Sample records for additional expiration months

  1. Adhesive performance of precoated brackets after expiration.

    PubMed

    Cloud, Cayce C; Trojan, Terry M; Suliman, Sam N; Tantbirojn, Daranee; Versluis, Antheunis

    2016-03-01

    To evaluate adhesive performance in terms of debonding forces of precoated metal and ceramic brackets 4 years after expiration. Buccal and lingual surfaces of embedded extracted maxillary premolars were etched with 34% Tooth Conditioner Gel (Dentsply Caulk, Milford, Del), rinsed, and dried. Transbond MIP (3M Unitek, Monrovia, Calif) was applied prior to placing adhesive precoated brackets (APC II Victory stainless steel and APC Plus Clarity ceramic brackets, 3M Unitek). The preexpiration brackets had 29-35 months before, and the postexpiration brackets were 45-52 months past, their expiration dates. Sample size was 17-21 per group. Debonding forces were determined by subjecting the bonded brackets to a shear force in a universal testing machine. Debonding forces were compared using two-way ANOVA. Debonded surfaces were examined under a stereomicroscope to determine failure modes, which were compared using the chi-square test. No statistically significant difference was found in debonding forces (P  =  .8581) or failure modes (P  =  .4538) between expired and unexpired brackets. Metal brackets required statistically significantly higher debonding forces than did ceramic brackets (P  =  .0001). For both expired and unexpired brackets, failure modes were mostly cohesive in the adhesive layer for ceramic brackets, and mixed between adhesive and cohesive failure in the adhesive layer for metal brackets. Adhesive precoated brackets did not have any reduction in enamel-adhesion properties up to 4 years after their expiration date. Extended shelf life testing for precoated dental brackets may be worth considering.

  2. Analysis of expired medications in Serbian households

    PubMed Central

    Tomas, Ana; Tomic, Zdenko; Bukumiric, Dragica; Corac, Aleksandar; Horvat, Olga; Sabo, Ana

    2016-01-01

    Abstract Introduction An ongoing issue of expired medications accumulating in some households is a universal problem around the world. The aim of the study was to investigate the extent and structure of expired medications in Serbian households, and to determine which therapeutic groups generated the most waste. Methods This was an observational, cross-sectional study conducted in households in the city of Novi Sad, Serbia. The study had been performed over 8 month period (December 2011 - July 2012) and it consisted of personal insights into the medication inventory in households. Results Of 1008 families, 383 agreed to participate and complete the questionnaire (38.3% response rate). In almost a half of households (44.4%), expired medications were maintained. The amount of expired medications was 402 items, corresponding to 9.2% of total medications presented in surveyed households. The majority of expired medications (64.7%) was in solid dosage (tablets, capsules, granules, lozenges), following semisolid (ointments, creams, gel, suppositories) and liquid dosage forms (drops, syrups). Expired medications in the households belonged mostly to 3 categories: antimicrobials for systemic use (16.7%), dermatological preparation (15.9%) and medications for alimentary tract and metabolism (14.2%). Conclusions This study revealed that there were relatively large quantities of expired medications in Serbian households, with a high prevalence of antibiotics for systemic use, anti-inflammatory and antirheumatic products, and medications for alimentary tract and metabolism. PMID:27703539

  3. 16 CFR 803.7 - Expiration of notification.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... material if and when the proposed transaction is ever revived. A's notification expires July 15 of Year 2, eighteen months following the date of receipt of its notification. If A and B wish to revive their...

  4. [Primary antisera before and after the expiration date. Comparative immunohistochemical observations and analysis of data sheets and labels].

    PubMed

    Vigliani, R; Babache, N

    2002-06-01

    By means of positive and negative controls, the immunostaining properties of a series (B) of 78 primary antibodies (PAB) that had expired 7-77 months previously (mean, 26.3 months) were evaluated in comparison those of the same non expired (functioning) PAB. Qualitatively, no significative difference was observed in the specificity and sensitivity. Among all of the PAB (with the exception of one), no immunonegativity was observed. With special reference to immunohistochemical methods, dilution and retrieval procedures, as suggested on data sheets, were additionally considered. Moreover the residual availability of the reagents was checked. In fact 58 PAB were still available for further examination with probable prolongation of the duration of validity. Other observations are analytically reported as far as polyclonal, monoclonal, concentrated and predilluted expired PAB are concerned. In the same way, duration of available validity before the expiration date was examined for the expired PAB and for an additional series of 90 nonexpired PAB. Finally textual information (including intended use) reported on data sheets and labels has been scrutinized in detail. In conclusion, for the diagnostically applied immunohistochemistry on the basis of these findings and the recent American and European rules, the following propositions should be considered: (1) surveillance on methodological technical approach and diagnostic evaluation, with emphasis on accurate standardization and primary responsibility of the pathologist; (2) opportunity of a continuous feed-back between laboratories-customers and producers-traders, in order to render more uniform the information and establish more realistic parameters of utilization; and (3) possibility of cost reduction according to limited financial support from the health care administration.

  5. An analysis of unused and expired medications in Mexican households.

    PubMed

    Gracia-Vásquez, Sandra Leticia; Ramírez-Lara, Evangelina; Camacho-Mora, Ivonne Antonieta; Cantú-Cárdenas, Lucía G; Gracia-Vásquez, Yolanda Araceli; Esquivel-Ferriño, Patricia C; Ramírez-Cabrera, Mónica Azucena; Gonzalez-Barranco, Patricia

    2015-02-01

    Unsafe storage of unused medications at home leads to an increased risk of toxicity, accidental childhood poisoning or risk for suicide, whereas an improper disposal of unwanted/expired medications from household raises concern about environmental pollution. The aim of the study was to characterize expired medications collected according to the types of therapeutic groups, pharmaceutical dosage forms, expiration dates and were prescribed or over the counter drugs, and whether they came from Mexican health system or purchased by patients themselves. The study was conducted in the metropolitan area of Monterrey during a 12-month period from March 2012 to February 2013. Unused/expired drugs were collected according to the collection and disposal of expired medication program instituted by the Department of Health of the State of Nuevo León. Pharmacists and students from The Autonomous University of Nuevo León recorded types of therapeutic groups, total of medicines in each group, among other classification criteria. The proportion of every collected therapeutic group, type of dosage forms, and expiration date. The amount of medications classified was 22,140 items corresponding to a 30 % of the total collected medications in that period of time; most of them belonged to the non-steroidal anti-inflammatory drugs (16.11 %). According to the pharmaceutical dosage forms, results showed that a high percentage were solid dosage forms (73.39 %), of the total unused/expired medications, most of them were prescription drugs (91 %) which were purchased at private pharmacies. Expiration date of medications ranges from 1995 to 2016, being 2011 the outstanding year (36.66 %). Addressing the aspect of unused drug disposition constitutes a challenge for Mexican government, due to health implications related to inadequate disposition. No matter how efficient the programs of collection and disposal of expired drugs are, none of them can collect all unused or expired drugs, that is

  6. 10 CFR 55.55 - Expiration.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 2 2014-01-01 2014-01-01 false Expiration. 55.55 Section 55.55 Energy NUCLEAR REGULATORY COMMISSION (CONTINUED) OPERATORS' LICENSES Licenses § 55.55 Expiration. (a) Each operator license and senior operator license expires six years after the date of issuance, upon termination of employment with the...

  7. 32 CFR 171.8 - Expiration.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 1 2012-07-01 2012-07-01 false Expiration. 171.8 Section 171.8 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE DEFENSE CONTRACTING IMPLEMENTATION OF WILDFIRE SUPPRESSION AIRCRAFT TRANSFER ACT OF 1996 § 171.8 Expiration. This part expires on 30 September 2005. ...

  8. 32 CFR 171.8 - Expiration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 1 2010-07-01 2010-07-01 false Expiration. 171.8 Section 171.8 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE DEFENSE CONTRACTING IMPLEMENTATION OF WILDFIRE SUPPRESSION AIRCRAFT TRANSFER ACT OF 1996 § 171.8 Expiration. This part expires on 30 September 2005. ...

  9. 32 CFR 171.8 - Expiration.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 1 2011-07-01 2011-07-01 false Expiration. 171.8 Section 171.8 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE DEFENSE CONTRACTING IMPLEMENTATION OF WILDFIRE SUPPRESSION AIRCRAFT TRANSFER ACT OF 1996 § 171.8 Expiration. This part expires on 30 September 2005. ...

