encounter during the Games, (ii) adequate training and management of orofacial trauma during the competition, (iii) knowledge about the rules and regulations of the specific sport that the dentist is working, (iv) understanding of the anti-doping control regulations and procedures, (v) necessary skills to fabricate a custom-made and properly fitted mouth guard to all participants in contact or collision sports of the delegation. This study illustrates the dental services and occurrence of orofacial injury at the Central American and Caribbean Sports Games of the Puerto Rican Delegation for the past 20 years. A total of 2107 participants made up the six different delegations at these Games. Of these 279 or 13.2% were seen for different dental conditions. The incidence of acute or emergency orofacial conditions was 18 cases or 6% of the total participants. The most frequent injury was lip contusion with four cases and the sport that experienced more injuries was basketball with three cases.

  14. Job Change Services for Mid-Life Professionals.

    ERIC Educational Resources Information Center

    Gilli, Angelo C., Sr.

    1980-01-01

    Job change services can be valuable resources for college graduates over the age of 40 who desire to change employment. Several factors that cause job change are dissatisfaction with present job, forced retirement, and job performance ability. Steps in a job change include the environment, a precipitator, exploration, decision, preparation, and…

  15. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... this chapter— (1) No later than the month and year on its servicing sticker affixed under 46 CFR 160... 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...

  16. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... this chapter— (1) No later than the month and year on its servicing sticker affixed under 46 CFR 160... 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...

  17. 46 CFR 122.730 - Servicing of inflatable liferafts, inflatable buoyant apparatus, inflatable life jackets, and...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... this chapter— (1) No later than the month and year on its servicing sticker affixed under 46 CFR 160... 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...

  18. Service Learning in Life-Span Developmental Psychology: Higher Exam Scores and Increased Empathy

    ERIC Educational Resources Information Center

    Lundy, Brenda L.

    2007-01-01

    This article describes research conducted to evaluate the impact of service learning on exam scores and emotional empathy in a life-span development course. Service learning was 1 of 3 project options offered in the course; others included an interview project and a research paper. With the exception of the first exam, scores were significantly…

  19. Music Service Teachers' Life Histories in the United Kingdom with Implications for Practice

    ERIC Educational Resources Information Center

    Baker, David

    2005-01-01

    Music service teachers' biographies and occupational stages are discussed in this article. The life histories of 28 instrumental and vocal teachers, aged between 22 and 60 years, are explored. These individuals work for a Local Education Authority music service in the United Kingdom. Their occupation entails travelling between various state…

  20. Measuring Service-Mindedness and Its Relationship with Spirituality and Life Satisfaction

    ERIC Educational Resources Information Center

    Pashak, Travis J.; Laughter, Tim C.

    2012-01-01

    A self-report measure of service-mindedness was designed in order to fill in a gap in the literature and evaluate a potential link between spirituality and satisfaction with life. A sample of 133 undergraduate students at a Catholic university in the Mid-west completed the Service-Mindedness Scale (SMS), along with the Spiritual Involvement and…

  1. 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...

  2. 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...

  3. 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...

  4. 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...

  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. 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.

  7. Exploring the relationship between purpose in life and African American adolescents' use of prenatal care services.

    PubMed

    Spence, S A; Holliman, D

    1995-01-01

    This article presents findings of a study that explored the relationship between purpose in life and African American adolescents' use of prenatal care services. The findings revealed no statistically significant relationship, thus suggesting that purpose in life may not be a crucial factor in determining whether African American adolescents use prenatal care services. The need to explore the influence of other variables on service use and the importance of considering such findings for appropriate health care and social work intervention are discussed. PMID:8658318

  8. 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.

  9. 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

  10. 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. 

  11. Integrating mental health services into primary HIV care for women: the Whole Life project.

    PubMed Central

    Dodds, Sally; Nuehring, Elane M.; Blaney, Nancy T.; Blakley, Theresa; Lizzotte, Jean-Marie; Lopez, Myriam; Potter, JoNell E.; O'Sullivan, Mary J.

    2004-01-01

    The high rate of mental health problems in HIV-infected women jeopardizes the health of this vulnerable population, and constitutes a mandate for integrating mental health services into HIV primary care. The Whole Life project-a collaboration of the departments of Psychiatry and Obstetrics/Gynecology at the University of Miami School of Medicine-successfully integrated mental health services into primary HIV care for women. This article describes the conceptual framework of the integration, implementation strategies, effects of the service integration, and lessons learned. Funded by the Health Resources and Services Administration (HRSA) as a Special Program of National Significance (SPNS), Whole Life efforts have been sustained beyond the demonstration funding period as a result of the changes brought about in organizational structures, service delivery, and the providers' conceptualization of health for HIV-infected women. PMID:15147649

  12. MOZAIC-IAGOS program : 20 years of in-situ data in the UTLS

    NASA Astrophysics Data System (ADS)

    Thouret, Valérie; Sauvage, Bastien; Nédélec, Philippe; Petzold, Andreas; Volz-Thomas, Andreas

    2014-05-01

    -latitudes thanks to 5 aircraft based in Europe flying westbound and eastbound since 1994; Transects over the African continent thanks to daily Air Namibia flights between 2006 and 2013; South Atlantic area thanks to regular flights between Europe and South America; The Asian monsoon region thanks to regular flights between Europe and the Indian-South East Asia area sampling the UT under the influence of the Asian Monsoon Anticyclone (AMA). - Ten years of CO measurements which show an increase in concentration on moving from the Western to Eastern hemisphere. In the US, Atlantic and European sectors CO concentrations have fallen by about 2% per year. - Almost 20 years of Ozone measurements at northern mid-latitudes showing a leveling-off of the mixing ratios for the last 10-12 years over the Atlantic sector while ozone is still increasing over Asia. - Almost 20 years of relative humidity measurements showing that the upper troposphere (10 - 12 km altitude, which corresponds to the aircraft cruise level) is much wetter than reflected in the model analyses of the ECMWF (European Centre for Medium range Weather Forecast).

  13. Changes in Post-Operative Complication and Mortality Rates after Lung Cancer Resection in the 20-Year Period 1995-2014.

    PubMed

    Sawada, Shigeki; Suehisa, Hiroshi; Ueno, Tsuyoshi; Yamashita, Motohiro

    2016-06-01

    We reviewed post-operative complication and mortality rates from 1995 through 2014 and evaluated the changes in those rates across that 20-year period. Two thousand and three hundred sixteen patients with lung cancer underwent resection at our institution between 1995 and 2014. This timespan was divided into four 5-year periods. Each patient's age, Charlson comorbidity index score, and extent of surgery in each 5-year period were summarized, and the changes in these factors over the 20-year span were evaluated. The complication and mortality rates were calculated for each 5-year period, and the changes in those rates over the 20-years were evaluated. The number of patients with higher Charlson comorbidity index scores increased during the 20-year period. Of the 455 patients who developed complications, 97 developed life-threating complications. There were 16 post-operative deaths and 23 in-hospital deaths. There were no significant changes in the complication rate or mortality rate during the 20-year period. Both rates were significantly correlated with the extent of resection. Although the number of patients with comorbidities increased in the 20-year period, the post-operative complication and mortality rates, as well as in-hospital mortality, did not change significantly.

  14. 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

  15. 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.

  16. 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. PMID:20178382

  17. Extending the service life of 15KV polyethylene URD cable using silicone liquid

    SciTech Connect

    Kirkham, H.; Johnston, A.R. )

    1989-10-01

    This paper describes methods and materials used to extend the useful life ot extruded polyethylene insulated cables rated 15KV that have developed electrochemical trees in the insulation of sufficient severity to cause service failures. Earlier rehabilitation methods treated extruded dielectric cable with both gases and insulating liquids. This new method fills the cable and impregnates the insulation with a silicone liquid. This liquid, which is reactive, significantly improves the voltage breakdown strength of the cables, which has been reduced by electrochemical trees, and extends the useful service life of the cable. A review of the criteria used to develop the silicone liquid for this application and the methodology used to inject it into the cable will be discussed. An assessment of the costs of this life extension indicates a significantly lower cost than conventional cable replacement with little disturbance to the service and property of the customer.

  18. An unusual cause of fitting in a 20 year old girl.

    PubMed

    Beckett, Daniel; Malins, A; Watson, M L; Kelly, C A

    2006-01-01

    Native renal artery stenosis resulting in hypertensive encephalopathy is exceptionally rare, with only 3 previous case reports in adults. We report such a case in a previously well 20 year old female.

  19. 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.

  20. 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

  1. Orthodontic treatment need, outcome and residual treatment need in 15- and 20-year-olds.

    PubMed

    Bjerklin, Krister; Lindsten, Rune; Tunge, Jannicke Sagevik; Sjövall, Christine

    2012-01-01

    The aim of the study was to investigate orthodontic treatment need and the outcome of orthodontic treatment in 15-, and 20-year-olds in Jönköping, Sweden, with special reference to residual treatment need. An offer to participate in a clinical investigation was extended to random samples of 130 15-year-olds and 130 20-year-olds. Ninety-six of the 15-year-olds (73.3%; 45 boys and 51 girls) and 82 of the 20-year-olds (62.6%; 47 males and 35 females) accepted and presented for examination The participants filled in a questionnaire and impressions were taken for study models, which were graded according to the ICON index. In all, 39 (40.6%) of the 15-year-olds and 38 (46.3%) of the 20-year-olds had undergone or were currently undergoing orthodontic treatment. Ninety-one per cent of the 15-year-olds and 84% of the 20-year-olds considered that the orthodontic treatment goals had been fully or almost fully attained. Two of the 15-year-olds and two of the 20-year-olds currently wanted orthodontic treatment. This indicates a residual treatment demand of about 2%.

  2. 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…

  3. Survival and Competitiveness of Bradyrhizobium japonicum Strains 20 Years after Introduction into Field Locations in Poland

    PubMed Central

    Narożna, Dorota; Pudełko, Krzysztof; Króliczak, Joanna; Golińska, Barbara; Sugawara, Masayuki; Mądrzak, Cezary J.

    2015-01-01

    It was previously demonstrated that there are no indigenous strains of Bradyrhizobium japonicum forming nitrogen-fixing root nodule symbioses with soybean plants in arable field soils in Poland. However, bacteria currently classified within this species are present (together with Bradyrhizobium canariense) as indigenous populations of strains specific for nodulation of legumes in the Genisteae tribe. These rhizobia, infecting legumes such as lupins, are well established in Polish soils. The studies described here were based on soybean nodulation field experiments, established at the Poznań University of Life Sciences Experiment Station in Gorzyń, Poland, and initiated in the spring of 1994. Long-term research was then conducted in order to study the relation between B. japonicum USDA 110 and USDA 123, introduced together into the same location, where no soybean rhizobia were earlier detected, and nodulation and competitive success were followed over time. Here we report the extra-long-term saprophytic survival of B. japonicum strains nodulating soybeans that were introduced as inoculants 20 years earlier and where soybeans were not grown for the next 17 years. The strains remained viable and symbiotically competent, and molecular and immunochemical methods showed that the strains were undistinguishable from the original inoculum strains USDA 110 and USDA 123. We also show that the strains had balanced numbers and their mobility in soil was low. To our knowledge, this is the first report showing the extra-long-term persistence of soybean-nodulating strains introduced into Polish soils and the first analyzing the long-term competitive relations of USDA 110 and USDA 123 after the two strains, neither of which was native, were introduced into the environment almost 2 decades ago. PMID:26048934

  4. 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

  5. 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.

  6. Radiographic findings on 3rd molars removed in 20-year-old men.

    PubMed

    Rajasuo, Ari; Peltola, Jaakko; Ventä, Irja; Murtomaa, Heikki

    2003-10-01

    In this study we assess radiographic findings characteristic of mandibular 3rd molars that had required either routine or surgical extraction. X-ray findings relating to acute pericoronitis were also examined. The material was collected by investigating patient records and rotational panoramic radiographs of 20-year-old Finnish male conscripts (n = 738) treated during military service because of 3rd-molar-related problems. The follicle around the crown of mandibular 3rd molars with acute pericoronitis was enlarged in 19% of cases and in 13% of chronic symptom-free pericoronitis cases (not statistically significant difference). Mandibular 3rd molars extracted surgically were more often mesially inclined than those extracted routinely (61% vs. 23%; P < 0.001), partially or totally intrabony impacted (92% vs. 66%; P < 0.001) and deep situated (on average 4.2 mm vs. 2.5 mm under the occlusal plane). Surgical extraction was also associated with the roots completely developed [92% vs. 84% of the teeth routinely extracted, odds ratio (OR) 2.6, 95% confidence interval (CI) 1.2-5.5] and with the absence of radiographic pericoronitis [around 27% vs. 39% of the teeth routinely extracted (OR 0.5, 95% CI 0.3-0.8)]. In 86% of cases the space between 2nd molar and ramus of the mandible was narrower than the 3rd molar extracted surgically, whereas this was 62% in routine extraction cases (P < 0.001). We conclude that there are some typical 3rd-molar findings in rotational panoramic radiographs that show a need for surgical extraction.

  7. Radiographic findings on 3rd molars removed in 20-year-old men.

    PubMed

    Rajasuo, Ari; Peltola, Jaakko; Ventä, Irja; Murtomaa, Heikki

    2003-10-01

    In this study we assess radiographic findings characteristic of mandibular 3rd molars that had required either routine or surgical extraction. X-ray findings relating to acute pericoronitis were also examined. The material was collected by investigating patient records and rotational panoramic radiographs of 20-year-old Finnish male conscripts (n = 738) treated during military service because of 3rd-molar-related problems. The follicle around the crown of mandibular 3rd molars with acute pericoronitis was enlarged in 19% of cases and in 13% of chronic symptom-free pericoronitis cases (not statistically significant difference). Mandibular 3rd molars extracted surgically were more often mesially inclined than those extracted routinely (61% vs. 23%; P < 0.001), partially or totally intrabony impacted (92% vs. 66%; P < 0.001) and deep situated (on average 4.2 mm vs. 2.5 mm under the occlusal plane). Surgical extraction was also associated with the roots completely developed [92% vs. 84% of the teeth routinely extracted, odds ratio (OR) 2.6, 95% confidence interval (CI) 1.2-5.5] and with the absence of radiographic pericoronitis [around 27% vs. 39% of the teeth routinely extracted (OR 0.5, 95% CI 0.3-0.8)]. In 86% of cases the space between 2nd molar and ramus of the mandible was narrower than the 3rd molar extracted surgically, whereas this was 62% in routine extraction cases (P < 0.001). We conclude that there are some typical 3rd-molar findings in rotational panoramic radiographs that show a need for surgical extraction. PMID:14763776

  8. 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

  9. 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.

  10. 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

  11. Study of EGNOS safety of life service during the period of solar maximum activity

    NASA Astrophysics Data System (ADS)

    Grzegorzewski, Marek; Swiatek, Anna; Oszczak, Stanislaw; Ciecko, Adam; Cwiklak, Janusz

    2012-12-01

    The Satellite Base Augmentation System (SBAS) - EGNOS (European Geostationary Navigation Overlay Service) has been certified for Safety of Life (SoL) service for aircraft navigation since 2nd of March 2011. Unfortunately for the territory of Poland, located at the edge of EGNOS service area, the quality of the service corrections are still not sufficient for aircraft navigation requirements. Years 2012 and 2013 are forecasted as a maximum of solar activity in a 11-year solar cycle. This time period will be the chance to perform the first tests for the EGNOS Safety of Life service quality in disturbed ionospheric conditions. During the previous maximum of solar activity, the storm on 30 October 2003 resulted in the inability to use WAAS corrections for more than 12 hours. This was caused by a very large gradient of disturbances and its' very sharp boundaries - vertical TEC (VTEC) varied from ~ 40 to ~ 120 TECU (TEC units) within an hour (over ~ 150 km distance). These circumstances gave the opportunity to carry out the test flights to examine the navigation parameters obtained for EGNOS SoL service in disturbed ionospheric conditions. The paper presents project proposal of study and analyses of such fundamental navigation parameters as: accuracy of determined position, availability, continuity and integrity, determined for selected disturbances in relation to quiet conditions. It can give a possibility to estimate of the quality of EGNOS SoL service in Polish airspace during the different phases of flight and its resistance to critical ionospheric conditions.

  12. 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…

  13. An Outcomes-Based Assessment of Quality of Life in Social Services

    ERIC Educational Resources Information Center

    Gomez, Laura Elisabet; Arias, Benito; Verdugo, Miguel Angel; Navas, Patricia

    2012-01-01

    The goal of this article consists of describing the calibration of an instrument to assess quality of life-related personal outcomes using Rasch analysis. The sample was composed of 3.029 recipients of social services from Catalonia (Spain) and was selected using a probabilistic polietapic sample design. Results related to unidimensionality, item…

  14. 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.

  15. 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…

  16. Life Histories of Music Service Teachers: The Past in Inductees' Present

    ERIC Educational Resources Information Center

    Baker, David

    2000-01-01

    This article discusses inductee music service teachers (to 25 years of age). It explores how their lives, as perceived, shape current identities in teaching and result in several career problems. Respondents were drawn from a comprehensive life history study of 28 Local Education Authority employees. Of this larger cohort, four were age 25 years…

  17. Advanced aircraft service life monitoring method via flight-by-flight load spectra

    NASA Astrophysics Data System (ADS)

    Lee, Hongchul

    This research is an effort to understand current method and to propose an advanced method for Damage Tolerance Analysis (DTA) for the purpose of monitoring the aircraft service life. As one of tasks in the DTA, the current indirect Individual Aircraft Tracking (IAT) method for the F-16C/D Block 32 does not properly represent changes in flight usage severity affecting structural fatigue life. Therefore, an advanced aircraft service life monitoring method based on flight-by-flight load spectra is proposed and recommended for IAT program to track consumed fatigue life as an alternative to the current method which is based on the crack severity index (CSI) value. Damage Tolerance is one of aircraft design philosophies to ensure that aging aircrafts satisfy structural reliability in terms of fatigue failures throughout their service periods. IAT program, one of the most important tasks of DTA, is able to track potential structural crack growth at critical areas in the major airframe structural components of individual aircraft. The F-16C/D aircraft is equipped with a flight data recorder to monitor flight usage and provide the data to support structural load analysis. However, limited memory of flight data recorder allows user to monitor individual aircraft fatigue usage in terms of only the vertical inertia (NzW) data for calculating Crack Severity Index (CSI) value which defines the relative maneuver severity. Current IAT method for the F-16C/D Block 32 based on CSI value calculated from NzW is shown to be not accurate enough to monitor individual aircraft fatigue usage due to several problems. The proposed advanced aircraft service life monitoring method based on flight-by-flight load spectra is recommended as an improved method for the F-16C/D Block 32 aircraft. Flight-by-flight load spectra was generated from downloaded Crash Survival Flight Data Recorder (CSFDR) data by calculating loads for each time hack in selected flight data utilizing loads equations. From

  18. Clinicopathological evaluation of renal allografts of four patients by 20-year protocol biopsies.

    PubMed

    Okamoto, Masahiko; Nobori, Shuji; Higuchi, Atsushi; Kadotani, Yayoi; Ushigome, Hidetaka; Nakamura, Kenji; Akioka, Kiyokazu; Omori, Yoshihiro; Yoshimura, Norio

    2003-01-01

    Twenty-year protocol biopsies were performed in four cases of renal transplant recipients with grafts that had survived 20 years or more. All four recipients received transplants from their parents, and never had episodes of acute rejection. They were maintained with the conventional immunosuppressive protocol including azathioprine, mizoribine, and prednisolone. Three of them had past history of malignant diseases such as breast cancer and tongue cancer. In spite of fair graft function, the microscopic findings of 20-year protocol biopsy showed various degrees of histological damage; e.g. obsolescence of the glomeruli, glomerulosclerosis, arteriole wall thickening, interstitial fibrosis and tubular atrophy. Although two of the four grafts were functioning with low serum creatinine levels (1.3-1.4 mg dL-1) at 24 years and 26 years following transplantation, respectively, the function of the other two grafts had decreased more than 20 years after transplantation. In the two grafts with decreased function, glomerulosclerosis and arteriole wall thickening tended to be more severe (Banff classification of chronic allograft nephropathy [CAN] grade II and III) at the 20-year protocol biopsy compared with the two well-functioning grafts (CAN grade I and II). We conclude that the protocol biopsies even at 20 years can contribute to predict the fate of renal allografts.

