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Sample records for active case ascertainment

  1. Testing the Feasibility of a Passive and Active Case Ascertainment System for Multiple Rare Conditions Simultaneously: The Experience in Three US States

    PubMed Central

    McDermott, Suzanne; Ruttenber, Margaret; Mann, Joshua; Smith, Michael G; Royer, Julie; Valdez, Rodolfo

    2016-01-01

    Background Owing to their low prevalence, single rare conditions are difficult to monitor through current state passive and active case ascertainment systems. However, such monitoring is important because, as a group, rare conditions have great impact on the health of affected individuals and the well-being of their caregivers. A viable approach could be to conduct passive and active case ascertainment of several rare conditions simultaneously. This is a report about the feasibility of such an approach. Objective To test the feasibility of a case ascertainment system with passive and active components aimed at monitoring 3 rare conditions simultaneously in 3 states of the United States (Colorado, Kansas, and South Carolina). The 3 conditions are spina bifida, muscular dystrophy, and fragile X syndrome. Methods Teams from each state evaluated the possibility of using current or modified versions of their local passive and active case ascertainment systems and datasets to monitor the 3 conditions. Together, these teams established the case definitions and selected the variables and the abstraction tools for the active case ascertainment approach. After testing the ability of their local passive and active case ascertainment system to capture all 3 conditions, the next steps were to report the number of cases detected actively and passively for each condition, to list the local barriers against the combined passive and active case ascertainment system, and to describe the experiences in trying to overcome these barriers. Results During the test period, the team from South Carolina was able to collect data on all 3 conditions simultaneously for all ages. The Colorado team was also able to collect data on all 3 conditions but, because of age restrictions in its passive and active case ascertainment system, it was able to report few cases of fragile X syndrome. The team from Kansas was able to collect data only on spina bifida. For all states, the implementation of an

  2. Using administrative data to understand the geography of case ascertainment.

    PubMed

    Yiannakoulias, N; Schopflocher, D P; Svenson, L W

    2009-01-01

    We examined the geographic variability of information generated from different case definitions of childhood asthma derived from administrative health data used in Alberta, Canada. Our objective was to determine if analyses based on different case ascertainment algorithms identify geographic clusters in the same region of the study area. Our study group was based on a closed cohort of asthmatic children born in 1988. We used a spatial scan statistic to identify variations in the approximate location of geographic clusters of asthma based on different case definitions. Our results indicate that the geographic patterns are not greatly affected by the case ascertainment algorithm or the source of data. For example, asthmatics identified from medical claims data showed similar clustering to asthmatics defined through hospitalization and emergency department data. However, estimates of prevalence and incidence require careful consideration and validation against other data sources.

  3. The Lililwan Project: study protocol for a population-based active case ascertainment study of the prevalence of fetal alcohol spectrum disorders (FASD) in remote Australian Aboriginal communities

    PubMed Central

    Elliott, Elizabeth J; Latimer, Jane; Carter, Maureen; Oscar, June; Ferreira, Manuela; Olson, Heather Carmichael; Lucas, Barbara; Doney, Robyn; Salter, Claire; Peadon, Elizabeth; Hawkes, Genevieve; Hand, Marmingee

    2012-01-01

    Introduction Anecdotal reports suggest that high-risk drinking in pregnancy is common in some remote Australian communities. Alcohol is teratogenic and may cause a range of lifelong conditions termed ‘fetal alcohol spectrum disorders’ (FASD). Australia has few diagnostic services for FASD, and prevalence of these neurodevelopmental disorders remains unknown. In 2009, Aboriginal leaders in the remote Fitzroy Valley in North Western Australia identified FASD as a community priority and initiated the Lililwani Project in partnership with leading research organisations. This project will establish the prevalence of FASD and other health and developmental problems in school-aged children residing in the Fitzroy Valley, providing data to inform FASD prevention and management. Methods and analysis This is a population-based active case ascertainment study of all children born in 2002 and 2003 and residing in the Fitzroy Valley. Participants will be identified from the Fitzroy Valley Population Project and Communicare databases. Parents/carers will be interviewed using a standardised diagnostic questionnaire modified for local language and cultural requirements to determine the demographics, antenatal exposures, birth outcomes, education and psychosocial status of each child. A comprehensive interdisciplinary health and neurodevelopmental assessment will be performed using tests and operational definitions adapted for the local context. Internationally recognised diagnostic criteria will be applied to determine FASD prevalence. Relationships between pregnancy exposures and early life trauma, neurodevelopmental, health and education outcomes will be evaluated using regression analysis. Results will be reported according to STROBE guidelines for observational studies. Ethics and dissemination Ethics approval has been granted by the University of Sydney Human Research Ethics Committee, the Western Australian Aboriginal Health Information and Ethics Committee, the Western

  4. Fetal Alcohol Syndrome Surveillance: Age of Syndrome Manifestation in Case Ascertainment

    PubMed Central

    Moberg, D. Paul; Bowser, John; Burd, Larry; Elliott, Amy J.; Punyko, Judy; Wilton, Georgiana

    2014-01-01

    Background Fetal alcohol syndrome (FAS) is a leading cause of developmental disability. Active public health surveillance through medical record abstraction has been employed to estimate FAS prevalence rates, typically based on birth cohorts. There is an extended time for FAS characteristics to become apparent in infants and young children, and there are often delays in syndrome recognition and documentation. This methodological paper analyzes the age at case ascertainment in a large surveillance program. Methods The Fetal Alcohol Syndrome Surveillance (FASSLink) Project, funded by the Centers for Disease Control and Prevention (CDC), sought to estimate FAS prevalence rates in eight U.S. states. FASSLink used linked abstractions from multiple health care records of suspected cases of FAS. The present paper analyzed data from this effort to determine the child’s age in months at confirming abstraction. Results The average age at abstraction for confirmed/probable FAS cases (n=422) was 48.3 (±19.5) months with a range of 0 to 94 months. Age of ascertainment varied by state and decreased with each birth year; the number of cases ascertained also decreased in a steep stepwise gradient over the six birth years in the study. Discussion FAS surveillance efforts should screen records of children who are much older than is typical in birth defects surveillance. To best establish rates of FAS using medical records abstraction, surveillance efforts should focus on one-year birth cohorts followed for a fixed number of years or, if using multi-year cohorts, should implement staggered end dates allowing all births to be followed for up to eight years of age. PMID:24737611

  5. Adjusting for bias due to incomplete case ascertainment in case-control studies of birth defects.

    PubMed

    Howards, Penelope P; Johnson, Candice Y; Honein, Margaret A; Flanders, W Dana

    2015-04-15

    Case-control studies of birth defects might be subject to selection bias when there is incomplete ascertainment of cases among pregnancies that are terminated after a prenatal diagnosis of the defect. We propose a simple method to estimate inverse probability of selection weights (IPSWs) for cases ascertained from both pregnancies that end in termination and those that do not end in termination using data directly available from the National Birth Defects Prevention Study and other published information. The IPSWs can then be used to adjust for selection bias analytically. We can also allow for uncertainty in the selection probabilities through probabilistic bias analysis. We provide an illustrative example using data from National Birth Defects Prevention Study (1997-2009) to examine the association between prepregnancy obesity (body mass index, measured as weight in kilograms divided by height in meters squared, of ≥30 vs. <30) and spina bifida. The unadjusted odds ratio for the association between prepregnancy obesity and spina bifida was 1.48 (95% confidence interval: 1.26, 1.73), and the simple selection bias-adjusted odds ratio was 1.26 (95% confidence interval: 1.04, 1.53). The probabilistic bias analysis resulted in a median adjusted odds ratio of 1.22 (95% simulation interval: 0.97, 1.47). The proposed method provides a quantitative estimate of the IPSWs and the bias introduced by incomplete ascertainment of cases among terminated pregnancies conditional on a set of assumptions.

  6. Using Administrative Data to Ascertain True Cases of Muscular Dystrophy: Rare Disease Surveillance

    PubMed Central

    2017-01-01

    Background Administrative records from insurance and hospital discharge data sources are important public health tools to conduct passive surveillance of disease in populations. Identifying rare but catastrophic conditions is a challenge since approaches for maximizing valid case detection are not firmly established. Objective The purpose of our study was to explore a number of algorithms in which International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes and other administrative variables could be used to identify cases of muscular dystrophy (MD). Methods We used active surveillance to identify possible cases of MD in medical practices in neurology, genetics, and orthopedics in 5 urban South Carolina counties and to identify the cases that had diagnostic support (ie, true cases). We then developed an algorithm to identify cases based on a combination of ICD-9-CM codes and administrative variables from a public (Medicaid) and private insurer claims-based system and a statewide hospital discharge dataset (passive surveillance). Cases of all types of MD and those with Duchenne or Becker MD (DBMD) that were common to both surveillance systems were examined to identify the most specific administrative variables for ascertainment of true cases. Results Passive statewide surveillance identified 3235 possible cases with MD in the state, and active surveillance identified 2057 possible cases in 5 actively surveilled counties that included 2 large metropolitan areas where many people seek medical care. There were 537 common cases found in both the active and passive systems, and 260 (48.4%) were confirmed by active surveillance to be true cases. Of the 260 confirmed cases, 70 (26.9%) were recorded as DBMD. Conclusions Accuracy of finding a true case in a passive surveillance system was improved substantially when specific diagnosis codes, number of times a code was used, age of the patient, and specialty provider variables were used

  7. Accurate liability estimation improves power in ascertained case-control studies.

    PubMed

    Weissbrod, Omer; Lippert, Christoph; Geiger, Dan; Heckerman, David

    2015-04-01

    Linear mixed models (LMMs) have emerged as the method of choice for confounded genome-wide association studies. However, the performance of LMMs in nonrandomly ascertained case-control studies deteriorates with increasing sample size. We propose a framework called LEAP (liability estimator as a phenotype; https://github.com/omerwe/LEAP) that tests for association with estimated latent values corresponding to severity of phenotype, and we demonstrate that this can lead to a substantial power increase.

  8. Mixed Model with Correction for Case-Control Ascertainment Increases Association Power

    PubMed Central

    Hayeck, Tristan J.; Zaitlen, Noah A.; Loh, Po-Ru; Vilhjalmsson, Bjarni; Pollack, Samuela; Gusev, Alexander; Yang, Jian; Chen, Guo-Bo; Goddard, Michael E.; Visscher, Peter M.; Patterson, Nick; Price, Alkes L.

    2015-01-01

    We introduce a liability-threshold mixed linear model (LTMLM) association statistic for case-control studies and show that it has a well-controlled false-positive rate and more power than existing mixed-model methods for diseases with low prevalence. Existing mixed-model methods suffer a loss in power under case-control ascertainment, but no solution has been proposed. Here, we solve this problem by using a χ2 score statistic computed from posterior mean liabilities (PMLs) under the liability-threshold model. Each individual’s PML is conditional not only on that individual’s case-control status but also on every individual’s case-control status and the genetic relationship matrix (GRM) obtained from the data. The PMLs are estimated with a multivariate Gibbs sampler; the liability-scale phenotypic covariance matrix is based on the GRM, and a heritability parameter is estimated via Haseman-Elston regression on case-control phenotypes and then transformed to the liability scale. In simulations of unrelated individuals, the LTMLM statistic was correctly calibrated and achieved higher power than existing mixed-model methods for diseases with low prevalence, and the magnitude of the improvement depended on sample size and severity of case-control ascertainment. In a Wellcome Trust Case Control Consortium 2 multiple sclerosis dataset with >10,000 samples, LTMLM was correctly calibrated and attained a 4.3% improvement (p = 0.005) in χ2 statistics over existing mixed-model methods at 75 known associated SNPs, consistent with simulations. Larger increases in power are expected at larger sample sizes. In conclusion, case-control studies of diseases with low prevalence can achieve power higher than that in existing mixed-model methods. PMID:25892111

  9. Mixed model with correction for case-control ascertainment increases association power.

    PubMed

    Hayeck, Tristan J; Zaitlen, Noah A; Loh, Po-Ru; Vilhjalmsson, Bjarni; Pollack, Samuela; Gusev, Alexander; Yang, Jian; Chen, Guo-Bo; Goddard, Michael E; Visscher, Peter M; Patterson, Nick; Price, Alkes L

    2015-05-07

    We introduce a liability-threshold mixed linear model (LTMLM) association statistic for case-control studies and show that it has a well-controlled false-positive rate and more power than existing mixed-model methods for diseases with low prevalence. Existing mixed-model methods suffer a loss in power under case-control ascertainment, but no solution has been proposed. Here, we solve this problem by using a χ(2) score statistic computed from posterior mean liabilities (PMLs) under the liability-threshold model. Each individual's PML is conditional not only on that individual's case-control status but also on every individual's case-control status and the genetic relationship matrix (GRM) obtained from the data. The PMLs are estimated with a multivariate Gibbs sampler; the liability-scale phenotypic covariance matrix is based on the GRM, and a heritability parameter is estimated via Haseman-Elston regression on case-control phenotypes and then transformed to the liability scale. In simulations of unrelated individuals, the LTMLM statistic was correctly calibrated and achieved higher power than existing mixed-model methods for diseases with low prevalence, and the magnitude of the improvement depended on sample size and severity of case-control ascertainment. In a Wellcome Trust Case Control Consortium 2 multiple sclerosis dataset with >10,000 samples, LTMLM was correctly calibrated and attained a 4.3% improvement (p = 0.005) in χ(2) statistics over existing mixed-model methods at 75 known associated SNPs, consistent with simulations. Larger increases in power are expected at larger sample sizes. In conclusion, case-control studies of diseases with low prevalence can achieve power higher than that in existing mixed-model methods.

  10. The Impact of Different Case Ascertainment Definitions on the Prevalence of Major Congenital Malformations and their Association with Asthma During Pregnancy.

    PubMed

    Eltonsy, Sherif; Forget, Amelie; Blais, Lucie

    2017-03-01

    Objectives To compare the prevalence of major malformations using different case ascertainment definitions and to evaluate their impact on maternal asthma-major malformations association. Methods A cohort of pregnancies with and without asthma between 1990 and 2010 was formed. We used two classification methods: the Two step Congenital Malformation Classification (TCMC) and the Canadian Congenital Anomalies Surveillance System (CCASS). Within each method, three case definitions were compared: (1) ≥1 diagnosis in the hospital database; (2) ≥1 diagnosis in the hospital database or ≥2 in the medical claims; and (3) ≥1 diagnosis in the hospital database or ≥1 in the medical claims. We calculated the prevalence of major malformations and adjusted odds ratios (aORs) for maternal asthma association. Results Of 467,946 pregnancies, 12.3 % were with active asthma. The prevalence estimates were: TCMC 5.10-7.08 % and CCASS 7.03-10.57 %. Asthma-major malformations association was weaker with the CCASS (aOR 1.14-1.20) versus TCMC (aOR 1.22-1.26). Discussion The case ascertainment definitions with ≥1 hospitalization are likely to be the most reliable in similar administrative databases. The case ascertainment definition had a considerable impact on the prevalence of major malformations, but hardly influenced the aORs. Future studies should formally assess the validity of the case ascertainment definitions and allow generalizability to other maternal exposures.

  11. Optimal design of studies of influenza transmission in households. II: comparison between cohort and case-ascertained studies.

    PubMed

    Klick, B; Nishiura, H; Leung, G M; Cowling, B J

    2014-04-01

    Both case-ascertained household studies, in which households are recruited after an 'index case' is identified, and household cohort studies, where a household is enrolled before the start of the epidemic, may be used to test and estimate the protective effect of interventions used to prevent influenza transmission. A simulation approach parameterized with empirical data from household studies was used to evaluate and compare the statistical power of four study designs: a cohort study with routine virological testing of household contacts of infected index case, a cohort study where only household contacts with acute respiratory illness (ARI) are sampled for virological testing, a case-ascertained study with routine virological testing of household contacts, and a case-ascertained study where only household contacts with ARI are sampled for virological testing. We found that a case-ascertained study with ARI-triggered testing would be the most powerful design while a cohort design only testing household contacts with ARI was the least powerful. Sensitivity analysis demonstrated that these conclusions varied by model parameters including the serial interval and the risk of influenza virus infection from outside the household.

  12. A prospective ascertainment of cancer incidence in sub-Saharan Africa: The case of Kaposi sarcoma.

    PubMed

    Semeere, Aggrey; Wenger, Megan; Busakhala, Naftali; Buziba, Nathan; Bwana, Mwebesa; Muyindike, Winnie; Amerson, Erin; Maurer, Toby; McCalmont, Timothy; LeBoit, Philip; Musick, Beverly; Yiannoutsos, Constantin; Lukande, Robert; Castelnuovo, Barbara; Laker-Oketta, Miriam; Kambugu, Andrew; Glidden, David; Wools-Kaloustian, Kara; Martin, Jeffrey

    2016-05-01

    In resource-limited areas, such as sub-Saharan Africa, problems in accurate cancer case ascertainment and enumeration of the at-risk population make it difficult to estimate cancer incidence. We took advantage of a large well-enumerated healthcare system to estimate the incidence of Kaposi sarcoma (KS), a cancer which has become prominent in the HIV era and whose incidence may be changing with the rollout of antiretroviral therapy (ART). To achieve this, we evaluated HIV-infected adults receiving care between 2007 and 2012 at any of three medical centers in Kenya and Uganda that participate in the East Africa International Epidemiologic Databases to Evaluate AIDS (IeDEA) Consortium. Through IeDEA, clinicians received training in KS recognition and biopsy equipment. We found that the overall prevalence of KS among 102,945 HIV-infected adults upon clinic enrollment was 1.4%; it declined over time at the largest site. Among 140,552 patients followed for 319,632 person-years, the age-standardized incidence rate was 334/100,000 person-years (95% CI: 314-354/100,000 person-years). Incidence decreased over time and was lower in women, persons on ART, and those with higher CD4 counts. The incidence rate among patients on ART with a CD4 count >350 cells/mm(3) was 32/100,000 person-years (95% CI: 14-70/100,000 person-years). Despite reductions over time coincident with the expansion of ART, KS incidence among HIV-infected adults in East Africa equals or exceeds the most common cancers in resource-replete settings. In resource-limited settings, strategic efforts to improve cancer diagnosis in combination with already well-enumerated at-risk denominators can make healthcare systems attractive platforms for estimating cancer incidence.

  13. Reducing case ascertainment costs in U.S. population studies of Alzheimer's disease, dementia, and cognitive impairment-Part 1.

    PubMed

    Weir, David R; Wallace, Robert B; Langa, Kenneth M; Plassman, Brenda L; Wilson, Robert S; Bennett, David A; Duara, Ranjan; Loewenstein, David; Ganguli, Mary; Sano, Mary

    2011-01-01

    Establishing methods for ascertainment of dementia and cognitive impairment that are accurate and also cost-effective is a challenging enterprise. Large population-based studies often using administrative data sets offer relatively inexpensive and reliable estimates of severe conditions including moderate to advanced dementia that are useful for public health planning, but they can miss less severe cognitive impairment which may be the most effective point for intervention. Clinical and epidemiological cohorts, intensively assessed, provide more sensitive detection of less severe cognitive impairment but are often costly. In this article, several approaches to ascertainment are evaluated for validity, reliability, and cost. In particular, the methods of ascertainment from the Health and Retirement Study are described briefly, along with those of the Aging, Demographics, and Memory Study (ADAMS). ADAMS, a resource-intense sub-study of the Health and Retirement Study, was designed to provide diagnostic accuracy among persons with more advanced dementia. A proposal to streamline future ADAMS assessments is offered. Also considered are algorithmic and Web-based approaches to diagnosis that can reduce the expense of clinical expertise and, in some contexts, can reduce the extent of data collection. These approaches are intended for intensively assessed epidemiological cohorts where goal is valid and reliable case detection with efficient and cost-effective tools.

  14. Evaluation of an algorithm ascertaining cases of osteonecrosis of the jaw in the Swedish National Patient Register

    PubMed Central

    Bergdahl, Johan; Jarnbring, Fredrik; Ehrenstein, Vera; Gammelager, Henrik; Granath, Fredrik; Kieler, Helle; Svensson, Madeleine; Tell, Grethe S; Lagerros, Ylva Trolle

    2013-01-01

    Background Osteonecrosis of the jaw (ONJ) is a medical condition associated with antiresorptive drugs, among others, used to treat osteoporosis and bone metastasis. Currently, there is no consensus regarding the definition of ONJ, and no ONJ-specific International Classification of Diseases-10 code exists. Therefore, register-based studies of this condition may be troublesome. Purpose To evaluate an algorithm ascertaining ONJ cases in an attempt to facilitate future assessments of ONJ in clinical and epidemiological studies. Methods By means of the Patient Register and the Prescribed Drug Register, we identified all postmenopausal female residents in Sweden from 2005 through 2009. To identify potential cases of ONJ, we employed an algorithm including the following conditions: periapical abscess with sinus, inflammatory conditions of jaws, alveolitis of jaws, idiopathic aseptic necrosis of bone, osteonecrosis due to drugs, osteonecrosis due to previous trauma, other secondary osteonecrosis, other osteonecrosis, and unspecified osteonecrosis. Women seen at departments of oral and maxillofacial surgery, with at least one of the conditions, were classified as potential cases of ONJ. Conditions in anatomic sites other than the jaw were excluded. Validation was performed through medical record review. Case confirmation was based on the ONJ definition by the American Association of Oral and Maxillofacial Surgeons. The algorithm was evaluated by positive predictive values (PPVs) stratified by diagnosis. Results For the 87 potential cases identified through our algorithm, the medical records were obtained for 83. The overall PPV was 18% (95% confidence interval (CI) 10%–28%). The highest PPV was observed in osteonecrosis due to drugs (83%, 95% CI 36%–100%). Several diagnoses had a PPV of 0 or were not used at all (periapical abscess with sinus, alveolitis of jaws, idiopathic aseptic necrosis of bone, osteonecrosis due to previous trauma, other secondary osteonecrosis

  15. Fetal polydactyly: a study of 24 cases ascertained by prenatal sonography.

    PubMed

    Filges, Isabel; Kang, Anjeung; Hench, Jürgen; Wenzel, Friedel; Bruder, Elisabeth; Miny, Peter; Tercanli, Sevgi

    2011-07-01

    Records of 24 pregnancies with fetal polydactyly were reviewed for the type of polydactyly, family history, associated sonographic findings, genetic testing, and postnatal/postmortem examination findings. The importance of fetal polydactyly can be mainly elucidated by the family history and absent or associated anomalies on a specialized malformation scan. Fetal karyotyping diagnoses frequent chromosomal anomalies in about half of cases with additional malformations, and array comparative genomic hybridization may be a future means of detecting cryptic chromosomal aberrations. Syndromic disorders of monogenic origin demand a careful interdisciplinary clinical assessment for establishing a clinical diagnosis and prognosis for the outcome of the child.

  16. Ascertaining year of birth/age at death in forensic cases: A review of conventional methods and methods allowing for absolute chronology.

    PubMed

    Lynnerup, Niels; Kjeldsen, Henrik; Zweihoff, Ralf; Heegaard, Steffen; Jacobsen, Christina; Heinemeier, Jan

    2010-09-10

    Based on an actual case, where we were able to ascertain the year of birth of three dead babies found in a deep-freezer to within 1-2 years (1986, 1988 and 2004, respectively), we review the current state of forensic age determination/year of birth determination. The age of an individual (year of birth) is often a fundamental piece of data in connection with forensic identification of unidentified bodies. The methods most often used are based on determining various morphological, age-related, changes on the skeleton (or teeth, although odontological methods are not reviewed in this paper). As such, these methods are all relative, i.e. they do not furnish calendar ages or years, but an estimate of the age at death, with a rather large range, i.e. the methods rely on biological aging following the chronological aging. More recently, methods have been proposed using more direct ascertainment of age at death, e.g. protein racemisation, or, as in our case, radiocarbon methods. Especially the latter method may in fact yield absolute ages (years of birth), because (14)C activity, as measured in specific proteins in specific cells or tissues in the body, were in equilibrium with the so-called bomb-pulse, when these proteins were formed (at birth). The bomb pulse reflects a dramatic change in atmospheric (14)C content due to nuclear bomb testing, and these dramatic changes can be rather tightly related to single calendar years.

  17. PS2-01: A System for Computer-Assisted Rapid Case Ascertainment of Breast, Lung and Colorectal Cancers

    PubMed Central

    Pardee, Roy

    2010-01-01

    , the classifier was trained on that report, thereby improving its future performance. Conclusions: Text classifiers are an effective tool for optimizing the use of staff time in rapidly ascertaining cancer cases for recruitment. Furthermore, because the classifiers’ training (including the corrections made during the study) is easily reduced to a file on disk, it becomes an independent asset, useful for future studies needing to do rapid ascertainment of cancer.

  18. Allopurinol Use during Pregnancy - Outcome of 31 Prospectively Ascertained Cases and a Phenotype Possibly Indicative for Teratogenicity

    PubMed Central

    Hoeltzenbein, Maria; Stieler, Katja; Panse, Mary; Wacker, Evelin; Schaefer, Christof

    2013-01-01

    Allopurinol is a purine analogue that inhibits xanthine oxidase. It is mainly used for the treatment of hyperuricemia in patients with gout or tumor lysis syndrome. Experience with allopurinol in pregnancy is scarce. In 2011, Kozenko et al. reported on a child with multiple malformations after maternal treatment with allopurinol throughout pregnancy. Possible teratogenicity of allopurinol was proposed due to the similarity of the pattern of malformations in children with mycophenolate embryopathy. A possible common mechanism of both drugs, i.e. disruption of purine synthesis, was discussed. We report on the outcome of 31 prospectively ascertained pregnancies with allopurinol exposure at least during first trimester. Pregnancy outcomes were 2 spontaneous abortions, 2 elective terminations of pregnancy and 27 live born children. The overall rate of major malformations (3.7%) and of spontaneous abortions (cumulative incidence 11%, 95%-CI 3–40) were both within the normal range. However, there was one child with severe malformations including microphthalmia, cleft lip and palate, renal hypoplasia, low-set ears, hearing deficit, bilateral cryptorchidism, and micropenis. The striking similarity of the anomalies in this child and the case described by Kozenko et al. might be considered as a signal for teratogenicity. Thus, we would recommend caution with allopurinol treatment in the first trimester, until further data are available. PMID:23840514

  19. Estimating the completeness of physician billing claims for diabetes case ascertainment using population-based prescription drug data

    PubMed Central

    Lix, L. M.; Kuwornu, J. P.; Kroeker, K.; Kephart, G.; Sikdar, K. C.; Smith, M.; Quan, H.

    2016-01-01

    Abstract Introduction: Changes in physician reimbursement policies may hinder the collection of billing claims in administrative data; this can result in biased estimates of disease prevalence and incidence. However, the magnitude of data loss is largely unknown. The purpose of this study was to estimate completeness of capture of disease cases for Manitoba physicians paid by fee-for-service (FFS) and non-fee-for-service (NFFS) methods. Methods: Manitoba’s administrative data were used to identify a cohort (≥ 20 years) with a new diabetes medication between 1 April, 2007, and 31 March, 2009. Cohort members were classified by payment method of the prescribing physician (i.e. FFS vs. NFFS). The cohort was then classified as missing or not missing a diabetes diagnosis using physician claims and hospital records. Then, χ2 statistics were used to test for differences in the characteristics of the two groups. Results: The cohort consisted of 12 394 individuals; 86.4% had a prescription for a diabetes medication from an FFS physician. A total of 1172 physicians (81.8% FFS) prescribed these medications for the cohort. Cohort members with a prescription from an FFS physician were older and more likely to reside in the urban Winnipeg health region than those with a prescription from a NFFS physician. A greater percentage of NFFS physicians’ cases were missing a diabetes diagnosis (18.7% vs. 14.9% for FFS physicians). Conclusion: The results suggest minimal loss of physician claims associated with remuneration policies in Manitoba. This method of assessing data completeness could be applied to other chronic diseases and jurisdictions to estimate completeness. PMID:26959724

  20. Case ascertainment of heat illness in the British Army: evidence of under-reporting from analysis of Medical and Command notifications, 2009–2013

    PubMed Central

    Stacey, Michael J; Brett, S; Woods, D; Jackson, S; Ross, D

    2016-01-01

    Background Heat illness in the Armed Forces is considered preventable. The UK military relies upon dual Command and Medical reporting for case ascertainment, investigation of serious incidents and improvement of preventive practices and policy. This process could be vulnerable to under-reporting. Objectives To establish whether heat illness in the British Army has been under-reported, by reviewing concordance of reporting to the Army Incident Notification Cell (AINC) and the Army Health Unit (AHU) and to characterise the burden of heat illness reported by these means. Methods Analysis of anonymised reporting databases held by the AHU and AINC, for the period 2009–2013. Results 565 unique cases of heat illness were identified. Annual concordance of reporting ranged from 9.6% to 16.5%. The overall rate was 13.3%. July was the month with the greatest number of heat illness reports (24.4% of total reporting) and the highest concordance rate (30%). Reports of heat illness from the UK (n=343) exceeded overseas notifications (n=221) and showed better concordance (17.1% vs 12.8%). The annual rate of reported heat illness varied widely, being greater in full-time than reservist personnel (87 vs 23 per100 000) and highest in full-time untrained personnel (223 per100 000). Conclusions The risk of heat illness was global, year-round and showed dynamic local variation. Failure to dual-report casualties impaired case ascertainment of heat illness across Command and Medical chains. Current preventive guidance, as applied in training and on operations, should be critically evaluated to ensure that risk of heat illness is reduced as low as possible. Clear procedures for casualty notification and surveillance are required in support of this and should incorporate communication within and between the two reporting chains. PMID:25717054

  1. Record linkage between hospital discharges and mortality registries for motor neuron disease case ascertainment for the Spanish National Rare Diseases Registry.

    PubMed

    Ruiz, Elena; Ramalle-Gómara, Enrique; Quiñones, Carmen

    2014-06-01

    Our objective was to analyse the coverage of hospital discharge data and the mortality registry (MR) of La Rioja to ascertain motor neuron disease (MND) cases to be included in the Spanish National Rare Diseases Registry. MND cases that occurred in La Rioja during the period 1996-2011 were selected from hospital discharge data and the MR by means of the International Classification of Diseases. Review of the medical histories was carried out to confirm the causes of death reported. Characteristics of the population with MND were analysed. A total of 133 patients with MND were detected in La Rioja during the period 1996-2011; 30.1% were only recorded in the hospital discharges data, 12.0% only in the MR, and 57.9% were recorded by both databases. Medical records revealed a miscoding of patients who had been diagnosed with progressive supranuclear palsy but were recorded in the MR with an MND code. In conclusion, the hospital discharges data and the MR appear to be complementary and are valuable databases for the Spanish National Rare Diseases Registry when MNDs are properly codified. Nevertheless, it would be advisable to corroborate the validity of the MR as data source since the miscoding of progressive supranuclear palsy has been corrected.

  2. Validity of Race, Ethnicity, and National Origin in Population-Based Cancer Registries and Rapid Case Ascertainment Enhanced with a Spanish Surname List

    PubMed Central

    Clarke, Lisa C.; Rull, Rudolph P.; Ayanian, John Z.; Boer, Robert; Deapen, Dennis; West, Dee W.; Kahn, Katherine L.

    2015-01-01

    Background Accurate information regarding race, ethnicity, and national origins is critical for identifying disparities in the cancer burden. Objectives To examine the use of a Spanish surname list to improve the quality of race-related information obtained from rapid case ascertainment (RCA) and to estimate the accuracy of race-related information obtained from cancer registry records collected by routine reporting. Subjects . Self-reported survey responses of 3,954 participants from California enrolled in the Cancer Care Outcomes Research and Surveillance Consortium (CanCORS). Measures Sensitivity, specificity, positive predictive value (PPV), and percent agreement. We employed logistic regression to identify predictors of under-reporting and over-reporting of a race/ethnicity. Results Use of the Spanish surname list increased the sensitivity of RCA for Latino ethnicity from 37% to 83%. Sensitivity for cancer registry records collected by routine reporting was ≥95% for Whites, Blacks, and Asians, and specificity was high for all groups (86–100%). However, patterns of misclassification by race/ethnicity were found that could lead to biased cancer statistics for specific race/ethnicities. Discordance between self- and registry-reported race/ethnicity was more likely for women, Latinos, and Asians. Conclusion Methods to improve race and ethnicity data, such as using Spanish surnames in RCA and instituting data collection guidelines for hospitals, are needed to ensure minorities are accurately represented in clinical and epidemiological research. PMID:23938598

  3. Whither the "signature wounds of the war" after the war: estimates of incidence rates and proportions of TBI and PTSD diagnoses attributable to background risk, enhanced ascertainment, and active war zone service, active component, U.S. Armed Forces, 2003-2014.

    PubMed

    Brundage, John F; Taubman, Stephen B; Hunt, Devin J; Clark, Leslie L

    2015-02-01

    Traumatic brain injury (TBI) and post-traumatic stress disorder (PTSD) are "signature wounds" of the Afghanistan/Iraq wars; however, many TBI/PTSD cases are not war related. During the wars, diagnoses of TBI/PTSD among military members increased because risks of TBI/PTSD, and capabilities to detect cases, increased. This report summarizes TBI/PTSD diagnosis experiences of three cohorts of overseas deployers in relation to the natures of their exposures to active war service and enhanced case ascertainment efforts. The findings suggest that, during the war, the proportions of PTSD diagnoses attributable to war zone service decreased from approximately 80% to less than 50%, while the proportions attributable to enhanced case ascertainment increased from less than 10% to nearly 50%. The proportions of TBI diagnoses attributable to war zone service more than tripled from 2003-2005 (13.1%) through 2007-2009 (44.8%); the proportions attributable to enhanced ascertainment also markedly increased, but not until after 2007. By the end of the war, war zone service and enhanced ascertainment accounted for similar proportions of all PTSD and TBI diagnoses. If programs and resources currently focused on TBI and PTSD continue, rates of diagnoses post-war will greatly exceed those pre-war.

  4. Reducing case ascertainment costs in U.S. population studies of Alzheimer’s disease, dementia, and cognitive impairment—Part 2

    PubMed Central

    Evans, Denis A.; Grodstein, Francine; Loewensteine, David; Kaye, Jeffrey; Weintraub, Sandra

    2011-01-01

    Dementia of the Alzheimer’s type (DAT) is a major public health threat in developed countries where longevity has been extended to the eighth decade of life. Estimates of prevalence and incidence ofDAT vary with what is measured, be it change from a baseline cognitive state or a clinical diagnostic endpoint, such as Alzheimer’s disease. Judgment of what is psychometrically “normal” at the age of 80 years implicitly condones a decline from what is normal at the age of 30. However, because cognitive aging is very heterogeneous, it is reasonable to ask “Is ‘normal for age’ good enough to screen forDAT or its earlier precursors of cognitive impairment?” Cost containment and accessibility of ascertainment methods are enhanced by well-validated and reliable methods such as screening for cognitive impairment by telephone interviews. However, focused assessment of episodic memory, the key symptom associated with DAT, might be more effective at distinguishing normal from abnormal cognitive aging trajectories. Alternatively, the futuristic “Smart Home,” outfitted with unobtrusive sensors and data storage devices, permits the moment-to-moment recording of activities so that changes that constitute risk for DAT can be identified before the emergence of symptoms. PMID:21255748

  5. A cooperative binomial ascertainment model

    SciTech Connect

    Ginsburg, E.Kh.; Axenovich, T.I. )

    1992-11-01

    It has been shown that the classical binomial form of ascertainment, assuming a constant probability [pi] that any affected individual may become a proband for his pedigree, cannot describe a rather wide range of ascertainment procedures that might arise in practice. Some more general heuristic ascertainment formulas might then be preferred, and in this paper the authors consider the probabilistic basis for these formulas. They retain the binomial assumption of the classical scheme but allow the ascertainment probability to depend on the number of potential probands per pedigree. This probability can be expressed by an increasing or a decreasing function of that number. Various illustrations are given and situations where the [open quote]cooperative[close quote] binomial scheme should be valuable are discussed. 14 refs., 2 tabs.

  6. Characterization of a balanced complex chromosomal rearrangement carrier ascertained through a fetus with dup15q26.3 and del5p15.33: case report.

    PubMed

    Lledo, Belen; Ortiz, Jose Antonio; Morales, Ruth; Manchon, Irene; Galan, Francisco; Bernabeu, Andrea; Bernabeu, Rafael

    2013-09-01

    Complex chromosomal rearrangements (CCRs) are structural aberrations involving more than two chromosomes which rarely appear in individuals with normal phenotypes. These individuals report fertility problems, recurrent miscarriages, or congenital anomalies in newborn offspring as a consequence of either meiotic failure or imbalanced chromosome segregation. A CCR involving chromosomes 5, 15, and 18 was discovered in a phenotypically normal man through a fetus with congenital malformations and partial trisomy of chromosome 15 and monosomy of chromosome 5. Ultrasound examination at 20 weeks of gestation showed severe oligoamnios and hydrothorax. Prenatal cytogenetic analysis and array comparative genomic hybridization (array-CGH) revealed a female fetus with dup15q26.3 and del5p15.33. We diagnosed the CCR using three-color fluorescence in situ hybridization (three-color FISH), and a balanced CCR using array-CGH and FISH was diagnosed in the paternal karyotype. The father is a carrier of a balanced translocation 46,XY,t(5;15;18)(p15.31;q26.3;p11.2). Due to the complexity of these rearrangements the diagnosis is difficult and the reproductive outcome uncertain. Reporting such rare cases is important to enable such information to be used for genetic counseling in similar situations and help estimate the risk of miscarriage or of newborns with congenital abnormalities.

  7. Ascertaining Problems with Medication Histories

    PubMed Central

    Halapy, Henry; Kertland, Heather

    2012-01-01

    , and establishing criteria for pharmacist referral for cases involving complex medication histories. PMID:23129864

  8. Stratification and partial ascertainment of biomarker value in biomarker-driven clinical trials.

    PubMed

    Simon, Richard

    2014-01-01

    This article examines the role of stratification of treatment assignment with regard to biomarker value in clinical trials that accept biomarker-positive and -negative patients but have a primary objective of evaluating treatment effect separately for the marker-positive subset. It also examines the issue of incomplete ascertainment of biomarker value and how this affects inference about treatment effect for the biomarker-positive subset of patients. I find that stratifying the randomization for the biomarker ensures that all patients will have tissue collected but is not necessary for the validity of inference for the biomarker-positive subset if there is complete ascertainment. If there is not complete ascertainment of biomarker values, it is important to establish that ascertainment is independent of treatment assignment. Having a large proportion of cases with biomarker ascertainment is not necessary for establishing internal validity of the treatment evaluation in biomarker-positive patients; independence of ascertainment and treatment is the important factor. Having a large proportion of cases with biomarker ascertainment makes it more likely that biomarker-positive patients with ascertainment are representative of the biomarker-positive patients in the clinical trial (with and without ascertainment), but since the patients in the clinical trial are a convenience sample of the population of patients potentially eligible for the trial, requiring a large proportion of cases with ascertainment does not facilitate generalizability of conclusions.

  9. A novel methodology for the objective ascertainment of psychic and existential damage.

    PubMed

    Ferrara, Santo Davide; Ananian, Viviana; Baccino, Eric; Boscolo-Berto, Rafael; Domenici, Ranieri; Hernàndez-Cueto, Claudio; Mendelson, George; Norelli, Gian Aristide; Ranavaya, Mohammed; Terranova, Claudio; Vieira, Duarte Nuno; Viel, Guido; Villanueva, Enrique; Zoia, Riccardo; Sartori, Giuseppe

    2016-09-01

    Personal injury is a legal term for a physical or psychic injury suffered by the plaintiff under civil and/or tort law. With reference to non-pecuniary damages, the evidence itself of physical and/or psychic injury is not sufficient for damage compensation. The process of ascertaining impairments and/or disabilities which pertain to the "personal sphere" of the individual, such as pain and suffering, loss of amenity, and/or psycho-existential damage, poses particular difficulties in relation to the obtainment of scientific evidence. The "immateriality" and the subjective connotation of the personal sphere are, in themselves, critical issues. The clinical data obtained from the neuropsychological ascertainment find their essential prerequisite in the active participation of the examinee who, in legally relevant contexts (criminal law, civil law, insurance), may be "affected" by personal interests. The present manuscript presents a novel interdisciplinary methodology, experimented on a series of judicial and extra-judicial cases, aimed at the attainment of objectivity and accuracy eligible in relation to the judicial settlement of cases and other matters involving the ascertainment of peculiar aspects of non-pecuniary damage.

  10. The problem of ascertainment for linkage analysis

    SciTech Connect

    Vieland, V.; Hodge, S.E.

    1996-05-01

    It is generally believed that ascertainment corrections are unnecessary in linkage analysis, provided individuals are selected for study solely on the basis of trait phenotype and not on the basis of marker genotype. The theoretical rationale for this is that standard linkage analytic methods involve conditioning likelihoods on all the trait data, which may be viewed as an application of the ascertainment assumption-free (AAF) method of Ewens and Shute. In this paper, we show that when the observed pedigree structure depends on which relatives within a pedigree happen to have been the probands (proband-dependent, or PD, sampling) conditioning on all the trait data is not a valid application of the AAF method and will result in asymptotically biased estimates of genetic parameters (except under single ascertainment). Furthermore, this result holds even if the recombination fraction R is the only parameter of interest. Since the lod score is proportional to the likelihood of the marker data conditional on all the trait data, this means that when data are obtained under PD sampling the lod score will yield asymptotically biased estimates of R, and that so-called mod scores (i.e., lod scores maximized over both R and parameters {theta} of the trait distribution) will yield asymptotically biased estimates of R and {theta}. Furthermore, the problem appears to be intractable, in the sense that it is not possible to formulate the correct likelihood conditional on observed pedigree structure. In this paper we do not investigate the numerical magnitude of the bias, which may be small in many situations. On the other hand, virtually all linkage data sets are collected under PD sampling. Thus, the existence of this bias will be the rule rather than the exception in the usual applications. 25 refs., 2 figs., 3 tabs.

  11. Predictors of Ascertainment of Autism Spectrum Disorders across Nine US Communities

    ERIC Educational Resources Information Center

    Pettygrove, Sydney; Pinborough-Zimmerman, Judith; Meaney, F. John; Van Naarden Braun, Kim; Nicholas, Joyce; Miller, Lisa; Miller, Judith; Rice, Catherine

    2013-01-01

    Autism spectrum disorders (ASD) prevalence estimates derived from a single data source under-identify children and provide a biased profile of case characteristics. We analyzed characteristics of 1,919 children with ASD identified by the Autism and Developmental Disabilities Monitoring Network. Cases ascertained only at education sources were…

  12. 5 CFR 511.609 - Ascertainment of facts.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Ascertainment of facts. 511.609 Section... CLASSIFICATION UNDER THE GENERAL SCHEDULE Classification Appeals § 511.609 Ascertainment of facts. The employee, a designated representative, and the agency shall furnish such facts as may be requested by...

  13. 5 CFR 511.609 - Ascertainment of facts.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Ascertainment of facts. 511.609 Section... CLASSIFICATION UNDER THE GENERAL SCHEDULE Classification Appeals § 511.609 Ascertainment of facts. The employee, a designated representative, and the agency shall furnish such facts as may be requested by...

  14. Tailored Calendar Journals to Ascertain Falls Among Older Adults.

    PubMed

    Stark, Susan L; Silianoff, Tara J; Kim, H Lyn; Conte, Jane W; Morris, John C

    2015-01-01

    Although falls are a serious health risk for community-dwelling older adults, their ascertainment has been complicated by issues such as recall and reporting biases. We examined a novel method, individualized tailored calendars, to accurately ascertain falls in older adults. A convenience sample of 125 cognitively normal participants enrolled in longitudinal studies of healthy aging at the Knight Alzheimer's Disease Ressearch Center was followed prospectively for 12 months. Tailored calendar journal pages were used to document falls daily and returned by mail monthly. Participants received a US$5 gift card incentive for each month returned. Participants returned 1,487 of 1,500 calendar months over the 12-month follow-up for 99.1% compliance rate. There were 154 falls reported. Tailored calendar journals and incentives may be effective in ascertaining falls among community-dwelling older adults. This tool could improve the accuracy of outcome measures for occupational therapy interventions.

  15. 26 CFR 50.6 - Ascertainment of quantity mined.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... EXCISE TAXES (CONTINUED) REGULATIONS RELATING TO THE TAX IMPOSED WITH RESPECT TO CERTAIN HYDRAULIC MINING § 50.6 Ascertainment of quantity mined. Each person engaged in hydraulic mining operations within the... hydraulic mining operations are conducted for the purpose of determining the cubic yardage mined from...

  16. 26 CFR 50.6 - Ascertainment of quantity mined.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... EXCISE TAXES (CONTINUED) REGULATIONS RELATING TO THE TAX IMPOSED WITH RESPECT TO CERTAIN HYDRAULIC MINING § 50.6 Ascertainment of quantity mined. Each person engaged in hydraulic mining operations within the... hydraulic mining operations are conducted for the purpose of determining the cubic yardage mined from...

  17. 26 CFR 50.6 - Ascertainment of quantity mined.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... EXCISE TAXES (CONTINUED) REGULATIONS RELATING TO THE TAX IMPOSED WITH RESPECT TO CERTAIN HYDRAULIC MINING § 50.6 Ascertainment of quantity mined. Each person engaged in hydraulic mining operations within the... hydraulic mining operations are conducted for the purpose of determining the cubic yardage mined from...

  18. 26 CFR 50.6 - Ascertainment of quantity mined.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... EXCISE TAXES (CONTINUED) REGULATIONS RELATING TO THE TAX IMPOSED WITH RESPECT TO CERTAIN HYDRAULIC MINING § 50.6 Ascertainment of quantity mined. Each person engaged in hydraulic mining operations within the... hydraulic mining operations are conducted for the purpose of determining the cubic yardage mined from...

  19. 26 CFR 50.6 - Ascertainment of quantity mined.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... EXCISE TAXES (CONTINUED) REGULATIONS RELATING TO THE TAX IMPOSED WITH RESPECT TO CERTAIN HYDRAULIC MINING § 50.6 Ascertainment of quantity mined. Each person engaged in hydraulic mining operations within the... hydraulic mining operations are conducted for the purpose of determining the cubic yardage mined from...

  20. Measuring underreporting and under-ascertainment in infectious disease datasets: a comparison of methods

    PubMed Central

    2014-01-01

    Background Efficient and reliable surveillance and notification systems are vital for monitoring public health and disease outbreaks. However, most surveillance and notification systems are affected by a degree of underestimation (UE) and therefore uncertainty surrounds the 'true’ incidence of disease affecting morbidity and mortality rates. Surveillance systems fail to capture cases at two distinct levels of the surveillance pyramid: from the community since not all cases seek healthcare (under-ascertainment), and at the healthcare-level, representing a failure to adequately report symptomatic cases that have sought medical advice (underreporting). There are several methods to estimate the extent of under-ascertainment and underreporting. Methods Within the context of the ECDC-funded Burden of Communicable Diseases in Europe (BCoDE)-project, an extensive literature review was conducted to identify studies that estimate ascertainment or reporting rates for salmonellosis and campylobacteriosis in European Union Member States (MS) plus European Free Trade Area (EFTA) countries Iceland, Norway and Switzerland and four other OECD countries (USA, Canada, Australia and Japan). Multiplication factors (MFs), a measure of the magnitude of underestimation, were taken directly from the literature or derived (where the proportion of underestimated, under-ascertained, or underreported cases was known) and compared for the two pathogens. Results MFs varied between and within diseases and countries, representing a need to carefully select the most appropriate MFs and methods for calculating them. The most appropriate MFs are often disease-, country-, age-, and sex-specific. Conclusions When routine data are used to make decisions on resource allocation or to estimate epidemiological parameters in populations, it becomes important to understand when, where and to what extent these data represent the true picture of disease, and in some instances (such as priority setting) it is

  1. California’s Parkinson’s Disease Registry Pilot Project - Coordination Center and Northern California Ascertainment

    DTIC Science & Technology

    2013-03-01

    Parkinsonism , and another 12% reported multiple diagnoses of Parkinson’s disease and Parkinsonism . Table 2 below lists the cases by county. 15. Assessment...AD_________________ Award Number: W81XWH-07-1-0261 TITLE: California’s Parkinson’s Disease ...NUMBER California’s Parkinson’s Disease Registry Pilot Project – Coordination Center and Northern California Ascertainment 5b. GRANT NUMBER W81XWH

  2. Testing gene-environment interactions in family-based association studies using trait-based ascertained samples

    PubMed Central

    Zhang, Weiming; Langefeld, Carl D.; Grunwald, Gary K.; Fingerlin, Tasha E.

    2014-01-01

    The study of gene-environment interactions is an increasingly important aspect of genetic epidemiological investigation. Historically, it has been difficult to study gene-environment interactions using a family-based design for quantitative traits or when parent-offspring trios were incomplete. The QBAT-I[1] provides researchers a tool to estimate and test for a gene-environment interaction in families of arbitrary structure that are sampled without regard to the phenotype of interest, but is vulnerable to inflated type I error if families are ascertained based on the phenotype. In this study, we verified the potential for type I error of the QBAT-I when applied to samples ascertained on a trait of interest. The magnitude of the inflation increases as the main genetic effect increases and as the ascertainment becomes more extreme. We propose an ascertainment-corrected score test that allows use of the QBAT-I to test for gene-environment interactions in ascertained samples. Our results indicate that the score test and an ad-hoc method we propose can often restore the nominal type I error rate, and in cases where complete restoration is not possible, dramatically reduce the inflation of the type I error rate in ascertained samples. PMID:23922213

  3. 16 CFR 1101.13 - Public ability to ascertain readily identity of manufacturer or private labeler.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 16 Commercial Practices 2 2014-01-01 2014-01-01 false Public ability to ascertain readily identity...)(1) § 1101.13 Public ability to ascertain readily identity of manufacturer or private labeler. The... readily ascertain from the information itself the identity of the manufacturer or private labeler of...

  4. 16 CFR 1101.13 - Public ability to ascertain readily identity of manufacturer or private labeler.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 16 Commercial Practices 2 2011-01-01 2011-01-01 false Public ability to ascertain readily identity...)(1) § 1101.13 Public ability to ascertain readily identity of manufacturer or private labeler. The... readily ascertain from the information itself the identity of the manufacturer or private labeler of...

  5. 16 CFR 1101.13 - Public ability to ascertain readily identity of manufacturer or private labeler.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 16 Commercial Practices 2 2013-01-01 2013-01-01 false Public ability to ascertain readily identity...)(1) § 1101.13 Public ability to ascertain readily identity of manufacturer or private labeler. The... readily ascertain from the information itself the identity of the manufacturer or private labeler of...

  6. 16 CFR 1101.13 - Public ability to ascertain readily identity of manufacturer or private labeler.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 16 Commercial Practices 2 2012-01-01 2012-01-01 false Public ability to ascertain readily identity...)(1) § 1101.13 Public ability to ascertain readily identity of manufacturer or private labeler. The... readily ascertain from the information itself the identity of the manufacturer or private labeler of...

  7. Cytotoxic, phytotoxic, and mutagenic appraisal to ascertain toxicological potential of particulate matter emitted from automobiles.

    PubMed

    Anwar, Khaleeq; Ejaz, Sohail; Ashraf, Muhammad; Altaf, Imran; Anjum, Aftab Ahmad

    2013-07-01

    Vehicular air pollution is a mounting health issue of the modern age, particularly in urban populations of the developing nations. Auto-rickshaws are not considered eco-friendly as to their inefficient engines producing large amount of particulate matter (PM), thus posing significant environmental threat. The present study was conducted to ascertain the cytotoxic, phytotoxic, and mutagenic potential of PM from gasoline-powered two-stroke auto-rickshaws (TSA) and compressed natural gas-powered four-stroke auto-rickshaws (FSA). Based on the increased amount of aluminum quantified during proton-induced X-ray emission analysis of PM from TSA and FSA, different concentrations of aluminum sulfate were also tested to determine its eco-toxicological potential. The MTT assay demonstrated significant (p < 0.001) dose-dependent cytotoxic effects of different concentrations of TSA, FSA, and aluminum sulfate on BHK-21 cell line. LC50 of TSA, FSA, and aluminum sulfate was quantified at 16, 11, and 23.8 μg/ml, respectively, establishing PM from FSA, a highly cytotoxic material. In case of phytotoxicity screening using Zea mays, the results demonstrated that all three tested materials were equally phytotoxic at higher concentrations producing significant reduction (p < 0.001) in seed germination. Aluminum sulfate proved to be a highly phytotoxic agent even at its lowest concentration. Mutagenicity was assessed by fluctuation Salmonella reverse mutation assay adopting TA100 and TA98 mutant strains with (+S9) and without (-S9) metabolic activation. Despite the fact that different concentrations of PM from both sources, i.e., TSA and FSA were highly mutagenic (p < 0.001) even at lower concentrations, the mutagenic index was higher in TSA. Data advocate that all tested materials are equally ecotoxic, and if the existing trend of atmospheric pollution by auto-rickshaws is continued, airborne heavy metals will seriously affect the normal growth of local inhabitants and

  8. Ascertaining the Adequacy, Scope, and Utility of District Evaluations.

    ERIC Educational Resources Information Center

    Etscheidt, Susan

    2003-01-01

    A qualitative content analysis of 50 recent administrative decisions and cases concerning independent educational evaluations identified three legal criteria that administrative officers and judges have utilized in determining the appropriateness of challenged district evaluations. Several recommendations to professionals involved in conducting…

  9. 7 CFR 52.776 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... of Canned Red Tart Pitted Cherries 1 Factors of Quality § 52.776 Ascertaining the grade of a sample unit. (a) General. The grade of a sample unit of canned red tart pitted cherries is ascertained by... that the flavor and odor are characteristic of canned red tart pitted cherries and that the product...

  10. 7 CFR 52.776 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... of Canned Red Tart Pitted Cherries 1 Factors of Quality § 52.776 Ascertaining the grade of a sample unit. (a) General. The grade of a sample unit of canned red tart pitted cherries is ascertained by... that the flavor and odor are characteristic of canned red tart pitted cherries and that the product...

  11. Multispectral upconversion luminescence intensity ratios for ascertaining the tissue imaging depth

    NASA Astrophysics Data System (ADS)

    Liu, Kai; Wang, Yu; Kong, Xianggui; Liu, Xiaomin; Zhang, Youlin; Tu, Langping; Ding, Yadan; Aalders, Maurice C. G.; Buma, Wybren Jan; Zhang, Hong

    2014-07-01

    Upconversion nanoparticles (UCNPs) have in recent years emerged as excellent contrast agents for in vivo luminescence imaging of deep tissues. But information abstracted from these images is in most cases restricted to 2-dimensions, without the depth information. In this work, a simple method has been developed to accurately ascertain the tissue imaging depth based on the relative luminescence intensity ratio of multispectral NaYF4:Yb3+,Er3+ UCNPs. A theoretical mode was set up, where the parameters in the quantitative relation between the relative intensities of the upconversion luminescence spectra and the depth of the UCNPs were determined using tissue mimicking liquid phantoms. The 540 nm and 650 nm luminescence intensity ratios (G/R ratio) of NaYF4:Yb3+,Er3+ UCNPs were monitored following excitation path (Ex mode) and emission path (Em mode) schemes, respectively. The model was validated by embedding NaYF4:Yb3+,Er3+ UCNPs in layered pork muscles, which demonstrated a very high accuracy of measurement in the thickness up to centimeter. This approach shall promote significantly the power of nanotechnology in medical optical imaging by expanding the imaging information from 2-dimensional to real 3-dimensional.Upconversion nanoparticles (UCNPs) have in recent years emerged as excellent contrast agents for in vivo luminescence imaging of deep tissues. But information abstracted from these images is in most cases restricted to 2-dimensions, without the depth information. In this work, a simple method has been developed to accurately ascertain the tissue imaging depth based on the relative luminescence intensity ratio of multispectral NaYF4:Yb3+,Er3+ UCNPs. A theoretical mode was set up, where the parameters in the quantitative relation between the relative intensities of the upconversion luminescence spectra and the depth of the UCNPs were determined using tissue mimicking liquid phantoms. The 540 nm and 650 nm luminescence intensity ratios (G/R ratio) of NaYF4:Yb3

  12. Ascertainment correction for Markov chain Monte Carlo segregation and linkage analysis of a quantitative trait.

    PubMed

    Ma, Jianzhong; Amos, Christopher I; Warwick Daw, E

    2007-09-01

    Although extended pedigrees are often sampled through probands with extreme levels of a quantitative trait, Markov chain Monte Carlo (MCMC) methods for segregation and linkage analysis have not been able to perform ascertainment corrections. Further, the extent to which ascertainment of pedigrees leads to biases in the estimation of segregation and linkage parameters has not been previously studied for MCMC procedures. In this paper, we studied these issues with a Bayesian MCMC approach for joint segregation and linkage analysis, as implemented in the package Loki. We first simulated pedigrees ascertained through individuals with extreme values of a quantitative trait in spirit of the sequential sampling theory of Cannings and Thompson [Cannings and Thompson [1977] Clin. Genet. 12:208-212]. Using our simulated data, we detected no bias in estimates of the trait locus location. However, in addition to allele frequencies, when the ascertainment threshold was higher than or close to the true value of the highest genotypic mean, bias was also found in the estimation of this parameter. When there were multiple trait loci, this bias destroyed the additivity of the effects of the trait loci, and caused biases in the estimation all genotypic means when a purely additive model was used for analyzing the data. To account for pedigree ascertainment with sequential sampling, we developed a Bayesian ascertainment approach and implemented Metropolis-Hastings updates in the MCMC samplers used in Loki. Ascertainment correction greatly reduced biases in parameter estimates. Our method is designed for multiple, but a fixed number of trait loci.

  13. Data sources and methods for ascertaining human exposure to drugs.

    PubMed

    Jones, J K; Kennedy, D L

    Estimates of population exposure based on drug use data are critical elements in the post marketing surveillance of drugs and provide a context for assessing the various risks and benefits associated with drug treatment. Such information is important in predicting morbidity and planning public health protection strategies, indepth studies, and regulatory actions. Knowledge that a population of one thousand instead of one million may potentially be exposed to a drug can help determine how a particular regulatory problem will be handled and would obviously be a major determinant in designing a case-control or cohort study. National estimates of drug use give an overview of the most commonly used drug therapies in current practice. They also furnish valuable comparison data for specific studies of drug use limited to one group of drugs, one geographic region, or one medical care setting. The FDA has access to several different national drug use data bases, each measuring a different point in the drug distribution channels. None covers the entire spectrum of drug exposures. The major "holes" in this patchwork of data bases are the inability to measure OTC drug use with any accuracy and the lack of qualitative information on drug use in hospitals. In addition, there is no patient linkage with the data. The data can only show trends in drug use. They impart no sense of the longitudinal use of drugs for individual patients. There is no direct connection between the different data bases, all of which have their own sampling frames and their own projection methodologies. The market research companies have complete control over these methodologies and they are subject to periodic changes, a situation not entirely satisfactory for epidemiologic research. Sometimes it is a struggle to keep up with these changes. Over the past two years, every one of these data bases has undergone some type of sampling or projection methodology change. One important limitation to the use of all

  14. 7 CFR 52.783 - Ascertaining the grade of a lot.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... Red Tart Pitted Cherries 1 Lot Compliance § 52.783 Ascertaining the grade of a lot. The grade of a lot of canned red tart pitted cherries covered by these standards is determined by the procedures...

  15. 7 CFR 52.805 - Ascertaining the rating for each factor.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.805 Ascertaining the rating for each factor. The essential variations within...

  16. 7 CFR 52.805 - Ascertaining the rating for each factor.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.805 Ascertaining the rating for each factor. The essential variations within...

  17. 7 CFR 52.805 - Ascertaining the rating for each factor.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.805 Ascertaining the rating for each factor. The essential variations within...

  18. 7 CFR 52.805 - Ascertaining the rating for each factor.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., PROCESSED PRODUCTS THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.805 Ascertaining the rating for...

  19. 7 CFR 52.805 - Ascertaining the rating for each factor.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., PROCESSED PRODUCTS THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.805 Ascertaining the rating for...

  20. 7 CFR 27.97 - Ascertaining the accuracy of price quotations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... and Differences § 27.97 Ascertaining the accuracy of price quotations. The buyers and sellers of... three buyers and sellers of cotton in each bona fide market at least two times per week during...

  1. 7 CFR 52.811 - Ascertaining the grade of a lot.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Lot Compliance § 52.811 Ascertaining the grade of a lot. The grade of a lot of frozen red tart pitted...

  2. 7 CFR 52.777 - Ascertaining the rating for the factors which are scored.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Canned Red Tart Pitted Cherries 1 Factors of Quality § 52.777 Ascertaining the rating for the factors which are...

  3. 7 CFR 52.783 - Ascertaining the grade of a lot.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Canned Red Tart Pitted Cherries 1 Lot Compliance § 52.783 Ascertaining the grade of a lot. The grade of a lot of canned red tart pitted...

  4. Ascertainment of risk of serious adverse reactions associated with chemoprophylactic antimalarial drugs.

    PubMed Central

    Phillips-Howard, P. A.; Bjorkman, A. B.

    1990-01-01

    Serious adverse reactions during malaria chemoprophylaxis are reviewed. Three drugs considered to have caused serious reactions in recent years are pyrimethamine/sulfadoxine (Fansidar), pyrimethamine/dapsone (Maloprim) and amodiaquine. These reactions are principally independent of dose and cannot be determined during screening for optimal doses. However, host factors may precipitate dose-dependent reactions, some of which could be avoided with improvements in drug licensing. Since serious and life-threatening reactions are relatively rare (between 1:1000 and 1:20,000), Phase I to III trials cannot identify them. Reliance must therefore be placed on Phase IV post-marketing studies, including ongoing reviews of national registers, and specially tailored studies to identify the risk using prescription-event monitoring in high-risk populations. Occasionally, medical-record linkage, case-control and cohort studies may provide supportive data. Although large numbers of travellers must, of necessity, be exposed to a drug before relatively rare reactions are identified, the ascertainment of risk using post-marketing surveillance was prevented by the following five deficiencies: lack of awareness of early alerts, inadequate use of national registers, poor attention to epidemiological and statistical rigour, inadequate verification of denominators, and inadequacy of data records. Recommendations are given for minimizing such errors in the future. PMID:2208562

  5. Utility of the National Death Index in ascertaining mortality in acquired immunodeficiency syndrome surveillance.

    PubMed

    Trepka, Mary Jo; Maddox, Lorene M; Lieb, Spencer; Niyonsenga, Theophile

    2011-07-01

    To assess the utility of the National Death Index (NDI) in improving the ascertainment of deaths among people diagnosed with acquired immunodeficiency syndrome (AIDS), the authors determined the number and characteristics of additional deaths identified through NDI linkage not ascertained by using standard electronic linkage with Florida Vital Records and the Social Security Administration's Death Master File. Records of people diagnosed with acquired immunodeficiency syndrome between 1993 and 2007 in Florida were linked to the NDI. The demographic characteristics and reported human immunodeficiency virus (HIV) transmission modes of people whose deaths were identified by using the NDI were compared with those whose deaths were ascertained by standard linkage methods. Of the 15,094 submitted records, 719 had confirmed matches, comprising 2.1% of known deaths (n = 34,504) within the cohort. Hispanics, males, people 40 years of age or older, and injection drug users were overrepresented among deaths ascertained only by the NDI. In-state deaths comprised 59.0% of newly identified deaths, and human immunodeficiency virus was less likely to be a cause of death among newly identified compared with previously identified deaths. The newly identified deaths were not previously ascertained principally because of slight differences in personal identifying information and could have been identified through improved linkages with Florida Vital Records.

  6. 7 CFR 275.12 - Review of active cases.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... § 275.12 Review of active cases. (a) General. A sample of households which were certified prior to, or... quality control review. These active cases shall be reviewed to determine if the household is eligible and... benefit level determined by the quality control review shall be compared to the benefits authorized by...

  7. 7 CFR 275.12 - Review of active cases.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... § 275.12 Review of active cases. (a) General. A sample of households which were certified prior to, or... quality control review. These active cases shall be reviewed to determine if the household is eligible and... determined by the quality control review shall be compared to the benefits authorized by the State agency...

  8. Accuracy of vital status ascertainment using the Social Security Death Master File in a deceased population.

    PubMed

    Ashley, Thomas; Cheung, Lillian; Wokanovicz, Robert

    2012-01-01

    Both insurance and clinical studies depend on the Social Security Death Master File (SSDMF) to provide vital status on subjects that are unavailable for direct ascertainment. Using the Gen Re individual life claims data, we analyzed the accuracy of vital status determination in a population known to be deceased. Overall, only 75% of claims appeared in the SSDMF. The detection rate is highly skewed by age of the decedent. This systematically reduced ascertainment of mortality at younger ages could cause misleading conclusions in studies that measure absolute mortality rates, especially when they include a wide age span.