  10. 32 CFR 171.8 - Expiration.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 1 2013-07-01 2013-07-01 false Expiration. 171.8 Section 171.8 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE DEFENSE CONTRACTING IMPLEMENTATION OF WILDFIRE SUPPRESSION AIRCRAFT TRANSFER ACT OF 1996 § 171.8 Expiration. This part expires on 30 September 2005. ...

  11. 32 CFR 171.8 - Expiration.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 1 2014-07-01 2014-07-01 false Expiration. 171.8 Section 171.8 National Defense Department of Defense OFFICE OF THE SECRETARY OF DEFENSE DEFENSE CONTRACTING IMPLEMENTATION OF WILDFIRE SUPPRESSION AIRCRAFT TRANSFER ACT OF 1996 § 171.8 Expiration. This part expires on 30 September 2005. ...

  12. 28 CFR 57.4 - Expiration date.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Expiration date. 57.4 Section 57.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) INVESTIGATION OF DISCRIMINATION IN THE SUPPLY OF PETROLEUM TO THE ARMED FORCES § 57.4 Expiration date. This part shall remain in effect until expiration...

  13. 40 CFR 57.106 - Expiration date.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 5 2010-07-01 2010-07-01 false Expiration date. 57.106 Section 57.106 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) AIR PROGRAMS (CONTINUED) PRIMARY NONFERROUS SMELTER ORDERS General § 57.106 Expiration date. Each NSO shall state its expiration date. No NSO...

  14. 21 CFR 1312.25 - Expiration date.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 9 2011-04-01 2011-04-01 false Expiration date. 1312.25 Section 1312.25 Food and... SUBSTANCES Exportation of Controlled Substances § 1312.25 Expiration date. An export permit shall not be valid after the date specified therein, which date shall conform to the expiration date specified in the...

  15. 21 CFR 1312.25 - Expiration date.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Expiration date. 1312.25 Section 1312.25 Food and... SUBSTANCES Exportation of Controlled Substances § 1312.25 Expiration date. An export permit shall not be valid after the date specified therein, which date shall conform to the expiration date specified in the...

  16. 16 CFR 803.7 - Expiration of notification.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... expire 1 year following the expiration of the waiting period. If the acquiring person's holdings do not... notification on January 15 of Year 1 to acquire voting securities of B. On February 15 of Year 1, prior to... 16 Commercial Practices 1 2013-01-01 2013-01-01 false Expiration of notification. 803.7 Section...

  17. 16 CFR 803.7 - Expiration of notification.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... expire 1 year following the expiration of the waiting period. If the acquiring person's holdings do not... notification on January 15 of Year 1 to acquire voting securities of B. On February 15 of Year 1, prior to... 16 Commercial Practices 1 2014-01-01 2014-01-01 false Expiration of notification. 803.7 Section...

  18. 16 CFR 803.7 - Expiration of notification.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... expire 1 year following the expiration of the waiting period. If the acquiring person's holdings do not... notification on January 15 of Year 1 to acquire voting securities of B. On February 15 of Year 1, prior to... 16 Commercial Practices 1 2012-01-01 2012-01-01 false Expiration of notification. 803.7 Section...

  19. 16 CFR 803.7 - Expiration of notification.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... expire 1 year following the expiration of the waiting period. If the acquiring person's holdings do not... notification on January 15 of Year 1 to acquire voting securities of B. On February 15 of Year 1, prior to... 16 Commercial Practices 1 2011-01-01 2011-01-01 false Expiration of notification. 803.7 Section...

  20. 76 FR 20249 - Update Station License Expiration Dates

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-12

    ... the expiration dates listed both in the Commission's data base and on the broadcast stations' most... FEDERAL COMMUNICATIONS COMMISSION 47 CFR Part 73 [DA 11-488] Update Station License Expiration... radio and television broadcast stations. The current version of the rule specifies license expiration...

  1. Administration of time-expired yellow fever vaccine: public health response and results of a serological investigation.

    PubMed

    Allen, K W; Nguyen-Van-Tam, J S; Howells, J

    1999-06-01

    The discovery that a local travel clinic had administered 101 doses of time-expired yellow fever vaccine over a six month period prompted an immediate investigation in order to advise vaccinees about to travel to areas where yellow fever is endemic. No data were available to provide adequate reassurance about the potential efficacy of time-expired vaccine, so a rapid serological investigation was conducted, which provided evidence that the yellow fever vaccine had remained potent beyond its expiry date.

  2. 21 CFR 211.137 - Expiration dating.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Expiration dating. 211.137 Section 211.137 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS... § 211.137 Expiration dating. (a) To assure that a drug product meets applicable standards of identity...

  3. 12 Math Rules That Expire in the Middle Grades

    ERIC Educational Resources Information Center

    Karp, Karen S.; Bush, Sarah B.; Dougherty, Barbara J.

    2015-01-01

    Many rules taught in mathematics classrooms "expire" when students develop knowledge that is more sophisticated, such as using new number systems. For example, in elementary grades, students are sometimes taught that "addition makes bigger" or "subtraction makes smaller" when learning to compute with whole numbers,…

  4. Preserving Neighborhood Opportunity: Where Federal Housing Subsidies Expire

    PubMed Central

    Lens, Michael C.; Reina, Vincent

    2017-01-01

    Rent burdens are increasing in U.S. metropolitan areas while subsidies on privately owned, publicly subsidized rental units are expiring. As a result, some of the few remaining affordable units in opportunity neighborhoods are at risk of being converted to market rate. Policy makers face a decision about whether to devote their efforts and scarce resources toward developing new affordable housing, recapitalizing existing subsidized housing, and/or preserving properties with expiring subsidies. There are several reasons to preserve these subsidies, one being that properties may be located in neighborhoods with greater opportunity. In this article, we use several sources of data at the census tract level to learn how subsidy expirations affect neighborhood opportunity for low-income households. Our analysis presents several key findings. First, we find that units that left the project-based Section 8 program were – on average – in lower opportunity neighborhoods, but these neighborhoods were improving. In addition, properties due to expiry from the Section 8 program between 2011 and 2020 are in higher opportunity neighborhoods than any other subsidy program. On the contrary, new Low-Income Housing Tax Credit (LIHTC) units were developed in tracts similar to those where LIHTC units are currently active, which tend to be lower opportunity neighborhoods. PMID:28553063

  5. Preserving Neighborhood Opportunity: Where Federal Housing Subsidies Expire.

    PubMed

    Lens, Michael C; Reina, Vincent

    2016-01-01

    Rent burdens are increasing in U.S. metropolitan areas while subsidies on privately owned, publicly subsidized rental units are expiring. As a result, some of the few remaining affordable units in opportunity neighborhoods are at risk of being converted to market rate. Policy makers face a decision about whether to devote their efforts and scarce resources toward developing new affordable housing, recapitalizing existing subsidized housing, and/or preserving properties with expiring subsidies. There are several reasons to preserve these subsidies, one being that properties may be located in neighborhoods with greater opportunity. In this article, we use several sources of data at the census tract level to learn how subsidy expirations affect neighborhood opportunity for low-income households. Our analysis presents several key findings. First, we find that units that left the project-based Section 8 program were - on average - in lower opportunity neighborhoods, but these neighborhoods were improving. In addition, properties due to expiry from the Section 8 program between 2011 and 2020 are in higher opportunity neighborhoods than any other subsidy program. On the contrary, new Low-Income Housing Tax Credit (LIHTC) units were developed in tracts similar to those where LIHTC units are currently active, which tend to be lower opportunity neighborhoods.

  6. 14 CFR 61.11 - Expired pilot certificates and re-issuance.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 14 Aeronautics and Space 2 2011-01-01 2011-01-01 false Expired pilot certificates and re-issuance... TRANSPORTATION (CONTINUED) AIRMEN CERTIFICATION: PILOTS, FLIGHT INSTRUCTORS, AND GROUND INSTRUCTORS General § 61.11 Expired pilot certificates and re-issuance. (a) No person who holds an expired pilot certificate...

  7. 14 CFR 61.11 - Expired pilot certificates and re-issuance.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 2 2010-01-01 2010-01-01 false Expired pilot certificates and re-issuance... TRANSPORTATION (CONTINUED) AIRMEN CERTIFICATION: PILOTS, FLIGHT INSTRUCTORS, AND GROUND INSTRUCTORS General § 61.11 Expired pilot certificates and re-issuance. (a) No person who holds an expired pilot certificate...