  19. 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.

  20. 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

  1. 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

  2. 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…

  3. Union Movement at Private Colleges Awakens after a 20-Year Slumber.

    ERIC Educational Resources Information Center

    Leatherman, Courtney

    2000-01-01

    Reviews trends in union organization at private colleges following the U.S. Supreme Court's decision 20 years ago denying bargaining rights to faculty at Yeshiva University (New York). Focuses on a recent decision by a labor official granting bargaining rights to faculty at Manhattan College (New York) and efforts by faculty organizers at Seton…

  4. Psychology Studies' Drive to Educational Reform in the Last 20 Years in China

    ERIC Educational Resources Information Center

    Zhang, Da-jun; Xu, Xing-chun

    2006-01-01

    In order to better understand the relationship between educational psychology research and educational reform, this essay reviews the development of educational psychology studies in the last 20 years in China. The study shows that: (1) Rapid development has been made in the areas of establishing discipline systems; (2) Research fields have been…

  5. Reading Recovery 20 Years down the Track: Looking Forward, Looking Back

    ERIC Educational Resources Information Center

    Reynolds, Meree; Wheldall, Kevin

    2007-01-01

    Reading Recovery is an intensive literacy programme designed for young students who have been identified as being at-risk of reading failure after 1 year of schooling. The intervention was developed and trialled in New Zealand over 20 years ago and is now implemented in a number of education systems. The focus of this article is on recent research…

  6. 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…

  7. Intraflagellar transport—the “new motility” 20 years later

    PubMed Central

    Kozminski, Keith G.

    2012-01-01

    Intraflagellar transport is the rapid, bidirectional movement of protein complexes along the length of most eukaryotic cilia and flagella. Discovery of this intracellular process in Chlamydomonas reinhardtii 20 years ago led to a rapid discovery of cellular mechanisms that underlie a large number of human ciliopathies. Described herein are the events that led to this discovery. PMID:22379118

  8. 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…

  9. Decreasing Sports Activity with Increasing Age? Findings from a 20-Year Longitudinal and Cohort Sequence Analysis

    ERIC Educational Resources Information Center

    Breuer, Christoph; Wicker, Pamela

    2009-01-01

    According to cross-sectional studies in sport science literature, decreasing sports activity with increasing age is generally assumed. In this paper, the validity of this assumption is checked by applying more effective methods of analysis, such as longitudinal and cohort sequence analyses. With the help of 20 years' worth of data records from the…

  10. 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…

  11. 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…

  12. 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.…

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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)…

  19. The Development of an African-Centered School--The First 20 Years

    ERIC Educational Resources Information Center

    Squire, Michelle Suzette

    2012-01-01

    This research study is a case study of the development of an African-centered school over a 20-year period. The study describes how the kindergarten-through-eighth-grade institution was established. Interview questions focused on: 1. Establishment of an African-centered institution 2. Challenges of setting up an African-centered institution 3.…

  20. Adult Children and Their Fathers: Relationship Changes 20 Years after Parental Divorce.

    ERIC Educational Resources Information Center

    Ahrons, Constance R.; Tanner, Jennifer L.

    2003-01-01

    Examines adult children's reports of relationship changes with their fathers were 20 years after their parents' divorce. Findings indicated that most adult children felt that their relationships with their fathers had either improved or remained stable over time. Custody did not directly affect reported changes in the quality of their relationship…

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. 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

  7. Life in acute mental health settings: experiences and perceptions of service users and nurses.

    PubMed

    Rose, D; Evans, J; Laker, C; Wykes, T

    2015-02-01

    Background. Acute psychiatric provision in the UK today as well as globally has many critics including service users and nurses. Method. Four focus groups, each meeting twice, were held separately for service users and nurses. The analysis was not purely inductive but driven by concerns with the social position of marginalised groups - both patients and staff. Results. The main themes were nurse/patient interaction and coercion. Service users and nurses conceptualised these differently. Service users found nurses inaccessible and uncaring, whereas nurses also felt powerless because their working life was dominated by administration. Nurses saw coercive situations as a reasonable response to factors 'internal' to the patient whereas for service users they were driven to extreme behaviour by the environment of the ward and coercive interventions were unnecessary and heavy handed. Conclusion. This study sheds new light on living and working in acute mental health settings today by comparing the perceptions of service users and nurses and deploying service user and nurse researchers. The intention is to promote better practice by providing a window on the perceptions of both groups. PMID:24330951

  8. 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…

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. Software and information life cycle (SILC) for the Integrated Information Services Organization

    SciTech Connect

    Eaton, D.; Cassidy, A.; Cuyler, D.; Eaton, S.; Joyce, S.; Kephart, E.; Thurston, I.; Schofield, J.; Knirk, D.

    1995-12-01

    This document describes the processes to be used for creating corporate information systems within the scope of the Integrated Information Services (IIS) Center. Issue B describes all phases of the life cycle, with strong emphasis on the interweaving of the Analysis and Design phases. This Issue B supersedes Issue A, which concentrated on the Analysis and Implementation phases within the context of the entire life cycle. Appendix A includes a full set of examples of the deliverables, excerpted from the Network Database. Subsequent issues will further develop these life cycle processes as we move toward enterprise-level management of information assets, including information meta-models and an integrated corporate information model. The phases described here, when combined with a specifications repository, will provide the basis for future reusable components and improve traceability of information system specifications to enterprise business rules.

  17. 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

  18. 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

  19. Research Service-Learning: Making the Academy Relevant Again

    ERIC Educational Resources Information Center

    Goss, Kristin A.; Gastwirth, David A.; Parkash, Seema G.

    2010-01-01

    For at least 20 years, American universities, political scientists, and college students have each been criticized for holding themselves aloof from public life. This article introduces a pedagogical method--research service-learning (RSL)--and examines whether it can provide a means of integrating scholarly theory with civic practice to enhance…

  20. Left lung agenesis discovered by a spontaneous pneumothorax in a 20-year-old girl

    PubMed Central

    Hentati, Abdessalem; Neifar, Chawki; Abid, Walid; M’saad, Sameh

    2016-01-01

    Lung agenesis is a rare condition which prognosis widely depends on associated malformations. Clinical presentation is so variable and diagnosis is often made in childhood. Here, we present a case of a 20-year-old girl who was admitted because of a spontaneous pneumothorax. Explorations concluded at a left lung agenesis, a hyperinflated right lung crossing the midline with a corresponding pneumothorax. There was no malformation else. This congenital condition and treatment for this rare presentation are discussed in detail. PMID:27051112

  1. Progressive paranoid psychosis in a 20-year-old with central congenital hypoventilation syndrome.

    PubMed

    Dranovsky, Alex; Needleman, Joshua P; Sylvester, Jessica; VanHeertum, Ronald; Muskin, Philip R

    2014-09-01

    A 20-year-old man with a history of congenital central hypoventilation syndrome presented with recent-onset psychosis, catatonia, and a diagnosis of schizophrenia. Psychiatric symptoms were resistant to conventional treatment. A fluorodeoxyglucose positron emission tomography scan of the brain obtained during the hospitalization revealed a hypometabolism distribution more consistent with hypoperfusion than with primary central nervous system disease. Increased mechanical ventilation was successfully used to treat the psychiatric symptoms.

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. A simple method to prolong the service life of radioactive sources for external radiotherapy.

    PubMed

    Xu, Yingjie; Tian, Yuan; Dai, Jianrong

    2014-01-01

    A radioactive source is usually replaced and disposed after being used for a certain amount of time (usually a half-life). In this study, a simple method is proposed to prolong its service life. Instead of replacing the used source with a new source of full activity, a new source of less activity is added in the source holder in front of the used one, so that the total activity of two sources is equal to the initial activity of the used source or even higher. Similarly, more sources can be added to the previous ones. Attenuation of front source(s) to the back source(s) was evaluated with exponential attenuation equation, and variation of source-focus distance (SFD) with inverse square law for Leksell 4C Gamma Knife, which served as an example of external radiotherapy units. When the number of front sources increased from 1 to 3, the relative air kerma decreased from 36.5% to 5.0%. Both the attenuation effect and SFD variation contributed to the decrease in air kerma, with the former being the major factor. If the height of the source can be decreased in some way, such as increasing the specific activity of sources, the sources can be used more efficiently. The method prolongs the service life of sources by several factors, and reduces the expense of source exchange and reclamation. PMID:25207406

  8. Prediction of service life of aircraft structural components using the half-cycle method

    NASA Technical Reports Server (NTRS)

    Ko, William L.

    1987-01-01

    The service life of aircraft structural components undergoing random stress cycling was analyzed by the application of fracture mechanics. The initial crack sizes at the critical stress points for the fatigue-crack growth analysis were established through proof load tests. The fatigue-crack growth rates for random stress cycles were calculated using the half-cycle method. A new equation was developed for calculating the number of remaining flights for the structural components. The number of remaining flights predicted by the new equation is much lower than that predicted by the conventional equation.

  9. 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.

  10. 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.

  11. [Verrucous carcinoma of the larynx. An analysis of 20 years of experience].

    PubMed

    López Amado, M; Lozano Ramírez, A; Labella Caballero, T

    1997-01-01

    Retrospective study about 10 verrucous carcinomas of the larynx surgically treated in a 20-year-term. This variety accounted por the 1.9 percent of the cancers seen in that period of time. Tabagism and alcoholism predominated in 8 and 6 patients respectively. Glottis was the localization and dysphony the paramount symptom. In the paper are emphasized the most important histologic features. Koilocytosis was present in 6 cases. Four patients developed a second tumor of epidermoid carcinoma type. No one exitus due to the verrucous growth. Only in 3 the death was attributed to the second malignancy. PMID:9199100

  12. 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

  13. Predicting in-service fatigue life of flexible pavements based on accelerated pavement testing

    NASA Astrophysics Data System (ADS)

    Guo, Runhua

    Pavement performance prediction in terms of fatigue cracking and surface rutting are essential for any mechanistically-based pavement design method. Traditionally, the estimation of the expected fatigue field performance has been based on the laboratory bending beam test. Full-scale Accelerated Pavement Testing (APT) is an alternative to laboratory testing leading to advances in practice and economic savings for the evaluation of new pavement configurations, stress level related factors, new materials and design improvements. This type of testing closely simulates field conditions; however, it does not capture actual performance because of the limited ability to address long-term phenomena. The same pavement structure may exhibit different response and performance under APT than when in-service. Actual field performance is better captured by experiments such as Federal Highway Administration's Long-Term Pavement Performance (LTPP) studies. Therefore, to fully utilize the benefits of APT, there is a need for a methodology to predict the long-term performance of in-service pavement structures from the results of APT tests that will account for such differences. Three models are generally suggested to account for the difference: shift factors, statistical and mechanistic approaches. A reliability based methodology for fatigue cracking prediction is proposed in this research, through which the three models suggested previously are combined into one general approach that builds on their individual strengths to overcome some of the shortcomings when the models are applied individually. The Bias Correction Factor (BCF) should account for all quantifiable differences between the fatigue life of the pavement site under APT and in-service conditions. In addition to the Bias Correction Factor, a marginal shifty factor, M, should be included to account for the unquantifiable differences when predicting the in-service pavement fatigue life from APT. The Bias Correction Factor

  14. 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),…

  15. 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,…

  16. 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.

  17. Life of refractories in service in a furnace for melting in a molten bath

    SciTech Connect

    Slovikovskii, V.V.; Birkle, G.V.B.; Eroshkina, V.I.; Nechistykh, G.A.; Tarasov, A.V.; Yakushev, V.K.

    1986-09-01

    This paper addresses the problem of the development of a lining wearing uniformly in service, providing a long service life, and promoting the occurrence of autogeneous processes. The lining design developed is proposed for use in the furnaces for melting in a molten bath at a copper melting plant. The refractories investigated were MP dense periclase, MPM fused periclase-based magnesite, KhM chrome-magnesite, PKhS periclase-chromite roof, PShS periclase-spinellide, PKhPP fused periclase-chromite-base periclase-chromite, KhPT heat resistant chromite-periclase, VG high alumina, and ShM chamotte. The properties of the refractories are presented. It was established that the periclase-chromite refractories produced from fused material show the greatest life in the lining of furnaces for melting in a molten bath. A method of production of fused chromite-periclase was developed and a designed combined lining of a furnace with the use of highly resistanct refractories was presented.

  18. 20 years TraumaRegister DGU(®): development, aims and structure.

    PubMed

    2014-10-01

    The TraumaRegister DGU(®) organisational and technical development has undergone an evolution process, which started 20 years ago. Currently, the management of the registry is under the management of the "AUC - Academy for Trauma Surgery" (infrastructure) and the "Sektion NIS" (scientific responsibility). The aim of the registry was to establish an inter-hospital quality assessment tool with the option to use the increasing database for scientific evaluations of acute care. Year after year and most recently with the obligatory participation of certified hospitals the number of participating hospitals has grown as well as the registered cases per annum. Recently, even hospitals from other countries joined the registry too. Starting with six German hospitals and 260 cases in 1993, 20 years later more than 600 hospitals from eleven countries deliver over 30,000 trauma cases per year resulting in over 150,000 reported cases until 2013. In this article a historical perspective is presented of the evolution and current status of the TraumaRegister DGU(®).

  19. 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.

  20. 20 years TraumaRegister DGU(®): development, aims and structure.

    PubMed

    2014-10-01

    The TraumaRegister DGU(®) organisational and technical development has undergone an evolution process, which started 20 years ago. Currently, the management of the registry is under the management of the "AUC - Academy for Trauma Surgery" (infrastructure) and the "Sektion NIS" (scientific responsibility). The aim of the registry was to establish an inter-hospital quality assessment tool with the option to use the increasing database for scientific evaluations of acute care. Year after year and most recently with the obligatory participation of certified hospitals the number of participating hospitals has grown as well as the registered cases per annum. Recently, even hospitals from other countries joined the registry too. Starting with six German hospitals and 260 cases in 1993, 20 years later more than 600 hospitals from eleven countries deliver over 30,000 trauma cases per year resulting in over 150,000 reported cases until 2013. In this article a historical perspective is presented of the evolution and current status of the TraumaRegister DGU(®). PMID:25284237

  1. 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…

  2. 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

  3. Maintaining a High Physical Activity Level Over 20 Years and Weight Gain

    PubMed Central

    Hankinson, Arlene L.; Daviglus, Martha L.; Bouchard, Claude; Carnethon, Mercedes; Lewis, Cora E.; Schreiner, Pamela J.; Liu, Kiang; Sidney, Stephen

    2013-01-01

    Context Data supporting physical activity guidelines to prevent long-term weight gain are sparse, particularly during the period when the highest risk of weight gain occurs. Objective To evaluate the relationship between habitual activity levels and changes in body mass index (BMI) and waist circumference over 20 years. Design, Setting, and Participants The Coronary Artery Risk Development in Young Adults (CARDIA) study is a prospective longitudinal study with 20 years of follow-up, 1985-86 to 2005-06. Habitual activity was defined as maintaining high, moderate, and low activity levels based on sex-specific tertiles of activity scores at baseline. Participants comprised a population-based multi-center cohort (Chicago, Illinois; Birmingham, Alabama; Minneapolis, Minnesota; and Oakland, California) of 3554 men and women aged 18 to 30 years at baseline. Main Outcome Measures Average annual changes in BMI and waist circumference Results Over 20 years, maintaining high levels of activity was associated with smaller gains in BMI and waist circumference compared with low activity levels after adjustment for race, baseline BMI, age, education, cigarette smoking status, alcohol use, and energy intake. Men maintaining high activity gained 2.6 fewer kilograms (+ 0.15 BMI units per year; 95 % confidence interval [CI] 0.11-0.18 vs +0.20 in the lower activity group; 95% CI, 0.17-0.23) and women maintaining higher activity gained 6.1 fewer kilograms (+0.17 BMI units per year; 95 % CI, 0.12-0.21 vs. +0.30 in the lower activity group; 95 % CI, 0.25-0.34). Men maintaining high activity gained 3.1 fewer centimeters in waist circumference (+0.52 cm per year; 95 % CI, 0.43-0.61 cm vs 0.67 cm in the lower activity group; 95 % CI, 0.60-0.75) and women maintaining higher activity gained 3.8 fewer centimeters (+0.49 cm per year; 95 % CI, 0.39-0.58 vs 0.67 cm in the lower activity group; 95 % CI, 0.60-0.75). Conclusion Maintaining high activity levels through young adulthood may lessen

  4. 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.

  5. 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

  6. 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.

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

    PubMed

    Potts, Jonathan R; Lewis, Mark A

    2014-06-01

    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

  9. Maintenance of recovery from schizophrenia at 20-year follow-up: what happened?

    PubMed

    Torgalsbøen, Anne-Kari; Rund, Bjørn Rishovd

    2010-01-01

    The present study reports longitudinal data on individuals who 20-years ago were fully recovered from previously diagnosed schizophrenia. Four subjects from the original sample consented and were interviewed at the present follow-up; data on two more subjects were secured elsewhere. A semistructured interview, the Positive and Negative Symptom Scale (PANSS) and Connor and Davidsons Resilience Scale (CD-RISC) were used to examine the psychosocial functioning and resilience of the subjects in the follow-up period. Out of the six subjects with a confirmed diagnosis of schizophrenia, two subjects were still fully recovered, one was recovered, one was in remission, one had a deteriorating course of illness, and one was deceased. The results indicate that full recovery was maintained for nearly half of the reexamined subjects when a criterion-based definition of full recovery is used. Good personality and attitudinal approaches (resilience) seem to play a role in sustaining recovery. PMID:20235619

  10. 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.

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

    PubMed

    Herman, Rod A; Price, William D

    2013-12-01

    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.

  12. 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.

  13. 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. PMID:24320653

  14. [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.

  15. Pustular psoriasis in childhood and adolescence: a 20-year single-center experience.

    PubMed

    Popadic, Svetlana; Nikolic, Milos

    2014-01-01

    Pustular psoriasis (PP) is rare in children. The small number of reported cases makes deciding on treatment and follow-up challenging. The current study was an evaluation of treatment approaches and courses of PP in 18 children diagnosed and followed over a 20-year period. From 1992 to 2011 we treated 1,447 children with psoriasis, 18 of whom had PP. Follow-up was 2 to 19 years. At the time of initial manifestation of PP, our patients were 1.5 months to 16 years old. Seven patients had a previous history of psoriasis vulgaris. Three children entered long-term remission after one pustular attack, 10 developed psoriasis vulgaris, 2 are currently under treatment, and 3 were lost to follow-up. Treatment with acitretin, cyclosporine, or methotrexate was efficacious and well tolerated. PP is rare, but according to our experience, it has a good prognosis in children.

  16. From the First Stars and Galaxies to the Epoch of Reionization: 20 Years of Computational Progress

    NASA Astrophysics Data System (ADS)

    Norman, Michael L.

    2016-06-01

    I give a progress report on computational efforts to reconstruct the first billion years of cosmic evolution beginning with the formation of the first generation of stars and galaxies, culminating in the complete photoionization of the intergalactic medium. After 20 years of intense effort, the picture is falling into place through the development and application of complex multiphysics numerical simulations of increasing physical complexity and scale on the most powerful supercomputers. I describe the processes that govern the formation of the first generation of stars, the transition to the second generation of stars, the assembly of the first galaxies, and finally the reionization of the universe. I discuss how these simulations guide the interpretation of relevant observations of the high redshift (and local) universe, along with some observational predictions of these simulations which will be tested with the next generation observatories.

  17. [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.