  9. 76 FR 61725 - Agency Information Collection Activities: Case Submission Form, Case Assistance Form; (Form DHS...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-05

    ... SECURITY Agency Information Collection Activities: Case Submission Form, Case Assistance Form; (Form DHS... CIS Ombudsman to identify the issue such as: (1) A case problem which is a request for information.... SUMMARY: The Department of Homeland Security, Office of the Citizenship and Immigration Service...

  10. 76 FR 42129 - Agency Information Collection Activities: Case Submission Form, Case Assistance Form

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-18

    ... SECURITY Agency Information Collection Activities: Case Submission Form, Case Assistance Form (Form DHS... the CIS Ombudsman to identify the issue such as: (1) A case problem which is a request for information.... SUMMARY: The Department of Homeland Security, Office of the Citizenship and Immigration Service...

  11. 7 CFR 52.804 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.804 Ascertaining the grade of a sample unit. (a) The grade of frozen red tart... Character 30 Total score 100 (c) Normal flavor means that the flavor is characteristic of frozen red...

  12. 7 CFR 52.804 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., PROCESSED PRODUCTS THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.804 Ascertaining the grade of a sample unit. (a) The grade of frozen red tart pitted cherries is determined immediately after thawing to...

  13. 7 CFR 52.804 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., PROCESSED PRODUCTS THEREOF, AND CERTAIN OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.804 Ascertaining the grade of a sample unit. (a) The grade of frozen red tart pitted cherries is determined immediately after thawing to...

  14. 7 CFR 52.804 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.804 Ascertaining the grade of a sample unit. (a) The grade of frozen red tart... Character 30 Total score 100 (c) Normal flavor means that the flavor is characteristic of frozen red...

  15. 7 CFR 52.811 - Ascertaining the grade of a lot.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Lot Compliance § 52.811 Ascertaining the grade of a lot. The grade of a lot of frozen red tart pitted cherries... Other Processed Food Products (§§ 52.1 through 52.83). Score Sheet...

  16. 7 CFR 52.811 - Ascertaining the grade of a lot.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Lot Compliance § 52.811 Ascertaining the grade of a lot. The grade of a lot of frozen red tart pitted cherries... Other Processed Food Products (§§ 52.1 through 52.83). Score Sheet...

  17. 16 CFR 1101.13 - Public ability to ascertain readily identity of manufacturer or private labeler.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Public ability to ascertain readily identity of manufacturer or private labeler. 1101.13 Section 1101.13 Commercial Practices CONSUMER PRODUCT SAFETY COMMISSION CONSUMER PRODUCT SAFETY ACT REGULATIONS INFORMATION DISCLOSURE UNDER SECTION 6(b) OF THE CONSUMER PRODUCT SAFETY ACT...

  18. 42 CFR 405.745 - Amount in controversy ascertained after reconsideration.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Amount in controversy ascertained after reconsideration. 405.745 Section 405.745 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES MEDICARE PROGRAM FEDERAL HEALTH INSURANCE FOR THE AGED AND...

  19. 7 CFR 52.804 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Frozen Red Tart Pitted Cherries Factors of Quality § 52.804 Ascertaining the grade of a sample unit. (a) The grade of frozen red tart... Character 30 Total score 100 (c) Normal flavor means that the flavor is characteristic of frozen red...

  20. 7 CFR 52.776 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Canned Red Tart Pitted Cherries 1... unit of canned red tart pitted cherries is ascertained by considering the factor of flavor and odor of... characteristic of canned red tart pitted cherries and that the product is free from objectionable flavors...

  1. 7 CFR 52.776 - Ascertaining the grade of a sample unit.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... OTHER PROCESSED FOOD PRODUCTS 1 United States Standards for Grades of Canned Red Tart Pitted Cherries 1... unit of canned red tart pitted cherries is ascertained by considering the factor of flavor and odor of... characteristic of canned red tart pitted cherries and that the product is free from objectionable flavors...

  2. Comparison of symptoms and treatment outcomes between actively and passively detected tuberculosis cases: the additional value of active case finding.

    PubMed

    den Boon, S; Verver, S; Lombard, C J; Bateman, E D; Irusen, E M; Enarson, D A; Borgdorff, M W; Beyers, N

    2008-10-01

    Passive detection of tuberculosis (TB) cases may lead to delay in treatment which may contribute to increased severity of disease and mortality. Active case finding may be an alternative. In a community survey in Cape Town, South Africa, we actively detected 27 bacteriologically positive TB cases and compared those with 473 passively detected TB cases. Seven of 27 (26%) actively detected TB cases did not start treatment within 2 months and were considered initial defaulters. Those who did start treatment had similar treatment success rates as passively detected TB cases (both 80%) (OR 1.01, CI 0.33-3.09). Passively detected cases reported the presence of the symptoms cough (OR 3.72, 95% CI 1.47-9.39), haemoptysis (OR 3.20, 95% CI 1.03-9.93), night sweats (OR 3.35, 95% CI 1.40-7.99), fever (OR 4.28, 95% CI 1.21-15.14), and weight loss (OR 11.14, 95% CI 4.17-29.74) more often than those detected actively. We conclude that although TB cases detected by a community survey are less symptomatic and are prone to a high initial default rate, active case finding can potentially identify a substantial portion of the existing caseload at an earlier stage of disease, thereby reducing the risk of transmission.

  3. Anticipation or ascertainment bias in schizophrenia? Penrose`s familial mental illness sample

    SciTech Connect

    Bassett, A.S. |; Husted, J.

    1997-03-01

    Several studies have observed anticipation (earlier age at onset [AAO] in successive generations) in familial schizophrenia. However, whether true anticipation or ascertainment bias is the principal originating mechanism remains unclear. In 1944 L.S. Penrose collected AAO data on a large, representative sample of familial mental illness, using a broad ascertainment strategy. These data allowed examination of anticipation and ascertainment biases in five two-generation samples of affected relative pairs. The median intergenerational difference (MID) in AAO was used to assess anticipation. Results showed significant anticipation in parent-offspring pairs with schizophrenia (n = 137 pairs; MID 15 years; P = .0001) and in a positive control sample with Huntington disease (n = 11; P = .01). Broadening the diagnosis of the schizophrenia sample suggested anticipation of severity of illness. However, other analyses provided evidence for ascertainment bias, especially in later-AAO parents, in parent-offspring pairs. Aunt/uncle-niece/nephew schizophrenia pairs showed anticipation (n = 111; P = .0001), but the MID was 8 years and aunts/uncles had earlier median AAO than parents. Anticipation effects were greatest in pairs with late-AAO parents but remained significant in a subgroup of schizophrenia pairs with early parental AAO (n = 31; P = .03). A small control sample of other diseases had MID of 5 years but no significant anticipation (n = 9; F = .38). These results suggest that, although ascertainment-bias effects were observed in parent-offspring pairs, true anticipation appears to be inherent in the transmission of familial schizophrenia. The findings support investigations of unstable mutations and other mechanisms that may contribute to true anticipation in schizophrenia. 37 refs., 2 tabs.

  4. Active Ageing and Active Citizenship in Liguria: A Case Study

    ERIC Educational Resources Information Center

    Palumbo, Mauro

    2014-01-01

    Liguria has the oldest age structure in Europe because of a low birth rate and long lifespans and therefore is a very interesting laboratory region in which to experiment with active ageing policies. The generations that are now approaching retirement hold a high level of personal and professional resources; so the "new" elderly people…

  5. A Neuroanatomy Teaching Activity Using Case Studies and Collaboration.

    ERIC Educational Resources Information Center

    Sheldon, Jane P.

    2000-01-01

    Describes an activity for use in an introductory psychology course in which students collaborate and apply their neuroanatomy knowledge to three case studies. Provides a table with descriptions of and possible answers for the three case studies and discusses the students' responses. (CMK)

  6. Increased Case Notification through Active Case Finding of Tuberculosis among Household and Neighbourhood Contacts in Cambodia

    PubMed Central

    Morishita, Fukushi; Eang, Mao Tan; Nishikiori, Nobuyuki; Yadav, Rajendra-Prasad

    2016-01-01

    Background Globally, there has been growing evidence that suggests the effectiveness of active case finding (ACF) for tuberculosis (TB) in high-risk populations. However, the evidence is still insufficient as to whether ACF increases case notification beyond what is reported in the routine passive case finding (PCF). In Cambodia, National TB Control Programme has conducted nationwide ACF with Xpert MTB/RIF that retrospectively targeted household and neighbourhood contacts alongside routine PCF. This study aims to investigate the impact of ACF on case notifications during and after the intervention period. Methods Using a quasi-experimental cluster randomized design with intervention and control arms, we compared TB case notification during the one-year intervention period with historical baseline cases and trend-adjusted expected cases, and estimated additional cases notified during the intervention period (separately for Year 1 and Year 2 implementation). The proportion of change in case notification was compared between intervention and control districts for Year 1. The quarterly case notification data from all intervention districts were consolidated, aligning different implementation quarters, and separately analysed to explore the additionality. The effect of the intervention on the subsequent case notification during the post-intervention period was also assessed. Results In Year 1, as compared to expected cases, 1467 cases of all forms (18.5%) and 330 bacteriologically-confirmed cases (9.6%) were additionally notified in intervention districts, whereas case notification in control districts decreased by 2.4% and 2.3%, respectively. In Year 2, 2737 cases of all forms (44.3%) and 793 bacteriologically-confirmed cases (38%) were additionally notified as compared to expected cases. The proportions of increase in case notifications from baseline cases and expected cases to intervention period cases were consistently higher in intervention group than in control

  7. Designing Real-Life Cases To Support Authentic Design Activities.

    ERIC Educational Resources Information Center

    Bennett, Sue; Harper, Barry; Hedberg, John

    Teachers in a range of disciplines are interested in engaging their students in authentic activities that reflect the experiences of real-world practitioners. Adopting this approach requires the design and implementation of learning environments that incorporate and support such activities. This paper describes two real-life cases at the…

  8. Models Role within Active Learning in Biology. A Case Study

    ERIC Educational Resources Information Center

    Pop-Pacurar, Irina; Tirla, Felicia-Doina

    2009-01-01

    In order to integrate ideas and information creatively, to motivate students and activate their thinking, we have used in Biology classes a series of active methods, among which the methods of critical thinking, which had very good results. Still, in the case of some intuitive, abstract, more difficult topics, such as the cell structure,…

  9. Finger-shaped Red Light Emitting Diode to Ascertain the Depth of Periungual Wart

    PubMed Central

    Nirmal, Balakrishnan

    2016-01-01

    Management of periungual wart is a great challenge, especially when there is subungual extension. The major cause of recurrence of wart is improper clinical assessment of its extent and not directing therapy against the entire wart. This difficulty of ascertaining its extent could be overcome with this finger-shaped red light emitting diode device. Red light in the device penetrates the thick palmar skin and dark constitutive skin colour due to its longer wavelength. PMID:27761093

  10. Ascertaining Activities in a Subject Area Through Bibliometric Analysis; Application to "Library Literature"

    ERIC Educational Resources Information Center

    Saracevic, Tefko; Perk, Lawrence J.

    1973-01-01

    A combination of quantitative and qualitative techniques were used to analize the journal articles indexed in one volume of Library Literature.'' This approach, merging bibliometrics and classification, yielded results in such areas as dispersion of articles among journals, frequency of article type and types of subjects covered. (16 references)…

  11. a case of casing deformation and fault slip for the active fault drilling

    NASA Astrophysics Data System (ADS)

    Ge, H.; Song, L.; Yuan, S.; Yang, W.

    2010-12-01

    Active fault is normally defined as a fault with displacement or seismic activity during the geologically recent period (in the last 10,000 years, USGS). Here, we refer the active fault to the fault that is under the post-seismic stress modification or recovery. Micro-seismic, fault slip would happen during the recovery of the active faults. It is possible that the drilling through this active fault, such as the Wenchuan Fault Scientific Drilling(WFSD), will be accompanied with some possible wellbore instability and casing deformation, which is noteworthy for the fault scientific drilling. This presentation gives a field case of the Wenchuan earthquake. The great Wenchuan earthquake happened on May 12, 2008. An oilfield is 400km apart from the epicenter and 260km from the main fault. Many wells were drilled or are under drilling. Some are drilled through the active fault and a few tectonic active phenomenons were observed. For instance, a drill pipe was cut off in the well which was just drilled through the fault. We concluded that this is due to the fault slip,if not, so thick wall pipe cannot be cut off. At the same time, a mass of well casings of the oilfield deformed during the great Wenchuan Earthquake. The analysis of the casing deformation characteristic, formation structure, seismicity, tectonic stress variation suggest that the casing deformation is closely related to the Wenchuan Earthquake. It is the tectonic stress variation that induces seismic activities, fault slip, salt/gypsum creep speedup, and deformation inconsistent between stratums. Additional earthquake dynamic loads were exerted on the casing and caused its deformation. Active fault scientific drilling has become an important tool to understand earthquake mechanism and physics. The casing deformation and wellbore instability is not only a consequence of the earthquake but also an indicator of stress modification and fault activity. It is noteworthy that tectonic stress variation and fault

  12. Gang Activity on Campus: A Crisis Response Case Study

    ERIC Educational Resources Information Center

    Shaw, Mahauganee; Meaney, Sarah

    2015-01-01

    This case study challenges readers to consider a contemporary issue for campus threat assessment and emergency preparedness: gang presence on college campuses. A body of research examining the presence of gangs and gang activity on college campuses has developed, revealing that gangs pose a viable threat for institutions of higher education. The…

  13. A comparison of interview methods to ascertain fluoroquinolone exposure before tuberculosis diagnosis.

    PubMed

    Van Der Heijden, Y F; Maruri, F; Holt, E; Mitchel, E; Warkentin, J; Sterling, T R

    2015-04-01

    SUMMARY Fluoroquinolone use before tuberculosis (TB) diagnosis delays the time to diagnosis and treatment, and increases the risk of fluoroquinolone-resistant TB and death. Ascertainment of fluoroquinolone exposure could identify such high-risk patients. We compared four methods of ascertaining fluoroquinolone exposure in the 6 months prior to TB diagnosis in culture-confirmed TB patients in Tennessee from January 2007 to December 2009. The four methods included a simple questionnaire administered to all TB suspects by health department personnel (FQ-Form), an in-home interview conducted by research staff, outpatient and inpatient medical record review, and TennCare pharmacy database review. Of 177 TB patients included, 72 (41%) received fluoroquinolones during the 6 months before TB diagnosis. Fluoroquinolone exposure determined by review of inpatient and outpatient medical records was considered the gold standard for comparison. The FQ-Form had 61% [95% confidence interval (CI) 48-73] sensitivity and 93% (95% CI 85-98) specificity (agreement 79%, kappa = 0.56) while the in-home interview had 28% (95% CI 18-40) sensitivity and 99% (94-100%) specificity (agreement 68%, kappa = 0.29). A simple questionnaire administered by health department personnel identified fluoroquinolone exposure before TB diagnosis with moderate reliability.

  14. Familial dicentric translocation t(13;18)(p13;p11.2) ascertained by recurrent miscarriages.

    PubMed Central

    Daniel, A; Perel, I D; Clarke, A J; Saville, T

    1979-01-01

    A dicentric translocation is described involving chromosomes 13 and 18 in which the centromere of chromosome 13 was suppressed. The translocation was ascertained by repeated miscarriages and was found in three generations of phenotypically normal carriers. Images PMID:469891

  15. Brief Report: Characteristics of preschool children with ASD vary by ascertainment.

    PubMed

    Sacrey, Lori-Ann R; Zwaigenbaum, Lonnie; Szatmari, Peter; Bryson, Susan; Georgiades, Stelios; Brian, Jessica; Smith, Isabel M; Vaillancourt, Tracy; Garon, Nancy; Roncadin, Caroline; Elsabbagh, Mayada

    2017-02-21

    Prospective studies of infant siblings of children diagnosed with autism spectrum disorder (ASD) provide a unique opportunity to characterize ASD as it unfolds. A critical question that remains unanswered is whether and how these children with ASD resemble other children identified from the community, including those with no family history. The purpose of this study was to compare clinical characteristics of children with ASD identified by each method (n = 86 per group), drawn from two Canadian longitudinal research cohorts. Children ascertained from a prospective cohort were less severely affected and included a larger proportion of girls, compared to the clinically referred sample. These results may have important implications for conclusions drawn from studies of high-risk and clinically referred cohorts.

  16. Segregation analysis of alcoholism in families ascertained through a pair of male alcoholics.

    PubMed Central

    Aston, C E; Hill, S Y

    1990-01-01

    To determine the nature of the genetic component controlling liability to alcoholism, complex segregation analysis was performed on 35 multigenerational families each ascertained through a pair of male alcoholics. The results suggest that liability to alcoholism is, in part, controlled by a major effect with or without additional multifactorial effects. Mendelian transmission of this major effect was rejected, as was the hypothesis that the major effect is due to a single major locus. Absence of this major effect, leaving only multifactorial effects, was also rejected. Some sources for the non-Mendelian character of the major effect are suggested, such as a combination of two or more Mendelian loci, the presence of phenocopies, sex-dependent differences in the underlying liability model, or heterogeneity in the alcoholism phenotype. Evidence for and against each is discussed. PMID:2339688

  17. Possible helio-geomagnetic activity influence on cardiological cases

    NASA Astrophysics Data System (ADS)

    Katsavrias, Christos

    Eruptive solar events as flares and coronal mass ejections (CMEs) occur during solar activ-ity periods. Energetic particles, fast solar wind plasma and electromagnetic radiation pass through interplanetary space, arrive on Earth's ionosphere-magnetosphere and produce various disturbances. It is well known the negative influence of geomagnetic substorms on the human technological applications on geospace. During the last 25 years, many studies concerning the possible influence on the human health are published. Increase of the Acute Coronary Syn-dromes and disorders of the Cardiac Rhythm, increase of accidents as well as neurological and psychological disorders (e.g. increase of suicides) during or near to the geomagnetic storms time interval are reported. In this study, we research the problem in Greece, focusing on patients with Acute Myocardial Infraction, hospitalized in the 2nd Cardiological Department of the General Hospital of Nikaea (Piraeus City), for the time interval 1997-2007 (23rd solar cycle) and also to the arrival of emergency cardiological cases to Emergency Department of two greek hospitals, the General Hospital of Lamia City and the General Hospital of Veria City during the selected months, with or without helio-geomagnetic activity, of the 23rd solar cycle. Increase of cases is recorded during the periods with increase helio-geomagnetic activity. The necessity of continuing the research for a longer period and with a bigger sample is high; so as to exact more secure conclusions.

  18. 40 CFR 260.41 - Procedures for case-by-case regulation of hazardous waste recycling activities.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of hazardous waste recycling activities. 260.41 Section 260.41 Protection of Environment... Rulemaking Petitions § 260.41 Procedures for case-by-case regulation of hazardous waste recycling activities... hazardous waste recycling activities described in § 261.6(a)(2)(iii) under the provisions of § 261.6 (b)...

  19. 40 CFR 260.41 - Procedures for case-by-case regulation of hazardous waste recycling activities.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... of hazardous waste recycling activities. 260.41 Section 260.41 Protection of Environment... Rulemaking Petitions § 260.41 Procedures for case-by-case regulation of hazardous waste recycling activities... hazardous waste recycling activities described in § 261.6(a)(2)(iii) under the provisions of § 261.6 (b)...

  20. 40 CFR 260.41 - Procedures for case-by-case regulation of hazardous waste recycling activities.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of hazardous waste recycling activities. 260.41 Section 260.41 Protection of Environment... Rulemaking Petitions § 260.41 Procedures for case-by-case regulation of hazardous waste recycling activities... hazardous waste recycling activities described in § 261.6(a)(2)(iii) under the provisions of § 261.6 (b)...

  1. 40 CFR 260.41 - Procedures for case-by-case regulation of hazardous waste recycling activities.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... of hazardous waste recycling activities. 260.41 Section 260.41 Protection of Environment... Rulemaking Petitions § 260.41 Procedures for case-by-case regulation of hazardous waste recycling activities... hazardous waste recycling activities described in § 261.6(a)(2)(iii) under the provisions of § 261.6 (b)...

  2. 40 CFR 260.41 - Procedures for case-by-case regulation of hazardous waste recycling activities.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of hazardous waste recycling activities. 260.41 Section 260.41 Protection of Environment... Rulemaking Petitions § 260.41 Procedures for case-by-case regulation of hazardous waste recycling activities... hazardous waste recycling activities described in § 261.6(a)(2)(iii) under the provisions of § 261.6 (b)...

  3. Clinical Evaluation of Specific Oral Manifestations in Pediatric Patients with Ascertained versus Potential Coeliac Disease: A Cross-Sectional Study

    PubMed Central

    Matacena, Giada; Costa, Stefano; Magazzù, Giuseppe

    2014-01-01

    Patients involved on coeliac disease (CD) have atypical symptoms and often remain undiagnosed. Specific oral manifestations are effective risk indicators of CD and for this reason an early diagnosis with a consequent better prognosis can be performed by the dentist. There are not researches analysing the frequency of these oral manifestations in potential coeliac patients. The aim of this study is to investigate the oral hard and soft tissue lesions in potential and ascertained coeliac children in comparison with healthy controls. 50 ascertained children, 21 potential coeliac patients, and 54 controls were recruited and the oral examination was performed. The overall oral lesions were more frequently present in CD patients than in controls. The prevalence of oral soft tissue lesions was 62% in ascertained coeliac, 76.2% in potential coeliac patients, and 12.96% in controls (P < 0.05). Clinical dental delayed eruption was observed in 38% of the ascertained coeliac and 42.5% of the potential coeliac versus 11.11% of the controls (P < 0.05). The prevalence of specific enamel defects (SED) was 48% in ascertained coeliac and 19% in potential coeliac versus 0% in controls (P < 0.05; OR = 3.923). The SED seem to be genetically related to the histological damage and villous atrophy. PMID:25197270

  4. ASCERTAINMENT OF ON-ROAD SAFETY ERRORS BASED ON VIDEO REVIEW.

    PubMed

    Dawson, Jeffrey D; Uc, Ergun Y; Anderson, Steven W; Dastrup, Elizabeth; Johnson, Amy M; Rizzo, Matthew

    2009-12-01

    Using an instrumented vehicle, we have studied several aspects of the on-road performance of healthy and diseased elderly drivers. One goal from such studies is to ascertain the type and frequency of driving safety errors. Because the judgment of such errors is somewhat subjective, we applied a taxonomy system of 15 general safety error categories and 76 specific safety error types. We also employed and trained professional driving instructors to review the video data of the on-road drives. In this report, we illustrate our rating system on a group of 111 drivers, ages 65 to 89. These drivers made errors in 13 of the 15 error categories, comprising 42 of the 76 error types. A mean (SD) of 35.8 (12.8) safety errors per drive were noted, with 2.1 (1.7) of them being judged as serious. Our methodology may be useful in applications such as intervention studies, and in longitudinal studies of changes in driving abilities in patients with declining cognitive ability.

  5. Systematic review of sleep disorders in cancer patients: can the prevalence of sleep disorders be ascertained?

    PubMed Central

    Otte, Julie L; Carpenter, Janet S; Manchanda, Shalini; Rand, Kevin L; Skaar, Todd C; Weaver, Michael; Chernyak, Yelena; Zhong, Xin; Igega, Christele; Landis, Carol

    2015-01-01

    Although sleep is vital to all human functioning and poor sleep is a known problem in cancer, it is unclear whether the overall prevalence of the various types of sleep disorders in cancer is known. The purpose of this systematic literature review was to evaluate if the prevalence of sleep disorders could be ascertained from the current body of literature regarding sleep in cancer. This was a critical and systematic review of peer-reviewed, English-language, original articles published from 1980 through 15 October 2013, identified using electronic search engines, a set of key words, and prespecified inclusion and exclusion criteria. Information from 254 full-text, English-language articles was abstracted onto a paper checklist by one reviewer, with a second reviewer randomly verifying 50% (k = 99%). All abstracted data were entered into an electronic database, verified for accuracy, and analyzed using descriptive statistics and frequencies in SPSS (v.20) (North Castle, NY). Studies of sleep and cancer focus on specific types of symptoms of poor sleep, and there are no published prevalence studies that focus on underlying sleep disorders. Challenging the current paradigm of the way sleep is studied in cancer could produce better clinical screening tools for use in oncology clinics leading to better triaging of patients with sleep complaints to sleep specialists, and overall improvement in sleep quality. PMID:25449319

  6. Asymmetry in Active SETI: A case for transmissions from Earth

    NASA Astrophysics Data System (ADS)

    Vakoch, Douglas A.

    2011-02-01

    The Search for Extraterrestrial Intelligence (SETI) typically presupposes contact with extraterrestrial civilizations much longer lived than humanity. Many have argued that given humanity's "youth," the burden of transmitting should be placed on the extraterrestrial civilizations, which presumably possess more advanced technologies. These assumptions have contributed to the current emphasis on Passive SETI. Complementing this existing stress on Passive SETI with an additional commitment to Active SETI, in which humankind transmits messages to other civilizations, would have several advantages, including (1) addressing the reality that regardless of whether older civilizations should be transmitting, they may not be transmitting; (2) placing the burden of decoding and interpreting messages on advanced extraterrestrials, which may facilitate mutual comprehension; and (3) signaling a move toward an intergenerational model of science with a long-term vision for benefiting other civilizations as well as future generations of humans. Technological requirements for Active SETI are considered, and a case is made for Active SETI as a means for experimentally testing variants of the Zoo Hypothesis. Recommendations are provided for sustaining Passive and Active SETI and the communities that conduct these searches.

  7. Autonomic Activation in Insomnia: The Case for Acupuncture

    PubMed Central

    Huang, Wei; Kutner, Nancy; Bliwise, Donald L.

    2011-01-01

    Current conceptualizations of the biological basis for insomnia typically invoke central nervous system and/or autonomic nervous system arousal. Acupuncture may represent a unique avenue of treatment for poor sleep by virtue of its direct effects on peripheral nerves and muscles, which, in turn, modulate autonomic tone and central activation. In this review, we summarize both basic and clinical research indicating that acupuncture exerts profound influences via a wide variety of potential neural and/or hormonal mechanisms that have great relevance for the modulation of sleep and wakefulness. We illustrate principles of acupuncture intervention applied to cases of otherwise intractable insomnia that document successful application of this component of Traditional Chinese Medicine to the treatment of poor sleep. Our review indicates the necessity for further research in the relationship between the effects of acupuncture on insomnia and autonomic regulation, which might guide better selective use of this treatment modality for insomnia. Citation: Huang W; Kutner N; Bliwise DL. Autonomic activation in insomnia: the case for acupuncture. J Clin Sleep Med 2011;7(1):95-102. PMID:21344045

  8. Promoting Active Learning with Cases and Instructional Modules.

    ERIC Educational Resources Information Center

    Richards, Larry G.; And Others

    1995-01-01

    Proposes the use of cases and instructional modules to teach invention, engineering design, and technology management. Discusses the case method in graduate business education, cases and modules in engineering education, using cases in class, and the development and distribution of cases. Presents examples of using cases about total quality…

  9. Self-Confirmation and Ascertainment of the Candidate Genomic Regions of Complex Trait Loci – A None-Experimental Solution

    PubMed Central

    Wang, Lishi; Jiao, Yan; Wang, Yongjun; Zhang, Mengchen; Gu, Weikuan

    2016-01-01

    Over the past half century, thousands of quantitative trait loci (QTL) have been identified by using animal models and plant populations. However, the none-reliability and imprecision of the genomic regions of these loci have remained the major hurdle for the identification of the causal genes for the correspondent traits. We used a none-experimental strategy of strain number reduction for testing accuracy and ascertainment of the candidate region for QTL. We tested the strategy in over 400 analyses with data from 47 studies. These studies include: 1) studies with recombinant inbred (RI) strains of mice. We first tested two previously mapped QTL with well-defined genomic regions; We then tested additional four studies with known QTL regions; and finally we examined the reliability of QTL in 38 sets of data which are produced from relatively large numbers of RI strains, derived from C57BL/6J (B6) X DBA/2J (D2), known as BXD RI mouse strains; 2) studies with RI strains of rats and plants; and 3) studies using F2 populations in mice, rats and plants. In these cases, our method identified the reliability of mapped QTL and localized the candidate genes into the defined genomic regions. Our data also suggests that LRS score produced by permutation tests does not necessarily confirm the reliability of the QTL. Number of strains are not the reliable indicators for the accuracy of QTL either. Our strategy determines the reliability and accuracy of the genomic region of a QTL without any additional experimental study such as congenic breeding. PMID:27203862

  10. Promotion and support of physical activity in elderly patients on hemodialysis: a case study.

    PubMed

    Shiota, Kotomi; Hashimoto, Toshihiko

    2016-04-01

    [Purpose] The aim of this study was to ascertain the optimum strategy for implementing a physical activity intervention in patients on hemodialysis by investigating the physical characteristics of elderly patients on hemodialysis, and their attitude to physical activity and level of daily activity. [Subjects] The Subject were 10 elderly patients on hemodialysis. [Methods] They wore a physical activity monitor for 1 week. Data obtained were analyzed for hemodialysis and non- hemodialysis days, and two-way analysis of variance was used to compare the number of steps and activity levels. A questionnaire was administered to investigate the stage of psychological preparedness for exercise and attitudes toward/awareness of exercise. [Results] There was no significant difference in the number of steps or exercise levels on hemodialysis and non- hemodialysis days. However, on both types of days, subjects spent long periods not engaged in any activity. Most of their activity was either inactivity or sedentary behavior. [Conclusion] Patients on hemodialysis with low physical activity levels are considered to have poor physical function and exercise tolerance. To maintain and improve the physical function of patients on hemodialysis, it will be necessary to reduce their time spent in inactive, and comprehensive care that covers psychosocial aspects should be provided to promote the proactive improvement of physical activity and their attitudes to exercise.

  11. Promotion and support of physical activity in elderly patients on hemodialysis: a case study

    PubMed Central

    Shiota, Kotomi; Hashimoto, Toshihiko

    2016-01-01

    [Purpose] The aim of this study was to ascertain the optimum strategy for implementing a physical activity intervention in patients on hemodialysis by investigating the physical characteristics of elderly patients on hemodialysis, and their attitude to physical activity and level of daily activity. [Subjects] The Subject were 10 elderly patients on hemodialysis. [Methods] They wore a physical activity monitor for 1 week. Data obtained were analyzed for hemodialysis and non- hemodialysis days, and two-way analysis of variance was used to compare the number of steps and activity levels. A questionnaire was administered to investigate the stage of psychological preparedness for exercise and attitudes toward/awareness of exercise. [Results] There was no significant difference in the number of steps or exercise levels on hemodialysis and non- hemodialysis days. However, on both types of days, subjects spent long periods not engaged in any activity. Most of their activity was either inactivity or sedentary behavior. [Conclusion] Patients on hemodialysis with low physical activity levels are considered to have poor physical function and exercise tolerance. To maintain and improve the physical function of patients on hemodialysis, it will be necessary to reduce their time spent in inactive, and comprehensive care that covers psychosocial aspects should be provided to promote the proactive improvement of physical activity and their attitudes to exercise. PMID:27190487

  12. Agreement Between Stroke Patients and Family Members For Ascertaining Pre-Stroke Risk of Sleep Apnea

    PubMed Central

    Reeves, Sarah L; Brown, Devin L; Chervin, Ronald D; Morgenstern, Lewis B; Smith, Melinda A; Lisabeth, Lynda D

    2014-01-01

    Background Ascertaining self-reported information about pre-stroke obstructive sleep apnea (OSA) risk in the acute stroke period is challenging as many stroke patients have deficits that hinder communication. We examined agreement between stroke patients without communication limitations and family members (proxy) with respect to pre-stroke risk of OSA. Methods Patient-proxy pairs (n = 42) were interviewed independently as part of the Brain Attack Surveillance in Corpus Christi Project from May 2010 - April 2011. The Berlin questionnaire was used to measure a high risk of OSA defined as the presence of at least two of the following conditions: 1) snoring behaviors/witnessed apneas, 2) daytime sleepiness, and 3) hypertension or obesity. Patient-proxy agreement was assessed using a kappa coefficient. Results Forty-three percent of patients self-identified as high risk for sleep apnea, and 45% of proxies identified patients as high risk. Patient-proxy agreement for high risk of pre-stroke OSA was fair (kappa = 0.28) with better agreement for spouses and children proxies (kappa = 0.38) than for other family members. Agreement was also fair for most individual questions. Conclusions Spouse and child proxy use of the Berlin questionnaire may be an option to assess a patient's pre-stroke likelihood of sleep apnea. Whereas prospective studies of incident stroke in patients with and without objectively confirmed sleep apnea would require formidable resources, the present results suggest that an alternative strategy may involve proxy use of the Berlin in a retrospective study design. PMID:24238964

  13. Suicidal Ideation Associated with PCL Checklist-Ascertained PTSD among Veterans Treated for Substance Abuse

    PubMed Central

    Cornelius, Jack R.; Haas, Gretchen L.; Appelt, Cathleen J.; Walker, Jon D.; Fox, Lauren J.; Kasckow, John W.; Luther, James F.; Salloum, Ihsan M.

    2013-01-01

    This manuscript begins by reviewing the literature concerning the use of the SCID versus the PCL for diagnosing PTSD, and by reviewing the literature regarding the presence of suicidal ideation as a clinical correlate of PTSD. This manuscript then describes our recent study involving PTSD among Veterans, which assessed the presence of suicidal ideation as a clinical correlate of PTSD, as diagnosed by the SCID versus as diagnosed by the PCL. We hypothesized that the presence of suicidal ideation would be associated with a diagnosis of PTSD. Subjects were 101 Veterans recruited from VA behavioral health and substance use treatment clinics in the VA Pittsburgh Healthcare System. The study compared correlations of suicidal ideation with PTSD as determined with the PTSD Checklist versus the Structured Clinical Interview for DSM-IV, and utilized question 9 of the Beck Depression Inventory for assessing presence of SI. PTSD was diagnosed in 15 subjects using the SCID, and in 15 subjects using the PTSD Checklist. SI were reported by 16 subjects. The presence of SI was significantly associated with the diagnosis of PTSD on the PCL (chi-square=5.73, df=1, p=0.017) but not on the SCID (chi-square=0.08, df=1, p=0.773). These findings suggest that SI associated with the diagnosis of PTSD among Veterans are better ascertained by the PCL as compared to the more elaborate diagnostic algorithm used in the SCID. The current study finding raises the possibility that a less complicated diagnostic assessment instrument such as the PCL may be superior to the SCID, a more complicated instrument for diagnosing PTSD, at least in some populations. PMID:25382964

  14. 33 CFR 137.80 - Commonly known or reasonably ascertainable information about the facility and the real property...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... ascertainable information about the facility and the real property on which the facility is located. 137.80... the facility is located. (a) Throughout the inquiries, persons specified in § 137.1(a) and... facility is located and consider that information when seeking to identify conditions indicative of...

  15. Exploring Gaps of Family History Documentation in EHR for Precision Medicine -A Case Study of Familial Hypercholesterolemia Ascertainment

    PubMed Central

    Mehrabi, Saeed; Wang, Yanshan; Ihrke, Donna; Liu, Hongfang

    2016-01-01

    In the era of precision medicine, accurately identifying familial conditions is crucial for providing target treatment. However, it is challenging to identify familial conditions without detailed family history information. In this work, we studied the documentation of family history of premature cardiovascular disease and hypercholesterolemia. The information on patients’ family history of stroke within the Patient-provided information (PPI) forms was compared with the information gathered by clinicians in clinical notes. The agreement between PPI and clinical notes on absence of family history information in PPI was substantially higher compared to presence of family history. PMID:27570664

  16. 40 CFR 260.40 - Additional regulation of certain hazardous waste recycling activities on a case-by-case basis.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 27 2012-07-01 2012-07-01 false Additional regulation of certain hazardous waste recycling activities on a case-by-case basis. 260.40 Section 260.40 Protection of... SYSTEM: GENERAL Rulemaking Petitions § 260.40 Additional regulation of certain hazardous waste...

  17. 40 CFR 260.40 - Additional regulation of certain hazardous waste recycling activities on a case-by-case basis.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 27 2013-07-01 2013-07-01 false Additional regulation of certain hazardous waste recycling activities on a case-by-case basis. 260.40 Section 260.40 Protection of... SYSTEM: GENERAL Rulemaking Petitions § 260.40 Additional regulation of certain hazardous waste...

  18. 40 CFR 260.40 - Additional regulation of certain hazardous waste recycling activities on a case-by-case basis.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 26 2011-07-01 2011-07-01 false Additional regulation of certain hazardous waste recycling activities on a case-by-case basis. 260.40 Section 260.40 Protection of... SYSTEM: GENERAL Rulemaking Petitions § 260.40 Additional regulation of certain hazardous waste...

  19. 40 CFR 260.40 - Additional regulation of certain hazardous waste recycling activities on a case-by-case basis.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 26 2014-07-01 2014-07-01 false Additional regulation of certain hazardous waste recycling activities on a case-by-case basis. 260.40 Section 260.40 Protection of... SYSTEM: GENERAL Rulemaking Petitions § 260.40 Additional regulation of certain hazardous waste...

  20. 40 CFR 260.40 - Additional regulation of certain hazardous waste recycling activities on a case-by-case basis.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 25 2010-07-01 2010-07-01 false Additional regulation of certain hazardous waste recycling activities on a case-by-case basis. 260.40 Section 260.40 Protection of... SYSTEM: GENERAL Rulemaking Petitions § 260.40 Additional regulation of certain hazardous waste...

  1. The Current Case of Quinolones: Synthetic Approaches and Antibacterial Activity.

    PubMed

    Naeem, Abdul; Badshah, Syed Lal; Muska, Mairman; Ahmad, Nasir; Khan, Khalid

    2016-03-28

    Quinolones are broad-spectrum synthetic antibacterial drugs first obtained during the synthesis of chloroquine. Nalidixic acid, the prototype of quinolones, first became available for clinical consumption in 1962 and was used mainly for urinary tract infections caused by Escherichia coli and other pathogenic Gram-negative bacteria. Recently, significant work has been carried out to synthesize novel quinolone analogues with enhanced activity and potential usage for the treatment of different bacterial diseases. These novel analogues are made by substitution at different sites--the variation at the C-6 and C-8 positions gives more effective drugs. Substitution of a fluorine atom at the C-6 position produces fluroquinolones, which account for a large proportion of the quinolones in clinical use. Among others, substitution of piperazine or methylpiperazine, pyrrolidinyl and piperidinyl rings also yields effective analogues. A total of twenty six analogues are reported in this review. The targets of quinolones are two bacterial enzymes of the class II topoisomerase family, namely gyrase and topoisomerase IV. Quinolones increase the concentration of drug-enzyme-DNA cleavage complexes and convert them into cellular toxins; as a result they are bactericidal. High bioavailability, relative low toxicity and favorable pharmacokinetics have resulted in the clinical success of fluoroquinolones and quinolones. Due to these superior properties, quinolones have been extensively utilized and this increased usage has resulted in some quinolone-resistant bacterial strains. Bacteria become resistant to quinolones by three mechanisms: (1) mutation in the target site (gyrase and/or topoisomerase IV) of quinolones; (2) plasmid-mediated resistance; and (3) chromosome-mediated quinolone resistance. In plasmid-mediated resistance, the efflux of quinolones is increased along with a decrease in the interaction of the drug with gyrase (topoisomerase IV). In the case of chromosome

  2. Improving Ascertainment of Risk Factors for HIV Infection: Results of a Group-Randomized Evaluation

    ERIC Educational Resources Information Center

    Harrison, Kathleen McDavid; Pals, Sherri L.; Sajak, Tammy; Chase, Jennifer; Kajese, Tebitha

    2010-01-01

    To allow appropriate allocation of prevention and care funding, HIV/AIDS surveillance data must include risk factor information, currently available for less than 70% of cases reported in the United States. The authors evaluated an intervention consisting of provider training and materials to improve risk factor reporting. Facilities were matched…

  3. [Two cases of Lambert-Eaton syndrome with an increase of serum cholinesterase activity].

    PubMed

    Ciechanowski, K; Cebula, D

    1997-02-01

    Paraneoplastic Lambert-Eaton myasthenia syndrome is presented in two cases with small cell lung cancer. An increase of serum cholinesterase activity was explained by induced release of biologically active proteins by neoplastic tissue.

  4. California’s Parkinson’s Disease Registry Pilot Project - Coordination Center and Northern California Ascertainment

    DTIC Science & Technology

    2014-03-01

    d. Review and determination of study diagnosis. For cases with multiple parkinsonism codes (i.e. diagnosed with more than one of 332.0, 333.0...individuals (10.7%) had ICD-9 codes for other forms of neurodegenerative parkinsonism . The remaining 2.1% were primarily drug- induced parkinsonism ...55.7%) Group 3 Parkinsonism n=694 (6.6%) Prevalent in 2007 n=139 (32.7%) Prevalent in 2007 n=181 (26.1%) Prevalent in 2007 n=123 (55.4

  5. Two cases of lichen striatus with prolonged active phase.

    PubMed

    Feely, Meghan A; Silverberg, Nanette B

    2014-01-01

    Lichen striatus is a localized, eczematous disorder distributed along the lines of Blaschko, primarily affecting children. In the literature, lesions have been described as having an active phase of inflamed lesions for 6 to 12 months followed by flattening and persistent pigmentary alteration. We describe two girls who had prolonged active-phase lesions for 2.5 and 3.5 years, respectively. Practitioners should be aware that lesions of lichen striatus may have a prolonged active phase.

  6. Record linkage to correct under‐ascertainment of cancers in HIV cohorts: The Sinikithemba HIV clinic linkage project

    PubMed Central

    Spoerri, Adrian; Egger, Matthias; Kielkowski, Danuta; Crankshaw, Tamaryn; Cloete, Christie; Giddy, Janet; Bohlius, Julia

    2016-01-01

    The surveillance of HIV‐related cancers in South Africa is hampered by the lack of systematic collection of cancer diagnoses in HIV cohorts and the absence of HIV status in cancer registries. To improve cancer ascertainment and estimate cancer incidence, we linked records of adults (aged ≥ 16 years) on antiretroviral treatment (ART) enrolled at Sinikithemba HIV clinic, McCord Hospital in KwaZulu‐Natal (KZN) with the cancer records of public laboratories in KZN province using probabilistic record linkage (PRL) methods. We calculated incidence rates for all cancers, Kaposi sarcoma (KS), cervix, non‐Hodgkin's lymphoma and non‐AIDS defining cancers (NADCs) before and after inclusion of linkage‐identified cancers with 95% confidence intervals (CIs). A total of 8,721 records of HIV‐positive patients were linked with 35,536 cancer records. Between 2004 and 2010, we identified 448 cancers, 82% (n = 367) were recorded in the cancer registry only, 10% (n = 43) in the HIV cohort only and 8% (n = 38) both in the HIV cohort and the cancer registry. The overall cancer incidence rate in patients starting ART increased from 134 (95% CI 91–212) to 877 (95% CI 744–1,041) per 100,000 person‐years after inclusion of linkage‐identified cancers. Incidence rates were highest for KS (432, 95% CI 341–555), followed by cervix (259, 95% CI 179–390) and NADCs (294, 95% CI 223–395) per 100,000 person‐years. Ascertainment of cancer in HIV cohorts is incomplete, PRL is both feasible and essential for cancer ascertainment. PMID:27098265

  7. Reinforcing Constructivist Teaching in Advanced Level Biochemistry through the Introduction of Case-Based Learning Activities

    ERIC Educational Resources Information Center

    Hartfield, Perry J.

    2010-01-01

    In the process of curriculum development, I have integrated a constructivist teaching strategy into an advanced-level biochemistry teaching unit. Specifically, I have introduced case-based learning activities into the teaching/learning framework. These case-based learning activities were designed to develop problem-solving skills, consolidate…

  8. Incorporating Active Learning with Videos: A Case Study from Physics

    ERIC Educational Resources Information Center

    Lee, Kester J.; Sharma, Manjula D.

    2008-01-01

    Watching a video often results in passive learning and does not actively engage students. In this study, a class of 20 HSC Physics students were introduced to a teaching model that incorporated active learning principles with the watching of a video that explored the Meissner Effect and superconductors. Students would watch short sections of the…

  9. 7 CFR 275.12 - Review of active cases.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... State agency as of the review date. When changes in household circumstances occur, the reviewer shall determine whether the changes were reported by the participant and handled by the agency in accordance with.... Documentation contained in the case record can be used as verification if it is not subject to change...

  10. 7 CFR 275.12 - Review of active cases.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... State agency as of the review date. When changes in household circumstances occur, the reviewer shall determine whether the changes were reported by the participant and handled by the agency in accordance with.... Documentation contained in the case record can be used as verification if it is not subject to change...

  11. 7 CFR 275.12 - Review of active cases.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... When changes in household circumstances occur, the reviewer shall determine whether the changes were... used as verification if it is not subject to change and applies to the sample month. If during the case... documentary evidence in the household's possession and secure information about collateral sources...

  12. Conscientization and Third Space: A Case Study of Tunisian Activism

    ERIC Educational Resources Information Center

    Boumlik, Habiba; Schwartz, Joni

    2016-01-01

    This case study examines, "Al Bawsala," a nongovernmental organization and a female cyber social activist, Amira Yahyaoui, in the aftermath of Tunisia's Jasmine Revolution through the lens of adult education. The theoretical frameworks of conscientization and third space are employed to describe Yahyaoui's development of the watchdog…

  13. Ascertaining serum levels of trace elements in melanoma patients using PIXE and HR-ICPMS

    NASA Astrophysics Data System (ADS)

    Bernardes, S.; Tabacniks, M. H.; Santos, I. D. A. O.; Oliveira, A. F.; Shie, J. N.; Sarkis, J. E. S.; Oliveira, T.

    2014-01-01

    Melanoma is a serious and deadly form of skin cancer. However, patients' chances of survival and recovery are considerably increased when it is diagnosed and treated in its early stages. In this study, trace element concentrations in serum samples from patients with melanoma were measured using PIXE (Proton Induced X-ray Emission) and HR-ICPMS (High-Resolution Inductively Coupled Plasma Mass Spectrometry), with the purpose of correlating these concentrations with the disease. Blood samples from 30 melanoma patients and 116 healthy donors were collected at São Paulo Hospital (protocol CEP 1036/08 UNIFESP). Relevant clinical information on the patients has also been included in the statistical analysis. Analysis of the control group showed different P and Mg concentrations in individuals above and below 40 years of age. P, S, Ca, Cu and Zn concentrations in healthy individuals differed according to gender, highlighting the necessity to include age and gender variables in the case-control analysis. There were also differences in K, S, Ca and Se concentrations between the control and melanoma groups.

  14. The use of flow cytometry to accurately ascertain total and viable counts of Lactobacillus rhamnosus in chocolate.

    PubMed

    Raymond, Yves; Champagne, Claude P

    2015-04-01

    The goals of this study were to evaluate the precision and accuracy of flow cytometry (FC) methodologies in the evaluation of populations of probiotic bacteria (Lactobacillus rhamnosus R0011) in two commercial dried forms, and ascertain the challenges in enumerating them in a chocolate matrix. FC analyses of total (FC(T)) and viable (FC(V)) counts in liquid or dried cultures were almost two times more precise (reproducible) than traditional direct microscopic counts (DCM) or colony forming units (CFU). With FC, it was possible to ascertain low levels of dead cells (FC(D)) in fresh cultures, which is not possible with traditional CFU and DMC methodologies. There was no interference of chocolate solids on FC counts of probiotics when inoculation was above 10(7) bacteria per g. Addition of probiotics in chocolate at 40 °C resulted in a 37% loss in viable cells. Blending of the probiotic powder into chocolate was not uniform which raised a concern that the precision of viable counts could suffer. FCT data can serve to identify the correct inoculation level of a sample, and viable counts (FCV or CFU) can subsequently be better interpreted.

  15. A comprehensive approach to ascertain the binding mode of curcumin with DNA.

    PubMed

    Haris, P; Mary, Varughese; Aparna, P; Dileep, K V; Sudarsanakumar, C

    2017-03-15

    Curcumin is a natural phytochemical from the rhizoma of Curcuma longa, the popular Indian spice that exhibits a wide range of pharmacological properties like antioxidant, anticancer, anti-inflammatory, antitumor, and antiviral activities. In the published literatures we can see different studies and arguments on the interaction of curcumin with DNA. The intercalative binding, groove binding and no binding of curcumin with DNA were reported. In this context, we conducted a detailed study to understand the mechanism of recognition of dimethylsulfoxide-solubilized curcumin by DNA. The interaction of curcumin with calf thymus DNA (ctDNA) was confirmed by agarose gel electrophoresis. The nature of binding and energetics of interaction were studied by Isothermal Titration Calorimetry (ITC), Differential Scanning Calorimetry (DSC), UV-visible, fluorescence and melting temperature (Tm) analysis. The experimental data were compared with molecular modeling studies. Our investigation confirmed that dimethylsulfoxide-solubilized curcumin binds in the minor groove of the ctDNA without causing significant structural alteration to the DNA.

  16. A comprehensive approach to ascertain the binding mode of curcumin with DNA

    NASA Astrophysics Data System (ADS)

    Haris, P.; Mary, Varughese; Aparna, P.; Dileep, K. V.; Sudarsanakumar, C.

    2017-03-01

    Curcumin is a natural phytochemical from the rhizoma of Curcuma longa, the popular Indian spice that exhibits a wide range of pharmacological properties like antioxidant, anticancer, anti-inflammatory, antitumor, and antiviral activities. In the published literatures we can see different studies and arguments on the interaction of curcumin with DNA. The intercalative binding, groove binding and no binding of curcumin with DNA were reported. In this context, we conducted a detailed study to understand the mechanism of recognition of dimethylsulfoxide-solubilized curcumin by DNA. The interaction of curcumin with calf thymus DNA (ctDNA) was confirmed by agarose gel electrophoresis. The nature of binding and energetics of interaction were studied by Isothermal Titration Calorimetry (ITC), Differential Scanning Calorimetry (DSC), UV-visible, fluorescence and melting temperature (Tm) analysis. The experimental data were compared with molecular modeling studies. Our investigation confirmed that dimethylsulfoxide-solubilized curcumin binds in the minor groove of the ctDNA without causing significant structural alteration to the DNA.

  17. Ascertaining neuron importance by information theoretical analysis in motor Brain-Machine Interfaces.

    PubMed

    Wang, Yiwen; Principe, Jose C; Sanchez, Justin C

    2009-01-01

    Point process modeling of neural spike recordings has the potential to capture with high specificity the information contained in spike time occurrence. In Brain-Machine Interfaces (BMIs) the neural tuning characteristic assessed from neural spike recordings can distinguish neuron importance in terms of its modulation with the movement task. Consequently, it improves generalization and reduces significantly computation in previous decoding algorithms, where models reconstruct the kinematics from recorded activities of hundreds of neurons. We propose to apply information theoretical analysis based on an instantaneous tuning model to extract the important neuron subsets for point process decoding on BMI. The cortical distribution of extracted neuron subsets is analyzed and the statistical decoding performance using subset selection is studied with respect to different number of neurons and compared to the one by the full neuron ensemble. With much less computation, the extracted importance neurons provide comparable kinematic reconstructions compared to the full neuron ensemble. The performance of the extracted subset is compared to the random selected subset with same number of neurons to further validate the effectiveness of the subset-extraction approach.

  18. Active inference and robot control: a case study.

    PubMed

    Pio-Lopez, Léo; Nizard, Ange; Friston, Karl; Pezzulo, Giovanni

    2016-09-01

    Active inference is a general framework for perception and action that is gaining prominence in computational and systems neuroscience but is less known outside these fields. Here, we discuss a proof-of-principle implementation of the active inference scheme for the control or the 7-DoF arm of a (simulated) PR2 robot. By manipulating visual and proprioceptive noise levels, we show under which conditions robot control under the active inference scheme is accurate. Besides accurate control, our analysis of the internal system dynamics (e.g. the dynamics of the hidden states that are inferred during the inference) sheds light on key aspects of the framework such as the quintessentially multimodal nature of control and the differential roles of proprioception and vision. In the discussion, we consider the potential importance of being able to implement active inference in robots. In particular, we briefly review the opportunities for modelling psychophysiological phenomena such as sensory attenuation and related failures of gain control, of the sort seen in Parkinson's disease. We also consider the fundamental difference between active inference and optimal control formulations, showing that in the former the heavy lifting shifts from solving a dynamical inverse problem to creating deep forward or generative models with dynamics, whose attracting sets prescribe desired behaviours.

  19. Active inference and robot control: a case study

    PubMed Central

    Nizard, Ange; Friston, Karl; Pezzulo, Giovanni

    2016-01-01

    Active inference is a general framework for perception and action that is gaining prominence in computational and systems neuroscience but is less known outside these fields. Here, we discuss a proof-of-principle implementation of the active inference scheme for the control or the 7-DoF arm of a (simulated) PR2 robot. By manipulating visual and proprioceptive noise levels, we show under which conditions robot control under the active inference scheme is accurate. Besides accurate control, our analysis of the internal system dynamics (e.g. the dynamics of the hidden states that are inferred during the inference) sheds light on key aspects of the framework such as the quintessentially multimodal nature of control and the differential roles of proprioception and vision. In the discussion, we consider the potential importance of being able to implement active inference in robots. In particular, we briefly review the opportunities for modelling psychophysiological phenomena such as sensory attenuation and related failures of gain control, of the sort seen in Parkinson's disease. We also consider the fundamental difference between active inference and optimal control formulations, showing that in the former the heavy lifting shifts from solving a dynamical inverse problem to creating deep forward or generative models with dynamics, whose attracting sets prescribe desired behaviours. PMID:27683002

  20. Investigating the Nuclear Activity of Barred Spiral Galaxies: The Case of NGC 1672

    NASA Technical Reports Server (NTRS)

    Jenkins, L. P.; Brandt, W. N.; Colbert, E. J.; Koribalski, B.; Kuntz, K. D.; Levan, A. J.; Ojha, R.; Roberts, T. P.; Ward, M. J.; Zezas, A.

    2011-01-01

    We have performed an X-ray study of the nearby barred spiral galaxy NGC 1672, primarily to ascertain the effect of the bar on its nuclear activity. We use both Chandra and XMM-Newton observations to investigate its X-ray properties, together with supporting high-resolution optical imaging data from the Hubble Space Telescope (HST) infrared imaging from the Spitzer Space Telescope, and Australia Telescope Compact Array ground-based radio data. We detect 28 X-ray sources within the D25 area of the galaxy; many are spatially correlated with star formation in the bar and spiral arms, and two are identified as background galaxies in the HST images. Nine of the X-ray sources are ultraluminous X-ray sources, with the three brightest (LX 5 * 10(exp 39) erg s(exp -1)) located at the ends of the bar. With the spatial resolution of Chandra, we are able to show for the first time that NGC 1672 possesses a hard (1.5) nuclear X-ray source with a 2-10 keV luminosity of 4 * 10(exp 38) erg s(exp -1). This is surrounded by an X-ray-bright circumnuclear star-forming ring, comprised of point sources and hot gas, which dominates the 2-10 keV emission in the central region of the galaxy. The spatially resolved multiwavelength photometry indicates that the nuclear source is a low-luminosity active galactic nucleus (LLAGN), but with star formation activity close to the central black hole. A high-resolution multiwavelength survey is required to fully assess the impact of both large-scale bars and smaller-scale phenomena such as nuclear bars, rings, and nuclear spirals on the fueling of LLAGN.

  1. Ascertaining effects of nanoscale polymeric interfaces on competitive protein adsorption at the individual protein level

    NASA Astrophysics Data System (ADS)

    Song, Sheng; Xie, Tian; Ravensbergen, Kristina; Hahm, Jong-In

    2016-02-01

    occurring in a competitive adsorption environment. Complex sequences of adhesion events in competitive adsorption involving multicomponent protein systems have been extensively investigated, but our understanding is still limited primarily to macroscopic adhesion onto chemically simple surfaces. We examine the competitive adsorption behavior from a binary protein mixture containing bovine serum albumin and fibrinogen at the single protein level. We subsequently evaluate a series of adsorption and displacement processes occurring on both the macroscopic homopolymer and nanoscopic diblock copolymer surfaces, while systematically varying the protein concentration and incubation time. We identify the similarities and dissimilarities in competitive protein adsorption behavior between the two polymeric surfaces, the former presenting chemical uniformity at macroscale versus the latter exhibiting periodic nanointerfaces of chemically alternating polymeric segments. We then present our novel experimental finding of a large increase in the nanointerface-engaged residence time of the initially bound proteins and further explain the origin of this phenomenon manifested on nanoscale diblock copolymer surfaces. The outcomes of this study may provide timely insight into nanoscale competitive protein adsorption that is much needed in designing bioimplant and tissue engineering materials. In addition, the fundamental understanding gained from this study can be beneficial for the development of highly miniaturized biodevices and biomaterials fabricated by using nanoscale polymeric materials and interfaces. Electronic supplementary information (ESI) available: Fluorescence data on competitive and noncompetitive protein adsorption (Fig. S1) and AFM data of Fg adsorption on PS and PS-b-PMMA in a non-competitive case (Fig. S2). See DOI: 10.1039/c5nr07465g

  2. [Infectious endocarditis surgically-treated in the active phase. Apropos of 46 cases].

    PubMed

    Hannachi, N; Boughzela, E; Abid, F; Ben Hamida, A; Ghariani, M; Bousnina, A; Ben Ismail, M

    1986-01-01

    The clinical and microbiological characteristics, the surgical indications and procedures, the evolution and the principal prognostic factors were reviewed in 46 cases of infectious endocarditis operated in the active phase. Using this date, the authors try to determine the optimal time for surgery during the acute active phase of infectious endocarditis. The study population comprised 28 men and 18 women aged 7 to 64 years (average age: 30). The patients were selected on strict criteria: positive blood cultures during the 48 hours prior to surgery (29 cases), positive valve or valve prosthesis culture (15 cases), the presence of an active cardiac abscess at surgery (7 cases), the presence of a large number of bacteria on histological examination of the valve (17 cases). The patients were divided into two groups: those with endocarditis of native valves (27 cases) and those with endocarditis on prosthetic valves (19 cases). The preoperative clinical features included all the classical signs of IE but congestive cardiac failure was particularly prevalent (62% of cases). Microbiologically, most cases of native valve endocarditis (67%) were due to sensitive organisms (streptococci) whilst the more virulent organisms (staphylococci, gram-negative bacteria and fungi) were observed in prosthetic valve endocarditis (64% of cases). The commonest surgical indication was haemodynamic deterioration (30 cases). The indications were mixed in 15 cases but only one case was operated for uncontrolled infection alone in this series. The surgical procedure was technically complex in 6 cases. Operative mortality was high (18 cases, 39%). The main cause of death was low cardiac output (13 cases).(ABSTRACT TRUNCATED AT 250 WORDS)

  3. Routine Breakers for Emotionally Active Learning: "A Case Study"

    ERIC Educational Resources Information Center

    Munoz-Luna, Rosa; Jurado-Navas, Antonio

    2016-01-01

    The present paper aims to present a typology of classroom activities which may serve as group driving dynamics to improve student attention in class. Human attention skills may have been shortened now and traditional ways of imparting knowledge should be modified (Soslau, 2015). As a consequence, this implies multi-tasking behaviour as users…

  4. Combining PMTCT with active case finding for tuberculosis.

    PubMed

    Kali, Paula B N; Gray, Glenda E; Violari, Avy; Chaisson, Richard E; McIntyre, James A; Martinson, Neil A

    2006-07-01

    Tuberculosis (TB) is the preeminent manifestation of HIV infection and has become a leading cause of maternal mortality and morbidity in high HIV-prevalence settings. Active TB in pregnant women has potentially serious consequences for fetuses and newborns. In Soweto, South Africa, there is a more than 90% uptake of voluntary counseling and HIV testing during routine antenatal care, and almost one third of pregnant women are HIV-infected. The posttest counseling session of the prevention of mother-to-child transmission program provides an opportunity to screen HIV-infected pregnant women for TB. In this study, 370 HIV-infected pregnant women were screened for symptoms of active TB by lay counselors at the posttest counseling session. If symptomatic, they were referred to nurses who investigated them further. Eight women were found to have previously undiagnosed, smear-negative, culture-confirmed TB (2160/100,000). The mean CD4 count in those with active TB compared to those without TB was 276 x 10(6) cells per liter vs 447 x 10(6) cells per liter (P = 0.051). Symptoms most associated with active TB were hemoptysis and fever. We conclude that rates of TB in HIV-infected pregnant women are high, and screening for TB during routine antenatal care should be implemented in high HIV-prevalence settings.

  5. Physical Activity in Individuals with Severe Mental Illness: Client versus Case Manager Ratings

    ERIC Educational Resources Information Center

    Bezyak, Jill L.; Chan, Fong; Lee, Eun-Jeong; Catalano, Denise; Chiu, Chung-Yi

    2012-01-01

    The "Physical Activity Scale for Individuals With Physical Disabilities" was examined as a physical activity measure for people with severe mental illness. Case manager ratings were more closely related to body mass index than clients' ratings, challenging the accuracy of self-report physical activity measures for individuals with severe mental…

  6. Parental Involvement in Active Transport to School Initiatives: A Multi-Site Case Study

    ERIC Educational Resources Information Center

    Eyler, Amy; Baldwin, Julie; Carnoske, Cheryl; Nickelson, Jan; Troped, Philip; Steinman, Lesley; Pluto, Delores; Litt, Jill; Evenson, Kelly; Terpstra, Jennifer; Brownson, Ross; Schmid, Thomas

    2008-01-01

    Background: Increasing physical activity in youth is a recommended approach to curbing the childhood obesity epidemic. One way to help increase children's daily activity is to promote active transportation to and from school (ATS). Purpose: The purpose of this case study was to explore parental perception of, and participation in, ATS initiatives.…

  7. Countering Irregular Activity in Civil War Arkansas -- A Case Study

    DTIC Science & Technology

    2007-03-27

    Little Rock. This was Major General Thomas C. Hindman Jr., a Mexican War veteran and former resident of Helena , Arkansas. 8 Menaced by Curtis ’ return...to Helena on the Mississippi River. Curtis also responded to his logistical difficulties and the activities of guerrillas by giving Southerners...their first taste of the "hard war." Curtis successfully took Helena in July 1862. Hindman’s radical actions had alienated many of the state’s

  8. Can the provenance of the conflict minerals columbite and tantalite be ascertained by laser-induced breakdown spectroscopy?

    PubMed

    Harmon, Russell S; Shughrue, Katrina M; Remus, Jeremiah J; Wise, Michael A; East, Lucille J; Hark, Richard R

    2011-07-01

    Conflict minerals is a term applied to ores mined in conditions of armed conflict and human rights abuse. Niobium and tantalum are two rare metals whose primary natural occurrence is in the complex oxide minerals columbite and tantalite, the ore of which is commonly referred to as coltan. The illicit export of coltan ore from the Democratic Republic of the Congo is thought to be responsible for financing the ongoing civil conflicts in this region. Determining the chemical composition of an ore is one of the means of ascertaining its provenance. Laser-induced breakdown spectroscopy (LIBS) offers a means of rapidly distinguishing different geographic sources for a mineral because the LIBS plasma emission spectrum provides the complete chemical composition (i.e., "chemical fingerprint") of any material in real time. To test this idea for columbite-tantalite, three sample sets were analyzed. Partial least squares discriminant analysis (PLSDA) allows correct sample-level geographic discrimination at a success rate exceeding 90%.

  9. A variable age of onset segregation model for linkage analysis, with correction for ascertainment, applied to glioma

    PubMed Central

    Sun, Xiangqing; Vengoechea, Jaime; Elston, Robert; Chen, Yanwen; Amos, Christopher I.; Armstrong, Georgina; Bernstein, Jonine L; Claus, Elizabeth; Davis, Faith; Houlston, Richard S; Il'yasova, Dora; Jenkins, Robert B; Johansen, Christoffer; Lai, Rose; Lau, Ching C; Liu, Yanhong; McCarthy, Bridget J; Olson, Sara H; Sadetzki, Siegal; Schildkraut, Joellen; Shete, Sanjay; Yu, Robert; Vick, Nicholas A; Merrell, Ryan; Wrensch, Margaret; Yang, Ping; Melin, Beatrice; Bondy, Melissa L.; Barnholtz-Sloan, Jill S.