  8. 48 CFR 22.404-5 - Expiration of project wage determinations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Expiration of project wage... Involving Construction 22.404-5 Expiration of project wage determinations. (a) The contracting officer shall make every effort to ensure that contract award is made before expiration of the project wage...

  9. Toxicity Assessment of Expired Pesticides to Green Algae Pseudokirchneriella subcapitata

    PubMed Central

    Satyavani, G.; Chandrasehar, G.; Varma, K. Krishna; Goparaju, A.; Ayyappan, S.; Reddy, P. Neelakanta; Murthy, P. Balakrishna

    2012-01-01

    In order to investigate the effect of expired pesticides on the yield and growth rate of green algae Pseudokirchneriella subcapitata, a study was conducted as per the Organisation for Economic Cooperation and Development (OECD) guideline number 201. Fifteen expired pesticide formulations, most commonly used in Indian agriculture, were tested in comparison with their unexpired counterparts. The expired pesticide formulations studied belonged to various class and functional groups: organophosphate, pyrethroid-based insecticides; azole-based fungicides; acetamide, propionate, acetic acid-based herbicides; fungicides mixtures containing two actives—azole and dithiocarbamate. The toxicity endpoints of yield (EyC50: 0–72 h) and growth rate (ErC50: 0–72 h) of Pseudokirchneriella subcapitata for each pesticide formulation (both expired and unexpired pesticides) were determined statistically using TOXSTAT 3.5 version software. The results pointed out that some expired pesticide formulations exhibited higher toxicity to tested algal species, as compared to the corresponding unexpired pesticides. These data thus stress the need for greater care to dispose expired pesticides to water bodies, to avoid the effects on aquatic ecospecies tested. PMID:23762633

  10. 21 CFR 201.127 - Drugs; expiration of exemptions.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Drugs; expiration of exemptions. 201.127 Section 201.127 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING Exemptions From Adequate Directions for Use § 201.127 Drugs; expiration...

  11. 21 CFR 201.127 - Drugs; expiration of exemptions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Drugs; expiration of exemptions. 201.127 Section 201.127 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING Exemptions From Adequate Directions for Use § 201.127 Drugs; expiration...

  12. 21 CFR 201.127 - Drugs; expiration of exemptions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Drugs; expiration of exemptions. 201.127 Section 201.127 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING Exemptions From Adequate Directions for Use § 201.127 Drugs; expiration...

  13. 21 CFR 201.127 - Drugs; expiration of exemptions.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Drugs; expiration of exemptions. 201.127 Section 201.127 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING Exemptions From Adequate Directions for Use § 201.127 Drugs; expiration...

  14. Distinct rhythm generators for inspiration and expiration in the juvenile rat

    PubMed Central

    Janczewski, Wiktor A; Feldman, Jack L

    2006-01-01

    Inspiration and active expiration are commonly viewed as antagonistic phases of a unitary oscillator that generates respiratory rhythm. This view conflicts with observations we report here in juvenile rats, where by administration of fentanyl, a selective μ-opiate agonist, and induction of lung reflexes, we separately manipulated the frequency of inspirations and expirations. Moreover, completely transecting the brainstem at the caudal end of the facial nucleus abolished active expirations, while rhythmic inspirations continued. We hypothesize that inspiration and expiration are generated by coupled, anatomically separate rhythm generators, one generating active expiration located close to the facial nucleus in the region of the retrotrapezoid nucleus/parafacial respiratory group, the other generating inspiration located more caudally in the preBötzinger Complex. PMID:16293645

  15. Rib Torque Does Not Assist Resting Tidal Expiration or Most Conversational Speech Expiration

    ERIC Educational Resources Information Center

    Hixon, Thomas J.

    2006-01-01

    Purpose: This research note discusses a common misconception in speech science and speech-language pathology textbooks that rib torque (i.e., "rotational stress") assists resting tidal expiration and conversational speech production. Method: The nature of this misconception is considered. Conclusion: An alternate conceptualization is offered that…

  16. 23 CFR 1200.30 - Expiration of the right to incur costs.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Expiration of the right to incur costs. 1200.30 Section... HIGHWAY SAFETY PROGRAMS Closeout § 1200.30 Expiration of the right to incur costs. Unless extended in accordance with the provisions of § 1200.31 of this part, the right to incur costs under Section 402 expires...

  17. 16 CFR 315.6 - Expiration of contact lens prescriptions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Expiration of contact lens prescriptions. 315.6 Section 315.6 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS UNDER SPECIFIC ACTS OF CONGRESS CONTACT LENS RULE § 315.6 Expiration of contact lens prescriptions. (a) In general. A contact lens...

  18. 21 CFR 201.17 - Drugs; location of expiration date.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Drugs; location of expiration date. 201.17 Section 201.17 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL LABELING General Labeling Provisions § 201.17 Drugs; location of expiration date. When an...

  19. Reutilization of the expired tetracycline for lithium ion battery anode.

    PubMed

    Hou, Hongying; Dai, Zhipeng; Liu, Xianxi; Yao, Yuan; Liao, Qishu; Yu, Chengyi; Li, Dongdong

    2018-07-15

    Waste antibiotics into the natural environment are the large challenges to the environmental protection and the human health, and the unreasonable disposal of the expired antibiotics is a major pollution source. Herein, to achieve the innocent treatment and the resource recovery, the expired tetracycline was tried to be reutilized as the electrode active material in lithium ion battery (LIB) for the first time. The micro-structure and element component of the expired tetracycline were characterized by scanning electron microscope (SEM), energy dispersive X-ray spectroscopy (EDX), X-ray photoelectron spectroscopy (XPS) and Fourier transform infrared spectroscopy (FTIR). Furthermore, the corresponding electrochemical performances were also investigated by galvanostatic charge/discharge and cyclic voltammetry (CV). To be satisfactory, the expired-tetracycline-based electrode delivered the initial specific discharge capacity of 371.6mAh/g and the reversible specific capacity of 304.1mAh/g after 200cycles. The decent results will not only offer an effective strategy to recycle the expired tetracycline, but also shed a new light on the cyclic economy and the sustainable development. Copyright © 2018 Elsevier B.V. All rights reserved.

  20. 24 CFR 891.590 - Notice upon HAP contract expiration.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 4 2010-04-01 2010-04-01 false Notice upon HAP contract expiration... Handicapped-Section 8 Assistance § 891.590 Notice upon HAP contract expiration. (a) Notice required. The HAP contract will provide that the Borrower will, at least one year before the end of the HAP contract term...

  1. 24 CFR 969.107 - HUD approval of demolition or disposition before ACC expiration.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... disposition before ACC expiration. 969.107 Section 969.107 Housing and Urban Development Regulations Relating... before ACC expiration. This part is not intended to preclude or restrict the demolition or disposition of... before the ACC Expiration Date. ...

  2. 14 CFR 221.72 - Reinstating canceled or expired tariff provisions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Reinstating canceled or expired tariff... (AVIATION PROCEEDINGS) ECONOMIC REGULATIONS TARIFFS Amendment of Tariffs § 221.72 Reinstating canceled or expired tariff provisions. Any fares, rules, or other tariff provisions which have been canceled or which...

  3. Non-chemosensitive parafacial neurons simultaneously regulate active expiration and airway patency under hypercapnia in rats.

    PubMed

    de Britto, Alan A; Moraes, Davi J A

    2017-03-15

    by hypercapnia. In addition, hypercapnia-evoked AbN active expiration, neural and neuronal late-E activities were eliminated by pFRG inhibition, but not after blockade of synaptic excitation. On the other hand, pFRG inhibition did not affect either hypercapnia-induced inspiratory increases in respiratory motor outflows or CO 2 sensitivity of the more medial Phox2b-positive neurons in the retrotrapezoid nucleus (RTN). Our data suggest that neither RTN Phox2b-positive nor other CO 2 -sensitive brainstem neurons activate Phox2b-negative pFRG late-E neurons under hypercapnia to produce AbN active expiration and concomitant cranial motor respiratory responses controlling the oropharyngeal and upper airway patency. Hypercapnia produces disinhibition of non-chemosensitive pFRG late-E neurons in in situ preparations of juvenile rats to activate abdominal, hypoglossal and laryngeal motoneurons. © 2016 The Authors. The Journal of Physiology © 2016 The Physiological Society.