  18. Zollinger-Ellison syndrome. Spontaneous regression of advanced intra-abdominal metastases with 20 year survival.

    PubMed Central

    Davis, C E; Vansant, J H

    1979-01-01

    A 35-year-old man with the Zollinger-Ellison syndrome who is alive and well 20 years following diagnosis at age 15, is represented. At the initial operation for a bleeding duodenal ulcer a ZE tumor of the pancreas also was excised. After two additional ineffective ulcer operations, total gastrectomy was performed. At that time, retroperitoneal and peripancreatic metastases were noted, and several were removed. Three years later at laparotomy, extensive hepatic metastases were biopsied as well. Spontaneous remission occurred and when re-explored at age 34, after 14 years, no metastases were identifiable in any area. The serum gastrin level has remained elevated, casting doubt upon its value as a criterion for evaluation of tumor recurrence or activity. Other additional interesting aspects are discussed. The importance of elimination of the acid-secreting cells by total gastrectomy is emphasized. The patient remains well. Images Fig. 1. Fig. 3. Fig. 4. PMID:443914

  19. 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

  20. 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

  1. Gastric metastasis of renal cell carcinoma 20 years after radical nephrectomy

    PubMed Central

    Akay, Ebru; Kala, Mehtap; Karaman, Hatice

    2016-01-01

    Renal cell carcinomas account for 2–3% of malignant neoplasms in adults. The lung, soft tissues and bone represent the most frequent sites of distant metastasis in renal cell carcinoma. Gastric metastasis is rare. Our case was a 72-year-old man with complaints of fatigue and loss of appetite. In history, he had unergone radical nephrectomy due to renal cell carcinoma in 1993. A polypoid lesion was observed in upper gastrointestinal endoscopy. Histopathology of gastric biopsy specimen was reported as renal cell carcinoma. In English literature, there are 50 cases diagnosed as gastric metastasis from renal cell carcinoma. To date, there are only 4 cases with extremely late gastric metastasis of renal cell carcinoma. Herein, we present a rare case which underwent radical nephrectomy due to renal cell carcinoma and found to have gastric metastasis at 20. year of his follow-up. PMID:27274897

  2. 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

    2015-01-01

    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

  3. 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

  4. Effects of storage conditions on forensic examinations of blood samples and bloodstains stored for 20 years.

    PubMed

    Hara, M; Nakanishi, H; Yoneyama, K; Saito, K; Takada, A

    2016-01-01

    The effects of various storage conditions on blood identification tests, DNA degradation, and short tandem repeat (STR) typing were evaluated. Bloodstains stored at room temperature, 4 °C, -20 °C, and -80 °C for 20 years; blood samples stored at -20 °C and -80 °C for 20 years; and fresh blood samples were analyzed. Leuco-malachite-green testing, anti-human hemoglobin (Hb) testing (using immunochromatography), and tests for hemoglobin-beta (HBB) mRNA were performed as blood identification tests. DNA degradation was evaluated by quantifying the ratios of 305 and 129 base pair (bp) fragments to 41 bp fragments. STR typing was performed using an AmpFlSTR® Identifiler™ Plus PCR Amplification Kit. All samples were positive in leuco-malachite-green staining and anti-human Hb assays. HBB was not detected in blood samples stored at -20 °C or -80 °C, although this marker was detected in all bloodstains. As indicated by the ratio of 129:41 bp and 305:41 bp DNA fragments, DNA from bloodstains stored at room temperature or 4 °C were significantly degraded compared to DNA from all other samples. STR typing analyses revealed that a portion of the loci was undetected in bloodstains stored at room temperature. Therefore, to prevent DNA degradation during long-term storage, it is recommended that bloodstains and blood be stored at below -20 °C. In addition, because bloodstains are more suitable for detection of blood-specific mRNAs than blood sample, it is desirable that blood is stored as bloodstain for this method.

  5. Detection and Clinical Significance of Circulating Tumor Cells in Colorectal Cancer—20 Years of Progress

    PubMed Central

    Hardingham, Jennifer E; Grover, Phulwinder; Winter, Marnie; Hewett, Peter J; Price, Timothy J; Thierry, Benjamin

    2015-01-01

    Circulating tumor cells (CTC) may be defined as tumor- or metastasis-derived cells that are present in the bloodstream. The CTC pool in colorectal cancer (CRC) patients may include not only epithelial tumor cells, but also tumor cells undergoing epithelial–mesenchymal transition (EMT) and tumor stem cells. A significant number of patients diagnosed with early stage CRC subsequently relapse with recurrent or metastatic disease despite undergoing “curative” resection of their primary tumor. This suggests that an occult metastatic disease process was already underway, with viable tumor cells being shed from the primary tumor site, at least some of which have proliferative and metastatic potential and the ability to survive in the bloodstream. Such tumor cells are considered to be responsible for disease relapse in these patients. Their detection in peripheral blood at the time of diagnosis or after resection of the primary tumor may identify those early-stage patients who are at risk of developing recurrent or metastatic disease and who would benefit from adjuvant therapy. CTC may also be a useful adjunct to radiological assessment of tumor response to therapy. Over the last 20 years many approaches have been developed for the isolation and characterization of CTC. However, none of these methods can be considered the gold standard for detection of the entire pool of CTC. Recently our group has developed novel unbiased inertial microfluidics to enrich for CTC, followed by identification of CTC by imaging flow cytometry. Here, we provide a review of progress on CTC detection and clinical significance over the last 20 years. PMID:26605644

  6. 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

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

    PubMed

    Martin, Thomas E

    2007-02-01

    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

  8. Fault kinematics in the 1989 Loma Prieta rupture area during 20 years before that event

    SciTech Connect

    Seeber, L.; Armbruster, J.G. )

    1990-08-01

    The Loma Prieta (LP) compressional bend of the San Andreas fault zone (SAF) appears to be multi-stranded and vertically segmented; thus, faults in this segment other than the one that ruptured in 1989 may: (1) be the source of prior large events associated with this portion of the SAF and (2) be highly stressed after the 1989 LP event. The fault that ruptured in 1989 was remarkably aseismic during the preceding 20 years; seismicity occurred on some of the neighboring faults of the system, but others remained aseismic. The Lake Elsman burst of seismicity within 1.6 years of the main shock is on a set of secondary faults within the foot-wall of the rupture. The shallow ({le}5 km) portion of the SAF, morphologically and structurally characterized as steep and predominantly strike-slip, and the imbricate thrust zone to the northeast were also quiescent. These upper crustal faults may partition oblique motion accomplished by LP-like ruptures in the lower crust into fault-parallel (transcurrence) and fault-normal motion (convergence), respectively. While the overall level of seismicity in the region around LP increased over the 20 years before 1989, the level of seismicity (number of events) on the creeping portion of the SAF next to the LP segment decreased. Moreover, the level of background seismicity on this and other fault segments varied dramatically, both up and down, in conjunction with major regional earthquakes on other segments. Thus, improved models for precursory patterns of seismicity should account for mechanistically more realistic changes than simple seismicity increase or decrease everywhere around an impending rupture.

  9. 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.

  10. Clinical Features of Male Breast Cancer: Experiences from Seven Institutions Over 20 Years

    PubMed Central

    Hong, Ji Hyung; Ha, Kyung Sun; Jung, Yun Hwa; Won, Hye Sung; An, Ho Jung; Lee, Guk Jin; Kang, Donghoon; Park, Ji Chan; Park, Sarah; Byun, Jae Ho; Suh, Young Jin; Kim, Jeong Soo; Park, Woo Chan; Jung, Sang Seol; Park, Il Young; Chung, Su-Mi; Woo, In Sook

    2016-01-01

    Purpose Breast cancer treatment has progressed significantly over the past 20 years. However, knowledge regarding male breast cancer (MBC) is sparse because of its rarity. This study is an investigation of the clinicopathologic features, treatments, and clinical outcomes of MBC. Materials and Methods Clinical records of 59 MBC patients diagnosed during 1995-2014 from seven institutions in Korea were reviewed retrospectively. Results Over a 20-year period, MBC patients accounted for 0.98% among total breast cancer patients, and increased every 5 years. The median age of MBC patientswas 66 years (range, 24 to 87 years). Forty-three patients (73%) complained of a palpable breast mass initially. The median symptom duration was 5 months (range, 1 to 36 months). Mastectomy was performed in 96% of the patients. The most frequent histology was infiltrating ductal carcinoma (75%). Ninety-one percent of tumors (38/43) were estrogen receptor–positive, and 28% (11/40) showed epidermal growth factor receptor 2 (HER-2) overexpression. After curative surgery, 42% of patients (19/45) received adjuvant chemotherapy; 77% (27/35) received hormone therapy. Five out of ten patients with HER-2 overexpressing tumors did not receive adjuvant anti–HER-2 therapy, while two out of four patients with HER-2 overexpressing tumors received palliative trastuzumab for recurrent and metastatic disease. Letrozole was used for one patient in the palliative setting. The median overall survival durations were 7.2 years (range, 0.6 to 17.0 years) in patients with localized disease and 2.9 years (range, 0.6 to 4.3 years) in those with recurrent or metastatic disease. Conclusion Anti–HER-2 and hormonal therapy, except tamoxifen, have been underutilized in Korean MBC patients compared to female breast cancer patients. With the development of precision medicine, active treatment with targeted agents should be applied. Further investigation of the unique pathobiology of MBC is clinically warranted

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

    PubMed

    Panczyk, Mariusz

    2014-08-01

    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.

  12. 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.

  13. Effects of storage conditions on forensic examinations of blood samples and bloodstains stored for 20 years.

    PubMed

    Hara, M; Nakanishi, H; Yoneyama, K; Saito, K; Takada, A

    2016-01-01

    The effects of various storage conditions on blood identification tests, DNA degradation, and short tandem repeat (STR) typing were evaluated. Bloodstains stored at room temperature, 4 °C, -20 °C, and -80 °C for 20 years; blood samples stored at -20 °C and -80 °C for 20 years; and fresh blood samples were analyzed. Leuco-malachite-green testing, anti-human hemoglobin (Hb) testing (using immunochromatography), and tests for hemoglobin-beta (HBB) mRNA were performed as blood identification tests. DNA degradation was evaluated by quantifying the ratios of 305 and 129 base pair (bp) fragments to 41 bp fragments. STR typing was performed using an AmpFlSTR® Identifiler™ Plus PCR Amplification Kit. All samples were positive in leuco-malachite-green staining and anti-human Hb assays. HBB was not detected in blood samples stored at -20 °C or -80 °C, although this marker was detected in all bloodstains. As indicated by the ratio of 129:41 bp and 305:41 bp DNA fragments, DNA from bloodstains stored at room temperature or 4 °C were significantly degraded compared to DNA from all other samples. STR typing analyses revealed that a portion of the loci was undetected in bloodstains stored at room temperature. Therefore, to prevent DNA degradation during long-term storage, it is recommended that bloodstains and blood be stored at below -20 °C. In addition, because bloodstains are more suitable for detection of blood-specific mRNAs than blood sample, it is desirable that blood is stored as bloodstain for this method. PMID:26832383

  14. 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

  15. 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

  16. 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.

  17. Health-related quality of life and perceived need for mental health services in adolescent solid organ transplant recipients.

    PubMed

    Reed-Knight, Bonney; Loiselle, Kristin A; Devine, Katie A; Simons, Laura E; Mee, Laura L; Blount, Ronald L

    2013-03-01

    The purpose of the current investigation was to assess interest in mental health services among parents of adolescent solid organ transplant recipients and the relationship between parent perceived need for mental health services and patient health-related quality of life (HRQOL). Sixty-three parents rated interest in receiving 10 mental health services, and patient HRQOL ratings were gathered from adolescent transplant recipients and their parents. Ninety-four percent of parents expressed some level of interest in at least one of the proposed services, with over 40 % indicating maximum interest. Parents' perceived need for mental health services was inversely related to adolescent and parent reports of HRQOL on the behavior, mental health, family cohesion, and parental impact-emotional domains. Results suggest that parents of adolescent solid organ transplant recipients are interested in receiving mental health services for their families. Assessment of need for mental health services and HRQOL may inform the medical team of families requiring intervention.

  18. The Gulf War depleted uranium cohort at 20 years: bioassay results and novel approaches to fragment surveillance.

    PubMed

    McDiarmid, Melissa A; Gaitens, Joanna M; Hines, Stella; Breyer, Richard; Wong-You-Cheong, Jade J; Engelhardt, Susan M; Oliver, Marc; Gucer, Patricia; Kane, Robert; Cernich, Alison; Kaup, Bruce; Hoover, Dennis; Gaspari, Anthony A; Liu, Juan; Harberts, Erin; Brown, Lawrence; Centeno, Jose A; Gray, Patrick J; Xu, Hanna; Squibb, Katherine S

    2013-04-01

    During the 1991 GulfWar, U.S. service members were exposed to depleted uranium (DU) through friendly-fire incidents involving DU munitions and vehicles protected by DU armor. Routes of exposure to DU involved inhalation of soluble and insoluble DU oxide particles, wound contamination, and retained embedded DU metal fragments that continue to oxidize in situ and release DU to the systemic circulation. A biennial health surveillance program established for this group of Veterans by the U.S. Department of Veterans Affairs has shown continuously elevated urine DU concentrations in the subset of veterans with embedded fragments for over 20 years. While the 2011 assessment was comprehensive, few clinically significant U-related health effects were observed. This report is focused on health outcomes associated with two primary target organs of concern for long term effects of this combat-related exposure to DU. Renal biomarkers showed minimal DU-related effects on proximal tubule function and cytotoxicity, but significant biomarker results were observed when urine concentrations of multiple metals also found in fragments were examined together. Pulmonary tests and questionnaire results indicate that pulmonary function after 20 y remains within the clinical normal range. Imaging of DU embedded fragment-associated tissue for signs of inflammatory or proliferative reactions possibly associated with foreign body transformation or with local alpha emissions from DU was also conducted using PET-CT and ultrasound. These imaging tools may be helpful in guiding decisions regarding removal of fragments. PMID:23439138

  19. [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.

  20. [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. PMID:2305597

  1. Possibilities of increasing service life-power characteristics of heatpipe power and bimodal systems

    NASA Astrophysics Data System (ADS)

    Nikolaev, Yuri V.; Gontar, Alexander S.; Eremin, Stanislav A.; Kucherov, Raphael Y.; Lapochkin, Nikolai V.; Lebedev, Anatoli M.; Houts, Michael G.; Poston, David I.

    1999-01-01

    HBS and HPS versions using single-crystal tungsten or molybden alloys as a cladding of heat pipes joined outside the core of reactor with thermionic converters are considered. Solid solutions of uranium and tantalum carbides, uranium-zirconium carbonitride including cermet type with a matrix made of tungsten are also discussed as the fuels of HBS and HPS. A possibility to rise the heat pipes and thermionic converters service life up to 10 years at the operating temperature up to 1900 K by means of using of single crystal tungsten is shown. Application of carbide fuel ensure possibility to increase operational temperature of the fuel elements and corresponding increase of specific impulse HBS up to 800-850 sec.

  2. 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.

  3. Using electrochemical protection to prolong service life of scrubbers and associated equipment

    SciTech Connect

    Shim, W.W.; Dillie, E.R.

    1998-12-31

    Austenitic chromium-nickel-molybdenum-iron alloys (904L, 316L, 317L, etc.) used to construct Flue Gas Desulfurization (FGD) scrubbers and associated equipment in coal fired generating stations can experience localized corrosion. The problem may be alleviated by using more costly materials such as higher grades of stainless steel or high nickel alloys. An alternative and more cost-effective method of prolonging equipment service life is the use of Papritection{reg_sign}, an electrochemical protection system (EP). Weight-loss coupon results in environments similar to FGD scrubbers have shown that the use of electrochemical protection prolongs the life of stainless steels in oxidizing acid-chloride environments by an average of 3 to 5 times. This paper discusses an EP system that was recently supplied to an electric power utility company to protect a 316L thin metallic lined (wallpapered) FGD scrubber reaction tank. Acidic effluent from the absorber section of the scrubber is piped into this reaction tank for limestone neutralization and hence formation of calcium sulfate. Inspection of the protected reaction tank after one year of operation as well as in-situ coupon test results indicated that the EP system was very effective in mitigating localized corrosion of the scrubber reaction tank. The results are presented in this paper.

  4. Life Estimation and Creep Damage Quantification of Service Exposed Reformer Tube

    NASA Astrophysics Data System (ADS)

    Raj, A.; Roy, N.; Roy, B. N.; Ray, A. K.

    2015-11-01

    This paper deals with evaluation of creep damage of ~11 years service exposed primary hydrogen reformer tube made of HP-40 grade of steel in a petrochemical industry, which has been carried out in terms of Kachanav's continuum damage mechanics (CDM) model (K-model) and Bogdanoff model (B-model) based on Markov process. Residual life of the tubes was estimated based on hot tensile, conventional creep deformation under identical test conditions, optical microscopy and fractography. Accumulation of damage due to creep has been quantified through microstructural studies. The as received tubes did not reveal any degradation in the material like creep cavitation or voids, but there was indeed loss of tensile strength from room temperature to 870°C for the bottom portion of the tube due to ageing and overheating. Scatter in creep deformation behaviour of the material is probably due to variation in mode of fracture and scatter in voids. From statistical point of view, Weibull distribution pattern for analysing probability of rupture due to void area shifts with increase in true strain towards the higher population of void. The estimation of mean time to reach a specific damage state from K- model and B-model is in close agreement with that of experimental data and can describe the sudden changes of the creep damage in the tertiary region as well. A remnant life of >10 years is estimated at the operating stress-temperature conditions of the top as well as bottom portion of the tube.

  5. 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.

  6. 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.

  7. 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

  8. 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

    ... 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...

  9. 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.

  10. Influence of float and charge voltage adjustment on the service life of AGM VRLA batteries depending on the conditions of use

    NASA Astrophysics Data System (ADS)

    Muneret, X.; Gobé, V.; Lemoine, C.

    Valve-regulated lead-acid (VRLA) batteries with absorptive glass mat (AGM) separators have been in use for over 20 years in different standby applications. These applications are increasingly varied, especially regarding environmental conditions. Standby batteries are not only for use in applications where conditions are strictly defined and controlled (air conditioning) and it is therefore necessary to review and clarify the key parameters for the use of VRLA batteries with respect to the optimum conditions. Several series of chemical and electrochemical reactions occur in VRLA batteries particularly when in a charge or float charge condition. These reactions give specific properties such as minimal water loss (low maintenance) but also create specific precautions for use. VRLA battery functioning is limited by four main phenomena that are positive grid corrosion, irreversible active mass sulfation, active mass degradation by cycling and dry-out by loss of water. Positive grid corrosion is the usual failure mode in float operation or due to persistent overcharge. Irreversible active mass sulfation occurs due to lack of charge. In cycling, dependent upon the frequency and depth of discharge, the active mass undergoes numerous structural changes that cause degradation. These four limiting phenomena define a framework inside which several parameters determine the service life of VRLA batteries. These parameters are commissioning, temperature, and frequency and depth of discharge. Commissioning is necessary to equalise and fully charge the cells before use. Temperature, and temperature dispersion, is the main factor determining the rate of corrosion. The frequency and depth of discharge determine how the active mass is utilised. This paper, by considering these parameters both qualitatively and quantitatively, attempts to indicate how and why to adjust the charge and float voltages to optimise the use of AGM VRLA batteries according to the environmental conditions.

  11. Hydrographic changes during 20 years in the brine-filled basins of the Red Sea

    NASA Astrophysics Data System (ADS)

    Anschutz, Pierre; Blanc, Gérard; Chatin, Fabienne; Geiller, Magali; Pierret, Marie-Claire

    1999-10-01

    Many of the deep basins filled by hot brines in the Red Sea have not been investigated since their discovery in the early 1970s. Twenty years later, in September 1992, six of these deeps were revisited. The temperature and salinity of the Suakin, Port Sudan, Chain B, and Nereus deeps ranged from 23.25 to 44.60°C and from 144 to 270‰. These values were approximately the same in 1972, indicating that the budget of heat and salt was quite balanced. We measured strong gradients of properties in the transition zone between brines and overlying seawater. The contribution of salinity to the density gradient was more than one order of magnitude higher than the opposite contribution of temperature across the seawater-brine interface. Therefore the interface was extemely stable, and the transfer of properties across it was considered to be controlled mostly by molecular diffusion. We calculate that the diffusional transport of salt from the brines to seawater cannot affect significantly the salinity of the brines over a 20 year period, which agrees with the observations. The brine pools can persist for centuries with no salt input. Therefore, the persisence of brines does not correspond to a steady balance between diffusional loss and continuous input of hydrothermal solutions. Deeps that experience only episodical hydrothermal brine supplies may persist for a long time with salt inherited from past inputs. The theoretical loss of heat by diffusion from the brine to seawater was higher than the observed decrease in temperature of the brine pool during the 20 year period of observation. We calculated that the heat flux out of the pools into the overlying seawater was compensated by a heat flux into the pools of about 250-600 mW/m 2. This range of values corresponds to bottom heat flow values that have been reported earlier for the axial zone of the Red Sea. In contrast to the other brine pools, the temperature and salinity of the Valdivia Deep brine increased by 4.1°C and

  12. 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

  13. 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

  14. 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.