    2012-01-01

    Background We propose a two-step model-based approach, with correction for ascertainment, to linkage analysis of a binary trait with variable age of onset and apply it to a set of multiplex pedigrees segregating for adult glioma. Methods First, we fit segregation models by formulating the likelihood for a person to have a bivariate phenotype, affection status and age of onset, along with other covariates, and from these we estimate population trait allele frequencies and penetrance parameters as a function of age (N=281 multiplex glioma pedigrees). Second, the best fitting models are used as trait models in multipoint linkage analysis (N=74 informative multiplex glioma pedigrees). To correct for ascertainment, a prevalence constraint is used in the likelihood of the segregation models for all 281 pedigrees. Then the trait allele frequencies are re-estimated for the pedigree founders of the subset of 74 pedigrees chosen for linkage analysis. Results Using the best fitting segregation models in model-based multipoint linkage analysis, we identified two separate peaks on chromosome 17; the first agreed with a region identified by Shete et al. who used model-free affected-only linkage analysis, but with a narrowed peak: and the second agreed with a second region they found but had a larger maximum log of the odds (LOD). Conclusions/Impact Our approach has the advantage of not requiring markers to be in linkage equilibrium unless the minor allele frequency is small (markers which tend to be uninformative for linkage), and of using more of the available information for LOD-based linkage analysis. PMID:22962404

  10. Promoting Physical Activity in Girls: A Case Study of One School's Success.

    ERIC Educational Resources Information Center

    Felton, Gwen; Saunders, Ruth P.; Ward, Dianne S.; Dishman, Rod K.; Dowda, Marsha; Pate, Russell R.

    2005-01-01

    This case study profiles one of 24 high schools that participated in a school-based, NIH-funded study to increase physical activity among high school girls. The case study school was one of 12 randomly assigned to the intervention group. The study intervention was based on the premise that a successful intervention is developed and tailored by…

  11. 38 CFR 3.378 - Changes from activity in pulmonary tuberculosis pension cases.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Changes from activity in pulmonary tuberculosis pension cases. 3.378 Section 3.378 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... tuberculosis pension cases. A permanent and total disability rating in effect during hospitalization will...

  12. 38 CFR 3.378 - Changes from activity in pulmonary tuberculosis pension cases.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Changes from activity in pulmonary tuberculosis pension cases. 3.378 Section 3.378 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... tuberculosis pension cases. A permanent and total disability rating in effect during hospitalization will...

  13. 38 CFR 3.378 - Changes from activity in pulmonary tuberculosis pension cases.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Changes from activity in pulmonary tuberculosis pension cases. 3.378 Section 3.378 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... tuberculosis pension cases. A permanent and total disability rating in effect during hospitalization will...

  14. 38 CFR 3.378 - Changes from activity in pulmonary tuberculosis pension cases.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Changes from activity in pulmonary tuberculosis pension cases. 3.378 Section 3.378 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... tuberculosis pension cases. A permanent and total disability rating in effect during hospitalization will...

  15. 38 CFR 3.378 - Changes from activity in pulmonary tuberculosis pension cases.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Changes from activity in pulmonary tuberculosis pension cases. 3.378 Section 3.378 Pensions, Bonuses, and Veterans' Relief DEPARTMENT... tuberculosis pension cases. A permanent and total disability rating in effect during hospitalization will...

  16. [Antitumor components screening of Stellera chamaejasme L. under the case of discrete distribution of active data].

    PubMed

    Yang, Qian-Xu; Cheng, Meng-Chun; Wang, Li; Kan, Xiao-Xi; Zhu, Xiao-Xin; Xiao, Hong-Bin

    2014-06-01

    This is to report the screening, extracting and validating antitumor components and compounds from Stellera chamaejasme L. under the case of discrete distribution of active data. In this work, different components from Stellera chamaejasme L. were collected by HPD macroporous resin and polyamide resin column, and their antitumor activity on A549 were tested by MTT assay. Activity results indicate that activity of components at 30-39 min is more potent than that of Stellera chamaejasme L. extract, and the activity of components at 33.97 min is equivalent to positive drug, cis-platinum at 100 microg x mL(-1), but with totally different mode of action. Under the case of discrete activity, the weight analysis is capable of screening active components and compounds from natural products.

  17. Active Community-Based Case Finding for Tuberculosis With Limited Resources

    PubMed Central

    Karki, Bindu; Kittel, Guenter; Bolokon, Ignatius; Duke, Trevor

    2016-01-01

    Papua New Guinea is one of the 14 highest-burden countries for tuberculosis (TB) infection, but few community-based studies exist. We evaluated a low-cost method of active community case finding in Kabwum and Wasu in Morobe Province, Papua New Guinea. Over 3 months we visited 26 villages and screened adults and children for symptoms and signs of TB. Sputum samples were examined using smear microscopy. A total of 1700 people had chronic symptoms, of which 267 were suspicious for TB on further examination. Sputum from 230 symptomatic adults yielded 97 samples that were positive for acid-fast bacilli. In addition, 15 cases of extrapulmonary TB in adults and 17 cases of TB in children were identified. One hundred and thirty people were identified with active TB disease among the source population of approximately 17 000, giving an estimated prevalence of 765 per 100 000. One hundred and six (82%) cases were not previously diagnosed. The cost per case identified was US$146. It is feasible to conduct active community-based case finding and treatment initiation for TB with limited resources and in remote areas, and in Papua New Guinea the yield was high. Active case finding and follow-up of treatment in villages is needed to address the hidden burden of TB in Papua New Guinea and other high-burden Asia Pacific countries. PMID:28033717

  18. A Tale of 2 Teachers: A Preschool Physical Activity Intervention Case Study

    ERIC Educational Resources Information Center

    Howie, Erin K.; Brewer, Alisa E.; Dowda, Marsha; McIver, Kerry L.; Saunders, Ruth P.; Pate, Russell R.

    2016-01-01

    Background: Preschool settings vary greatly, and research has shown that interventions are more successful when they can be adapted to individual settings. This is a descriptive case study of how 2 teachers successfully adapted and implemented a preschool physical activity intervention. Methods: The Study of Health and Activity in Preschool…

  19. Case Study of an Institutionalized Urban Comprehensive School Physical Activity Program

    ERIC Educational Resources Information Center

    Doolittle, Sarah A.; Rukavina, Paul B.

    2014-01-01

    This single case study (Yin, 2009) compares an established urban physical education/ sport/physical activity program with two models: Comprehensive School Physical Activity Program/CSPAP (AAHPERD, 2013; CDC, 2013); and Lawson's propositions (2005) for sport, exercise and physical education for empowerment and community development to determine…

  20. Student Learning through Participation in Inquiry Activities: Two Case Studies in Teacher and Computer Engineering Education

    ERIC Educational Resources Information Center

    Damsa, Crina I.; Nerland, Monika

    2016-01-01

    The two case studies reported in this article contribute to a better understanding of how inquiry tasks and activities are employed as resourceful means for learning in higher professional education. An observation-based approach was used to explore characteristics of and challenges in students' participation in collaborative inquiry activities in…

  1. Systemic lupus erythematosus and thrombotic thrombocytopenia purpura: a refractory case without lupus activity.

    PubMed

    Garcia Boyero, Raimundo; Mas Esteve, Eva; Mas Esteve, Maria; Millá Perseguer, M Magdalena; Marco Buades, Josefa; Beltran Fabregat, Juan; Cañigral Ferrando, Guillermo; Belmonte Serrano, Miguel Angel

    2013-01-01

    The association between systemic lupus erythematosus (SLE) and thrombotic thrombocytopenic purpura (TTP) has been infrequently reported. Usually, patients with TTP have more SLE activity and frequent renal involvement. Here we present a case of TTP associated to low-activity SLE. The absence of renal and major organ involvement increased the difficulty in making the initial diagnosis. ADAMTS13 activity in plasma in this patient was very low, as seen in other similar cases. The evolution of the patient was poor, needing plasma exchanges and immunosuppressive therapy, including the use of rituximab.

  2. [From Science to Law: Findings of Reha XI Project on Ascertaining the Need for Rehabilitation in Medical Service Assessments].

    PubMed

    Kalwitzki, T; Huter, K; Runte, R; Breuninger, K; Janatzek, S; Gronemeyer, S; Gansweid, B; Rothgang, H

    2016-05-02

    Introduction: In the broad-based consortium project "Reha XI - Identifying rehabilitative requirements in medical service assessments: evaluation and implementation", a comprehensive analysis of the corresponding procedures was carried out by the medical services of the German Health Insurance Funds (MDK). On the basis of this analysis, a Good Practice Standard (GPS) for assessments was drawn up and scientifically evaluated. This article discusses the findings and applicability of the GPS as the basis for a nationwide standardized procedure in Germany as required by the Second Act to Strengthen Long-Term Care (PSG II) under Vol. XI Para. 18 (6) of the German Social Welfare Code. Method: The consortium project comprised four project phases: 1. Qualitative and quantitative situation analysis of the procedures for ascertaining rehabilitative needs in care assessments carried out by the MDK; 2. Development of a Good Practice Standard (GPS) in a structured, consensus-based procedure; 3. Scientific evaluation of the validity, reliability and practicability of the assessment procedure according to the GPS in the MDK's operational practice; 4. Survey of long-term care insurance funds with respect to the appropriateness of the rehabilitation recommendations drawn up by care assessors in line with the GPS for providing a qualified recommendation for the applicant. The evaluation carried out in the third project phase was subject to methodological limitations that may have given rise to distortions in the findings. Findings: On the basis of the situation analysis, 7 major thematic areas were identified in which improvements were implemented by applying the GPS. For the evaluation of the GPS, a total of 3 247 applicants were assessed in line with the GPS; in 6.3% of the applicants, an indication for medical rehabilitation was determined. The GPS procedure showed a high degree of reliability and practicability, but the values for the validity of the assessment procedure were

  3. Analyzing Activities in the Course of Science Education, According to Activity Theory: The Case of Sound

    ERIC Educational Resources Information Center

    Theodoraki, Xarikleia; Plakitsi, Katerina

    2013-01-01

    In the present study, we analyze activities on the topic of sound, which are performed in the science education laboratory lessons in the third-year students of the Department of Early Childhood Education at the University of Ioannina. The analysis of the activities is based on one of the most modern learning theories of CHAT (Cultural Historical…

  4. The role of germline mutations in the BRCA1/2 and mismatch repair genes in men ascertained for early-onset and/or familial prostate cancer.

    PubMed

    Maia, Sofia; Cardoso, Marta; Paulo, Paula; Pinheiro, Manuela; Pinto, Pedro; Santos, Catarina; Pinto, Carla; Peixoto, Ana; Henrique, Rui; Teixeira, Manuel R

    2016-01-01

    Prostate cancer (PrCa) is one of the most common cancers diagnosed worldwide and 5-10 % of all cases are estimated to be associated with inherited predisposition. Even though there is strong evidence that the genetic component is significant in PrCa, the genetic etiology of familial and early-onset disease is largely unknown. Although it has been suggested that men from families with hereditary breast/ovarian cancer (HBOC) and, more recently, with Lynch syndrome may have an increased risk for PrCa, the contribution of these syndromes to PrCa predisposition in families ascertained for early-onset and/or familial PrCa, independently of the presence of other cancers in the family, is uncertain. To quantify the contribution of genes associated with HBOC and Lynch syndromes to PrCa predisposition, we have tested for germline mutations 460 early-onset and/or familial PrCa patients. All patients were screened for the six mutations that are particularly common in Portugal and 38 of them were selected for complete sequencing of BRCA1/2 and/or MLH1, MSH2 and MSH6. Two patients were found to harbor the same MSH2 mutation and a third patient carried a Portuguese BRCA2 founder mutation. None of the alterations were identified in 288 control subjects. Furthermore, we reviewed the 62 PrCa diagnoses in all HBOC (n = 161) and Lynch syndrome (n = 124) families previously diagnosed at our department, and found five other BRCA2 mutation carriers and two additional MSH2 mutation carriers. The clinicopathological characteristics of mutation carriers are in concordance with earlier data suggesting an aggressive PrCa phenotype and support the hypothesis that mutation carriers might benefit from targeted screening according to the gene mutated in the germline.

  5. Relationship between education and training activities and tuberculosis case detection in Fiji, 2008-2011.

    PubMed

    Delai, M Y; Gounder, S; Tayler-Smith, K; Van den Bergh, R; Harries, A D

    2012-12-21

    Due to concerns about under-reporting of the tuberculosis (TB) case burden in Fiji, efforts have been put into national training, education and awareness activities in the formal health sector and among village health workers, health volunteers and the community since 2010. There has been an absolute increase in TB registrations, and TB case notification rates during the period of training activities in 2010 (21.3 per 100 000 population) and 2011 (23.6/100 000) were significantly increased compared with TB case notification rates in 2008 (12.4/100 000) and 2009 (14.6/100 000), when no training activities took place (P < 0.01). These findings support the use of ongoing training efforts.

  6. A Tale of Two Teachers: A Preschool Physical Activity Intervention Case Study

    PubMed Central

    Howie, Erin K.; Brewer, Alisa E.; Dowda, Marsha; McIver, Kerry L.; Saunders, Ruth P.; Pate, Russell R.

    2016-01-01

    BACKGROUND Preschool settings vary greatly, and research has shown that interventions are more successful when they can be adapted to individual settings. This is a descriptive case study of how two teachers successfully adapted and implemented a preschool physical activity intervention. METHODS The Study of Health and Activity in Preschool Environments (SHAPES) was a three-year physical activity intervention. A detailed case study of two high-implementing teachers was conducted. Multiple data sources included accelerometry, direct observation, teacher surveys and intervention staff field notes. RESULTS Teacher A focused on integrating physical activity into a wide range of activities, including parent and community events. Teacher B focused on high-intensity, structured activities. Both teachers supported the intervention, worked closely with intervention staff, and operated their classroom as an autonomous unit with support from their directors. Teacher A provided an average of 31.5, 78.0 and 67.5 minutes of physical activity opportunity per day of observation during Years 1, 2, and 3. Teacher B provided an average of 2.7, 33.5, and 73.3 minutes of physical activity opportunity per day of observation. CONCLUSION Successful implementation of physical activity interventions may look different in different contexts; thus, interventions should allow for flexible implementation. PMID:26645417

  7. Baby Boy Jones Interactive Case-Based Learning Activity: A Web-Delivered Teaching Strategy.

    PubMed

    Cleveland, Lisa M; Carmona, Elenice Valentim; Paper, Bruce; Solis, Linda; Taylor, Bonnie

    2015-01-01

    Faced with limited resources, nurse educators are challenged with transforming nursing education while preparing enough qualified nurses to meet future demand; therefore, innovative approaches to teaching are needed. In this article, we describe the development of an innovative teaching activity. Baby Boy Jones is a Web-delivered, case-based learning activity focused on neonatal infection. It was created using e-learning authoring software and delivered through a learning management system.

  8. A Case of Superior Mesenteric Artery Syndrome in a Healthy Active Duty Marine.

    PubMed

    Thota, Darshan; Portouw, Steven J; Bruner, David I

    2015-10-01

    Superior mesenteric artery (SMA) syndrome is an uncommon disorder that can lead to small bowel obstructions or perforations. Typical populations include young females with anorexia. However, there have been a few reports of healthy males with acute vomiting reported to have SMA syndrome. Our case report highlights an active duty Marine who developed SMA syndrome and the importance of recognizing this disease given the severity in delay of diagnosis in population of young healthy active duty members.

  9. Efficacy of reduced dose of intravitreal triamcinolone acetonide in a case of active serpiginous choroiditis

    PubMed Central

    Ghose, Avirupa; Bhende, Promod S; Biswas, Jyotirmoy

    2016-01-01

    Active serpiginous choroiditis (SC) is a vision-threatening condition which requires intensive treatment using corticosteroids and/or immunosuppressives, especially if the lesions are involving or encroaching on the macula. Use of oral and intravenous high-dose steroids are contraindicated in uncontrolled diabetics. Intravitreal steroid delivers a localized dose in such situations. This case report highlights the efficacy of reduced dose of intravitreal triamcinolone acetonide (2 mg) in the treatment of active SC. PMID:27853021

  10. Active Bodies, Active Minds: A Case Study on Physical Activity and Academic Success in Lawrence, Massachusetts. Understanding Boston

    ERIC Educational Resources Information Center

    Sacheck, Jennifer; Wright, Catherine; Chomitz, Virginia; Chui, Kenneth; Economos, Christina; Schultz, Nicole

    2015-01-01

    This case study addresses two major priorities of the Boston Foundation--health and education. Since the 2007 publication of the "Understanding Boston" report "The Boston Paradox: Lots of Health Care, Not Enough Health," the Boston Foundation has worked to draw attention to the epidemic of preventable chronic disease that not…

  11. Questioning the activity of active matter: the case of bird flocks

    NASA Astrophysics Data System (ADS)

    Mora, Thierry; Walczak, Aleksandra; Del Castello, Lorenzo; Ginelli, Francesco; Melillo, Stefania; Parisi, Leonardo; Viale, Massimiliano; Cavagna, Andrea; Giardina, Irene

    Animal flocking is a natural instance of active matter. What makes flocks active is the rearrangement of neighborhoods, which constantly remodels the network of interactions between individuals in the group, keeping the system out of equilibrium. Despite the predicted importance of this reshuffling, its true impact for natural flocks is not well understood. Here we analyse films of flocks of startlings with a novel statistical inference technique based on dynamical maximum entropy to measure the parameters of flock alignment - alignment strength, interaction range, and noise. We show that birds align their flight orientations must faster than they change neighbors. In the statistical mechanics sense, this means that flocks remain adiabatically in equilibrium, allowing for a rigorous analogy with equilibrium systems of interacting spins, and we show that an inference method based on equilibrium assumptions gives fully consistent results.

  12. What Counts as Student Voice in Active Citizenship Case Studies? Education for Citizenship in Scotland

    ERIC Educational Resources Information Center

    Ross, Hamish; Munn, Pamela; Brown, Jane

    2007-01-01

    We analyse a teacher-to-teacher discourse (14 web-published case studies) concerning "participation as citizenship" in schools. Many different mechanisms through which pupils participate are reported (from school councils to paired-reading schemes and community links). The claimed outcomes of these activities are also varied: improving…

  13. Answering the Call for Accountability: An Activity and Cost Analysis Case Study

    ERIC Educational Resources Information Center

    Carducci, Rozana; Kisker, Carrie B.; Chang, June; Schirmer, James

    2007-01-01

    This article summarizes the findings of a case study on the creation and application of an activity-based cost accounting model that links community college salary expenditures to mission-critical practices within academic divisions of a southern California community college. Although initially applied as a financial management tool in private…

  14. Effects of Activation of Prior Knowledge on the Recall of a Clinical Case.

    ERIC Educational Resources Information Center

    Schmidt, Henk G.; Boshuizen, Henny P. A.

    A study investigated the known phenomenon of "intermediate effect" in which medical students with an intermediate amount of knowledge and experience demonstrate higher amounts of recall of the text of a medical case than either experienced clinicians or novices. In this study the amount of activation of prior knowledge was controlled by…

  15. Reconsidering the Boundaries of the Cyberloafing Activity: The Case of a University

    ERIC Educational Resources Information Center

    Zoghbi-Manrique-de-Lara, Pablo

    2012-01-01

    While many scholars generally conceptualise cyberloafing as just one more type of conventional deviant behaviour at work, others consider this activity to be innocuous or even productive. In either case, cyberloafing is viewed as merely misusing Internet resources, without contemplating its potential online character. The purpose of this study is…

  16. Physical Activity Promotion in General Practices of Barcelona: A Case Study

    ERIC Educational Resources Information Center

    Puig Ribera, Anna; McKenna, Jim; Riddoch, Chris

    2006-01-01

    This case study aimed to generate explanations for the lack of integration of physical activity (PA) promotion in general practices of Barcelona, the capital of Catalonia. This explanatory study adopted a qualitative approach, based on three techniques; focus groups (n = 3), semi-structured (n = 25) and short individual interviews (n = 5). These…

  17. The Determination of the Applicability of the Fishbein Model of Attitudes in Ascertaining the Attitudes Toward Science Held by High School Students.

    ERIC Educational Resources Information Center

    Hartman, Dean DeVere

    This study was undertaken to determine the applicability of the Fishbein model of attitudes in ascertaining the attitudes toward science held by high school students. The model proposed assumed that attitudes involve both cognitive and affective components. Acceptability of the psychometric properties of an instrument developed in this…

  18. Habitual physical activity and menopausal symptoms: a case-control study.

    PubMed

    Sternfeld, B; Quesenberry, C P; Husson, G

    1999-01-01

    A case-control study design was used to examine whether habitual physical activity prior to the final menstrual period (FMP) was associated with reduced risk of vasomotor and other symptoms during the perimenopausal period. Both cases and controls were identified through a screening interview with randomly selected women members, ages 48-52, of a large health maintenance organization. Cases (n = 82) were defined as women 3-12 months past their FMP who reported regularly having hot flashes or night sweats at least once a day or night during the 3 months following their FMP. Controls (n = 89) were of the same biologic age with respect to the FMP but reported vasomotor symptoms less than once a week during the reference time period. Neither cases nor controls had a history of hormone replacement therapy (HRT), hysterectomy, or bilateral oophorectomy. Case-control status, habitual physical activity (including recreational, housework, child care, and occupational activity), and psychological and somatic symptoms were assessed by self-report. Participation in vigorous recreational activity during the year prior to the FMP was not associated with reduced risk of frequent vasomotor symptoms after the FMP (odds ratio [OR] = 1.03 for a 50-unit increase in activity score, 95% confidence interval [CI] = 0.97-1.1). This lack of relationship was observed in all domains of activity. Factors that were associated with decreased risk included higher body mass index (BMI) (weight in kg/(height in meters)2) (OR = 0.95 per 1 unit increase in BMI, 95% CI = 0.90-1.00) and higher education (having a college degree relative to less education) (OR = 0.56, 95% CI = 0.40-0.80). Physical activity was also unassociated with reduced risk of psychologic distress, depressive feelings, or somatic symptoms, but, relative to controls, having vasomotor symptoms (being a case) was strongly associated with increased risk of experiencing those symptoms (OR ranging from 1.83 for psychologic distress to 2

  19. The importance of work or productive activity in life care planning and case management

    PubMed Central

    Reid, Christine; Riddick-Grisham, Susan

    2015-01-01

    Abstract INTRODUCTION: The importance of work or productive activity for the well-being, community integration, and quality of life of people living with disabilities is addressed, with implications for life care planning and case management. BACKGROUND: The role of work or productive activity in our society, and consequences of deprivation if rehabilitation services do not address vocational effects of disabilities, is explored. A continuum of productivity options is introduced; types of vocational rehabilitation assessment processes and interventions are described. PURPOSE: The role of vocational rehabilitation services in life care planning and case management is discussed, focusing on quality of life for people living with disabilities. CONCLUSION: Rehabilitation and health care professionals should understand the importance of work or other productive activity, and support the development of appropriate plans to address those needs among people who have disabilities. PMID:26409330

  20. A Bivariate Genetic Analysis of Drug Abuse Ascertained Through Medical and Criminal Registries in Swedish Twins, Siblings and Half-Siblings.

    PubMed

    Maes, Hermine H; Neale, Michael C; Ohlsson, Henrik; Zahery, Mahsa; Lichtenstein, Paul; Sundquist, Kristina; Sundquist, Jan; Kendler, Kenneth S

    2016-11-01

    Using Swedish nationwide registry data, the authors investigated the correlation of genetic and environmental risk factors in the etiology of drug abuse as ascertained from medical and criminal registries by modeling twin and sibling data. Medical drug abuse was defined using public inpatient and outpatient records, while criminal drug abuse was ascertained through legal records. Twin, full and half sibling pairs were obtained from the national twin and genealogical registers. Information about sibling pair residence within the same household was obtained from Statistics Sweden. Standard bivariate genetic structural equation modeling was applied to the population-based data on drug abuse ascertained through medical and crime registries, using OpenMx. Analyses of all possible pairs of twins (MZ: N = 4482; DZ: N = 9838 pairs), full- (N = 1,278,086) and half-siblings (paternal: N = 7767; maternal N = 70,553) who grew up together suggested that factors explaining familial resemblance for drug abuse as defined through medical or criminal registries were mostly the same. Results showed substantial heritability and moderate contributions of shared environmental factors to drug abuse; both were higher in males versus females, and higher for drug abuse ascertained through criminal than medical records. Because of the low prevalence of both assessments of drug abuse, having access to population data was crucial to obtain stable estimates. Using objective registry data, the authors found that drug abuse-whether ascertained through medical versus criminal records-was highly heritable. Furthermore, shared environmental factors contributed significantly to the liability of drug abuse. Genetic and shared environmental risk factors for these two forms of drug abuse were highly correlated.

  1. Comparison of two active surveillance programs for the detection of clinical dengue cases in Iquitos, Peru.

    PubMed

    Rocha, Claudio; Morrison, Amy C; Forshey, Brett M; Blair, Patrick J; Olson, James G; Stancil, Jeffrey D; Sihuincha, Moises; Scott, Thomas W; Kochel, Tadeusz J

    2009-04-01

    Endemic dengue transmission has been documented in the Amazonian city of Iquitos, Peru, since the early 1990s. To better understand the epidemiology of dengue transmission in Iquitos, we established multiple active surveillance systems to detect symptomatic infections. Here we compare the efficacy of distinct community-based (door to door) and school absenteeism-based febrile surveillance strategies in detecting active cases of dengue. Febrile episodes were detected by both systems with equal rapidity after disease onset. However, during the period that both programs were running simultaneously in 2004, a higher number of febrile cases in general (4.52/100 versus 1.64/100 person-years) and dengue cases specifically (2.35/100 versus 1.29/100 person-years) were detected in school-aged children through the community-based surveillance program. Similar results were obtained by direct comparison of 435 participants concurrently enrolled in both programs (P < 0.005). We conclude that, in Iquitos, community-based door-to-door surveillance is a more efficient and sensitive design for detecting active dengue cases than programs based on school absenteeism.

  2. Cost–effectiveness of screening for active cases of tuberculosis in Flanders, Belgium

    PubMed Central

    Smit, G Suzanne A; Apers, Ludwig; Arrazola de Onate, Wouter; Beutels, Philippe; Dorny, Pierre; Forier, An-Marie; Janssens, Kristien; Macq, Jean; Mak, Ruud; Schol, Sandrina; Wildemeersch, Dirk; Speybroeck, Niko

    2017-01-01

    Abstract Objective To assess the cost–effectiveness of the tuberculosis screening activities currently funded by the Flemish government in Flanders, Belgium. Methods After estimating the expenses for 2013–2014 of each of nine screening components – which include high-risk groups, contacts and people who are seeking tuberculosis consultation at a centre for respiratory health care – and the associated costs per active case of tuberculosis identified between 2007 and 2014, we compared the cost–effectiveness of each component. The applied perspective was that of the Flemish government. Findings The three most cost-effective activities appeared to be the follow-up of asylum seekers who were found to have abnormal X-rays in initial screening at the Immigration Office, systematic screening in prisons and contact investigation. The mean costs of these activities were 5564 (95% uncertainty interval, UI: 3791–8160), 11 603 (95% UI: 9010–14 909) and 13 941 (95% UI: 10 723–18 201) euros (€) per detected active case, respectively. The periodic or supplementary initial screening of asylum seekers and the screening of new immigrants from high-incidence countries – which had corresponding costs of €51 813 (95% UI: 34 855–76 847), €126 236 (95% UI: 41 984–347 822) and €418 359 (95% UI: 74 975–1 686 588) – appeared much less cost-effective. Between 2007 and 2014, no active tuberculosis cases were detected during screening in the juvenile detention centres. Conclusion In Flanders, tuberculosis screening in juvenile detention centres and among new immigrants and the periodic or supplementary initial screening of asylum seekers appear to be relatively expensive ways of detecting people with active tuberculosis. PMID:28053362

  3. Exploratory qualitative case study of lab-type activity interactions in an online graduate geoscience course

    NASA Astrophysics Data System (ADS)

    Ciavarella, Veronica C.

    This exploratory qualitative case study investigated the use of lab-type activities in an online graduate geoscience course. Constructivism is the theoretical framework used to explain how learning happens in lab-type activity, and provided the goals to which successful learning in lab-type activity is compared. This study focused on the learner-instructor, learner-learner, and perceptions of the learner-content interactions that occurred related to lab-type activities in an online graduate geoscience course to determine: if the instructor appeared as a facilitator of the learning process in the interactions over the activities; if students engaged in discussion and reflection about the activities; if students perceived the activities as meaningful and authentic; and if students perceived using higher order thinking and prior knowledge while interacting with the content. Ten graduate students from three offerings of the course participated in this study, as well as the instructor and designer of the course content and lab-type activities. Data were collected through interviews, and observation and analysis of the lab-type activities, instructor feedback to students in their graded activities, and discussion that occurred between the instructor and students and among students about the lab-type activities in discussion forums. The nature of the instructor's interactions in discussion forums, in feedback to students on graded activities, and reported by students' in interviews supported that, in the learner-instructor interactions, the instructor of this course was a facilitator who guided and scaffolded the students towards successfully completing the activities. Students engaged in discussion and reflected on the activities, but most learner-learner interactions in discussion forums about the lab-type activities appeared to occur for the purpose of comparison of results, support, and empathy. Students' success at higher order thinking type questions in lab

  4. Mature vs. Active Deep-Seated Landslides: A Comparison Through Two Case Histories in the Alps

    NASA Astrophysics Data System (ADS)

    Delle Piane, Luca; Perello, Paolo; Baietto, Alessandro; Giorza, Alessandra; Musso, Alessia; Gabriele, Piercarlo; Baster, Ira

    2016-06-01

    Two case histories are presented, concerning the still poorly known alpine deep-seated gravitational slope deformations (DSD) located nearby Lanzada (central Italian Alps), and Sarre (north-western Italian Alps). The Lanzada DSD is a constantly monitored, juvenile, and active phenomenon, partly affecting an existing hydropower plant. Its well-developed landforms allow a precise field characterization of the instability-affected area. The Sarre DSD is a mature, strongly remodeled phenomenon, where the only hazard factor is represented by secondary instability processes at the base of the slope. In this case, the remodeling imposed the adoption of complementary analytical techniques to support the field work. The two presented studies had to be adapted to external factors, namely (a) available information, (b) geological and geomorphological setting, and (c) final scope of the work. The Lanzada case essentially relied upon accurate field work; the Sarre case was mostly based on digital image and DTM processing. In both cases a sound field structural analysis formed the necessary background to understand the mechanisms leading to instability. A back-analysis of the differences between the study methods adopted in the two cases is finally presented, leading to suggestions for further investigations and design.

  5. Comparison of active and passive surveillance for cerebrovascular disease: The Brain Attack Surveillance in Corpus Christi (BASIC) Project.

    PubMed

    Piriyawat, Paisith; Smajsová, Miriam; Smith, Melinda A; Pallegar, Sanjay; Al-Wabil, Areej; Garcia, Nelda M; Risser, Jan M; Moyé, Lemuel A; Morgenstern, Lewis B

    2002-12-01

    To provide a scientific rationale for choosing an optimal stroke surveillance method, the authors compared active surveillance with passive surveillance. The methods involved ascertaining cerebrovascular events that occurred in Nueces County, Texas, during calendar year 2000. Active methods utilized screening of hospital and emergency department logs and routine visiting of hospital wards and out-of-hospital sources. Passive means relied on International Classification of Diseases, Ninth Revision (ICD-9), discharge codes for case ascertainment. Cases were validated by fellowship-trained stroke neurologists on the basis of published criteria. The results showed that, of the 6,236 events identified through both active and passive surveillance, 802 were validated to be cerebrovascular events. When passive surveillance alone was used, 209 (26.1%) cases were missed, including 73 (9.1%) cases involving hospital admission and 136 (17.0%) out-of-hospital strokes. Through active surveillance alone, 57 (7.1%) cases were missed. The positive predictive value of active surveillance was 12.2%. Among the 2,099 patients admitted to a hospital, passive surveillance using ICD-9 codes missed 73 cases of cerebrovascular disease and mistakenly included 222 noncases. There were 57 admitted hospital cases missed by active surveillance, including 13 not recognized because of human error. This study provided a quantitative means of assessing the utility of active and passive surveillance for cerebrovascular disease. More uniform surveillance methods would allow comparisons across studies and communities.

  6. Experience of active tuberculosis case finding in nearly 5 million households in India.

    PubMed

    Prasad, B M; Satyanarayana, S; Chadha, S S; Das, A; Thapa, B; Mohanty, S; Pandurangan, S; Babu, E R; Tonsing, J; Sachdeva, K S

    2016-03-21

    In India, to increase tuberculosis (TB) case detection under the National Tuberculosis Programme, active case finding (ACF) was implemented by the Global Fund-supported Project Axshya, among high-risk groups in 300 districts. Between April 2013 and December 2014, 4.9 million households covering ~20 million people were visited. Of 350 047 presumptive pulmonary TB cases (cough of ⩾2 weeks) identified, 187 586 (54%) underwent sputum smear examination and 14 447 (8%) were found to be smear-positive. ACF resulted in the detection of a large number of persons with presumptive pulmonary TB and smear-positive TB. Ensuring sputum examination of all those with presumptive TB was a major challenge.

  7. Using clinical cases to stimulate active learning in a short periodontal continuing professional development course.

    PubMed

    Koole, Sebastiaan; Thevissen, Eric; Lindén, Ulf; Klinge, Björn; de Bruyn, Hugo

    2015-01-01

    A case-based approach was used in a two-day periodontal continuing professional development course as a strategy to stimulate active learning. The present study investigates the outcome of this course format in terms of feasibility, perceived efficiency as a learning approach and reported individual learning goals. The study was performed in five identical courses entitled'risk analysis and treatment in periodontal patients'at Malmö University between 2011-2014. Before the course, clinical cases were used to activate participants' prior knowledge and to attune their focus on the course content. During the course, cases were discussed to synchronise theory with practical application. A pre- and end-course questionnaire were developed to evaluate participants' characteristics (age, clinical expertise, experience and expectations), perceptions on feasibility and instructiveness and emerged individual learning goals. The participants (39 dentists and 78 dental hygienists) reported an average preparation time of 62 minutes (range 2-190) and had positive perceptions on the accessibility, instructiveness and difficulty of cases. Expectations ranged between refreshing, acquiring new knowledge and mastering the course subject. Most reported learning goals were related to daily clinical practice including the development of a treatment plan, when to continue non-surgical treatment or to extract teeth/perform surgery, the approach to periodontitis, how to motivate non-compliant patients and when to refer. Conclusion: The use of clinical cases to stimulate active learning in a short-term continuing professional development periodontal course was positively perceived by the dentists and dental hygienists in terms of feasibility and learning potential.

  8. Unpacking teacher-researcher collaboration with three theoretical frameworks: a case of expansive learning activity?

    NASA Astrophysics Data System (ADS)

    Gade, Sharada

    2015-09-01

    Long association with a mathematics teacher at a Grade 4-6 school in Sweden, is basis for reporting a case of teacher-researcher collaboration. Three theoretical frameworks used to study its development over time are relational knowing, relational agency and cogenerative dialogue. While relational knowing uses narrative perspectives to explore the experiential and relational nature of collaboration; relational agency, draws on activity theory perspectives and identifies the change in the purpose of collaboration, from initially conducting classroom interventions to co-authoring research. Finally, cogenerative dialogue, deploys hermeneutic-phenomenological perspectives and investigates the dialogue that transpired between Lotta and the author, as they co-authored their research report. Such analysis sheds invaluable light on a case of expansive learning activity.

  9. External coxa saltans (snapping hip) treated with active release techniques®: a case report

    PubMed Central

    Spina, Andreo A.

    2007-01-01

    Background The presence of painful coxa saltans (snapping hip) can be a debilitating injury for a competitive athlete, hindering both training, and performance. Considering the various potential etiologies, it often poses a diagnostic and management dilemma for health care practitioners and the success of treatment is often dependent on the practitioner’s precise understanding of the cause. Although it is suggested by various authors that conservative therapy should be attempted before considering surgical management, little is known in terms of the most effective modes of manual therapy that should be attempted. Case Presentation A case of chronic, external coxa saltans in a 16 year old competitive dancer treated with Active Release Techniques® is presented. The clinical presentation, differential diagnosis, management and rehabilitation of the case are discussed. Conclusion Active Release Techniques®, or ART, is a soft tissue treatment method that focuses on relieving tissue tension via the removal of fibrosis/adhesion that develops in tissue that is overloaded with repetitive use. In this case of external coxa saltans, the underlying cause of the condition was increased tissue tension leading to increased friction of the proximal Iliotibial band (ITB) complex over the greater trochanter. Utilizing ART resulted in a complete resolution of this athlete’s symptoms and may be a good treatment option for external coax saltans. PMID:17657288

  10. Administrators in Action--Managing Public Monies and Processing Emotion in School Activities: A Teaching Case Study

    ERIC Educational Resources Information Center

    Tenuto, Penny L.; Gardiner, Mary E.; Yamamoto, Julie K.

    2015-01-01

    This teaching case describes school administrators in action performing day-to-day leadership tasks, managing public funds in school activities, and interacting with others appropriately. The case focuses on administrative challenges in handling and managing school activity funds. A method for processing emotion is discussed to assist…

  11. Padova Charter on personal injury and damage under civil-tort law : Medico-legal guidelines on methods of ascertainment and criteria of evaluation.

    PubMed

    Ferrara, Santo Davide; Baccino, Eric; Boscolo-Berto, Rafael; Comandè, Giovanni; Domenici, Ranieri; Hernandez-Cueto, Claudio; Gulmen, Mete Korkut; Mendelson, George; Montisci, Massimo; Norelli, Gian Aristide; Pinchi, Vilma; Ranavaya, Mohammed; Shokry, Dina A; Sterzik, Vera; Vermylen, Yvo; Vieira, Duarte Nuno; Viel, Guido; Zoja, Riccardo

    2016-01-01

    Compensation for personal damage, defined as any pecuniary or non-pecuniary loss causally related to a personal injury under civil-tort law, is strictly based on the local jurisdiction and therefore varies significantly across the world. This manuscript presents the first "International Guidelines on Medico-Legal Methods of Ascertainment and Criteria of Evaluation of Personal Injury and Damage under Civil-Tort Law". This consensus document, which includes a step-by-step illustrated explanation of flow charts articulated in eight sequential steps and a comprehensive description of the ascertainment methodology and the criteria of evaluation, has been developed by an International Working Group composed of juridical and medico-legal experts and adopted as Guidelines by the International Academy of Legal Medicine (IALM).

  12. A case of colorectal cancer with double-activating epidermal growth factor receptor mutations.

    PubMed

    Rai, Kammei; Fujiwara, Keiichi; Tsushima, Mizuho; Kudo, Kenichiro; Mizuta, Makoto; Matsuo, Kiyoshi; Yonei, Toshiro; Yamadori, Ichiro; Kiura, Katsuyuki; Sato, Toshio

    2011-09-01

    We describe the case of a 72-year-old woman with locally advanced lung tumor mimicking primary lung cancer. She was diagnosed with rectal cancer at the age of 65 years and was initially treated with platinum-based chemotherapy and thoracic irradiation as a treatment for primary lung cancer. One year later, a thyroid tumor was detected in her right thyroid lobe and was confirmed to have metastasized from rectal cancer based on pathological findings. Therefore, we suspected that she had metachronous double cancers and treated her with conventional chemotherapy for colorectal cancer. However, new life-threatening multiple lung metastases appeared. We treated her with the drug erlotinib because additional genetic analysis against primary lung tumor revealed typical double-activating epidermal growth factor receptor mutations. Histological review by immunostaining concluded that the primary lung tumor was composed of metastatic tumors from rectal cancer. In addition, genetic analysis revealed that the primary rectal cancer contained nearly the same types of double-activating epidermal growth factor receptor mutations as were present in the lung tumor. This is the first report of a case of rectal adenocarcinoma with double-activating epidermal growth factor receptor mutations.

  13. Itraconazole-resistant Candida auris with phospholipase, proteinase and hemolysin activity from a case of vulvovaginitis.

    PubMed

    Kumar, Dharmendra; Banerjee, Tuhina; Pratap, Chandra Bhan; Tilak, Ragini

    2015-04-15

    Since the emergence of pathogenic non-albicans Candida species, a number of new isolates have been added to the list. One such unusual species is Candida auris (C. auris), recently isolated and studied in few reports. In this study, a case of vulvovaginitis caused by Candida auris incidentally identified by molecular methods using internal transcribed spacer polymerase chain reaction (ITS PCR) is described. Antifungal susceptibility testing revealed the isolate to be resistant to itraconazole (MIC ≥ 2 µg/ml) and expressed important virulence factors including phospholipase, proteinase and hemolysin activity. The patient was successfully treated with oral fluconazole and did not have any invasive fungemia. Very few cases of this emerging pathogen have been reported. However, its isolation from clinical specimens reveals the significance of non-albicans candida species over C. albicans and the diversity of Candida spp causing infections.

  14. A case of atypical progressive outer retinal necrosis after highly active antiretroviral therapy.

    PubMed

    Woo, Se Joon; Yu, Hyeong Gon; Chung, Hum

    2004-06-01

    This is a report of an atypical case of progressive outer retinal necrosis (PORN) and the effect of highly active antiretroviral therapy (HAART) on the clinical course of viral retinitis in an acquired immunodeficiency syndrome (AIDS) patient. A 22-year-old male patient infected with human immunodeficiency virus (HIV) presented with unilaterally reduced visual acuity and a dense cataract. After cataract extraction, retinal lesions involving the peripheral and macular areas were found with perivascular sparing and the mud-cracked, characteristic appearance of PORN. He was diagnosed as having PORN based on clinical features and was given combined antiviral treatment. With concurrent HAART, the retinal lesions regressed, with the regression being accelerated by further treatment with intravenous acyclovir and ganciclovir. This case suggests that HAART may change the clinical course of PORN in AIDS patients by improving host immunity. PORN should be included in the differential diagnosis of acute unilateral cataract in AIDS patients.

  15. The Association Between Physical Activity During Pregnancy and Gestational Diabetes Mellitus: A Case-Control Study

    PubMed Central

    Nasiri-Amiri, Fatemeh; Bakhtiari, Afsaneh; Faramarzi, Mahbobeh; Adib Rad, Hajar; Pasha, Hajar

    2016-01-01

    Background Gestational diabetes mellitus is one of the most common complications of pregnancy. Physical activity is associated with a lower risk of type 2 diabetes mellitus. A recent meta-analysis study suggested that more research is needed to investigate the type, duration and intensity of physical activity that can help to reduce the risk of gestational diabetes mellitus. Objectives The present study aimed to understand the association between physical activity and gestational diabetes mellitus through comparing the type and intensity of physical activity performed by pregnant females with gestational diabetes and healthy pregnant females in the first 20 weeks of their pregnancy. Patients and Methods In the current case-control study, 100 pregnant females with gestational diabetes mellitus as the case group and 100 pregnant females as the non-diabetic control group were recruited. The age range of the participants was 18 - 40 years with the gestation of 20 - 28 weeks. To diagnose gestational diabetes mellitus using the criteria introduced by carpenter and coustan females with abnormal glucose challenge test (> 140 mg/dL) were asked to perform the three-hour 100 g oral glucose tolerance test. The details of physical activity were collected by a modified version of the pregnancy physical activity questionnaire. Anthropometric and relevant data were recorded for all of the participants. Data were analyzed by SPSS version 21. Risk estimates were obtained by logistic regression and adjusted for confounders. Results Females who had low total physical activity according to the pregnancy physical activity questionnaire during early pregnancy were at a significantly higher risk of developing gestational diabetes mellitus (OR = 4.12, 95% CI (2.28 - 7.43), P = 0.001) compared to the ones who reported higher levels of physical activity. Moreover, after adjusting for age, body mass index (BMI), gravidity and a family history of diabetes, females with low physical activity in

  16. Abnormal motor activity during anaesthesia in a dog: a case report.

    PubMed

    Lervik, Andreas; Haga, Henning A; Becker, Max

    2010-12-01

    Seizures or convulsions that occur during anaesthesia in veterinary patients are infrequently reported in the literature. Consequently, the incidence of such events is unknown. Several drugs commonly used in clinical veterinary anaesthesia have been shown to induce epileptiform activity in both human clinical patients and experimental candidates. The present case report describes convulsions in a four-year old male Bernese mountain dog during maintenance of anaesthesia with isoflurane after premedication with acepromazine and methadone followed by co-induction with propofol and ketamine. The dog had no history of previous convulsions. The use of several sedative and anaesthetic drugs makes it difficult to find one single causative pharmaceutical.

  17. Pharmacologic reduction of CNS noradrenergic activity in PTSD: the case for clonidine and prazosin.

    PubMed

    Boehnlein, James K; Kinzie, J David

    2007-03-01

    This article reviews the neurobiologic rationale for and presents clinical guidance concerning the use of medications that reduce central nervous system noradrenergic activity in the treatment of intrusive symptoms of posttraumatic stress disorder. The authors reviewed neurobiological studies, nonclinical studies using animal models, clinical case reports, open-label drug studies, and blinded, placebo-controlled drug studies. This review of the basic science and clinical literature, and the authors' clinical experience with culturally and demographically diverse populations, indicate that clonidine and prazosin can play a useful role in treating sleep disturbance and hyperarousal in posttraumatic stress disorder, with minimal adverse effects and low financial cost.

  18. Informed conditioning on clinical covariates increases power in case-control association studies.

    PubMed

    Zaitlen, Noah; Lindström, Sara; Pasaniuc, Bogdan; Cornelis, Marilyn; Genovese, Giulio; Pollack, Samuela; Barton, Anne; Bickeböller, Heike; Bowden, Donald W; Eyre, Steve; Freedman, Barry I; Friedman, David J; Field, John K; Groop, Leif; Haugen, Aage; Heinrich, Joachim; Henderson, Brian E; Hicks, Pamela J; Hocking, Lynne J; Kolonel, Laurence N; Landi, Maria Teresa; Langefeld, Carl D; Le Marchand, Loic; Meister, Michael; Morgan, Ann W; Raji, Olaide Y; Risch, Angela; Rosenberger, Albert; Scherf, David; Steer, Sophia; Walshaw, Martin; Waters, Kevin M; Wilson, Anthony G; Wordsworth, Paul; Zienolddiny, Shanbeh; Tchetgen, Eric Tchetgen; Haiman, Christopher; Hunter, David J; Plenge, Robert M; Worthington, Jane; Christiani, David C; Schaumberg, Debra A; Chasman, Daniel I; Altshuler, David; Voight, Benjamin; Kraft, Peter; Patterson, Nick; Price, Alkes L

    2012-01-01

    Genetic case-control association studies often include data on clinical covariates, such as body mass index (BMI), smoking status, or age, that may modify the underlying genetic risk of case or control samples. For example, in type 2 diabetes, odds ratios for established variants estimated from low-BMI cases are larger than those estimated from high-BMI cases. An unanswered question is how to use this information to maximize statistical power in case-control studies that ascertain individuals on the basis of phenotype (case-control ascertainment) or phenotype and clinical covariates (case-control-covariate ascertainment). While current approaches improve power in studies with random ascertainment, they often lose power under case-control ascertainment and fail to capture available power increases under case-control-covariate ascertainment. We show that an informed conditioning approach, based on the liability threshold model with parameters informed by external epidemiological information, fully accounts for disease prevalence and non-random ascertainment of phenotype as well as covariates and provides a substantial increase in power while maintaining a properly controlled false-positive rate. Our method outperforms standard case-control association tests with or without covariates, tests of gene x covariate interaction, and previously proposed tests for dealing with covariates in ascertained data, with especially large improvements in the case of case-control-covariate ascertainment. We investigate empirical case-control studies of type 2 diabetes, prostate cancer, lung cancer, breast cancer, rheumatoid arthritis, age-related macular degeneration, and end-stage kidney disease over a total of 89,726 samples. In these datasets, informed conditioning outperforms logistic regression for 115 of the 157 known associated variants investigated (P-value = 1 × 10(-9)). The improvement varied across diseases with a 16% median increase in χ(2) test statistics and a

  19. Risk assessment of oil and gas well drilling activities in Iran - a case study: human factors.

    PubMed

    Amir-Heidari, Payam; Farahani, Hadi; Ebrahemzadih, Mehrzad

    2015-01-01

    Oil and gas well drilling activities are associated with numerous hazards which have the potential to cause injury or harm for people, property and the environment. These hazards are also a threat for the reputation of drilling companies. To prevent accidents and undesired events in drilling operations it is essential to identify, evaluate, assess and control the attendant risks. In this work, a structured methodology is proposed for risk assessment of drilling activities. A case study is performed to identify, analyze and assess the risks arising from human factors in one of the on shore drilling sites in southern Iran. A total of 17 major hazards were identified and analyzed using the proposed methodology. The results showed that the residual risks of 100% of these hazards were in the acceptable or transitional zone, and their levels were expected to be lowered further by proper controls. This structured methodology may also be used in other drilling sites and companies for assessing the risks.

  20. The CCMC's national study of case manager job descriptions: an understanding of the activities, role relationships, knowledges, skills, and abilities.

    PubMed

    Tahan, Hussein A; Huber, Diane L

    2006-01-01

    Defining the roles and functions of case managers is crucial in today's healthcare environment and necessary for the case management field. One way to address this issue is through the examination of case managers' job descriptions used in various healthcare organizations. The study reported herein used qualitative analysis procedures and the latent class cluster analysis method to examine a national sample of 1028 job descriptions of case managers. The study identified the activities, role relationships, knowledge, skills, and abilities of case managers working in varied settings. It also described the changes that occurred in the practice of case management, based on these job descriptions, over 5 years: from the mid-1990s until the early 2000s. One benefit of this study was a change in one eligibility criterion of the CCM credential. Another was the development of a taxonomy of case managers' roles and functions that can be used as a step toward standardization of case managers' job descriptions.

  1. A pilot study using global positioning systems (GPS) devices and surveys to ascertain older adults' travel patterns.

    PubMed

    Yen, Irene H; Leung, Cindy W; Lan, Mars; Sarrafzadeh, Majid; Kayekjian, Karen C; Duru, O Kenrik

    2015-04-01

    Some studies indicate that older adults lead active lives and travel to many destinations including those not in their immediate residential neighborhoods. We used global positioning system (GPS) devices to track the travel patterns of 40 older adults (mean age: 69) in San Francisco and Los Angeles. Study participants wore the GPS devices for 7 days in fall 2010 and winter 2011. We collected survey responses concurrently about travel patterns. GPS data showed a mean of four trips/day, and a mean trip distance of 7.6 km. Survey data indicated that older adults commonly made trips for four activities (e.g., volunteering, work, visiting friends) at least once each week. Older adults regularly travel outside their residential neighborhoods. GPS can document the mode of travel, the path of travel, and the destinations. Surveys can document the purpose of the travel and the impressions or experiences in the specific locations.

  2. Cerebral Hemorrhage Following Chiropractic Activator Treatment – Case Report and Review of Literature

    PubMed Central

    Cohen, Fred L.

    2016-01-01

    Background Despite widespread utilization of chiropractic treatment for various ailments, there is a paucity of documentation regarding intracerebral hemorrhage related to chiropractic trauma. Stroke has been reported from cervical manipulation, although with a suggested low incidence. Activator treatment, an instrument that produces a high-velocity, low-amplitude impact to the spine, is considered especially safe. There are no prior reports of intracerebral hemorrhage resulting from a chiropractic activator treatment. Case Description A 75-year-old woman was admitted to the hospital with a history of headaches, visual difficulties on the right, and speech disturbance of relatively acute onset. CT scan showed a brain hemorrhage in an unusual location. Extensive evaluation was undertaken because this was thought to be a spontaneous event. No cause was found on imaging. Subsequent history revealed a chiropractic activator treatment applied directly to the junction of the back of her head and the upper cervical spine immediately prior to the onset of symptoms. Her clinical course is described. Conclusions This appears to be the first report linking traumatic intracerebral hemorrhage with a chiropractic activator treatment. The use of this modality in an elderly population, with widespread utilization of anticoagulants and platelet inhibitors, is of potential concern. PMID:27999766

  3. [Increased activated partial thrombin time: analysis of 250 cases discovered at laboratory].

    PubMed

    Freyburger, G; Janvier, G; De Cacqueray, C; Dief, S; Negrery, H; Drouillard, B

    1991-01-01

    This study evaluates and discusses the potential utility (clinical value) of complementary coagulation tests performed in cases with a prolonged aPTT of no obvious etiology from a total of 85,500 routine coagulation tests carried out in our general hospital. aPTT was measured using Actin F.S.L. (Dade, plant-derived and rabbit phospholipids complex with ellagic acid as activator) and Diagen (Biotrol, rabbit phospholipids with kaolin). Tests for acquired anticoagulants and endogenous pathway factors (XII, XI, IX, VIII) were assayed if the aPTT was prolonged by 7 sec or more. 250 abnormal aPTT of previously unknown etiology were found over a 14 months period. 46% of them were without any obvious cause, and were considered "spontaneous" increases: 2/3 of these spontaneous increases were 7-9 (group A), and 1/3 were 10-19 (group B). The diagnoses found in group A were mostly deficits in the contact system, while group B contained mostly cases with acquired anticoagulants and deficits in the contact system. In group C (increases over 20"), an etiology could be established in all cases, with a predominance of acquired anticoagulants and some deficits in factors VIII and XII.

  4. Simulation of RSAE/EAE and TAE activity in a reversed shear DIII-D case

    NASA Astrophysics Data System (ADS)

    Spong, Donald; van Zeeland, Michael

    2008-11-01

    The energetic particle gyrofuild model TAEFL has been applied to a DIII-D case where RSAE, TAE and EAE activity was present. This is a useful analysis tool because: (1) it retains the primary non-perturbative affect of fast ions on Alv'enic mode structures, i.e., the coupling of MHD cosine and sine parities by fast ion diamagnetic flows [which in the phi = 0 plane causes up-down asymmetries], (2) it is applicable to non-circular shaped tokamak equilibria, (3) it focuses on only the most unstable modes, and (4) an efficient implicit stepping algorithm has been developed, allowing rapid scans of linear growth rates and mode structures for cases with significant poloidal coupling. Analysis of the above DIII-D case has identified EAE, RSAE and TAE modes at sub-Alfv'enic beam velocities (down to ˜0.28 times the Alfv'en velocity). The dominant AE mode is a sensitive function of the q-profile and fast ion parameters. Also, the non-perturbative nature of this model yields mode structures that are consistent with the experimental coherence measurements.

  5. Sensitivity and specificity of the method used for ascertainment of healthcare-associated infections in the second Slovenian national prevalence survey

    PubMed Central

    Serdt, Mojca; Lejko Zupanc, Tatjana; Korošec, Aleš

    2016-01-01

    Abstract Introduction The second Slovenian national healthcare-associated infections (HAIs) prevalence survey (SNHPS) was conducted in acute-care hospitals in 2011. The objective was to assess the sensitivity and specificity of the method used for the ascertainment of six types of HAIs (bloodstream infections, catheter-associated infections, lower respiratory tract infections, pneumoniae, surgical site infections, and urinary tract infections) in the University Medical Centre Ljubljana (UMCL). Methods A cross-sectional study was conducted in patients surveyed in the SNHPS in the UMCL using a retrospective medical chart review (RMCR) and European HAIs surveillance definitions. Sensitivity and specificity of the method used in the SNHPS using RMCR as a reference was computed for ascertainment of patients with any of the six selected types of HAIs and for individual types of HAIs. Agreement between the SNHPS and RMCR results was analyzed using Cohen’s kappa coefficient. Results 1474 of 1742 (84.6%) patients surveyed in the SNHPS were included in RMCR. The sensitivity of the SNHPS method for detecting any of six HAIs was 90% (95% confidence interval (CI): 81%-95%) and specificity 99% (95% CI: 98%-99%). The sensitivity by type of HAI ranged from 63% (lower respiratory tract infections) to 92% (bloodstream infections). Specificity was at least 99% for all types of HAIs. Agreement between the two data collection approaches for HAIs overall was very good (κ=0.83). Conclusions The overall sensitivity of SNHPS collection method for ascertaining HAIs overall was high and the specificity was very high. This suggests that the estimated prevalence of HAIs in the SNHPS was credible. PMID:27703547

  6. Syringe test screening of microbial gas production activity: Cases denitrification and biogas formation.

    PubMed

    Østgaard, Kjetill; Kowarz, Viktoria; Shuai, Wang; Henry, Ingrid A; Sposob, Michal; Haugen, Hildegunn Hegna; Bakke, Rune

    2017-01-01

    Mass produced plastic syringes may be applied as vessels for cheap, simple and large scale batch culture testing. As illustrated for the cases of denitrification and of biogas formation, metabolic activity was monitored by direct reading of the piston movement due to the gas volume formed. Pressure buildup due to friction was shown to be moderate. A piston pull and slide back routine can be applied before recording gas volume to minimize experimental errors due to friction. Inoculum handling and activity may be conveniently standardized as illustrated by applying biofilm carriers. A robust set of positive as well as negative controls ("blanks") should be included to ensure quality of the actual testing. The denitrification test showed saturation response at increasing amounts of inoculum in the form of adapted moving bed biofilm reactor (MBBR) carriers, with well correlated nitrate consumption vs. gas volume formed. As shown, the denitrification test efficiently screened different inocula at standardized substrates. Also, different substrates were successfully screened and compared at standardized inocula. The biogas potential test showed efficient screening of different substrates with effects of relative amounts of carbohydrate, protein, fat. A second case with CO2 capture reclaimer waste as substrate demonstrated successful use of co-feeding to support waste treatment and how temperature effects on kinetics and stoichiometry can be observed. In total, syringe test screening of microbial gas production seems highly efficient at a low cost when properly applied.

  7. Conducting an Introductory Biology Course in an Active Learning Classroom: A Case Study of an Experienced Faculty Member

    ERIC Educational Resources Information Center

    Langley, David; Guzey, S. Selcen

    2014-01-01

    A case study is described that examines the beliefs and practices of a university instructor who teaches regularly in an active learning classroom. His perspective provides insights into the pedagogical practices that drive his success in these learning spaces.

  8. Teaching with the Case Study Method to Promote Active Learning in a Small Molecule Crystallography Course for Chemistry Students

    ERIC Educational Resources Information Center

    Campbell, Michael G.; Powers, Tamara M.; Zheng, Shao-Liang

    2016-01-01

    Implementing the case study method in a practical X-ray crystallography course designed for graduate or upper-level undergraduate chemistry students is described. Compared with a traditional lecture format, assigning small groups of students to examine literature case studies encourages more active engagement with the course material and…

  9. LncRNA expression profiles of EGFR exon 19 deletions in lung adenocarcinoma ascertained by using microarray analysis.

    PubMed

    Wang, Yumin; Chen, Wei; Chen, Jie; Pan, Qinshi; Pan, Jingye

    2014-09-01

    Studies showed that long chain non-coding RNAs (lncRNAs) involved in the development and progression of lung cancer. However, the mechanisms of EGFR exon 19 deletion in lung adenocarcinoma were unclear. Lung adenocarcinoma was divided into EGFR exon 19 deletion group and EGFR wild-type group. We studied the differential expression profiles of lncRNAs in EGFR exon 19 deletion in lung adenocarcinoma by high-throughput microarray. Using abundant and varied probes, we were able to assess 30,586 lncRNAs and 26,109 mRNAs in our microarray. Compared with the wild-type EGFR, we found that 1,533 lncRNAs and 1,406 mRNAs were differentially expressed (≥ twofold change) in EGFR exon 19 deletion in lung adenocarcinoma, indicating that many lncRNAs were significantly upregulated or downregulated in EGFR exon 19 deletion in lung adenocarcinoma. The 10 lncRNAs were aberrantly expressed in EGFR exon 19 deletion in lung adenocarcinoma compared with wild-type EGFR group validated by real-time RT-PCR. Among these, RP11-325I22.2 and LOC440905 were the most aberrantly expressed in 20 cases of EGFR exon 19 deletion in lung adenocarcinoma samples by real-time RT-PCR. Our study showed lncRNAs expression pattern in EGFR exon 19 deletion in lung adenocarcinoma by microarray. RP11-325I22.2 and LOC440905 might play an important role in the mechanism of EGFR exon 19 deletion in lung adenocarcinoma. The study may provide a new mechanism of EGFR exon 19 deletion in lung adenocarcinoma.

  10. Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature.

    PubMed

    Rezai, Shadi; LoBue, Stephen; Adams, Daniel; Oladipo, Yewande; Posso, Ramses; Mapp, Tiffany; Santiago, Crystal; Jain, Manisha; Marino, William D; Henderson, Cassandra E

    2015-01-01

    Background. Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficult because many symptoms of active TB can mimic normal physiological changes of pregnancy. We present a case report of a 26-year-old multiparous woman, G4P3003, at 38-week gestation with a history of positive PPD who emigrated from Ghana 6 years ago. She came to the hospital with an initial complaint of suprapubic pain, pressure, and possible leakage of amniotic fluid for the past week. Patient also complained of a productive cough for the past 3 to 4 months with a decrease in vision occurring with the start of pregnancy. Visual acuity was worse than 20/200 in both eyes. Definitive diagnosis of active TB was delayed due to patient refusal of chest X-ray. Fortunately, delay in diagnosis was minimized since patient delivered within 24 hours of admission. Active TB was confirmed with intraocular dissemination. Patient had optic atrophy OS (left eye) and papillitis, choroiditis, and uveitis OD (right eye) due to TB infiltration. Fetus was asymptomatic and anti-TB therapy was started for both patients.

  11. Untreated Active Tuberculosis in Pregnancy with Intraocular Dissemination: A Case Report and Review of the Literature

    PubMed Central

    LoBue, Stephen; Adams, Daniel; Oladipo, Yewande; Posso, Ramses; Mapp, Tiffany; Santiago, Crystal; Jain, Manisha; Marino, William D.; Henderson, Cassandra E.

    2015-01-01

    Background. Tuberculosis (TB) is a disease that affects hundreds of millions of people across the world. However, the incidence in developed countries has decreased over the past decades causing physicians to become unfamiliar with its unspecific symptoms. Pregnant individuals are especially difficult because many symptoms of active TB can mimic normal physiological changes of pregnancy. We present a case report of a 26-year-old multiparous woman, G4P3003, at 38-week gestation with a history of positive PPD who emigrated from Ghana 6 years ago. She came to the hospital with an initial complaint of suprapubic pain, pressure, and possible leakage of amniotic fluid for the past week. Patient also complained of a productive cough for the past 3 to 4 months with a decrease in vision occurring with the start of pregnancy. Visual acuity was worse than 20/200 in both eyes. Definitive diagnosis of active TB was delayed due to patient refusal of chest X-ray. Fortunately, delay in diagnosis was minimized since patient delivered within 24 hours of admission. Active TB was confirmed with intraocular dissemination. Patient had optic atrophy OS (left eye) and papillitis, choroiditis, and uveitis OD (right eye) due to TB infiltration. Fetus was asymptomatic and anti-TB therapy was started for both patients. PMID:26693374

  12. Indels ascertain the phylogenetic position of Coleodactylus elizae Gonçalves, Torquato, Skuk & Sena, 2012 (Gekkota: Sphaerodactylidae).

    PubMed

    Correia, Larissa Lima; Gamble, Tony; Landell, Melissa Fontes; Mott, Tamí

    2016-02-24

    The Neotropical gecko genus Coleodactylus Parker 1926 was, until recently, composed of five species: C. amazonicus (Andersson 1918), C. brachystoma (Amaral 1935), C. meridionalis (Boulenger 1888), C. natalensis Freire 1999, and C. septentrionalis Vanzolini 1980 (Geurgas et al. 2008). However, several phylogenetic analyses recovered a polyphyletic Coleodactylus (Geurgas et al. 2008; Gamble et al. 2011a) leading Gamble et al. (2011b) to recognize a new genus, Chatogekko, for C. amazonicus. Coleodactylus and Chatogekko differ in both morphological and molecular characters. Coleodactylus has smooth dorsal scales and five scales forming the ungual sheath, while Chatogekko has keeled dorsal scales and four scales forming the ungual sheath (Gamble et al. 2011b). Furthermore, all Coleodactylus species have two deletions in the protein coding recombination-activating gene 1 (RAG1), one of six base pairs (bp) and another of 18 bp (Gamble et al. 2008a; Geurgas et al. 2008), while Chatogekko has a unique three bp deletion in the RBMX gene and a three bp deletion in the protein tyrosine phosphatase nonreceptor type 12 gene (PTPN12) (Gamble et al. 2011b). In addition, Chatogekko is differentiated from all others geckos by a unique set of 10 craniofacial features (Gamble et al. 2011b).