  4. Using near infrared spectroscopy to classify soybean oil according to expiration date.

    PubMed

    da Costa, Gean Bezerra; Fernandes, David Douglas Sousa; Gomes, Adriano A; de Almeida, Valber Elias; Veras, Germano

    2016-04-01

    A rapid and non-destructive methodology is proposed for the screening of edible vegetable oils according to conservation state expiration date employing near infrared (NIR) spectroscopy and chemometric tools. A total of fifty samples of soybean vegetable oil, of different brands andlots, were used in this study; these included thirty expired and twenty non-expired samples. The oil oxidation was measured by peroxide index. NIR spectra were employed in raw form and preprocessed by offset baseline correction and Savitzky-Golay derivative procedure, followed by PCA exploratory analysis, which showed that NIR spectra would be suitable for the classification task of soybean oil samples. The classification models were based in SPA-LDA (Linear Discriminant Analysis coupled with Successive Projection Algorithm) and PLS-DA (Discriminant Analysis by Partial Least Squares). The set of samples (50) was partitioned into two groups of training (35 samples: 15 non-expired and 20 expired) and test samples (15 samples 5 non-expired and 10 expired) using sample-selection approaches: (i) Kennard-Stone, (ii) Duplex, and (iii) Random, in order to evaluate the robustness of the models. The obtained results for the independent test set (in terms of correct classification rate) were 96% and 98% for SPA-LDA and PLS-DA, respectively, indicating that the NIR spectra can be used as an alternative to evaluate the degree of oxidation of soybean oil samples. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. 75 FR 54419 - Notice: Elimination of Expiration Dates for Classification Approvals

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-07

    .... PHMSA-2010-0245; Notice No. 10-6] Notice: Elimination of Expiration Dates for Classification Approvals... 2005, PHMSA initiated a policy imposing a 5-year expiration date on firework classification approvals... include all types of classification approvals, including explosives, oxidizing substances, organic...

  6. 7 CFR 3430.63 - Expiring appropriations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 15 2011-01-01 2011-01-01 false Expiring appropriations. 3430.63 Section 3430.63 Agriculture Regulations of the Department of Agriculture (Continued) NATIONAL INSTITUTE OF FOOD AND AGRICULTURE COMPETITIVE AND NONCOMPETITIVE NON-FORMULA FEDERAL ASSISTANCE PROGRAMS-GENERAL AWARD...

  7. 78 FR 73696 - Extension of Expiration Date for Mental Disorders Body System Listings; Correction

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-09

    ... of Expiration Date for Mental Disorders Body System Listings; Correction AGENCY: Social Security... published a final rule document extending the expiration date of the Mental Disorders body system in the...) extending the expiration date of the Mental Disorders body system in the Listing of Impairments (listings...

  8. Comparison of human platelet lysate alternatives using expired and freshly isolated platelet concentrates for adipose-derived stromal cell expansion.

    PubMed

    Dessels, Carla; Durandt, Chrisna; Pepper, Michael S

    2018-03-19

    Pooled human platelet lysate (pHPL) has been used to expand adipose-derived stromal cells (ASCs) and can be formulated using fresh or expired buffy coats (BCs) which are then resuspended in either plasma or an additive solution. Not much is known about the effects that expired products and additive solutions have on ASC expansion, and the need for quality control and release criteria has been expressed. This pilot study compared proliferation, cell size, morphology and immunophenotype of ASCs expanded in the different pHPL alternatives versus foetal bovine serum (FBS). Quality control criteria were assessed prior to and during the manufacture of the pHPL alternatives. ASCs were then expanded in 1%, 2.5%, 5% or 10% of the different pHPL alternatives or in 10% FBS. Cell size, morphology, cell number and immunophenotype were measured using microscopy and flow cytometry. The majority of the pHPL alternatives were within the recommended ranges for the quality control criteria. ASCs expanded in the pHPL alternatives were smaller in size, displayed a tighter spindle-shaped morphology, increased cell growth and had a similar immunophenotype (with the exception of CD34 and CD36) when compared to ASCs expanded in FBS. Here we report on the effects that expired BC products and additive solutions have on ASC expansion. When taken together, our findings indicate that all of the pHPL alternatives can be considered to be suitable replacements for FBS for ASC expansion, and that expired BC products can be used as an alternative to fresh BC products.

  9. Sensor gas analyzer for acetone determination in expired air

    NASA Astrophysics Data System (ADS)

    Baranov, Vitaly V.

    2001-05-01

    Diseases and changes in the way of life change the concentration and composition of the expired air. Our adaptable gas analyzer is intended for the selective analysis of expired air and can be adapted for the solution of current diagnostic and analytical tasks by the user (a physician or a patient). Having analyzed the existing trends in the development of noninvasive diagnostics we have chosen the method of noninvasive acetone detection in expired air, where the acetone concentration correlates with blood and urine glucose concentrations. The appearance of acetone in expired air is indicative of disorders that may be caused not only by diabetes but also be wrong diet, incorrect sportsmen training etc. To control the disorders one should know the acetone concentration in the human body. This knowledge allows one to judge upon the state of the patient, choose a correct diet that will not cause damage to the patient's health, determine sportsmen training efficiency and results and solve the artificial pancreas problem. Our device provide highly accurate analysis, rapid diagnostics and authentic acetone quantification in the patient's body at any time aimed at prediction of the patient's state and assessing the efficiency of the therapy used. Clinical implementation of the device will improve the health and save lives of many thousands of diabetes sufferers.

  10. 40 CFR 270.200 - How may I renew my RAP if it is expiring?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 26 2010-07-01 2010-07-01 false How may I renew my RAP if it is expiring? 270.200 Section 270.200 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED... renew my RAP if it is expiring? If you wish to renew your expiring RAP, you must follow the process for...

  11. 21 CFR 211.137 - Expiration dating.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 21 Food and Drugs 4 2011-04-01 2011-04-01 false Expiration dating. 211.137 Section 211.137 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Packaging and Labeling Control...

  12. 21 CFR 211.137 - Expiration dating.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 21 Food and Drugs 4 2014-04-01 2014-04-01 false Expiration dating. 211.137 Section 211.137 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Packaging and Labeling Control...

  13. 21 CFR 211.137 - Expiration dating.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 21 Food and Drugs 4 2013-04-01 2013-04-01 false Expiration dating. 211.137 Section 211.137 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Packaging and Labeling Control...

  14. 21 CFR 211.137 - Expiration dating.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 21 Food and Drugs 4 2012-04-01 2012-04-01 false Expiration dating. 211.137 Section 211.137 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) DRUGS: GENERAL CURRENT GOOD MANUFACTURING PRACTICE FOR FINISHED PHARMACEUTICALS Packaging and Labeling Control...

  15. A closed-loop model of the respiratory system: focus on hypercapnia and active expiration.

    PubMed

    Molkov, Yaroslav I; Shevtsova, Natalia A; Park, Choongseok; Ben-Tal, Alona; Smith, Jeffrey C; Rubin, Jonathan E; Rybak, Ilya A

    2014-01-01

    Breathing is a vital process providing the exchange of gases between the lungs and atmosphere. During quiet breathing, pumping air from the lungs is mostly performed by contraction of the diaphragm during inspiration, and muscle contraction during expiration does not play a significant role in ventilation. In contrast, during intense exercise or severe hypercapnia forced or active expiration occurs in which the abdominal "expiratory" muscles become actively involved in breathing. The mechanisms of this transition remain unknown. To study these mechanisms, we developed a computational model of the closed-loop respiratory system that describes the brainstem respiratory network controlling the pulmonary subsystem representing lung biomechanics and gas (O2 and CO2) exchange and transport. The lung subsystem provides two types of feedback to the neural subsystem: a mechanical one from pulmonary stretch receptors and a chemical one from central chemoreceptors. The neural component of the model simulates the respiratory network that includes several interacting respiratory neuron types within the Bötzinger and pre-Bötzinger complexes, as well as the retrotrapezoid nucleus/parafacial respiratory group (RTN/pFRG) representing the central chemoreception module targeted by chemical feedback. The RTN/pFRG compartment contains an independent neural generator that is activated at an increased CO2 level and controls the abdominal motor output. The lung volume is controlled by two pumps, a major one driven by the diaphragm and an additional one activated by abdominal muscles and involved in active expiration. The model represents the first attempt to model the transition from quiet breathing to breathing with active expiration. The model suggests that the closed-loop respiratory control system switches to active expiration via a quantal acceleration of expiratory activity, when increases in breathing rate and phrenic amplitude no longer provide sufficient ventilation. The model

  16. 8 CFR 211.3 - Expiration of immigrant visa or other travel document.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Expiration of immigrant visa or other... REGULATIONS DOCUMENTARY REQUIREMENTS: IMMIGRANTS; WAIVERS § 211.3 Expiration of immigrant visa or other travel document. An immigrant visa, reentry permit, refugee travel document, or a permanent resident card shall be...