  15. Severe Hydronephrosis and Dysuria-Hematuria Syndrome after 20 Years of Bladder Exstrophy Correction: A Case Report

    PubMed Central

    Altobelli, Emanuela; Bove, Alfredo Maria; Sergi, Federico; Zullo, Marzio Angelo; Buscarini, Maurizio

    2012-01-01

    The aim of this paper is to report a case of severe hydronephrosis and incontinence 20 years after bladder exstrophy repair, managed successfully by secondary ureteroneocystostomy and by transurethral submucosal injection of Macroplastique. PMID:23198264

  16. Termite (order Blattodea, infraorder Isoptera) baiting 20 years after commercial release.

    PubMed

    Evans, Theodore A; Iqbal, Naeem

    2015-07-01

    Termite baiting is now one of the two main management tools in developed countries after 20 years of commercial release. It has two main goals: to use small amounts of active ingredient and 'colony elimination', i.e. death of all individuals in the colony. We consider how well baiting has been evaluated from 100 studies in the scientific literature. Studies have included 15 active ingredients, 23 termite species and 16 countries, yet most studies have focused on the chitin synthesis inhibitor hexaflumuron, Reticulitermes and the United States. Baiting has mostly met its goals: typically about 0.5 g of active ingredient was used, and colony elimination achieved, albeit with rates varying from 0 to 100%, and sometimes supplemented with liquid insecticide. Baiting was most successful using chitin synthesis inhibitors against Reticulitermes and Coptotermes (Rhinotermitidae), in temperate locations, although colony elimination was usually inferred indirectly - mostly by termite absence from baits - and was often slow, from 25 to 450 days. Baiting has been less tested and less successful against higher termites in tropical locations, where they are most diverse and abundant. Future research may have to consider greater termite species diversity and other active ingredients to reduce control times in order to fulfil the potential of baiting. PMID:25244627

  17. The evolution of complementary and alternative medicine (CAM) in the USA over the last 20 years.

    PubMed

    Jonas, Wayne B; Eisenberg, David; Hufford, David; Crawford, Cindy

    2013-01-01

    Medical practices that reside outside the mainstream medical structures have existed for centuries, often waxing and waning in prominence and use for various reasons. Recently, there has been a resurgence in interest and use of such practices in the USA generally referred to under the label of 'complementary and alternative medicine' (CAM). In this article we summarize some of the highlight events that punctuated this resurgence over the last 20 years. As in the past, social forces affecting these trends circulate around power, resources, and scope of practice. However, a prominent feature of this dynamic is a discussion about the role of science and 'evidence-based medicine' in addressing pluralistic healthcare-related practices. In the early years of this period, attempts to formulate the place of CAM practices as they relate to epistemology, nonconventional assumptions about health and healing, and the complexity of understanding 'whole systems' were discussed and often examined. Less attention is being paid to those core assumptions in more recent times. The focus now seems to be on how CAM practices can be judiciously and effectively 'integrated' into mainstream medicine. Examples of how this dynamic is evolving are described.

  18. 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

  19. Tobacco interests or the public interest: 20 years of industry strategies to undermine airline smoking restrictions

    PubMed Central

    Lopipero, Peggy Ann; Bero, Lisa A

    2006-01-01

    Objectives To understand the evolution of 20 years of tobacco industry strategies to undermine federal restrictions of smoking on aircraft in the United States. Design We searched and analysed internal tobacco industry records, public documents, and other related research. Results The industry viewed these restrictions as a serious threat to the social acceptability of smoking. Its initial efforts included covert letter‐writing campaigns and lobbying of the airline industry, but with the emergence of proposals to ban smoking, the tobacco companies engaged in ever increasing efforts to forestall further restrictions. Tactics to dominate the public record became especially rigorous. The industry launched an aggressive public relations campaign that began with the promotion of industry sponsored petition drives and public opinion surveys. Results from polling research that produced findings contrary to the industry's position were suppressed. In order to demonstrate smoker outrage against a ban, later efforts included the sponsorship of smokers' rights and other front groups. Congressional allies and industry consultants sought to discredit the science underlying proposals to ban smoking and individual tobacco companies conducted their own cabin air quality research. Faced with the potential of a ban on all domestic flights, the industry sought to intimidate an air carrier and a prominent policymaker. Despite the intensification of tactics over time, including mobilisation of an army of lobbyists and Congressional allies, the tobacco industry was ultimately defeated. Conclusions Our longitudinal analysis provides insights into how and when the industry changed its plans and provides public health advocates with potential counterstrategies. PMID:16885582

  20. 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

  1. Annular Pancreas: A Cause of Gastric Outlet Obstruction in a 20-Year-Old Patient

    PubMed Central

    Alahmadi, Raha; Almuhammadi, Saud

    2014-01-01

    Patient: Female, 20 Final Diagnosis: Annular pancreas Symptoms: Food intolerance • vomiting Medication:— Clinical Procedure: — Specialty: Gastroenterology and Hepatology Objective: Congenital defects/diseases Background: Annular pancreas is a congenital anomaly that consists of a ring of pancreatic tissue partially or completely encircling the descending portion of the duodenum. It is formed due to the failure of the ventral bud to rotate, thus it elongates and encircles the upper part of the duodenum. It can present in a wide range of clinical severities, and can affect neonates to the elderly, making it difficult to diagnosis. Although diagnosis of annular pancreas can be made pre-operatively by upper GI series, upper GI endoscopy, or CT scan, 40% of diagnoses require surgery for confirmation. Case Report: We report the case of a 20-year-old woman presenting with history of vomiting and weight loss since childhood. We present the clinical characteristics, surgical management in the form of bypass procedure done through a duodenojujenostomy, and follow-up of the patient. Conclusions: Annular pancreas occasionally presents in adults. Variable presentations have been described in the literature, including pancreatic neoplasm, pancreatitis, obstructive jaundice, duodenal obstruction, and peptic ulcer diseases. Most studies of these lesions are single case reports or small series, which do not allow a surgeon to accumulate extensive experience; therefore, reliance on the combined experience of others in recognition and appropriate management has been the norm. PMID:25300027

  2. Termite (order Blattodea, infraorder Isoptera) baiting 20 years after commercial release.

    PubMed

    Evans, Theodore A; Iqbal, Naeem

    2015-07-01

    Termite baiting is now one of the two main management tools in developed countries after 20 years of commercial release. It has two main goals: to use small amounts of active ingredient and 'colony elimination', i.e. death of all individuals in the colony. We consider how well baiting has been evaluated from 100 studies in the scientific literature. Studies have included 15 active ingredients, 23 termite species and 16 countries, yet most studies have focused on the chitin synthesis inhibitor hexaflumuron, Reticulitermes and the United States. Baiting has mostly met its goals: typically about 0.5 g of active ingredient was used, and colony elimination achieved, albeit with rates varying from 0 to 100%, and sometimes supplemented with liquid insecticide. Baiting was most successful using chitin synthesis inhibitors against Reticulitermes and Coptotermes (Rhinotermitidae), in temperate locations, although colony elimination was usually inferred indirectly - mostly by termite absence from baits - and was often slow, from 25 to 450 days. Baiting has been less tested and less successful against higher termites in tropical locations, where they are most diverse and abundant. Future research may have to consider greater termite species diversity and other active ingredients to reduce control times in order to fulfil the potential of baiting.

  3. 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

  4. Evaluation of study patients with Lyme disease, 10-20-year follow-up.

    PubMed

    Kalish, R A; Kaplan, R F; Taylor, E; Jones-Woodward, L; Workman, K; Steere, A C

    2001-02-01

    To determine the long-term impact of Lyme disease, we evaluated 84 randomly selected, original study patients from the Lyme, Connecticut, region who had erythema migrans, facial palsy, or Lyme arthritis 10-20 years ago and 30 uninfected control subjects. The patients in the 3 study groups and the control group did not differ significantly in current symptoms or neuropsychological test results. However, patients with facial palsy, who frequently had more widespread nervous system involvement, more often had residual facial or peripheral nerve deficits. Moreover, patients with facial palsy who did not receive antibiotics for acute neuroborreliosis more often now had joint pain and sleep difficulty and lower scores on the body pain index and standardized physical component sections of the Short-Form 36 Health Assessment Questionnaire than did antibiotic-treated patients with facial palsy. Thus, the overall current health status of each patient group was good, but sequelae were apparent primarily among patients with facial palsy who did not receive antibiotics for acute neuroborreliosis.

  5. Mirror neurons (and beyond) in the macaque brain: an overview of 20 years of research.

    PubMed

    Casile, Antonino

    2013-04-12

    Mirror neurons are a class of neurons in the ventral pre-motor cortex (area F5) and inferior parietal lobule (area PFG) that respond during the execution as well as the observation of goal-directed motor acts. These intriguing response properties stirred an intense debate in the scientific community with respect to the possible cognitive role of mirror neurons. The aim of the present review is to contribute to this debate by providing, in a single paper, an extended summary of 20 years of neurophysiological research on mirror neurons in the macaque. To this end, I provide a comprehensive description of the methodology and the main results of each paper about mirror neurons published since their first report in 1992. Particular care was devoted in reporting the different response characteristics and the percentages of neurons exhibiting them in relation to the total number of studied neurons. Furthermore, I also discuss recent results indicating that mirror neurons might not be confined to areas F5 and PFG and that "mirroring" might not be limited to action observation. Finally, I offer a unifying framework for many of the results discussed here by speculating that a potential functional role of mirror neurons might be, during action observation, to generalize from the particular grasping movement being observed to the "concept" of grasping.

  6. 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.

  7. 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.

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

    PubMed

    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

  9. 20 years of reprocessed Lyapunov Exponents from altimetry available on AVISO+

    NASA Astrophysics Data System (ADS)

    Pujol, Marie-Isabelle; Faugere, Yannice; D'Ovidio, Francesco; Morrow, Rosemary; Bronner, Emilie; Picot, Nicolas

    2015-04-01

    Altimetry-derived maps of Lyapunov exponents (LEs) provide proxies of (sub-)mesoscale transport fronts. They are being increasingly used in physical, biogeochemical, and ecological applications, ranging from real-time support to field studies to co-localisation of animal tracking with Lagrangian Coherent Structures. Their calculation however is more complex than standard Eulerian diagnostics, because it requires a Lagrangian algorithms which integrates the velocity field. During the past 20 years, in parallel with the altimeter measurement Level2 (a.k.a [O/I]GDR) to Level3 and Level4 (along-track cross-calibrated SLA, and multiple sensor merged maps) processing, different applications and derivated Level4+ products were developed by AVISO+. In order to better serve the users need, and in collaboration with different laboratories (LOCEAN and CTOH), the LEs and vectors are computed over the 21-year altimeter period and over the global ocean within the SSALTO/DUACS project. This product provides the position, and intensity, and orientation of fronts induced by the mesoscale eddies and underlining part of sub-mesoscale activity. We present here the Lyapunov products that will be available on AVISO+ early 2015, and some examples of applications.

  10. 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

  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. Susac's Syndrome in a Patient Diagnosed with MS for 20 Years: A Case Report.

    PubMed

    Nazliel, Bijen; Akyol, Asli; Zeynep Batur Caglayan, Hale; Yildirim-Capraz, Irem; Irkec, Ceyla

    2014-01-01

    Susac's syndrome is an uncommon neurologic disorder of unknown cause. It has been described as a clinical triad of encephalopathy, hearing loss, and branch retinal artery occlusions. Clinically the diagnosis is difficult when the patient presents only a portion of a triad. We present a case with vision loss and sensorineural deafness and who had been diagnosed with MS for 20 years. Susac's syndrome is presumed to be an autoimmune endotheliopathy. Neurologic symptoms and signs are diffuse and multifocal, acute or subacute in onset, and progress during the active phase of the disease. In some patients the onset was stroke like and in others that of subacute dementia. Headache, often with migrainous features, was a prominent feature initially in more than one half of the patients. A high index of suspicion leading to correct diagnosis and early appropriate therapy may reduce the permanent sequel seen with this disease. Misdiagnosis is common. In patients in whom diagnosis and treatment are delayed permanent morbidity is higher in terms of visual loss, hearing loss, and neurologic debility. In patients in whom rapid diagnosis has led to early administration of immunosuppressive therapy, recovery can be almost complete. PMID:24716016

  13. [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.

  14. 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. PMID:26944215

  15. The European College of Veterinary Surgeons 1991-2011: a 20-year success story.

    PubMed

    Auer, Jörg A

    2011-08-01

    The first meeting leading to the formation of the European College of Veterinary Surgeons (ECVS) was held August 30/31, 1990 in Lenzburg, Switzerland. Specialists in small animal and large animal surgery from practice and academicians from many European countries were invited. The constitution was developed based on that of the American College of Veterinary Surgeons (ACVS). ECVS was founded during the ACVS European Surgical Forum in Nice in 1991. The provisional Board elected at this meeting stayed active during the initial 4 years to provide stability. For the 146 Charter Members to become a Diplomate, they had to pass an examination. Therefore, the ECVS is the only Specialty College that does not have a "Grand Father Clause." In 2000 ECVS, was the first College to acquire full recognition-status by the European Board of Specialization (EBVS), which underlines the leading role the surgeons play in the development of the European veterinary specialty colleges. Like its American Sister College, ECVS maintains high standards for surgical training programs for Residents and administers rigorous certifying examinations. It is appropriate to recall the facts that lead to foundation of ECVS on its 20-year anniversary.

  16. 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.

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

    PubMed

    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.

  18. Transconjunctival Approach for Zygomatic Fracture: A Single Surgeon’s Experience of More Than 20 Years

    PubMed Central

    Watanabe, Hidetaka; Masumoto, Kazuyuki; Chuman, Takahiro; Satake, Yoshiyasu; Yanai, Tetsu; Harada, Yoshimi; Ishihara, Yasuhiro; Kikuchi, Mamoru

    2016-01-01

    Background: To let experts evaluate a single surgeon’s experience with a combined transconjunctival and intraoral upper vestibular approach in the repair of zygomatic fractures encountered in 46 East Asian patients whom he treated over the past 20 years. Methods: Patients were identified from a database, and a retrospective case note review was conducted. A total of 67 conjunctival and secondary incisions were made on 46 patients for repair of zygomatic fractures. All operative procedures were performed using a combination of transconjunctival and intraoral upper vestibular approaches to repair zygomatic fractures. Results: The infraorbital rim and/or lateral buttress and/or lateral orbit was stabilized with titanium miniplates in 28 patients and absorbable miniplates in 11 patients. Seven patients required only reduction technique with no need of plates. Four cases needed additional canthotomy besides a conjunctival approach. No ectropion or entropion developed in any of the patients. Complications included eyelid laceration during surgery (n = 1), herniation of the conjunctiva (n = 1), temporary pyogenic granuloma of the conjunctiva after surgery (n = 1), and temporary entropion in a secondary incision (n = 1). Conclusions: A combined transconjunctival and intraoral upper vestibular approach in repairing zygomatic fractures is simple, easy, and effective, leaving no conspicuous facial scars. It is vitally important, however, that the surgeon masters the technique of transconjunctival approach well before he has good results in East Asian patients. PMID:27482496

  19. [Clinical study of parotid tumors: a 20 year statistical analysis of 633 cases].

    PubMed

    Kakimoto, S; Iwai, H; Kumazawa, H; Nakamura, A; Yukawa, H; Baba, K; Asako, M; Yamashita, T

    1999-06-01

    During the 20 years from 1977 to 1996, 633 cases underwent excisions of parotid tumors (539 benign and 94 malignant) in the department of Otolaryngology of Kansai Medical University. The incidence of Warthin's tumors in the years from (1987 to 1996) was higher than that in the years from 1977 to 1986. On the other hand, the incidence of mucoepidermoid carcinomas was less than in previous reports. Tumors accompanied with spontaneous pain or facial nerve palsy and with invasion to both lobes frequently indicated malignancy. Facial nerve palsy caused by either benign or malignant tumors before operation showed no improvement after surgery. The incidences of facial nerve palsy (1.0% in benign, and 18.3% in malignant) and Frey's syndrome (17.8% in benign, and 18.3% in malignant) after surgery were lower than those in other reports of both benign and malignant tumors. Five-year mortality was 76.1%. All deaths that occurred five years after operation involved highly grade malignant tumors. PMID:10429434

  20. Choledochal cysts in infants and children: experiences over a 20-year period at a single institution.

    PubMed

    Hung, Min-Hsuan; Lin, Lung-Huang; Chen, Der-Fang; Huang, Ching-Shui

    2011-09-01

    This analysis was undertaken to compare the clinicopathological features of infants with choledochal cysts to those of older children with these entities and to evaluate the surgical outcomes for both subject groups. The medical records of all children admitted to the Cathay General Hospital with choledochal cysts over a 20-year period were retrospectively reviewed. Twenty-five subjects were included and divided into the infant (<1 year at presentation; 8 subjects) and classical pediatric (1-18 years at presentation; 17 subjects) groups. Anatomical subtypes were: IA (16), IC (6), and IVA (3). The median biliary amylase value was markedly elevated for the pediatric group but not for the infant group. Most (82.4%) patients in the pediatric group, but none in the infant group, presented with abdominal pain. Jaundice and clay-colored stool were present in all patients in the infant group but only 35% of those in the pediatric group. All patients underwent choledochocystectomy and Roux-en-Y hepaticojejunostomy with good outcomes. Neonates/infants with choledochal cysts present differently from older children with these entities. Amylase measurements may serve to distinguish biliary atresia with cystic dilatation from choledochal cyst in neonates/infants. Prognosis following radical cyst excision and reconstruction with Roux-en-Y hepaticojejunostomy is excellent. PMID:21350805

  1. A 20-year H2O maser monitoring program with the Medicina 32-m telescope

    NASA Astrophysics Data System (ADS)

    Brand, J.; Felli, M.; Cesaroni, R.; Codella, C.; Comoretto, G.; Di Franco, S.; Massi, F.; Moscadelli, L.; Nesti, R.; Olmi, L.; Palagi, F.; Palla, F.; Panella, D.; Valdettaro, R.

    2007-03-01

    The Arcetri/Bologna H2O maser group has been monitoring the 1.3-cm water maser emission from a sample of 43 star-forming regions (SFRs) and 22 late-type stars for about 20 years at a sampling rate of 4-5 observations each year, using the 32-m Medicina Radio Telescope (HPBW 1.‧9 at 22 GHz). For the late-type stars we observe representative samples of OH/IR-stars, Mira's, semi-regular variables, and supergiants. The SFR-sample spans a large interval in FIR luminosity of the associated Young Stellar Object (YSO), from 20 L to 1.5 × 106 L, and offers a unique data base for the study of the long-term (years) variability of the maser emission in regions of star formation. This presentation concerns only the masers in SFRs. The information obtained from single-dish monitoring is complementary to what is extracted from higher-resolution (VLA and VLBI) observations, and can better explore the velocity domain and the long-term variability therein. We characterize the variability of the sources in various ways and we study how it depends on the luminosity and other properties of the associated YSO and its environment.

  2. 20 years of ECRH at W7-A and W7-AS

    NASA Astrophysics Data System (ADS)

    Erckmann, V.; Laqua, H. P.; Maaßberg, H.; Marushchenko, N. B.; Kasparek, W.; Müller, G. A.

    2003-11-01

    Basic research on high-power ECRH started 20 years ago at IPP using 28 GHz pulses with 200 kW for 40 ms at the W7-A stellarator. These pilot experiments triggered a strong activity of exploration of the unique capabilities of localized heating and current drive. The achievements in physics were strongly linked with progress in source and transmission line technology. The capability and versatility of ECRH are reviewed using W7-A and W7-AS as example experiments; the latter was shut down on July 31, 2002. The milestone achievements are discussed. Standard heating scenarios such as O-mode and X-mode as well as advanced scenarios like mode-conversion heating via the O-X-B process at different harmonics were investigated and selected results are presented. First experiments with current drive by Bernstein-waves are reported. The physics of wave interaction with stellarator-specific trapped particle populations is discussed. The results from W7-A and W7-AS establish the experimental and technological bases for the 10 MW, CW ECRH system at W7-X, which aims to demonstrate the inherent steady-state capability of stellarators.

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

    PubMed

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

    2014-07-01

    The U.S. Census shows that the racial-ethnic makeup 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 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 to 2009) containing 133 separate studies focused on multiracial individuals, primarily from 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, and socioeconomic status; (b) major thematic trends in research topics concerning multiracial populations; and (c) implications and recommendations for future studies.