  13. Spawning behaviour and post-spawning migration patterns of atlantic bluefin tuna (Thunnus thynnus) ascertained from satellite archival tags.

    PubMed

    Aranda, Guillermo; Abascal, Francisco Javier; Varela, José Luis; Medina, Antonio

    2013-01-01

    Spawning behaviour of Atlantic bluefin tuna (Thunnus thynnus) was investigated using electronic satellite tags deployed in the western Mediterranean spawning ground, around the Balearic Islands (years 2009-2011). All the fish were tagged underwater and released within schools. In general, the fish tagged in the same year/school displayed common migratory trends. Following extended residency around the Balearic Islands, most tagged tuna crossed the Strait of Gibraltar heading for the North Atlantic. Discrepancies between the migratory tracks reconstructed from this and previous electronic tagging studies suggest that the bluefin tuna Mediterranean population may comprise distinct units exhibiting differing migratory behaviours. The diving behaviour varied between oceanic regions throughout the migratory pathways, the shallowest distribution taking place in the spawning ground and the deepest at the Strait of Gibraltar. A unique diving pattern was found on the majority of nights while the fish stayed at the spawning ground; it consisted of frequent and brief oscillatory movements up and down through the mixed layer, resulting in thermal profiles characterized by oscillations about the thermocline. Such a pattern is believed to reflect recent courtship and spawning activity. Reproductive parameters inferred from the analysis of vertical profiles are consistent with those estimated in previous studies based on biological samples.

  14. Spawning Behaviour and Post-Spawning Migration Patterns of Atlantic Bluefin Tuna (Thunnus thynnus) Ascertained from Satellite Archival Tags

    PubMed Central

    Aranda, Guillermo; Abascal, Francisco Javier; Varela, José Luis; Medina, Antonio

    2013-01-01

    Spawning behaviour of Atlantic bluefin tuna (Thunnus thynnus) was investigated using electronic satellite tags deployed in the western Mediterranean spawning ground, around the Balearic Islands (years 2009-2011). All the fish were tagged underwater and released within schools. In general, the fish tagged in the same year/school displayed common migratory trends. Following extended residency around the Balearic Islands, most tagged tuna crossed the Strait of Gibraltar heading for the North Atlantic. Discrepancies between the migratory tracks reconstructed from this and previous electronic tagging studies suggest that the bluefin tuna Mediterranean population may comprise distinct units exhibiting differing migratory behaviours. The diving behaviour varied between oceanic regions throughout the migratory pathways, the shallowest distribution taking place in the spawning ground and the deepest at the Strait of Gibraltar. A unique diving pattern was found on the majority of nights while the fish stayed at the spawning ground; it consisted of frequent and brief oscillatory movements up and down through the mixed layer, resulting in thermal profiles characterized by oscillations about the thermocline. Such a pattern is believed to reflect recent courtship and spawning activity. Reproductive parameters inferred from the analysis of vertical profiles are consistent with those estimated in previous studies based on biological samples. PMID:24098502

  15. Inorganic Corrosion-Inhibitive Pigments for High-Temperature Alkali-activated Well Casing Foam Cement

    SciTech Connect

    Sugama, T.; Pyatina, T.

    2014-11-14

    This study evaluates inorganic pigments for improving carbon steel (CS) brine-corrosion protection by the sodium metasilicate-activated calcium aluminate cement/Fly Ash blend at 300°C. Calcium borosilicate (CBS) and zinc phosphate, significantly improved CS corrosion-protection by decreasing cement’s permeability for corrosive ions and inhibiting anodic corrosion. An amorphous Na2O-Al2O3-SiO2-H2O phase tightly attached to CS surface formed at 300oC in CBS-modified cement pore solution. The corrosion rate of the CS covered with this phase was nearly 4-fold lower than in the case of nonmodified cement pore solution where the major phase formed on the surface of CS was crystalline analcime.

  16. Inorganic Corrosion-Inhibitive Pigments for High-Temperature Alkali-activated Well Casing Foam Cement

    SciTech Connect

    Sugama, T.; Pyatina, T.

    2014-11-01

    This study evaluates inorganic pigments for improving carbon steel (CS) brine-corrosion protection by the sodium metasilicate-activated calcium aluminate cement/Fly Ash blend at 300°C. Calcium borosilicate (CBS) and zinc phosphate, significantly improved CS corrosion-protection by decreasing cement’s permeability for corrosive ions and inhibiting anodic corrosion. An amorphous Na2O-Al2O3-SiO2-H2O phase tightly attached to CS surface formed at 300oC in CBS-modified cement pore solution. The corrosion rate of the CS covered with this phase was nearly 4-fold lower than in the case of nonmodified cement pore solution where the major phase formed on the surface of CS was crystalline analcime.

  17. Prostatic intraepithelial neoplasia-like ductal prostatic adenocarcinoma: A case suitable for active surveillance?

    PubMed Central

    Rais-Bahrami, Soroush; Dillard, Melissa R.; Zhu, Grace G.; Gordetsky, Jennifer B.

    2017-01-01

    In contrast to typical prostatic ductal adenocarcinoma, prostatic intraepithelial neoplasia (PIN)-like ductal adenocarcinoma is a rare variant of prostate cancer with low-grade clinical behavior. We report a case of a 66-year-old African-American male with an elevated serum prostate-specific antigen who underwent multiparametric prostate magnetic resonance imaging (MRI) and MRI/ultrasound fusion-guided biopsies. Pathology demonstrated low-volume Gleason score 3 + 3 = 6 (Grade Group 1), acinar adenocarcinoma involving one core and PIN-like ductal adenocarcinoma on a separate core. Herein, we discuss the potential role of active surveillance for patients with this rare variant of prostate cancer found in the era of advanced imaging with multiparametric MRI for prostate cancer. PMID:28216939

  18. Active Tuberculosis Case Finding in Port-au-Prince, Haiti: Experiences, Results, and Implications for Tuberculosis Control Programs

    PubMed Central

    Delva, Guesly J.; Fort, Dumesle St.

    2016-01-01

    Background. Haiti has the highest tuberculosis (TB) prevalence in the Americas with 254 cases per 100,000 persons. Case detection relies on passive detection and TB services in many regions suffer from poor diagnostic and clinical resources. Methods. Mache Chache (“Go and Seek”) was a TB REACH Wave 3 funded TB case finding project in Port-au-Prince between July 2013 and September 2014, targeting four intervention areas with insufficient TB diagnostic performance. Results. Based on a verbal symptom screen emphasizing the presence of cough, the project identified 11,150 (11.75%) of all screened persons as TB subjects and 2.67% as smear-positive (SS+) TB cases. Enhanced case finding and strengthening of laboratory services led to a 59% increase in bacteriologically confirmed cases in the evaluation population. In addition, smear grades dropped significantly, suggesting earlier case detection. Xpert® MTB/RIF was successfully introduced and improved TB diagnosis in HIV-infected, smear-negative clinic patients, but not in HIV-negative, smear-negative TB suspects in the community. However, the number needed to screen for one additional SS+ case varied widely between clinic and community screening activities. Conclusion. Enhanced and active TB case finding in Haiti can improve TB diagnosis and care. However, screening algorithms have to be tailored to individual settings, necessitating long-term commitment. PMID:27668093

  19. Making a difference: Ten case studies of DSM/IRP interactive efforts and related advocacy group activities

    SciTech Connect

    English, M.; Schexnayder, S.; Altman, J.; Schweitzer, M.

    1994-03-01

    This report discusses the activities of organizations that seek to promote integrated resource planning and aggressive, cost-effective demand-side management by utilities. The activities of such groups -- here called energy efficiency advocacy groups (EEAGs) -- are examined in ten detailed am studies. Nine of the cases involve some form of interactive effort between investor-owned electric utilities and non-utility to develop policies, plans, or programs cooperatively. Many but not all of the interactive efforts examined are formal collaboratives. In addition, all ten cases include discussion of other EEAG activities, such as coalition-building, research, participation in statewide energy planning, and intervention in regulatory proceedings.

  20. Discrimination and Assessment of Induced Seismicity in Active Tectonic Zones: A Case Study from Southern California

    NASA Astrophysics Data System (ADS)

    Bachmann, C. E.; Lindsey, N.; Foxall, W.; Robertson, M.

    2014-12-01

    Earthquakes induced by human activity have become a matter of heightened public concern during recent years. Of particular concern is seismicity associated with wastewater injection, which has included events having magnitudes greater than 5. The causes of the induced events are primarily changes in pore-pressure, fluid volume and perhaps temperature due to injection. Recent research in the US has focused on mid-continental regions having low rates of naturally-occurring seismicity, where induced events can be identified by relatively straightforward spatial and temporal correlation of seismicity with high-volume injection activities. Recent examples include events correlated with injection of wastewater in Oklahoma, Arkansas, Texas and Ohio, and long-term brine injection in the Paradox Valley in Colorado. Even in some of the cases where there appears at first sight to be a clear spatial correlation between seismicity and injection, it has been difficult to establish causality definitively. Here, we discuss methods to identify induced seismicity in active tectonic regions. We concentrate our study on Southern California, where large numbers of wastewater injection wells are located in oil-producing basins that experience moderate to high rates of naturally-occurring seismicity. Using the catalog of high-precision CISN relocations produced by Hauksson et al. (BSSA, 2012), we aim to discriminate induced from natural events based on spatio-temporal patterns of seismicity occurrence characteristics and their relationships to injection activities, known active faults and other faults favorably oriented for slip under the tectonic stress field. Since the vast majority of induced earthquakes are very small, it is crucial to include all events above the detection threshold of the CISN in each area studied. In addition to exploring the correlation of seismicity to injection activities in time and space, we analyze variations in frequency-magnitude distributions, which can

  1. Human activities impact on mountain river channels (case study of Kamchatka peninsula rivers)

    NASA Astrophysics Data System (ADS)

    Ermakova, Aleksandra S.

    2010-05-01

    Human-induced driving factors along with natural environmental changes greatly impact on fluvial regime of rivers. On mountain and semi-mountain territories these processes are developed in the most complicated manner due to man-made activities diversity throughout river basins. Besides these processes are significantly enhanced because of the disastrous natural processes (like volcanic and mud-flow activity) frequent occurrences in mountainous regions. On of the most striking example on the matter is Kamchatka peninsula which is located at the North-West part of Russian Federation. This paper contributes to the study of human activities impact on fluvial systems in this volcanic mountain region. Human effects on rivers directly alter channel morphology and deformations, dynamics of water and sediment movement, aquatic communities or indirectly affect streams by altering the movement of water and sediment into the channel. In case study of Kamchatka peninsula human activities affect fluvial systems through engineering works including construction of bridges, dams and channel diversions and placer mining. These processes are characterized by spatial heterogeneity because of irregular population distribution. Due to specific natural conditions of the peninsula the most populated areas are the valleys of big rivers (rivers Kamchatka, Avacha, Bistraya (Bolshaya), etc) within piedmont and plain regions. These rivers are characterized by very unstable channels. Both with man-made activities this determines wide range of fluvial system changes. Firstly bridges construction leads to island and logjam formation directly near their piers and intensification of channels patterns shifts. Furthermore rivers of the peninsula are distinguished for high water flow velocities and water rate. Incorrect bridge constructions both with significant channel deformations lead to the destructions of the bridges themselves due to intensive bank erosion. Secondly, intensive water flow

  2. Effectiveness and Feasibility of Active and Passive Case Detection in the Visceral Leishmaniasis Elimination Initiative in India, Bangladesh, and Nepal

    PubMed Central

    Hirve, Siddhivinayak; Singh, Shri Prakash; Kumar, Narendra; Banjara, Megha Raj; Das, Pradeep; Sundar, Shyam; Rijal, Suman; Joshi, Anand; Kroeger, Axel; Varghese, Beena; Thakur, Chandreshwar Prasad; Huda, M. Mamun; Mondal, Dinesh

    2010-01-01

    This study analyzed the effectiveness of active case detection (ACD) for new visceral leishmaniasis (VL) cases. ACD detection was carried out using house to house screening in Bangladesh and India and by neighborhood screening around index cases in Nepal. The percent increase of new VL cases through ACD compared to PCD was 6.7–17.1% in India; 38.8% in Nepal; and 60% in Bangladesh. The screening effort was high in India and Bangladesh (house to house screening) compared to Nepal (index case screening). The additional cost per new VL case detected varied: $50 to $106 in India; $172 in Bangladesh; $262 in Nepal depending on the type of screening staff, transport and training costs. The estimated annual VL incidence in the ACD arm ranged from 315–383 in India; 109 in Bangladesh, and 43 per 100,000 in Nepal. The additional effort and cost rises as disease incidence declines or PCD improves. PMID:20810811

  3. Impacts of the Mid - Summer Drought on Agricultural Activities. Two study cases

    NASA Astrophysics Data System (ADS)

    Conde, C.; Ferrer, R. M.

    2007-05-01

    Mid - summer drought is a known climatic phenomenon for maize producers in the State of Tlaxcala, Mexico.The forecasts delivered by the Autonomous University of Tlaxcala and the National Autonomous University of Mexico during several years included an estimation of the severity of the "canícula", in order that the producers could plan their agricultural activities. The intensity of the mid - summer drought increases during strong EL Niño events (i. e. 1982 - 1983; 1997 - 1998) , that can be also associated to an increase of sudden frosts in autumn that might affect the maize production. In this paper the perception of farmers in Tlaxcala, their needs for specific forecasts and the possibilities of useful climatic information is presented. Also, using an agricultural simulation model, the possible effects on maize yields of a severe mid- summer drought is analyzed. A second study case was performed in Veracruz, were it has been documented that the intensity of the mid - summer drought decreases during strong El Niño events. Possible impacts of this condition on agricultural activities in the state are also presented.

  4. Active Tuberculosis Case Finding Interventions Among Immigrants, Refugees and Asylum Seekers in Italy

    PubMed Central

    Schepisi, Monica Sañé; Gualano, Gina; Piselli, Pierluca; Mazza, Marta; D’Angelo, Donatella; Fasciani, Francesca; Barbieri, Alberto; Rocca, Giorgia; Gnolfo, Filippo; Olivani, Piefranco; Ferrarese, Maurizio; Codecasa, Luigi Ruffo; Palmieri, Fabrizio; Girardi, Enrico

    2016-01-01

    In Italy tuberculosis (TB) is largely concentrated in vulnerable groups such as migrants and in urban settings. We analyzed three TB case finding interventions conducted at primary centers and mobile clinics for regular/irregular immigrants and refugees/asylum seekers performed over a four-year period (November 2009-March 2014) at five different sites in Rome and one site in Milan, Italy. TB history and presence of symptoms suggestive of active TB were investigated by verbal screening through a structured questionnaire in migrants presenting for any medical condition to out-patient and mobile clinics. Individuals reporting TB history or symptoms were referred to a TB clinic for diagnostic workup. Among 6347 migrants enrolled, 891 (14.0%) reported TB history or symptoms suggestive of active TB and 546 (61.3%) were referred to the TB clinic. Of them, 254 (46.5%) did not present for diagnostic evaluation. TB was diagnosed in 11 individuals representing 0.17% of those screened and 3.76% of those evaluated. The overall yield of this intervention was in the range reported for other TB screening programs for migrants, although we recorded an unsatisfactory adherence to diagnostic workup. Possible advantages of this intervention include low cost and reduced burden of medical procedures for the screened population. PMID:27403270

  5. Policies related to active transport to and from school: a multisite case study.

    PubMed

    Eyler, Amy A; Brownson, Ross C; Doescher, Mark P; Evenson, Kelly R; Fesperman, Carrie E; Litt, Jill S; Pluto, Delores; Steinman, Lesley E; Terpstra, Jennifer L; Troped, Philip J; Schmid, Thomas L

    2008-12-01

    Active transportation to and from school (ATS) is a viable strategy to help increase physical activity among youth. ATS can be challenging because initiatives require transdisciplinary collaboration, are influenced by the built environment and are affected by numerous policies. The purpose of this study is to identify policies and factors that influence ATS initiatives. Nine elementary schools in seven states participated in this case study. Sixty-nine stakeholders were interviewed. The interviews were transcribed, coded and analyzed using a master thematic codebook. This study identified two distinct aspects of policies: 'influential factors' which are factors that might impact policies related to ATS and 'policy actions' which are policies reported by people involved in ATS initiatives that directly affected their success. Influential factors included sidewalks, crosswalks/crossing guards, funding, personal safety concerns, advocacy group involvement and others. Policy actions included policies on school speed zone, drop-off, no-transport zones, school siting, school start/dismissal time and school choice. Despite the diversity of the schools studied, similarities included influence of built environment, safety concerns, funding and transdisciplinary collaboration. Stakeholders need to work together to stimulate action and ensure successful initiatives. Influential factors appear to be important to this process.

  6. Policy councils on food, nutrition and physical activity: the UK as a case study.

    PubMed

    Lang, Tim; Rayner, Geof; Rayner, Mike; Barling, David; Millstone, Erik

    2005-02-01

    International experience of Policy Councils on food and nutrition has developed over recent decades but they have not received the attention that is due to them. The 1992 International Conference on Nutrition recommended that governments create Food Policy Councils but few have been created. There has been more experience in local and sub-national policy councils, particularly in North America. Developing country experience of attempting to improve food policy integration stems from the 1970s. The UK's House of Commons' (Parliamentary) Health Committee, in its 2004 report on obesity, reviewed current policy determinants of the rise in obesity, concluding that national food and health policy lacked coherence, integration and effectiveness. To address this vacuum, it proposed the creation of a new 'Council of Nutrition and Physical Activity to improve co-ordination and inject independent thinking into strategy'. The case for creating such a Council in the UK is reviewed, as are possible organisational options, functions and remit. A Council could be created under the forthcoming Public Health Act. The purpose of the new Council would be to provide independent advice and strategic advice as well as monitor the linkages between policies on food, nutrition and physical activity, noting their environmental implications.

  7. 26 CFR 1.1398-1 - Treatment of passive activity losses and passive activity credits in individuals' title 11 cases.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 469 for the estate's last taxable year. (f) Effective date—(1) Cases commencing on or after November 9... before November 9, 1992—(i) Election required. This section applies to a case commencing before November... application in the manner prescribed in paragraph (f)(2)(v) of this section (the election). The...

  8. 26 CFR 1.1398-1 - Treatment of passive activity losses and passive activity credits in individuals' title 11 cases.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 469 for the estate's last taxable year. (f) Effective date—(1) Cases commencing on or after November 9... before November 9, 1992—(i) Election required. This section applies to a case commencing before November... application in the manner prescribed in paragraph (f)(2)(v) of this section (the election). The...

  9. 26 CFR 1.1398-1 - Treatment of passive activity losses and passive activity credits in individuals' title 11 cases.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 469 for the estate's last taxable year. (f) Effective date—(1) Cases commencing on or after November 9... before November 9, 1992—(i) Election required. This section applies to a case commencing before November... application in the manner prescribed in paragraph (f)(2)(v) of this section (the election). The...

  10. Analysis of Orbital Elements and Atmospheric Activity to Ascertain Possible Presence of an Ion Propulsion Capability Aboard Salyut 7/Cosmos 1686

    DTIC Science & Technology

    1991-12-01

    H Saelliie Vernal equinoxE in of nodes Figure 4. Orbital Elements (Reprinted from (22:58)) 1A , A a :A, E: r V E Figure 5. Eccentric Anomaly...34 Journal of Power and Propulsion, Vol. 5, No. 4: 445-451 (July-August 1989). 21. Tipler , Paul A. Physics. New York: W~brth Publishers, Inc., 1976. 22

  11. Physical activity in adolescence and abdominal obesity in adulthood: a case-control study among women shift workers.

    PubMed

    Garcez, Anderson da Silva; Olinto, Maria Teresa Anselmo; Canuto, Raquel; Olinto, Beatriz Anselmo; Pattussi, Marcos Pascoal; Paniz, Vera Maria Vieira

    2015-01-01

    Physical activity may have a protective effect against abdominal obesity, an important risk factor for cardiometabolic diseases. Thus, the aim of this study was to examine the association between the practice of physical activities in adolescence and abdominal obesity in adulthood among women shift workers in Southern Brazil in 2011. This case-control study included 215 cases (waist circumference greater than or equal to 88 cm) and 326 controls. For both the case and control groups, participation in leisure-time physical activities was most frequent in adolescence and was significantly less in adulthood. After adjusting for potential confounding factors, women who participated in five or more physical activities in adolescence were 50 percent less likely to have abdominal obesity than women who participated in one activity or no physical activities (Odds Ratio = 0.50; 95% confidential interval: 0.27-0.93, p value = .029). Participation in various types of leisure-time physical activities in adolescence may protect against abdominal obesity in adulthood, even if the number of physical activities decreases over time. This finding demonstrated the importance of physical activity as well as the period of life in which these should be encouraged for the prevention of health disorders, such as abdominal obesity.

  12. A national population-based e-cohort of people with psychosis (PsyCymru) linking prospectively ascertained phenotypically rich and genetic data to routinely collected records: overview, recruitment and linkage.

    PubMed

    Lloyd, Keith; McGregor, Joanna; John, Ann; Craddock, Nick; Walters, James T; Linden, David; Jones, Ian; Bentall, Richard; Lyons, Ronan A; Ford, David V; Owen, Michael J

    2015-08-01

    PsyCymru was initially established as a proof of concept to investigate the feasibility of linking a prospectively ascertained, well-characterised (linked clinical cohort) of people with psychosis in Wales, UK with large amounts of anonymised routinely collected health record data. We are now additionally linking genetic data. PsyCymru aims to create a research platform and infrastructure for psychosis research in Wales by the establishment of two cohorts. The first is a well characterised clinically-assessed cohort of 490 individuals aged 16 and over, including genetic data. Consented individuals underwent a structured interview using a series of well-validated questionnaires and gave blood for the purpose of DNA extraction for sequencing and candidate gene identification. This data was linked to routinely collected health and social datasets with identity encryption used to protect privacy. The second is a much larger (12,097 individuals) but less well characterised population-based e-cohort of prevalent psychosis cases created using a previously validated algorithm applied to anonymised routine data. Both cohorts can be tracked prospectively and retrospectively using anonymised routinely collected electronic health and administrative data in the Secure Anonymised Information Linkage (SAIL) databank. This unique platform pools data together from multiple sources; linking clinical, psychological, biological, genetic and health care factors to address a wide variety of research questions. This resource will continue to expand over the coming years in size, breadth and depth of data, with continued recruitment and additional measures planned.

  13. Introduction of a new observation chart and education programme is associated with higher rates of vital-sign ascertainment in hospital wards.

    PubMed

    Cahill, Helen; Jones, Aaron; Herkes, Robert; Cook, Kathy; Stirling, Anne; Halbert, Tanya; Yates, Amanda; Lal, Sean; Gardo, Alan; Donnelly, Roy; Gattas, David J

    2011-09-01

    INTRODUCTION Local and national awareness of the need to improve the recognition and response to the clinical deterioration of hospital inpatients is high. The authors designed and implemented a programme to improve recognition of deteriorating patients in their hospital; a new observation chart for vital signs was one of the major elements. The aim of the study is to evaluate the impact of the new chart and associated education programme on the completeness of vital-sign recording in ward areas. METHODS The setting is a university-affiliated teaching hospital in Sydney, Australia. Three study periods, each lasting 14 days (preintervention, 2 weeks postintervention, 3 months postintervention), were carried out in three wards. The new observation chart was supported by an education programme. The primary outcome measures were the ascertainment rates of individual vital signs as a proportion of total observation sets. RESULTS Documentation of respiratory rate increased from 47.8% to 97.8% (p<0.001) and was sustained at 3 months postintervention (98.5%). Collection of a full set of vital signs also improved by a similar magnitude. Basic neurological observation for all patients was introduced in the new chart; the uptake of this was very good (93.1%). Ascertainment rates of blood pressure and oxygen saturation also increased by small but significant amounts from good baseline rates of 97% or higher. CONCLUSION The introduction of a new observation chart, and education regarding its use and importance, was associated with a major improvement in the recording of respiratory rate and other vital signs.

  14. FMRI and brain activation after sport concussion: a tale of two cases.

    PubMed

    Hutchison, Michael G; Schweizer, Tom A; Tam, Fred; Graham, Simon J; Comper, Paul

    2014-01-01

    Sport-related concussions are now recognized as a major public health concern: the number of participants in sport and recreation is growing, possibly playing their games faster, and there is heightened public awareness of injuries to some high-profile athletes. However, many clinicians still rely on subjective symptom reports for the clinical determination of recovery. Relying on subjective symptom reports can be problematic, as it has been shown that some concussed athletes may downplay their symptoms. The use of neuropsychological (NP) testing has enabled clinicians to measure the effects and extent of impairment following concussion more precisely, providing more objective metrics for determining recovery. Nevertheless, there is a remaining concern that brain abnormalities may exist beyond the point at which individuals achieve recovery in self-reported symptoms and cognition measured by NP testing. Our understanding of brain recovery after concussion is important, not only from a neuroscience perspective, but also from the perspective of clinical decision-making for safe return-to-play. A number of advanced neuroimaging tools, including blood oxygen level dependent functional magnetic resonance imaging (fMRI), have independently yielded early information on abnormal brain functioning. In the two cases presented in this article, we report contrasting brain activation patterns and recovery profiles using fMRI. Importantly, fMRI was conducted using adapted versions of the most sensitive computerized NP tests administered in our current clinical practice to determine impairments and recovery after sport-related concussion. One of the cases is consistent with the concept of lagging brain recovery.

  15. Validation of Self-Report Measures of Physical Activity: A Case Study Using the New Zealand Physical Activity Questionnaire

    ERIC Educational Resources Information Center

    Mackay, Lisa M.; Schofield, Grant M.; Schluter, Philip J.

    2007-01-01

    Accurate measurement of physical activity is fundamentally important in epidemiological research of physical activity behavior. A widely used telephone-based physical activity questionnaire was compared with other methods of administration and objective measures (pedometers and accelerometers) among 80 adults (43 women). The telephone…

  16. Busy Teachers: A Case of Comparing Online Teacher-Created Activities with the Ready-Made Activity Resource Books

    ERIC Educational Resources Information Center

    Khoshhal, Yasin

    2016-01-01

    With the ever-growing needs for more resources, the lack of concentration on preparing an exclusive activity for a particular classroom can be observed in a large number of educational contexts. The present study investigates the efficiency of ready-made activities for busy teachers. To this end, an activity from the ready-made resource book,…

  17. Active Site Hydrophobicity and the Convergent Evolution of Paraoxonase Activity in Structurally Divergent Enzymes: The Case of Serum Paraoxonase 1

    PubMed Central

    2016-01-01

    Serum paraoxonase 1 (PON1) is a native lactonase capable of promiscuously hydrolyzing a broad range of substrates, including organophosphates, esters, and carbonates. Structurally, PON1 is a six-bladed β-propeller with a flexible loop (residues 70–81) covering the active site. This loop contains a functionally critical Tyr at position 71. We have performed detailed experimental and computational analyses of the role of selected Y71 variants in the active site stability and catalytic activity in order to probe the role of Y71 in PON1’s lactonase and organophosphatase activities. We demonstrate that the impact of Y71 substitutions on PON1’s lactonase activity is minimal, whereas the kcat for the paraoxonase activity is negatively perturbed by up to 100-fold, suggesting greater mutational robustness of the native activity. Additionally, while these substitutions modulate PON1’s active site shape, volume, and loop flexibility, their largest effect is in altering the solvent accessibility of the active site by expanding the active site volume, allowing additional water molecules to enter. This effect is markedly more pronounced in the organophosphatase activity than the lactonase activity. Finally, a detailed comparison of PON1 to other organophosphatases demonstrates that either a similar “gating loop” or a highly buried solvent-excluding active site is a common feature of these enzymes. We therefore posit that modulating the active site hydrophobicity is a key element in facilitating the evolution of organophosphatase activity. This provides a concrete feature that can be utilized in the rational design of next-generation organophosphate hydrolases that are capable of selecting a specific reaction from a pool of viable substrates. PMID:28026940

  18. Active case finding strategy for chronic obstructive pulmonary disease with handheld spirometry.

    PubMed

    Kim, Joo Kyung; Lee, Chang Min; Park, Ji Young; Kim, Joo Hee; Park, Sung-Hoon; Jang, Seung Hun; Jung, Ki-Suck; Yoo, Kwang Ha; Park, Yong Bum; Rhee, Chin Kook; Kim, Deog Kyeom; Hwang, Yong Il

    2016-12-01

    The early detection and diagnosis of chronic obstructive pulmonary disease (COPD) is critical to providing appropriate and timely treatment. We explored a new active case-finding strategy for COPD using handheld spirometry.We recruited subjects over 40 years of age with a smoking history of more than 10 pack-years who visited a primary clinic complaining of respiratory symptoms. A total of 190 of subjects were enrolled. Medical information was obtained from historical records and physical examination by general practitioners. All subjects had their pulmonary function evaluated using handheld spirometry with a COPD-6 device. Because forced expiratory volume in 6 seconds (FEV6) has been suggested as an alternative to FVC, we measured forced expiratory volume in 1 second (FEV1)/FEV6 for diagnosis of airflow limitation. All subjects were then referred to tertiary referral hospitals to complete a "Could it be COPD?" questionnaire, handheld spiromtery, and conventional spirometry. The results of each instrument were compared to evaluate the efficacy of both handheld spirometry and the questionnaire.COPD was newly diagnosed in 45 (23.7%) patients. According to our receiver-operating characteristic (ROC) curve analysis, sensitivity and specificity were maximal when the FEV1/FEV6 ratio was less than 77%. The area under the ROC curve was 0.759. The sensitivity, specificity, positive predictive value, and negative predictive value were 72.7%, 77.1%, 50%, and 90%, respectively. The area under the ROC curve of respiratory symptoms listed on the questionnaire ranged from 0.5 to 0.65, which indicates that there is almost no difference compared with the results of handheld spirometry.The present study demonstrated the efficacy of handheld spirometry as an active case-finding tool for COPD in a primary clinical setting. This study suggested that physicians should recommend handheld spirometry for people over the age of 40, who have a smoking history of more than 10 pack

  19. Active case finding strategy for chronic obstructive pulmonary disease with handheld spirometry

    PubMed Central

    Kim, Joo Kyung; Lee, Chang Min; Park, Ji Young; Kim, Joo Hee; Park, Sung-hoon; Jang, Seung Hun; Jung, Ki-Suck; Yoo, Kwang Ha; Park, Yong Bum; Rhee, Chin Kook; Kim, Deog Kyeom; Hwang, Yong Il

    2016-01-01

    Abstract The early detection and diagnosis of chronic obstructive pulmonary disease (COPD) is critical to providing appropriate and timely treatment. We explored a new active case-finding strategy for COPD using handheld spirometry. We recruited subjects over 40 years of age with a smoking history of more than 10 pack-years who visited a primary clinic complaining of respiratory symptoms. A total of 190 of subjects were enrolled. Medical information was obtained from historical records and physical examination by general practitioners. All subjects had their pulmonary function evaluated using handheld spirometry with a COPD-6 device. Because forced expiratory volume in 6 seconds (FEV6) has been suggested as an alternative to FVC, we measured forced expiratory volume in 1 second (FEV1)/FEV6 for diagnosis of airflow limitation. All subjects were then referred to tertiary referral hospitals to complete a “Could it be COPD?” questionnaire, handheld spiromtery, and conventional spirometry. The results of each instrument were compared to evaluate the efficacy of both handheld spirometry and the questionnaire. COPD was newly diagnosed in 45 (23.7%) patients. According to our receiver-operating characteristic (ROC) curve analysis, sensitivity and specificity were maximal when the FEV1/FEV6 ratio was less than 77%. The area under the ROC curve was 0.759. The sensitivity, specificity, positive predictive value, and negative predictive value were 72.7%, 77.1%, 50%, and 90%, respectively. The area under the ROC curve of respiratory symptoms listed on the questionnaire ranged from 0.5 to 0.65, which indicates that there is almost no difference compared with the results of handheld spirometry. The present study demonstrated the efficacy of handheld spirometry as an active case-finding tool for COPD in a primary clinical setting. This study suggested that physicians should recommend handheld spirometry for people over the age of 40, who have a smoking history of more than

  20. Time Use Patterns between Maintenance, Subsistence and Leisure Activities: A Case Study in China

    ERIC Educational Resources Information Center

    Hui-fen, Zhou; Zhen-shan, Li; Dong-qian, Xue; Yang, Lei

    2012-01-01

    The Chinese government conducted its first time use survey of the activities of Chinese individuals in 2008. Activities were classified into three broad types, maintenance activities, subsistence activities and leisure activities. Time use patterns were defined by an individuals' time spent on maintenance, subsistence and leisure activities each…

  1. Trajectory Hunting: A Case Study of Rapid Chlorine Activation in December 1992 as Seen by UARS

    NASA Technical Reports Server (NTRS)

    Danilin, M. Y.; Santee, M. L.; Rodriguez, J. M.; Ko, M. K. W.; Mergenthaler, J. M.; Kumer, J. B.; Tabazadeh, A.; Livesey, N. J.

    2000-01-01

    Trajectory hunting (i.e., a technique to find air parcels sampled at least twice over the course of a few days) is applied to analyze Upper Atmosphere Research Satellite (UARS) measurements in conjunction with the Atmospheric and Environmental Research, Inc. (AER) photochemical box model. As a case study, we investigate rapid chlorine activation in the Arctic lower stratosphere on December 29, 1992 associated with a polar stratospheric cloud (PSC) event. Eleven air parcels that have been sampled several times along five-day trajectories at the 465 K (approx. 46 hPa), 520 K (approx. 31 hPa), and 585 K (approx. 22 hPa) levels were investigated. For the first time, the latest versions of the Cryogenic Limb Array Etalon Spectrometer (CLAES, version 9) and Microwave Limb Sounder (MLS, version 5) data sets are analyzed, and their consistency is assessed. A detailed sensitivity study with the AER photochemical box model along these trajectories leads to the conclusion that for the December 24-29, 1992 episode: (1) the individual CLAES ClONO2 and MLS ClO measurements are self-consistent within their uncertainties; and (2) most of the time, UARS measurements of ClO, ClONO2, HNO3, and aerosol extinction at 780 cm(exp -1) agree within the range of their uncertainties with the model calculations. It appears that the HNO3 and aerosol extinction measurements for four parcels at 520 K look more supportive for the nitric acid trihydrate (NAT) scheme, However, the uncertainties in the individual UARS measurements and UK Meteorological Office temperature do not allow a definite discrimination between the NAT and supercooled ternary solution (STS) PSC schemes for this chlorine activation episode in December 1992.

  2. Trajectory Hunting: A Case Study of Rapid Chlorine Activation in December 1992 as Seen by UARS

    NASA Technical Reports Server (NTRS)

    Danilin, M. Y.; Santee, M. L.; Rodriquez, J. M.; Ko, M. K. W.; Mergenthaler, J. M.; Kumer, J. B.; Tabazadeh, A.; Livesey

    2000-01-01

    Trajectory hunting (i.e., a technique to find air parcels sampled at least twice over the course of a few days) is applied to analyze Upper Atmosphere Research Satellite (UARS) measurements in conjunction with the Atmospheric and Environmental Research, Inc. (AER) photochemical box model. As a case study, we investigate rapid chlorine activation in the Arctic lower stratosphere on December 29, 1992 associated with a polar stratospheric cloud (PSC) event. Eleven air parcels that have been sampled several times along 5-day trajectories at the 465 K (approx. 46 hPa), 520 K (approx. 31 hPa), and 585 K (approx. 22 hPa) levels were investigated. For the first time, the latest versions of the Cryogenic Limb Array Etalon Spectrometer (CLAES, version 9) and Microwave Limb Sounder (MLS, version 5) data sets are analyzed, and their consistency is assessed. A detailed sensitivity study with the AER photochemical box model along these trajectories leads to the conclusion that for the December 24-29, 1992 episode (1) the individual CLAES version 9 ClONO2 and MLS version 5 ClO measurements are self-consistent within their uncertainties; and (2) most of the time, UARS measurements of ClO, ClONO2, HNO3, and aerosol extinction at 780 cm (exp -1) agree within the range of their uncertainties with the model calculations. It appears that the HNO3 and aerosol extinction measurements for four parcels at 520 K look more supportive for the nitric acid trihydrate (NAT) scheme. However, the uncertainties in the individual UARS measurements and U.K. Meteorological Office temperature do not allow a definite discrimination between the NAT and supercooled ternary solution (STS) PSC schemes for this chlorine activation episode in December 1992.

  3. The cost of cancer registry operations: Impact of volume on cost per case for core and enhanced registry activities

    PubMed Central

    Subramanian, Sujha; Tangka, Florence K.L.; Beebe, Maggie Cole; Trebino, Diana; Weir, Hannah K.; Babcock, Frances

    2016-01-01

    Background Cancer registration data is vital for creating evidence-based policies and interventions. Quantifying the resources needed for cancer registration activities and identifying potential efficiencies are critically important to ensure sustainability of cancer registry operations. Methods Using a previously validated web-based cost assessment tool, we collected activity-based cost data and report findings using 3 years of data from 40 National Program of Cancer Registry grantees. We stratified registries by volume: low-volume included fewer than 10,000 cases, medium-volume included 10,000–50,000 cases, and high-volume included >50,000 cases. Results Low-volume cancer registries incurred an average of $93.11 to report a case (without in-kind contributions) compared with $27.70 incurred by high-volume registries. Across all registries, the highest cost per case was incurred for data collection and abstraction ($8.33), management ($6.86), and administration ($4.99). Low- and medium-volume registries have higher costs than high-volume registries for all key activities. Conclusions Some cost differences by volume can be explained by the large fixed costs required for administering and performing registration activities, but other reasons may include the quality of the data initially submitted to the registries from reporting sources such as hospitals and pathology laboratories. Automation or efficiency improvements in data collection can potentially reduce overall costs. PMID:26702880

  4. Giant scrotal elephantiasis: an idiopathic case.

    PubMed

    Dianzani, C; Gaspardini, F; Persichetti, P; Brunetti, B; Pizzuti, A; Margiotti, K; Degener, A M

    2010-01-01

    Scrotal elephantiasis is very rare disease in industrialized countries, where it is mainly due to surgery, irradiation or malignancies. It can be defined as idiopathic only when the possible congenital, infectious and compressive causes are excluded. We report a case of massive scrotal lymphoedema in an adult Caucasian patient, in Italy. He presented an extremely voluminous scrotal mass measuring 50 x 47 x 13 cm (weight 18 kg), which extended below his knees, invalidating all his daily activities. The patient was hospitalized in order to undergo to surgical treatment. Although genetic causes were searched and the possible role of infectious agents and compressive factors was evaluated, no etiology was ascertained. Histopathologic examination showed non-specific chronic inflammation, confirming the diagnosis of idiopathic elephantiasis. One year after surgical treatment, the patient is healthy without recurrence signs.

  5. Chiropractic Treatment of Lateral Epicondylitis: A Case Report Utilizing Active Release Techniques

    PubMed Central

    Gliedt, Jordan A.; Daniels, Clinton J.

    2014-01-01

    Objective The purpose of this report is to describe the chiropractic management of a case of lateral epicondylitis with active release techniques (ART). Clinical features A 48-year-old white man presented to a chiropractic clinic with a complaint of left lateral elbow pain that began 2 years previous with insidious onset. The patient reported an inability to play 18 consecutive holes of golf due to the pain. Intervention and outcome Treatment consisted of 5 sessions of ART (a soft tissue technique that is applied to muscles, fascia, tendons, ligaments, and nerves) applied to the left elbow soft tissue over a duration of 3 weeks. The patient reported an absence of pain and ability to consistently play 18 consecutive holes of golf up to 3 times per week at 4 and 8 weeks post-treatment. Conclusion This patient with lateral epicondylitis responded favorably to chiropractic treatment using the application of ART, as demonstrated by reduced pain and increased functional outcomes. PMID:25685118

  6. An interesting case of Lucio phenomenon triggered by activation of hepatitis C infection

    PubMed Central

    Mareen, Jacob; Madhukara, Jithendriya

    2016-01-01

    Lucio phenomenon (LP) or erythema necroticans is a rare type of reaction pattern found in untreated patients with diffuse non-nodular leprosy. It is important to distinguish this from vasculonecrotic erythema nodosum because thalidomide with high-dose steroids is the mainstay of treatment for the latter, whereas LP shows no response to thalidomide. We report a case of a 60-year-old man who presented with purpuric patches, hemorrhagic blisters, and ulcers over extremities of 15 days duration. On cutaneous examination, there were multiple stellate purpuric patches, hemorrhagic bullae, and deep necrotic ulcers, mainly over extremities. Slit-skin smear examination from six sites revealed bacteriological index 6+ with globi, and morphological index 5%. Histopathology revealed diffuse infiltration of bacilli in epidermis, dermis, and endothelial cells along with neutrophilic and lymphocytic infiltrate. Fibrinoid necrosis and thrombosis of blood vessels was also noted. The above clinicohistopathological features helped in making the diagnosis of LP. Concomitantly he was found to be infected with hepatitis C virus. Many triggering factors have been described in literature; however, activation of hepatitis C as a trigger for Lucio phenomenon has not been reported. In addition, IgM and IgG anticardiolipin antibodies were found to be positive. The patient was started on high-dose steroids along with multibacillary antileprosy therapy and improved within 2 weeks. PMID:27730040

  7. Impact of anthropogenic activities on urban stream water quality: a case study in Guangzhou, China.

    PubMed

    Liu, Jin-Song; Guo, Ling-Chuan; Luo, Xian-Lin; Chen, Fan-Rong; Zeng, Eddy Y

    2014-12-01

    Anthropogenic activities are increasingly impacting the quality of urban surface water, particularly in regions undergoing intensive urbanization, such as Guangzhou of South China with a large urban stream network. To examine such impacts, we conducted field sampling on December 24, 2010, May 24, 2011, and August 28, 2011, representative of the low-, normal-, and high-flow periods, respectively. The first sampling was timed immediately after the closing of the 16th Asian Games (November 12-27, 2010) and the 10th Asian Para Games (December 12-19, 2010) held in Guangzhou. Assessments based on a pollution index method showed that the urban streams under investigation were extremely polluted, with direct discharge of untreated domestic sewage identified as the main pollution contributor. In addition, stream water quality around urban villages with high population densities was worse than that within business districts away from the urban villages. Pollution control measures implemented in preparation for the Asian Games were effective for urban streams within the business districts, but less effective for those adjacent to the urban villages. However, short-term efforts may not be able to achieve sustainable urban water quality improvements. In the case of Guangzhou, minimizing or even eliminating direct point-source inputs to the urban streams is perhaps the best option.

  8. 75 FR 46899 - Agency Information Collection Activities: Proposed Collection; Comment Request-In-Depth Case...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-04

    ... Request--In-Depth Case Studies of Advanced Modernization Initiatives AGENCY: Food and Nutrition Service... proposed collection is for ``In-Depth Case Studies of Advanced Supplemental Nutrition Assistance Program.... SUPPLEMENTARY INFORMATION: Title: In-Depth Case Studies of Advanced SNAP Modernization Initiatives. OMB...

  9. Geophysical Imaging of Active Tectonics: A Case Study From the Inter Andean Valley, Ecuador

    NASA Astrophysics Data System (ADS)

    Call, C.; Meltzer, A.; Alvardo, A.

    2004-12-01

    and 350ns (9 and 26m assuming a dielectric permittivity of 16). Combination of GPR and near-surface seismic techniques compliment each other by providing varying vertical resolutions and depths of penetrations. This case study provides valuable information that is relevant to future studies utilizing near-surface geophysics to identify and image active structures in the Inter Andean Valley or other geologically similar areas.

  10. In vitro antimicrobial activity of ten medicinal plants against clinical isolates of oral cancer cases

    PubMed Central

    2011-01-01

    Background Suppression of immune system in treated cancer patients may lead to secondary infections that obviate the need of antibiotics. In the present study, an attempt was made to understand the occurrence of secondary infections in immuno-suppressed patients along with herbal control of these infections with the following objectives to: (a) isolate the microbial species from the treated oral cancer patients along with the estimation of absolute neutrophile counts of patients (b) assess the in vitro antimicrobial activity medicinal plants against the above clinical isolates. Methods Blood and oral swab cultures were taken from 40 oral cancer patients undergoing treatment in the radiotherapy unit of Regional Cancer Institute, Pt. B.D.S. Health University, Rohtak, Haryana. Clinical isolates were identified by following general microbiological, staining and biochemical methods. The absolute neutrophile counts were done by following the standard methods. The medicinal plants selected for antimicrobial activity analysis were Asphodelus tenuifolius Cav., Asparagus racemosus Willd., Balanites aegyptiaca L., Cestrum diurnum L., Cordia dichotoma G. Forst, Eclipta alba L., Murraya koenigii (L.) Spreng. , Pedalium murex L., Ricinus communis L. and Trigonella foenum graecum L. The antimicrobial efficacy of medicinal plants was evaluated by modified Kirby-Bauer disc diffusion method. MIC and MFC were investigated by serial two fold microbroth dilution method. Results Prevalent bacterial pathogens isolated were Staphylococcus aureus (23.2%), Escherichia coli (15.62%), Staphylococcus epidermidis (12.5%), Pseudomonas aeruginosa (9.37%), Klebsiella pneumonia (7.81%), Proteus mirabilis (3.6%), Proteus vulgaris (4.2%) and the fungal pathogens were Candida albicans (14.6%), Aspergillus fumigatus (9.37%). Out of 40 cases, 35 (87.5%) were observed as neutropenic. Eight medicinal plants (A. tenuifolius, A. racemosus, B. aegyptiaca, E. alba, M. koenigii, P. murex R. communis and T

  11. Does changing from a first generation antipsychotic (perphenazin) to a second generation antipsychotic (risperidone) alter brain activation and motor activity? A case report

    PubMed Central

    2013-01-01

    Background In patients with schizophrenia, altered brain activation and motor activity levels are central features, reflecting cognitive impairments and negative symptoms, respectively. Newer studies using nonlinear methods have addressed the severe disturbances in neurocognitive functioning that is regarded as one of the core features of schizophrenia. Our aim was to compare brain activation and motor activity in a patient during pharmacological treatment that was switched from a first- to a second-generation antipsychotic drug. We hypothesised that this change of medication would increase level of responding in both measures. Case presentation We present the case of a 53-year-old male with onset of severe mental illness in adolescence, ICD-10 diagnosed as schizophrenia of paranoid type, chronic form. We compared brain activation and motor activity in this patient during pharmacological treatment with a first-generation (perphenazin), and later switched to a second-generation (risperidone) antipsychotic drug. We used functional magnetic resonance imaging (fMRI) to measure brain activation and wrist worn actigraphy to measure motor activity. Conclusion Our study showed that brain activation decreased in areas critical for cognitive functioning in this patient, when changing from a first to a second generation antipsychotic drug. However the mean motor activity level was unchanged, although risperidone reduced variability, particularly short-term variability from minute to minute. Compared to the results from previous studies, the present findings indicate that changing to a second-generation antipsychotic alters variability measures towards that seen in a control group, but with reduced brain activation, which was an unexpected finding. PMID:23648137

  12. Leisure time activities related to carcinogen exposure and lung cancer risk in never smokers. A case-control study

    SciTech Connect

    Ruano-Ravina, Alberto; García-Lavandeira, José Antonio; Torres-Durán, María; Prini-Guadalupe, Luciana; Parente-Lamelas, Isaura; Leiro-Fernández, Virginia; Montero-Martínez, Carmen; González-Barcala, Francisco Javier; Golpe-Gómez, Antonio; Martínez, Cristina; Castro-Añón, Olalla; Mejuto-Martí, María José; and others

    2014-07-15

    We aim to assess the relationship between leisure time activities related to exposure to carcinogenic substances and lung cancer risk in a hospital-based case-control study performed in never smokers. We included never smoking cases with anatomopathologically confirmed lung cancer and never smoking controls undergoing trivial surgery, at 8 Spanish hospitals. The study was conducted between January 2011 and June 2013. Participants were older than 30 and had no previous neoplasms. All were personally interviewed focusing on lifestyle, environmental tobacco smoke exposure, occupational history and leisure time activities (including duration of such activities). Results were analyzed through logistic regression and adjusted also by residential radon and education level. We included 513 never smokers, 191 cases and 322 controls. The OR for those performing the studied leisure time activities was 1.43 (95%CI 0.78–2.61). When we restricted the analysis to those performing do-it-yourself activities for more than 10 years the OR was 2.21 (95%CI 0.93–5.27). Environmental tobacco smoke exposure did not modify this association. The effect for the different lung cancer histological types was very close to significance for adenocarcinoma but only when these activities were performed for more than 10 years. We encourage health professionals to recommend protective measures for those individuals while performing these hobbies to reduce the risk of lung cancer. - Highlights: • Some leisure time activities are associated with the exposure to carcinogenic substances. • These activities are model-making, painting (artistic or not), furniture refinishing or wood working. • Few studies have assessed lung cancer risk due to these hobbies and none in never-smokers. • Leisure activities related to exposure to carcinogenic substances present higher lung cancer risk. • The risk is higher when these activities are performed for more than 10 years.

  13. Mitigating Financial Burden of Tuberculosis through Active Case Finding Targeting Household and Neighbourhood Contacts in Cambodia

    PubMed Central

    Morishita, Fukushi; Yadav, Rajendra-Prasad; Eang, Mao Tan; Saint, Saly; Nishikiori, Nobuyuki

    2016-01-01

    Background Despite free TB services available in public health facilities, TB patients often face severe financial burden due to TB. WHO set a new global target that no TB-affected families experience catastrophic costs due to TB. To monitor the progress and strategize the optimal approach to achieve the target, there is a great need to assess baseline cost data, explore potential proxy indicators for catastrophic costs, and understand what intervention mitigates financial burden. In Cambodia, nationwide active case finding (ACF) targeting household and neighbourhood contacts was implemented alongside routine passive case finding (PCF). We analyzed household cost data from ACF and PCF to determine the financial benefit of ACF, update the baseline cost data, and explore whether any dissaving patterns can be a proxy for catastrophic costs in Cambodia. Methods In this cross-sectional comparative study, structured interviews were carried out with 108 ACF patients and 100 PCF patients. Direct and indirect costs, costs before and during treatment, costs as percentage of annual household income and dissaving patterns were compared between the two groups. Results The median total costs were lower by 17% in ACF than in PCF ($240.7 [IQR 65.5–594.6] vs $290.5 [IQR 113.6–813.4], p = 0.104). The median costs before treatment were significantly lower in ACF than in PCF ($5.1 [IQR 1.5–25.8] vs $22.4 [IQR 4.4–70.8], p<0.001). Indirect costs constituted the largest portion of total costs (72.3% in ACF and 61.5% in PCF). Total costs were equivalent to 11.3% and 18.6% of annual household income in ACF and PCF, respectively. ACF patients were less likely to dissave to afford TB-related expenses. Costs as percentage of annual household income were significantly associated with an occurrence of selling property (p = 0.02 for ACF, p = 0.005 for PCF). Conclusions TB-affected households face severe financial hardship in Cambodia. ACF has the great potential to mitigate the costs

  14. Understanding EFL Students' Participation in Group Peer Feedback of L2 Writing: A Case Study from an Activity Theory Perspective

    ERIC Educational Resources Information Center

    Yu, Shulin; Lee, Icy

    2015-01-01

    While the last three decades have witnessed a growing body of research on peer feedback in first language (L1) and second language (L2) writing, research about students' motives for participating in group peer feedback has remained underexplored. In order to fill this important gap, this case study, guided by the constructs of activity and motive…

  15. Becoming a Youth Activist in the Internet Age: A Case Study on Social Media Activism and Identity Development

    ERIC Educational Resources Information Center

    Fullam, Jordan

    2017-01-01

    This paper draws on a case study of one youth activist, and explores connections between social media activism, identity development, and critical education. Justin Rodriguez, a 17-year-old high school student in Newark, New Jersey, leveraged social media and texting as organizing tools and garnered support for a school walkout to protest…

  16. Time-Driven Activity-Based Costing for Inter-Library Services: A Case Study in a University

    ERIC Educational Resources Information Center

    Pernot, Eli; Roodhooft, Filip; Van den Abbeele, Alexandra

    2007-01-01

    Although the true costs of inter-library loans (ILL) are unknown, universities increasingly rely on them to provide better library services at lower costs. Through a case study, we show how to perform a time-driven activity-based costing analysis of ILL and provide evidence of the benefits of such an analysis.

  17. Attitudes and Examination Performance of Female and Male Medical Students in an Active, Case-Based Learning Programme in Anatomy.

    ERIC Educational Resources Information Center

    Peplow, Philip

    1998-01-01

    An active, case-based project (CBP) learning program in anatomy was evaluated to measure differences between male and female students in perception of the initial discussion sessions as developing deep learning skills, and also in performance on CBP and essay components of the written examination. Females responded more positively to discussion…

  18. Factors Associated with Adolescent Physical Activity during Middle School Physical Education: A One-Year Case Study

    ERIC Educational Resources Information Center

    Senne, Terry; Rowe, David; Boswell, Boni; Decker, James; Douglas, Shaun

    2009-01-01

    The purpose of this descriptive component of a larger, exploratory case study was to examine associations among lesson contexts, teacher behaviors, and adolescent physical activity over a year of physical education (PE) at one school. Middle school students (n = 206) and their PE teachers (n = 4) were observed twice-weekly across one academic…

  19. University Student Agency, Representation, and Activism: A Case Study of Students Studying English at Universite Cheikh Anta Diop (Dakar, Senegal)

    ERIC Educational Resources Information Center

    Stafford, Casey

    2012-01-01

    This study explores and interrogates dominant representations of African university students by examining how students conceptualize and act upon their own agency. Using a qualitative case-study approach, the author examines how students actively confront the ideological and material conditions presented by schooling. [The dissertation citations…

  20. Teachers' scientific knowledge, teaching practice, and students' learning activities: Cases of three elementary classroom teachers

    NASA Astrophysics Data System (ADS)

    Jang, Shinho

    The purposes of this dissertation study are to better understand what specific types of scientific knowledge and practice three elementary teachers exhibit, and to examine how they use their scientific knowledge in their classroom teaching practice to provide students' opportunities to learn science when teaching condensation in the context of a unit on the water cycle. By comparing and contrasting three cases of elementary classroom teaching, this study discusses what kinds of scientific knowledge and practice are fundamental for teaching elementary science for scientific understanding. The data include structured interviews (content, pre- and post- observation, and stimulated recall), videotaped classroom observations, and collections of teachers' and students' written artifacts. Data were collected prior to, during, and after the three teachers taught condensation to fifth grade students. The data were analyzed in three contexts: interviews, teaching practices, and students' classroom activities. This made it possible to clarify which characteristics of teacher's scientific knowledge influenced which aspects of their teaching practice. Data analysis shows that teachers' scientific knowledge were closely associated with their teaching practice and students' classroom activities. Two characteristics of the teachers' scientific reasoning emerged as especially important. The first concerned how teachers connected observations of condensation with patterns in those observations (e.g., condensation occurs when warm moist air cools) and with explanations for those patterns (e.g., condensation is water vapor that changes to liquid water). Two teachers were careful to connect observations with patterns in their own thinking and in their classroom teaching. One of those teachers also connected the observations and patterns to scientific explanations. In contrast, the third teacher focused on listing scientific terms with little elaboration with specific observations and

  1. Validation of MODIS and SEVIRI Active Fire Monitoring products over Western Romania. Case study: Arad County

    NASA Astrophysics Data System (ADS)

    Oanea, Lavinia; Alina Ristea, Mihaela

    2014-05-01

    At the national level, the issue of wildfire monitoring represents a long debated topic. However, in the present situation, fire management requires various improvements in terms of detection, monitoring and post-fire analysis. The objectives of this study are to validate the data provided by MODIS (Terra and Aqua) Active Fire Monitoring and SEVIRI (MSG) FIR (Active Fire Monitoring) satellite products, with wildfires field data from The Romanian General Inspectorate for Emergency Situations (IGSU) (1), to chart the efficiency of satellite products in locating fires and study their strengths and weaknesses using a SWOT analysis (2). This is the initial step of a larger project that aims to implement an online Geographic Information System for fire management that will ease wildfire data manipulation and facilitate the decision making process. In order to do so, the current study objectives must be achieved. Our general strategy is to determine the consistency of direct (field measurements) and indirect (satellite data) observations. Depending on the amount of field information, the fire characteristics (location, frequency, extension area, moment of occurrence, type of fire, and others) will be studied through a statistical analysis. The products show some peculiar restrictiveness like spatial and temporal resolution. Specifically, we will process and interpret satellite products to identify wildfires according to the data from IGSU using specialized software. The case study for the application of these procedures is a set of fire events from Arad county - Romania, that occurred between 2007 and 2013. In order to do so, it is important to compare results from different sensors with field information through various methods and to use only consistent results. The results will play an important role in achieving the above mentioned informational system, which will integrate field information, satellite data and values of parameters that influence the evolution of

  2. Analysis of Satellite Retreived Active-Passive Merged Soil Moisture Distribution: A Case Study Over India.

    NASA Astrophysics Data System (ADS)

    Chakravorty, A.; Chahar, B. R.; Sharma, O. P.; Dhanya, C. T.

    2014-12-01

    Soil moisture is the source of water for evapotranspiration over the continents and it participates in both energy and water balance of the earth. Soil moisture participates in the energy cycle by managing the partitioning of the energy budget into latent and sensible heat, there by influencing the hydrological cycle. But to better understand the influence of soil moisture on the hydrological cycle, large scale monitoring is required. The objective of this study is to qualitatively analyze the active-passive merged soil moisture distribution, prepared under the ESA_CCI programme, against two AMSR-E soil moisture distributions, AMSR-E/NSIDC (National Snow and Ice Data Center) and AMSR-E/VUA(Virje Universiet Amstradam) and GLDAS_NOAH model simulations. The ESA_CCI soil moisture distribution is also compared with the GPCC monthly precipitation distribution to observe the representativeness of the precipitation seasonality in the satellite retrieved soil moisture. India has been selected as the study area, esp. the Central Indian region, as it has shown to be a soil moisture hot-spot for land-surface atmosphere interaction. The preliminary study show that both ESA_CCI and AMSR-E/VUA soil moisture distributions capture similar seasonal patterns in addition to processes like rainfall events and inter-annual variations. In addition to this it was also observed that the soil moisture distribution of ESA_CCI and AMSR-E/VUA are linearly related to each other for more than 50% of the land points. In case of ESA_CCI and AMSR-E/NSIDC, the soil moisture distributions are able to capture similar seasonal patterns but not the random events and they also do not show a strong linear relationship. We also analyze the effect of topography and vegetation distribution on the error charactristics of the satellite retrieved soil moisture distributions.

  3. A Case Study Analysis of a Constructionist Knowledge Building Community with Activity Theory

    ERIC Educational Resources Information Center

    Ang, Chee S.; Zaphiris, Panayiotis; Wilson, Stephanie

    2011-01-01

    This article investigates how activity theory can help research a constructionist community. We present a constructionist activity model called CONstructionism Through ACtivity Theory (CONTACT) model and explain how it can be used to analyse the constructionist activity in knowledge building communities. We then illustrate the model through its…

  4. Relapsing macrophage activating syndrome in a 15-year-old girl with Still's disease: a case report

    PubMed Central

    2009-01-01

    Introduction Macrophage activating syndrome is a severe, potentially life-threatening condition that may accompany Still's disease. It is characterized by fever, hepatosplenomegaly, lymphadenopathy, severe cytopenia, serious liver dysfunction, coagulopathy and neurologic involvement. The principal treatment for patients with this syndrome includes etoposide 150 mg/2 M twice a week for two weeks, dexamethasone 10 mg/2 M for two weeks and cyclosporine 3 mg/kg to 5 mg/kg for a longer period. Cases of relapse of macrophage activating syndrome are relatively rare. Case presentation We describe the case of a 15-year-old Iraqi girl with Still's disease who developed macrophage activating syndrome with acute respiratory distress syndrome that required resuscitation and mechanical ventilation. Following intensive treatment, including high dose steroids and cyclosporine, the patient improved significantly. Two weeks after cyclosporine was discontinued, however, she was readmitted with an acute relapse of macrophage activating syndrome manifested by spiking fever, arthralgias, maculopapular rash and leukocytosis. This time the patient recovered following the reintroduction of treatment with cyclosporine and the addition of mycophenolate mofetil (Cellcept). Conclusion We believe that cyclosporine is a cornerstone for the treatment of Still's disease. We recommend continuing this medication for several weeks following the patient's clinical recovery in order to prevent macrophage activating syndrome relapses. PMID:20062775

  5. The accuracy of ascertaining vital status in a historical cohort study of synthetic textiles workers using computerized record linkage to the Canadian Mortality Data Base.

    PubMed

    Goldberg, M S; Carpenter, M; Thériault, G; Fair, M

    1993-01-01

    Vital status of a cohort of 10,211 Quebec, synthetic textiles workers was ascertained through a probabilistic record linkage to the Canadian Mortality Data Base (CMDB); 5,033 of these workers were also traced using other sources. There was agreement in the vital status of all but 60 of the subjects traced jointly through the CMDB and the alternate sources. 41 subjects were declared 'deceased' from the CMDB but 'alive' from the alternate sources; it is likely that these subjects were indeed deceased. 19 subjects, declared 'deceased' with a fair degree of certainty from the alternate sources, were not identified from the computer search of the CMDB; 17 were found manually on the microfiche death records and two died outside of Canada. The probability of identifying deceased and living subjects from the CMDB was therefore estimated to be 98.2% (95% confidence interval: 97.5-98.7%) and about 100%, respectively. Estimates of cost are also presented, and it is concluded that use of the CMDB is the method of choice for tracing moderate to large cohorts.

  6. Online anonymous discussion between service users and health professionals to ascertain stakeholder concerns in using e-health services in mental health.

    PubMed

    Jones, Ray B; Ashurst, Emily J

    2013-12-01

    Implementation of e-health in mental health services requires that we are aware of stakeholders' concerns. We ascertained the views of mental health professionals and mental health service users through the (1) development of 12 topics based on the research literature, (2) presentation to 31 participants (19 mental health professionals and 12 mental health service users) and discussion in three 1-week programmes, (3) thematic analysis of transcripts, and (4) comparison with the literature to identify areas requiring attention in e-health implementation. This method of engaging mental health service users and mental health professionals was effective. We identified areas that (1) should be the first to implement (e.g. discussion forums, email, and Skype), (2) where further education and engagement are necessary before e-health methods could be used (e.g. unsupported computerised cognitive behavioural therapy, computer-patient interviewing, and patient access to online medical records), and (3) for further research (e.g. the impact of bad online experiences).

  7. Analyzing the Roles, Activities, and Skills of Learning Technologists: A Case Study from City University London

    ERIC Educational Resources Information Center

    Fox, Olivia; Sumner, Neal

    2014-01-01

    This article reports on a case study carried out at City University London into the role of learning technologists. The article examines how the role developed by providing points of comparison with a report on the career development of learning technology staff in UK universities in 2001. This case study identified that learning technologists…

  8. Teaching for Engagement: Part 1--Constructivist Principles, Case-Based Teaching, and Active Learning

    ERIC Educational Resources Information Center

    Hunter, Bill

    2015-01-01

    In the Winter, 2015, issue of the "College Quarterly," Donovan McFarlane provided some guidelines for the use of case studies in college teaching based in part on his own experience and in part on the published literature. This was not the first time that case-based teaching was the focus of work in the "College Quarterly."…

  9. Using Photographs as Case Studies to Promote Active Learning in Biology

    ERIC Educational Resources Information Center

    Krauss, David A.; Salame, Issa I.; Goodwyn, Lauren N.

    2010-01-01

    If a picture is worth a thousand words, think about how long it takes your students to read a thousand words. Case studies are effective and stimulating ways to teach a variety of subjects, including the biological sciences. In learning the details of a particular case, students develop skills in both deductive and inductive reasoning, hypothesis…

  10. Changes in muscle activation following ankle strength training in children with spastic cerebral palsy: an electromyography feasibility case report.

    PubMed

    Olsen, Jamie E; Ross, Sandy A; Foreman, Matthew H; Engsberg, Jack R

    2013-05-01

    ABSTRACT Children with cerebral palsy (CP) are likely to experience decreased participation in activities and less competence in activities of daily living. Studies of children with spastic CP have shown that strengthening programs produce positive results in strength, gait, and functional outcomes (measured by the Gross Motor Function Measure). No investigations have analyzed electromyography (EMG) activity before and after strength training to determine whether any changes occur in the GMFM.  This feasibility case report quantified dorsiflexor and plantarflexor muscle activation changes during performance of 3-5 selected GMFM items following a plantarflexor strength training in two children with cerebral palsy. Increased plantarflexor strength and increased ability to selectively activate muscles were found. Little carryover to performance on GMFM items was observed. It is feasible to use EMG during performance on selected GMFM items to evaluate motor control changes following strength training in children with CP.