  17. 8 CFR 211.3 - Expiration of immigrant visa or other travel document.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Expiration of immigrant visa or other... REGULATIONS DOCUMENTARY REQUIREMENTS: IMMIGRANTS; WAIVERS § 211.3 Expiration of immigrant visa or other travel document. An immigrant visa, reentry permit, refugee travel document, or a permanent resident card shall be...

  18. 8 CFR 211.3 - Expiration of immigrant visa or other travel document.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Expiration of immigrant visa or other... REGULATIONS DOCUMENTARY REQUIREMENTS: IMMIGRANTS; WAIVERS § 211.3 Expiration of immigrant visa or other travel document. An immigrant visa, reentry permit, refugee travel document, or a permanent resident card shall be...

  19. [Validity of expired carbon monoxide and urine cotinine using dipstick method to assess smoking status].

    PubMed

    Park, Su San; Lee, Ju Yul; Cho, Sung-Il

    2007-07-01

    We investigated the validity of the dipstick method (Mossman Associates Inc. USA) and the expired CO method to distinguish between smokers and nonsmokers. We also elucidated the related factors of the two methods. This study included 244 smokers and 50 ex-smokers, recruited from smoking cessation clinics at 4 local public health centers, who had quit for over 4 weeks. We calculated the sensitivity, specificity and Kappa coefficient of each method for validity. We obtained ROC curve, predictive value and agreement to determine the cutoff of expired air CO method. Finally, we elucidated the related factors and compared their effect powers using the standardized regression coefficient. The dipstick method showed a sensitivity of 92.6%, specificity of 96.0% and Kappa coefficient of 0.79. The best cutoff value to distinguish smokers was 5-6 ppm. At 5 ppm, the expired CO method showed a sensitivity of 94.3%, specificity of 82.0% and Kappa coefficient of 0.73. And at 6 ppm, sensitivity, specificity and Kappa coefficient were 88.5%, 86.0% and 0.64, respectively. Therefore, the dipstick method had higher sensitivity and specificity than the expired CO method. The dipstick and expired CO methods were significantly increased with increasing smoking amount. With longer time since the last smoking, expired CO showed a rapid decrease after 4 hours, whereas the dipstick method showed relatively stable levels for more than 4 hours. The dipstick and expired CO methods were both good indicators for assessing smoking status. However, the former showed higher sensitivity and specificity and stable levels over longer hours after smoking, compared to the expired CO method.

  20. 78 FR 72571 - Extension of Expiration Date for Mental Disorders Body System Listings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-03

    ... of Expiration Date for Mental Disorders Body System Listings AGENCY: Social Security Administration. ACTION: Final rule. SUMMARY: We are extending the expiration date of the Mental Disorders body system in... need to evaluate mental disorders at step three of the sequential evaluation processes for initial...

  1. 46 CFR 160.066-10 - Expiration date.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 6 2010-10-01 2010-10-01 false Expiration date. 160.066-10 Section 160.066-10 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) EQUIPMENT, CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Distress Signal for Boats, Red Aerial Pyrotechnic Flare § 160...

  2. 46 CFR 160.066-10 - Expiration date.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 6 2011-10-01 2011-10-01 false Expiration date. 160.066-10 Section 160.066-10 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) EQUIPMENT, CONSTRUCTION, AND MATERIALS: SPECIFICATIONS AND APPROVAL LIFESAVING EQUIPMENT Distress Signal for Boats, Red Aerial Pyrotechnic Flare § 160...

  3. 24 CFR 969.107 - HUD approval of demolition or disposition before ACC expiration.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... disposition before ACC expiration. 969.107 Section 969.107 Housing and Urban Development REGULATIONS RELATING... HOUSING AFTER COMPLETION OF DEBT SERVICE § 969.107 HUD approval of demolition or disposition before ACC..., HUD may authorize a PHA to demolish or dispose of public housing at any time before the ACC Expiration...

  4. 40 CFR 262.108 - When will this subpart expire?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE University Laboratories XL Project-Laboratory Environmental Management Standard § 262.108 When will this subpart expire? This subpart will...

  5. 8 CFR 211.3 - Expiration of immigrant visas, reentry permits, refugee travel documents, and Form I-551.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 8 Aliens and Nationality 1 2011-01-01 2011-01-01 false Expiration of immigrant visas, reentry... Expiration of immigrant visas, reentry permits, refugee travel documents, and Form I-551. An immigrant visa... holder embarked or enplaned before the expiration of his or her immigrant visa, reentry permit, or...

  6. Comparison of abdominal muscle activity and peak expiratory flow between forced vital capacity and fast expiration exercise.

    PubMed

    Ishida, Hiroshi; Suehiro, Tadanobu; Watanabe, Susumu

    2017-04-01

    [Purpose] The purpose of this investigation was to compare the activities of the abdominal muscles and peak expiratory flow between forced vital capacity and fast expiration exercise. [Subjects and Methods] Fifteen healthy male participated in this study. Peak expiratory flow and electromyographic activities of the rectus abdominis, external oblique, and internal oblique/transversus abdominis muscles were measured during forced vital capacity and fast expiration exercise and then peak amplitude and its appearance time were obtained. [Results] Peak expiratory flow values were significantly higher during fast expiration exercise than during forced vital capacity. The internal oblique/transversus abdominis muscles showed significantly higher peak amplitude during fast expiration exercise than during forced vital capacity. However, there were no significant differences between forced vital capacity and fast expiration exercise in the rectus abdominis and external oblique muscles. There was no difference in the appearance time of the peak amplitude between forced vital capacity and fast expiration exercise in any muscle. [Conclusion] Fast expiration exercise might be beneficial for increasing expiratory speed and neuromuscular activation of the internal oblique/transversus abdominis muscles compared to forced vital capacity. These findings could be considered when recommending a variation of expiratory muscle strength training as part of pulmonary rehabilitation programs.

  7. 78 FR 34024 - Endangered Fish and Wildlife; Proposed Rule To Eliminate the Expiration Date Contained in the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ... expire December 9, 2013, unless the sunset clause is removed. NMFS seeks public comment on the Proposed Rule to eliminate the sunset clause and on metrics for assessing the long term costs and benefits of... additional cost to the affected public. Notwithstanding any other provision of the law, no person is required...

  8. 40 CFR 122.6 - Continuation of expiring permits.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 22 2011-07-01 2011-07-01 false Continuation of expiring permits. 122.6 Section 122.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EPA ADMINISTERED PERMIT PROGRAMS: THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM Definitions and...

  9. 40 CFR 122.6 - Continuation of expiring permits.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 21 2010-07-01 2010-07-01 false Continuation of expiring permits. 122.6 Section 122.6 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS EPA ADMINISTERED PERMIT PROGRAMS: THE NATIONAL POLLUTANT DISCHARGE ELIMINATION SYSTEM Definitions and...

  10. 1 CFR 18.16 - Reinstatement of expired regulations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Section 18.16 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER PREPARATION, TRANSMITTAL, AND PROCESSING OF DOCUMENTS PREPARATION AND TRANSMITTAL OF DOCUMENTS GENERALLY § 18.16 Reinstatement... Regulations data base which have expired by their own terms only by republishing the regulations in full text...

  11. 1 CFR 18.16 - Reinstatement of expired regulations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Section 18.16 General Provisions ADMINISTRATIVE COMMITTEE OF THE FEDERAL REGISTER PREPARATION, TRANSMITTAL, AND PROCESSING OF DOCUMENTS PREPARATION AND TRANSMITTAL OF DOCUMENTS GENERALLY § 18.16 Reinstatement... Regulations data base which have expired by their own terms only by republishing the regulations in full text...

  12. 14 CFR 47.40 - Registration expiration and renewal.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... AIRCRAFT REGISTRATION Certificates of Aircraft Registration § 47.40 Registration expiration and renewal. (a) Re-registration. Each aircraft registered under this part before October 1, 2010, must be re-registered in accordance with this paragraph (a). (1) A Certificate of Aircraft Registration issued before...