  4. A systematic review of 1143 parapharyngeal space tumors reported over 20 years.

    PubMed

    Riffat, Faruque; Dwivedi, Raghav C; Palme, Carsten; Fish, Brian; Jani, Piyush

    2014-05-01

    Parapharyngeal space tumours are rare and most clinicians will only see a small number during their career. We performed a systematic review of 1143 parapharyngeal space tumors published in the past 20 years to increase cumulative experience. A systematic literature review was performed and data on histological diagnosis, presentation, surgical approach and postoperative complications of cases published between 1989 and 2009 were compiled and reviewed. The systematic review identified a total of 1143 parapharyngeal space tumors presented in 17 studies. A majority (82%) were benign and 18% were malignant. The most common presentation was a cervical mass (50%) or an intraoral mass (47%). Approximately 70 different histologic subtypes of parapharyngeal space tumors were reported in the cumulative series. The most common primary lesion was a pleomorphic adenoma (34%). Ninety-five percent of patients underwent surgery. The most frequent approach and used to excise the lesions was the cervical approach (48%) and the commonest complication was the vagus nerve injury seen in 14% of the cases.

  5. Short Implants in Partially Edentuolous Maxillae and Mandibles: A 10 to 20 Years Retrospective Evaluation

    PubMed Central

    Lops, Diego; Bressan, Eriberto; Pisoni, Gianluca; Cea, Niccolò; Corazza, Boris; Romeo, Eugenio

    2012-01-01

    Purpose. Evaluation of the short implant (8 mm in height) long-term prognosis and of the implant site influence on the prognosis. Methods. A longitudinal study was carried out on 121 patients (57 males and 64 females) consecutively treated with 257 implants. 108 implants were short. Results. Four (3.6%) short implants supporting fixed partial prostheses failed. Similarly, three standard implants supporting fixed partial prostheses and one supporting single-crown prosthesis failed. Mean marginal bone loss (MBL) and probing depth (PD) of short and standard implants were statistically comparable (P > .05). The 20-year cumulative survival rates of short and standard implants were 92.3 and 95.9%, respectively. The cumulative success rates were 78.3 and 81.4%. The survival rates of short implants in posterior and anterior regions were comparable: 95 and 96.4%, respectively. The difference between survival rates was not significant (P > .05). Conclusions. The high reliability of short implants in supporting fixed prostheses was confirmed. Short and standard implants long-term prognoses were not significantly different. The prognosis of short implants in posterior regions was comparable to that of in anterior regions. Nevertheless, a larger sample is required to confirm this trend. PMID:22829823

  6. 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…

  7. 20-Years of Population-Based Cancer Registration in Hepatitis B and Liver Cancer Prevention in The Gambia, West Africa

    PubMed Central

    Bah, Ebrima; Carrieri, Maria Patrizia; Hainaut, Pierre; Bah, Yusupha; Nyan, Ousman; Taal, Makie

    2013-01-01

    Background The Gambia Hepatitis Intervention Study (GHIS) was designed as a randomised control trial of infant hepatitis B vaccination applied to public health policy, with the main goal of preventing primary liver cancer later in adult life in The Gambia. To that effect, the National Cancer Registry of The Gambia (NCR), a population-based cancer registry (PBCR), was established in 1986 to actively collect data on all cancer diagnosis nation-wide. We extracted 20-years (1990-2009) of data to assess for the first time, the evolution of the most common cancers, also describe and demonstrate the role of the PBCR in a hepatitis B and liver cancer prevention programme in this population. Methods and Findings We estimated Age-Standardised Incidence Rates (ASR (W)) of the most common cancers registered during the period by gender. The registration period was divided into four 5-year intervals and incidence rates were estimated for each interval. The most common cancers in males were liver, prostate, lung plus bronchus, non-Hodgkin lymphoma (NHL) and stomach, accounting for 60%, 5%, 4%, 5% and 3%, respectively. Similarly, cancers of the cervix uteri, liver, breast and NHL, were the most common in females, accounting for 33%, 24%, 11% and 4% of the female cancers, respectively. Conclusions Cancer incidence has remained relatively stable over time, but as shown elsewhere in sub-Saharan Africa the disease is a threat in The Gambia. The infection related cancers which are mostly preventable (HBV in men and HPV/HIV in women) were the most common. At the moment the data is not enough to detect an effect of hepatitis B vaccination on liver cancer incidence in The Gambia. However, we observed that monitoring case occurrence through PBCR is a key public health pre-requisite for rational planning and implementation of targeted interventions for improving the health of the population. PMID:24098724

  8. Age and blood pressure changes. A 20-year follow-up study in nuns in a secluded order.

    PubMed

    Timio, M; Verdecchia, P; Venanzi, S; Gentili, S; Ronconi, M; Francucci, B; Montanari, M; Bichisao, E

    1988-10-01

    In a prospective study, 144 white nuns belonging to a secluded monastic order and 138 white control laywomen were followed for 20 years to investigate whether living for a long time in a stress-free environment influences the effect of aging on blood pressure. Silence, meditation, and isolation from society are the distinctive features of the life-style examined. At study entry, blood pressure was not dissimilar in the nuns and the control group, but it increased over time only in the controls, with a mean slope of the regression line (beta coefficient) of 0.089 in the nuns (NS) and 2.171 in the controls (p less than 0.0001) for systolic blood pressure and of 0.054 in the nuns (NS) and 0.742 in the controls (p less than 0.0001) for diastolic blood pressure. Weight and body mass index increased similarly over time in the two groups. Family history of hypertension was not dissimilar between the groups. Serum cholesterol and triglycerides, higher at study entry in the nuns, increased similarly over time in the two groups. Twenty-four-hour urinary sodium excretion, collected randomly in both groups, did not differ over time between nuns and controls. None of the women smoked or used oral contraceptives. Educational level was higher in the control group, but subgroups of 48 nuns and 52 laywomen of comparable educational level maintained the same difference in the blood pressure trend over time as in the main cohort. Parity affected the increase of systolic, but not of diastolic, blood pressure with age among the laywomen, but nuns and no-childbirth controls maintained a significantly different blood pressure trend over time.(ABSTRACT TRUNCATED AT 250 WORDS)

  9. Evaluating health services: the importance of patients' preferences and quality of life.

    PubMed

    Yin, D; Forman, H P; Langlotz, C P

    1995-12-01

    With limited resources available, we all would like to allocate health care dollars to do the most good. Clinical research tells us what outcomes to expect (in many cases) from the introduction of a health care program, a test, or a therapy. Even primitive cost analysis can assess the cost of such programs. The ability to place a value on health states is vital when assessing how patient outcomes influence the relative cost-effectiveness of medical procedures, therapies, and programs. Without a means to measure the value of a particular health state, one is left to compare apples with oranges and oranges with vacuum cleaners. In fact, comparisons of fruit and home appliances is relatively easy, because one can readily apply monetary values to apples, oranges, and vacuum cleaners and compare dollar amounts. How can one do the same for the outcomes of medical procedures and diagnostic tests? This is the challenge for health services and outcomes researchers throughout the world and, more urgently, the focus of policy makers, governments, and health insurers. The purpose of this paper is to describe quality-adjusted life-years (QALYs), a method that has successfully measured the outcomes of disparate health programs. We will introduce the QALY method, summarize the various methods of measuring and classifying health states, describe three methods that have been used to measure patients' preferences (utilities) for health states, and discuss the limitations of utility assessment and some controversies that result from the measurement and use of utilities and concerning health-related quality of life. Readers who are interested in general topics of radiology technology assessment and cost-effectiveness analysis should consult other review articles [1-4]. PMID:7484556

  10. 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…

  11. Management of the infected median sternotomy wound with muscle flaps. The Emory 20-year experience.

    PubMed Central

    Jones, G; Jurkiewicz, M J; Bostwick, J; Wood, R; Bried, J T; Culbertson, J; Howell, R; Eaves, F; Carlson, G; Nahai, F

    1997-01-01

    OBJECTIVE: The purpose of the study is to define those patient variables that contribute to morbidity and mortality of median sternotomy wound infection and the results of treatment by debridement and closure by muscle flaps. BACKGROUND: Infection of the median sternotomy wound after open heart surgery is a devastating complication associated with significant mortality. Twenty years ago, these wounds were treated with either open packing or antibiotic irrigation, with a mortality approaching 50% in some series. In 1975, the authors began treating these wounds with radical sternal debridement followed by closure using muscle or omental flaps. The mortality of sternal wound infection has dropped to < 10%. METHODS: The authors' total experience with 409 patients treated over 20 years is described in relation to flap choices, hospital days after sternal wound closure, and incidence rates of morbidity and mortality. One hundred eighty-six patients treated since January 1988 were studied to determine which patient variables had impact on rates of flap closure complications, recurrent sternal wound infection, or death. Variables included obesity, history of smoking, hypertension, diabetes, poststernotomy septicemia, internal mammary artery harvest, use of intra-aortic balloon pump, and perioperative myocardial infarction and were analyzed using chi square tests. Fisher's exact tests, and multivariable logistic regression analysis. RESULTS: The mortality rate over 20 years was 8.1% (33/49). Additional procedures for recurrent sternal wound infection were necessary in 5.1% of patients. Thirty-one patients (7.6%) required treatment for hematoma, and 11 patients (2.7%) required hernia repair. Among patients treated since 1988, variables strongly associated with mortality were septicemia (p < 0.00001), perioperative myocardial infarction (p = 0.006), and intra-aortic balloon pump (p = 0.0168). Factors associated with wound closure complications were intra-aortic balloon pump

  12. Alboran jets, gyres and eddies in a 20-year high resolution simulation

    NASA Astrophysics Data System (ADS)

    Peliz, A.

    2012-04-01

    The circulation of the Alboran Sea has long been described as being in a quasi-steady state composed of the Atlantic Jet meandering on the northern bound of two conspicuous gyres: the Western Alboran Gyre and Eastern Alboran Gyre (WAG and EAG). Changes to this 2 gyre flow system (transitions or transient events) are not very well explored yet. Periodic disappearances of the WAG (collapses or migrations) have been reported, but a single event of WAG migration, observed in fall 1996, is described in detail. These studies suggested that WAG is more likely to disappear in winter after drastic changes in the inflow, and that 2-gyre steady states are essentially observed in summer. The transition periods and the occurrence of smaller eddies are episodically referred in the literature but poorly known. Using a 20 yr 2km resolution Regional Ocean Modeling System simulation of the Gulf of Cadiz-Alboran Sea basins (from the "Inter-basin Exchange in a changing Mediterranean Sea" project MedEX), a classification of the circulation types and mesoscale structures in the Alboran Sea is conducted, characterizing their duration and frequency of occurrence, and temporal evolution. The 2-gyre quasi-steady state (or blocking situation) is confirmed as the most common flow type in the Alboran (occurring during about 42% of the simulation time) and that it is more frequent in summer. However, periods of double gyre flow in winter are also present although the gyre organization is slightly different and this state is described as a 2-gyre winter type. Long stable periods of a single gyre blocking were also identified, and they occupy about 17% of the 20-year period This single gyre usually constitutes a larger version of the WAG somewhat displaced to the east and occurs all year round although it is more common in winter months. The remaining time, the Alboran Sea is in relatively fast evolving flow transitions. The transitions were classified into, WAG migrations (when the WAG clearly

  13. 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.

  14. 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.

  15. 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. PMID:26108864

  16. 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.

  17. 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

  18. Head and Neck Schwannomas: 20-Year Experience of a Single Institution Excluding Cutaneous and Acoustic Sites.

    PubMed

    Butler, Randall T; Patel, Rajiv M; McHugh, Jonathan B

    2016-09-01

    While head and neck sites comprise the most common location of schwannomas, clinicopathologic data regarding those tumors occurring in non-acoustic and non-cutaneous locations are relatively sparse. In this study, therefore, we sought to examine retrospectively the clinical and pathologic features of head and neck schwannomas excised at our institution over a 20-year period. During this period, we identified a total cohort of 85 patients, which included 36 males (42.4 %) and 49 females with average age of 41.3 years, the majority of which presented asymptomatically with a mass. Localized symptoms were, however, associated with all of the schwannomas that arose in the oral cavity and larynx, while tumors within or adjacent to bone were often associated with neurologic complaints (7 of 15 such tumors [46.7 %]). Clinical follow-up data was available in 86.4 % of all cases and demonstrated no recurrences or mortality. Pathologically, the microscopic features were characteristic of those well-described for schwannomas in other sites, including alternating Antoni A and B areas and the presence of degenerative changes. Tumor encapsulation, however, was variable and was completely absent in schwannomas of the nasal cavity, paranasal sinuses, and larynx. Additionally, a significant minority of the tumors (28.2 %) exhibited foci that resembled neurofibroma. Non-acoustic, non-cutaneous schwannomas of the head and neck appear to have clinicopathologic features similar to their soft tissue counterparts with some subsite variation in presentation and/or microscopic features. PMID:26747460

  19. 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

  20. [The agroecosystems flora status in restricted zone 20 years after the Chernobyl NPP accident].

    PubMed

    Sapegin, L M; Daĭneko, N M; Timofeev, S F

    2008-01-01

    The article presents the results of studying on agroecosystems flora status in restricted zone 20 years after the Chernobyl accident. There were preliminary identified 8 agroecosystems associations by Broaun-Blanquet ecologo-floristic classification: Phalacrolometum septentrionale, Agrostio tenuis Calamagrostietum epigeii, Agrostio tenuis--Elytrigietum repentis, Poo pratensis--Bromopsietum inermis, Poo pratensis--Dactylidetum glomeratae, Poo pratensis--Agrostietum tenuis, Elytrigio repentis--Poetum pratensis, Caricetum hirtae. First three associations were attributed to Agropyretea repentis class, to Agropyretalia repentis order, Convolvulo--Agropyrion union. We consider the association Phalacrolometum septentrionale as the initial stage of agroscosystems overgrowing which is continued with increase of its demonstration in association Agrostio tenuis--Calamagrostietum epigeii and Agrostio tenuis--Elytrigietum repentis. The associations Poo pratensis--Bromopsietum inermis, Poo pratensis--Dactylidetum glomeratae, Poo pratensis--Agrostietum tenuis and Elytrigio repentis--Poetum pratensis we attributed to class Molinio--Arrhenatheretea, to order Arrhenatheretalia and Festuncion pratensis union. The association Caricetum hirtae was attributed to class Plantaginetea majoris, to order Plantaginetalia majoris and to union Agrapyro--Rumicion crispi. For each of the allocated associations and rye sowing there was provided brief characteristic, including 137Cs and 90Sr radionuclids content in soil and air-dry herbage mass. During the period of studies there was marked stable soil and air-dry herbage mass contamination by radionuclides at absence of grass stabilization of studied agroecosystems. The limiting factor on using of meadow agroecosystems herbages is their high level of contamination by 90Sr. The herbage can be used only for obtaining of milk-raw material for processing. PMID:18666581

  1. Musk fragrances, DEHP and heavy metals in a 20 years old sludge treatment reed bed system.

    PubMed

    Matamoros, Víctor; Nguyen, Loc Xuan; Arias, Carlos A; Nielsen, Steen; Laugen, Maria Mølmer; Brix, Hans

    2012-08-01

    The Sludge Treatment Reed Bed (STRB) technology is a cost-efficient and environmentally friendly technology to dewater and mineralize surplus sludge from conventional wastewater treatment systems. Primary and secondary liquid sludge is loaded onto the surface of the bed over several years, where it is dewatered, mineralized and turned into a biosolid with a high dry matter content for use as an organic fertilizer on agricultural land. We analysed the concentrations of five organic micropollutants (galaxolide, tonalide, cashmeran, celestolide and DEHP) and six heavy metals (Pb, Ni, Cu, Cd, Zn and Cr) in the accumulated sludge in a 20-year old STRB in Denmark in order to assess the degradation and fate of these contaminants in a STRB and the relation to sludge composition. The results showed that the deposited sludge was dewatered to reach a dry matter content of 29%, and that up to a third of the organic content of the sludge was mineralized. The concentrations of heavy metals generally increased with depth in the vertical sludge profile due to the dewatering and mineralization of organic matter, but in all cases the concentrations were below the European Union legal limits for agricultural land disposal. The concentrations of fragrances and DEHP ranged from 10 to 9000 ng g(-1) dry mass. The attenuation of hydrophobic micropollutants from the top to the bottom layer of the reed bed ranged from 40 to 98%, except for tonalide which increased significantly with sludge depth, and consequently showed an unusual depth distribution of the galaxolide/tonalide ratio. This unexpected pattern may reflect changes imposed by a long storage time and/or different composition of the fresh sludge in the past. The lack of a significant decreasing DEHP concentration with sludge age might indicate that this compound is very persistent in STRBs. In conclusion the STRB was a feasible technology for sludge treatment before its land disposal.

  2. The Epidemiology and Clinical Spectrum of Melioidosis: 540 Cases from the 20 Year Darwin Prospective Study

    PubMed Central

    Currie, Bart J.; Ward, Linda; Cheng, Allen C.

    2010-01-01

    Background Over 20 years, from October 1989, the Darwin prospective melioidosis study has documented 540 cases from tropical Australia, providing new insights into epidemiology and the clinical spectrum. Principal Findings The principal presentation was pneumonia in 278 (51%), genitourinary infection in 76 (14%), skin infection in 68 (13%), bacteremia without evident focus in 59 (11%), septic arthritis/osteomyelitis in 20 (4%) and neurological melioidosis in 14 (3%). 298 (55%) were bacteremic and 116 (21%) developed septic shock (58 fatal). Internal organ abscesses and secondary foci in lungs and/or joints were common. Prostatic abscesses occurred in 76 (20% of 372 males). 96 (18%) had occupational exposure to Burkholderia pseudomallei. 118 (22%) had a specific recreational or occupational incident considered the likely infecting event. 436 (81%) presented during the monsoonal wet season. The higher proportion with pneumonia in December to February supports the hypothesis of infection by inhalation during severe weather events. Recurrent melioidosis occurred in 29, mostly attributed to poor adherence to therapy. Mortality decreased from 30% in the first 5 years to 9% in the last five years (p<0.001). Risk factors for melioidosis included diabetes (39%), hazardous alcohol use (39%), chronic lung disease (26%) and chronic renal disease (12%). There was no identifiable risk factor in 20%. Of the 77 fatal cases (14%), 75 had at least one risk factor; the other 2 were elderly. On multivariate analysis of risk factors, age, location and season, the only independent predictors of mortality were the presence of at least one risk factor (OR 9.4; 95% CI 2.3–39) and age ≥50 years (OR 2.0; 95% CI 1.2–2.3). Conclusions Melioidosis should be seen as an opportunistic infection that is unlikely to kill a healthy person, provided infection is diagnosed early and resources are available to provide appropriate antibiotics and critical care. PMID:21152057

  3. Where do patients treated for oral cancer die? A 20-year cohort study 1992-2011.

    PubMed

    Kamisetty, A; Magennis, P; Mayland, C; Jack, B; Lowe, D; Rogers, S N

    2015-12-01

    Of 1290 consecutive patients treated between 1992 and 2011 for primary squamous cell carcinoma of the oral cavity at a regional centre, 750 had died by August 2013. About half of them (n=373) died in hospital, 113 (15%) in a hospice, 180 (24%) at home, 57 (8%) in a care home, and 22 (3%) elsewhere. Cancer was the underlying cause of death in 64%, and of them, 56% were oral cancers. The place of death was strongly associated with the age at death and cancer being the underlying cause. The percentage of people who died from cancer at home or in a hospice rose over time across all age groups and, from 2010, accounted for two-thirds. In contrast, less than 1 in 5 who did not die from cancer, died at home or in a hospice, and in this there has been no discernible change over the last 20 years. The percentage of deaths from cancer in hospital and hospice ranged from 32%-38% and 20%-29%, respectively, across age groups. An increase in the number of deaths from cancer in care homes in those aged 75 years and over was mirrored by fewer at home. Most of those who did not die from cancer, died in hospital, two-thirds were under 65 years, 85% were aged 65-84, and 56% were older. This was mirrored by fewer deaths at home in those under 85 and more in care homes in those over 75. In conclusion, our findings suggest that patients' preferences not to die in hospital are being realised. However, at the end of their lives, patients and their carers need more support at home, and more research is required.