  11. Combination of a Flipped Classroom Format and a Virtual Patient Case to Enhance Active Learning in a Required Therapeutics Course

    PubMed Central

    Lichvar, Alicia Beth; Hedges, Ashley; Benedict, Neal J.

    2016-01-01

    Objective. To design and evaluate the integration of a virtual patient activity in a required therapeutics course already using a flipped-classroom teaching format. Design. A narrative-branched, dynamic virtual-patient case was designed to replace the static written cases that students worked through during the class, which was dedicated to teaching the complications of liver disease. Students completed pre- and posttests before and after completing the virtual patient case. Examination scores were compared to those in the previous year. Assessment. Students’ posttest scores were higher compared to pretest scores (33% vs 50%). Overall median examination scores were higher compared to the historical control group (70% vs 80%), as well as scores on questions assessing higher-level learning (67% vs 83%). A majority of students (68%) felt the virtual patient helped them apply knowledge gained in the pre-class video lecture. Students preferred this strategy to usual in-class activities (33%) or indicated it was of equal value (37%). Conclusion. The combination of a pre-class video lecture with an in-class virtual patient case is an effective active-learning strategy. PMID:28179724

  12. Effect of Active Case Finding on Prevalence and Transmission of Pulmonary Tuberculosis in Dhaka Central Jail, Bangladesh

    PubMed Central

    Banu, Sayera; Rahman, Md. Toufiq; Uddin, Mohammad Khaja Mafij; Khatun, Razia; Khan, Md. Siddiqur Rahman; Rahman, Md. Mojibur; Uddin, Syed Iftekhar; Ahmed, Tahmeed; Heffelfinger, James D.

    2015-01-01

    Background Understanding tuberculosis (TB) transmission dynamics is essential for establishing effective TB control strategies in settings where the burden and risk of transmission are high. The objectives of this study were to evaluate the effect of active screening on controlling TB transmission and also to characterize Mycobacterium tuberculosis strains for investigating transmission dynamics in a correctional setting. Methods The study was carried out in Dhaka Central Jail (DCJ), from October 2005 to February 2010. An active case finding strategy for pulmonary TB was established both at the entry point to the prison and inside the prison. Three sputum specimens were collected from all pulmonary TB suspects and subjected to smear microscopy, culture, and drug susceptibility testing as well as genotyping which included deletion analysis, spoligotyping and analysis of mycobacterial interspersed repetitive units (MIRU). Results A total of 60,585 inmates were screened during the study period. We found 466 inmates with pulmonary TB of whom 357 (77%) had positive smear microscopy results and 109 (23%) had negative smear microscopy results but had positive results on culture. The number of pulmonary TB cases declined significantly, from 49 cases during the first quarter to 8 cases in the final quarter of the study period (p=0.001). Deletion analysis identified all isolates as M. tuberculosis and further identified 229 (70%) strains as ‘modern’ and 100 (30%) strains as ‘ancestral’. Analysis of MIRU showed that 347 strains (85%) exhibited unique patterns, whereas 61 strains (15%) clustered into 22 groups. The largest cluster comprised eight strains of the Beijing M. tuberculosis type. The rate of recent transmission was estimated to be 9.6%. Conclusions Implementation of active screening for TB was associated with a decline in TB cases in DCJ. Implementation of active screening in prison settings might substantially reduce the national burden of TB in Bangladesh

  13. How Students' Everyday Situations Modify Classroom Mathematical Activity: The Case of Water Consumption

    ERIC Educational Resources Information Center

    Tomaz, Vanessa Sena; David, Maria Manuela

    2015-01-01

    Our aim is to discuss how school mathematical activity is modified when students' everyday situations are brought into the classroom. One illustrative sequence--7th grade classes solving problems that required proportional reasoning--is characterized as a system of interconnected activities within the theoretical perspective of activity theory. We…

  14. Active non-participation among local natural resource-dependent communities: the case of North Carolina fisheries governance.

    PubMed

    May, Candace K

    2012-12-30

    The great emphasis placed on the democratic participation of local user groups as necessary for sustainable natural resource and environmental governance by scholars, advocates, and practitioners of collaborative natural resource management demands a greater focus on who is and who is not participating in governance processes, why, and the potential consequences. This project examines a case where commercial fishers in North Carolina practice active non-participation regarding the governance of sea turtles, spotted seatrout and gill nets. Active non-participation is a choice to not participate in formal political activities. Data was collected through observations, interviews and document and policy review. An important finding from this study is that the active non-participation of commercial fishers is contributing to their displacement from, as well as the mismanagement of, the fisheries they depend upon for a living.

  15. Bactericidal Activity Does Not Predict Sterilizing Activity: The Case of Rifapentine in the Murine Model of Mycobacterium ulcerans Disease

    PubMed Central

    Almeida, Deepak V.; Converse, Paul J.; Li, Si-Yang; Tyagi, Sandeep; Nuermberger, Eric L.; Grosset, Jacques H.

    2013-01-01

    Background Since 2004, treatment of Mycobacterium ulcerans disease, or Buruli ulcer, has shifted from surgery to daily treatment with streptomycin (STR) + rifampin (RIF) for 8 weeks. For shortening treatment duration, we tested the potential of daily rifapentine (RPT), a long-acting rifamycin derivative, as a substitute for RIF. Methodology/Principal Findings BALB/c mice were infected with M. ulcerans in the right hind footpad and treated either daily (7/7) with STR+RIF or five days/week (5/7) with STR+RIF or STR+RPT for 4 weeks, beginning 28 days after infection when CFU counts were 4.88±0.51. The relative efficacy of the drug treatments was compared by footpad CFU counts during treatment and median time to footpad swelling after treatment cessation as measure of sterilizing activity. All drug treatments were bactericidal. After 1 week of treatment, the decline in CFU counts was significantly greater in treated mice but not different between the three treated groups. After 2 weeks of treatment, the decline in CFU was greater in mice treated with STR+RPT 5/7 than in mice treated with STR+RIF 7/7 and STR+RIF 5/7. After 3 and 4 weeks of treatment, CFU counts were nil in mice treated with STR+RPT and reduced by more than 3 and 4 logs in mice treated with STR+RIF 5/7 and STR+RIF 7/7, respectively. In sharp contrast to the bactericidal activity, the sterilizing activity was not different between all drug regimens although it was in proportion to the treatment duration. Conclusions/Significance The better bactericidal activity of daily STR+RIF and especially of STR+RPT did not translate into better prevention of relapse, possibly because relapse-freecure after treatment of Buruli ulcer is more related to the reversal of mycolactone-induced local immunodeficiency by drug treatment rather than to the bactericidal potency of drugs. PMID:23469308

  16. The case for cases B and C: intrinsic hydrogen line ratios of the broad-line region of active galactic nuclei, reddenings, and accretion disc sizes

    NASA Astrophysics Data System (ADS)

    Gaskell, C. Martin

    2017-01-01

    Low-redshift active galactic nuclei (AGNs) with extremely blue optical spectral indices are shown to have a mean, velocity-averaged, broad-line Hα/Hβ ratio of ≈2.72 ± 0.04, consistent with a Baker-Menzel Case B value. Comparison of a wide range of properties of the very bluest AGNs with those of a luminosity-matched subset of the Dong et al. blue AGN sample indicates that the only difference is the internal reddening. Ultraviolet fluxes are brighter for the bluest AGNs by an amount consistent with the flat AGN reddening curve of Gaskell et al. (2004). The lack of a significant difference in the GALEX (FUV-NUV) colour index strongly rules out a steep SMC-like reddening curve and also argues against an intrinsically harder spectrum for the bluest AGNs. For very blue AGNs the Lyα/Hβ ratio is also consistent with being the Case B value. The Case B ratios provide strong support for the self-shielded broad-line model of Gaskell, Klimek & Nazarova. It is proposed that the greatly enhanced Lyα/Hβ ratio at very high velocities is a consequence of continuum fluorescence in the Lyman lines (Case C). Reddenings of AGNs mean that the far-UV luminosity is often underestimated by up to an order of magnitude. This is a major factor causing the discrepancies between measured accretion disc sizes and the predictions of simple accretion disc theory. Dust covering fractions for most AGNs are lower than has been estimated. The total mass in lower mass supermassive black holes must be greater than hitherto estimated.

  17. Case Study of Severe Lightning Activity Prior to and During the Outbreak of the June 1st Greenbelt Tornado

    NASA Astrophysics Data System (ADS)

    Barnum, B. H.; Badesha, S.; Shishineh, A.; Adams, N. H.

    2012-12-01

    Surges in lightning activity have been known to be associated with the outbreak of tornado activity. We present a case study of a tornado that touched down near Greenbelt Maryland during the evening of June 1st 2012. Preceding the tornado touchdown, two single point lightning detection systems, a Boltek LD-250 and Vaisala SA20, recorded very high lightning activity rates. An electric field mill (EFM) was also making measurements and recorded large, rapid amplitude oscillations in the vertical electric fields. These electric field oscillations quickly subsided after the initial tornado touchdown. The lightning activity also generated significant RF interference in the S-band dish antenna operated at the Applied Physics Laboratory. It was somewhat surprising that the lightning activity produced enough radiation at these frequencies to cause measured levels of interference which could potentially impair satellite communications. Our interpretation of the EFM data is that intensive vertical forcing and rotation in the thunderstorm during the tornado formation caused the observed rapid electric field oscillations. At the same time, the vertical mixing in the storm caused a surge in lightning activity rates recorded by the Boltek and Vaisala sensors. Following the tornado touchdown, there was a rapid decrease in the lightning rates from the sensors. The EFM oscillations also abruptly ceased and went to a more normal slow-varying pattern typically observed during other thunderstorms without associated tornado activity. It is suggested that a network of field mills could provide realtime warning of imminent tornado activity.

  18. Non-verbal Full Body Emotional and Social Interaction: A Case Study on Multimedia Systems for Active Music Listening

    NASA Astrophysics Data System (ADS)

    Camurri, Antonio

    Research on HCI and multimedia systems for art and entertainment based on non-verbal, full-body, emotional and social interaction is the main topic of this paper. A short review of previous research projects in this area at our centre are presented, to introduce the main issues discussed in the paper. In particular, a case study based on novel paradigms of social active music listening is presented. Active music listening experience enables users to dynamically mould expressive performance of music and of audiovisual content. This research is partially supported by the 7FP EU-ICT Project SAME (Sound and Music for Everyone, Everyday, Everywhere, Every Way, www.sameproject.eu).

  19. Adolescent Self-Reported Physical Activity and Autonomy: A Case for Constrained and Structured Environments?

    PubMed

    Rachele, Jerome N; Jaakkola, Timo; Washington, Tracy L; Cuddihy, Thomas F; McPhail, Steven M

    2015-09-01

    The provision of autonomy supportive environments that promote physical activity engagement have become popular in contemporary youth settings. However, questions remain about whether adolescent perceptions of their autonomy have implications for physical activity. The purpose of this investigation was to examine the association between adolescents' self-reported physical activity and their perceived autonomy. Participants (n = 384 adolescents) aged between 12 and 15 years were recruited from six secondary schools in metropolitan Brisbane, Australia. Self-reported measures of physical activity and autonomy were obtained. Logistic regression with inverse probability weights were used to examine the association between autonomy and the odds of meeting youth physical activity guidelines. Autonomy (OR 0.61, 95% CI 0.49-0.76) and gender (OR 0.62, 95% CI 0.46-0.83) were negatively associated with meeting physical activity guidelines. However, the model explained only a small amount of the variation in whether youth in this sample met physical activity guidelines (R(2) = 0.023). For every 1 unit decrease in autonomy (on an index from 1 to 5), participants were 1.64 times more likely to meet physical activity guidelines. The findings, which are at odds with several previous studies, suggest that interventions designed to facilitate youth physical activity should limit opportunities for youth to make independent decisions about their engagement. However, the small amount of variation explained by the predictors in the model is a caveat, and should be considered prior to applying such suggestions in practical settings. Future research should continue to examine a larger age range, longitudinal observational or intervention studies to examine assertions of causality, as well as objective measurement of physical activity. Key pointsAutonomy was negatively associated with meeting physical activity recommendationsThe findings suggest that more structured environments would

  20. Meeting the Challenges of Active Learning in Web-Based Case Studies for Sustainable Development

    ERIC Educational Resources Information Center

    Hutchings, Maggie; Hadfield, Mark; Howarth, George; Lewarne, Steven

    2007-01-01

    Teaching staff, designing conventional courses in higher education, must make decisions about selecting content and activities to engage students in learning. When the Internet is chosen as the principal delivery vehicle it presents particular challenges for the design of active learning. Further challenges are added when working with a complex,…

  1. Sustaining Comprehensive Physical Activity Practice in Elementary School: A Case Study Applying Mixed Methods

    ERIC Educational Resources Information Center

    Tjomsland, Hege Eikland

    2010-01-01

    This study examines an elementary school which during enrollment in the European Network of Health Promoting Schools, 1993-2003, and the Norwegian Physical Activity and Healthy Meals Project, 2004-2006, selected physical activity (PA) as a prioritized area. Survey data, school documents, and focus group data were collected and analyzed through a…

  2. Capacity Building as a Tool for Assessing Training and Development Activity: An Indian Case Study

    ERIC Educational Resources Information Center

    Krishnaveni, R.; Sripirabaa, B.

    2008-01-01

    In recognition of its increasing importance, many organizations make periodic assessments of their training and development activity. The objective of the present study was to extend the concept of capacity building to the assessment of training and development activity in an automobile component manufacturing organization, using a developed and…

  3. Exploring Students' Emotional Responses and Participation in an Online Peer Assessment Activity: A Case Study

    ERIC Educational Resources Information Center

    Cheng, Kun-Hung; Hou, Huei-Tse; Wu, Sheng-Yi

    2014-01-01

    In the social interactions among individuals of learning communities, including those individuals engaged in peer assessment activities, emotion may be a key factor in learning. However, research regarding the emotional response of learners in online peer assessment activities is relatively scarce. Detecting learners' emotion when they make…

  4. Policies Related to Active Transport to and from School: A Multisite Case Study

    ERIC Educational Resources Information Center

    Eyler, Amy A.; Brownson, Ross C.; Doescher, Mark P.; Evenson, Kelly R.; Fesperman, Carrie E.; Litt, Jill S.; Pluto, Delores; Steinman, Lesley E.; Terpstra, Jennifer L.; Troped, Philip J.; Schmid, Thomas L.

    2008-01-01

    Active transportation to and from school (ATS) is a viable strategy to help increase physical activity among youth. ATS can be challenging because initiatives require transdisciplinary collaboration, are influenced by the built environment and are affected by numerous policies. The purpose of this study is to identify policies and factors that…

  5. Assessment of Activity Priorities and Design Preferences of Elderly Residents in Public Housing: A Case Study.

    ERIC Educational Resources Information Center

    Nasar, Jack L.; Farokhpay, Mitra

    1985-01-01

    Presents a technique for assessing elderly residents' priorities and desired environmental characteristics for in-unit activities. Considered three components in design priority for activities: time spent, unit adequacy, and importance. Residents' high priority activites were sleeping, watching television, preparing food, resting, and eating. (NRB)

  6. Decision-Making Styles of Active-Duty Police Officers: A Multiple-Case Occupational Study

    ERIC Educational Resources Information Center

    Calhoun, Patrick Wayne

    2013-01-01

    Little is known about the decision-making styles of active-duty police officers or what the consequences of not understanding those decision-making styles may be. The purpose of the study was to describe the demographics and decision-making profiles of active-duty police officers, as well as any relationships that may exist among these variables,…

  7. Perception of Physical Activity Participation of Chinese Female Graduate Students: A Case Study

    ERIC Educational Resources Information Center

    Yan, Zi; Cardinal, Bradley J.

    2013-01-01

    Purpose: Chinese female international students (CFIS) have been identified as one of the least physically active groups in the United States. In an effort to better understand this situation, this study's purpose was to examine CFIS in American higher education in terms of the meaning they assigned to physical activity and facilitators and…

  8. Using the Internet for Communicative Learning Activities in Kindergarten: The Case of the "Shapes Planet"

    ERIC Educational Resources Information Center

    Fesakis, Georgios; Sofroniou, Christina; Mavroudi, Elisavet

    2011-01-01

    With the widespread use of the internet, more and more children get acquainted with its various uses at a young age while an increasing number of teachers are designing learning activities that utilize various internet services. Toward this direction, teachers need practical examples of pedagogically verified learning activities. This paper…

  9. Implementing Comprehensive School Physical Activity Programs: A Wayne State University Case Study

    ERIC Educational Resources Information Center

    Centeio, Erin E.; McCaughtry, Nate

    2017-01-01

    Comprehensive school physical activity programs (CSPAPs) have been highlighted by numerous public health and education agencies for their potential to improve the health and academic achievement of American youth. A CSPAP integrates physical activity throughout the school environment before, during and after school by engaging educators, children,…

  10. How Was the Activity? A Visualization Support for a Case of Location-Based Learning Design

    ERIC Educational Resources Information Center

    Melero, Javier; Hernández-Leo, Davinia; Sun, Jing; Santos, Patricia; Blat, Josep

    2015-01-01

    Over the last few years, the use of mobile technologies has brought the formulation of location-based learning approaches shaping new or enhanced educational activities. Involving teachers in the design of these activities is important because the designs need to be aligned with the requirements of the specific educational settings. Yet analysing…

  11. Why Is Active Learning so Difficult to Implement: The Turkish Case

    ERIC Educational Resources Information Center

    Aksit, Fisun; Niemi, Hannele; Nevgi, Anne

    2016-01-01

    This article aims to report how teacher education may promote active learning which is demanded by the current educational reform of Turkish teacher education (TE). This article also examines the effectiveness of the recent reforms in Turkey from a student's perspective, and provides an understanding of the concept of active learning, how it is…

  12. High activity of indoleamine 2,3 dioxygenase enzyme predicts disease severity and case fatality in bacteremic patients.

    PubMed

    Huttunen, Reetta; Syrjänen, Jaana; Aittoniemi, Janne; Oja, Simo S; Raitala, Annika; Laine, Janne; Pertovaara, Marja; Vuento, Risto; Huhtala, Heini; Hurme, Mikko

    2010-02-01

    Indoleamine 2,3-dioxygenase (IDO), which is the rate-limiting enzyme for tryptophan (trp) catabolism, may play a critical role in various inflammatory disorders. Recent studies on trauma patients have suggested that the degradation of trp is associated with the development of sepsis. The role of IDO activity in bacteremic patients is unclear. We studied IDO activity in 132 patients with bacteremia caused by Staphylococcus aureus, Streptococcus pneumoniae, beta-hemolytic streptococcae, or Eschericia coli. The serum concentrations of trp and its metabolite kynurenine (kyn) were measured by reverse-phase high-performance liquid chromatography 1 to 4 days after the positive blood culture and on recovery. The kyn-to-trp ratio (kyn/trp), reflecting the activity of the IDO enzyme, was calculated. The maximum value in the ratio for every patient during 1 to 4 days after positive blood culture was used in analysis. The maximum kyn/trp ratio was significantly higher in nonsurvivors versus those who survived (193.7 vs. 82.4 micromol/mmol; P = 0.001). The AUC(ROC) of maximal kyn/trp in the prediction of case fatality was 0.75 (95% confidence interval, 0.64-0.87), and the kyn/trp ratio at a cutoff level of 120 micromol/mmol showed 83% sensitivity and 69% specificity for fatal disease. A kyn/trp ratio greater than 120 micromol/mmol was associated with increased risk of death versus low (activity also remained an independent risk factor for case fatality in a multivariate model adjusted for potential confounders. The data in this report demonstrate that IDO activity is markedly increased in bacteremia patients, constituting an independent predictor of severe disease and case fatality.

  13. Air pollution/working activity correlation: a case study in a dental hospital.

    PubMed

    Santarsiero, Anna; Fuselli, Sergio; Morlino, Roberta; Minniti, Gianluca; De Felice, Marco; Ortolani, Emanuela

    2011-02-01

    The paper deals with a multidimensional approach demonstrating a direct link between the entity of ongoing dentistry activity (number and kind of interventions) and specific pollution components. Simultaneously indoor/outdoor air concentrations of a set of volatile organic compounds (VOCs) and activity variables, describing the amount and nature of ongoing dentistry activities, were monitored over a year at a dental hospital located in an urban area. Principal Component Analysis (PCA) was used to single out mutually orthogonal pollution components which were then correlated to "pathology" factors arising from the analysis of dentistry activity indexes. The use of a multidimensional perspective allowed us to obtain a statistically significant model of the link between level of pollution and dentistry activity. In particular, the correlation approach linking pollution results to pathological variables allows us to establish a causative link even in the presence of sub-threshold concentrations of pollutants.

  14. Older Workers in the 21st Century: Active and Educated, a Case Study.

    ERIC Educational Resources Information Center

    Besl, John R.; Kale, Balkrishna D.

    1996-01-01

    A case study of the Wisconsin labor market suggests that in future older adults will have higher educational attainment and labor force participation rates than today's older cohorts. Changes in retirement programs and greater growth in white-collar occupations and women's employment are some of the causal factors. (SK)

  15. NITRIFICATION AND ARSENIC REMOVAL IN BIOLOGICALLY ACTIVE FILTERS: A CASE STUDY

    EPA Science Inventory

    Ammonia in source waters can cause water treatment and distribution system problems, many of which are associated with biological nitrification. Therefore, in some cases, the removal of ammonia from water is desirable. Biological oxidation of ammonia to nitrate and nitrate (nitr...

  16. Unpacking Teacher-Researcher Collaboration with Three Theoretical Frameworks: A Case of Expansive Learning Activity?

    ERIC Educational Resources Information Center

    Gade, Sharada

    2015-01-01

    Long association with a mathematics teacher at a Grade 4-6 school in Sweden, is basis for reporting a case of teacher-researcher collaboration. Three theoretical frameworks used to study its development over time are relational knowing, relational agency and cogenerative dialogue. While relational knowing uses narrative perspectives to explore the…

  17. NITRIFICATION AND IRON AND ARSENIC REMOVAL IN BIOLOGICALLY ACTIVE FILTERS: A CASE STUDY

    EPA Science Inventory

    Ammonia in source waters can cause water treatment and distribution system problems, many of which are associated with biological nitrification. Therefore, in some cases, the removal of ammonia from water is desirable. Biological oxidation of ammonia to nitrate and nitrate (nitr...

  18. A Voice-Activated, Interactive Videodisc Case Study for Use in the Medical School Classroom.

    ERIC Educational Resources Information Center

    Harless, William G.; And Others

    1986-01-01

    The Technological Innovations in Medical Education (TIME) Project of the Lister Hill National Center for Biomedical Communications is exploring the use of interactive videodisc, microcomputer, and voice recognition technology to create interactive case studies of simulated patients to train second-year medical students in the introduction to…

  19. Active Travel by Built Environment and Lifecycle Stage: Case Study of Osaka Metropolitan Area.

    PubMed

    Waygood, E Owen D; Sun, Yilin; Letarte, Laurence

    2015-12-15

    Active travel can contribute to physical activity achieved over a day. Previous studies have examined active travel associated with trips in various western countries, but few studies have examined this question for the Asian context. Japan has high levels of cycling, walking and public transport, similar to The Netherlands. Most studies have focused either on children or on adults separately, however, having children in a household will change the travel needs and wants of that household. Thus, here a household lifecycle stage approach is applied. Further, unlike many previous studies, the active travel related to public transport is included. Lastly, further to examining whether the built environment has an influence on the accumulation of active travel minutes, a binary logistic regression examines the built environment's influence on the World Health Organization's recommendations of physical activity. The findings suggest that there is a clear distinction between the urbanized centers and the surrounding towns and unurbanized areas. Further, active travel related to public transport trips is larger than pure walking trips. Females and children are more likely to achieve the WHO recommendations. Finally, car ownership is a strong negative influence.

  20. Active Travel by Built Environment and Lifecycle Stage: Case Study of Osaka Metropolitan Area

    PubMed Central

    Waygood, E. Owen D.; Sun, Yilin; Letarte, Laurence

    2015-01-01

    Active travel can contribute to physical activity achieved over a day. Previous studies have examined active travel associated with trips in various western countries, but few studies have examined this question for the Asian context. Japan has high levels of cycling, walking and public transport, similar to The Netherlands. Most studies have focused either on children or on adults separately, however, having children in a household will change the travel needs and wants of that household. Thus, here a household lifecycle stage approach is applied. Further, unlike many previous studies, the active travel related to public transport is included. Lastly, further to examining whether the built environment has an influence on the accumulation of active travel minutes, a binary logistic regression examines the built environment’s influence on the World Health Organization’s recommendations of physical activity. The findings suggest that there is a clear distinction between the urbanized centers and the surrounding towns and unurbanized areas. Further, active travel related to public transport trips is larger than pure walking trips. Females and children are more likely to achieve the WHO recommendations. Finally, car ownership is a strong negative influence. PMID:26694429

  1. Non-Target Activity Detection by Post-Radioembolization Yttrium-90 PET/CT: Image Assessment Technique and Case Examples

    PubMed Central

    Kao, Yung Hsiang; Tan, Andrew E. H.; Lo, Richard H. G.; Tay, Kiang Hiong; Tan, Bien Soo; Chow, Pierce K. H.; Ng, David C. E.; Goh, Anthony S. W.

    2013-01-01

    High resolution yttrium-90 (90Y) imaging of post-radioembolization microsphere biodistribution may be achieved by conventional positron emission tomography with integrated computed tomography (PET/CT) scanners that have time-of-flight capability. However, reconstructed 90Y PET/CT images have high background noise, making non-target activity detection technically challenging. This educational article describes our image assessment technique for non-target activity detection by 90Y PET/CT, which qualitatively overcomes the problem of background noise. We present selected case examples of non-target activity in untargeted liver, stomach, gallbladder, chest wall, and kidney, supported by angiography and 90Y bremsstrahlung single-photon emission computed tomography with integrated computed tomography (SPECT/CT) or technetium-99m macroaggregated albumin SPECT/CT. PMID:24551594

  2. A case study in treating chronic comorbid obsessive-compulsive disorder and depression with behavioral activation and pharmacotherapy.

    PubMed

    Arco, Lucius

    2015-06-01

    Obsessive-compulsive disorder (OCD) is difficult to treat, and more so when comorbid with major depressive disorder (MDD). The aim of the present case study was to examine effects of behavioral activation (BA) and pharmacotherapy with an adult with chronic comorbid OCD and MDD. BA aimed at increasing approach behaviors in life activities and decreasing avoidant and inactive behaviors. After 21 months of treatment at a community mental health clinic, OCD and MDD symptoms, including compulsive checking behaviors, were no longer at clinical levels. Symptom alleviation and psychological health improved in line with increases in activities of living such as self-care, domestic, social, and studying, and decreases in medications from a regimen of mood stabilizers and anxiolytics to a sole antidepressant. The participant was satisfied with treatment procedures and outcome. The results add to growing evidence of effective BA treatments for comorbid disorders that include depression.

  3. Automatically-Activated Attitudes as Mechanisms for Message Effects: The Case of Alcohol Advertisements.

    PubMed

    Goodall, Catherine E; Slater, Michael D

    2010-10-01

    Alcohol advertisements may influence impulsive, risky behaviors indirectly, via automatically-activated attitudes toward alcohol. Results from an experiment in which participants were exposed to either four alcohol advertisements, four control advertisements, or four drunk driving public service advertisements, suggested that alcohol advertisements had more measurable effects on implicit, than on explicit attitude measures. Moreover, there were significant indirect paths from alcohol advertisement exposure through automatically-activated alcohol attitudes on willingness to engage in risky alcohol-related behaviors, notably drinking and driving. A mechanism that may explain how these advertisements activate automatic, non-deliberative alcohol attitudes was investigated. Associative evidence was found supportive of an evaluative conditioning mechanism, in which positive responses to an alcohol advertisement may lead to more positive automatically-activated attitudes toward alcohol itself.

  4. Automatically-Activated Attitudes as Mechanisms for Message Effects: The Case of Alcohol Advertisements

    PubMed Central

    Goodall, Catherine E.; Slater, Michael D.

    2010-01-01

    Alcohol advertisements may influence impulsive, risky behaviors indirectly, via automatically-activated attitudes toward alcohol. Results from an experiment in which participants were exposed to either four alcohol advertisements, four control advertisements, or four drunk driving public service advertisements, suggested that alcohol advertisements had more measurable effects on implicit, than on explicit attitude measures. Moreover, there were significant indirect paths from alcohol advertisement exposure through automatically-activated alcohol attitudes on willingness to engage in risky alcohol-related behaviors, notably drinking and driving. A mechanism that may explain how these advertisements activate automatic, non-deliberative alcohol attitudes was investigated. Associative evidence was found supportive of an evaluative conditioning mechanism, in which positive responses to an alcohol advertisement may lead to more positive automatically-activated attitudes toward alcohol itself. PMID:21258609

  5. Systematic Review and Meta-Analysis of Randomised Trials to Ascertain Fatal Gastrointestinal Bleeding Events Attributable to Preventive Low-Dose Aspirin: No Evidence of Increased Risk

    PubMed Central

    Dolwani, Sunil; Graziano, J. Michael; Lanas, Angel; Longley, Marcus; Phillips, Ceri J.; Roberts, Stephen E.; Soon, Swee S.; Steward, Will

    2016-01-01

    Background Aspirin has been shown to lower the incidence and the mortality of vascular disease and cancer but its wider adoption appears to be seriously impeded by concerns about gastrointestinal (GI) bleeding. Unlike heart attacks, stroke and cancer, GI bleeding is an acute event, usually followed by complete recovery. We propose therefore that a more appropriate evaluation of the risk-benefit balance would be based on fatal adverse events, rather than on the incidence of bleeding. We therefore present a literature search and meta-analysis to ascertain fatal events attributable to low-dose aspirin. Methods In a systematic literature review we identified reports of randomised controlled trials of aspirin in which both total GI bleeding events and bleeds that led to death had been reported. Principal investigators of studies in which fatal events had not been adequately described were contacted via email and asked for further details. A meta-analyses was then performed to estimate the risk of fatal gastrointestinal bleeding attributable to low-dose aspirin. Results Eleven randomised trials were identified in the literature search. In these the relative risk (RR) of ‘major’ incident GI bleeding in subjects who had been randomised to low-dose aspirin was 1.55 (95% CI 1.33, 1.83), and the risk of a bleed attributable to aspirin being fatal was 0.45 (95% CI 0.25, 0.80). In all the subjects randomised to aspirin, compared with those randomised not to receive aspirin, there was no significant increase in the risk of a fatal bleed (RR 0.77; 95% CI 0.41, 1.43). Conclusions The majority of the adverse events caused by aspirin are GI bleeds, and there appears to be no valid evidence that the overall frequency of fatal GI bleeds is increased by aspirin. The substantive risk for prophylactic aspirin is therefore cerebral haemorrhage which can be fatal or severely disabling, with an estimated risk of one death and one disabling stroke for every 1,000 people taking aspirin

  6. Feedback Control of Combustion Instabilities: A Case Study in Active Adaptive Control of Complex Physical Systems

    DTIC Science & Technology

    1989-09-30

    Research & Development Center The technical objectives of the program are: * Study active control of combustion instability in a laboratory scale ...Center The most significant accomplishments for this year are as follows: 1. Modified an existing laboratory scale premixed gas combustor to obtain...program are: " Study active control of combustion instability in a laboratory scale combustor based on fuel flow modulation or an alternative practical

  7. Yield of intensified tuberculosis case-finding activities using Xpert® MTB/RIF among risk groups in Nepal

    PubMed Central

    Baral, S.; Shrestha, P.; Puri, M.; Kandel, S.; Lamichanne, B.; Elsey, H.; Brouwer, M.; Goel, S.; Chinnakali, P.

    2016-01-01

    Setting: Twenty-two districts of Nepal, where intensified case-finding (ICF) activities for tuberculosis (TB) were implemented among risk groups under the TB REACH initiative in collaboration with the National TB Programme from July 2013 to November 2015. Objectives: To assess the yield of TB screening using an algorithm with smear microscopy followed by Xpert® MTB/RIF. Design: A descriptive study using routinely collected data. Results: Of 145 679 individuals screened, 28 574 (19.6%) had presumptive TB; 1239 (4.3%) of these were diagnosed with TB and 1195 (96%) were initiated on anti-tuberculosis treatment. The yield of screening was highest among people living with the human immunodeficiency virus (PLHIV) (6.1%), followed by household contacts (3.5%) and urban slum dwellers (0.5%). Among other risk groups, such as prisoners, factory workers, refugees and individuals with diabetes, the yield was less than 0.5%. The number needed to screen to diagnose an active TB case was 17 for PLHIV, 29 for household contacts and 197 for urban slum dwellers. Of 11 525 patients from ICF and the routine programme, 112 (1%) were diagnosed with multidrug-resistant TB. Conclusion: There was a substantial yield of TB cases among risk groups such as PLHIV and household contacts. Although the yield in urban slum dwellers was found to be moderate, some intervention should nonetheless be targeted because of the large population and poor access to care in this group. PMID:27358808

  8. An Experimental Comparison of Two Different Technetium Source Activities Which Can Imitate Thyroid Scintigraphy in Case of Thyroid Toxic Nodule

    PubMed Central

    Miftari, Ramë; Fejza, Ferki; Bicaj, Xhavit; Nura, Adem; Topciu, Valdete; Bajrami, Ismet

    2014-01-01

    Purpose: In cases of thyroid toxic autonomous nodule, anterior projection of Tc-99m pertechnetate image shows a hot nodule that occupies most, or the entire thyroid lobe with near-total or total suppression of the contra lateral lobe. In this case is very difficult to distinguish toxic nodule from lobe agenesis. Our interest was to estimate and determinate the rate of radioactivity when the source with high activity can make total suppression of the second source with low activity in same conditions with thyroid scintigraphy procedures. Material and methodology: Thyroid scintigraphy was performed with Technetium 99 meta stable pertechnetate. A parallel high resolution low energy collimator was used as an energy setting of 140 KeV photo peak for T-99m. Images are acquired at 200 Kilo Counts in the anterior projection with the collimator positioned as close as the patient’s extended neck (approximately in distance of 18 cm). The scintigraphy of thyroid gland was performed 15 minutes after intravenous administration of 1.5 mCi Tc-99m pertechnetate. Technetium 99 meta stable radioactive sources with different activity were used for two scintigraphies studies, performed in same thyroid scintigraphy acquisition procedures. In the first study, were compared the standard source with high activity A=11.2 mCi with sources with variable activities B=1.33 mCi; 1.03 mCi; 0.7 mCi; 0.36 mCi; and 0.16mCi) in distance of 1.5cm from each other sources, which is approximately same with distance between two thyroid lobes. In the second study were compared the sources with low activity in proportion 70:1(source A = 1.5 mCi and source B=0.021mCi). As clinical studies we preferred two different patents with different thyroid disorders. There were one patient with thyroid toxic nodule in the right lobe, therefore the second patient was with left thyroid nodule agenesis. Results: During our examination, we accurately determined that two radioactive sources in proportion 70:1 will be

  9. Identifying induced seismicity in active tectonic regions: A case study of the San Joaquin Basin, California

    NASA Astrophysics Data System (ADS)

    Aminzadeh, F.; Göbel, T.

    2013-12-01

    Understanding the connection between petroleum-industry activities, and seismic event occurrences is essential to monitor, quantify, and mitigate seismic risk. While many studies identified anthropogenically-induced seismicity in intraplate regions where background seismicity rates are generally low, little is known about how to distinguish naturally occurring from induced seismicity in active tectonic regions. Further, it is not clear how different oil and gas operational parameters impact the frequency and magnitude of the induced seismic events. Here, we examine variations in frequency-size and spatial distributions of seismicity within the Southern Joaquin basin, an area of both active petroleum production and active fault systems. We analyze a newly available, high-quality, relocated earthquake catalog (Hauksson et al. 2012). This catalog includes many seismic events with magnitudes up to M = 4.5 within the study area. We start by analyzing the overall quality and consistence of the seismic catalog, focusing on temporal variations in seismicity rates and catalog completeness which could indicate variations in network sensitivity. This catalog provides relatively homogeneous earthquake recordings after 1981, enabling us to compare seismicity rates before and after the beginning of more pervasive petroleum-industry activities, for example, hydraulic-fracturing and waste-water disposals. We conduct a limited study of waste-water disposal wells to establish a correlation between seismicity statistics (i.e. rate changes, fractal dimension, b-value) within specific regions and anthropogenic influences. We then perform a regional study, to investigate spatial variations in seismicity statistics which are then correlated to oil field locations and well densities. In order to distinguish, predominantly natural seismicity from induced seismicity, we perform a spatial mapping of b-values and fractal dimensions of earthquake hypocenters. Seismic events in the proximity to

  10. Working memory and lexical ambiguity resolution as revealed by ERPs: a difficult case for activation theories.

    PubMed

    Gunter, Thomas C; Wagner, Susanne; Friederici, Angela D

    2003-07-01

    This series of three event-related potential experiments explored the issue of whether the underlying mechanism of working memory (WM) supporting language processing is inhibitory or activational in nature. These different cognitive mechanisms have been proposed to explain the more efficient processing of subjects with a high WM span compared to those with a low WM span. Participants with high and low WM span were presented with sentences containing a homonym followed three words later by a nominal disambiguation cue and a final disambiguation using a verb. At the position of the disambiguation cue, inhibitory or activational WM mechanisms predict contrasting results. When activation is the underlying mechanism for efficient processing, the prediction is that high memory span persons activate both meanings of the homonym equally in WM, whereas low memory span persons only have one meaning present. When inhibition is the underlying mechanism, the predictions are the reverse. The ERP data, in particular, the variations of the meaning related N400 component, showed clear evidence for inhibition as the underlying cognitive mechanism in high-span readers. For low-span participants the cueing towards the dominant or the subordinate meaning elicited an equivalently large N400 component suggesting that both meanings are active in WM. In high-span subjects, the dominant disambiguation cue elicited a smaller N400 than the subordinate one, indicating that for these subjects particularly the dominant meaning is active. The experiments showed that inhibitory processes are probably underlying WM used during language comprehension in high-span subjects. Moreover, they demonstrate that these subjects can use their inhibition in a more flexible manner than low-span subjects. The effects that these processing differences have on the efficiency of language parsing are discussed.

  11. Recognition and treatment of concurrent active and neurodegenerative langerhans cell histiocytosis: a case report.

    PubMed

    Ehrhardt, Matthew J; Karst, Jeffrey; Donohoue, Patricia A; Maheshwari, Mohit; McClain, Kenneth L; Bingen, Kristin; Kelly, Michael E

    2015-01-01

    Langerhans cell histiocytosis (LCH) is a disorder of dendritic cell proliferation with subsequent tissue damage often requiring chemotherapy. Neurodegenerative LCH presents with neuromuscular, cognitive, and behavioral alterations typically occurring years after diagnosis of active LCH. We present a male child with a 4-year history of growth arrest, polyuria, polydipsia, recurrent otitis media, and seborrheic dermatitis. Cutaneous biopsies confirmed LCH and chemotherapy was initiated. During treatment for active LCH he developed neuropsychiatric decline. White matter changes on brain MRI were consistent with neurodegenerative LCH. Treatment was changed to cytarabine and intravenous immunoglobulin. After 1 year of therapy the patient experienced neuropsychological improvement.

  12. Correlation of disease activity and serum level of carcinoembryonic antigen in acquired idiopathic generalized anhidrosis: A case report.

    PubMed

    Honma, Masaru; Iinuma, Shin; Kanno, Kyoko; Komatsu, Shigetsuna; Minami-Hori, Masako; Ishida-Yamamoto, Akemi

    2015-09-01

    Hypohidrosis and anhidrosis are congenital or acquired conditions which are characterized by inadequate sweating. Acquired idiopathic generalized hypohidrosis/anhidrosis (AIGA) includes idiopathic pure sudomotor failure (IPSF), which has the following distinct features: sudden onset in youth, increased serum immunoglobulin E and responds favorably to systemic corticosteroid. No clinical markers reflecting the disease severity or activity have been established. Here, we report a case of AIGA in a Japanese patient successfully treated with repeated methylprednisolone pulse therapy. In this case, serum carcinoembryonic antigen (CEA) levels increased up to 19.8 ng/mL along with aberrant CEA immunoreactivity of eccrine sweat glands. Interestingly, the serum CEA level normalized as sweating improved with repeated methylprednisolone pulse therapy. Therefore, serum CEA level may serve as a useful clinical marker of hypohidrosis or anhidrosis.

  13. Occupational and Environmental Health Risks Associated with Informal Sector Activities-Selected Case Studies from West Africa.

    PubMed

    Basu, Niladri; Ayelo, Paul Ahoumènou; Djogbénou, Luc S; Kedoté, Marius; Lawin, Herve; Tohon, Honesty; Oloruntoba, Elizabeth O; Adebisi, Nurudeen A; Cazabon, Danielle; Fobil, Julius; Robins, Thomas; Fayomi, Benjamin

    2016-08-01

    Most in the Economic Community of West African States region are employed in the informal sector. While the informal sector plays a significant role in the region's economy, policymakers and the scientific community have long neglected it. To better understand informal-sector work conditions, the goal here is to bring together researchers to exchange findings and catalyze dialogue. The article showcases research studies on several economic systems, namely agriculture, resource extraction, transportation, and trade/commerce. Site-specific cases are provided concerning occupational health risks within artisanal and small-scale gold mining, aggregate mining, gasoline trade, farming and pesticide applications, and electronic waste recycling. These cases emphasize the vastness of the informal sector and that the majority of work activities across the region remain poorly documented, and thus no data or knowledge is available to help improve conditions and formulate policies and programs to promote and ensure decent work conditions.

  14. A voice-activated, interactive videodisc case study for use in the medical school classroom.

    PubMed

    Harless, W G; Zier, M A; Duncan, R C

    1986-11-01

    The instructional technology of voice recognition, interactive videodisc, and microcomputer offers new opportunities in medical education. The TIME Project is using this technology to create engaging, believable clinical situations that promote experiential learning, discovery learning, and contextual instruction in the medical school classroom. The TIME Project will conduct a field test of three interactive case studies as part of the introduction to clinical medicine curriculum at five medical schools to determine the educational effectiveness of the prototype design and its acceptance by faculty members and students.

  15. A Case Study Objectively Assessing Female Physical Activity Levels within the National Curriculum for Physical Education

    ERIC Educational Resources Information Center

    Hobbs, Matthew; Daly-Smith, Andrew; Morley, David; McKenna, James

    2015-01-01

    The purpose of this study was to assess the impact of the National Curriculum for Physical Education (NCPE) lesson themes and contexts on the profile of moderate-to-vigorous physical activity (MVPA). Fifteen, Year 9 Physical Education (PE) lessons were assessed within the lesson themes of Outwitting Opponents (OO) (delivered through field hockey…

  16. Case study: Comparison of biological active compounds in milk from organic and conventional dairy herds

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Conflicting reports of the quantities of biologically active compounds present in milk from organic grass-fed and conventional herds show that more research is required, especially as these compounds are linked to human health benefits and can improve the health value consumers place on dairy produc...

  17. Not so monofunctional--a case of thermostable Thermobifida fusca catalase with peroxidase activity.

    PubMed

    Lončar, Nikola; Fraaije, Marco W

    2015-03-01

    Thermobifida fusca is a mesothermophilic organism known for its ability to degrade plant biomass and other organics, and it was demonstrated that it represents a rich resource of genes encoding for potent enzymes for biocatalysis. The thermostable catalase from T. fusca has been cloned and overexpressed in Escherichia coli with a yield of 400 mg/L. Heat treatment of disrupted cells at 60 °C for 1 h resulted in enzyme preparation of high purity; hence, no chromatography steps are needed for large-scale production. Except for catalyzing the dismutation of hydrogen peroxide, TfuCat was also found to catalyze oxidations of phenolic compounds. The catalase activity was comparable to other described catalases while peroxidase activity was quite remarkable with a k obs of nearly 1000 s(-1) for catechol. Site directed mutagenesis was used to alter the ratio of peroxidase/catalase activity. Resistance to inhibition by classic catalase inhibitors and an apparent melting temperature of 74 °C classifies this enzyme as a robust biocatalyst. As such, it could compete with other commercially available catalases while the relatively high peroxidase activity also offers new biocatalytic possibilities.

  18. Social Interaction and the Formation of Entrepreneurial Characteristics: A Case Study in Authentic Enterprise Activity

    ERIC Educational Resources Information Center

    Yu, Christina W. M.; Man, Thomas W. Y.

    2009-01-01

    Purpose: This paper is an empirical study which aims to investigate the development of social interaction and their impacts on developing learners' entrepreneurial characteristics throughout their participation in an authentic enterprise activity. Design/methodology/approach: The sample of this study was drawn from the participants of an…

  19. Who Will Present It during the Broadcast? A Case Study at a Daily Activity Centre

    ERIC Educational Resources Information Center

    Reichenberg, Monica

    2016-01-01

    The present study is an investigation of a daily activity centre (DA). The overall aim was to build a grounded theory that could explain why this particular DA deviated from the norms of Swedish group homes and DAs described in previous studies. These studies have suggested that the staff stuck to old routines, such as letting the participants…

  20. Descriptive Analysis of Title VII-Funded State Education Agency Activities. Volume II: Nine Case Studies.

    ERIC Educational Resources Information Center

    Nava, Hector; And Others

    Results of a national study of the use of funds provided by the 1974 amendments to Title VII of the Elementary and Secondary Education Act by the state education agencies (SEAs) are presented. The study was undertaken to (1) describe and analyze SEA policies and activities regarding bilingual education, (2) describe and analyze the SEA-level…

  1. Contextualizing Teacher Professionalism: Findings from a Cross-Case Analysis of Union Active Teachers

    ERIC Educational Resources Information Center

    Osmond-Johnson, Pamela

    2016-01-01

    This paper draws on data collected as part of a study of the discourses of teacher professionalism amongst union active teachers in the Canadian provinces of Alberta and Ontario. Interviews revealed a triad of influences on the professionalism discourses of participants: engagement in teacher associations, the larger policy environment, and…

  2. Using Activity Theory to Understand Intergenerational Play: The Case of Family Quest

    ERIC Educational Resources Information Center

    Siyahhan, Sinem; Barab, Sasha A.; Downton, Michael P.

    2010-01-01

    We implemented a five-week family program called "Family Quest" where parents and children ages 9 to 13 played Quest Atlantis, a multiuser 3D educational computer game, at a local after-school club for 90-minute sessions. We used activity theory as a conceptual and an analytical framework to study the nature of intergenerational play, the…

  3. The Responses of Preschoolers with Cochlear Implants to Musical Activities: A Multiple Case Study

    ERIC Educational Resources Information Center

    Schraer-Joiner, Lyn E.; Chen-Hafteck, Lily

    2009-01-01

    The purpose of this study was to investigate the musical experiences of preschool cochlear implant users. Research objectives were to examine: (1) musical, social and emotional responses to activities; and (2) whether length of experience with the implant influenced responses. Participants were three prelingually deafened children, age 4,…

  4. Advancing the M-Learning Research Agenda for Active, Experiential Learning: Four Case Studies

    ERIC Educational Resources Information Center

    Dyson, Laurel Evelyn; Litchfield, Andrew; Lawrence, Elaine; Raban, Ryszard; Leijdekkers, Peter

    2009-01-01

    This article reports on an m-learning research agenda instituted at our university in order to explore how mobile technology can enhance active, experiential learning. Details of the implementation and results of four areas of m-learning are presented: mobile supported fieldwork, fostering interactivity in large lectures with mobile technology,…

  5. Experiential Learning and Learning Environments: The Case of Active Listening Skills

    ERIC Educational Resources Information Center

    Huerta-Wong, Juan Enrique; Schoech, Richard

    2010-01-01

    Social work education research frequently has suggested an interaction between teaching techniques and learning environments. However, this interaction has never been tested. This study compared virtual and face-to-face learning environments and included active listening concepts to test whether the effectiveness of learning environments depends…

  6. Expressive Morality in a Collaborative Learning Activity: A Case Study in the Creation of Moral Meaning.

    ERIC Educational Resources Information Center

    Johnston, Bill; Buzzelli, Cary A.

    2002-01-01

    Considers the way moral meanings are created, Expressed, and negotiated in the actions and words of participants as they engage in a collaborative science activity. Offers an analysis of two excerpts from a video recording of a third grade classroom in which two students work with each other and with a visiting teacher on an experiment that…

  7. 77 FR 76938 - Defense Federal Acquisition Regulation Supplement: Contracting Activity Updates (DFARS Case 2012...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-31

    ... activities from DFARS 202.101, Definitions, to a new DFARS PGI section at 202.101, Definitions. These... available regulatory alternatives and, if regulation is necessary, to select regulatory approaches that... Agency, the Defense Logistics Agency, the Defense Security Cooperation Agency, the Defense...

  8. Promoting Active Learning through "Pub Quizzes"--A Case Study at the University of Kent

    ERIC Educational Resources Information Center

    Klappa, Peter

    2009-01-01

    Several teaching approaches with a focus on active learning have been developed in the past, with the aim to encourage the learner to take responsibility for their own learning progress. Most of these approaches augment the learning of material after it was introduced in conventional lectures. The aim of this project was to develop a teaching…

  9. A Case Study on Using Prediction Markets as a Rich Environment for Active Learning

    ERIC Educational Resources Information Center

    Buckley, Patrick; Garvey, John; McGrath, Fergal

    2011-01-01

    In this paper, prediction markets are presented as an innovative pedagogical tool which can be used to create a Rich Environment for Active Learning (REAL). Prediction markets are designed to make forecasts about specific future events by using a market mechanism to aggregate the information held by a large group of traders about that event into a…

  10. Imaging the complexity of an active normal fault system: The 1997 Colfiorito (central Italy) case study

    USGS Publications Warehouse

    Chiaraluce, L.; Ellsworth, W.L.; Chiarabba, C.; Cocco, M.

    2003-01-01

    Six moderate magnitude earthquakes (5 < Mw < 6) ruptured normal fault segments of the southern sector of the North Apennine belt (central Italy) in the 1997 Colfiorito earthquake sequence. We study the progressive activation of adjacent and nearby parallel faults of this complex normal fault system using ???1650 earthquake locations obtained by applying a double-difference location method, using travel time picks and waveform cross-correlation measurements. The lateral extent of the fault segments range from 5 to 10 km and make up a broad, ???45 km long, NW trending fault system. The geometry of each segment is quite simple and consists of planar faults gently dipping toward SW with an average dip of 40??-45??. The fault planes are not listric but maintain a constant dip through the entire seismogenic volume, down to 8 km depth. We observe the activation of faults on the hanging wall and the absence of seismicity in the footwall of the structure. The observed fault segmentation appears to be due to the lateral heterogeneity of the upper crust: preexisting thrusts inherited from Neogene's compressional tectonic intersect the active normal faults and control their maximum length. The stress tensor obtained by inverting the six main shock focal mechanisms of the sequence is in agreement with the tectonic stress active in the inner chain of the Apennine, revealing a clear NE trending extension direction. Aftershock focal mechanisms show a consistent extensional kinematics, 70% of which are mechanically consistent with the main shock stress field.

  11. Teaching Tip: Active Learning via a Sample Database: The Case of Microsoft's Adventure Works

    ERIC Educational Resources Information Center

    Mitri, Michel

    2015-01-01

    This paper describes the use and benefits of Microsoft's Adventure Works (AW) database to teach advanced database skills in a hands-on, realistic environment. Database management and querying skills are a key element of a robust information systems curriculum, and active learning is an important way to develop these skills. To facilitate active…

  12. A Case Study of an Induction Year Teacher's Problem-Solving Using the LIBRE Model Activity

    ERIC Educational Resources Information Center

    Guerra, Norma S.; Flores, Belinda Bustos; Claeys, Lorena

    2009-01-01

    Background: A federally-funded program at the University of Texas at San Antonio adopted a holistic problem solving mentoring approach for novice teachers participating in an accelerated teacher certification program. Aims/focus of discussion: To investigate a novice teacher's problem-solving activity through self-expression of challenges and…

  13. The Case of Palestinian Civil Society in Israel: Islam, Civil Society, and Educational Activism

    ERIC Educational Resources Information Center

    Agbaria, Ayman K.; Mustafa, Muhanad

    2014-01-01

    This article examines the educational activism of two Arab civil organizations in Israel: the Follow-Up Committee on Arab Education (FUCAE) and the Eqraa Association (Eqraa). On the one hand, it explores the possibilities and limitations of the involvement of the FUCAE in the state's Arab education system, as a secular organization that is heavily…

  14. Integrating Academic Management with Business Planning Activities: The Case of University of Education, Winneba (UEW), Ghana

    ERIC Educational Resources Information Center

    Owusu-Ansah, Collins; Afful, Deborah

    2015-01-01

    Currently, public universities are facing chronic problem of underfunding. In a bid to explore more alternative and innovative ways of addressing such underfunding challenges, authorities of universities have sought to inject business activities into the management of the universities. They are now forced to search for additional sources of income…

  15. Delivering Sustainable Practice? A Case Study of the Scottish Active Schools Programme

    ERIC Educational Resources Information Center

    Reid, Gavin

    2009-01-01

    Since 1999, concerns about Scotland's future health and economic performance have profoundly impacted on the new Scottish Executive. Research highlighting an obesity crisis facing young Scots has, together with the work of Scotland's Physical Activity Task Force and Physical Education Review Group, encouraged the education of all young Scots to be…

  16. Preferences for Deep-Surface Learning: A Vocational Education Case Study Using a Multimedia Assessment Activity

    ERIC Educational Resources Information Center

    Hamm, Simon; Robertson, Ian

    2010-01-01

    This research tests the proposition that the integration of a multimedia assessment activity into a Diploma of Events Management program promotes a deep learning approach. Firstly, learners' preferences for deep or surface learning were evaluated using the revised two-factor Study Process Questionnaire. Secondly, after completion of an assessment…

  17. Investigating the Relationship among Extracurricular Activities, Learning Approach and Academic Outcomes: A Case Study

    ERIC Educational Resources Information Center

    Chan, Yiu-Kong

    2016-01-01

    Learning effectiveness requires an understanding of the relationship among extracurricular activities, learning approach and academic performance and, it is argued, this helps educators develop techniques designed to enrich learning effectiveness. Biggs' Presage-Process-Product model on student learning has identified the relationship among…

  18. Motivating Nursing Faculty to Use Active Learning Strategies: A Qualitative Multiple Case Study

    ERIC Educational Resources Information Center

    Hardell, Traci Lee

    2011-01-01

    The nursing shortage remains of great concern to the nursing profession and to nursing educators. With the projected need for Registered Nurses high and the attrition rate in nursing programs remaining high, a focus on retention of qualified nursing students may be needed. One way to contribute to enhanced retention is using active learning…

  19. Problem Solving Activity in the Workplace and the School: The Case of Constructing Solids.

    ERIC Educational Resources Information Center

    Jurdak, Murad; Shahin, Iman

    2001-01-01

    Documents, compares, and analyzes the nature of spatial reasoning by practitioners (plumbers) in the workplace and students in the school setting while constructing solids, with given specifications, from plane surfaces. Results confirm the power of activity theory and its methodology in explaining and identifying the structural differences…

  20. The antibiofilm activity of lingonberry flavonoids against oral pathogens is a case connected to residual complexity.

    PubMed

    Riihinen, Kaisu R; Ou, Zhen M; Gödecke, Tanja; Lankin, David C; Pauli, Guido F; Wu, Christine D

    2014-09-01

    The antimicrobial activity of lingonberry (Vaccinium vitis-idaea L.) was evaluated against two oral pathogens, Streptococcus mutans and Fusobacterium nucleatum. Long-bed gel permeation chromatography (GPC; Sephadex LH-20) yielded purified flavonoids, with the most efficient minimum inhibitory concentrations (MICs) against planktonic cells in the anthocyanin and procyanidin primary fractions against F. nucleatum (63-125 μg/ml) and in the procyanidin rich fraction against S. mutans (16-31 μg/ml). The purified flavonol glycosides and procyanidins inhibited biofilm formation of S. mutans (MICs 16-31 μg/ml), while the corresponding reference compounds showed no activity. Secondary GPC purification yielded flavonol glycosides devoid of antibiofilm activity in the 50% MeOH fraction, while elution with 70% acetone recovered a brownish material with activity against S. mutans biofilm (MIC 8 μg/ml). Even after HPLC-PDA, NMR, and MALDI-TOF analyses, the structural identity of this material remained unknown, while its color and analytical characteristics appear to be consistent with flavonoid oxidation products.

  1. Effects of therapeutic climbing activities wearing a weighted vest on a child with attention deficit hyperactivity disorder: a case study.

    PubMed

    Lee, Hye-Sun; Song, Chiang-Soon

    2015-10-01

    [Purpose] The purpose of this study was to evaluate the effect of therapeutic climbing activities on the brain waves and attention of a child with attention deficit hyperactivity disorder. [Subject and Methods] The subject of this case study was a 7 year 6-month old child diagnosed with attention deficit hyperactivity disorder. This study was based on evidence gathered at 3 distinct stages: a pre-intervention period, 10 intervention periods (2 weeks), and one post-intervention period. The intervention involved therapeutic climbing activities wearing a weighted vest over the course of 4 weeks. The clinical outcome measures were electroencephalography and the Star Cancellation Test. [Results] The mean activation of alpha waves was improved by the therapeutic intervention. During the intervention, the mean activation of alpha waves was the highest at the F3 cortical locus and the lowest at the T4 cortical locus. The average Star Cancellation Test scores were 43 at pre-intervention, 50 during the therapeutic intervention, and 52 at post-intervention. The performance time of the Star Cancellation Test was 240.1 seconds at pre-intervention, 90.2 seconds during the therapeutic intervention, and 60.0 seconds at post-intervention. [Conclusion] The results of this study suggest that therapeutic climbing activities performed wearing a weighted vest had positive effects on the brain waves and the attention span of a child with attention deficit hyperactivity disorder.

  2. Cortisol and Hippocampal Volume as Predictors of Active Suicidal Behavior in Major Depressive Disorder: Case Report

    PubMed Central

    Moica, Theodor; Grecu, Iosif Gabos; Moica, Sorina; Grecu, Marieta Gabos; Buicu, Gabriela Elena

    2016-01-01

    Background Suicide is frequently encountered in patients suffering from major depressive disorder (MDD). Since only a third of treated depressed patients are able to achieve remission, in the last few years, new theories have been proposed to better understand the mechanism of this illness. Our paper analyzes the interrelation between cortisol as a marker of neuroendocrine theory as a response to stress, and hippocampal volume subfields in depression as a marker of neurogenesis and neuroplasticity theory. Case Report Here we present the case of a 52-year-old male patient with known history of MDD, who died as a result of completed suicide by hanging. The patient had been recently discharged from a psychiatric clinic, after being hospitalized for a major depressive episode (MDE). The result of the autopsy, medical records, laboratory analysis and a magnetic resonance image (MRI) of the patient were analyzed. Both the right and left volumes of the hippocampus were found to be smaller when compared to normal values reported in the literature. The morning level of cortisol was higher than the normal value. Conclusion In a depressed patient with an acute stressful event, high levels of cortisol associated with decreased volume of the hippocampus could represent predictors for an increased risk of suicide. PMID:27994930

  3. Active faulting Vs other surface displacing complex geomorphic phenomena. Case studies from a tectonically active area, Abruzzi Region, central Apennines, Italy

    NASA Astrophysics Data System (ADS)

    Lo Sardo, Lorenzo; Gori, Stefano; Falcucci, Emanuela; Saroli, Michele; Moro, Marco; Galadini, Fabrizio; Lancia, Michele; Fubelli, Giandomenico; Pezzo, Giuseppe

    2016-04-01

    How can be univocally inferred the genesis of a linear surface scarp as the result of an active and capable fault (FAC) in tectonically active regions? Or, conversely, how it is possible to exclude that a scarp is the result of a capable fault activation? Trying to unravel this open questions, we show two ambiguous case studies about the problem of the identification of active and capable faults in a tectonically active area just based on the presence of supposed fault scarps at surface. The selected cases are located in the area comprised between the Middle Aterno Valley Fault (MAVF) and the Campo Imperatore Plain (Abruzzi Region, central Apennines), nearby the epicentral area of the April 6th, 2009 L'Aquila earthquake. In particular, the two case studies analysed are located in a region characterized by a widespread Quaternary faults and by several linear scarps: the case studies of (i) Prata D'Ansidonia area and (ii) Santo Stefano di Sessanio area. To assess the origin and the state of activity of the investigated geomorphic features, we applied a classical geological and geomorphological approach, based on the analysis of the available literature, the interpretation of the aerial photographs, field surveying and classical paleoseismological approach, the latter consisting in digging excavations across the analysed scarps. These analysis were then integrated by morphometrical analyses. As for case (i), we focused on determining the geomorphic "meaning" of linear scarps carved onto fluvial-deltaic conglomerates (dated to the Early Pleistocene; Bertini and Bosi, 1993), up to 3 meters high and up to 1,5 km long, that border a narrow, elongated and flat-bottom depressions, filled by colluvial deposits. These features groove the paleo-landsurface of Valle Daria (Bosi and Bertini, 1970), wide landsurface located between Barisciano and Prata D'Ansidonia. Entwining paleoseismological trenching with geophysical analyses (GPR, ERT and microgravimetrical prospections), it

  4. [An 88-year-old female case of hyperalphalipoproteinemia associated with deficiency of cholesteryl-ester transfer activity].

    PubMed

    Miyashita, Y; Morimoto, S; Fukuo, K; Ogihara, T

    1992-09-01

    An 88-year-old female was admitted to our hospital for examination of hyperalphalipoproteinemia. The high level of her serum high-density lipoprotein cholesterol (HDL-C, 148 mg/dl) was due to cholesterol amount of HDL2-C but not HDL3-C, and serum cholesteryl ester transfer activity (CETA) was at a non-detectable level. Despite her age, apparent atherosclerotic changes were not observed. She may be the oldest case of hyperalphalipoproteinemia, possibly due to deficiency of serum CETA.

  5. Control measures to trace ≤ 15-year-old contacts of index cases of active pulmonary tuberculosis

    PubMed Central

    Oliveira, Cláudia Di Lorenzo; de Melo, Angelita Cristine; de Oliveira, Lílian Ruth Silva; Froede, Emerson Lopes; Camargos, Paulo

    2015-01-01

    This was descriptive study carried out in a medium-sized Brazilian city. In ≤ 15-year-old contacts of index cases of active pulmonary tuberculosis, we assessed compliance with the Brazilian national guidelines for tuberculosis control. We interviewed 43 contacts and their legal guardians. Approximately 80% of the contacts were not assessed by the municipal public health care system, and only 21% underwent tuberculin skin testing. The results obtained with the Chi-square Automatic Interaction Detector method suggest that health care teams have a biased attitude toward assessing such contacts and underscore the need for training health professionals regarding tuberculosis control programs. PMID:26578137

  6. Participation of National Medical Associations in quality improvement activities - International comparison and the Israeli case

    PubMed Central

    2014-01-01

    Background Many countries have devoted considerable efforts in an attempt to improve the performance of their health care systems. National Medical Associations (NMAs), along with other stakeholders, play a part in the promotion of such activities. The purpose of this paper is to explore the nature and level of participation of NMAs in activities of quality improvement in medicine, with a specific emphasis on Israel. Methods The authors conducted a survey among NMAs around the world inquiring as to their involvement in three central aspects of quality improvement: clinical guidelines, quality measurement and continuing medical education (CME). In addition, they conducted a review of the literature in order to gather more information and complete the data collected in the survey. The findings were processed and analyzed comparatively. Results Most of the NMAs surveyed participate in quality improvement activities at least to some extent. NMAs' main involvement is in the regulation of CME and they are involved to a much lesser extent in the preparation of clinical guidelines and in quality measurement. In Israel, the Israeli Medical Association (IMA) has a dominant role in both the preparation of clinical guidelines and the regulation of CME credits. Discussion It is possible that the expertise maintained by the profession, coupled with the organizational power of the NMA as a union, is viewed as beneficial for regulating educational activities in medicine such as CME. Conversely, the issuing of clinical guidelines is usually regarded as a typical scientific activity, and therefore often rests in the hands of professional medical societies. Quality measurement is regarded as a distinctive administrative tool and is usually found in the province of governments. Based on the typology that we introduced in our previous paper, we discovered that the extent of NMAs’ involvement in quality improvement coincides with the mode of governance of the health care system

  7. Life cycle analysis within pharmaceutical process optimization and intensification: case study of active pharmaceutical ingredient production.