  13. 14 CFR 47.40 - Registration expiration and renewal.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... AIRCRAFT REGISTRATION Certificates of Aircraft Registration § 47.40 Registration expiration and renewal. (a) Re-registration. Each aircraft registered under this part before October 1, 2010, must be re-registered in accordance with this paragraph (a). (1) A Certificate of Aircraft Registration issued before...

  14. 14 CFR 47.40 - Registration expiration and renewal.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... AIRCRAFT REGISTRATION Certificates of Aircraft Registration § 47.40 Registration expiration and renewal. (a) Re-registration. Each aircraft registered under this part before October 1, 2010, must be re-registered in accordance with this paragraph (a). (1) A Certificate of Aircraft Registration issued before...

  15. Effect of multiple-source entry on price competition after patent expiration in the pharmaceutical industry.

    PubMed Central

    Suh, D C; Manning, W G; Schondelmeyer, S; Hadsall, R S

    2000-01-01

    OBJECTIVE: To analyze the effect of multiple-source drug entry on price competition after patent expiration in the pharmaceutical industry. DATA SOURCES: Originators and their multiple-source drugs selected from the 35 chemical entities whose patents expired from 1984 through 1987. Data were obtained from various primary and secondary sources for the patents' expiration dates, sales volume and units sold, and characteristics of drugs in the sample markets. STUDY DESIGN: The study was designed to determine significant factors using the study model developed under the assumption that the off-patented market is an imperfectly segmented market. PRINCIPAL FINDINGS: After patent expiration, the originators' prices continued to increase, while the price of multiple-source drugs decreased significantly over time. By the fourth year after patent expiration, originators' sales had decreased 12 percent in dollars and 30 percent in quantity. Multiple-source drugs increased their sales twofold in dollars and threefold in quantity, and possessed about one-fourth (in dollars) and half (in quantity) of the total market three years after entry. CONCLUSION: After patent expiration, multiple-source drugs compete largely with other multiple-source drugs in the price-sensitive sector, but indirectly with the originator in the price-insensitive sector. Originators have first-mover advantages, and therefore have a market that is less price sensitive after multiple-source drugs enter. On the other hand, multiple-source drugs target the price-sensitive sector, using their lower-priced drugs. This trend may indicate that the off-patented market is imperfectly segmented between the price-sensitive and insensitive sector. Consumers as a whole can gain from the entry of multiple-source drugs because the average price of the market continually declines after patent expiration. PMID:10857475

  16. A Character Segmentation Proposal for High-Speed Visual Monitoring of Expiration Codes on Beverage Cans.

    PubMed

    Rodríguez-Rodríguez, José C; Quesada-Arencibia, Alexis; Moreno-Díaz, Roberto; García, Carmelo R

    2016-04-13

    Expiration date labels are ubiquitous in the food industry. With the passage of time, almost any food becomes unhealthy, even when well preserved. The expiration date is estimated based on the type and manufacture/packaging time of that particular food unit. This date is then printed on the container so it is available to the end user at the time of consumption. MONICOD (MONItoring of CODes); an industrial validator of expiration codes; allows the expiration code printed on a drink can to be read. This verification occurs immediately after printing. MONICOD faces difficulties due to the high printing rate (35 cans per second) and problematic lighting caused by the metallic surface on which the code is printed. This article describes a solution that allows MONICOD to extract shapes and presents quantitative results for the speed and quality.

  17. Carbon isotope fractionation between blood and expired CO2 at rest and exercise.

    PubMed

    Panteleev, N; Péronnet, F; Hillaire-Marcel, C; Lavoie, C; Massicotte, D

    1999-06-01

    Carbon isotope fractionation occurs between bicarbonates and gaseous CO2. Accordingly, expired CO2 could be impoverished in 13C vs. blood CO2 (approximately 90% bicarbonates). The ratio 13C/12C in expired and blood CO2 was measured in six healthy subjects at rest and at the end of exercise (90 min; 65+/-5% VO2max), with ingestion of water (300 ml) without or with glucose (30 g) naturally or artificially enriched in 13C, in order to study a range of 13C/12C in blood (-17.5+/-0.3 to 3.4+/-0.6% delta 13C PDB-1). At rest, 13C/12C in expired CO2 was 4.7+/-0.2% delta 13C PDB-1 lower than in blood CO2. This difference was not modified in response to exercise with ingestion of water or 13C-glucose (average difference 4.6+/-0.4 % delta 13C PDB-1). Carbon isotope fractionation across the lung was approximately 30% lower than predicted from the fractionation factor between bicarbonates and gaseous CO2 (1.00674 at 37 degrees C, or a approximately 6.6% delta 13C PDB-1 difference). This is consistent with the fact that approximately 40% of expired CO2 is released from carbamates and dissolved CO2. From a methodological point of view, these results indicate that 13C/12C in expired CO2 adequately tracks 13C/12C in blood CO2 with a constant approximately 4.6 % delta 13C PDB-1 difference.

  18. Effect of artificial accelerated aging on the optical properties and monomeric conversion of composites used after expiration date.

    PubMed

    Garcia, Lucas da Fonseca Roberti; Mundim, Fabricio Mariano; Pires-de-Souza, Fernanda de Carvalho Panzeri; Puppin Rontani, Regina Maria; Consani, Simonides

    2013-01-01

    This study sought to evaluate how artificial accelerated aging (AAA) affected color stability (ΔE), opacity (ΔOP), and degree of conversion (DOC) for 3 composite materials (Tetric Ceram, Tetric Ceram HB, and Tetric Flow) used both 180 days before and 180 days after their expiration dates. To evaluate the materials' optical properties, 10 specimens of each composite-5 prior to expiration and 5 after the materials' expiration date-were made in a teflon matrix. After polishing, the specimens were submitted to initial color and opacity readings and submitted to AAA for 384 hours; at that point, new readings were taken to determine ΔE and ΔOP. To evaluate monomeric conversion evaluation, 6 specimens from each composite and expiration date-3 prior to AAA and 3 after-were submitted to DOC analysis. Results of the 2-way ANOVA and Bonferroni's tests (P < 0.05) demonstrated that all composites had ΔE values above the clinically acceptable level (ΔE ≥ 3.3). When expiration dates were compared, only Tetric Flow showed a statistically significant difference (P < 0.05). Regardless of the expiration date, ΔOP values for all composites increased after AAA, but not significantly (P > 0.05). The expired Tetric Flow had the highest DOC values (71.42% ± 4.21) before AAA, significantly different than that of the other composites (P > 0.05). It was concluded that both expiration date and AAA affected the properties of the composites tested.

  19. Increased net water loss by oral compared to nasal expiration in healthy subjects.

    PubMed

    Svensson, Sophie; Olin, Anna Carin; Hellgren, Johan

    2006-03-01

    To compare the difference in respiratory water loss during expiration through the nose and through the mouth, in healthy subjects. The study included 19 healthy, non-smoking volunteers without any present history of non-infectious rhinitis, presenting with symptoms of rhinitis, asthma or previous nasal surgery. Nasal and oral expiratory breath condensates were collected using a breath condenser during tidal respiration at indoor resting conditions. During the nasal breath condensate sampling, the subjects were breathing into a transparent face mask covering the nose and the mouth with the mouth closed. During the oral breath condensate sampling, the subjects inhaled through the nose and exhaled through a mouthpiece connected to the condenser. The airflow during the sampling was assessed with a dry-spirometer connected to the condenser. Sampling was stopped after 100 litres of expired air for each breathing mode. Nasal sampling was done before and after decongestion of the nasal mucosa with oxymetazoline, 0.5 mg/ml. The effect on the nasal mucosa was assessed with acoustic rhinometry. The mean loss of expired water was 42% less by nasal expiration before decongestion than by oral expiration (1.9 x 10(-3) g/L min compared to 2.7 x 10(-3) g/L min, p < 0.001). The mean expiratory minute ventilation was 9.0 L/min by nasal respiration and 9.8 L/min by oral respiration. Decongestion of the nasal mucosa showed a mean increase of the cross-sectional area at 4 cm from the nostril (1.44 to 1.67 cm2, p = 0.0024), but there was no effect on the net water loss (1.9 x 10(-3) g/Lmin vs 1.9 x 10(-3) g/Lmin). This study showed that the net water loss increased by 42% when the breathing mode was switched from nasal to oral expiration during tidal breathing in healthy subjects. Increased water and energy loss by oral breathing could be a contributing factor to the symptoms seen in patients suffering from nasal obstruction.