  4. 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. PMID:17642125

  5. 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.

  6. Musk fragrances, DEHP and heavy metals in a 20 years old sludge treatment reed bed system.

    PubMed

    Matamoros, Víctor; Nguyen, Loc Xuan; Arias, Carlos A; Nielsen, Steen; Laugen, Maria Mølmer; Brix, Hans

    2012-08-01

    The Sludge Treatment Reed Bed (STRB) technology is a cost-efficient and environmentally friendly technology to dewater and mineralize surplus sludge from conventional wastewater treatment systems. Primary and secondary liquid sludge is loaded onto the surface of the bed over several years, where it is dewatered, mineralized and turned into a biosolid with a high dry matter content for use as an organic fertilizer on agricultural land. We analysed the concentrations of five organic micropollutants (galaxolide, tonalide, cashmeran, celestolide and DEHP) and six heavy metals (Pb, Ni, Cu, Cd, Zn and Cr) in the accumulated sludge in a 20-year old STRB in Denmark in order to assess the degradation and fate of these contaminants in a STRB and the relation to sludge composition. The results showed that the deposited sludge was dewatered to reach a dry matter content of 29%, and that up to a third of the organic content of the sludge was mineralized. The concentrations of heavy metals generally increased with depth in the vertical sludge profile due to the dewatering and mineralization of organic matter, but in all cases the concentrations were below the European Union legal limits for agricultural land disposal. The concentrations of fragrances and DEHP ranged from 10 to 9000 ng g(-1) dry mass. The attenuation of hydrophobic micropollutants from the top to the bottom layer of the reed bed ranged from 40 to 98%, except for tonalide which increased significantly with sludge depth, and consequently showed an unusual depth distribution of the galaxolide/tonalide ratio. This unexpected pattern may reflect changes imposed by a long storage time and/or different composition of the fresh sludge in the past. The lack of a significant decreasing DEHP concentration with sludge age might indicate that this compound is very persistent in STRBs. In conclusion the STRB was a feasible technology for sludge treatment before its land disposal. PMID:22608611

  7. Factors Associated with Persistant and Non-Persistant Chronic Constipation, Over 20 Years

    PubMed Central

    Choung, Rok Seon; Locke, G. Richard.; Rey, Enrique; Schleck, Cathy D.; Baum, Charles; Zinsmeister, Alan R.; Talley, Nicholas J.

    2012-01-01

    Background & Aims The prevalence of chronic constipation (CC) has been reported to be as high as 20% in the general population, but little is known about its natural history. We estimated the natural history of CC and characterized features of persistent CC and non-persistent CC, compared to individuals without constipation. Methods In a prospective cohort study, we analyzed data collected from multiple, validated surveys (minimum of 2) of 2853 randomly selected subjects, over a 20-year period (median, 11.6 years). Based on responses, subjects were characterized as having persistent CC, non-persistent CC, or no constipation. We assessed the association between constipation status and potential risk factors using logistic regression models, adjusting for age and sex. Results Of the respondents, 84 had persistent CC (3%), 605 had non-persistent CC (21%), and 2164 had no symptoms of constipation (76%). High scores from the somatic symptom checklist (odds ratio [OR] =2.1; 95% confidence interval [CI], 1.3–3.4) and frequent doctor visits (OR=2.0; 95% CI, 1.0–3.8) were significantly associated with persistent CC, compared to subjects with no constipation symptoms. The only factor that differed was increased use of laxatives or fiber among subjects with persistent CC (OR=3.0; 95% CI, 1.9–4.9). Conclusion The prevalence of constipation might be exaggerated—the proportion of the population with persistent CC is low (3%). Patients with persistent and non-persistent CC have similar clinical characteristics, although individuals with persistent CC use more laxatives or fiber. CC therefore appears and disappears among certain patients, but we do not have enough information to identify these individuals in advance. PMID:22289877

  8. 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

  9. 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

  10. 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

  11. Seroepidemiology of canine leishmaniosis in Évora (southern Portugal): 20-year trends

    PubMed Central

    2013-01-01

    Background Canine leishmaniosis (CanL) is an endemic zoonosis in the southern regions of Europe. This paper reports the trend in CanL seroprevalence in the municipality of Évora (southern Portugal), where the disease is endemic, over a period of 20 years. The work comprises three different studies that were conducted in the years of 1990 (n = 3,614), 1999 (n = 3,563) and 2010 (n = 1,485 dogs). Blood samples were collected during the anti-rabies vaccination campaigns. Anti-Leishmania antibodies were detected with the direct agglutination test (DAT). Findings The total percentages of DAT seropositive dogs were 3.9% (in 1990), 9.4% (in 1999) and 5.6% (in 2010). The overall seroprevalence was significantly higher in 1999 compared to 1990, but in 2010 a significant decrease was found in comparison with 1999. However, compared to 1990 the overall seroprevalence was still significantly higher in 2010. From 1990 to 2010 seroprevalence has switched from significantly lower to higher in the rural areas. Relatively few dogs showed clinical signs of overt disease (0.8% to 2.0%) with lymphadenopathy, onychogryphosis and skin involvement as most frequently observed. Gender associated differences in seroprevalence were not found, and most commonly seropositive dogs were working or stray animals. The mean age of seropositive dogs was significantly higher than seronegative dogs in all three sampling rounds. Conclusions A high proportion of dogs, which are apparently healthy, yet seropositive, may remain an important factor in limiting the outcome of zoonotic leishmaniosis control efforts. PMID:23587181

  12. Anterior cruciate ligament injury after more than 20 years. II. Concentric and eccentric knee muscle strength.

    PubMed

    Tengman, E; Brax Olofsson, L; Stensdotter, A K; Nilsson, K G; Häger, C K

    2014-12-01

    The long-term consequences on knee muscle strength some decades after rupture of the anterior cruciate ligament (ACL) are not established. The aims of our study were to examine peak torque more than 20 years after ACL injury and to compare their knee muscle strength to that of healthy controls. We tested 70 individuals with unilateral ACL injury 23 ± 2 years after injury, whereof 33 (21 men) were treated with physiotherapy in combination with ACL reconstruction (ACLR ) and 37 (23 men) with physiotherapy alone (ACLPT ). These were compared with 33 age- and gender-matched controls (21 men). A Kin-Com(®) dynamometer (90°/s) was used to measure peak torque in knee flexion and extension in both concentric and eccentric contractions. Knee extension peak torque, concentric and eccentric, was ∼10% lower for the injured leg compared with the non-injured leg for both ACLR (P < 0.001; P < 0.001) and ACLPT (P = 0.007; P = 0.002). The ACLPT group also showed reduced eccentric knee flexion torque of the injured leg (P = 0.008). The strength of the non-injured leg in both ACL groups was equal to that of controls. No difference was seen for those with no-or-low degree of knee osteoarthritis compared to those with moderate-to-high degree of osteoarthritis. ACL injury may lead to a persistent reduction of peak torque in the injured leg, which needs to be considered across the lifespan.

  13. 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. PMID:26219401

  14. Adenocarcinoma of unknown primary in a 20-year-old African American male.

    PubMed

    Power, Derek; Lagunes, Diane Reidy

    2009-08-01

    A 20-year-old African American male presented with a history of left flank pain and passing of light pink urine. Medical history included sickle cell trait. Urine analysis was positive for protein and blood. Metabolic profile, autoantibody screen, and complement levels were normal. Hemoglobin electrophoresis revealed an 41.8% HbS diagnostic of sickle cell trait. Creatinine clearance was normal and proteinuria was nonnephrotic. A noncontrast computed tomography (CT) scan showed left proximal hydronephrosis. Urology follow-up was arranged and the differential included renal papillary necrosis, or renal cyst rupture. He presented 3 months later with sudden onset left flank pain and gross hematuria. Serum creatinine was 1.8 mg/dL. Computed tomography scan with contrast revealed innumerable lung lesions, an enlarged heterogenously enhancing left kidney, and retroperitoneal adenopathy. Ultrasound revealed an obstructed left collecting system and a 14-cm enlarged left kidney with no discrete mass. Testicular markers/ultrasound, upper/lower endoscopies were normal. Lung biopsy revealed poorly differentiated adenocarcinoma positive for cytokeratin 7. Renal, sarcoma, and gastrointestinal markers were negative. By exclusion, it appeared that the patient had a carcinoma of unknown primary. However, with the clinical and personal history, a diagnosis of renal medullary carcinoma (RMC) was made. RMC is a rare and highly malignant tumor that should always be included in the differential of a patient with sickle cell disorder and hematuria. Renal biopsy typically fails to sample the renal medulla and radiologic findings might not raise the suspicion of a renal tumor. Thus, clinical suspicion must always be high in order to preserve the patient's only chance of prolonged survival.

  15. 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:27299124

  16. Correlates of heart rate recovery over 20 years in a population sample

    PubMed Central

    Carnethon, Mercedes R.; Sternfeld, Barbara; Liu, Kiang; Jacobs, David R.; Schreiner, Pamela J.; Williams, O. Dale; Lewis, Cora E.; Sidney, Stephen

    2013-01-01

    Introduction Slow heart rate recovery (HRR) from a graded exercise treadmill test (GXT) is a marker of impaired parasympathetic reactivation that is associated with elevated mortality. Our objective was to test whether demographic, behavioral or coronary heart disease (CHD) risk factors during young adulthood were associated with the development of slow HRR. Methods Participants from the Coronary Artery Risk Development in Young Adults study underwent symptom-limited maximal GXT using a modified Balke protocol at baseline (1985–86) and 20-year follow-up (2005–06) examinations. HRR was calculated as the difference between peak heart rate (HR) and HR two-minutes following cessation of the GXT. Slow HRR was defined as 2-minute HRR < 22 beats·min−1. Results In 2,730 participants who did not have slow HRR at baseline, mean HRR was 44 beats*min−1 (SD = 11) at baseline and declined to 40 beats·min−1 (SD=12) in 2005–06; slow HRR developed in 5% (n=135) of the sample by 2005–06. Female sex, black race, fewer years of education, obesity, cigarette smoking, higher depressive symptoms, higher fasting glucose, hypertension, metabolic syndrome and physical inactivity and low fitness were each associated with incident slow HRR. In a multivariable model higher BMI, larger waist, low education, fasting glucose and current smoking remained significantly associated with incident slow HRR. Increasing BMI (per SD higher) over follow-up and incident hypertension, diabetes and metabolic syndrome (in the subsets of participants who were free from those conditions at baseline), were each associated with a significantly elevated odds of incident slow HRR. Conclusions On average, HRR declines with aging; however, the odds of having slow HRR in early middle age is significantly associated with traditional CHD risk factors. PMID:21796053

  17. 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.

  18. Evaluation of a passive optical based end of service life indicator (ESLI) for organic vapor respirator cartridges.

    PubMed

    Checky, Melissa; Frankel, Kevin; Goddard, Denise; Johnson, Erik; Thomas, J Christopher; Zelinsky, Maria; Javner, Cassidy

    2016-01-01

    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

  19. 77 FR 37862 - Open-Circuit Self-Contained Breathing Apparatus Remaining Service-Life Indicator Performance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-25

    ... Service-Life Indicator Performance Requirements AGENCY: Centers for Disease Control and Prevention, HHS... current standard, employed by the National Institute for Occupational Safety and Health (NIOSH) located within the Centers for Disease Control and Prevention (CDC), to allow greater latitude in the setting...

  20. 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. PMID:26655859

  1. The Relationship of Perceptions of Service and Support Adequacy to Family Quality of Life for Families of Children with Deafblindness

    ERIC Educational Resources Information Center

    Kyzar, Kathleen

    2010-01-01

    This study investigated the relationship between families' perceptions of supports and services and family quality of life (FQOL) for families of children with deafblindness, and the potential of satisfaction with family-professional partnerships and child age as moderators of this relationship. The study was guided by the Unified Theory of Family…

  2. 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.

  3. 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

  4. 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…

  5. 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…

  6. 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, e-Business, e-Government,…

  7. 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

  8. Accelerated Life Testing and Service Lifetime Prediction for PV Technologies in the Twenty-First Century

    SciTech Connect

    Czanderna, A. W.; Jorgensen, G. J.

    1999-07-13

    The purposes of this paper are to (1) discuss the necessity for conducting accelerated life testing (ALT) in the early stages of developing new photovoltaic (PV) technologies, (2) elucidate the crucial importance for combining ALT with real-time testing (RTT) in terrestrial environments for promising PV technologies for the 21st century, and (3) outline the essential steps for making a service lifetime prediction (SLP) for any PV technology. The specific objectives are to (a) illustrate the essential need for ALT of complete, encapsulated multilayer PV devices, (b) indicate the typical causes of degradation in PV stacks, (c) elucidate the complexity associated with quantifying the durability of the devices, (d) explain the major elements that constitute a generic SLP methodology, (e) show how the introduction of the SLP methodology in the early stages of new device development can reduce the cost of technology development, and (f) outline the procedure for combining the results of ALT and RTT, establishing degradation mechanisms, using sufficient numbers of samples, and applying the SLP methodology to produce a SLP for existing or new PV technologies.

  9. High-power rhodamine 6G laser with an extended service life

    SciTech Connect

    Knyazev, B.A.; Lebedev, S.V.; Fokin, E.P.

    1983-02-01

    A laser was constructed in which rhodamine G dissolved in isopropyl alcohol was used as the active medium. It was pumped by a coaxial flashlamp and the output energy of the laser was up to 8 J. An investigation was made of the photochemical stability of rhodamine G solutions as a function of the spectral composition of the pump radiation. Optimal selection of the solvent and of a filter through which the pump radiation was passed, and the use of previously tested components ensured that the service life was superior to that of similar lasers; practically no maintenance was needed during operation. The operating characteristics of the laser and the dynamics of their changes over a period of three years of its use in applications were recorded. When the output energy was approx.5 J per pulse, the laser could emit 1.5 x 10/sup 3/ pulses without dismantling and replacement of the active medium and this represented an integrated irradiance of the active medium in excess of 2 kJ/cm/sup 3/.

  10. 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.

  11. 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. PMID:24291626

  12. Assessment of Life Cycle Impacts on Ecosystem Services: Promise, Problems, and Prospects.

    PubMed

    Othoniel, Benoit; Rugani, Benedetto; Heijungs, Reinout; Benetto, Enrico; Withagen, Cees

    2016-02-01

    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. PMID:26717294

  13. Calculating CO2 uptake for existing concrete structures during and after service life.

    PubMed

    Andersson, Ronny; Fridh, Katja; Stripple, Håkan; Häglund, Martin

    2013-10-15

    This paper presents a model that can calculate the uptake of CO2 in all existing concrete structures, including its uptake after service life. This is important for the calculation of the total CO2 uptake in the society and its time dependence. The model uses the well-documented cement use and knowledge of how the investments are distributed throughout the building sector to estimate the stock of concrete applications in a country. The depth of carbonation of these applications is estimated using two models, one theoretical and one based on field measurements. The maximum theoretical uptake potential is defined as the amount of CO2 that is emitted during calcination at the production of Portland cement, but the model can also, with some adjustments, be used for the other cement types. The model has been applied on data from Sweden and the results show a CO2 uptake in 2011 in all existing structures of about 300,000 tonnes, which corresponds to about 17% of the total emissions (calcination and fuel) from the production of new cement for use in Sweden in the same year. The study also shows that in the years 2030 and 2050, an increase in the uptake in crushed concrete, from 12,000 tonnes today to 200,000 and 500,000 tonnes of CO2, respectively, could be possible if the waste handling is redesigned. PMID:24007514

  14. Antimicrobial-Resistant Escherichia coli Survived in Dust Samples for More than 20 Years.

    PubMed

    Schulz, Jochen; Ruddat, Inga; Hartung, Jörg; Hamscher, Gerd; Kemper, Nicole; Ewers, Christa

    2016-01-01

    found 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.

  15. Antimicrobial-Resistant Escherichia coli Survived in Dust Samples for More than 20 Years.

    PubMed

    Schulz, Jochen; Ruddat, Inga; Hartung, Jörg; Hamscher, Gerd; Kemper, Nicole; Ewers, Christa

    2016-01-01

    found 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

  16. 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.

  17. From quiescence to unrest: 20 years of satellite geodetic measurements at Santorini volcano, Greece

    NASA Astrophysics Data System (ADS)

    Parks, Michelle M.; Moore, James D. P.; Papanikolaou, Xanthos; Biggs, Juliet; Mather, Tamsin A.; Pyle, David M.; Raptakis, Costas; Paradissis, Demitris; Hooper, Andrew; Parsons, Barry; Nomikou, Paraskevi

    2015-02-01

    Periods of unrest at caldera-forming volcanic systems characterized by increased rates of seismicity and deformation are well documented. Some can be linked to eventual eruptive activity, while others are followed by a return to quiescence. Here we use a 20 year record of interferometric synthetic aperture radar (InSAR) and GPS measurements from Santorini volcano to further our understanding of geodetic signals at a caldera-forming volcano during the periods of both quiescence and unrest, with measurements spanning a phase of quiescence and slow subsidence (1993-2010), followed by a phase of unrest (January 2011 to April 2012) with caldera-wide inflation and seismicity. Mean InSAR velocity maps from 1993-2010 indicate an average subsidence rate of ~6 mm/yr over the southern half of the intracaldera island Nea Kameni. This subsidence can be accounted for by a combination of thermal contraction of the 1866-1870 lava flows and load-induced relaxation of the substrate. For the period of unrest, we use a joint inversion technique to convert InSAR measurements from three separate satellite tracks and GPS observations from 10 continuous sites into a time series of subsurface volume change. The optimal location of the inflating source is consistent with previous studies, situated north of Nea Kameni at a depth of ~4 km. However, the time series reveals two distinct pressure pulses. The first pulse corresponds to a volume change (ΔV) within the shallow magma chamber of (11.56 ± 0.14) × 106 m3, and the second pulse has a ΔV of (9.73 ± 0.10) × 106 m3. The relationship between the timing of these pulses and microseismicity observations suggests that these pulses may be driven by two separate batches of magma supplied to a shallow reservoir. We find no evidence suggesting a change in source location between the two pulses. The decline in the rates of volume change at the end of both pulses and the observed lag of the deformation signal behind cumulative seismicity

  18. 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

  19. Middle School Injuries: A 20-Year (1988–2008) Multisport Evaluation

    PubMed Central

    Beachy, Glenn; Rauh, Mitchell

    2014-01-01

    Context: Data on the incidence of injury in middle school sports are limited. Objective: To describe overall, practice, and game injury rate patterns in 29 middle school sports. Design: Descriptive epidemiology study. Setting: Injury data collected over a 20-year period (1988–2008) at a single school. Patients or Other Participants: Boy (n = 8078) and girl (n = 5960) athletes participating in 14 and 15 middle school sports, respectively. Main Outcome Measure(s): Injury status and athlete-exposures (AEs) were collected by certified athletic trainers. Incidence rates per 1000 AEs (injuries/AEs) were calculated for overall incidence, practices and games, injury location, injury type, and injury severity (time lost from participation). Rate ratios (RRs) and 95% confidence intervals (CIs) were used to compare injury rates for sex-matched sports. Results: Football had the highest injury rate for all injuries (16.03/1000 AEs) and for time-loss injuries (8.486/1000 AEs). In matched middle school sports, girls exhibited a higher injury rate for all injuries (7.686/1000 AEs, RR = 1.15, 95% CI = 1.1, 1.2) and time-loss injuries (2.944/1000 AEs, RR = 1.09, 95% CI = 1.0, 1.2) than boys (all injuries: 6.684/1000 AEs, time-loss injuries: 2.702/1000 AEs). Girls had a higher injury rate during practices (3.30/1000 AEs) than games (1.67/1000 AEs, RR = 1.97, 95% CI = 1.7, 2.4) for all sports. Only gymnastics (RR = 0.96, 95% CI = 0.3, 3.8) had a higher game injury rate for girls. Practice and game injury rates were nearly identical for boys in all sports (RR = 0.99, 95% CI = 0.9, 1.1). Only football (RR = 0.49, 95% CI = 0.4, 0.6) and boys' wrestling (RR = 0.50, 95% CI = 0.3, 0.8) reported higher game injury rates. Tendinitis injuries accounted for 19.1% of all middle school injuries. Conclusions: The risk for sport-related injury at the middle school level was greater during practices than games and greater for girls than boys in sex-matched sports. Conditioning programs may be

  20. 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

  1. The Mectizan Donation Program: 20 years of successful collaboration - a retrospective.

    PubMed

    Colatrella, B

    2008-09-01

    , via community-based treatment programmes in 125,000 communities in 33 endemic countries. This 20-year-old effort has achieved a number of notable results, including positive health impacts, economic benefits, strengthened health systems, and the empowerment of communities where the delivery and administration of Mectizan are managed. The MDP serves as a model for similar health programmes in the developing world and has also laid the foundation for the current integration efforts around 'neglected' tropical diseases. It has also taught the world many valuable lessons - about how to mobilize resources to address significant health challenges - and has demonstrated that it is possible, through public-private partnerships, to deliver healthcare to long-neglected populations, despite seemingly insurmountable obstacles including inadequate financial and human resources, lack of social, economic and health infrastructures, civil unrest and political strife, and competing, high-priority health issues.