    PubMed

    Ott, Denise; Kralisch, Dana; Denčić, Ivana; Hessel, Volker; Laribi, Yosra; Perrichon, Philippe D; Berguerand, Charline; Kiwi-Minsker, Lioubov; Loeb, Patrick

    2014-12-01

    As the demand for new drugs is rising, the pharmaceutical industry faces the quest of shortening development time, and thus, reducing the time to market. Environmental aspects typically still play a minor role within the early phase of process development. Nevertheless, it is highly promising to rethink, redesign, and optimize process strategies as early as possible in active pharmaceutical ingredient (API) process development, rather than later at the stage of already established processes. The study presented herein deals with a holistic life-cycle-based process optimization and intensification of a pharmaceutical production process targeting a low-volume, high-value API. Striving for process intensification by transfer from batch to continuous processing, as well as an alternative catalytic system, different process options are evaluated with regard to their environmental impact to identify bottlenecks and improvement potentials for further process development activities.

  8. A learning activity to introduce undergraduate students to bioethics in human clinical research: a case study.

    PubMed

    Segarra, Ignacio; Gomez, Manuel

    2014-12-01

    We developed a pharmacology practicum assignment to introduce students to the research ethics and steps involved in a clinical trial. The assignment included literature review, critical analysis of bioethical situations, writing a study protocol and presenting it before a simulated ethics committee, a practice interview with a faculty member to obtain informed consent, and a student reflective assessment and self-evaluation. Students were assessed at various steps in the practicum; the learning efficiency of the activity was evaluated using an independent survey as well as students' reflective feedback. Most of the domains of Bloom's and Fink's taxonomies of learning were itemized and covered in the practicum. Students highly valued the translatability of theoretical concepts into practice as well as the approach to mimic professional practice. This activity was within a pharmacy program, but may be easily transferable to other medical or health sciences courses.

  9. A case against justified non-voluntary active euthanasia (the Groningen Protocol).

    PubMed

    Jotkowitz, Alan; Glick, S; Gesundheit, B

    2008-11-01

    The Groningen Protocol allows active euthanasia of severely ill newborns with unbearable suffering. Defenders of the protocol insist that the protocol refers to terminally ill infants and that quality of life should not be a factor in the decision to euthanize an infant. They also argue that there should be no ethical difference between active and passive euthanasia of these infants. However, nowhere in the protocol does it refer to terminally ill infants; on the contrary, the developers of the protocol take into account the future quality of life of the infant. We also note how the Nazi Euthanasie Programm started with the premise that there is some life not worthy of living. Therefore, in our opinion, the protocol violates the traditional ethical codes of physicians and the moral values of the overwhelming majority of the citizens of the world.

  10. Impacts of new particle formation on aerosol cloud condensation nuclei (CCN) activity in Shanghai: case study

    NASA Astrophysics Data System (ADS)

    Leng, C.; Zhang, Q.; Zhang, D.; Zhang, H.; Xu, C.; Li, X.; Kong, L.; Tao, J.; Cheng, T.; Zhang, R.; Chen, J.; Qiao, L.; Lou, S.; Wang, H.; Chen, C.

    2014-07-01

    New particle formation (NPF) events and their impacts on cloud condensation nuclei (CCN) were investigated using continuous measurements collected in urban Shanghai from 1 to 30 April 2012. During the campaign, NPF occurred in 8 out of the 30 days and enhanced CCN number concentration (NCCN) by a actor of 1.2-1.8, depending on supersaturation (SS). The NPF event on 3 April 2012 was chosen as an example to investigate the NPF influence on CCN activity. In this NPF event, secondary aerosols were produced continuously and increased PM2.5 mass concentration at a~rate of 4.33 μg cm-3 h-1, and the growth rate (GR) and formation rate (FR) were on average 5 nm h-1 and 0.36 cm-3 s-1, respectively. The newly formed particles grew quickly from nucleation mode (10-20 nm) into CCN size range. NCCN increased rapidly at SS of 0.4-1.0% but weakly at SS of 0.2%. Correspondingly, aerosol CCN activities (fractions of activated aerosol particles in total aerosols, NCCN / NCN) were significantly enhanced from 0.24-0.60 to 0.30-0.91 at SS of 0.2-1.0% due to the NPF. On the basis of the κ-Köhler theory, aerosol size distributions and chemical composition measured simultaneously were used to predict NCCN. There was a good agreement between the predicted and measured NCCN (R2 = 0.96, Npredicted / Nmeasured = 1.04). This study reveals that NPF exerts large impacts on aerosol particle abundance and size spectra, thus significantly promotes NCCN and aerosol CCN activity in this urban environment. The GR of NPF is the key factor controlling the newly formed particles to become CCN at all SS levels, whereas the FR is an effective factor only under high SS (e.g. 1.0%) conditions.

  11. Wastewater treatment using low cost activated carbons derived from agricultural byproducts--a case study.

    PubMed

    Mohan, Dinesh; Singh, Kunwar P; Singh, Vinod K

    2008-04-15

    A variety of low cost activated carbons were developed from agricultural waste materials viz., coconut shell, coconut shell fibers and rice husk. The low cost activated carbons were fully characterized and utilized for the remediation of various pollutants viz., chemical oxygen demand (COD), heavy metals, anions, etc., from industrial wastewater. Sorption studies were carried out at different temperatures and particle sizes to study the effect of temperatures and surface areas. The removal of chloride and fluoride increased with rise in temperature while COD and metal ions removal decreased with increase in temperature, thereby, indicating the processes to be endothermic and exothermic, respectively. The kinetics of COD adsorption was also carried out at different temperatures to establish the sorption mechanism and to determine various kinetic parameters. The COD removal was 47-72% by coconut shell fiber carbon (ATFAC), 50-74% by coconut shell carbon (ATSAC) and 45-73% by rice husk carbon (ATRHC). Furthermore, COD removal kinetics by rice husk carbon, coconut shell carbon and coconut fiber carbon at different temperatures was approximately represented by a first order rate law. Results of this fundamental study demonstrate the effectiveness and feasibility of low cost activated carbons. The parameters obtained in this study can be fully utilized to establish fixed bed reactors on large scale to treat the contaminated water.

  12. Size and shape dependant antifungal activity of gold nanoparticles: a case study of Candida.

    PubMed

    Wani, Irshad A; Ahmad, Tokeer; Manzoor, Nikhat

    2013-01-01

    A simple and economical sonochemical approach was employed for the synthesis of gold nanoparticles. The effect of the reducing agents has been studied on the particle size, morphology and properties at the same ultrasonic frequency under ambient conditions. Gold nanodiscs of average diameter of 25 nm were obtained using tinchloride (SnCl(2)) as a reducing agent, while sodium borohydride (NaBH(4)) produced polyhedral structures of the average size of 30 nm. The time evolution of the UV-visible absorption spectra of the gold nanostructures shows the origin of peaks due to higher order quadrupolar modes apart from the peaks of the in plane and out plane dipolar surface plasmon modes. Surface area studies reveal the much higher surface area of the gold nanodiscs (179.5 m(2)/g), than the gold nanoparticles (150.5m(2)/g) prepared by the sodium borohydride as the reducing agent. The gold nanoparticles exhibit excellent antifungal activity against the fungus, Candida. We investigated the effect of the gold nanoparticles on the H(+)-ATPase mediated H(+) pumping by various Candida species. Gold nanodiscs displayed the stronger fungicidal activity compared to the gold polyhedral nanoparticles. The two types of gold nanoparticles inhibit H(+)-ATPase activity at their respective MIC values.

  13. World's First Clinical Case of Gene-Activated Bone Substitute Application

    PubMed Central

    Deev, R. V.; Drobyshev, A. Y.; Isaev, A. A.; Eremin, I. I.

    2016-01-01

    Treatment of patients with large bone defects is a complex clinical problem. We have initiated the first clinical study of a gene-activated bone substitute composed of the collagen-hydroxyapatite scaffold and plasmid DNA encoding vascular endothelial growth factor. The first patient with two nonunions of previously reconstructed mandible was enrolled into the study. Scar tissues were excised; bone defects (5–14 mm) between the mandibular fragments and nonvascularized rib-bone autograft were filled in with the gene-activated bone substitute. No adverse events were observed during 12 months of follow-up. In 3 months, the average density of newly formed tissues within the implantation zone was 402.21 ± 84.40 and 447.68 ± 106.75 HU in the frontal and distal regions, respectively, which correlated with the density of spongy bone. Complete distal bone defect repair with vestibular and lingual cortical plates formation was observed in 6 and 12 months after surgery; thereby the posterior nonunion was successfully eliminated. However, there was partial resorption of the proximal edge of the autograft entailed to relapse of the anterior nonunion. Thus, the first clinical data on the safety and efficacy of the gene-activated bone substitute were obtained. Given a high complexity of the clinical situation the treatment, results might be considered as promising. NCT02293031. PMID:27891264

  14. Catalytic destruction of chloramine to nitrogen using chlorination and activated carbon--case study.

    PubMed

    Kochany, J; Lipczynska-Kochany, E

    2008-04-01

    The paper presents the results of laboratory and pilot studies on the removal of chloramine from potable water using chlorination with a less-than-breakpoint dosage of chlorine, followed by treatment with catalytic activated carbon. The effect of the chlorine-to-nitrogen ratio, temperature, and carbon contact time were investigated to optimize conditions for chloramines removal and minimize the production of ammonia. Results demonstrated that prechlorination of water, followed by treatment with catalytic activated carbon, can degrade monochloramine to nitrogen gas as a main product. For all chlorine-to-ammonia ratios studied, the observed rates of monochloramine removal were higher at a temperature of 20 degrees C than they were at 5 degrees C. Generation of ammonia was slightly higher at the lower temperature. However, at both temperatures, practically all monochloramine was destroyed, and only insignificant amounts of ammonia were formed when a chlorine-to-ammonia ratio of 7:1 was applied. The described method is simple and cost-effective, because it eliminates the requirement of removal of ammonia, typically formed during the treatment of chloramines with activated carbon.

  15. Effects of common buffer systems on drug activity: the case of clerocidin.

    PubMed

    Richter, Sara; Fabris, Daniele; Binaschi, Monica; Gatto, Barbara; Capranico, Giovanni; Palumbo, Manlio

    2004-04-01

    Two widely used biological buffers [tris(hydroxymethyl)aminomethane (TRIS) and phosphate] covalently react with the topoisomerase II inhibitor clerocidin, affecting the drug's reactivity profile. Comprehensive analytical and structural analysis obtained by LC/MS, MS/MS, NMR, and IR techniques shows that these buffers form reversible and irreversible adducts through reactions with chemical groups, such as carbonyls, aldehydes, and epoxide. Analysis of the kinetic data on adducts formation suggests two parallel mechanisms for the inhibition of drug activity. The first involves modulation of the reactivity of the epoxide group obtained by elimination of the spiro system and relief of ring strain. This effect does not abolish epoxide reactivity and is more evident for the TRIS adduct, which can count on intramolecular stabilization of the form devoid of the spiro system. The second mechanism involves the slow nucleophilic attack to the epoxide ring, which results in permanent deactivation of the functional group responsible for topoisomerase II inhibition. This effect is predominant in phosphate buffer and is more evident for longer reaction times. These results provide a compelling reminder that the activity of chemically complex drugs in biological systems can be severely altered by buffer interactions, which may not be immediately predictable from the identity of the active group(s) and may require a more detailed knowledge of the subtle effects induced by vicinal groups.

  16. Assessing active faulting by hydrogeological modeling and superconducting gravimetry: A case study for Hsinchu Fault, Taiwan

    NASA Astrophysics Data System (ADS)

    Lien, Tzuyi; Cheng, Ching-Chung; Hwang, Cheinway; Crossley, David

    2014-09-01

    We develop a new hydrology and gravimetry-based method to assess whether or not a local fault may be active. We take advantage of an existing superconducting gravimeter (SG) station and a comprehensive groundwater network in Hsinchu to apply the method to the Hsinchu Fault (HF) across the Hsinchu Science Park, whose industrial output accounts for 10% of Taiwan's gross domestic product. The HF is suspected to pose seismic hazards to the park, but its existence and structure are not clear. The a priori geometry of the HF is translated into boundary conditions imposed in the hydrodynamic model. By varying the fault's location, depth, and including a secondary wrench fault, we construct five hydrodynamic models to estimate groundwater variations, which are evaluated by comparing groundwater levels and SG observations. The results reveal that the HF contains a low hydraulic conductivity core and significantly impacts groundwater flows in the aquifers. Imposing the fault boundary conditions leads to about 63-77% reduction in the differences between modeled and observed values (both water level and gravity). The test with fault depth shows that the HF's most recent slip occurred in the beginning of Holocene, supplying a necessary (but not sufficient) condition that the HF is currently active. A portable SG can act as a virtual borehole well for model assessment at critical locations of a suspected active fault.

  17. Partial deficit of pantothenate kinase 2 catalytic activity in a case of tremor-predominant neurodegeneration with brain iron accumulation.

    PubMed

    Liang, Tsao-Wei; Truax, Adam C; Trojanowski, John Q; Lee, Virginia M-Y; Stern, Matthew B; Kotzbauer, Paul T

    2006-05-01

    We describe an atypical case of pantothenate kinase-associated neurodegeneration (PKAN) in which slowly progressive arm tremor was the predominant symptom beginning at the age of 25, with late-onset dystonia and dysarthria developing at the age of 50. Compound heterozygous mutations resulting in missense amino acid substitutions G521R and I529V were identified in the pantothenate kinase (PANK2) gene. We demonstrate that while the G521R mutation results in an unstable and inactive protein, the previously unreported I529V substitution has no apparent effect on the stability or catalytic activity of PanK2. The phenotype that results from this combination of mutations suggests that atypical presentations of PKAN may arise from partial deficits in PanK2 catalytic activity.

  18. An Active Isodicentric X Chromosome in a Case of Refractory Anaemia with Ring Sideroblasts Associated with Marked Thrombocytosis

    PubMed Central

    Morales Camacho, Rosario M.; Sanchez, Javier; Marcos Luque, Irene; Bernal, Ricardo; Falantes, Jose F; Pérez-Simón, Jose A

    2014-01-01

    Refractory anaemia with ring sideroblasts and marked thrombocytosis (RARS-T) is a provisional entity in the World Health Organization (WHO) classification. It displays features characteristic of both myelodysplastic syndrome and myeloproliferative neoplasia plus ring sideroblasts ≥15% and marked thrombocytosis. Most patients with RARS-T show a normal karyotype. We report a 76-year-old woman diagnosed with RARS-T (76% of ring sideroblasts) with JAK2 (V617F) mutation and a load of 30–40%. Classical and molecular cytogenetic (FISH) studies of a bone marrow sample revealed the presence of isodicentric X chromosome [(idic(X)(q13)]. Moreover, HUMARA assay showed the idic(X)(q13) as the active X chromosome. This finding was correlated with the cytochemical finding of ring sideroblasts. To our knowledge, this is the first reported case of an active isodicentric X in a woman with RARS-T. PMID:24592338

  19. Flood vulnerability and commercial activities: the case of the city of Girona, Spain.

    PubMed

    Masgrau, Lluís Ribera; Palom, Anna Ribas

    2012-10-01

    This paper is based on a case study of the city of Girona in Catalonia, Spain, and analyses the vulnerability of commercial establishments to floods caused by the Onyar River. A mapping and statistical approach (cluster analysis) was applied to the information obtained from 568 questionnaires answered by the shops and the workshops located in the flood risk area. The results obtained allowed the authors to determine five different flood vulnerability profiles of the commercial establishments analysed. These profiles paint a picture of little individual adaptation to the risk and the possibility of suffering, sooner or later, large economic losses due to overflowing of the Onyar River. The authors established a methodology for carrying out a detailed multidimensional analysis of the flood vulnerability of the city's commercial establishments in order to provide the foundations for local government policies and for strategies for shop owners to reduce flood vulnerability.

  20. Midtail plasma flows and the relationship to near-Earth substorm activity: A case study

    NASA Technical Reports Server (NTRS)

    Lopez, R. E.; Goodrich, C. C.; Reeves, G. D.; Belian, R. D.; Taktakishvili, A.

    1994-01-01

    Recent simulations of magnetotail reconnection have pointed to a link between plasma flows, dipolarization, and the substorm current wedge. In particular, Hesse and Birn (1991) have proposed that earthward jetting of plasma from the reconnection region transports flux into the near-Earth region. At the inner edge of the plasma sheet this flux piles up, producing a dipolarization of the magnetic field. The vorticity produced by the east-west deflection of the flow at the inner edge of the plasma sheet gives rise to field-aligned currents that have region 1 polarity. Thus in this scenario the earthward flow from the reconnection region produces the dipolarization ad the current wedge in a self-consistent fashion. In this study we examine observations made on April 8, 1985 by the Active Magnetospheric Particle Tracer Explorers (AMPTE)/Ion Release Module (IRM), the geosynchronous satellites 1979-053, 1983-019, and 1984-037, and Syowa station, as well as AE. This event is unique because IRM was located near the neutral sheet in the midnight sector for am extended period of time. Ground data show that there was ongoing activity in the IRM local time sector for several hours, beginning at 1800 UT and reaching a crescendo at 2300 UT. This activity was also accompanied by energetic particle variations, including injections, at geosynchronous orbit in the nighttime sector. Significantly, there were no fast flows at the neutral sheet until the great intensification of activity at 2300 UT. At that time, IRM recorded fast eartheard flow simultaneous with a dipolatization of the magetic field. We conclude that while the aforementioned scenario for the creation of the current wedge encounters serious problems explaining the earlier activity, the observations at 2300 UT are consistent with the scenario of Hesse and Birn (1191). On that basis it is argued that the physics of substorms is not exclusively rooted in the development of a global tearing mode. Processes at the inner edge

  1. Informed Conditioning on Clinical Covariates Increases Power in Case-Control Association Studies

    PubMed Central

    Zaitlen, Noah; Lindström, Sara; Pasaniuc, Bogdan; Cornelis, Marilyn; Genovese, Giulio; Pollack, Samuela; Barton, Anne; Bickeböller, Heike; Bowden, Donald W.; Eyre, Steve; Freedman, Barry I.; Friedman, David J.; Field, John K.; Groop, Leif; Haugen, Aage; Heinrich, Joachim; Henderson, Brian E.; Hicks, Pamela J.; Hocking, Lynne J.; Kolonel, Laurence N.; Landi, Maria Teresa; Langefeld, Carl D.; Le Marchand, Loic; Meister, Michael; Morgan, Ann W.; Raji, Olaide Y.; Risch, Angela; Rosenberger, Albert; Scherf, David; Steer, Sophia; Walshaw, Martin; Waters, Kevin M.; Wilson, Anthony G.; Wordsworth, Paul; Zienolddiny, Shanbeh; Tchetgen, Eric Tchetgen; Haiman, Christopher; Hunter, David J.; Plenge, Robert M.; Worthington, Jane; Christiani, David C.; Schaumberg, Debra A.; Chasman, Daniel I.; Altshuler, David; Voight, Benjamin; Kraft, Peter; Patterson, Nick; Price, Alkes L.

    2012-01-01

    Genetic case-control association studies often include data on clinical covariates, such as body mass index (BMI), smoking status, or age, that may modify the underlying genetic risk of case or control samples. For example, in type 2 diabetes, odds ratios for established variants estimated from low–BMI cases are larger than those estimated from high–BMI cases. An unanswered question is how to use this information to maximize statistical power in case-control studies that ascertain individuals on the basis of phenotype (case-control ascertainment) or phenotype and clinical covariates (case-control-covariate ascertainment). While current approaches improve power in studies with random ascertainment, they often lose power under case-control ascertainment and fail to capture available power increases under case-control-covariate ascertainment. We show that an informed conditioning approach, based on the liability threshold model with parameters informed by external epidemiological information, fully accounts for disease prevalence and non-random ascertainment of phenotype as well as covariates and provides a substantial increase in power while maintaining a properly controlled false-positive rate. Our method outperforms standard case-control association tests with or without covariates, tests of gene x covariate interaction, and previously proposed tests for dealing with covariates in ascertained data, with especially large improvements in the case of case-control-covariate ascertainment. We investigate empirical case-control studies of type 2 diabetes, prostate cancer, lung cancer, breast cancer, rheumatoid arthritis, age-related macular degeneration, and end-stage kidney disease over a total of 89,726 samples. In these datasets, informed conditioning outperforms logistic regression for 115 of the 157 known associated variants investigated (P-value = 1×10−9). The improvement varied across diseases with a 16% median increase in χ2 test statistics and a

  2. Nicotinamide polymeric nanoemulsified systems: a quality-by-design case study for a sustained antimicrobial activity.

    PubMed

    Zidan, Ahmed S; Ahmed, Osama A A; Aljaeid, Bader M

    2016-01-01

    Nicotinamide, the amide form of vitamin B3, was demonstrated to combat some of the antibiotic-resistant infections that are increasingly common around the world. The objective of this study was to thoroughly understand the formulation and process variabilities affecting the preparation of nicotinamide-loaded polymeric nanoemulsified particles. The quality target product profile and critical quality attributes of the proposed product were presented. Plackett-Burman screening design was employed to screen eight variables for their influences on the formulation's critical characteristics. The formulations were prepared by an oil-in-water emulsification followed by solvent replacement. The prepared systems were characterized by entrapment capacity (EC), entrapment efficiency (EE), particle size, polydispersity index, zeta potential, transmission electron microscopy, Fourier transform infrared spectroscopy, differential scanning calorimetry, powder X-ray diffraction, in vitro drug release, and their antibacterial activity against bacterial scrums. EC, EE, particle size, polydispersity index, zeta potential, and percentage release in 24 hours were found to be in the range of 33.5%-68.8%, 53.1%-67.1%, 43.3-243.3 nm, 0.08-0.28, 9.5-53.3 mV, and 5.8%-22.4%, respectively. One-way analysis of variance and Pareto charts revealed that the experimental loadings of 2-hydroxypropyl-β-cyclodextrin and Eudragit(®) S100 were the most significant for their effects on nicotinamide EC and EE. Moreover, the polymeric nanoemulsified particles demonstrated a sustained release profile for nicotinamide. The Fourier transform infrared spectroscopy, differential scanning calorimetry, and X-ray diffraction demonstrated a significant interaction between the drug and 2-hydroxypropyl-β-cyclodextrin that might modulate the sustained release behavior. Furthermore, the formulations provided a sustained antibacterial activity that depended on nicotinamide-loading concentration, release rate, and

  3. Comparing mirror neuron system activity between sporadic and familial cases of schizophrenia.

    PubMed

    Mitra, Sayantanava; Nizamie, S Haque; Goyal, Nishant; Tikka, Sai Krishna; Kavoor, Anjana Rao

    2016-06-01

    Schizophrenia is a heterogenous disorder, and has often been subtyped on the basis of family history of psychotic disorders. Compared to those without, a positive family history is associated with an earlier age of onset, greater structural brain abnormalities and poorer clinical course. Given recent emphasis on mirror neuron system (MNS) in attempting to explain psychopathology in schizophrenia; present analysis tried to tease out differences in MNS functioning between these two groups. With ethical approval, 10 consenting right-handed patients with schizophrenia (ICD-10-DCR; M=8; Drug-naïve=2) were recruited and divided into two groups of five each (M=4, F=1): those with (age 29.40±5.85 years, duration of illness 50.80±30.84 months) and without (age 29.60±5.77 years, duration of illness 43.20±43.76 months) family history of schizophrenic illness (group difference p>0.05). MNS activity was assessed using event-related desynchronization of EEG Mu waves in response to biological motion on 192-channel EEG Neurofax EEG-1100K. On comparison, while patients had significantly lower mu suppression compared to controls (p<0.001); two schizophrenia groups did not differ between themselves, neither on MNS activity nor on psychopathology (p>0.05). Present study replicates finding of a dysfunctional MNS in schizophrenia patients, and represents a preliminary attempt at comparing two groups of symptomatic schizophrenia patients. In both these groups, MNS dysfunctions were comparable, and commensurate with respect to psychopathology. Thus, MNS dysfunction in schizophrenia might either be inherited or acquired. However, this abnormality forms a common base, and ultimate vulnerability marker, for development of psychopathology during active disease states.

  4. Accounting for medical variation: the case of prescribing activity in a New Zealand general practice sample.

    PubMed

    Davis, P B; Yee, R L; Millar, J

    1994-08-01

    Medical practice variation is extensive and well documented, particularly for surgical interventions, and raises important questions for health policy. To date, however, little work has been carried out on interpractitioner variation in prescribing activity in the primary care setting. An analytical model of medical variation is derived from the literature and relevant indicators are identified from a study of New Zealand general practice. The data are based on nearly 9,500 completed patient encounter records drawn from over a hundred practitioners in the Waikato region of the North Island, New Zealand. The data set represents a 1% sample of all weekday general practice office encounters in the Hamilton Health District recorded over a 12-month period. Overall levels of prescribing, and the distribution of drug mentions across diagnostic groupings, are broadly comparable to results drawn from international benchmark data. A multivariate analysis is carried out on seven measures of activity in the areas of prescribing volume, script detail, and therapeutic choice. The analysis indicates that patient, practitioner and practice attributes exert little systematic influence on the prescribing task. The principal influences are diagnosis, followed by practitioner identity. The pattern of findings suggests also that the prescribing task cannot be viewed as an undifferentiated activity. It is more usefully considered as a process of decision-making in which 'core' judgements--such as the decision to prescribe and the choice of drug--are highly predictable and strongly influenced by diagnosis, while 'peripheral' features of the task--such as choosing a combination drug or prescribing generically--are less determinate and more subject to the exercise of clinical discretion.(ABSTRACT TRUNCATED AT 250 WORDS)

  5. Isotopic Evidence for Microbial Activity in Crystalline Bedrock Fractures - a Case Study from Olkiluoto, SW Finland

    NASA Astrophysics Data System (ADS)

    Sahlstedt, E. K.; Karhu, J.; Pitkänen, P.

    2015-12-01

    Changes in the geochemical environment in crystalline bedrock fractures were investigated using the stable isotopes of C, O and S in fracture filling minerals as tracers. Of special interest were the possible changes which may occur in the subsurface at low temperatures. Especially, the influence of microbial activity was recognized as a catalyst for inducing changes in the geochemical environment. The study site is the Olkiluoto island located on the western coast of Finland, planned to host a geological repository for nuclear waste. Fracture surfaces were investigated to recognize the latest mineralizations at the site. These fillings were comprised of thin plates or small euhedral crystals of calcite and pyrite. The carbon and sulfur isotope compositions of calcite and pyrite were measured from bulk material by conventional IRMS, and in situ by secondary ion mass spectrometry. A notable feature of the late-stage fillings was high variabilities in the δ13C values of calcite and the δ34S values of pyrite, which ranged from -53.8 ‰ to +31.6 ‰ and from -50.4 ‰ to +77.7 ‰, respectively. Based on the isotopic compositions of the fillings, several features in the past hydrogeochemical environment could be recognized. The isotopic composition of the fracture fillings indicate an environment which was stratified with respect to depth. Characteristic features include bacterial sulfate reduction (BSR) occurring at depths <111 m (bsl), and a methanogenetic environment at depths >50 m. It appears that methanic conditions were replaced by sulfate reduction at depths >50 m likely due to infiltration of SO42--rich brackish waters. Sulfate reducing bacteria used mainly surface derived organic carbon as electron donors. Some indication of minor methanotrophic activity was recognized in anomalously low δ13C values of calcite, down to -53.8 ‰, at the depth range of 34-54 m. This methanotrophic activity may have been related to bacteria using CH4 as an electron donor in

  6. Clinical activity of sunitinib in patients with advanced desmoplastic round cell tumor: a case series.

    PubMed

    Italiano, Antoine; Kind, Michèle; Cioffi, Angela; Maki, Robert G; Bui, Binh

    2013-09-01

    Desmoplastic small round cell tumor (DSRCT) is a rare and aggressive malignancy with poor outcome occurring in adolescents and young adults. Therapeutic options for patients with advanced disease are limited. Preclinical studies have shown that VEGFR-2 and VEGFA are overexpressed in DSRCT and that DSRCT xenografts were highly responsive to anti-VEGF agents such as bevacizumab. We report here the clinical activity of sunitinib in eight patients with DSCRT. Our data suggest that sunitinib may be associated with clinical benefit even in heavily pretreated patients.

  7. Recombinant activated factor VII in the management of acute fatty liver of pregnancy: A case report.

    PubMed

    K, Supriya; Thunga, Suchitra; Narayanan, Athira; Singh, Prakhar

    2015-07-01

    A 20-year-old woman, primigravida at 36(+4) weeks' gestation presented with malaise, vomiting for 1 week, yellowish discoloration of the eyes for 3 days and loss of fetal movements. A clinical diagnosis of acute fatty liver with intrauterine fetal demise was made. Labor was induced with prostaglandin E2 gel and delivered vaginally. The post-partum period was complicated by atonic post-partum hemorrhage, an episode of seizure, recurrent hypoglycemic attack, hypokalemia and continuing coagulopathy. Supportive management in the intensive care unit using blood and blood products and injection recombinant activated factor VIIa to arrest the bleeding resulted in a successful outcome.

  8. ANDRILL educational activities in Italy: progettosmilla.it, a case-study of an interactive project

    NASA Astrophysics Data System (ADS)

    Cattadori, M.

    2008-12-01

    In January 2006, the Italian ANDRILL (Antartic Geological Drilling) team selected the project progettosmilla.it and its instructor Matteo Cattadori, a high school teacher and collaborator of Museo Tridentino di Scienze Naturali (TN - Italy) to represent Italy in the ANDRILL-ARISE team. The ARISE (Andrill Research Immersion for Science Educators) comprised a group of teachers from 4 nations (US, New Zealand, Germany and Italy) and is part of the initiative Public and Educational Outreach component of the ANDRILL project. The selected teachers are sent to Antarctica and are actively involved in all stages of the scientific investigation, with the main aim of establishing a bridge between research and the schools in the participating countries. Progettosmilla.it was selected to take part in the first edition of ANDRILL-ARISE held at the American Antarctic base of Mc Murdo during the 2006-2007 austral summer.The project makes use of different tools, techniques and forms of communication-education to stimulate the interest and motivation of students, teachers and organizers/trainers in ANDRILL research and polar sciences in general. Activities are organized and scheduled according to a fixed timetable that cover 2/3 of an academic year and are centered on the site www.progettosmilla.it. This site feature daily reports, as well as online activities and various services for users in Italian schools. Among the online materials, more conventional ones are: - summaries of the ANDRILL research and the Antarctic environment; including multimedia (1200 photos, 10 video and audio); resource folders for teachers on 10 different subjects of study; course work for the participating school students. - ITC-oriented materials such as: videoconferencing and chat sessions with Antarctica or between classes, blogs, web-quest, animations and interactive teaching. -Many services are implemented in collaboration with other teachers and allow the ARISE team to perform distant collaborative

  9. Investigating the Nuclear Activity of Barred Spiral Galaxies: The Case of NGC 1672

    DTIC Science & Technology

    2011-06-10

    column density toward Type-2 Seyfert nuclei and the presence of a strong bar, i.e., more than 80% of Compton -thick Seyfert 2s are barred. This suggests...40 ks) and XMM-Newton (50 ks). Here, we report the results from these observations and use sup- porting Hubble Space Telescope/Advanced Camera for...al. 2000). Thus, it was concluded that if an active nucleus is present in NGC 1672, it must be Compton -thick, with NH > 2 × 1024 cm−2. 3

  10. LCA of waste prevention activities: a case study for drinking water in Italy.

    PubMed

    Nessi, Simone; Rigamonti, Lucia; Grosso, Mario

    2012-10-15

    The strategic relevance of waste prevention has considerably increased worldwide during recent years, such that the current European legislation requires the preparation of national waste prevention programmes in which reduction objectives and measures are identified. In such a context, it is possible to recognise how, in order to correctly evaluate the environmental consequences of a prevention activity, a life cycle perspective should be employed. This allows us to go beyond the simple reduction of the generated waste which, alone, does not automatically imply achieving better overall environmental performance, especially when this reduction is not pursued through the simple reduction of consumption. In this study, the energetic and environmental performance of two waste prevention activities considered particularly meaningful for the Italian context were evaluated using life cycle assessment (LCA) methodology. The two activities were the utilisation of public network water (two scenarios) and of refillable bottled water (two scenarios) for drinking purposes, instead of one-way bottled water (three scenarios). The energy demand and specific potential impacts of the four waste prevention scenarios and of the three baseline scenarios were compared with the aim of evaluating whether, and under what conditions, the analysed prevention activities are actually associated with overall energetic and environmental benefits. In typical conditions, the use of public network water directly from the tap results in the best scenario, while if water is withdrawn from public fountains, its further transportation by private car can involve significant impacts. The use of refillable PET bottled water seems the preferable scenario for packaged water consumption, if refillable bottles are transported to local distributors along the same (or a lower) distance as one-way bottles to retailers. The use of refillable glass bottled water is preferable to one-way bottled water only if a

  11. The Effectiveness of Negative Pressure Therapy in Diabetic Foot Ulcers with Elevated Protease Activity: A Case Series

    PubMed Central

    Izzo, Valentina; Meloni, Marco; Giurato, Laura; Ruotolo, Valeria; Uccioli, Luigi

    2017-01-01

    Objective: Despite several works have described the usefulness of negative pressure therapy (NPT) in the treatment of diabetic foot ulcers (DFUs), no studies have reported its ability in the proteases modulation in DFUs. The aim of this work was to evaluate the role of NPT as a protease-modulating treatment in DFUs. Approach: We conducted a prospective study of a series of diabetic patients affected by chronic DFUs. Each ulcer was assessed for matrix metalloproteinases (MMPs) activity with a protease status diagnostic test at the baseline and after 2 weeks of NPT. Results: Four patients were included. All patients had type 2 diabetes with a disease duration of ≈20 years. A1c was 79.5 ± 15.3 mmol/mol. Ulcer area was >5 cm2 in all cases. All wounds showed elevated protease activity (EPA) at the baseline. After 2 weeks, all patients showed a normalization of MMPs activity. Innovation: NPT showed its effectiveness in the reduction of EPA in chronic DFUs. Conclusion: This study confirms the role of NPT in the positive modulation of protease activity also in chronic DFUs. PMID:28116227

  12. Ergonomics and environmental sustainability: a case study of raft fisherman activity at Ponta Negra Beach, Natal-RN.

    PubMed

    Celestino, Joyce Elanne Mateus; Bispo, Cristina de Souza; Saldanha, Maria Christine Werba; Mattos, Karen Maria da Costa

    2012-01-01

    This paper aims to present the significance of methods used by the Ergonomic Analysis of Work for the construction of the scenario of craft fishing with rafts, held by 42 fishermen on the beach of Ponta Negra, Natal - RN; and relate the knowledge in ergonomics to environmental aspects / impacts, aiming the sustainability in this activity. This research is characterized as a case study, of the descriptive and exploratory type and of applied nature. To collect data, we used observational methods, in order to expand information about the activity, and interaction, as conversational action and photographic/videos records to clarify points not covered by observation. It was observed problematic as the reduction of fishing productivity, alterations of the sea, difficulty in docking the rafts, and inadequate waste disposal, noting that this activity needs care regarding the use of the environment. The obtained results contributed to the organization of environmental education workshops, seeking to enhance good individual / collective environmental practices focused on the sustainability of the environment in which they live. Add the need for proposals aimed for managing the activity, involving fishermen, institutions and society, to ensure the improvement of the environment, hence the quality of life of the population.

  13. Investigating the relationship of lightning activity and rainfall: A case study for Crete Island

    NASA Astrophysics Data System (ADS)

    Iordanidou, V.; Koutroulis, A. G.; Tsanis, I. K.

    2016-05-01

    The relationship of lightning activity and rainfall is investigated for rain events of variable intensity. Rain data from 22 gauging stations over the island of Crete and lightning activity from the Global Lightning Network including both cloud-to-ground and some cloud flashes are analyzed for the period September 2012 to June 2014. Local thunderstorms' characteristics are investigated both individually as well as in groups according to the results of k-means clustering algorithm in 3 dimensions (space (x, y) and time (t)) in which the number of clusters is decided by G-means algorithm. Correlation of non-zero pairs of rain intensity and number of flashes is examined at various time intervals, time lags and effective radii. Also, correlation of flash count within 50 km radius around the stations is examined for the rain events of maximum hourly intensity for each gauging station. The highest coincidence of lightning clusters with intense rain events reaches 60% when gauges are 25-30 km from the cluster center. Maximum correlation within non-zero pairs of rain intensity and flashes number is obtained for more intense rain (99th percentile) and for increased flash count within the searching area (more than 10 flashes). Also, correlation is stronger for shorter time windows. The findings of this study improve the understanding of thunderstorm events and could provide staple information for the improvement of forecasting extreme events.

  14. Investigating theoretical explanations for behaviour change: the case study of ProActive.

    PubMed

    Michie, Susan; Hardeman, Wendy; Fanshawe, Tom; Prevost, A Toby; Taylor, Lyndsay; Kinmonth, Ann Louise

    2008-01-01

    Developing more effective behavioural interventions requires an understanding of the mechanisms of behaviour change, and methods to rigorously test their theoretical basis. The delivery and theoretical basis of an intervention protocol were assessed in ProActive, a UK trial of an intervention to increase the physical activity of those at risk of Type 2 diabetes (N = 365). In 108 intervention sessions, behaviours of facilitators were mapped to four theories that informed intervention development and behaviours of participants were mapped to 17 theoretical components of these four theories. The theory base of the intervention specified by the protocol was different than that delivered by facilitators, and that received by participants. Of the intervention techniques delivered, 25% were associated with theory of planned behaviour (TPB), 42% with self-regulation theory (SRT), 24% with operant learning theory (OLT) and 9% with relapse prevention theory (RPT). The theoretical classification of participant talk showed a different pattern, with twice the proportion associated with OLT (48%), 21% associated with TPB, 31% with SRT and no talk associated with RPT. This study demonstrates one approach to assessing the extent to which the theories used to guide intervention development account for any changes observed.

  15. The case for use of entrustable professional activities in undergraduate medical education.

    PubMed

    Chen, H Carrie; van den Broek, W E Sjoukje; ten Cate, Olle

    2015-04-01

    Many graduate medical education (GME) programs have started to consider and adopt entrustable professional activities (EPAs) in their competency frameworks. Do EPAs also have a place in undergraduate medical education (UME)? In this Perspective article, the authors discuss arguments in favor of the use of EPAs in UME. A competency framework that aligns UME and GME outcome expectations would allow for better integration across the educational continuum. The EPA approach would be consistent with what is known about progressive skill development. The key principles underlying EPAs, workplace learning and trust, are generalizable and would also be applicable to UME learners. Lastly, EPAs could increase transparency in the workplace regarding student abilities and help ensure safe and quality patient care. The authors also outline what UME EPAs might look like, suggesting core, specialty-specific, and elective EPAs related to core clinical residency entry expectations and learner interest. UME EPAs would be defined as essential health care activities with which one would expect to entrust a resident at the beginning of residency to perform without direct supervision. Finally, the authors recommend a refinement and expansion of the entrustment and supervision scale previously developed for GME to better incorporate the supervision expectations for UME learners. They suggest that EPAs could be operationalized for UME if UME-specific EPAs were developed and the entrustment scale were expanded.

  16. Evolution of Neuroplasticity in Response to Physical Activity in Old Age: The Case for Dancing.

    PubMed

    Müller, Patrick; Rehfeld, Kathrin; Schmicker, Marlen; Hökelmann, Anita; Dordevic, Milos; Lessmann, Volkmar; Brigadski, Tanja; Kaufmann, Jörn; Müller, Notger G

    2017-01-01

    From animal research, it is known that combining physical activity with sensory enrichment has stronger and longer-lasting effects on the brain than either treatment alone. For humans dancing has been suggested to be analogous to such combined training. Here we assessed whether a newly designed dance training program that stresses the constant learning of new movement patterns is superior in terms of neuroplasticity to conventional fitness activities with repetitive exercises and whether extending the training duration has additional benefits. Twenty-two healthy seniors (63-80 years) who had been randomly assigned to either a dance or a sport group completed the entire 18-month study. MRI, BDNF and neuropsychological tests were performed at baseline and after 6 and 18 months of intervention. After 6 months, we found a significant increase in gray matter volume in the left precentral gyrus in the dancers compared to controls. This neuroplasticity effect may have been mediated by the increased BDNF plasma levels observed in the dancers. Regarding cognitive measures, both groups showed significant improvements in attention after 6 months and in verbal memory after 18 months. In addition, volume increases in the parahippocampal region were observed in the dancers after 18 months. The results of our study suggest that participating in a long-term dance program that requires constant cognitive and motor learning is superior to engaging in repetitive physical exercises in inducing neuroplasticity in the brains of seniors. Therefore, dance is highly promising in its potential to counteract age-related gray matter decline.

  17. A case for justified non‐voluntary active euthanasia: exploring the ethics of the Groningen Protocol

    PubMed Central

    Manninen, B A

    2006-01-01

    One of the most recent controversies to arise in the field of bioethics concerns the ethics for the Groningen Protocol: the guidelines proposed by the Groningen Academic Hospital in The Netherlands, which would permit doctors to actively euthanise terminally ill infants who are suffering. The Groningen Protocol has been met with an intense amount of criticism, some even calling it a relapse into a Hitleresque style of eugenics, where people with disabilities are killed solely because of their handicaps. The purpose of this paper is threefold. First, the paper will attempt to disabuse readers of this erroneous understanding of the Groningen Protocol by showing how such a policy does not aim at making quality‐of‐life judgements, given that it restricts euthanasia to suffering and terminally ill infants. Second, the paper illustrates that what the Groningen Protocol proposes to do is both ethical and also the most humane alternative for these suffering and dying infants. Lastly, responses are given to some of the worries expressed by ethicists on the practice of any type of non‐voluntary active euthanasia. PMID:17074822

  18. Evaluation of an Active Surveillance System for Stillbirths in Metropolitan Atlanta

    PubMed Central

    Azofeifa, Alejandro; Yeung, Lorraine F.; Duke, C. Wes; Gilboa, Suzanne M.; Correa, Adolfo

    2015-01-01

    Background In 2005, a pilot project was started at the Centers for Disease Control and Prevention (CDC) to expand an existing birth defects surveillance program, the Metropolitan Atlanta Congenital Defects Program (MACDP), to conduct active surveillance of stillbirth. This pilot project was evaluated using CDC’s current guidelines for evaluating surveillance systems. Methods We conducted stakeholder interviews with the staff of MACDP’s stillbirth surveillance system. We reviewed the published literature on stillbirth ascertainment including 4 previous publications about the MACDP stillbirth surveillance system. Using fetal death certificates (FDC) as a second, independent data source, we estimated the total number and prevalence of stillbirths in metropolitan Atlanta using capture-recapture methods, and calculated the sensitivity of the MACDP stillbirth surveillance system. Results The MACDP stillbirth surveillance system is useful, flexible, acceptable, and stable. The system’s data quality is improved because it uses multiple sources for case ascertainment. Based on 2006 data, estimated sensitivities of FDCs, MACDP, and both sources combined for identifying a stillbirth were 78.5%, 76.8%, and 95.0%, respectively. The prevalence of stillbirths per 1,000 live births and stillbirths was 8.2 (95% confidence interval [CI]: 7.5-9.0) based on FDC data alone and 9.9 (95% CI: 9.1-10.8) when combined with MACDP data. Conclusion Use of MACDP as an additional data source for stillbirth surveillance resulted in higher levels of case ascertainment, better data quality, and a higher estimate of stillbirth prevalence than using FDC data alone. MACDP could be considered as a model to enhance stillbirth surveillance by other active birth defects surveillance programs. PMID:23270086

  19. Nicotinamide polymeric nanoemulsified systems: a quality-by-design case study for a sustained antimicrobial activity

    PubMed Central

    Zidan, Ahmed S; Ahmed, Osama AA; Aljaeid, Bader M

    2016-01-01

    Nicotinamide, the amide form of vitamin B3, was demonstrated to combat some of the antibiotic-resistant infections that are increasingly common around the world. The objective of this study was to thoroughly understand the formulation and process variabilities affecting the preparation of nicotinamide-loaded polymeric nanoemulsified particles. The quality target product profile and critical quality attributes of the proposed product were presented. Plackett–Burman screening design was employed to screen eight variables for their influences on the formulation’s critical characteristics. The formulations were prepared by an oil-in-water emulsification followed by solvent replacement. The prepared systems were characterized by entrapment capacity (EC), entrapment efficiency (EE), particle size, polydispersity index, zeta potential, transmission electron microscopy, Fourier transform infrared spectroscopy, differential scanning calorimetry, powder X-ray diffraction, in vitro drug release, and their antibacterial activity against bacterial scrums. EC, EE, particle size, polydispersity index, zeta potential, and percentage release in 24 hours were found to be in the range of 33.5%–68.8%, 53.1%–67.1%, 43.3–243.3 nm, 0.08–0.28, 9.5–53.3 mV, and 5.8%–22.4%, respectively. One-way analysis of variance and Pareto charts revealed that the experimental loadings of 2-hydroxypropyl-β-cyclodextrin and Eudragit® S100 were the most significant for their effects on nicotinamide EC and EE. Moreover, the polymeric nanoemulsified particles demonstrated a sustained release profile for nicotinamide. The Fourier transform infrared spectroscopy, differential scanning calorimetry, and X-ray diffraction demonstrated a significant interaction between the drug and 2-hydroxypropyl-β-cyclodextrin that might modulate the sustained release behavior. Furthermore, the formulations provided a sustained antibacterial activity that depended on nicotinamide-loading concentration

  20. A Case Study of URM Retention through IBP's Professional Development and Mentoring Activities

    NASA Astrophysics Data System (ADS)

    Johnson, A.; Williamson Whitney, V.; Ricciardi, L.; Detrick, L.; Siegfried, D.; Fauver, A.; Ithier-Guzman, W.; Thomas, S. H.; Valaitis, S.

    2012-12-01

    , focuses on increasing the retention rate of URM students receiving advanced degrees in Earth system science. Through a three-phase structure of activities, the program addresses major barriers to retention in ESS including isolation, lack of preparation and professional development, and lack of mentoring. Program activities center on peer-to-peer community building, professional development exercises, networking experiences, one-on-one mentoring, and a facilitated virtual community. MS PHD'S participants report a reduced sense of isolation, an increased sense of community, and a higher level of confidence about their ability to succeed in their chosen field. As of August 2012, 189 students have participated in the program. 60 of those students are currently enrolled in a PhD. program. Another 35 have completed their PhD and are actively engaged in the ESS workforce.

  1. [A case of hyperalphalipoproteinemia with complete deficiency of cholesteryl ester transfer activity].

    PubMed

    Umemori, Y; Moriyama, T; Takeda, S; Hosokawa, H; Nobuoka, M; Makino, M; Matuhashi, H; Eto, M; Sakai, N; Chiba, H

    1992-09-01

    A 68-year-old male patient with benign hypertension shows high levels of high density lipoprotein cholesterol (HDL-C) of 171 mg/dl. The serum total cholesterol was 240 mg/dl. An abnormal slow alpha band and polydisperse low density lipoprotein (LDL) bands were detected by agarose gel and polyacrylamide gel electrophoresis. The slow alpha band was considered as an apo E-rich HDL. A peak of large HDL particle and a peak of abnormal high-molecular-LDL particle were observed in the patient's serum by gel permeation high performance liquid chromatography. Cholesteryl ester transfer activity (CETA) of the patient's serum was completely deficient (0.0%/10 microliters/18 hr). From these results, it is strongly suggested that patient's hyper-HDL-cholesterolemia caused by a complete deficiency of CETA.

  2. DOUBLE-PEAKED NARROW-LINE ACTIVE GALACTIC NUCLEI. II. THE CASE OF EQUAL PEAKS

    SciTech Connect

    Smith, K. L.; Shields, G. A.; Salviander, S.; Stevens, A. C.; Rosario, D. J. E-mail: shields@astro.as.utexas.edu E-mail: acs0196@mail.utexas.edu

    2012-06-10

    Active galactic nuclei (AGNs) with double-peaked narrow lines (DPAGNs) may be caused by kiloparsec-scale binary AGNs, bipolar outflows, or rotating gaseous disks. We examine the class of DPAGNs in which the two narrow-line components have closely similar intensity as being especially likely to involve disks or jets. Two spectroscopic indicators support this likelihood. For DPAGNs from Smith et al., the 'equal-peaked' objects (EPAGNs) have [Ne V]/[O III]ratios lower than for a control sample of non-double-peaked AGNs. This is unexpected for a pair of normal AGNs in a galactic merger, but may be consistent with [O III] emission from a rotating ring with relatively little gas at small radii. Also, [O III]/H{beta} ratios of the redshifted and blueshifted systems in the EPAGN are more similar to each other than in a control sample, suggestive of a single ionizing source and inconsistent with the binary interpretation.

  3. Physical activity and self-concept: the SEARCH for diabetes in youth case control study.

    PubMed

    O'Neill, Jennifer R; Liese, Angela D; McKeown, Robert E; Cai, Bo; Cuffe, Steven P; Mayer-Davis, Elizabeth J; Hamman, Richard F; Dabelea, Dana

    2012-11-01

    In this study, the relationship between physical activity (PA) and 3 self-concept constructs (physical abilities, physical appearance, and general self-concept) was examined. Youth with type 1 diabetes (n = 304), type 2 diabetes (n = 49), and nondiabetic controls (n = 127) aged 10-20 years wore pedometers over 7 days. Youth completed the Self-Description Questionnaire and correlation coefficients were calculated. Mean steps/day were 7413 ± 3415, 4959 ± 3474 and 6870 ± 3521 for type 1, type 2 and control youth, respectively. Significant correlations were found between steps/day and perception of physical abilities (r = .29; r = .31; r = .31) for type 1, type 2, and control youth, respectively. The other correlations were not significant. Among youth with type 2 diabetes, steps/day were significantly correlated with physical appearance (r = .46). The positive correlation between PA and physical abilities suggests a reciprocal relationship between behavior and perception.

  4. [Mental activity hand orthosis control using the EEG: a case study].

    PubMed

    Pfurtscheller, G; Müller, G; Korisek, G

    2002-02-01

    A report is given on the realization of a steering mechanism of a hand orthosis for a patient with paraplegia. An EEG-based Brain-Computer Interface (BCI) was used here for the first time, transferring purely mental activity to a control signal. This means that the patient has the capability to open or close the hand orthosis only by imagination of a movement. At this time, after a training period of about four months, the patient is able to move the hand orthosis with a certainty of almost hundred percent. The restored grasp function was verified by a grasp function test. Results are compared to those obtained using a conventional EMG-controlled orthosis.

  5. Linear active disturbance rejection control of underactuated systems: the case of the Furuta pendulum.

    PubMed

    Ramírez-Neria, M; Sira-Ramírez, H; Garrido-Moctezuma, R; Luviano-Juárez, A

    2014-07-01

    An Active Disturbance Rejection Control (ADRC) scheme is proposed for a trajectory tracking problem defined on a nonfeedback linearizable Furuta Pendulum example. A desired rest to rest angular position reference trajectory is to be tracked by the horizontal arm while the unactuated vertical pendulum arm stays around its unstable vertical position without falling down during the entire maneuver and long after it concludes. A linear observer-based linear controller of the ADRC type is designed on the basis of the flat tangent linearization of the system around an arbitrary equilibrium. The advantageous combination of flatness and the ADRC method makes it possible to on-line estimate and cancels the undesirable effects of the higher order nonlinearities disregarded by the linearization. These effects are triggered by fast horizontal arm tracking maneuvers driving the pendulum substantially away from the initial equilibrium point. Convincing experimental results, including a comparative test with a sliding mode controller, are presented.

  6. On the active manipulation of fields and applications: I. The quasistatic case

    NASA Astrophysics Data System (ADS)

    Onofrei, Daniel

    2012-10-01

    Following the ideas proposed by Guevara-Vasquez et al (2009 Phys. Rev. Lett. 103; Opt. Express 17 14800-5) on active exterior cloaking, we present here a systematic integral equation method to generate suitable quasistatic fields for cloaking, illusions and energy focusing (with given accuracy) in multiple regions of interest. In the quasistatic regime, the central issue is to design appropriate source functions for the Laplace equation so that the resulting solution will satisfy the required properties. We show the existence and non-uniqueness of solutions to the problem and study the physically relevant unique L2-minimal energy solution. We also provide some numerical evidence on the feasibility of the proposed approach.

  7. The Case for the Use of Active Social Media in Nonproliferation and Nuclear Security

    SciTech Connect

    Schanfein, Mark J.

    2015-10-05

    A great amount of attention and consideration is being directed at possible applications of social media in many challenging areas. The use of social media has already shown its importance in the area of disaster response, where, each citizen is essentially acting as a sensor in reporting local conditions. In the aggregate, valuable information is obtained to enable a more effective response as well as provide timely information to those in the disaster area. No one needs to be trained to understand what constitutes a disaster, so a social media data stream from the public is literally always active and ready to engage. A similar but more focused approach is the use of crowdsourcing for science, where specific challenges in areas such as mathematics, astronomy, and biology are posted to social media and solved by the crowd.

  8. Creating experiential learning activities using Web 2.0 tools and technologies: a case study.

    PubMed

    Brixey, Juliana J; Warren, Judith J

    2009-01-01

    Learning is no longer an internal individual activity but occurs through networks and connections. The aim of this project was to teach online health informatics students to use Web 2.0 tools and technologies to form networks and connections through experiential learning assignments. Web 2.0 tools and technologies were evaluated using a criteria checklist prior to implementation for students enrolled in health informatics classes at the University of Kansas School of Nursing. Health informatics students have developed competencies using an instant message service, blogging, concept mapping, social bookmarking, and interacting a virtual environment. In the future, health care professionals will have to work in rapidly changing environments and keep abreast of new innovations and tools, learn to use those tools, and to teach others about the tools.

  9. Activity Diagrams for DEVS Models: A Case Study Modeling Health Care Behavior

    SciTech Connect

    Ozmen, Ozgur; Nutaro, James J

    2015-01-01

    Discrete Event Systems Specification (DEVS) is a widely used formalism for modeling and simulation of discrete and continuous systems. While DEVS provides a sound mathematical representation of discrete systems, its practical use can suffer when models become complex. Five main functions, which construct the core of atomic modules in DEVS, can realize the behaviors that modelers want to represent. The integration of these functions is handled by the simulation routine, however modelers can implement each function in various ways. Therefore, there is a need for graphical representations of complex models to simplify their implementation and facilitate their reproduction. In this work, we illustrate the use of activity diagrams for this purpose in the context of a health care behavior model, which is developed with an agent-based modeling paradigm.

  10. Carotid sheath haematoma: a case report.

    PubMed

    Yadav, Jayanthi; Badkur, D S; Arora, Arneet

    2009-10-01

    Carotid sheath haematoma is a rare finding, sometimes the only injury found in cases of manual strangulation without any associated external or internal injury to the neck. One such rare case is reported in an 8 year old female victim where presence of carotid sheath haematoma not only helped to ascertain the cause of death but also helped in the reconstruction of mechanism of infliction of force on the neck.

  11. Fugitive greenhouse gas emissions from shale gas activities - a case study of Dish, TX

    NASA Astrophysics Data System (ADS)

    Khan, A.; Roscoe, B.; Lary, D.; Schaefer, D.; Tao, L.; Sun, K.; Brian, A.; DiGangi, J.; Miller, D. J.; Zondlo, M. A.

    2012-12-01

    We evaluate new findings on aerial (horizontal and vertical) mapping of methane emissions in the atmospheric boundary layer region to help study fugitive methane emissions from extraction, transmission, and storage of natural gas and oil in Dish, Texas. Dish is located in the Barnett Shale which has seen explosive development of hydraulic fracking activities in recent years. The aerial measurements were performed with a new laser-based methane sensor developed specifically for an unmanned aerial vehicle (UAV). The vertical cavity surface emitting laser (VCSEL) methane sensor, with a mass of 2.5 kg and a precision of < 20 ppbv methane at 1 Hz, was flown on the UT-Dallas ARC Payload Master electronic aircraft at two sites in Texas: one representative of urban emissions of the Dallas-Fort Worth area in Richardson, Texas and another in Dish, Texas, closer to gas and oil activities. Methane mixing ratios at Dish were ubiquitously in the 3.5 - 4 ppmv range which was 1.5 - 2 ppmv higher than methane levels immediately downwind of Dallas. During the flight measurements at Dish, narrow methane plumes exceeding 20 ppmv were frequently observed at altitudes from the surface to 130 m above the ground. Based on the wind speed at the sampling location, the horizontal widths of large methane plumes were of the order of 100 m. The locations of the large methane plumes were variable in space and time over a ~ 1 km2 area sampled from the UAV. Spatial mapping over larger scales (10 km) by ground-based measurements showed similar methane levels as the UAV measurements. To corroborate our measurements, alkane and other hydrocarbon mixing ratios from an on-site TCEQ environmental monitoring station were analyzed and correlated with methane measurements to fingerprint the methane source. We show that fugitive methane emissions at Dish are a significant cause of the large and ubiquitous methane levels on the 1-10 km scale.

  12. Evolution of Neuroplasticity in Response to Physical Activity in Old Age: The Case for Dancing

    PubMed Central

    Müller, Patrick; Rehfeld, Kathrin; Schmicker, Marlen; Hökelmann, Anita; Dordevic, Milos; Lessmann, Volkmar; Brigadski, Tanja; Kaufmann, Jörn; Müller, Notger G.

    2017-01-01

    From animal research, it is known that combining physical activity with sensory enrichment has stronger and longer-lasting effects on the brain than either treatment alone. For humans dancing has been suggested to be analogous to such combined training. Here we assessed whether a newly designed dance training program that stresses the constant learning of new movement patterns is superior in terms of neuroplasticity to conventional fitness activities with repetitive exercises and whether extending the training duration has additional benefits. Twenty-two healthy seniors (63–80 years) who had been randomly assigned to either a dance or a sport group completed the entire 18-month study. MRI, BDNF and neuropsychological tests were performed at baseline and after 6 and 18 months of intervention. After 6 months, we found a significant increase in gray matter volume in the left precentral gyrus in the dancers compared to controls. This neuroplasticity effect may have been mediated by the increased BDNF plasma levels observed in the dancers. Regarding cognitive measures, both groups showed significant improvements in attention after 6 months and in verbal memory after 18 months. In addition, volume increases in the parahippocampal region were observed in the dancers after 18 months. The results of our study suggest that participating in a long-term dance program that requires constant cognitive and motor learning is superior to engaging in repetitive physical exercises in inducing neuroplasticity in the brains of seniors. Therefore, dance is highly promising in its potential to counteract age-related gray matter decline. PMID:28352225

  13. Translation of viral mRNA without active eIF2: the case of picornaviruses.

    PubMed

    Welnowska, Ewelina; Sanz, Miguel Angel; Redondo, Natalia; Carrasco, Luis

    2011-01-01

    Previous work by several laboratories has established that translation of picornavirus RNA requires active eIF2α for translation in cell free systems or after transfection in culture cells. Strikingly, we have found that encephalomyocarditis virus protein synthesis at late infection times is resistant to inhibitors that induce the phosphorylation of eIF2α whereas translation of encephalomyocarditis virus early during infection is blocked upon inactivation of eIF2α by phosphorylation induced by arsenite. The presence of this compound during the first hour of infection leads to a delay in the appearance of late protein synthesis in encephalomyocarditis virus-infected cells. Depletion of eIF2α also provokes a delay in the kinetics of encephalomyocarditis virus protein synthesis, whereas at late times the levels of viral translation are similar in control or eIF2α-depleted HeLa cells. Immunofluorescence analysis reveals that eIF2α, contrary to eIF4GI, does not colocalize with ribosomes or with encephalomyocarditis virus 3D polymerase. Taken together, these findings support the novel idea that eIF2 is not involved in the translation of encephalomyocarditis virus RNA during late infection. Moreover, other picornaviruses such as foot-and-mouth disease virus, mengovirus and poliovirus do not require active eIF2α when maximal viral translation is taking place. Therefore, translation of picornavirus RNA may exhibit a dual mechanism as regards the participation of eIF2. This factor would be necessary to translate the input genomic RNA, but after viral RNA replication, the mechanism of viral RNA translation switches to one independent of eIF2.

  14. Soil pollution indices conditioned by medieval metallurgical activity - A case study from Krakow (Poland).

    PubMed

    Kowalska, Joanna; Mazurek, Ryszard; Gąsiorek, Michał; Setlak, Marcin; Zaleski, Tomasz; Waroszewski, Jaroslaw

    2016-11-01

    The studied soil profile under the Main Market Square (MMS) in Krakow was characterised by the influence of medieval metallurgical activity. In the presented soil section lithological discontinuity (LD) was found, which manifests itself in the form of cultural layers (CLs). Moreover, in this paper LD detection methods based on soil texture are presented. For the first time, three different ways to identify the presence of LD in the urban soils are suggested. The presence of LD had an influence on the content and distribution of heavy metals within the soil profile. The content of heavy metals in the CLs under the MMS in Krakow was significantly higher than the content in natural horizons. In addition, there were distinct differences in the content of heavy metals within CLs. Profile variability and differences in the content of heavy metals and phosphorus within the CLs under the MMS were activity indicators of Krakow inhabitants in the past. This paper presents alternative methods for the assessment of the degree of heavy metal contamination in urban soils using selected pollution indices. On the basis of the studied total concentration of heavy metals (Zn, Pb, Cu, Mn, Cr, Cd, Ni, Sn, Ag) and total phosphorus content, the Geoaccumulation Index (Igeo), Enrichment Factor (EF), Sum of Pollution Index (PIsum), Single Pollution Index (PI), Nemerow Pollution Index (PINemerow) and Potential Ecological Risk (RI) were calculated using different local and reference geochemical backgrounds. The use of various geochemical backgrounds is helpful to evaluate the assessment of soil pollution. The individual CLs differed from each other according to the degree of pollution. The different values of pollution indices within the studied soil profile showed that LDS should not be evaluated in terms of contamination as one, homogeneous soil profile but each separate CL should be treated individually.

  15. Differential rotation of cool active stars: the case of intermediate rotators

    NASA Astrophysics Data System (ADS)

    Petit, P.; Donati, J.-F.; Collier Cameron, A.

    2002-08-01

    In this paper, we present a new method for measuring the surface differential rotation of cool stars with rotation periods of a few days, for which the sparse phase coverage achievable from single-site observations generally prevents the use of more conventional techniques. The basic idea underlying this new analysis is to obtain the surface differential rotation pattern that minimizes the information content of the reconstructed Doppler image through a simultaneous fit of all available data. Simulations demonstrate that the performance of this new method in the case of cool stars is satisfactory for a variety of observing strategies. Differential rotation parameters can be recovered reliably as long as the total data set spans at least 4 per cent of the time for the equator to lap the pole by approximately one complete cycle. We find in particular that these results hold for potentially complex spot distributions (as long as they include a mixture of low- and high-latitude features), and for various stellar inclination angles and rotation velocities. Such measurements can be obtained from either unpolarized or polarized data sets, provided their signal-to-noise ratio is larger than approximately 500 and 5000 per 2kms-1 spectral bin, respectively. This method should therefore be very useful for investigating differential rotation in a much larger sample of objects than what has been possible up to now, and should hence give us the opportunity of studying how differential rotation reacts to various phenomena operating in stellar convective zones, such as tidal effects or dynamo magnetic field generation.

  16. Body size, physical activity and risk of breast cancer - a case control study in Jangsu Province of China.

    PubMed

    Gao, Chang-Ming; Tajima, Kazuo; Ding, Jian-Hua; Tang, Jin-Hai; Wu, Jian-Zhong; Li, Su-Ping; Cao, Hai-Xia; Liu, Yan-Ting; Su, Ping; Qian, Yun; Chang, Jun; Takezaki, Toshiro

    2009-01-01

    To evaluate the relationship between body size, physical activity and risk of breast cancer, we conducted a case-control study with 669 cases and 682 population-based controls in Jiangsu Province of China. A structured questionnaire was used to elicit detailed information. All subjects completed an in-person interview. The body mass index (BMI) was calculated based on weights and heights. Unconditional logistic regression analysis was performed to calculate odds ratios (ORs) and 95% confidence intervals (CIs) as measures of risk for breast cancer. Current height, weight and weight at around age 20 years were significantly positively correlated with risk of breast cancer. Obese women (current BMI > or = 25 kg/m2) were at significantly increased risk for developing breast cancer (adjusted OR= 1.35, 95%CI: 1.01-1.81), but, between BMI at around age 20 years and risk of breast cancer showed an inverse association (P for trend = 0.001). Women who had middle physical force work were at significantly lowered OR (0.62, 95%CI: 0.41-0.93) compared with women of headwork. Using women who standing or ambulation per day less than one hour as the reference, women who standing or ambulation more than one hour had a decreased risk of breast cancer. Using women who slept less than 5 hours per day as the reference, the women who slept 5-8 hours were at significantly decreased risk of breast cancer. Women who had habit of recreational physical activity were at significantly decreased risk (adjusted OR= 0.68, 95%CI: 0.53-0.88), with an inverse association between the exercise times per week and risk of breast cancer (P for trend = 0.025). These findings support that breast cancer risk is associated with body size, and that moderate occupational and recreational physical activity has protective effects on breast cancer.