  20. Extension of the Expiration Date for State Disability Examiner Authority To Make Fully Favorable Quick Disability Determinations and Compassionate Allowance Determinations. Final rule.

    PubMed

    2016-10-24

    We are extending, until December 28, 2018, the expiration date of our disability examiner authority (DEA) rule, which authorizes State agency disability examiners to make fully favorable determinations without the approval of a State agency medical or psychological consultant in claims that we consider under our quick disability determination (QDD) and compassionate allowance (CAL) processes. This is our last extension of this rule because we will phase out the use of DEA during the extension period under section 832 of the Bipartisan Budget Act of 2015 (BBA). This extension provides us the time necessary to take all of the administrative actions we need to take in order to reinstate uniform use of medical and psychological consultants. The current rule will expire on November 11, 2016. In this final rule, we are changing the November 11, 2016 expiration or "sunset" date to December 28, 2018, extending the authority for 2 years and 1 month. This is the final extension of our DEA rule. On December 28, 2018, at the conclusion of this extension, the authority for this test will terminate. We are making no other changes.

  1. 40 CFR 262.108 - When will this subpart expire?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 27 2013-07-01 2013-07-01 false When will this subpart expire? 262.108 Section 262.108 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE University Laboratories XL Project...

  2. 40 CFR 262.108 - When will this subpart expire?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 27 2012-07-01 2012-07-01 false When will this subpart expire? 262.108 Section 262.108 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE University Laboratories XL Project...

  3. 40 CFR 262.108 - When will this subpart expire?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 26 2011-07-01 2011-07-01 false When will this subpart expire? 262.108 Section 262.108 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE University Laboratories XL Project...

  4. 40 CFR 262.108 - When will this subpart expire?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 26 2014-07-01 2014-07-01 false When will this subpart expire? 262.108 Section 262.108 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) SOLID WASTES (CONTINUED) STANDARDS APPLICABLE TO GENERATORS OF HAZARDOUS WASTE University Laboratories XL Project...

  5. 14 CFR 61.427 - What must I do if my flight instructor certificate with a sport pilot rating expires?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... certificate with a sport pilot rating expires? 61.427 Section 61.427 Aeronautics and Space FEDERAL AVIATION... GROUND INSTRUCTORS Flight Instructors With a Sport Pilot Rating § 61.427 What must I do if my flight instructor certificate with a sport pilot rating expires? You may exchange your expired flight instructor...

  6. 14 CFR 61.427 - What must I do if my flight instructor certificate with a sport pilot rating expires?

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... certificate with a sport pilot rating expires? 61.427 Section 61.427 Aeronautics and Space FEDERAL AVIATION... GROUND INSTRUCTORS Flight Instructors With a Sport Pilot Rating § 61.427 What must I do if my flight instructor certificate with a sport pilot rating expires? You may exchange your expired flight instructor...

  7. 14 CFR 61.427 - What must I do if my flight instructor certificate with a sport pilot rating expires?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... certificate with a sport pilot rating expires? 61.427 Section 61.427 Aeronautics and Space FEDERAL AVIATION... GROUND INSTRUCTORS Flight Instructors With a Sport Pilot Rating § 61.427 What must I do if my flight instructor certificate with a sport pilot rating expires? You may exchange your expired flight instructor...

  8. 14 CFR 61.427 - What must I do if my flight instructor certificate with a sport pilot rating expires?

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... certificate with a sport pilot rating expires? 61.427 Section 61.427 Aeronautics and Space FEDERAL AVIATION... GROUND INSTRUCTORS Flight Instructors With a Sport Pilot Rating § 61.427 What must I do if my flight instructor certificate with a sport pilot rating expires? You may exchange your expired flight instructor...

  9. 14 CFR 61.427 - What must I do if my flight instructor certificate with a sport pilot rating expires?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... certificate with a sport pilot rating expires? 61.427 Section 61.427 Aeronautics and Space FEDERAL AVIATION... GROUND INSTRUCTORS Flight Instructors With a Sport Pilot Rating § 61.427 What must I do if my flight instructor certificate with a sport pilot rating expires? You may exchange your expired flight instructor...

  10. An Optimization Model for Expired Drug Recycling Logistics Networks and Government Subsidy Policy Design Based on Tri-level Programming.

    PubMed

    Huang, Hui; Li, Yuyu; Huang, Bo; Pi, Xing

    2015-07-09

    In order to recycle and dispose of all people's expired drugs, the government should design a subsidy policy to stimulate users to return their expired drugs, and drug-stores should take the responsibility of recycling expired drugs, in other words, to be recycling stations. For this purpose it is necessary for the government to select the right recycling stations and treatment stations to optimize the expired drug recycling logistics network and minimize the total costs of recycling and disposal. This paper establishes a tri-level programming model to study how the government can optimize an expired drug recycling logistics network and the appropriate subsidy policies. Furthermore, a Hybrid Genetic Simulated Annealing Algorithm (HGSAA) is proposed to search for the optimal solution of the model. An experiment is discussed to illustrate the good quality of the recycling logistics network and government subsides obtained by the HGSAA. The HGSAA is proven to have the ability to converge on the global optimal solution, and to act as an effective algorithm for solving the optimization problem of expired drug recycling logistics network and government subsidies.

  11. 24 CFR 982.102 - Allocation of budget authority for renewal of expiring consolidated ACC funding increments.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... renewal of expiring consolidated ACC funding increments. 982.102 Section 982.102 Housing and Urban... ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Funding and PHA Application for Funding § 982.102 Allocation of budget authority for renewal of expiring consolidated ACC funding increments. (a) Applicability. This...

  12. 24 CFR 982.102 - Allocation of budget authority for renewal of expiring consolidated ACC funding increments.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... renewal of expiring consolidated ACC funding increments. 982.102 Section 982.102 Housing and Urban... ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Funding and PHA Application for Funding § 982.102 Allocation of budget authority for renewal of expiring consolidated ACC funding increments. (a) Applicability. This...

  13. 24 CFR 982.102 - Allocation of budget authority for renewal of expiring consolidated ACC funding increments.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... renewal of expiring consolidated ACC funding increments. 982.102 Section 982.102 Housing and Urban... ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Funding and PHA Application for Funding § 982.102 Allocation of budget authority for renewal of expiring consolidated ACC funding increments. (a) Applicability. This...

  14. 24 CFR 982.102 - Allocation of budget authority for renewal of expiring consolidated ACC funding increments.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... renewal of expiring consolidated ACC funding increments. 982.102 Section 982.102 Housing and Urban... ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Funding and PHA Application for Funding § 982.102 Allocation of budget authority for renewal of expiring consolidated ACC funding increments. (a) Applicability. This...

  15. 24 CFR 982.102 - Allocation of budget authority for renewal of expiring consolidated ACC funding increments.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... renewal of expiring consolidated ACC funding increments. 982.102 Section 982.102 Housing and Urban... ASSISTANCE: HOUSING CHOICE VOUCHER PROGRAM Funding and PHA Application for Funding § 982.102 Allocation of budget authority for renewal of expiring consolidated ACC funding increments. (a) Applicability. This...

  16. Disposal practices of unused and expired pharmaceuticals among general public in Kabul.

    PubMed

    Bashaar, Mohammad; Thawani, Vijay; Hassali, Mohamed Azmi; Saleem, Fahad

    2017-01-07

    Most of the medicine users remain unaware about the disposal of unused or expired medicines. The aim of this study was to know the disposal practices of unused and expired medicines among the general public in Kabul. This was a descriptive, cross-sectional survey, conducted through face-to-face interviews using prevalidated structured questionnaire. Returned questionnaires were double-checked for accuracy. Statistical Package for Social Science (SPSS) version 23 was used for statistical analysis. Total of 301 valid questionnaires were returned with a response rate of 100% in which 73.4% men and 26.6% women participated. More than half of the respondents were university graduates. Interestingly, 83.4% of the interviewees purchased medicines on the prescription of which 47.2% were university graduates, while 14.6% purchased medicine over the counter. Among the respondents, 46.5/100 purchased antibiotics and the remaining purchased NSAIDs, anti-hypertensive and anti-diabetic medicines. Significantly, 97/100 checked the expiry date of medicine before buying. Majority (95.3%) of the respondents' stored medicines at home. 77.7% of the respondents discarded the expired medicines in household trash. Majority of respondents held government responsible for creation of awareness for proper medicine disposal. Almost entire sample (98%) felt that improper disposal of unused and expired medicines can affect the environment and health. Gaps exist in practices, therefore robust, safe and cost-effective pharmaceutical waste management program supported with media campaign is needed. Healthcare practitioners and community pharmacists should offer training to educate customers on standard medicine disposal practices.