  2. 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

  3. Tracking log transport and deposition during a 20-year flood in a wide mountain river

    NASA Astrophysics Data System (ADS)

    Wyżga, Bartłomiej; Mikuś, Paweł; Zawiejska, Joanna; Ruiz-Villanueva, Virginia; Kaczka, Ryszard; Czech, Wiktoria

    2016-04-01

    Distance of large wood transport during floods and conditions for wood deposition in wide mountain rivers are still insufficiently recognised. Tracking logs tagged with radio transmitters was used to investigate differences in depositional conditions and the length of log displacement during a 20-year flood between channel reaches of different morphology in the Czarny Dunajec River, Polish Carpathians. During a rising limb of the flood, logs were placed into the river at the beginning of an incised reach, close to the beginning of a channelized reach, and 1 km upstream from the beginning of a wide, multi-thread reach. The incised, channelized, and multi-thread reaches retained 12.5%, 33%, and 94% of tagged logs introduced to these reaches, and all the logs retained in the multi-thread reach were deposited in its upstream half. Significant differences in the length of displacement existed between the logs delivered to the river at the three locations, with logs placed into the river at the beginning of the incised reach moved the longest distances and those delivered just upstream from the multi-thread reach the shortest ones. One-fourth of the logs were deposited in a low-flow channel or on channel margin, one-fifth on the floodplain and more than half on gravel bars. After the flood, river cross-sections with deposited logs and a set of cross-sections without wood deposits were surveyed to collect data for one-dimensional modelling of hydraulic conditions at the flood peak. The cross-sections with deposited logs were typified by significantly greater flow width and flow area, and significantly smaller mean flow depth, mean velocity, Froude number, mean bed shear stress and unit stream power. Principal component analysis of the hydraulic parameters in the analysed cross-sections grouped the two types of cross-sections in distinct clusters, indicating that multi-thread cross-sections differed in hydraulic parameters from all the other cross-sections. The experiment

  4. 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

  5. The Mectizan Donation Program: 20 years of successful collaboration - a retrospective.

    PubMed

    Colatrella, B

    2008-09-01

    , via community-based treatment programmes in 125,000 communities in 33 endemic countries. This 20-year-old effort has achieved a number of notable results, including positive health impacts, economic benefits, strengthened health systems, and the empowerment of communities where the delivery and administration of Mectizan are managed. The MDP serves as a model for similar health programmes in the developing world and has also laid the foundation for the current integration efforts around 'neglected' tropical diseases. It has also taught the world many valuable lessons - about how to mobilize resources to address significant health challenges - and has demonstrated that it is possible, through public-private partnerships, to deliver healthcare to long-neglected populations, despite seemingly insurmountable obstacles including inadequate financial and human resources, lack of social, economic and health infrastructures, civil unrest and political strife, and competing, high-priority health issues. PMID:18718147

  6. 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

  7. 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…

  8. 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.

  9. 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,…

  10. Quality of Life, Health Status, and Health Service Utilization Related to a New Measure of Health Literacy FLIGHT/VIDAS

    PubMed Central

    Ownby, Raymond L; Acevedo, Amarilis; Jacobs, Robin J.; Caballero, Joshua; Waldrop-Valverde, Drenna

    2014-01-01

    Objective Researchers have identified significant limitations in some currently-used measures of health literacy. The purpose of this paper is to present data on the relation of health-related quality of life, health status, and health service utilization to performance on a new measure of health literacy in a nonpatient population. Methods The new measure was administered to 475 English- and Spanish-speaking community-dwelling volunteers along with existing measures of health literacy and assessments of health-related quality of life, health status, and healthcare service utilization. Relations among measures were assessed via correlations and health status and utilization was tested across levels of health literacy using ANCOVA models. Results The new health literacy measure is significantly related to existing measures of health literacy as well as to participants’ health-related quality of life. Persons with lower levels of health literacy reported more health conditions, more frequent physical symptoms, and greater healthcare service utilization. Conclusion The new measure of health literacy is valid and shows relations to measures of conceptually-related constructs such as quality of life and health behaviors. Practice Implications: FLIGHT/VIDAS may be useful to researchers and clinicians interested in a computer administered and scored measure of health literacy. PMID:24856447

  11. The concept of extending the service life of the VVER-440-based power units at the Novovoronezh nuclear power plant

    NASA Astrophysics Data System (ADS)

    Asmolov, V. G.; Povarov, V. P.; Vitkovskii, S. L.; Berkovich, V. Ya.; Chetverikov, A. E.; Mozul', I. A.; Semchenkov, Yu. M.; Suslov, A. I.

    2014-02-01

    Basic statements of the Concept of Extending the Service Life of the VVER-440-Based Power Units at the Novovoronezh NPP beyond 45 years are considered. This topic is raised in connection with the fact that that in December 2016 and in December 2017 the extended service lives of Units 3 and 4 at this NPP will expire. The adopted concept of repeatedly extending the service life of the Novovoronezh NPP Unit 4 implies fitting the power unit with additional reactor core cooling systems with a view to extend the (ultimate) design-basis accidents (which have hitherto been adopted to be a loss of coolant accident involving a leak of reactor coolant through a break with a nominal diameter of 100 mm) to a reactor coolant leak equivalent to rupture of the main reactor coolant pipeline. The modified Unit 4 will also use the safety systems of Unit 3 that is going to be decommissioned. Preliminary calculated assessments of the new design-basis accident scenario involving rupture of the reactor coolant pipeline in Unit 4 fitted with a new configuration of safety systems confirmed the correctness of the adopted concept of repeatedly extending the service life of Unit 4.

  12. 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.

  13. 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

  14. Postabortion Care: 20 Years of Strong Evidence on Emergency Treatment, Family Planning, and Other Programming Components.

    PubMed

    Huber, Douglas; Curtis, Carolyn; Irani, Laili; Pappa, Sara; Arrington, Lauren

    2016-09-28

    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 family planning

  15. Postabortion Care: 20 Years of Strong Evidence on Emergency Treatment, Family Planning, and Other Programming Components.

    PubMed

    Huber, Douglas; Curtis, Carolyn; Irani, Laili; Pappa, Sara; Arrington, Lauren

    2016-09-28

    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 family planning

  16. 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

  17. Escalation of Oncologic Services at the End of Life Among Patients With Gynecologic Cancer at an Urban, Public Hospital

    PubMed Central

    Wu, Eijean; Rogers, Anna; Ji, Lingyun; Sposto, Richard; Church, Terry; Roman, Lynda; Tripathy, Debu; Lin, Yvonne G.

    2015-01-01

    Purpose: Use of oncology-related services is increasingly scrutinized, yet precisely which services are actually rendered to patients, particularly at the end of life, is unknown. This study characterizes the end-of-life use of medical services by patients with gynecologic cancer at a safety-net hospital. Methods: Oncologic history and metrics of medical use (eg, hospitalizations, chemotherapy infusions, procedures) for patients with gynecologic oncology who died between December 2006 and February 2012 were evaluated. Mixed-effect regression models were used to test time effects and construct usage summaries. Results: Among 116 subjects, cervical cancer accounted for the most deaths (42%). The median age at diagnosis was 55 years; 63% were Hispanic, and 65% had advanced disease. Only 34% died in hospice care. The median times from do not resuscitate/do not intubate documentation and from last therapeutic intervention to death were 9 days and 55 days, respectively. Significant time effects for all services (eg, hospitalizations, diagnostics, procedures, treatments, clinic appointments) were detected during the patient's final year (P < .001), with the most dramatic changes occurring during the last 2 months. Patients with longer duration of continuity of care used significantly fewer resources toward the end of life. Conclusion: To our knowledge, this is the first report enumerating medical services obtained by patients with gynecologic cancer in a large, public hospital during the end of life. Marked changes in interventions in the patient's final 2 months highlight the need for cost-effective, evidence-based metrics for delivering cancer care. Our data emphasize continuity of care as a significant determinant of oncologic resource use during this critical period. PMID:25604595

  18. Ultrasonic assessment of service life of concrete structures subject to reinforcing steel corrosion

    NASA Astrophysics Data System (ADS)

    Udegbunam, Ogechukwu Christian

    were then used to determine the service life of the structure.

  19. 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

  20. 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

  1. A 20-Year Review of 75 Cases of Salivary Duct Carcinoma

    PubMed Central

    Gilbert, Mark R.; Sharma, Arun; Schmitt, Nicole C.; Johnson, Jonas T.; Ferris, Robert L.; Duvvuri, Umamaheswar; Kim, Seungwon

    2016-01-01

    IMPORTANCE Salivary duct carcinoma is a rare, aggressive malignancy of the salivary glands. Owing to its rare nature, clinical data are limited, and only a few clinical studies comprise more than 50 patients. OBJECTIVE To review the University of Pittsburgh Medical Center’s experience with salivary duct carcinoma over a 20-year period, focusing on demographics, presentation, treatment, and outcome. DESIGN, SETTING, AND PARTICIPANTS This investigation was a retrospective cohort study in a multihospital institution with tertiary referral. A pathology database was reviewed for all cases of histopathologically diagnosed salivary duct carcinoma from January 1, 1995, to October 20, 2014. Patients who were referrals for pathology review only and were never seen at the institution were excluded. In total, 75 study patients were identified. The electronic medical record was reviewed for details regarding demographics, presentation, treatment, and outcome, including overall survival (OS) and disease-free survival (DFS). This study was supplemented with a review of the institution’s Head and Neck Oncology Database for further clinical details. MAIN OUTCOMES AND MEASURES Primary outcome measures consisted of OS and DFS. RESULTS The study sample comprised 75 participants with a mean age at diagnosis of 66.0 years (age range, 33–93 years), and 29% (n = 22) were female. Most primary tumors were from the parotid gland (83%), with the next most frequent site being the submandibular gland (12%). Overall, 41% of the cases were carcinoma ex pleomorphic adenoma. Rates of other histologic features included the following: perineural invasion (69%), extracapsular spread (58%), ERBB2 (formerly HER2) positivity (31%) (62% of those who were tested), and vascular invasion (61%). The median OS was 3.1 years, and the median DFS was 2.7 years. Univariate Kaplan-Meier survival analyses demonstrated that facial nerve sacrifice and extracapsular spread were associated with lower OS (2.38 vs 5

  2. 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

  3. 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

  4. 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…

  5. 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.

  6. Updates in thrombosis in pediatrics: where are we after 20 years?

    PubMed

    Chan, Anthony K C; Monagle, Paul

    2012-01-01

    The incidence of venous thromboembolism (VTE) in the pediatric population is increasing. Technological advances in medicine and imaging techniques, improved awareness of the disease, and longer survival of life-threatening or chronic medical conditions all contribute to the increase in VTE rates. There is a paucity of data on management of VTE based on properly designed clinical trials, but there is significant advancement in the last 2 decades. This review summarizes the progress made in pediatric thrombosis, including epidemiological changes, advances in anticoagulant agents, and outcomes of VTE.

  7. On-orbit spacecraft/stage servicing during STS life cycle

    NASA Technical Reports Server (NTRS)

    1984-01-01

    A comprehensive and repesentative set of shuttle payloads was identified for shuttle and space station servicing missions. The classes of servicing functions were determined and the general servicing support required for the set of referenced spacecraft was allocated. A candidtate strawman space station was depicted from a synthesis of space station concepts derived from NASA space station architecture studies done by eight contractors. The shuttle servicing hardware and kits were identified and their applicability in transitioning servicing capability to the space station was evaluated.

  8. 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…

  9. 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…

  10. 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…

  11. Cattell-Horn-Carroll Cognitive-Achievement Relations: What We Have Learned from the Past 20 Years of Research

    ERIC Educational Resources Information Center

    McGrew, Kevin S.; Wendling, Barbara J.

    2010-01-01

    Contemporary Cattell-Horn-Carroll (CHC) theory of cognitive abilities has evolved over the past 20 years and serves as the theoretical foundation for a number of current cognitive ability assessments. CHC theory provides a means by which we can better understand the relationships between cognitive abilities and academic achievement, an important…

  12. Problem-Solving Appraisal and Human Adjustment: A Review of 20 Years of Research Using the Problem Solving Inventory

    ERIC Educational Resources Information Center

    Heppner, P. Paul; Witty, Thomas E.; Dixon, Wayne A.

    2004-01-01

    This article reviews and synthesizes more than 120 studies from 20 years (1982-2002) of research that has examined problem-solving appraisal as measured by the Problem Solving Inventory (PSI). The goals of the article are fourfold: (a) introduce the construct of problem-solving appraisal and the PSI within the applied problem-solving literature,…

  13. 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

  14. Hearing aid satisfaction: what does research from the past 20 years say?

    PubMed

    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.

  15. 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

  16. Totally Implantable Venous Access Devices – 20 Years' Experience of Implantation in Cystic Fibrosis Patients

    PubMed Central

    Royle, T James; Davies, Ruth E; Gannon, Mark X

    2008-01-01

    INTRODUCTION Totally implantable venous access devices (TIVADs) are widely used to provide long-term, central venous access for antibiotic delivery in cystic fibrosis patients. However, few studies have demonstrated long-term follow-up with large cohorts. PATIENTS AND METHODS This is a retrospective review of TIVADs implanted in cystic fibrosis patients by vascular surgeons at a tertiary referral centre, using an open venous cut-down technique, from March 1986 to July 2006. The cephalic vein was preferentially chosen for line placement, in the deltopectoral groove, under fluoroscopic control. TIVAD performance (life-span or survival) and complications were evaluated. Data were extracted by review of a local database (data collated prospectively since 1986), with supplementation from electronic patient records and medical notes. RESULTS In total 165 TIVADs in 109 patients (34 males, 75 females) were reviewed. Median survival was 1441 days (range, 6–4440 days). Cumulative patency was 146,072 catheter-days. No immediate intrathoracic complications (pneumothorax, haemothorax, nerve injury) occurred. There were 3 early and 82 late complications, namely: occlusion (33 TIVADs; median age 510 days), infection (23 TIVADs; median 376 days), leakage (16; median 283 days), pain or discomfort (6), venous thrombosis (5), extravasation/skin necrosis (1), vegetation in right atrium (1). Overall incidence of complications was 0.58 per 1000 catheter-days. CONCLUSIONS This study concurs with others that TIVADs are safe and effective, with a favourable life-span in cystic fibrosis patients if well looked after in a specialist centre. Complications of infection, leakage and occlusion do occur. Using an open, venous cut-down technique with fluoroscopic control avoids any immediate intrathoracic complications. PMID:18990281

  17. First Medicare Demonstration of Concurrent Provision of Curative and Hospice Services for End-of-Life Care.

    PubMed

    Harrison, Krista L; Connor, Stephen R

    2016-08-01

    Hospice developed in the United States in the 1970s as a way to address unmet needs for end-of-life care: support for pain and symptom management provided in the location and manner that the patient and family prefer. In Europe and Australia, hospice is available from the time of diagnosis of an advanced life-limiting illness onward, but in the United States, the Medicare hospice benefit restricts eligibility for these services to patients who no longer receive curative treatment. We provide background and analysis of the first Medicare hospice demonstration in 35 years that will test the concurrent provision of curative and hospice services for terminally ill individuals with a life expectancy of six months or less. This demonstration is a harbinger of potential policy changes to hospice and palliative care in the United States that could reduce barriers to end-of-life care that aligns with patient and family preferences as the demand for care increases with an aging population. PMID:27310352

  18. 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.

  19. First Medicare Demonstration of Concurrent Provision of Curative and Hospice Services for End-of-Life Care.

    PubMed

    Harrison, Krista L; Connor, Stephen R

    2016-08-01

    Hospice developed in the United States in the 1970s as a way to address unmet needs for end-of-life care: support for pain and symptom management provided in the location and manner that the patient and family prefer. In Europe and Australia, hospice is available from the time of diagnosis of an advanced life-limiting illness onward, but in the United States, the Medicare hospice benefit restricts eligibility for these services to patients who no longer receive curative treatment. We provide background and analysis of the first Medicare hospice demonstration in 35 years that will test the concurrent provision of curative and hospice services for terminally ill individuals with a life expectancy of six months or less. This demonstration is a harbinger of potential policy changes to hospice and palliative care in the United States that could reduce barriers to end-of-life care that aligns with patient and family preferences as the demand for care increases with an aging population.

  20. A journey through 20 years of occupational health and safety in India.

    PubMed

    Patel, Jagdish

    2013-01-01

    Since 1992, the Peoples Training and Research Centre (PTRC) in Vadodara--founded by the author and his mentor Vijay Kanhere--has been a critical resource and key actor in the struggle to improve working conditions in India. Much of the PTRC's work has focused on occupational lung disease, particularly silicosis among agate craft workers. PTRC has brought medical services to workers, pressured industry sectors and associations to mitigate exposures (e.g., through ventilation), and been instrumental in legal action to bring financial recompense to victims. Faced with the reality that true prevention is in the hands of employers, PTRC's strategy has been to engage with and empower workers by educating them about hazards, safety practices, and their legal rights.

  1. 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…

  2. 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…

  3. 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

  4. Retinoblastoma in the Democratic Republic of Congo: 20-Year Review from a Tertiary Hospital in Kinshasa

    PubMed Central

    Kazadi Lukusa, Aimé; Aloni, Michel Ntetani; Kadima-Tshimanga, Bertin; Mvitu-Muaka, Moïse; Gini Ehungu, Jean Lambert; Ngiyulu, René; Ekulu Mfutu, Pépé; Budiongo Nzazi, Aléine

    2012-01-01

    Background. To determine clinical profile and management of retinoblastoma among children at Kinshasa in Democratic Republic of Congo. Patients and methods. The medical records of patients with a diagnosis of retinoblastoma seen at the University Hospital of Kinshasa from January 1985 till December 2005 were retrospectively reviewed. Demographic profile, clinical data, modes of treatment and outcome were analysed. Results. A total of 49 children, of whom 40 had adequate data on record were identified as retinoblastoma (28 males and 12 females). Nine cases had bilateral disease. The median age at the first symptoms was 9 months (range, 1 month to 6 years) for unilateral retinoblastoma and 18 months (range, 1 month to 3.5 years) for bilateral retinoblastoma. The median age at the first oncology consultation was 2.4 years (range, 6 months to 6 years) for unilateral retinoblastoma and 2.4years (range, 9 months to 4 years) for bilateral disease. Leukokoria was present in 67.5% of subjects. Seventy-five percent abandoned the treatment. The mortality was 92.5%. Conclusion. In Democratic Republic of Congo, retinoblastoma remains a life threatening disease characterized by late referral to a specialized unit and affordability of chemotherapy; all leading to an extension of the disease and high mortality. PMID:22619679

  5. 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.

  6. Service-Learning's Impact on Developmental Reading/Writing and Student Life Skills Courses

    ERIC Educational Resources Information Center

    Prentice, Mary

    2009-01-01

    Designed to investigate the impact of service-learning on developmental-level students' success and retention, this study reports the results of pre-and postcourse surveys with service-learning and nonservice-learning sections of developmental courses at Miami-Dade College. Knowledge gained, course pass rates, and both in-class and…

  7. 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…

  8. 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, ...

  9. Tales That Teach: Children's Literature and Service Learning. Linking Learning with Life.

    ERIC Educational Resources Information Center

    Weatherford, Carol G.

    This guide takes illustrated children's literature into the world of service learning (positing that when these two are joined, learning opportunities open up) and suggests how teachers can enhance students' service learning experiences with children's literature. Topics covered in the nine short sections of the guide include telling stories, the…

  10. 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.