  17. Measurement of inter- and intra-annual variability of landscape fire activity at a continental scale: the Australian case

    NASA Astrophysics Data System (ADS)

    Williamson, Grant J.; Prior, Lynda D.; Jolly, W. Matt; Cochrane, Mark A.; Murphy, Brett P.; Bowman, David M. J. S.

    2016-03-01

    Climate dynamics at diurnal, seasonal and inter-annual scales shape global fire activity, although difficulties of assembling reliable fire and meteorological data with sufficient spatio-temporal resolution have frustrated quantification of this variability. Using Australia as a case study, we combine data from 4760 meteorological stations with 12 years of satellite-derived active fire detections to determine day and night time fire activity, fire season start and end dates, and inter-annual variability, across 61 objectively defined climate regions in three climate zones (monsoon tropics, arid and temperate). We show that geographic patterns of landscape burning (onset and duration) are related to fire weather, resulting in a latitudinal gradient from the monsoon tropics in winter, through the arid zone in all seasons except winter, and then to the temperate zone in summer and autumn. Peak fire activity precedes maximum lightning activity by several months in all regions, signalling the importance of human ignitions in shaping fire seasons. We determined median daily McArthur forest fire danger index (FFDI50) for days and nights when fires were detected: FFDI50 varied substantially between climate zones, reflecting effects of fire management in the temperate zone, fuel limitation in the arid zone and abundance of flammable grasses in the monsoon tropical zone. We found correlations between the proportion of days when FFDI exceeds FFDI50 and the Southern Oscillation index across the arid zone during spring and summer, and Indian Ocean dipole mode index across south-eastern Australia during summer. Our study demonstrates that Australia has a long fire weather season with high inter-annual variability relative to all other continents, making it difficult to detect long term trends. It also provides a way of establishing robust baselines to track changes to fire seasons, and supports a previous conceptual model highlighting multi-temporal scale effects of climate in

  18. The altitude effect on the climatic factors controlling debris flows activation: the Marderello Torrent case study

    NASA Astrophysics Data System (ADS)

    Palladino, Michela; Turconi, Laura; Savio, Gabriele; Tropeano, Domenico

    2015-04-01

    The left Cenischia valley includes some of the best known alpine basins prone to debris flow in Northwestern Italian Alps. In particular, in the Marderello catchment (6,6 km²), a left tributary of the Cenischia river, 31 important debris flood/flow events occurred during the last one hundred years. According to the chronicles of the last three centuries, events with significant volumes are on the average liable to take place every 3-4 years, whereas minor events may occur even twice per year. Due to the high frequency of activations, the site is of relevant interest for monitoring purposes. Since the early nineties, the CNR IRPI equipped the Marderello basin with meteorological monitoring devices. The rainfall monitoring network consists of four rain gauges, placed at different elevations, between 800 m a.s.l. and 2854 m a.s.l. Other meteorological data (air moisture and temperature, atmospheric pressure, wind speed and direction) are provided by three stations located at 3150, 2150 and 830 m a.s.l. The main objective of the monitoring is the investigation of the triggering conditions for debris flows initiation. In the scientific literature the prediction of debris flows is often tackled by the use of empirical methods, based on the analysis of past activation and related rainfall triggering conditions. The effectiveness of these methods strictly depends on the representativeness of the meteorological monitoring stations used to collect the data. In complex orography sites, as the Alpine catchments are, the remarkable elevation gaps between the source areas of debris flows and the rain gauges position make it difficult to identify the triggering rainfall. To attain more reliable results, the elevation effect must be considered. In fact, elevation influences the precipitation in terms of cumulative values and, as a result of the temperature gradient, it controls the nature of the precipitation (rain/snow). In the present study we use the rainfall and temperature

  19. Extension joints: a tool to infer the active stress field orientation (case study from southern Italy)

    NASA Astrophysics Data System (ADS)

    De Guidi, Giorgio; Caputo, Riccardo; Scudero, Salvatore; Perdicaro, Vincenzo

    2013-04-01

    An intense tectonic activity in eastern Sicily and southern Calabria is well documented by the differential uplift of Late Quaternary coastlines and by the record of the strong historical earthquakes. The extensional belt that crosses this area is dominated by a well established WNW-ESE-oriented extensional direction. However, this area is largely lacking of any structural analysis able to define the tectonics at a more local scale. In the attempt to fill this gap of knowledge, we carried out a systematic analysis of extension joint sets. In fact, the systematic field collection of these extensional features, coupled with an appropriate inversion technique, allows to determine the characteristic of the causative tectonic stress field. Joints are defined as outcrop-scale mechanical discontinuities showing no evidence of shear motion and being originated as purely extensional fractures. Such tectonic features are one of the most common deformational structures in every tectonic environment and particularly abundant in the study area. A particular arrangement of joints, called "fracture grid-lock system", and defined as an orthogonal joint system where mutual abutting and crosscutting relationships characterize two geologically coeval joint sets, allow to infer the direction and the magnitude of the tectonic stress field. We performed the analyses of joints only on Pleistocene deposits of Eastern Sicily and Southern Calabria. Moreover we investigated only calcarenite sediments and cemented deposits, avoiding claysh and loose matrix-supported clastic sediments where the deformation is generally accomodated in a distributed way through the relative motion between the single particles. In the selection of the sites, we also took into account the possibility to clearly observe the geometric relationships among the joints. For this reason we chose curvilinear road cuts or cliffs, wide coastal erosional surfaces and quarries. The numerical inversions show a similar stress

  20. H-reflex suppression and autonomic activation during lucid REM sleep: a case study.

    PubMed

    Brylowski, A; Levitan, L; LaBerge, S

    1989-08-01

    A single subject, a proficient lucid dreamer experienced with signaling the onset of lucidity (reflective consciousness of dreaming) by means of voluntary eye movements, spent 4 nonconsecutive nights in the sleep laboratory. The subject reported becoming lucid and signaling in 8 of the 18 rapid-eye movement (REM) periods recorded. Ten lucid dream reports were verified by polygraphic examination of signals, providing a total of 12.5 min of signal-verified lucid REM. H-Reflex amplitude was recorded every 5 s, along with continuous recording of electroencephalogram, electrooculogram, electromyogram, electrocardiogram, finger pulse, and respiration. Significant findings included greater mean H-reflex suppression during lucid REM sleep than during nonlucid REM and correlations of H-reflex suppression with increased eye movement density, heart rate, and respiration rate. These results support previous studies reporting that lucid REM is not, as might be supposed, a state closer to awakening than ordinary, or nonlucid, REM; rather, lucid dreaming occurs during unequivocal REM sleep and is characteristically associated with phasic REM activation.

  1. A Pragmatic Bayesian Perspective on Correlation Analysis. The exoplanetary gravity - stellar activity case

    NASA Astrophysics Data System (ADS)

    Figueira, P.; Faria, J. P.; Adibekyan, V. Zh.; Oshagh, M.; Santos, N. C.

    2016-11-01

    We apply the Bayesian framework to assess the presence of a correlation between two quantities. To do so, we estimate the probability distribution of the parameter of interest, ρ, characterizing the strength of the correlation. We provide an implementation of these ideas and concepts using python programming language and the pyMC module in a very short (˜ 130 lines of code, heavily commented) and user-friendly program. We used this tool to assess the presence and properties of the correlation between planetary surface gravity and stellar activity level as measured by the log(R^' }_{ {HK}}) indicator. The results of the Bayesian analysis are qualitatively similar to those obtained via p-value analysis, and support the presence of a correlation in the data. The results are more robust in their derivation and more informative, revealing interesting features such as asymmetric posterior distributions or markedly different credible intervals, and allowing for a deeper exploration. We encourage the reader interested in this kind of problem to apply our code to his/her own scientific problems. The full understanding of what the Bayesian framework is can only be gained through the insight that comes by handling priors, assessing the convergence of Monte Carlo runs, and a multitude of other practical problems. We hope to contribute so that Bayesian analysis becomes a tool in the toolkit of researchers, and they understand by experience its advantages and limitations.

  2. Models of Active Glacial Isostasy Roofing Warm Subduction: Case of the South Patagonian Ice Field

    NASA Technical Reports Server (NTRS)

    Klemann, Volker; Ivins, Erik R.; Martinec, Zdenek; Wolf, Detlef

    2007-01-01

    Modern geodetic techniques such as precise Global Positioning System (GPS) and high-resolution space gravity mapping (Gravity Recovery and Climate Experiment, GRACE) make it possible to measure the present-day rate of viscoelastic gravitational Earth response to present and past glacier mass changes. The Andes of Patagonia contain glacial environments of dramatic mass change. These mass load changes occur near a tectonically active boundary between the Antarctic and South American plates. The mechanical strength of the continental side of this boundary is influenced by Neogene ridge subduction and by the subduction of a youthful oceanic slab. A ridge of young volcanos parallels the Pacific coastline. Release of volatiles (such as water) at depth along this ridge creates a unique rheological environment. To assess the influence of this rheological ridge structure on the observational land uplift rate, we apply a two dimensional viscoelastic Earth model. A numerical study is presented which examines the sensitivity of the glacial loading-unloading response to the complex structure at depth related to the subducting slab, the viscous wedge between slab and continental lithosphere, and the increase of elastic thickness from oceanic to continental lithosphere. A key feature revealed by our numerical experiments is a continuum flow wherein the slab subdues the material transport toward oceanic mantle and crust. The restricted flow is sensitive to the details of slab mechanical strength and penetration into the upper mantle. The reduced viscosity within the mantle wedge, however, enhances the load-induced material transport everywhere within the asthenosphere.

  3. Subsidence activity maps derived from DInSAR data: Orihuela case study

    NASA Astrophysics Data System (ADS)

    Sanabria, M. P.; Guardiola-Albert, C.; Tomás, R.; Herrera, G.; Prieto, A.; Sánchez, H.; Tessitore, S.

    2013-10-01

    A new methodology is proposed to produce subsidence activity maps based on the geostatistical analysis of persistent scatterer interferometry (PSI) data. PSI displacement measurements are interpolated based on Conditional Gaussian Simulation (CGS) to calculate multiple equiprobable realizations of subsidence. The result from this process is a series of interpolated subsidence values, with an estimation of the spatial uncertainty and a confidence level on the interpolation. These maps complement the PSI displacement map, improving the identification of wide subsiding areas at regional scale. At local scale, they can be used to identify buildings susceptible to suffer subsidence related damages. In order to do so, it is necessary to calculate the maximum differential settlement and the maximum angular distortion for each building of the study area. Based on PSI derived parameters those buildings in which serviceability limit state has been exceeded, and where in situ forensic analysis should be made, can be automatically identified. This methodology has been tested in Orihuela City (SE Spain) for the study of historical buildings, damaged during the last two decades by subsidence due to aquifer overexploitation.

  4. Subsidence activity maps derived from DInSAR data: Orihuela case study

    NASA Astrophysics Data System (ADS)

    Sanabria, M. P.; Guardiola-Albert, C.; Tomás, R.; Herrera, G.; Prieto, A.; Sánchez, H.; Tessitore, S.

    2014-05-01

    A new methodology is proposed to produce subsidence activity maps based on the geostatistical analysis of persistent scatterer interferometry (PSI) data. PSI displacement measurements are interpolated based on conditional Sequential Gaussian Simulation (SGS) to calculate multiple equiprobable realizations of subsidence. The result from this process is a series of interpolated subsidence values, with an estimation of the spatial variability and a confidence level on the interpolation. These maps complement the PSI displacement map, improving the identification of wide subsiding areas at a regional scale. At a local scale, they can be used to identify buildings susceptible to suffer subsidence related damages. In order to do so, it is necessary to calculate the maximum differential settlement and the maximum angular distortion for each building of the study area. Based on PSI-derived parameters those buildings in which the serviceability limit state has been exceeded, and where in situ forensic analysis should be made, can be automatically identified. This methodology has been tested in the city of Orihuela (SE Spain) for the study of historical buildings damaged during the last two decades by subsidence due to aquifer overexploitation. The qualitative evaluation of the results from the methodology carried out in buildings where damages have been reported shows a success rate of 100%.

  5. Motif Discovery on Seismic Amplitude Time Series: The Case Study of Mt Etna 2011 Eruptive Activity

    NASA Astrophysics Data System (ADS)

    Cassisi, Carmelo; Aliotta, Marco; Cannata, Andrea; Montalto, Placido; Patanè, Domenico; Pulvirenti, Alfredo; Spampinato, Letizia

    2013-04-01

    Algorithms searching for similar patterns are widely used in seismology both when the waveforms of the events of interest are known and when there is no a priori-knowledge. Such methods usually make use of the cross-correlation coefficient as a measure of similarity; if there is no a-priori knowledge, they behave as brute-force searching algorithms. The disadvantage of these methods, preventing or limiting their application to very large datasets, is computational complexity. The Mueen-Keogh (MK) algorithm overcomes this limitation by means of two optimization techniques—the early abandoning concept and space indexing. Here, we apply the MK algorithm to amplitude time series retrieved from seismic signals recorded during episodic eruptive activity of Mt Etna in 2011. By adequately tuning the input to the MK algorithm we found eight motif groups characterized by distinct seismic amplitude trends, each related to a different phenomenon. In particular, we observed that earthquakes are accompanied by sharp increases and decreases in seismic amplitude whereas lava fountains are accompanied by slower changes. These results demonstrate that the MK algorithm, because of its particular features, may have wide applicability in seismology.

  6. Heterogeneity-induced large deviations in activity and (in some cases) entropy production

    NASA Astrophysics Data System (ADS)

    Gingrich, Todd R.; Vaikuntanathan, Suriyanarayanan; Geissler, Phillip L.

    2014-10-01

    We solve a simple model that supports a dynamic phase transition and show conditions for the existence of the transition. Using methods of large deviation theory we analytically compute the probability distribution for activity and entropy production rates of the trajectories on a large ring with a single heterogeneous link. The corresponding joint rate function demonstrates two dynamical phases—one localized and the other delocalized, but the marginal rate functions do not always exhibit the underlying transition. Symmetries in dynamic order parameters influence the observation of a transition, such that distributions for certain dynamic order parameters need not reveal an underlying dynamical bistability. Solution of our model system furthermore yields the form of the effective Markov transition matrices that generate dynamics in which the two dynamical phases are at coexistence. We discuss the implications of the transition for the response of bacterial cells to antibiotic treatment, arguing that even simple models of a cell cycle lacking an explicit bistability in configuration space will exhibit a bistability of dynamical phases.

  7. A Pragmatic Bayesian Perspective on Correlation Analysis : The exoplanetary gravity - stellar activity case.

    PubMed

    Figueira, P; Faria, J P; Adibekyan, V Zh; Oshagh, M; Santos, N C

    2016-11-01

    We apply the Bayesian framework to assess the presence of a correlation between two quantities. To do so, we estimate the probability distribution of the parameter of interest, ρ, characterizing the strength of the correlation. We provide an implementation of these ideas and concepts using python programming language and the pyMC module in a very short (∼ 130 lines of code, heavily commented) and user-friendly program. We used this tool to assess the presence and properties of the correlation between planetary surface gravity and stellar activity level as measured by the log([Formula: see text]) indicator. The results of the Bayesian analysis are qualitatively similar to those obtained via p-value analysis, and support the presence of a correlation in the data. The results are more robust in their derivation and more informative, revealing interesting features such as asymmetric posterior distributions or markedly different credible intervals, and allowing for a deeper exploration. We encourage the reader interested in this kind of problem to apply our code to his/her own scientific problems. The full understanding of what the Bayesian framework is can only be gained through the insight that comes by handling priors, assessing the convergence of Monte Carlo runs, and a multitude of other practical problems. We hope to contribute so that Bayesian analysis becomes a tool in the toolkit of researchers, and they understand by experience its advantages and limitations.

  8. Health activism and the logic of connective action. A case study of rare disease patient organisations

    PubMed Central

    Vicari, Stefania; Cappai, Franco

    2016-01-01

    ABSTRACT This exploratory work investigates the role of digital media in expanding health discourse practices in a way to transform traditional structures of agency in public health. By focusing on a sample of rare disease patient organisations as representative of contemporary health activism, this study investigates the role of digital communication in the development of (1) bottom-up sharing and co-production of health knowledge, (2) health public engagement dynamics and (3) health information pathways. Findings show that digital media affordances for patient organisations go beyond the provision of social support for patient communities; they ease one-way, two-way and crowdsourced processes of health knowledge sharing, exchange and co-production, provide personalised routes to health public engagement and bolster the emergence of varied pathways to health information where experiential knowledge and medical authority are equally valued. These forms of organisationally enabled connective action can help the surfacing of personal narratives that strengthen patient communities, the bottom-up production of health knowledge relevant to a wider public and the development of an informational and eventually cultural context that eases patients’ political action. PMID:27499676

  9. Neurolaw: Differential brain activity for black and white faces predicts damage awards in hypothetical employment discrimination cases.

    PubMed

    Korn, Harrison A; Johnson, Micah A; Chun, Marvin M

    2012-07-01

    Currently, potential jurors' racial biases are measured by explicit questioning--a poor measure because people often hide their views to adhere to social norms, and people have implicit views they are not consciously aware of. In this experiment, we investigated whether two alternative methods of measuring racial bias--a standard black/white, good/bad implicit association test (IAT) and neural activity, measured by fMRI, in response to seeing faces of black and white individuals--could predict how much money subjects would award Black victims in hypothetical employment discrimination cases. IAT scores failed to predict how much money subjects awarded victims. However, in right inferior parietal lobule (BA 40) and in right superior/middle frontal gyrus (BA 9/10)--which have both previously been implicated in measuring biases and implicit preferences--the difference in neural activity between when subjects viewed black faces paired with neutral adjectives and when subjects viewed white faces paired with neutral adjectives was positively correlated with the amount of money the subjects awarded victims. This suggests that brain activity measures racial bias with more practical validity, at least in this situation and with our sample size, than a common behavioral measure (the IAT).

  10. Sources of variability of estimates of malaria case counts, active and reserve components, U.S. Armed Forces.

    PubMed

    2012-01-01

    Each January, the Medical Surveillance Monthly Report (MSMR) estimates numbers of malaria infections among U.S. service members using a surveillance case definition to identify "malaria cases". These cases include individuals with a hospital discharge diagnosis of malaria and those who were reported with malaria through military notifiable event reporting systems. This report compares the MSMR surveillance case definition with other proposed case definitions to demonstrate the degree to which estimates of numbers of malaria cases are dependent upon clinical settings, data sources and case-defining rules used to produce such estimates. For example, including outpatient diagnoses as malaria cases would more than double the 2010 case count. As compared with cases defined using other proposed case definitions, many more MSMR-defined cases had records of a specific Plasmodium species, a laboratory test for malaria and recent travel to a malaria-endemic country. Interpretations of the results of MSMR reports should consider how "cases" are defined.

  11. Groundwater flow processes and mixing in active volcanic systems: the case of Guadalajara (Mexico)

    NASA Astrophysics Data System (ADS)

    Hernández-Antonio, A.; Mahlknecht, J.; Tamez-Meléndez, C.; Ramos-Leal, J.; Ramírez-Orozco, A.; Parra, R.; Ornelas-Soto, N.; Eastoe, C. J.

    2015-09-01

    other active volcanic systems on Earth.

  12. Horizontal rotation of the local stress field in response to magmatic activity: Evidence from case studies and modeling

    NASA Astrophysics Data System (ADS)

    Roman, D. C.

    2003-12-01

    A complete understanding of the initiation, evolution, and termination of volcanic eruptions requires reliable monitoring techniques to detect changes in the conduit system during periods of activity, as well as corresponding knowledge of conduit structure and of magma physical properties. Case studies of stress field orientation prior to, during, and after magmatic activity can be used to relate changes in stress field orientation to the state of the magmatic conduit system. These relationships may be tested through modeling of induced stresses. Here I present evidence from case studies and modeling that horizontal rotation of the axis of maximum compressive stress at an active volcano indicates pressurization of a magmatic conduit, and that this rotation, when observed, may also be indicative of the physical properties of the ascending magma. Changes in the local stress field orientation during the 1992 eruption sequence at Crater Peak (Mt. Spurr), Alaska were analyzed by calculating and inverting subsets of over 150 fault-plane solutions. Local stress tensors for four time periods, corresponding approximately to changes in activity at the volcano, were calculated based on the misfit of individual fault-plane solutions to a regional stress tensor. Results indicate that for nine months prior to the eruption, local maximum compressive stress was oriented perpendicular to regional maximum compressive stress. A similar horizontal rotation was observed beginning in November of 1992, coincident with an episode of elevated earthquake and tremor activity indicating intrusion of magma into the conduit. During periods of quiescence the local stress field was similar to the regional stress field. Similar horizontal rotations have been observed at Mt. Ruapehu, New Zealand (Miller and Savage 2001, Gerst 2003), Usu Volcano, Japan (Fukuyama et al. 2001), Unzen Volcano, Japan (Umakoshi et al. 2001), and Mt. St. Helens Volcano, USA (Moran 1994) in conjunction with eruptive

  13. Active and passive case detection strategies for the control of leishmaniasis in Bangladesh.

    PubMed

    Das, A K; Harries, A D; Hinderaker, S G; Zachariah, R; Ahmed, B; Shah, G N; Khogali, M A; Das, G I; Ahmed, E M; Ritmeijer, K

    2014-03-21

    Contexte : Deux sous-districts du Bangladesh, Fulbaria et Trishai, où la leishmaniose est hyper-endémique.Objectif : Déterminer 1) le nombre de patients ayant eu un diagnostic de leishmaniose viscérale (VL) et de leishmaniose dermique post-kala azar (PKDL) grâce à une stratégie de détection active des cas (ACD) à Fulbaria et à une stratégie de détection passive (PCD) à Trishai, et 2) le temps écoulé entre les symptômes et le diagnostic dans le sous-district à ACD.Schéma : Etude descriptive transversale des patients diagnostiqués entre mai 2010 et décembre 2011. La stratégie ACD comportait une éducation des communautés et des stratégies avancées ciblant les foyers des patients index grâce à un dépistage basé sur les symptômes et au test rK-39 pour les patients suspects.Résultats : Dans les districts de stratégie ACD (Fulbaria) et le sous-district de stratégie PCD (Trishai), 1088 et 756 patients respectivement ont eu un diagnostic de VL et 1145 et 37 respectivement ont eu un diagnostic de PKDL. Dans ce sous-district, le délai médian de diagnostic était de 60 jours pour tous les patients atteints de VL, qu'ils soient référés par du personnel des stratégies avancées ou viennent d'eux-mêmes. Il était respectivement de 345 et 360 jours pour la PKDL.Conclusion : Une stratégie ACD au niveau d'un sous-district permet de dépister un nombre accru de VL et encore plus de PKDL. Comme la PKDL constitue un réservoir d'infection, la stratégie d'ACD et le traitement des cas dépistés peuvent contribuer à l'élimination régionale de la leishmaniose du sous-continent indien.

  14. Shallow water submarine hydrothermal activity - A case study in the assessment of ocean acidification and fertilization

    NASA Astrophysics Data System (ADS)

    Zhang, J.; Yoshida, K.; Hagiwara, T.; Nagao, K.; Kusakabe, M.; Wang, B.; Chen, C. A.

    2012-12-01

    Most natural Shallow Water submarine Hydrothermal activates (SWH) along coastlines are related to hydrothermal eruptions involving heating of groundwater with the volcanic gas. These SWHs supply nutrients such as phosphorus and micro nutrients like iron to the euphotic zone, contributing to the overall natural fertility and primary productivity of coastal waters. However, SWHs also have a negative effect, dispersing toxic materials such as mercury and arsenic, and affecting the acidification of the surrounding waters. In this study, we evaluate the impact of "iron supply" and "ocean acidification" on the primary production in a coastal marine environment, at a SWH area discovered off Gueshandao Island, northeast Taiwan. In the past three years, expeditions were conducted and observations made around this SWH site. Divers, small boats and a research vessel (R/V OR1, Ocean University National Taiwan) were used to survey successively larger areas around the site. Some of the results obtained are as follows. Hydrothermal vents are located in a hilly terrain rich with hot spring water with gas erupting intermittently. There are two types of vents, roughly divided by color, yellow hot spring water with higher temperature >110 degC ejected from sulfur chimneys of various sizes, and colorless water with lower temperature ~80 degC ejected directly from the crevices of the andesitic bedrock. Natural sulfur solidifying in the mouth of a small chimney was captured by a video camera, and explosions were also observed at intervals of a few minutes. Sediment, sand and particles of sulfur were deposited on the sides to a radius of about 50 m condensing around the chimney. The bottom type changes from sand/particles to outcrop/rock away from the vents. Moreover, gas samples were collected from the vents; the ratios of gas concentrations (N2/Ar) and isotopic composition of noble gas (3He/4He) suggest that these volcanic gases are mantle-derived. Hydrothermal fluid with high p

  15. Late Holocene fluvial activity and correlations with dendrochronology of subfossil trunks: Case studies of northeastern Romania

    NASA Astrophysics Data System (ADS)

    Rădoane, Maria; Nechita, Constantin; Chiriloaei, Francisca; Rădoane, Nicolae; Popa, Ionel; Roibu, Cătălin; Robu, Delia

    2015-06-01

    The main objective of this paper is to describe the late Holocene behaviour of rivers using an interdisciplinary approach combining fluvial geomorphology and subfossil trunk dendrochronology. The subfossil wood material collected along the rivers was investigated for dendrometric and dendrochronologic parameters. The research methods in these fields helped us to understand the effect of the fluvial environment on riparian trees and their records and helped in reconstructing the riparian palaeoenvironment. The study area consists of two rivers with different typologies but comparable sizes: the Moldova River, which features a braided to wandering channel in its lower reach, and the Siret River, which features a sinuous-meandering channel. Along the 100-km-long floodplain of the former and the 144-km-long floodplain of the latter, we found and sampled 77 subfossil trunks, of which 26 were subjected to 14C dating. The resulting data consist of floodplain facies mapping data, electric resistivity measurements, absolute dates, and dendrometric and dendrochronologic data. The results indicate that during a 100-year period, the two rivers were sensitive to climate change and anthropogenic effects, particularly a narrowing of the active channel by 76% in the braided channel and 38% in the sinuous-meandering channel. During the past 3300-3000 YBP, the Moldova River maintained its braided style, whereas the sinuous-meandering style has been characteristic of the Siret River for the previous 6800-4600 YBP. The two distinct fluvial environments are recorded in the dendrometric structure of the trunks buried in the channel-fill sediments. The braided fluvial environment was more effective in uprooting riparian trees and incorporating them in the floodplain deposits, whereas the sinuous-meandering style of stream effectively buried tree trunks in lateral accretion lobes. Absolute and dendrochronologic dating allowed for the reconstruction of timelines of the felling of the trees

  16. A prenatally ascertained de novo terminal deletion of chromosomal bands 1q43q44 associated with multiple congenital abnormalities in a female fetus.

    PubMed

    Sismani, Carolina; Christopoulou, Georgia; Alexandrou, Angelos; Evangelidou, Paola; Donoghue, Jacqueline; Konstantinidou, Anastasia E; Velissariou, Voula

    2015-01-01

    Terminal deletions in the long arm of chromosome 1 result in a postnatally recognizable disorder described as 1q43q44 deletion syndrome. The size of the deletions and the resulting phenotype varies among patients. However, some features are common among patients as the chromosomal regions included in the deletions. In the present case, ultrasonography at 22 weeks of gestation revealed choroid plexus cysts (CPCs) and a single umbilical artery (SUA) and therefore amniocentesis was performed. Chromosomal analysis revealed a possible terminal deletion in 1q and high resolution array CGH confirmed the terminal 1q43q44 deletion and estimated the size to be approximately 8 Mb. Following termination of pregnancy, performance of fetopsy allowed further clinical characterization. We report here a prenatal case with the smallest pure terminal 1q43q44 deletion, that has been molecularly and phenotypically characterized. In addition, to our knowledge this is the first prenatal case reported with 1q13q44 terminal deletion and Pierre-Robin sequence (PRS). Our findings combined with review data from the literature show the complexity of the genetic basis of the associated syndrome.

  17. Successful Cord Blood Stem Cell Transplantation for an Adult Case of Chronic Active Epstein-Barr Virus Infection

    PubMed Central

    Saburi, Masuho; Ogata, Masao; Satou, Takako; Yoshida, Natsumi; Nagamatsu, Kentaro; Nashimoto, Yuko; Moroga, Yui; Takano, Kuniko; Kohno, Kazuhiro; Shirao, Kuniaki

    2016-01-01

    A 41-year-old man was referred to our hospital for treatment of anaplastic lymphoma kinase (ALK)-negative anaplastic large cell lymphoma. Chronic active Epstein-Barr virus (CAEBV) was diagnosed based on the findings of elevated EBV antibody titers and positive EBV-DNA in the peripheral blood, and cord blood stem cell transplantation (CBT) was performed. The EBV-DNA levels in the blood fell below the limit of detection. His lymphoma relapsed on Day 165 with the appearance of eruptions, which disappeared after the withdrawal of tacrolimus. One year after transplantation, there were no signs of recurrence. This encouraging result suggests that CBT should be considered for adult cases of CAEBV with aggressive clinical manifestations. PMID:27904117

  18. When Environmental Action Does Not Activate Concern: The Case of Impaired Water Quality in Two Rural Watersheds

    NASA Astrophysics Data System (ADS)

    Stough-Hunter, Anjel; Lekies, Kristi S.; Donnermeyer, Joseph F.

    2014-12-01

    Little research has considered how residents' perceptions of their local environment may interact with efforts to increase environmental concern, particularly in areas in need of remediation. This study examined the process by which local environmental action may affect environmental concern. A model was presented for exploring the effects of community-based watershed organizations (CWOs) on environmental concern that also incorporates existing perceptions of the local environment. Survey data were collected from area residents in two watersheds in southwestern Pennsylvania, USA, an area affected by abandoned mine drainage. The findings suggest that residents' perceptions of local water quality and importance of improving water quality are important predictors of level of environmental concern and desire for action; however, in this case, having an active or inactive CWO did not influence these perceptions. The implications of these findings raise important questions concerning strategies and policy making around environmental remediation at the local level.

  19. Efficacy of wildlife rehabilitation centers in surveillance and monitoring of pathogen activity: a case study with West Nile virus.

    PubMed

    Randall, Natalie J; Blitvich, Bradley J; Blanchong, Julie A

    2012-07-01

    Surveillance is critical for identifying and monitoring pathogen activity in wildlife populations, but often is cost- and time-prohibitive and logistically challenging. We tested the hypothesis that wildlife rehabilitation centers are useful for monitoring pathogen activity using West Nile virus (WNV) as a case study. We hypothesized that birds submitted to wildlife rehabilitation centers would have a similar prevalence of antibody to WNV as free-ranging birds. From 2008 to 2010, we collected sera from peridomestic birds submitted to the Wildlife Care Clinic (WCC), a wildlife rehabilitation center in central Iowa, and tested them for antibodies to WNV. We also collected and tested sera from free-ranging peridomestic birds in the area from which approximately 50% of WCC submissions historically originated. Prevalences of WNV antibodies in free-ranging birds and in peridomestic WCC birds were 2.3% (44/1,936) and 2.8% (2/72), respectively. However, none of the birds submitted to the WCC from the area where we captured free-ranging birds had antibodies (0/29). Our results indicate that rehabilitation facilities are not likely to be useful for monitoring WNV activity at small spatial scales or over short-time periods due to the low endemic prevalence of WNV, and low and variable submission rates. However, at larger spatial scales (ca. nine Iowa counties) WNV antibody prevalence in peridomestic birds submitted to the WCC was similar to that of free-ranging birds. Although limitations to using rehabilitation birds to monitor WNV must be considered, testing these birds could be useful for monitoring WNV activity regionally, especially with many states limiting surveillance due to budgetary constraints.

  20. Quantitative PCR for detection of Shigella improves ascertainment of Shigella burden in children with moderate-to-severe diarrhea in low-income countries.

    PubMed

    Lindsay, Brianna; Ochieng, John B; Ikumapayi, Usman N; Toure, Aliou; Ahmed, Dilruba; Li, Shan; Panchalingam, Sandra; Levine, Myron M; Kotloff, Karen; Rasko, David A; Morris, Carolyn R; Juma, Jane; Fields, Barry S; Dione, Michel; Malle, Dramane; Becker, Stephen M; Houpt, Eric R; Nataro, James P; Sommerfelt, Halvor; Pop, Mihai; Oundo, Joe; Antonio, Martin; Hossain, Anowar; Tamboura, Boubou; Stine, O Colin

    2013-06-01

    Estimates of the prevalence of Shigella spp. are limited by the suboptimal sensitivity of current diagnostic and surveillance methods. We used a quantitative PCR (qPCR) assay to detect Shigella in the stool samples of 3,533 children aged <59 months from the Gambia, Mali, Kenya, and Bangladesh, with or without moderate-to-severe diarrhea (MSD). We compared the results from conventional culture to those from qPCR for the Shigella ipaH gene. Using MSD as the reference standard, we determined the optimal cutpoint to be 2.9 × 10(4) ipaH copies per 100 ng of stool DNA for set 1 (n = 877). One hundred fifty-eight (18%) specimens yielded >2.9 × 10(4) ipaH copies. Ninety (10%) specimens were positive by traditional culture for Shigella. Individuals with ≥ 2.9 × 10(4) ipaH copies have 5.6-times-higher odds of having diarrhea than those with <2.9 × 10(4) ipaH copies (95% confidence interval, 3.7 to 8.5; P < 0.0001). Nearly identical results were found using an independent set of samples. qPCR detected 155 additional MSD cases with high copy numbers of ipaH, a 90% increase from the 172 cases detected by culture in both samples. Among a subset (n = 2,874) comprising MSD cases and their age-, gender-, and location-matched controls, the fraction of MSD cases that were attributable to Shigella infection increased from 9.6% (n = 129) for culture to 17.6% (n = 262) for qPCR when employing our cutpoint. We suggest that qPCR with a cutpoint of approximately 1.4 × 10(4) ipaH copies be the new reference standard for the detection and diagnosis of shigellosis in children in low-income countries. The acceptance of this new standard would substantially increase the fraction of MSD cases that are attributable to Shigella.

  1. Dissent by Design: Fostering Student Activism in Higher Education through a Case Study of Student Affairs in a Public University in the Philippines

    ERIC Educational Resources Information Center

    Bernardo, Maria Aurora Correa; Baranovich, Diana-Lea

    2016-01-01

    Student activism is a ubiquitous component in most democratic societies. Despite its disconcerting implications to the university's operations, it remains an important agenda to student development in higher education. This study presents the case of a university in the Philippines where student activism is a predominant ethos. The findings expose…

  2. A Case Study on the Experiences of University-Based Muslim Women in Physical Activity during Their Studies at One UK Higher Education Institution

    ERIC Educational Resources Information Center

    Miles, Claire; Benn, Tansin

    2016-01-01

    The case study explores the experiences of Muslim women in the area of physical activity participation conducted whilst they were studying at one UK University. Previous research in the field indicated that Muslim women can be denied opportunities to participate in areas of sport-related physical activity through multiple factors such as…

  3. The geophysical contribution to the safeguard of historical sites in active volcanic areas.. The Vesuvius case-history

    NASA Astrophysics Data System (ADS)

    Patella, Domenico; Mauriello, Paolo

    1999-03-01

    The Earth's surface is characterized by the presence of many active volcanoes, most of which are surrounded by ancient villages. High-valued historical sites are often so exposed that it becomes imperative to perform volcanic risk assessment including cultural heritage. For the safeguard of the historical property in volcanic areas, two major problems are definition of (a) criteria for diagnosis and evaluation of hazard and vulnerability, and (b) methods for risk prevention and mitigation. In this paper, we first review the state-of-the-art and most outstanding geophysical prospecting and modeling methods currently on the use, which contribute to the solution of the problems mentioned above. We then show the results of an application on the most alarming volcano in Italy, Mount Vesuvius in the Neapolitan area. The imaged configuration of the feeding and plumbing systems induces to consider Vesuvius a high-risk volcano with a high probability of pyroclastic flow in case of reactivation. Finally, we show the results from a modeling approach of a pyroclastic flow simulating the eruptive scenario of Vesuvius compatible with its internal structure and dynamics. The simulation shows that the emplacement of artificial barriers close to the eruptive vent is a practical solution to reduce the local radial momentum of the pyroclastic flow and to transfer the related energy to the vertical buoyant cloud. The Vesuvius case history allows us to conclude that the integrated geophysical surveying and modeling approach can notably contribute to make decisions and also for the protection of the historical heritage in active volcanic areas.

  4. NaNoWriMo in the AcadLib: A Case Study of National Novel Writing Month Activities in an Academic Library

    ERIC Educational Resources Information Center

    Watson, Alex P.

    2012-01-01

    The J. D. Williams Library at the University of Mississippi launched a pilot program during the 2010 National Novel Writing Month, hosting related events to determine community demand and how such efforts could be quantified. Using participant-submitted word counts and the event's own tools, researchers were able to ascertain that such events had…

  5. A Case Study: Analyzing City Vitality with Four Pillars of Activity-Live, Work, Shop, and Play.

    PubMed

    Griffin, Matt; Nordstrom, Blake W; Scholes, Jon; Joncas, Kate; Gordon, Patrick; Krivenko, Elliott; Haynes, Winston; Higdon, Roger; Stewart, Elizabeth; Kolker, Natali; Montague, Elizabeth; Kolker, Eugene

    2016-03-01

    This case study evaluates and tracks vitality of a city (Seattle), based on a data-driven approach, using strategic, robust, and sustainable metrics. This case study was collaboratively conducted by the Downtown Seattle Association (DSA) and CDO Analytics teams. The DSA is a nonprofit organization focused on making the city of Seattle and its Downtown a healthy and vibrant place to Live, Work, Shop, and Play. DSA primarily operates through public policy advocacy, community and business development, and marketing. In 2010, the organization turned to CDO Analytics ( cdoanalytics.org ) to develop a process that can guide and strategically focus DSA efforts and resources for maximal benefit to the city of Seattle and its Downtown. CDO Analytics was asked to develop clear, easily understood, and robust metrics for a baseline evaluation of the health of the city, as well as for ongoing monitoring and comparisons of the vitality, sustainability, and growth. The DSA and CDO Analytics teams strategized on how to effectively assess and track the vitality of Seattle and its Downtown. The two teams filtered a variety of data sources, and evaluated the veracity of multiple diverse metrics. This iterative process resulted in the development of a small number of strategic, simple, reliable, and sustainable metrics across four pillars of activity: Live, Work, Shop, and Play. Data during the 5 years before 2010 were used for the development of the metrics and model and its training, and data during the 5 years from 2010 and on were used for testing and validation. This work enabled DSA to routinely track these strategic metrics, use them to monitor the vitality of Downtown Seattle, prioritize improvements, and identify new value-added programs. As a result, the four-pillar approach became an integral part of the data-driven decision-making and execution of the Seattle community's improvement activities. The approach described in this case study is actionable, robust, inexpensive

  6. 'A tale of two cases:' the health, illness, and physical activity stories of two children living with cystic fibrosis.

    PubMed

    Moola, Fiona J; Faulkner, Guy E J

    2014-01-01

    Storytelling is perennial, and central to the human condition. Although illness may shatter identity and one's role and place in the broader social world, narrative may aid in the process of self-reparation. Despite the merits of the narrative approach, it has been underutilized with children who are living with cystic fibrosis (CF). The role that illness narratives may play in influencing CF youths' physical activity also remains poorly investigated. This article drew on the qualitative case study methodological tradition to narrate the stories of two children living with CF at a children's hospital in Canada. The findings beg researchers to consider (a) how children with life-limiting diseases borrow multiple illness narrative types, (b) the role of development in influencing the kinds of stories that children can tell, and (c) the impact of illness narratives on physical activity. By rendering the tales of two CF youth in this study, we respond to Aurthur Frank's call; taking a multiple narrative turn, we listen to stories of a different kind of suffering.

  7. Self-Administered, Home-Based SMART (Sensorimotor Active Rehabilitation Training) Arm Training: A Single-Case Report.

    PubMed

    Hayward, Kathryn S; Neibling, Bridee A; Barker, Ruth N

    2015-01-01

    This single-case, mixed-method study explored the feasibility of self-administered, home-based SMART (sensorimotor active rehabilitation training) Arm training for a 57-yr-old man with severe upper-limb disability after a right frontoparietal hemorrhagic stroke 9 mo earlier. Over 4 wk of self-administered, home-based SMART Arm training, the participant completed 2,100 repetitions unassisted. His wife provided support for equipment set-up and training progressions. Clinically meaningful improvements in arm impairment (strength), activity (arm and hand tasks), and participation (use of arm in everyday tasks) occurred after training (at 4 wk) and at follow-up (at 16 wk). Areas for refinement of SMART Arm training derived from thematic analysis of the participant's and researchers' journals focused on enabling independence, ensuring home and user friendliness, maintaining the motivation to persevere, progressing toward everyday tasks, and integrating practice into daily routine. These findings suggest that further investigation of self-administered, home-based SMART Arm training is warranted for people with stroke who have severe upper-limb disability.

  8. Challenges to Understand Stellar Chromospheres and Stellar Activity: The Limit Case of Late-A and Early-F Stars

    NASA Astrophysics Data System (ADS)

    Freire Ferrero, R.; Gouttebroze, P.

    The onset of chromospheric activity appears at late-A and early-F stars where theories predict atmospheres in radiative equilibrium and shallow or non-existent convective zones. The detection of Ly-α emission cores in several A and F stars, first with the IUE satellite and then with the HST, gives evidence for the presence of chromospheric layers in these stars up to B - V = 0. ^m19 (Catalano et al. [CITE]). Semiempirical chromospheric models for Altair allowed us (Freire et al. [CITE]) to explain the observed emission profiles taking into account normal HI IS absorption. However, due to the very high rotational velocity we analyzed alternative hypotheses like the formation of Ly-α emissions into a corotating expanding wind, but we ruled out this alternative because we obtained inconsistent results. In addition, X-ray emission (originated surely in a corona) strengthen the presence of a chromosphere. Here we place the problem of chromospheric activity of late-A and early-F stars in the general context of the formation of over-photospheric stellar layers, comparing them with late-type star and solar cases.

  9. Finding the Little 'c' in Physics: A Multiple Case Study Examining the Development of Creative Activities in the Physics Classroom

    NASA Astrophysics Data System (ADS)

    Wheeler, Christopher

    This study focused on how physics teachers develop and implement activities that promote creative thinking strategies in the standards based physics classroom. A particular focus was placed on every day or little "c", creativity, which can be taught in the high school classroom. The study utilized a multiple case study design, which allows for in-depth study in a variety of settings. Four participants from various high schools were identified utilizing administrator recommendations. Data were then collected via interviews, observations, and documents. The data were coded and analyzed for emerging themes. The themes were then merged to determine findings to the stated research questions. The research demonstrated the importance of modifying activities for student interest and understanding through effective use of scientific inquiry. The past experiences and professional development of the participants served as a vital piece to the development of their educational pedagogy especially concerning inquiry and questioning strategies. It was also established that an unstructured, positive classroom environment is a vital aspect of teaching while supporting creative thinking skills.

  10. Daily activity patterns of an adult experiencing lower back pain undergoing electro-acupuncture: a case study.

    PubMed

    Koski, Bonnie L; Dunn, Karen S; Shebuski, Mark R

    2009-12-01

    In the United States, adults experiencing lower back pain (LBP) have reported using alternative health care to manage symptoms. Chiropractic techniques, relaxation, and massage have been cited as the most commonly used alternative therapies. Electro-acupuncture (EA), along with conventional health care, has been found to be a useful complementary and alternative medicine (CAM) modality in alleviating the disability associated with LBP. The purpose of this single-subject case study was to evaluate the daily activity pattern effects of EA and CAM modality usage on pain intensity levels and functional status of an adult experiencing LBP. Activity patterns and pain intensity ratings were recorded for two consecutive weeks through the use of a daily pain diary in natural environments. Results from the data analyses revealed daily LBP intensity ratings ranging from slight to moderate pain. On average, the participant reported using approximately ten CAM modalities per day. The participant reported decreases in pain intensity levels, increases in energy levels, and feeling better after EA and acupuncture treatments, maintaining an exercise and weight loss regimen, taking megavitamins, drinking teas, praying, singing, and using humor, distraction, and relaxation techniques. Use of herbs and too much exercise were the least effective. Findings suggest that for this patient, EA and certain CAM modalities were effective interventions that promoted well-being and self-healing. In addition, the daily pain diary was found to provide rich research and assessment data.

  11. An investigation of reduced western disturbance activity over Northwest India in November - December 2015 compared to 2014 - A case study

    NASA Astrophysics Data System (ADS)

    Basu, Soumik; Bieniek, Peter A.; Deoras, Akshay

    2017-02-01

    In November-December of 2015, Northwestern India received very low precipitation due to anomalously low Western Disturbances (WDs) activity. The resulting lack of sufficient precipitation and soil moisture hampered the growth of winter crops leading to significant agricultural losses. Relatively stable weather in the absence of precipitation and WDs contributed to extremely high air pollution in New Delhi and also significantly degraded the air quality in many cities of Northwestern India leading to severe health issues. Despite the fact that WDs play a very important role in India's winter weather, limited research has been done to investigate the causes of their inter-annual variability. A case study using NCEP/NCAR Reanalysis, CMAP precipitation and NOAA Extended Reconstructed Sea Surface Temperature data is evaluated in this paper to better understand the atmospheric drivers of WDs in order to help fill the gap in knowledge. Results show that elevated Sea Surface Temperatures over the North Indian Ocean likely lead to atmospheric circulation anomalies that led to branching and weakening of the subtropical jet stream and weakening of vertical wind shear over Northwestern India. These conditions created an unfavorable environment for the propagation of WDs. However, there was an intensification of vertical wind shear over mid-latitude Eurasia along with increased storm activity. This weakened the Eurasian anticyclone resulting in warmer surface air temperatures over the midlatitudes that led to a redistribution of the meridional temperature gradient.

  12. Three-Year Follow-Up of a Prenatally Ascertained Apparently Non-Mosaic sSMC(10): Delineation of a Non-Critical Region.

    PubMed

    Barranco, Laura; Costa, Marta; Lloveras, Elisabet; Ordóñez, Elena; Maiz, Nerea; Hernando, Cristina; Villa, Olaya; Cirigliano, Vincenzo; Plaja, Alberto

    2015-01-01

    Small supernumerary marker chromosomes (sSMC) originating from chromosome 10 are rare and usually found in mosaic form. We present a de novo apparently non-mosaic sSMC(10) prenatally diagnosed in amniotic fluid and postnatally confirmed in peripheral blood. Characterization by array-CGH showed a pericentromeric duplication of 7.1 Mb of chromosome 10. The fetus did not show ultrasound abnormalities, and a normal female phenotype was observed during a 3-year postnatal follow-up. The absence of phenotypic abnormalities in the present case provides evidence of a non-critical pericentromeric region in 10p11.21q11.1 (hg19 35,355,570-42,448,569) associated with a duplication.

  13. Unbiased ascertainment of a patient with a 47,XY, +pseudic (15)t(15;15)(q13;q13) karyotype by amniocentesis

    SciTech Connect

    Spector, E.; Prochazka, G.; Hamilton, S.

    1994-09-01

    A 47,XY,+mar male karyotype was found in all metaphases on an amniocentesis from a 36-year-old woman (G1,P0). The marker was G group size. Chromosome studies on the parents were normal. C-banding, NOR staining and FISH demonstrated that the marker was dicentric, bisatellited, derived from No. 15 and contained 2 copies of the chromosomal region flanked by the Prader-Willi/Angelman A and B probes. The final karyotype was: 47,XY,+pseudic(15)t(15;15)(q13;q13), making the fetus tetrasomic for the genes in the duplicated region. DNA marker studies for No. 15 (performed in the laboratory of Dr. David Ledbetter) revealed that the fetus had inherited on No. 15 from each parent and that the marker was derived from both maternal No. 15 chromosomes. The parents chose to continue the pregnancy. The baby was born at 38 weeks gestation, was mildly edematous and had Apgar scores of 4, 7, and 8 at 1, 5, and 10 min, respectively. The marker was confirmed to be present in placenta and the baby`s blood. Examination at 6 weeks showed appropriate growth and development. Data from published cases predict that this baby will be mentally retarded and may have seizures because he is tetrasomic for 15pter-q13, but will not have Prader-Willi or Angelman syndromes since he has biparental inheritance of his normal No. 15s. However, the published cases may represent a biased sample as most were identified in mentally retarded individuals, not by prenatal diagnosis. This infant`s development will continue to be followed closely.

  14. Earthquake precursory events around epicenters and local active faults; the cases of two inland earthquakes in Iran

    NASA Astrophysics Data System (ADS)

    Valizadeh Alvan, H.; Mansor, S.; Haydari Azad, F.

    2012-12-01

    source and propagation of seismic waves. In many cases, active faults are capable of buildup and sudden release of tectonic stress. Hence, monitoring the active fault systems near epicentral regions of past earthquakes would be a necessity. In this paper, we try to detect possible anomalies in SLHF and AT during two moderate earthquakes of 6 - 6.5 M in Iran and explain the relationships between the seismic activities prior to these earthquake and active faulting in the area. Our analysis shows abnormal SLHF 5~10 days before these earthquakes. Meaningful anomalous concentrations usually occurred in the epicentral area. On the other hand, spatial distributions of these variations were in accordance with the local active faults. It is concluded that the anomalous increase in SLHF shows great potential in providing early warning of a disastrous earthquake, provided that there is a better understanding of the background noise due to the seasonal effects and climatic factors involved. Changes in near surface air temperature along nearby active faults, one or two weeks before the earthquakes, although not as significant as SLHF changes, can be considered as another earthquake indicator.

  15. Suicide Deaths of Active-Duty U.S. Military and Omega-3 Fatty-Acid Status: A Case-Control Comparison

    DTIC Science & Technology

    2011-01-01

    Deaths e1J Clin Psychiatry Suicide Deaths of Active-Duty US Military and Omega -3 Fatty - Acid Status: A Case-Control Comparison Michael D. Lewis, MD...factors. Objective: To determine whether deficiencies of neuroactive, highly unsaturated omega -3 essential fatty acids (n-3 HUFAs), in particular...U.S. Military And Omega -3 Fatty - Acid Status: A Case-Control Comparison 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR

  16. Activity.

    ERIC Educational Resources Information Center

    Clearing: Nature and Learning in the Pacific Northwest, 1984

    1984-01-01

    Presents three activities: (1) investigating succession in a schoolground; (2) investigating oak galls; and (3) making sun prints (photographs made without camera or darkroom). Each activity includes a list of materials needed and procedures used. (JN)

  17. Structural and morphological characterization of active intermontane basins: a case of the Gubbio captured basin (Umbria Pre-Apennines, Italy)

    NASA Astrophysics Data System (ADS)

    Cavitolo, Paolo; Menichetti, Marco; Nesci, Olivia; Savelli, Daniele; Troiani, Francesco

    2014-05-01

    Intermontane basins characterize many orogenic chains, where they are originated either by crustal stretching or gravitational collapse of the axial zones of the chain. Extensional and/or transtensional mechanisms generate structures with geometries controlled by fault-bounded depressed areas, which in some cases are seismogenetic. The western sector of the Northern Apennines in Central Italy is characterized by several intermontane basins filled by continental Plio-Pleistocene sediments. At present, a few of these basins are depressed endorheic areas, whereas most of them have been captured by river upstream erosion. The morphotectonic characterization at both regional and local scale of these structures is crucial considering the associated geological hazards due to clustered seismicity and seismic-related slope-instability along the basin-margins. This work presents a multi-disciplinary approach based on new and existing data to define the structural geometries, landforms and processes related to the genesis and the morphoevolution of the intermountain valleys/captured-basins in Central Italy. Quantitative geomorphological analyses from Digital Terrain Models (DTMs) are compared with geological and structural data and with geophysical investigations of active and sismogenetic faults bordering the Gubbio valley in the Umbria Pre-Apennines in central Italy. This 4 km-wide valley extends for ca. 20 km in NW-SE direction and is bounded along the NE margin by a SW-dipping listric normal fault with an offset of 1500 m. The area locates along one of the main seismogenic portion of the Apennine chain and recorded historical (i.e., April 29, 1984: Ms 5.3) and many instrumental earthquakes. In this study, new data on the slope-instability along the basin-margins and the influence of active tectonics and gravitational phenomena on the streams incision and aggradation are also provided.

  18. X/Autosome translocation in three generations ascertained through an infant with trisomy 16p due to failure of spreading of X-inactivation

    SciTech Connect

    Preis, W.; Barbi, G.; Liptay, S.; Kennerknecht, I.; Schwemmle, S.; Pohlandt, F.

    1996-01-11

    We report on a reciprocal translocation t(X;16)(q28;p12) detected in a newborn girl with clinical manifestations of partial trisomy 16p. A balanced translocation was found in the mother and in the maternal grandmother. Replication studies on lymphocytes and fibroblasts showed nonrandom X-inactivation in both the patient and her mother. In the mother, the derivative X (der(X)) was active, whereas the normal X was late replicating. In contrast, in the patient the der(X) was late replicating, and there was no spreading of X-inactivation onto the autosomal segment, thus giving an explanation for the full clinical pictures of partial trisomy 16p. 35 refs., 4 figs.

  19. Immunohistochemical localization of urokinase-type plasminogen activator, urokinase-type plasminogen activator receptor and α2-antiplasmin in human corneal perforation: a case report

    PubMed Central

    2012-01-01

    Background Corneal ulceration leading to perforation is associated with infectious and non-infectious destructive conditions in the cornea. The fibrinolytic (plasminogen/plasmin) system is considered to contribute to tissue remodeling in the wound healing process and it is believed to play an important role in proteolysis and fibrosis. To determine the localization of urokinase-type plasminogen activator (u-PA), u-PA receptor (u-PAR) and α2-antiplasmin (α2AP) in the tissue of a corneal perforation, we investigated immunohistochemical expressions of u-PA, u-PAR, α2AP, CD68, and α-smooth muscle actin (α-SMA) in a patient with corneal perforation that developed from an ulcer of no clear cause. Case presentation The patient was a 77-year-old woman who presented with a perforated corneal ulcer in her right eye. The cause of her corneal ulcer was unknown. Double immunohistochemistry was performed for the combinations of u-PA with u-PAR, CD68 or α-SMA and α2AP with CD68 or α-SMA to detect the localization of u-PA and α2AP. u-PA and u-PAR co-localization was seen in the corneal ulceration area. u-PA was mainly observed in CD68-positive cells and in some α-SMA positive cells. On the other hand, α2AP was not expressed in CD68-positive cells, but was expressed in α-SMA positive cells. Conclusion We identified expression of the u-PA/u-PAR complex and α2AP in a patient with a corneal ulcer. These two molecules are believed to play a crucial role in inflammatory cell recruitment, ECM synthesis and degradation during corneal wound healing. PMID:23190581

  20. Effect of CO sub 2 enrichment and high photosynthetic photon flux densities (PPFD) on rubisco and PEP-case activities of in vitro cultured strawberry plants

    SciTech Connect

    Desjardins, Y.; Beeson, R.; Gosselin, A. )

    1989-04-01

    Standard growing conditions in vitro (low light and CO{sub 2}) are not conducive to autotrophy. An experiment was conducted to improve photosynthesis in vitro in the hope of increasing survival in acclimatization. A factorial experiment was elaborated where CO{sub 2} and PPFD were supplied to in vitro cultured strawberry plants in the rooting stage. Activities of carboxylating enzymes were determined after 4 weeks of culture. The activities of non-activated and activated rubisco and PEP-Case were measured after extraction of the enzymes and a reaction with NaH{sup 14}CO{sub 3} followed by scintillation counting spectroscopy. High CO{sub 2} concentration significantly increased net assimilation rates (NAR) by 165% over the control for both 1650 and 3000 ppm CO{sub 2}. High PPFD only increased NAR by 12 and 35% for 150 and 250 {mu}mol{center dot}m{sup {minus}2}{center dot}s{sup {minus}1} respectively over the control. Plants grown at 3000 ppm CO{sub 2} had the highest level of chlorophyll/g FW with 97% more than the control. The activity of PEP-Case was the highest at high light levels and high CO{sub 2} with rates of 1.65 for 1650 ppm versus 1.22 mmol CO{sub 2} mg{sup {minus}1} chl. h{sup {minus}1} at 250 {mu}mol{center dot}m{sup {minus}2}{center dot}s{sup {minus}1}. There was no difference in PEP activity at low light levels. The rubisco activity was lower at 1650 and 3000 ppm CO{sub 2}. Increases in NAR correlate more closely to the PEP-Case than to Rubisco activity. Physiological significance of high activity of PEP-Case over rubisco will be discussed.

  1. Identifying Grade/Stage-Related Active Modules in Human Co-regulatory Networks: A Case Study for Breast Cancer

    PubMed Central

    Feng, Chenchen; Li, Wan; Wang, Hong; Zhang, Liangcai; Jia, Xu; Miao, Zhengqiang; Qu, Xiaoli; Li, Weiguo; He, Weiming

    2012-01-01

    Abstract The histological grade/stage of tumor is widely acknowledged as an important clinical prognostic factor for cancer progression. Recent experimental studies have explored the following two topics at the molecular level: (1) whether or not gene expression levels vary by different degrees among different tumor grades/stages, and (2) whether some well-defined modules could distinguish one grade/stage from another. In this article, using breast cancer as an example, we investigated this topic and identified grade/stage-related active modules under the framework of a weighted network integrated from a human protein interaction network and a transcriptional regulatory network. Our results enabled us to draw the conclusion that the gene expression profile could provide more clues about tumor grade, but reveals less evidence about tumor stage. In addition, we found that our modular biomarker method had additional advantages in identifying some tumor grade/stage-related genes with slightly altered expression. According to our case study, the framework we introduced could be used for other cancers to identify their modules during grading or staging. PMID:23215806

  2. The decision, implementation and assessment of a credit-bearing activity class by faculty in residence: A case study.

    PubMed

    Callahan, Janet; Harrison, Geoff; Humphrey, Michael; Sielaff, Cala; Wintrow, Melissa

    2015-01-01

    This case study reports on a programmatic decision to require a credit-bearing course that was made by Faculty in Residence (FIR), including its implementation and results over a two-year period from 2010-2012. The focus is on FIR and on the impact of their decision upon the students enrolled in their Living Learning Communities (LLCs). The credit-bearing course was a Kinesiology Activities class taken by all seven LLCs at Boise State University. Anonymous feedback from students was obtained via end of semester surveys; results were used to improve the course. Survey feedback was analyzed to assess the value students perceived to have gained from the course. The majority of students reported gaining value from the class. Students noted that it positively affected their time management/personal accountability, that it decreased their stress level and that it increased their awareness of the Recreational Center offerings. Some students were critical of the course, reporting little to no value or even resentment about the course requirement. The decision, implementation and improvements of the course required faculty leadership and full participation of all LLCs; perceptions of the FIR in terms of the effects of adding the required course on their LLC are reported.

  3. Activated matrix metalloproteinase-8 in saliva as diagnostic test for periodontal disease? A case-control study.

    PubMed

    Izadi Borujeni, Susan; Mayer, Matthias; Eickholz, Peter

    2015-12-01

    Untreated periodontal disease may influence general health. However, how may a physician, who is not trained in periodontal probing, detect untreated periodontitis? Activated matrix metalloproteinase-8 (aMMP-8) in saliva correlates with periodontal probing parameters. Thus, sensitivity and specificity of a chair-side test for aMMP-8 to detect periodontitis were evaluated. Thirty cases [untreated chronic periodontitis (ChP); 15 generalized moderate and 15 generalized severe] and 30 controls [probing depths (PD) ≤3 mm, vertical probing attachment level (PAL-V) ≤2 mm at <30 % of sites) were examined periodontally (PD, PAL-V, bleeding on probing). Subsequently, the aMMP-8 test was performed. The test kit becomes positive with ≥25 ng/ml aMMP-8 in the sample. The aMMP-8 test was positive in 87 % of ChP and in 40 % of controls. That corresponds to a sensitivity of 87 % and a specificity of 60 %. The sensitivity to detect generalized severe ChP was 93 % (60 % specificity). Backward stepwise logistic regression analysis to explain positive aMMP-8 tests identified exclusively ChP with an odds ratio of 9.8 (p < 0.001). Positive results of the aMMP-8 test significantly correlate with generalized ChP. The aMMP-8 test may be used by physicians to detect periodontitis in their patients.

  4. Social media activism and Egyptians' use of social media to combat sexual violence: an HiAP case study.

    PubMed

    Peuchaud, Sheila

    2014-06-01

    This paper represents a case study of how social media activists have harnessed the power of Facebook, Twitter and mobile phone networks to address sexual harassment in Egypt. HarassMap plots reports of sexual harassment on a Google Map and informs victims of support services. Tahrir Bodyguard and Operation Anti-Sexual Harassment (OpAntiSH) protect female protestors who have been vulnerable to sexual aggression at the hands of unruly mobs and by agents of the state. Activists have access to an Android app called 'I'm Getting Arrested' or 'Byt2ebed 3alia' in Egyptian Arabic. The app sends the time and GPS coordinates of an arrest to family, fellow activists, legal counsel and social media outlets. The hope is the initiatives described in this paper could inspire public health ministries and activist NGOs to incorporate crowdsourcing social media applications in the spirit of health in all policies (HiAP). To that end, this paper will begin by defining social media activism from the perspective of the communications discipline. This paper will then demonstrate the significance of sexual harassment as a public health issue, and describe several social media efforts to document incidents and protect victims. The paper will conclude with discussion regarding how these innovations could be integrated into the HiAP approach.

  5. The development of BCB-sealed galvanic cells. Case study: aluminum-platinum cells activated with sodium hypochlorite electrolyte solution

    NASA Astrophysics Data System (ADS)

    Dlutowski, J.; Biver, C. J.; Wang, W.; Knighton, S.; Bumgarner, J.; Langebrake, L.; Moreno, W.; Cardenas-Valencia, A. M.

    2007-08-01

    Energy on demand is an important concept in remote sensor development. The fabrication process for silicon-wafer-based, totally enclosed galvanic cells is presented herein. Benzocyclyobutene (BCB), a photo-patternable material, is used as the adhesive layer between the silicon wafers on which metal electrodes are patterned to form the cells' electrolyte cavity. As a case study, and since aluminum is an anode material with thermodynamic high energy density, this metal is evaporated onto a wafer and used as an anode. A sputtered platinum film collects the charge and provides a catalytic surface in the cell cathode. The metal film patterning process and wafer-to-wafer bonding with BCB is detailed. The difficulties encountered, and design modifications to overcome these, are presented. Cells of the mentioned design were activated with sodium hypochlorite solution electrolyte. Typical potential outputs for the cells, as a function of operational time, are also presented. With a 5 kΩ load, a potential of 1.4 V was maintained for over 240 min, until depletion of the electrolyte occurred. Average cell energy outputs under electrical loads between 100 Ω and 5 kΩ were in the range of 4-10 J with columbic densities ranging from 45 to 83 Ah L-1.