  11. 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

    2016-06-01

    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.

  12. 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

    2016-06-01

    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. PMID:27256649

  13. 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

  14. 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

  15. 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

  16. 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.

  17. Persistence of immunoglobulin M or immunoglobulin G antibody responses to Borrelia burgdorferi 10-20 years after active Lyme disease.

    PubMed

    Kalish, R A; McHugh, G; Granquist, J; Shea, B; Ruthazer, R; Steere, A C

    2001-09-15

    The interpretation of serological results for patients who had Lyme disease many years ago is not well defined. We studied the serological status of 79 patients who had had Lyme disease 10-20 years ago and did not currently have signs or symptoms of active Lyme disease. Of the 40 patients who had had early Lyme disease alone, 4 (10%) currently had IgM responses to Borrelia burgdorferi, and 10 (25%) still had IgG reactivity to the spirochete, as determined by a 2-test approach (enzyme-linked immunosorbent assay and Western blot). Of the 39 patients who had had Lyme arthritis, 6 (15%) currently had IgM responses and 24 (62%) still had IgG reactivity to the spirochete. IgM or IgG antibody responses to B. burgdorferi may persist for 10-20 years, but these responses are not indicative of active infection.

  18. 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

  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. 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:

  1. 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...

  2. 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. PMID:24965322

  3. 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.

  4. 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

  5. Mediating effect of mental disorders in the pathway between life events and mental health services use: results from the Baltimore Epidemiologic Catchment Area study.

    PubMed

    Maulik, Pallab K; Eaton, William W; Bradshaw, Catherine P

    2010-03-01

    This study assessed the role of some common mental health conditions as mediators in the pathway between suffering life events and using mental health services. The participants were from the Baltimore Epidemiologic Catchment Area cohort, interviewed in 1993 to 1996 and 2004 to 2005. Longitudinal data analysis was used to identify models with significant mediation. Only alcohol abuse/dependence disorder was a significant mediator in the pathway between suffering a life-threatening illness and using mental health services in a general medical setup. Female gender, being more than 65 years old, prior use of services and availability of health insurance were some of the factors that significantly predicted service use in that model. Some of other factors like social networks and social support, attitudes towards services, and stigma, may play a role in determining service use. Future research should investigate the role of such factors as mediators for mental health service use. PMID:20215995

  6. 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.

  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. PMID:23247259

  8. Tender mercies: increasing access to hospice services for children with life-threatening conditions.

    PubMed

    Dabbs, Devon; Butterworth, Lori; Hall, Elinor

    2007-01-01

    This article describes the initiation of the Children's Hospice and Palliative Care Coalition, an organization that emerged from the concern of two women for the unique needs of children with life-threatening conditions. The Coalition, based in California, was inspired to improve care for children with life-threatening conditions and their families by the 2002 Institute of Medicine report When Children Die:... (which was printed in 2003: ). Its most recent work has been to advance legislative initiatives to develop, implement, and evaluate a pilot project waiver to provide a federally funded pediatric care benefit.

  9. A novel test method to determine the filter material service life of decentralized systems treating runoff from traffic areas.

    PubMed

    Huber, Maximilian; Welker, Antje; Dierschke, Martina; Drewes, Jörg E; Helmreich, Brigitte

    2016-09-01

    In recent years, there has been a significant increase in the development and application of technical decentralized filter systems for the treatment of runoff from traffic areas. However, there are still many uncertainties regarding the service life and the performance of filter materials that are employed in decentralized treatment systems. These filter media are designed to prevent the transport of pollutants into the environment. A novel pilot-scale test method was developed to determine - within a few days - the service lives and long-term removal efficiencies for dissolved heavy metals in stormwater treatment systems. The proposed method consists of several steps including preloading the filter media in a pilot-scale model with copper and zinc by a load of n-1 years of the estimated service life (n). Subsequently, three representative rain events are simulated to evaluate the long-term performance by dissolved copper and zinc during the last year of application. The presented results, which verified the applicability of this method, were obtained for three filter channel systems and six filter shaft systems. The performance of the evaluated systems varied largely for both tested heavy metals and during all three simulated rain events. A validation of the pilot-scale assessment method with field measurements was also performed for two systems. Findings of this study suggest that this novel method does provide a standardized and accurate estimation of service intervals of decentralized treatment systems employing various filter materials. The method also provides regulatory authorities, designers, and operators with an objective basis for performance assessment and supports stormwater managers to make decisions for the installation of such decentralized treatment systems. PMID:27179341

  10. A novel test method to determine the filter material service life of decentralized systems treating runoff from traffic areas.

    PubMed

    Huber, Maximilian; Welker, Antje; Dierschke, Martina; Drewes, Jörg E; Helmreich, Brigitte

    2016-09-01

    In recent years, there has been a significant increase in the development and application of technical decentralized filter systems for the treatment of runoff from traffic areas. However, there are still many uncertainties regarding the service life and the performance of filter materials that are employed in decentralized treatment systems. These filter media are designed to prevent the transport of pollutants into the environment. A novel pilot-scale test method was developed to determine - within a few days - the service lives and long-term removal efficiencies for dissolved heavy metals in stormwater treatment systems. The proposed method consists of several steps including preloading the filter media in a pilot-scale model with copper and zinc by a load of n-1 years of the estimated service life (n). Subsequently, three representative rain events are simulated to evaluate the long-term performance by dissolved copper and zinc during the last year of application. The presented results, which verified the applicability of this method, were obtained for three filter channel systems and six filter shaft systems. The performance of the evaluated systems varied largely for both tested heavy metals and during all three simulated rain events. A validation of the pilot-scale assessment method with field measurements was also performed for two systems. Findings of this study suggest that this novel method does provide a standardized and accurate estimation of service intervals of decentralized treatment systems employing various filter materials. The method also provides regulatory authorities, designers, and operators with an objective basis for performance assessment and supports stormwater managers to make decisions for the installation of such decentralized treatment systems.

  11. Opportunity some relationship tribo between plasma and service life of machines and mechanisms

    NASA Astrophysics Data System (ADS)

    Lomuhin, V. B.; Sharifullin, S. N.; Lapteva, I. V.

    2016-01-01

    The paper proposed the formula for calculating the residual life of the engines without disassembly using the method of spectral analysis of oil. The basis for calculation is the average change in the content of elements of deterioration in the operating oil for a certain period of time of the engine.

  12. 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…

  13. 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…

  14. 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…

  15. 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…

  16. 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

  17. 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…

  18. 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…

  19. 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,…

  20. Agreement between self-reported and measured height, weight and body mass index in old age—a longitudinal study with 20 years of follow-up

    PubMed Central

    Dahl, Anna K.; Hassing, Linda B.; Fransson, Eleonor I.; Pedersen, Nancy L.

    2010-01-01

    Background: self-reported body mass index (BMI) based on self-reported height and weight is a widely used measure of adiposity in epidemiological research. Knowledge about the accuracy of these measures in late life is scarce. Objective: the study aimed to evaluate the accuracy and changes in accuracy of self-reported height, weight and BMI calculated from self-reported height and weight in late life. Design: a longitudinal population-based study with five times of follow-up was conducted. Participants: seven hundred seventy-four community-living men and women, aged 40–88 at baseline (mean age 63.9), included in The Swedish Adoption/Twin Study of Aging. Methods: participants self-reported their height and weight in a questionnaire, and height and weight were measured by experienced research nurses at an in-person testing five times during a 20-year period. BMI was calculated as weight (kilogramme)/height (metre)2. Results: latent growth curve modelling showed an increase in the mean difference between self-reported and measured values over time for height (0.038 cm/year) and BMI (0.016 kg/m2/year), but not for weight. Conclusions: there is a very small increase in the mean difference between self-reported and measured BMI with ageing, which probably would not affect the results when self-reported BMI is used as a continuous variable in longitudinal studies. PMID:20453247

  1. Does perceived physical attractiveness in adolescence predict better socioeconomic position in adulthood? Evidence from 20 years of follow up in a population cohort study.

    PubMed

    Benzeval, Michaela; Green, Michael J; Macintyre, Sally

    2013-01-01

    There is believed to be a 'beauty premium' in key life outcomes: it is thought that people perceived to be more physically attractive have better educational outcomes, higher-status jobs, higher wages, and are more likely to marry. Evidence for these beliefs, however, is generally based on photographs in hypothetical experiments or studies of very specific population subgroups (such as college students). The extent to which physical attractiveness might have a lasting effect on such outcomes in 'real life' situations across the whole population is less well known. Using longitudinal data from a general population cohort of people in the West of Scotland, this paper investigated the association between physical attractiveness at age 15 and key socioeconomic outcomes approximately 20 years later. People assessed as more physically attractive at age 15 had higher socioeconomic positions at age 36- in terms of their employment status, housing tenure and income - and they were more likely to be married; even after adjusting for parental socioeconomic background, their own intelligence, health and self esteem, education and other adult socioeconomic outcomes. For education the association was significant for women but not for men. Understanding why attractiveness is strongly associated with long-term socioeconomic outcomes, after such extensive confounders have been considered, is important.

  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, 2014 CFR

    2014-07-01

    ... that some speech can be produced through the use of artificial appliance or other organs of the body... 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...

  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, 2011 CFR

    2011-07-01

    ... that some speech can be produced through the use of artificial appliance or other organs of the body... 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, 2013 CFR

    2013-07-01

    ... that some speech can be produced through the use of artificial appliance or other organs of the body... 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. 38 CFR 8.0 - Definitions of terms used in connection with title 38 CFR, part 8, National Service Life Insurance.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... that some speech can be produced through the use of artificial appliance or other organs of the body... 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...

  6. Elevation-dependent temperature trends in the Rocky Mountain Front Range: changes over a 56- and 20-year record.

    PubMed

    McGuire, Chris R; Nufio, César R; Bowers, M Deane; Guralnick, Robert P

    2012-01-01

    Determining the magnitude of climate change patterns across elevational gradients is essential for an improved understanding of broader climate change patterns and for predicting hydrologic and ecosystem changes. We present temperature trends from five long-term weather stations along a 2077-meter elevational transect in the Rocky Mountain Front Range of Colorado, USA. These trends were measured over two time periods: a full 56-year record (1953-2008) and a shorter 20-year (1989-2008) record representing a period of widely reported accelerating change. The rate of change of biological indicators, season length and accumulated growing-degree days, were also measured over the 56 and 20-year records. Finally, we compared how well interpolated Parameter-elevation Regression on Independent Slopes Model (PRISM) datasets match the quality controlled and weather data from each station. Our results show that warming signals were strongest at mid-elevations over both temporal scales. Over the 56-year record, most sites show warming occurring largely through increases in maximum temperatures, while the 20-year record documents warming associated with increases in maximum temperatures at lower elevations and increases in minimum temperatures at higher elevations. Recent decades have also shown a shift from warming during springtime to warming in July and November. Warming along the gradient has contributed to increases in growing-degree days, although to differing degrees, over both temporal scales. However, the length of the growing season has remained unchanged. Finally, the actual and the PRISM interpolated yearly rates rarely showed strong correlations and suggest different warming and cooling trends at most sites. Interpretation of climate trends and their seasonal biases in the Rocky Mountain Front Range are dependent on both elevation and the temporal scale of analysis. Given mismatches between interpolated data and the directly measured station data, we caution against

  7. 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.

  8. 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.

  9. A case report of Gordon's syndrome in a 20-year-old male with free medical family history.

    PubMed

    Kostakis, Ioannis D; Tsoukalas, Nikolaos G; Aravantinos, Dionysios C; Gkizis, Ilias G; Cholidou, Kyriaki G; Papadopoulos, Dimitris P

    2013-01-01

    Gordon's syndrome is a rare autosomal dominant disease that manifests in childhood. It is characterized by hypertension, hyperkalemic hyperchloremic metabolic acidosis, low renin and usually normal aldosterone levels, and it is sensitive to thiazide diuretics. A 20-year-old male with a history of diagnosed Gordon's syndrome was referred to a nephrology clinic for evaluation. The patient, who was under treatment with hydrochlorothiazide, had been diagnosed with Gordon's syndrome at the age of 11, when he presented hypertension and episodes of hyperkalemic hyperchloremic metabolic acidosis. However, none of his relatives had been diagnosed with this syndrome. Therefore, we assume that our patient might be a case of de novo gene mutation.

  10. A 20 year review of punishment and alternative methods to treat problem behaviors in developmentally delayed persons.

    PubMed

    Matson, J L; Taras, M E

    1989-01-01

    Relevant journals were reviewed (n = 23) for a 20 year period (1967 to 1987) to assess the status of treatments for severe behavior problems of developmentally delayed persons. A hand search of journals was made; 382 studies were identified. Procedures were analyzed by problem behaviors treated, side effects reported, whether the procedure involved painful stimuli, nonpainful stimuli, food satiation, positive procedures, extinction or combinations of methods. The number of studies reported yearly was also plotted. The implication of these data for federal and state policy makers and for treatment programs dealing with difficult to treat clients is discussed. PMID:2648505

  11. Neuropsychological sequelae of Wernicke's encephalopathy in a 20-year-old woman: selective impairment of a frontal memory system.

    PubMed

    Parkin, A J; Dunn, J C; Lee, C; O'Hara, P F; Nussbaum, L

    1993-01-01

    This article reports the neuropsychological sequelae of Wernicke's Encephalopathy in a 20-year-old woman. After amelioration of acute symptoms, the patient showed a range of cognitive impairments the most marked of which was a severe impairment on free recall tasks involving both verbal and nonverbal material. In contrast, recognition memory appeared remarkably well preserved. Some evidence of frontal lobe and general intellectual impairment was also noted. The case is discussed in terms of the pathophysiology of Wernicke-Korsakoff Syndrome, criteria for its diagnosis, and the multicomponent nature of memory deficits.

  12. 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,…

  13. 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 ...

  14. 20 Years of RECONS

    NASA Astrophysics Data System (ADS)

    Henry, Todd J.; RECONS

    2014-01-01

    RECONS (REsearch Consortium On Nearby Stars, www.recons.org) turns 20 in 2014, so we take this opportunity to review some of the highlights of the RECONS effort over the past two decades. Through comprehensive searches for new nearby stars, as well as characterization of the stars and exploration of their environments, the RECONS team has made significant contributions to our understanding of the solar neighborhood, and of our own place in the Universe. Here we highlight results detailed in more than 30 papers in The Solar Neighborhood series published in The Astronomical Journal, including: (1) a census indicating that at least 75% of all stars are red dwarfs, which have more real estate available for habitable planets than any other type of star, (2) more than 300 new stellar systems with accurate trigonometric parallaxes placing them within 25 pc, including 12 of the nearest 100 systems, (3) thousands of additional nearby star candidates identified through traditional proper motion searches and novel photometric searches for stars exhibiting minimal proper motions, (4) increases of more than 20% in the nearest white dwarf and cool subdwarf populations, (5) discovery of the nearest star, AP Col, younger than 100 million years, (6) knowledge that more than half of stellar systems contain only one star, dominated by the red dwarf multiplicity rate of only about 30%, (7) definition of the smallest main sequence star, with a radius only 9% that of the Sun (smaller than Jupiter) and a temperature of 2100K, and (8) a revelation that the smallest stars are rarely orbited by giant planets, including the elimination of planets down to half a Jupiter mass orbiting Proxima Centauri. As RECONS enters its third decade, we continue our reconnaissance of the solar neighborhood via a comprehensive survey to understand the nature of star formation by determining accurate luminosity and mass functions for the nearest stars. In addition, we are taking an inventory of nearby planets, including an astrometric search of several hundred of the nearest red dwarfs for planetary systems. This effort is supported by the NSF through grants AST-0908402 and AST-1109445, and via observations made possible by the SMARTS Consortium.

  15. 20 years of toxicology.

    PubMed Central

    Fisher, B E

    1998-01-01

    With over 80,000 chemicals being used in commerce worldwide, it is important to identify the human health effects of these chemicals and the levels of exposure at which they are harmful to humans. In order to address this need, the National Toxicology Program (NTP) was established in 1978; since then, the NTP has become the world's leader in designing, conducting, and interpreting various types of toxicity assays. PMID:9755149

  16. Perspectives of adults with cochlear implants on current CI services and daily life.

    PubMed

    Ng, Zheng Yen; Lamb, Brian; Harrigan, Suzanne; Archbold, Sue; Athalye, Sheetal; Allen, Sarah

    2016-04-01

    This paper reports on a survey and interviews carried out with adults who have gone through the cochlear implantation pathway. It explores their experiences of current services, the assessment process for implantation, and the impact on their daily lives, including views and experiences on communication, independence and confidence. It also explores, in today's financially challenging climate, their awareness of current funding issues and the value of their implant to them.

  17. Barriers to emergency obstetric care services: accounts of survivors of life threatening obstetric complications in Malindi District, Kenya

    PubMed Central

    Echoka, Elizabeth; Makokha, Anselimo; Dubourg, Dominique; Kombe, Yeri; Nyandieka, Lillian; Byskov, Jens

    2014-01-01

    Introduction Pregnancy-related mortality and morbidity in most low and middle income countries can be reduced through early recognition of complications, prompt access to care and appropriate medical interventions following obstetric emergencies. We used the three delays framework to explore barriers to emergency obstetric care (EmOC) services by women who experienced life threatening obstetric complications in Malindi District, Kenya. Methods A facility-based qualitative study was conducted between November and December 2010. In-depth interviews were conducted with 30 women who experienced obstetric “near miss” at the only public hospital with capacity to provide comprehensive EmOC services in the district. Resuls Findings indicate that pregnant women experienced delays in making decision to seek care and in reaching an appropriate care facility. The “first” delay was due to lack of birth preparedness, including failure to identify a health facility for delivery services regardless of antenatal care and to seek care promptly despite recognition of danger signs. The “second” delay was influenced by long distance and inconvenient transport to hospital. These two delays resulted in some women arriving at the hospital too late to save the life of the unborn baby. Conclusion Delays in making the decision to seek care when obstetric complications occur, combined with delays in reaching the hospital, contribute to ineffective treatment upon arrival at the hospital. Interventions to reduce maternal mortality and morbidity must adequately consider the pre-hospital challenges faced by pregnant women in order to influence decision making towards addressing the three delays. PMID:24643142

  18. A criterion for establishing life limits. [for Space Shuttle Main Engine service

    NASA Technical Reports Server (NTRS)

    Skopp, G. H.; Porter, A. A.

    1990-01-01

    The development of a rigorous statistical method that would utilize hardware-demonstrated reliability to evaluate hardware capability and provide ground rules for safe flight margin is discussed. A statistical-based method using the Weibull/Weibayes cumulative distribution function is described. Its advantages and inadequacies are pointed out. Another, more advanced procedure, Single Flight Reliability (SFR), determines a life limit which ensures that the reliability of any single flight is never less than a stipulated value at a stipulated confidence level. Application of the SFR method is illustrated.

  19. Nitrogen isotopes of coral skeleton-bound organic matter and a 20-year record from Central Equatorial Pacific

    NASA Astrophysics Data System (ADS)

    Wang, X.; Sigman, D. M.; Sinclair, D.; Sherrell, R. M.; Rafter, P. A.; Ren, H.; Cobb, K.; Weigand, A.; Oleynik, S.

    2011-12-01

    We have developed a sensitive method for measuring nitrogen isotopes of coral skeleton-bound organic matter, requiring 5 mg of chemically cleaned coral skeleton powder and yielding a standard deviation for measured d15N of ~0.3%. This method allows for the generation of high-resolution d15N records of coral skeleton-bound organic matter, which we seek to advance as a proxy for the ocean nitrogen cycle in the past. A 20-year coral d15N record (1977-1997) from the Central Equatorial Pacific (Line Islands, Kiribati (2°N, 157°W)) yields an average d15N of 13%, which is similar to the d15N of mixed layer nitrate in this region but 6% higher than the subsurface nitrate being upwelled in this region. The 21 samples over this 20 year period yield a range of only 1.5% (12.5-14.0%), suggesting no substantial change of the mixed layer nitrogen pool over this period. There is some evidence for a lower d15N during El Nino events, but this requires testing by extension of the record and higher resolution sampling. If robust, this d15N decrease may reflect an increased reliance of corals on particulate organic nitrogen and recycled forms of nitrogen relative to nitrate during El Nino events, when mixed layer nitrate concentration declines in the Central Equatorial Pacific.

  20. 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.