  6. Physical activity in individuals with haemophilia and experience with recombinant factor VIII Fc fusion protein and recombinant factor IX Fc fusion protein for the treatment of active patients: a literature review and case reports

    PubMed Central

    Wang, Michael; Álvarez-Román, María Teresa; Chowdary, Pratima; Quon, Doris V.; Schafer, Kim

    2016-01-01

    The World Federation of Hemophilia and the National Hemophilia Foundation encourage people with haemophilia (PWH) to participate in routine physical activity. The benefits of physical activity for PWH include improvements in joint, bone, and muscle health. Accordingly, a number of studies suggest that levels of physical activity among PWH are similar to those of their healthy peers, especially among individuals who began prophylaxis at an early age (≤3 years). Importantly, several studies found either no increased risk or only a transient increase in risk of bleeding with more intensive physical activity compared with less intensive physical activity. Data on optimal prophylaxis regimens for PWH who participate in physical/sporting activities; however, remain sparse. Long-acting recombinant factor VIII Fc fusion protein (rFVIIIFc) and recombinant factor IX Fc fusion protein (rFIXFc) demonstrated efficacy for the prevention and treatment of bleeding episodes in Phase 3 clinical trials of participants with haemophilia A and B, respectively, with most individuals able to maintain or increase their physical activities. This manuscript reviews the current literature that describes physical activity in PWH. Additionally, case studies are presented to provide supplemental information to clinicians illustrating the use of rFVIIIFc and rFIXFc in physically active patients with haemophilia A and B, respectively. These case reports demonstrate that it is possible for patients to be physically active and maintain good control of their haemophilia with extended interval prophylactic dosing using rFVIIIFc or rFIXFc. PMID:27116081

  7. A new baseline for fascioliasis in Venezuela: lymnaeid vectors ascertained by DNA sequencing and analysis of their relationships with human and animal infection

    PubMed Central

    2011-01-01

    Background Human and animal fascioliasis poses serious public health problems in South America. In Venezuela, livestock infection represents an important veterinary problem whereas there appear to be few human cases reported, most of which are passively detected in health centres. However, results of recent surveys suggest that the situation may be underestimated in particular areas. To obtain a baseline for future fascioliasis assessment, studies were undertaken by means of rDNA ITS-2 and ITS-1 and mtDNA cox1 sequencing to clarify the specific status of Venezuelan lymnaeids, their geographical distribution and fascioliasis transmission capacity, by comparison with other American countries and other continents. Results Results obtained completely change the lymnaeid scenario known so far. The relatively rich lymnaeid fauna of Venezuela has been proven to include (i) Lymnaea meridensis and L. neotropica as the only native members, (ii) L. cubensis and Pseudosuccinea columella introduced from the Caribbean area, and (iii) Galba truncatula and L. schirazensis introduced from the Old World. The absence of representatives of the stagnicoline and Radix groups is remarkable. Four species are fascioliasis vectors: G. truncatula, L. cubensis and L. neotropica, which have the capacity to give rise to human endemic areas, and P. columella, which is a source of animal infection and is responsible for the spread of disease. Vector capacity in the apparently highland endemic L. meridensis is to be confimed, although may be expected given its phylogenetic relationships. Similarly as elsewhere, the non-transmitting L. schirazensis has been confused with L. cubensis, also with G. truncatula and possibly with L. neotropica. Conclusions The new scenario leads to the re-opening of many disease aspects. In Venezuela, altitude appears to be the main factor influencing fascioliasis distribution. Human infection shows an altitude pattern similar to other Andean countries, although a

  8. The Importance of an In-depth Study of Immunoglobulin Gene Rearrangements When Ascertaining the Clonal Relationship between Concomitant Chronic Lymphocytic Leukemia and Multiple Myeloma

    PubMed Central

    Trudel, Stéphanie; Ghamlouch, Hussein; Dremaux, Julie; Delette, Caroline; Harrivel, Véronique; Marolleau, Jean-Pierre; Gubler, Brigitte

    2016-01-01

    Chronic lymphocytic leukemia (CLL) and multiple myeloma (MM) are hematological disorders that occur at different stages of B-cell development. It has been shown that CLL B-cells can differentiate into plasma cells in vitro and in vivo. CLL is the most frequent adult leukemia in the western world. It is a heterogeneous disease, characterized by clonal proliferation and the accumulation of mature CD5+ B lymphocytes (1). MM is a clonal plasma cell malignancy that accounts for more than 10% of all hematologic cancers (2). Although secondary cancers [particularly solid tumors (3–5)] can occur with CLL and MM, the concomitant occurrence of these two disorders in the same patient is rare [for a review of the few reported cases, see Ref. (6)]. The clonal relationship between these diseases has not always been clarified but is important in terms of understanding the pathogenesis and optimizing treatment. The clonal relationship between CLL and MM can be evaluated by (i) analyzing immunoglobulin (Ig) heavy chain and light chain (Ig kappa light chain and Ig lambda light chain) gene rearrangement, (ii) identifying and comparing somatic mutations, and (iii) studying chromosomic aberrations. Nevertheless, Ig rearrangements must always be interpreted in the light of specific phenomena such as allelic exclusion, B-cell receptor (BCR) revision (VH and DH gene replacement), BCR editing, and somatic mutations—events that were not considered in previous studies. These issues can be addressed by sequencing the rearranged Ig genes from sorted populations and interpreting the generated data. In the present study, we evaluated the putative clonal relationship between the two diseases by combining DNA copy number analysis with an assessment of Ig gene rearrangements [clonality assessment, V(D)J sequencing, and somatic hypermutation analysis] in highly enriched CD19+ CD5+ (CLL) and CD38+ CD138+ (MM) cell populations. Array comparative genomic hybridization data suggested a possible

  9. Focal epithelial hyperplasia (Heck disease) related to highly active antiretroviral therapy in an HIV-seropositive child. A report of a case, and a review of the literature.

    PubMed

    Feller, L; Khammissa, R A G; Wood, N H; Malema, V; Meyerov, R; Lemmer, J

    2010-05-01

    Focal epithelial hyperplasia is increasingly frequently observed in rural South African communities. HIV-seropositive subjects have a higher prevalence of oral human papillomavirus (HPV) infections than immunocompetent subjects; and paradoxically, the introduction of highly active antiretroviral therapy for treatment of HIV-seropositive subjects is associated with increased frequency of focal epithelial hyperplasia. We describe a case of focal epithelial hyperplasia in an HIV-seropositive child receiving highly active antiretroviral therapy, who was successfully treated by using diode laser ablation.

  10. Intensive (Daily) Behavior Therapy for School Refusal: A Multiple Baseline Case Series

    ERIC Educational Resources Information Center

    Tolin, David F.; Whiting, Sara; Maltby, Nicholas; Diefenbach, Gretchen J.; Lothstein, Mary Anne; Hardcastle, Surrey; Catalano, Amy; Gray, Krista

    2009-01-01

    The following multiple baseline case series examines school refusal behavior in 4 male adolescents. School refusal symptom presentation was ascertained utilizing a functional analysis from the School Refusal Assessment Scale (Kearney, 2002). For the majority of cases, treatment was conducted within a 15-session intensive format over a 3-week…

  11. Forecasting landslide activations by means of GA-SAKe. An example of application to three case studies in Calabria (Southern Italy)

    NASA Astrophysics Data System (ADS)

    Iovine, Giulio G. R.; De Rango, Alessio; Gariano, Stefano L.; Terranova, Oreste G.

    2016-04-01

    GA-SAKe - the Genetic-Algorithm based release of the hydrological model SAKe (Self Adaptive Kernel) - allows to forecast the timing of activation of landslides [1, 2], based on dates of landslide activations and rainfall series. The model can be applied to either single or set of similar landslides in a homogeneous context. Calibration of the model is performed through Genetic-Algorithm, and provides families of optimal, discretized solutions (kernels) that maximize the fitness function. The mobility functions are obtained through convolution of the optimal kernels with rain series. The shape of the kernel, including its base time, is related to magnitude of the landslide and hydro-geological complexity of the slope. Once validated, the model can be applied to estimate the timing of future landslide activations in the same study area, by employing measured or forecasted rainfall. GA-SAKe is here employed to analyse the historical activations of three rock slides in Calabria (Southern Italy), threatening villages and main infrastructures. In particular: 1) the Acri-Serra di Buda case, developed within a Sackung, involving weathered crystalline and metamorphic rocks; for this case study, 6 dates of activation are available; 2) the San Fili-Uncino case, developed in clay and conglomerate overlaying gneiss and biotitic schist; for this case study, 7 dates of activation are available [2]; 3) the San Benedetto Ullano-San Rocco case, developed in weathered metamorphic rocks; for this case study, 3 dates of activation are available [1, 3, 4, 5]. The obtained results are quite promising, given the high performance of the model against slope movements characterized by numerous historical activations. Obtained results, in terms of shape and base time of the kernels, are compared by taking into account types and sizes of the considered case studies, and involved rock types. References [1] Terranova O.G., Iaquinta P., Gariano S.L., Greco R. & Iovine G. (2013) In: Landslide

  12. Designing Adult Education Activities: A Case of Civic Education Programmes by National Commission for Civic Education in the Ashaiman Municipality in Ghana

    ERIC Educational Resources Information Center

    Afriyie, Sally Adwoa

    2015-01-01

    This article discusses the efficiency of the design of educational activities of the National Commission for Civic Education (NCCE) in Ashaiman municipality in Ghana. Using a descriptive case study design, data was collected from seven (7) Community Based Groups in Ashaiman. The results of the study indicated that to a large extent, there was…

  13. Case-Based Learning in Virtual Groups--Collaborative Problem Solving Activities and Learning Outcomes in a Virtual Professional Training Course

    ERIC Educational Resources Information Center

    Kopp, Birgitta; Hasenbein, Melanie; Mandl, Heinz

    2014-01-01

    This article analyzes the collaborative problem solving activities and learning outcomes of five groups that worked on two different complex cases in a virtual professional training course. In this asynchronous virtual learning environment, all knowledge management content was delivered virtually and collaboration took place through forums. To…

  14. Central skeletal sarcoidosis: a case report with sustained remission only on methotrexate, and a literature review on the imaging approach, treatment, and assessment of disease activity.

    PubMed

    Sakellariou, Grigorios T; Anastasilakis, Athanasios D; Karanikolas, Dimitrios; Vounotrypidis, Periklis; Berberidis, Charalampos

    2013-01-01

    We report a case of multifocal involvement of the central skeleton in a patient with long-term stage I pulmonary sarcoidosis who experienced sustained clinical remission of musculoskeletal symptoms while on methotrexate (MTX) alone. Concomitant normalization of laboratory tests [inflammatory markers and angiotensin-converting enzyme (ACE) levels] was observed, and improvements were seen in follow-up magnetic resonance imaging (MRI) of the lumbar spine and bone scintigraphy. To date, there are no specific tools for the assessment of skeletal disease activity in sarcoidosis. Our case suggests that inflammatory markers and ACE levels, when initially elevated, bone scintigraphy, and-in the case of vertebral involvement-MRI could serve as such tools. A literature review on the imaging approach, treatment, and disease activity monitoring of skeletal sarcoidosis is also provided.

  15. Alveolar hydatid disease. Review of the surgical experience in 42 cases of active disease among Alaskan Eskimos.

    PubMed Central

    Wilson, J F; Rausch, R L; Wilson, F R

    1995-01-01

    OBJECTIVE: The authors reviewed the pathophysiology and clinical management of endemic alveolar hydatid disease in Alaskan Eskimos, incorporating recent developments in diagnosis and treatment. SUMMARY BACKGROUND DATA: Alveolar hydatid disease is a highly lethal zoonotic infection caused by the larval stage of Echinococcus multilocularis. This cestode is restricted geographically to northern climates, where foxes and small rodents represent the natural hosts. Domestic dogs also may serve as definitive hosts, and thus, transmit the parasite to humans. Human infection is characterized by the development of a cancer-like hepatic mass, which may extend to adjacent structures or metastasize to distant sites. If the infection goes untreated, mortality reaches 80%. METHODS: The medical records of all patients with alveolar hydatid disease diagnosed or treated at the Alaska Native Medical Center between 1951 and 1993 were reviewed. Forty-two cases of active disease are presented. RESULTS: Nine patients underwent resection of hepatic lesions with intent to cure, and each had a favorable result. Average post-diagnosis survival of those patients was 22 years; six still are living and free of disease. Partial resections or drainage procedures were performed in ten patients. Chemotherapy was used to augment the surgical treatment of eight patients, and four received chemotherapy alone, resulting in improved outcomes compared with historic controls. Late complications included hepatic abscess, biliary obstruction, and portal venous hypertension. CONCLUSIONS: Whereas alveolar hydatid disease rarely is encountered in other areas of North America, the biologic potential for spread of the disease may be increasing because of illegal importation of infected foxes to the Eastern seaboard. Therefore, the surgical community should maintain an awareness of the diagnosis and management of this potentially devastating parasitic infection. Images Figure 2. Figure 3. PMID:7717785

  16. Multi-method characterisation of an active landslide: Case study in the Pays d'Auge plateau (Normandy, France)

    NASA Astrophysics Data System (ADS)

    Fressard, M.; Maquaire, O.; Thiery, Y.; Davidson, R.; Lissak, C.

    2016-10-01

    Shallow landslides are among the most frequent natural hazards in the Pays d'Auge plateau (Normandy, France) but no study has yet focused on the functioning of these phenomena at a detailed scale. This study aims to identify the structure and mechanical properties of a representative case study in the region. The main objective is to understand landslide dynamics and behaviour in order to assess triggering conditions and quantify triggering thresholds. The results will help complement the regional landslide hazard mapping based on landslide statistical susceptibility mapping and quantification of triggering thresholds. The landslide morphology and internal structure were identified using a multi-method approach. A morphodynamic map was produced in the field using cartographic GPS to depict the surface morphology and map the estimated landslide activity. These field measurements were completed by an analysis of all available aerial-photo images from the French National Geographic Institute (IGN) to identify the occurrence dates and possible landslide reactivations. The landslide structure was defined using multiple electrical tomography profiles, boreholes, augerings and penetration tests. Despite the overall low electrical resistivity of the landslide materials (i.e. ± < 80 Ω·m), the electrical profiles showed good agreement with the interpreted structure based on direct observations (augerings and penetration tests). The landslide slip surface, internal morphology and palaeotopography were identified. A finite slope model was used to calculate the landslide safety factor based on the internal structure and geotechnical data. The evolution of this safety factor according to the rainfall and the groundwater levels shows that the landslides are more likely to occur after long episodes of high cumulative precipitations with an important role being played by the preliminary conditions and the rise of the surficial groundwater table level.

  17. Activities.

    ERIC Educational Resources Information Center

    Bippert, Judy

    1993-01-01

    Presents activities designed to give students an opportunity to solve concrete problems involving spatial relationships and logical thinking utilizing hands-on manipulatives. Provides teacher instructions and four reproducible worksheets. (MDH)

  18. The Lord of Rings - the mysterious case of the stolen rings: a critical analysis of an informal education activity

    NASA Astrophysics Data System (ADS)

    Sandrelli, S.

    2011-10-01

    "The Lord of Rings - the mysterious case of the stolen rings" is a live astronomical role-playing game for kids aged 10 -13 [1]. Its goal is to introduce them to some of the main topics of the Solar System: a) the role of gravity; b) the distribution of mass & light; c) the effects of rotation; d) the distribution of water. The game was held at several Science Festival in Italy (Perugia, Genova, Fiorano, Bologna) obtaining great success. Teams of about 6-8 members are introduced to Mr Schioppanelli, the astro-detective of the town (the name is a pun: it reminds Schiaparelli, the famous italian astronomer, and it is a slang expression meaning "ring-breaker"). Mr Schioppanelli has his office in an "gastronomical astronomical observatory", known as The Red Giant Pizzeria. Schioppanelli informs the kids that a mysterious Centaur succeded in stealing the rings of Saturn. The partecipants are appointed astro-detectives incharge and asked to find the rings by browsing around the Solar System, which is scaled so as to fit the town historical centre or a pedestrian area, going from the Sun to Saturn or beyond, depending on the actual area at disposal. Great care must be taken allowing children playing only in a car-free area of the town. At the right scaled distances, the partecipants meet characters playing as the various planets. The kids can talk to them after solving a riddle, obtaining useful informations. A special characters play as a comet, timely going in and out of the inner solar system. The teams can also talk to some shepherdmoons of the rings. They easily discover that the rings were totally destroyed by the Centaur: a real disaster! They are also suggested to gather the necessary ingredients (gravity, light, rotation, inclination, dust and water, represented by simple objects like apples, spinning tops and so on) to rebuild the rings. The kids can buy the ingredients from different planets: every planet has ingredients in quantities which are proportionate to

  19. Using group consciousness theories to understand political activism: case studies of Barack Obama, Hillary Clinton, and Ingo Hasselbach.

    PubMed

    Duncan, Lauren E

    2010-12-01

    I describe and integrate several theories of group consciousness and collective action, along with 3 case studies of political activists. I have 2 goals: (1) to use the theories to help us understand something puzzling about each life and (2) to use the cases to complicate and expand the theories. Barack Obama's case raises the question of how someone with a politicized Black identity evolved into a politician working for all oppressed people and complicates racial identity development theory. Hillary Clinton's case raises the question of how a middle-class White girl raised in a conservative family became a prominent Democratic Party politician and complicates group consciousness theories by demonstrating the importance of generation and personality. Ingo Hasselbach's (a former German neo-Nazi leader) case illustrates relative deprivation theory and raises the question of whether theories developed to explain subordinate group consciousness can be applied to movements of dominant group consciousness.

  20. Epidemiological investigation of an acute case of Chagas disease in an area of active transmission in Peruvian Amazon region.

    PubMed

    Cabrera, Rufino; Vega, Silvia; Cáceres, Abraham G; Ramal, A César; Alvarez, Carlos; Ladera, Pedro; Pinedo, Raul; Chuquipiondo, Gladys

    2010-01-01

    The study objective was to investigate an acute case of Chagas disease in the San Pedro de Shishita community, Pebas District, in the Peruvian Amazon basin, a non-endemic area. Both parents of the index case (acute case) were thoroughly interviewed, a seroepidemiological survey was carried out in the community, parasitological exams were carried out only in relatives of the index case, and triatomine bugs were searched for inside houses, peridomiciliary, and in wild environments. Seroprevalence for IgG anti-T. cruzi antibodies was 1/104 (0.96%), using an ELISA test and an indirect immunofluorescence assay. Panstrongylus geniculatus and Rhodnius pictipes adults were found. The index case is autochthonous from San Pedro de Shishita, but the source of transmission is unknown.

  1. Measurement of equine myeloperoxidase (MPO) activity in synovial fluid by a modified MPO assay and evaluation of joint diseases - an initial case study.

    PubMed

    Fietz, S; Bondzio, A; Moschos, A; Hertsch, B; Einspanier, R

    2008-06-01

    The aim of this study was to develop a specific myeloperoxidase (MPO) activity assay in the synovial fluid of horses and investigate whether MPO activity is increased in different forms of joint diseases. Synovial fluid samples were taken from affected joints from horses with osteoarthritis, chronic non-septic arthritis and septic arthritis, and from healthy control horses. MPO activity was measured using a specific modified o-dianisidine-assay containing 4-aminobenzoic acid hydrazide as a potent and specific inhibitor of the MPO. This assay is characterized by high reproducibility. The results reveal only a slight elevation of MPO activity in the synovial fluid of horses with osteoarthritis and chronic non-septic arthritis. However, in the cases of septic arthritis a significant increase in MPO activity was found when compared to the controls. In conclusion the first field study suggests that synovial fluid MPO may be used as a marker for septic arthritis in horses.

  2. [Obsessive-compulsive symptoms, tics, stereotypic movements or need for absolute consistency? The occurrence of repetitive activities in patients with pervasive developmental disorders--case studies].

    PubMed

    Bryńska, Anita; Lipińska, Elzbieta; Matelska, Monika

    2011-01-01

    Repetitive and stereotyped behaviours in the form of stereotyped interests or specific routine activities are one ofthe diagnostic criteria in pervasive developmental disorders. The occurrence of repetitive behaviours in patients with pervasive developmental disorders is a starting point for questions about the type and classification criteria of such behaviours. The aim of the article is to present case studies of patients with pervasive developmental disorders and co-morbid symptoms in the form of routine activities, tics, obsessive-compulsive symptoms or stereotyped behaviours. The first case study describes a patient with Asperger's syndrome and obsessive compulsive symptoms. The diagnostic problems regarding complex motor tics are discussed in the second case study which describes a patient with Asperger's syndrome and Gilles de la Tourette syndrome. The third and fourth case study describes mono-zygotic twins with so called High Functioning Autism whose repetitive activities point to either obsessive compulsive symptoms, stereotypic movements, need for absolute consistency or echopraxia. The possible comorbidity of pervasive developmental disorders and symptoms in the form of repetitive behaviours, possible interactions as well as diagnostic challenges is discussed in the article.

  3. Using Muon Radiography to map the Bedrock Geometry underneath an active Glacier: A Case Study in the Central Swiss Alps

    NASA Astrophysics Data System (ADS)

    Lechmann, Alessandro; Mair, David; Nishiyama, Ryuichi; Ariga, Akitaka; Ariga, Tomoko; Ereditato, Antonio; Scampoli, Paola; Vladymyrov, Mykhailo; Schlunegger, Fritz

    2016-04-01

    In recent years, muon radiography has been successfully applied to tackle geological issues and has enjoyed an increasing interest, mainly because this methodology enriches the geophysical arsenal by another shallow subsurface imaging tool that may give independent constraints on material density. Muons that originate from the collision of cosmic particles with Earth's atmosphere are able to penetrate the material in question and can finally be recorded by a detector. The irradiation intensity can then be inverted to the density of the traversed material. Various successful two-dimensional attempts have already been made to image e.g. magma chambers inside volcanoes (Lesparre et al., 2012; Nishiyama et al., 2014; Tanaka et al., 2005), but this method has yet to be applied for mapping the base of glaciers, where the density contrasts between ice and underlying bedrock are even greater than those between magma and host rock. While a high Alpine setup limits the possibilities to deploy traditional geophysical methods for surveying the base of glaciers (because of inaccessible terrain, poor infrastructure or the presence of water in the ice), muon radiography might prove to be a promising alternative. The muon intensity data from stereo observation can be related to the three-dimensional geometry of the interface between the glacier and its bedrock. Given a suitable input model, this relation can be solved within the framework of geophysical inverse problems. The final model then gives geologists invaluable information on erosional mechanisms underneath active glaciers, as this has not yet been observed. We test this methodology for a site within the Jungfrau region, situated in the central Swiss Alps. Our first goal is to demonstrate the feasibility of the method through a case study at the Eiger glacier, starting from a toy model in a first phase and continuing with real data in a second phase. For this purpose, we installed cosmic-ray detectors at two sites inside

  4. A case-control study of amyotrophic lateral sclerosis.

    PubMed

    Savettieri, G; Salemi, G; Arcara, A; Cassata, M; Castiglione, M G; Fierro, B

    1991-01-01

    A retrospective case-control study was conducted using 46 patients affected by amyotrophic lateral sclerosis and 92 closely matched healthy controls. Cases were ascertained through typical clinical and instrumental findings. Putative risk factors (bone fractures or major trauma, exposure to domestic animals, surgical operations, disease among first degree relatives and others) were investigated anamnestically using a standard questionnaire. Using Mantel-Haenzsel estimates of the odds ratio, no association was found between amyotrophic lateral sclerosis and the investigated variables.

  5. Ascertainment and treatment of delayed puberty.

    PubMed

    Pozo, Jesús; Argente, Jesús

    2003-01-01

    The majority of patients with pubertal delay, can be classified as having primary pubertal delay (constitutional delay of growth and puberty, CDGP), although any child with a chronic disease could present with delayed puberty. In contrast, children with hypogonadism, either hyper- or hypogonadotropic, exhibit a total absence of pubertal development. Hence, early evaluation of these patients should be performed. Delay of puberty leads to psychological problems, secondary to short stature and/or delay in the acquisition of secondary sex characteristics and the reduction of bone mass. Although the final height in patients with CDGP is usually normal, some of these patients do not reach the third percentile or remain in the lowest part of the growth chart according to familial height. The most common reason for treating CDGP patients, usually with sex steroids, is for psychological difficulties and for loss of bone mineralization. Treatment must be individualized. Therapeutic options and new drugs will be discussed. Appropriate treatment and adequate nutritional intake are indicated in patients with delayed puberty due to chronic illness. In patients with hypo- or hypergonadotropic hypogonadism, puberty must be induced or completed. Different treatments (GnRH analogues, gonadotropins and sex steroids), and the main objectives are discussed.

  6. [Ascertaining a Venezuelan oil town's health conditions].

    PubMed

    Mijares-Seminario, Rodrigo; Hernández, Leicy

    2013-01-01

    Objective Analysing health conditions in the town of Carirubana in Falcón State, Venezuela, as a prior study to the construction of a gas conditioning plant there. Methods This study formed part of a field research project which involved consulting primary and secondary sources. The former consisted of evaluating public and private health-centres and those in the Barrio Adentro system; the aforementioned health centres' medical staff were interviewed to determine current health-disease status and the factors determining health for the town being studied. Likewise, both situations (health-disease and factors determining health) were evaluated and analysed in the secondary sources at national, state and municipal level. Results Deficits were observed at national level regarding public health infrastructure; there were 1.3 beds per thousand inhabitants, this being less than half that recommended by the World Health Organization (WHO) (i.e. three to four beds per thousand inhabitants). State and municipal cancer mortality rates were relatively stable over a four-year period (2001-2004). Conclusions The mortality rate in Carirubana was characteristic of a low-income area. The poverty and pollution directly produced by the oil refining plants were the key determinants for this town's morbidity and mortality rates.

  7. Activities.

    ERIC Educational Resources Information Center

    Kincaid, Charlene; And Others

    1993-01-01

    Presents an activity in which students collect and organize data from a real-world simulation of the scientific concept of half life. Students collect data using a marble sifter, analyze the data using a graphing calculator, and determine an appropriate mathematical model. Includes reproducible worksheets. (MDH)

  8. The relationships between urban parks, residents' physical activity, and mental health benefits: A case study from Beijing, China.

    PubMed

    Liu, Hongxiao; Li, Feng; Li, Juanyong; Zhang, Yuyang

    2017-04-01

    The role of urban parks in improving public health has been analyzed in the context of urban design in developed countries, but has seldom been considered in developing countries such as China. Previous studies have found positive correlations between parks and residents' physical activity and mental health status. In this study, we conducted a questionnaire survey to investigate respondents' physical activity status and its relationship with urban parks. The impact of different activities engaged in during park use on positive mental health was examined. The average physical activity level of the sample was 92.7 min of moderate to vigorous physical activity per day. Park users were more active in all forms of physical activity, except transport walking, than non-users. The presence of a park within 500 m from home and park use were significantly associated with total physical activity. Physical activity in parks significantly restored visitors' moods and energy levels, and interaction with nature brought mental health benefits in terms of relaxation and self-perceived confidence. Overall, this study found a positive correlation of urban parks with public physical activity and positive mental health benefits. However, further research is needed to improve the understanding of this relationship in the context of China.

  9. A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training.

    PubMed

    Steele, James; Fisher, James; Skivington, Martin; Dunn, Chris; Arnold, Josh; Tew, Garry; Batterham, Alan M; Nunan, David; O'Driscoll, Jamie M; Mann, Steven; Beedie, Chris; Jobson, Simon; Smith, Dave; Vigotsky, Andrew; Phillips, Stuart; Estabrooks, Paul; Winett, Richard

    2017-04-05

    It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and muscle mass) also to morbidity and mortality risk. Current guidelines about the performance of moderate/vigorous physical activity using aerobic exercise modes focuses upon the accumulation of a minimum volume of physical activity and/or exercise, and have thus far produced disappointing outcomes. As such there has been increased interest in the use of higher effort physical activity and exercise as being potentially more efficacious. Though there is currently debate as to the effectiveness of public health prescription based around higher effort physical activity and exercise, most discussion around this has focused upon modes considered to be traditionally 'aerobic' (e.g. running, cycling, rowing, swimming etc.). A mode customarily performed to a relatively high intensity of effort that we believe has been overlooked is resistance training. Current guidelines do include recommendations to engage in 'muscle strengthening activities' though there has been very little emphasis upon these modes in either research or public health effort. As such the purpose of this debate article is to discuss the emerging higher effort paradigm in physical activity and exercise for public health and to make a case for why there should be a greater emphasis placed upon resistance training as a mode in this paradigm shift.

  10. The use of Geographical Information System (GIS) to improve active leprosy case finding campaigns in the municipality of Mossoró, Rio Grande do Norte State, Brazil.

    PubMed

    De Souza Dias, Márcia Célia Freitas; Dias, Gutemberg Henrique; Nobre, Maurício Lisboa

    2007-09-01

    There is a high incidence of leprosy in the municipality of Mossor6, Rio Grande do Norte state, where the detection coefficient has risen from 2.78/10,000 population in 1998 to 5.14 in 2004. While cases have been registered throughout the urban area, the disease is concentrated in select neighbourhoods. This study was undertaken using Geographical Information System (GIS) with the objective of defining low-cost, effective strategies to control leprosy. The land registry map of the city, Ikonos satellite images and the SINAN (National Morbidity Notification Information System) database were used as the cartographical basis for the study. The sample for the leprosy mapping was drawn from the 358 new cases of the disease diagnosed in the municipality between 1998 and 2002. The houses of 281 patients were located (78.5% of the total) and their addresses geo-referenced using a GPS handheld device. Subsequently, geographical analysis was carried out using ArcView 9.0 software showing predominant concentration of cases in the neighbourhoods of Barrocas, Santo Antônio, Bom Jardim and Paredões. This mapping served as the basis for four active case finding campaigns conducted in the most highly concentrated areas between March and September of 2005. Campaigns guided by spatial analysis led to the diagnosis of 104 new cases of the disease (50% of the total number of new cases detected in the municipality in 2005). The use of GIS in leprosy diagnosis has shown to be extremely effective, providing a clear visual understanding of the distribution of the disease in the municipality, which results in targeted interventions and important cost reductions in leprosy control activities.

  11. Optimizing the function of upstanding activities in adult patients with acquired lesions of the central nervous system by using the Bobath concept approach - A case report.

    PubMed

    Jelica, Stjepan; Seper, Vesna; Davidović, Erna; Bujisić, Gordana

    2011-01-01

    Nonspecific medical gymnastic therapy may help patients after stroke achieve certain results in terms of efficiency but not in terms of quality of movement. The goal of treatment by Bobath concept is development of movement (effectiveness) and optimization of movement (efficiency). This article presents the case of a 62-year old patient who had experienced a stroke and has difficulties with standing up activities. It underscores the importance of not only recovery of function but also optimization of the function in such patients.

  12. Cost-effectiveness of active case-finding of household contacts of pulmonary tuberculosis patients in a low HIV, tuberculosis-endemic urban area of Lima, Peru.

    PubMed

    Shah, L; Rojas, M; Mori, O; Zamudio, C; Kaufman, J S; Otero, L; Gotuzzo, E; Seas, C; Brewer, T F

    2017-04-01

    We compared the cost-effectiveness (CE) of an active case-finding (ACF) programme for household contacts of tuberculosis (TB) cases enrolled in first-line treatment to routine passive case-finding (PCF) within an established national TB programme in Peru. Decision analysis was used to model detection of TB in household contacts through: (1) self-report of symptomatic cases for evaluation (PCF), (2) a provider-initiated ACF programme, (3) addition of an Xpert MTB/RIF diagnostic test for a single sputum sample from household contacts, and (4) all strategies combined. CE was calculated as the incremental cost-effectiveness ratio (ICER) in terms of US dollars per disability-adjusted life years (DALYs) averted. Compared to PCF alone, ACF for household contacts resulted in an ICER of $2155 per DALY averted. The addition of the Xpert MTB/RIF diagnostic test resulted in an ICER of $3275 per DALY averted within a PCF programme and $3399 per DALY averted when an ACF programme was included. Provider-initiated ACF of household contacts in an urban setting of Lima, Peru can be highly cost-effective, even including costs to seek out contacts and perform an Xpert/MTB RIF test. ACF including Xpert MTB/RIF was not cost-effective if TB cases detected had high rates of default from treatment or poor outcomes.

  13. EFL Learning through Language Activities outside the Classroom: A Case Study of English Education Students in Thailand

    ERIC Educational Resources Information Center

    Chusanachoti, Ruedeerath

    2009-01-01

    This study explored how Thai learners of English as a foreign language, engaged in English activities outside of classrooms to learn and practice the English language. Three research questions of this study include: (a) How do the participants perceive access and availability of out of class English activities in local environments?, (b) How do…

  14. Changes in Muscle Activation Following Ankle Strength Training in Children with Spastic Cerebral Palsy: An Electromyography Feasibility Case Report

    ERIC Educational Resources Information Center

    Olsen, Jamie E.; Ross, Sandy A.; Foreman, Matthew H.; Engsberg, Jack R.

    2013-01-01

    Children with cerebral palsy (CP) are likely to experience decreased participation in activities and less competence in activities of daily living. Studies of children with spastic CP have shown that strengthening programs produce positive results in strength, gait, and functional outcomes (measured by the Gross Motor Function Measure). No…

  15. The Impact of Institutional Culture on Student Activism: A Multi-Case Study in Christian Higher Education

    ERIC Educational Resources Information Center

    Cole, Brian E.

    2013-01-01

    This study contributes to the description and meaning of student activism within the context of Christian college environments and cultures, and is interpreted through the sociological concept of symbolic interactionism. The purpose of this study is to help fill the void in the literature on student activism at Christian colleges and universities,…

  16. Exploring the Relevance of the Personal and Social Responsibility Model in Adapted Physical Activity: A Collective Case Study

    ERIC Educational Resources Information Center

    Wright, Paul M.; White, Katherine; Gaebler-Spira, Deborah

    2004-01-01

    The purpose of this study was to examine the application of the Personal and Social Responsibility Model (PSRM) in an adapted physical activity program. Although the PSRM was developed for use with underserved youth, scholars in the field of adapted physical activity have noted its potential relevance for children with disabilities. Using a…

  17. Twitter as a Teaching Practice to Enhance Active and Informal Learning in Higher Education: The Case of Sustainable Tweets

    ERIC Educational Resources Information Center

    Kassens-Noor, Eva

    2012-01-01

    With the rise of Web 2.0, a multitude of new possibilities on how to use these online technologies for active learning has intrigued researchers. While most instructors have used Twitter for in-class discussions, this study explores the teaching practice of Twitter as an active, informal, outside-of-class learning tool. Through a comparative…

  18. Gaining Proficiency through Task-Based Activities in the Portuguese Classroom (Beginning and Intermediate Year Case Studies)

    ERIC Educational Resources Information Center

    Jones-Kellogg, Rebecca

    2015-01-01

    This paper describes a task-based activity used at the United States Military Academy, in their first- through third-semester Portuguese language sequence "Proficiencies" (Proficiências). The stand-alone task-based activity can be an effective tool in gaining foreign-language proficiency at even the lowest levels of classroom instruction…

  19. Meningococcal Disease in Patients With Human Immunodeficiency Virus Infection: A Review of Cases Reported Through Active Surveillance in the United States, 2000–2008

    PubMed Central

    Harris, Christine M.; Li, Jianmin; Hall, H. Irene; Lee, Adria; Zell, Elizabeth; Harrison, Lee H.; Petit, Susan; Farley, Monica M.; Lynfield, Ruth; Miller, Lisa; Nichols, Megin; Reingold, Arthur; Schaffner, William; Thomas, Ann; MacNeil, Jessica R.; Clark, Thomas A.; Cohn, Amanda C.

    2016-01-01

    Background. Although human immunodeficiency virus (HIV) infection is an established risk factor for several bacterial infections, the association between HIV infection and meningococcal disease remains unclear. Methods. Expanded chart reviews were completed on persons with meningococcal disease and HIV infection reported from 2000 through 2008 from 9 US sites participating in an active population-based surveillance system for meningococcal disease. The incidence of meningococcal disease among patients meeting Centers for Disease Control and Prevention acquired immune deficiency syndrome (AIDS) surveillance criteria was estimated using data from the National HIV Surveillance System for the participating sites. Results. Thirty-three cases of meningococcal disease in individuals with HIV infection were reported from participating sites, representing 2.0% of all reported meningococcal disease cases. Most (75.8%) persons with HIV infection were adult males aged 25 to 64 years old. Among all meningococcal disease cases aged 25 to 64 years old, case fatality ratios were similar among HIV-infected and HIV-uninfected persons (13.3% vs 10.6%; P = .6). The cumulative, mean incidence of meningococcal disease among patients aged 25 to 64 years old with HIV infection ever classified as AIDS was 3.5 cases per 100000 person years (95% confidence interval [CI], 2.1–5.6), compared with 0.3 cases per 100000 person years (95% CI, 0.3–0.3) for persons of the same age group not reported to have AIDS (relative risk = 12.9; 95% CI, 7.9–20.9). Conclusions. Individuals with HIV infection meeting the AIDS surveillance case definition have a higher incidence of meningococcal disease compared with the general adult population. PMID:28018927

  20. Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies

    PubMed Central

    Vergunst, Richard; Kritzinger, Janis; Visagie, Surona

    2017-01-01

    Background There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user. Aim This article explores how activity limitations interact with factors related to context, systems, community and personal factors in accessing public health care services in South Africa. Setting We present four case studies of people with disabilities from four low-resource diverse contexts in South Africa (rural, semi-rural, farming community and peri-urban) to highlight challenges of access to health services experienced by people with activity limitations in a variety of contexts. Methods One case study of a person with disabilities was chosen from each study setting to build evidence using an intensive qualitative case study methodology to elucidate individual and household experiences of challenges experienced by people with activity limitations when attempting to access public health services. In-depth interviews were used to collect data, using an interview guide. The analysis was conducted in the form of a thematic analysis using the interview topics as a starting point. Results First, these four case studies demonstrate that equitable access to health services for people with activity limitations is influenced by a complex interplay of a variety of factors for a single individual in a particular context. Secondly, that while problems with access to public health services are experienced by everyone, people with activity limitations are affected in particular ways making them particularly vulnerable in using public health services. Conclusion The revitalisation of primary health care and the

  1. Methane transport from the active layer to lakes in the Arctic using Toolik Lake, Alaska, as a case study.

    PubMed

    Paytan, Adina; Lecher, Alanna L; Dimova, Natasha; Sparrow, Katy J; Kodovska, Fenix Garcia-Tigreros; Murray, Joseph; Tulaczyk, Slawomir; Kessler, John D

    2015-03-24

    Methane emissions in the Arctic are important, and may be contributing to global warming. While methane emission rates from Arctic lakes are well documented, methods are needed to quantify the relative contribution of active layer groundwater to the overall lake methane budget. Here we report measurements of natural tracers of soil/groundwater, radon, and radium, along with methane concentration in Toolik Lake, Alaska, to evaluate the role active layer water plays as an exogenous source for lake methane. Average concentrations of methane, radium, and radon were all elevated in the active layer compared with lake water (1.6 × 10(4) nM, 61.6 dpm⋅m(-3), and 4.5 × 10(5) dpm⋅m(-3) compared with 1.3 × 10(2) nM, 5.7 dpm⋅m(-3), and 4.4 × 10(3) dpm⋅m(-3), respectively). Methane transport from the active layer to Toolik Lake based on the geochemical tracer radon (up to 2.9 g⋅m(-2)⋅y(-1)) can account for a large fraction of methane emissions from this lake. Strong but spatially and temporally variable correlations between radon activity and methane concentrations (r(2) > 0.69) in lake water suggest that the parameters that control methane discharge from the active layer also vary. Warming in the Arctic may expand the active layer and increase the discharge, thereby increasing the methane flux to lakes and from lakes to the atmosphere, exacerbating global warming. More work is needed to quantify and elucidate the processes that control methane fluxes from the active layer to predict how this flux might change in the future and to evaluate the regional and global contribution of active layer water associated methane inputs.

  2. Methane transport from the active layer to lakes in the Arctic using Toolik Lake, Alaska, as a case study

    PubMed Central

    Paytan, Adina; Lecher, Alanna L.; Dimova, Natasha; Sparrow, Katy J.; Kodovska, Fenix Garcia-Tigreros; Murray, Joseph; Tulaczyk, Slawomir; Kessler, John D.

    2015-01-01

    Methane emissions in the Arctic are important, and may be contributing to global warming. While methane emission rates from Arctic lakes are well documented, methods are needed to quantify the relative contribution of active layer groundwater to the overall lake methane budget. Here we report measurements of natural tracers of soil/groundwater, radon, and radium, along with methane concentration in Toolik Lake, Alaska, to evaluate the role active layer water plays as an exogenous source for lake methane. Average concentrations of methane, radium, and radon were all elevated in the active layer compared with lake water (1.6 × 104 nM, 61.6 dpm⋅m−3, and 4.5 × 105 dpm⋅m−3 compared with 1.3 × 102 nM, 5.7 dpm⋅m−3, and 4.4 × 103 dpm⋅m−3, respectively). Methane transport from the active layer to Toolik Lake based on the geochemical tracer radon (up to 2.9 g⋅m−2⋅y−1) can account for a large fraction of methane emissions from this lake. Strong but spatially and temporally variable correlations between radon activity and methane concentrations (r2 > 0.69) in lake water suggest that the parameters that control methane discharge from the active layer also vary. Warming in the Arctic may expand the active layer and increase the discharge, thereby increasing the methane flux to lakes and from lakes to the atmosphere, exacerbating global warming. More work is needed to quantify and elucidate the processes that control methane fluxes from the active layer to predict how this flux might change in the future and to evaluate the regional and global contribution of active layer water associated methane inputs. PMID:25775530

  3. Influence of abiotic factors on cathemeral activity: the case of Eulemur fulvus collaris in the littoral forest of Madagascar.

    PubMed

    Donati, Giuseppe; Borgognini-Tarli, Silvana M

    2006-01-01

    The role environmental factors play in influencing circadian rhythms in natural habitats is still poorly described in primates, especially for those taxa with an activity cycle extended over the 24-hour cycle. In this paper, we elucidate the importance of abiotic factors in entraining the activity of cathemeral primates, focussing on results from a long-term study of Eulemur fulvus collaris (collared brown lemur) in south-eastern Malagasy littoral forest. Two groups of lemurs were followed for 60 whole-day and 59 whole-night observation periods over 14 months. Diurnal and nocturnal observations were equally distributed among moon phases and seasons. Temperature and humidity were recorded hourly by automatic data loggers. The littoral forest has a climatic environment where rainfall and humidity are uncorrelated with temperature and photoperiod. Diurnal and nocturnal activity varied seasonally, with the former increasing significantly with extended day length and the latter increasing significantly with shortened day length. Dusk seemed to act as a primary zeitgeber for these lemurs, coordinating the onset of evening activity throughout the entire year. Lunar phase and the nocturnal luminosity index correlated positively with the duration of nocturnal activity and negatively with the length of diurnal activity. Temperature was positively associated with diurnal activity but did not seem to influence lemur rhythms at night. Finally, lemur nocturnal activity significantly decreased when levels of humidity and rainfall were high. Cathemeral biorhythm is triggered by zeitgebers and influenced by masking factors. The activity of collared brown lemurs appears to be seasonally influenced by photoperiod and directly modulated by nocturnal ambient luminosity. These results are discussed by comparing data from other cathemeral species living in various climatic situations.

  4. Interactions between cardiac, respiratory, and brain activity in humans

    NASA Astrophysics Data System (ADS)

    Musizza, Bojan; Stefanovska, Aneta

    2005-05-01

    The electrical activity of the heart (ECG), respiratory function and electric activity of the brain (EEG) were simultaneously recorded in conscious, healthy humans. Instantaneous frequencies of the heart beat, respiration and α-waves were then determined from 30-minutes recordings. The instantaneous cardiac frequency was defined as the inverse value of the time interval between two consecutive R-peaks. The instantaneous respiratory frequency was obtained from recordings of the excursions of thorax by application of the Hilbert transform. To obtain the instantaneous frequency of α-waves, the EEG signal recorded from the forehead was first analysed using the wavelet transform. Then the frequency band corresponding to α-waves was extracted and the Hilbert transform applied. Synchronization analysis was performed and the direction of coupling was ascertained, using pairs of instantaneous frequencies in each case. It is shown that the systems are weakly bidirectionally coupled. It was confirmed that, in conscious healthy humans, respiration drives cardiac activity. We also demonstrate from these analyses that α-activity drives both respiration and cardiac activity.

  5. Active-learning strategies: the use of a game to reinforce learning in nursing education. A case study.

    PubMed

    Boctor, Lisa

    2013-03-01

    The majority of nursing students are kinesthetic learners, preferring a hands-on, active approach to education. Research shows that active-learning strategies can increase student learning and satisfaction. This study looks at the use of one active-learning strategy, a Jeopardy-style game, 'Nursopardy', to reinforce Fundamentals of Nursing material, aiding in students' preparation for a standardized final exam. The game was created keeping students varied learning styles and the NCLEX blueprint in mind. The blueprint was used to create 5 categories, with 26 total questions. Student survey results, using a five-point Likert scale showed that they did find this learning method enjoyable and beneficial to learning. More research is recommended regarding learning outcomes, when using active-learning strategies, such as games.

  6. Assessment of Diet and Physical Activity in Paediatric Non-Alcoholic Fatty Liver Disease Patients: A United Kingdom Case Control Study.

    PubMed

    Gibson, Philippa S; Lang, Sarah; Gilbert, Marianne; Kamat, Deepa; Bansal, Sanjay; Ford-Adams, Martha E; Desai, Ashish P; Dhawan, Anil; Fitzpatrick, Emer; Moore, J Bernadette; Hart, Kathryn H

    2015-11-26

    Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in children, with prevalence rising alongside childhood obesity rates. This study aimed to characterise the habitual diet and activity behaviours of children with NAFLD compared to obese children without liver disease in the United Kingdom (UK). Twenty-four biopsy-proven paediatric NAFLD cases and eight obese controls without biochemical or radiological evidence of NAFLD completed a 24-h dietary recall, a Physical Activity Questionnaire (PAQ), a Dutch Eating Behavior Questionnaire (DEBQ) and a 7-day food and activity diary (FAD), in conjunction with wearing a pedometer. Groups were well matched for age and gender. Obese children had higher BMI z-scores (p = 0.006) and BMI centiles (p = 0.002) than participants with NAFLD. After adjusting for multiple hypotheses testing and controlling for differences in BMI, no differences in macro- or micronutrient intake were observed as assessed using either 24-h recall or 7-day FAD (p > 0.001). Under-reporting was prevalent (NAFLD 75%, Obese Control 87%: p = 0.15). Restrained eating behaviours were significantly higher in the NAFLD group (p = 0.005), who also recorded more steps per day than the obese controls (p = 0.01). In conclusion, this is the first study to assess dietary and activity patterns in a UK paediatric NAFLD population. Only a minority of cases and controls were meeting current dietary and physical activity recommendations. Our findings do not support development of specific dietary/ physical activity guidelines for children with NAFLD; promoting adherence with current general paediatric recommendations for health should remain the focus of clinical management.

  7. Advocating for active living on the rural-urban fringe: a case study of planning in the Portland, Oregon, metropolitan area.

    PubMed

    Adler, Sy; Dobson, Noelle; Fox, Karen Perl; Weigand, Lynn

    2008-06-01

    This case study is about the politics of incorporating active-living elements into a concept plan for a new community of about 68,000 people on the edge of the Portland, Oregon, metropolitan area. Development on the rural-urban fringe is ongoing in metropolitan areas around the United States. In this article, we evaluate the product of the concept-planning process from the standpoint of the extent to which environmental elements conducive to active living were included. We also analyze four issues in which challenges to the incorporation of active-living features surfaced: choices related to transportation facilities, the design and location of retail stores, the location of schools and parks, and the location of a new town center. Overall, the Damascus/Boring Concept Plan positions the area well to promote active living. Analyses of the challenges that emerged yielded lessons for advocates regarding ways to deal with conflicts between facilitating active living and local economic development and related tax-base concerns and between active-living elements and school-district planning autonomy as well as the need for advocates to have the capacity to present alternatives to the usual financial and design approaches taken by private- and public-sector investors.

  8. The potential of virtual reality-based training to enhance the functional autonomy of Alzheimer's disease patients in cooking activities: A single case study.

    PubMed

    Foloppe, Déborah A; Richard, Paul; Yamaguchi, Takehiko; Etcharry-Bouyx, Frédérique; Allain, Philippe

    2015-10-20

    Impairments in performing activities of daily living occur early in the course of Alzheimer's disease (AD). There is a great need to develop non-pharmacological therapeutic interventions likely to reduce dependency in everyday activities in AD patients. This study investigated whether it was possible to increase autonomy in these patients in cooking activities using interventions based on errorless learning, vanishing-cue, and virtual reality techniques. We recruited a 79-year-old woman who met NINCDS-ADRDA criteria for probable AD. She was trained in four cooking tasks for four days per task, one hour per day, in virtual and in real conditions. Outcome measures included subjective data concerning the therapeutic intervention and the experience of virtual reality, repeated assessments of training activities, neuropsychological scores, and self-esteem and quality of life measures. The results indicated that our patient could relearn some cooking activities using virtual reality techniques. Transfer to real life was also observed. Improvement of the task performance remained stable over time. This case report supports the value of a non-immersive virtual kitchen to help people with AD to relearn cooking activities.

  9. Pathway modeling of microarray data: A case study of pathway activity changes in the testis following in utero exposure to dibutyl phthalate (DBP)

    SciTech Connect

    Ovacik, Meric A.; Sen, Banalata; Euling, Susan Y.; Gaido, Kevin W.; Ierapetritou, Marianthi G.; Androulakis, Ioannis P.

    2013-09-15

    Pathway activity level analysis, the approach pursued in this study, focuses on all genes that are known to be members of metabolic and signaling pathways as defined by the KEGG database. The pathway activity level analysis entails singular value decomposition (SVD) of the expression data of the genes constituting a given pathway. We explore an extension of the pathway activity methodology for application to time-course microarray data. We show that pathway analysis enhances our ability to detect biologically relevant changes in pathway activity using synthetic data. As a case study, we apply the pathway activity level formulation coupled with significance analysis to microarray data from two different rat testes exposed in utero to Dibutyl Phthalate (DBP). In utero DBP exposure in the rat results in developmental toxicity of a number of male reproductive organs, including the testes. One well-characterized mode of action for DBP and the male reproductive developmental effects is the repression of expression of genes involved in cholesterol transport, steroid biosynthesis and testosterone synthesis that lead to a decreased fetal testicular testosterone. Previous analyses of DBP testes microarray data focused on either individual gene expression changes or changes in the expression of specific genes that are hypothesized, or known, to be important in testicular development and testosterone synthesis. However, a pathway analysis may inform whether there are additional affected pathways that could inform additional modes of action linked to DBP developmental toxicity. We show that Pathway activity analysis may be considered for a more comprehensive analysis of microarray data.

  10. Benchmark test of neutron transport calculations: Indium, nickel, gold, europium, and cobalt activation with and without energy moderated fission neutrons by iron simulating the Hiroshima atomic bomb casing

    SciTech Connect

    Iwatani, Kazuo; Shizuma, Kiyoshi; Hasai, Hiromi; Hoshi, Masaharu; Hiraoka, Masayuki; Hayakawa, Norihiko; Oka, Takamitsu

    1994-10-01

    A benchmark test of the Monte Carlo neutron and photon transport code system (MCNP) was performed using a bare- and energy-moderated {sup 252}Cf fission neutron source which was obtained by transmission through 10-cm-thick iron. An iron plate was used to simulate the effect of the Hiroshima atomic bomb casing. This test includes the activation of indium and nickel for fast neutrons and gold, europium, and cobalt for thermal and epithermal neutrons, which were inserted in the moderators. The latter two activations are also to validate {sup 152}Eu and {sup 60}Co activity data obtained from the atomic bomb-exposed specimens collected at Hiroshima and Nagasaki, Japan. The neutron moderators used were Lucite and Nylon 6 and the total thickness of each moderator was 60 cm or 65 cm. Measured activity data (reaction yield) of the neutron-irradiated detectors in these moderators decreased to about 1/1,000th or 1/10,000th, which corresponds to about 1,500 m ground distance from the hypocenter in Hiroshima. For all of the indium, nickel, and gold activity data, the measured and calculated values agreed within 25%, and the corresponding values for europium and cobalt were within 40%. From this study, the MCNP code was found to be accurate enough for the bare- and energy-moderated {sup 252}Cf neutron activation calculations of these elements using moderators containing hydrogen, carbon, nitrogen, and oxygen. 18 refs., 10 figs., 4 tabs.

  11. Benchmark test of neutron transport calculations: indium, nickel, gold, europium, and cobalt activation with and without energy moderated fission neutrons by iron simulating the Hiroshima atomic bomb casing.

    PubMed

    Iwatani, K; Hoshi, M; Shizuma, K; Hiraoka, M; Hayakawa, N; Oka, T; Hasai, H

    1994-10-01

    A benchmark test of the Monte Carlo neutron and photon transport code system (MCNP) was performed using a bare- and energy-moderated 252Cf fission neutron source which was obtained by transmission through 10-cm-thick iron. An iron plate was used to simulate the effect of the Hiroshima atomic bomb casing. This test includes the activation of indium and nickel for fast neutrons and gold, europium, and cobalt for thermal and epithermal neutrons, which were inserted in the moderators. The latter two activations are also to validate 152Eu and 60Co activity data obtained from the atomic bomb-exposed specimens collected at Hiroshima and Nagasaki, Japan. The neutron moderators used were Lucite and Nylon 6 and the total thickness of each moderator was 60 cm or 65 cm. Measured activity data (reaction yield) of the neutron-irradiated detectors in these moderators decreased to about 1/1,000th or 1/10,000th, which corresponds to about 1,500 m ground distance from the hypocenter in Hiroshima. For all of the indium, nickel, and gold activity data, the measured and calculated values agreed within 25%, and the corresponding values for europium and cobalt were within 40%. From this study, the MCNP code was found to be accurate enough for the bare- and energy-moderated 252Cf neutron activation calculations of these elements using moderators containing hydrogen, carbon, nitrogen, and oxygen.

  12. [3 cases of polymyalgia rheumatica (PMR), in which serum amyloid A was a useful index of the disease activity].

    PubMed

    Yamane, T; Yamauchi, H; Imaizumi, Y; Senba, T

    2001-08-01

    We encountered 3 cases of polymyalgia rheumatica (PMR), in which serum amyloid A (SAA) levels were correlated with clinical pictures after normalization of ESR and CRP levels. Therefore, it is suggested that SAA may be a useful index for evaluating the severity of intractable PMR. Case 1: The patient was a 75-year-old man. Although ESR and CRP levels were normalized after the administration of PSL (20 mg/day), myalgia persisted. When the dose of PSL was reduced, PMR recurred, which was relieved by administering 15 mg/day of PSL. However, myalgia recurred again when the dose of PSL was reduced thereafter. The elevated SAA level (33.0 micrograms/ml) was normalized by continuous administration of PSL without reducing the dose, resulting in the relief of myalgia. Case 2: The patient was a 65-year-old woman. The administration of PSL was initiated at a dose of 15 mg/day. Although myalgia was relieved, the symptom and elevated SAA levels persisted for approximately 3 months. Thereafter, PMR recurred, and SAA levels were markedly increased to 78.2 micrograms/ml. However, the symptom of PMR was eliminated by continuously administering PSL without reducing the dose. Although the dose of PSL was then reduced after the decrease in SAA levels, PMR did not recur. Case 3: The patient was an 88-year-old woman. Although the symptom of PMR was relieved by administering 15 mg/day of PSL, myalgia persisted. Since SAA levels were increased to 106 micrograms/ml, PSL was continuously administered without reducing the dose, resulting in the disappearance of the symptom and normalization of SAA levels approximately 3 months later. Although the dose of PSL was then reduced to 12.5 mg/day, PMR did not recur.

  13. Relationships between Water Attenuation Coefficients Derived from Active and Passive Remote Sensing: A Case Study from Two Coastal Environments

    DTIC Science & Technology

    2011-06-14

    surface (p0 ) (Table 1). Far from the sea surface, the Kd distribution is mainly driven by variations on the absorption co- efficient [8]. Attenuation...directions) and variations associated with the transmitter beam width. In this case, a __... Kd, and the lidar volume backscattering can be modeled...551)) that are sensitive to variations on particle size distribution. Unlike Rl, R2 is based on a particle size distribution proxy developed with

  14. Co-segregation of Freiberg's infraction with a familial translocation t(5;7)(p13.3;p22.2) ascertained by a child with cri du chat syndrome and brachydactyly type A1B.

    PubMed

    Myśliwiec, Marta; Panasiuk, Barbara; Dębiec-Rychter, Maria; Iwanowski, Piotr Sebastian; Łebkowska, Urszula; Nowakowska, Beata; Marcinkowska, Anna; Stankiewicz, Pawel; Midro, Alina T

    2015-02-01

    The identification of chromosomal breakpoints in association with human abnormal phenotypes can enable elucidation of gene function. We report on epiphyseal aseptic necrosis of the lesser head of the second metatarsal bone, known as Freiberg's infraction (FI), in two female carriers of the apparently balanced t(5;7)(p13.3;p22.2) ascertained by a 16-year-old girl with cri-du-chat syndrome and unusual skeletal features in association with an unbalanced translocation der(5) t(5;7)(p13.3;p22.2). Mapping of the chromosome breakpoints using fluorescent in situ hybridization (FISH) narrowed them to the coding sequence of ADAMTS12 on chromosome 5p13.3 and SDK1 on 7p22.2. In addition, several skeletal abnormalities classified as brachydactyly type A1B (BDA1B) were present in the proband and in both carriers of t(5;7)(p13.3;p22.2), suggesting a potential role of ADAMTS12 in the development of the BDA1B observed in this family.

  15. Mild soaps and radiotherapy: a survey of the UK public to identify brands of soap considered mild and analysis of these to ascertain suitability for recommendation in radiotherapy departments.

    PubMed

    Robertson, K; Brown, P

    2011-05-01

    Cancer agencies recommend that patients use mild soap when undergoing external beam radiotherapy to minimise skin reactions. They define 'mild soap' as non-alkaline, lanolin free, unperfumed soap with a neutral pH. This study aimed to identify which soaps the UK public perceive as mild and ascertain if these were clinically mild and could potentially be recommended within radiotherapy departments. A survey of 237 participants identified eight top brands of mild soap, which were then tested for pH and analysed for potential irritants. All soaps were lanolin free and non-alkaline, with Simple and Johnson's the closest to pH 5.5. All contained fragrances except Simple and E45. Dove, Pears and Imperial Leather contained the highest concentration of fragrances. All soaps except E45 contained potential irritants. Only Simple and E45 fit the cancer agencies' definition of mild soap and could therefore be recommended for radiotherapy patients. Future research should identify current practices and recommendations in the UK as anecdotal evidence suggests large variations in skin care advice. Further scientific analysis could potentially identify cheaper brands that fit the definition of 'mild'. UK recommendations should be standardised and consistent with best practice to reduce skin reaction severity in radiotherapy patients.

  16. A case control study of active genital Chlamydia trachomatis infection among patients with tubal infertility in northern Nigeria.

    PubMed

    Tukur, J; Shittu, S O; Abdul, A M

    2006-01-01

    A case-controlled study of the prevalence of genital Chlamydia trachomatis infection in 120 patients with tubal infertility (study group) and 120 clients of the family planning clinic (control group) attending the Ahmadu Bello University Teaching Hospital, Zaria in northern Nigeria is reported. The prevalence was 38.3%, 95% confidence interval (CI) (29.6-47.6%) in the study group and 13.3%, 95% CI (7.8-20.7%) in the control group. There was a fourfold risk of having genital Chlamydial infection among the cases compared to the controls (odds ratio [OR] = 4.04, 95% CI (2.04 < OR < 8.09). Tubal infertility was found to be significantly associated with genital C. trachomatis infection (P < 0.001). Out of the 58 cases of primary infertility, 22(37.9%) tested positive for genital C. trachomatis compared with 24 of the 62 (38.7%) that had secondary infertility. The infection was not found to be significantly associated with a particular type of infertility (primary or secondary), number of sexual partners or previous sexually transmitted disease (P < 0.05). There is need for provision of facilities to enable screening for genital C. trachomatis infection in view of its high prevalence in the study population.

  17. A practical method of active case finding and epidemiological assessment: its origin and application in the leprosy control project in Indonesia.

    PubMed

    Louhenapessy, A A; Zuiderhoek, B

    1997-12-01

    Random sample surveys in the past have revealed high estimated against low registered prevalences for leprosy in several parts of Indonesia. A pilot project showed that the problem of cases that had not yet been detected could not be solved without the active participation of the local authorities, who proved able to overcome the stigma and to convince potential patients to go for examination and treatment. The pilot project was based on the principle of what are called exploration surveys, which were introduced by Sitanala in Indonesia in 1931. The Indonesian government decided to reintroduce these surveys in 1977 under the name of chase or trace surveys. They are carried out within the framework of the leprosy workers' routine duties and no additional expenses are incurred. Since then, thousands of patients of all types and with long case histories have been detected and brought under treatment. Without this "push" it is fair to assume that many would never have sought treatment voluntarily. In view of the experience in Indonesia, one wonders whether leprosy can be eliminated without emphasizing the importance of active case finding, especially in areas in which the disease is still highly endemic. Chase surveys also provide rough information about the local leprosy situation. Although of great value, they are not, in high-endemic regions, an alternative to random sample surveys which reveal, besides a wealth of additional information, the possible unknown sources of infection.

  18. Hazard analysis of active tectonics through geomorphometric parameters to cultural heritage conservation: the case of Paphos in Cyprus

    NASA Astrophysics Data System (ADS)

    Argyriou, A. V.; Sarris, A.; Alexakis, D.; Agapiou, A.; Themistocleous, K.; Lysandrou, V.; Hadjimitsis, D.

    2014-08-01

    Natural hazards, such as earthquakes, can have a large destructive effect on cultural heritage sites conservation. This study aims to assess from a geospatial perspective the risk from natural hazards for the archaeological sites and monuments and evaluate the potential tectonic activity impact on the cultural and historic heritage. Geomorphometric data derivatives that can be extracted from Digital Elevation Models (DEMs) provide information relevant with active tectonics. The specific extracted tectonic information when being used on the basis of analytical hierarchy process and weighted linear combination approach can offer an important robust approach. The ranking of the derived information relatively to specific criteria of weights can enhance the interrelationships and assemblages over neotectonics aspects. The outcomes of that methodological framework can propose an assessment approach for the spatial distribution of neotectonic activity and can become a useful tool to assessing seismic hazard for disaster risk reduction. The risk assessment aspects of such a hazard are being interlinked with the archaeological sites in order to highlight and examine those that are exposed on ongoing tectonic activity and seismic hazard. Paphos area in Cyprus has been used as the test bed for the particular analysis. The results show an important number of archaeological sites being located within zones of high degree of neotectonic activity.

  19. Conformational entropic maps of functional coupling domains in GPCR activation: A case study with beta2 adrenergic receptor

    NASA Astrophysics Data System (ADS)

    Liu, Fan; Abrol, Ravinder; Goddard, William, III; Dougherty, Dennis

    2014-03-01

    Entropic effect in GPCR activation is poorly understood. Based on the recent solved structures, researchers in the GPCR structural biology field have proposed several ``local activating switches'' that consisted of a few number of conserved residues, but have long ignored the collective dynamical effect (conformational entropy) of a domain comprised of an ensemble of residues. A new paradigm has been proposed recently that a GPCR can be viewed as a composition of several functional coupling domains, each of which undergoes order-to-disorder or disorder-to-order transitions upon activation. Here we identified and studied these functional coupling domains by comparing the local entropy changes of each residue between the inactive and active states of the β2 adrenergic receptor from computational simulation. We found that agonist and G-protein binding increases the heterogeneity of the entropy distribution in the receptor. This new activation paradigm and computational entropy analysis scheme provides novel ways to design functionally modified mutant and identify new allosteric sites for GPCRs. The authors thank NIH and Sanofi for funding this project.

  20. Evaluating the addition of activated carbon to heat-treated mushroom casing for grain-based and compost-based substrates.

    PubMed

    Bechara, Mark A; Heinemann, P H; Walker, P N; Demirci, A; Romaine, C P

    2009-10-01

    Two substrates, a non-composted grain spawn substrate and a traditional composted substrate, each covered with peat-based casing that contained varying amounts of activated carbon (AC) and each receiving different heat-treatment durations, were tested for Agaricus bisporus mushroom production. The amounts of AC were 0, 5, 10, 15, and 20% v/v, and the heat treatments were 0, 60, and 180 min at 121 degrees C and 103.4 kPa. Overall, the addition of AC up to 10-15% of casing for a grain spawn substrate increased mushroom yield. However, the addition of AC to the casing for compost substrates had no significant effect on yield, whereas heat-treating the casing increased yield. The onset of fruiting was retarded in grain spawn treatments not receiving AC with heat-treatment durations of 60 and 180 min, whereas this effect was not as apparent for the compost substrates. On average, mushroom yield was greater for the grain spawn substrate (366 g) than for compost substrate (287 g). For grain spawn substrate, the results show that the addition of AC ranging from 5% to 10% was adequate for maximum mushroom production.