  17. An Optimization Model for Expired Drug Recycling Logistics Networks and Government Subsidy Policy Design Based on Tri-level Programming

    PubMed Central

    Huang, Hui; Li, Yuyu; Huang, Bo; Pi, Xing

    2015-01-01

    In order to recycle and dispose of all people’s expired drugs, the government should design a subsidy policy to stimulate users to return their expired drugs, and drug-stores should take the responsibility of recycling expired drugs, in other words, to be recycling stations. For this purpose it is necessary for the government to select the right recycling stations and treatment stations to optimize the expired drug recycling logistics network and minimize the total costs of recycling and disposal. This paper establishes a tri-level programming model to study how the government can optimize an expired drug recycling logistics network and the appropriate subsidy policies. Furthermore, a Hybrid Genetic Simulated Annealing Algorithm (HGSAA) is proposed to search for the optimal solution of the model. An experiment is discussed to illustrate the good quality of the recycling logistics network and government subsides obtained by the HGSAA. The HGSAA is proven to have the ability to converge on the global optimal solution, and to act as an effective algorithm for solving the optimization problem of expired drug recycling logistics network and government subsidies. PMID:26184252

  18. Chemical Upcycling of Expired Drugs: Synthesis of Guaifenesin Acetonide

    ERIC Educational Resources Information Center

    Barcena, Homar; Maziarz, Katarzyna

    2017-01-01

    In an effort to repurpose expired guaifenesin tablets, experiments devised for practical instruction are reported for the preparation and isolation of the guaifenesin acetonide using a microscale kit. The laboratory experiment successfully utilizes a waste chemical in lieu of a fine chemical to illustrate the principles behind protecting groups in…

  19. 13 CFR 120.850 - Expiration of Associate Development Company designation.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Development Company designation. 120.850 Section 120.850 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Development Company Loan Program (504) Associate Development Companies (adcs) § 120.850 Expiration of Associate Development Company designation. The designation of Associate Development...

  20. THE ECSTACY OF GOLD Patent Expirations for Trastuzumab, Bevacizumab, Rituximab, and Cetuximab.

    PubMed

    Serna-Gallegos, Tasha R; LaFargue, Christopher J; Tewari, Krishnansu S

    2017-11-22

    Fully humanized monoclonal antibodies have revolutionized the treatment of many solid tumors, including breast, lung, colorectal, and ovarian cancer. Among the most widely used monoclonal antibodies in clinical oncology are cetuximab, trastuzumab, rituximab, and bevacizumab. This article will review these four notable monoclonal antibodies, their role in clinical oncology, and the drug patents that are nearing expiration. They are used in both first and second line treatment regimens for multiple common malignancies. With recent patent expirations, pharmaceutical companies involved in biosimilar manufacture are looking to establish ownership over these financial monopolies. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  1. 8 CFR 211.3 - Expiration of immigrant visas, reentry permits, refugee travel documents, and Form I-551.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Expiration of immigrant visas, reentry... OF HOMELAND SECURITY IMMIGRATION REGULATIONS DOCUMENTARY REQUIREMENTS: IMMIGRANTS; WAIVERS § 211.3 Expiration of immigrant visas, reentry permits, refugee travel documents, and Form I-551. An immigrant visa...

  2. 23 CFR 1200.40 - Expiration of the Highway Safety Plan.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 23 Highways 1 2013-04-01 2013-04-01 false Expiration of the Highway Safety Plan. 1200.40 Section 1200.40 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURES FOR STATE HIGHWAY SAFETY PROGRAMS UNIFORM PROCEDURES FOR STATE...

  3. 23 CFR 1200.40 - Expiration of the Highway Safety Plan.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 23 Highways 1 2014-04-01 2014-04-01 false Expiration of the Highway Safety Plan. 1200.40 Section 1200.40 Highways NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION AND FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION PROCEDURES FOR STATE HIGHWAY SAFETY PROGRAMS UNIFORM PROCEDURES FOR STATE...

  4. 10 CFR 40.42 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas. 40.42 Section 40.42 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE MATERIAL Licenses § 40.42 Expiration and termination of licenses and...

  5. 10 CFR 40.42 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 10 Energy 1 2014-01-01 2014-01-01 false Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas. 40.42 Section 40.42 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE MATERIAL Licenses § 40.42 Expiration and termination of licenses and...

  6. 10 CFR 40.42 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas. 40.42 Section 40.42 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE MATERIAL Licenses § 40.42 Expiration and termination of licenses and...

  7. 10 CFR 40.42 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 10 Energy 1 2013-01-01 2013-01-01 false Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas. 40.42 Section 40.42 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE MATERIAL Licenses § 40.42 Expiration and termination of licenses and...

  8. 10 CFR 40.42 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 10 Energy 1 2011-01-01 2011-01-01 false Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas. 40.42 Section 40.42 Energy NUCLEAR REGULATORY COMMISSION DOMESTIC LICENSING OF SOURCE MATERIAL Licenses § 40.42 Expiration and termination of licenses and...

  9. Paced respiration with end-expiration technique offers superior BOLD signal repeatability for breath-hold studies.

    PubMed

    Scouten, A; Schwarzbauer, C

    2008-11-01

    As a simple, non-invasive method of blood oxygenation level-dependent (BOLD) signal calibration, the breath-hold task offers considerable potential for the quantification of neuronal activity from functional magnetic resonance imaging (fMRI) measurements. With an aim to improve the precision of this calibration method, the impact of respiratory rate control on the BOLD signal achieved with the breath-hold task was investigated. In addition to self-paced breathing, three different computer-paced breathing rates were imposed during the periods between end-expiration breath-hold blocks. The resulting BOLD signal timecourses and statistical activation maps were compared in eleven healthy human subjects. Results indicate that computer-paced respiration produces a larger peak BOLD signal increase with breath-hold than self-paced breathing, in addition to lower variability between trials. This is due to the more significant post-breath-hold signal undershoot present in self-paced runs, a characteristic which confounds the definition of baseline and is difficult to accurately model. Interestingly, the specific respiratory rate imposed between breath-hold periods generally does not have a statistically significant impact on the BOLD signal change. This result can be explained by previous reports of humans adjusting their inhalation depth to compensate for changes in rate, with the end-goal of maintaining homeostatic ventilation. The advantage of using end-expiration relative to end-inspiration breath-hold is apparent in view of the high repeatability of the BOLD signal in the present study, which does not suffer from the previously reported high variability associated with uncontrolled inspiration depth when using the end-inspiration technique.

  10. Volumetric MRI of the lungs during forced expiration.

    PubMed

    Berman, Benjamin P; Pandey, Abhishek; Li, Zhitao; Jeffries, Lindsie; Trouard, Theodore P; Oliva, Isabel; Cortopassi, Felipe; Martin, Diego R; Altbach, Maria I; Bilgin, Ali

    2016-06-01

    Lung function is typically characterized by spirometer measurements, which do not offer spatially specific information. Imaging during exhalation provides spatial information but is challenging due to large movement over a short time. The purpose of this work is to provide a solution to lung imaging during forced expiration using accelerated magnetic resonance imaging. The method uses radial golden angle stack-of-stars gradient echo acquisition and compressed sensing reconstruction. A technique for dynamic three-dimensional imaging of the lungs from highly undersampled data is developed and tested on six subjects. This method takes advantage of image sparsity, both spatially and temporally, including the use of reference frames called bookends. Sparsity, with respect to total variation, and residual from the bookends, enables reconstruction from an extremely limited amount of data. Dynamic three-dimensional images can be captured at sub-150 ms temporal resolution, using only three (or less) acquired radial lines per slice per timepoint. The images have a spatial resolution of 4.6×4.6×10 mm. Lung volume calculations based on image segmentation are compared to those from simultaneously acquired spirometer measurements. Dynamic lung imaging during forced expiration is made possible by compressed sensing accelerated dynamic three-dimensional radial magnetic resonance imaging. Magn Reson Med 75:2295-2302, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  11. Detection and labeling ribs on expiration chest radiographs

    NASA Astrophysics Data System (ADS)

    Park, Mira; Jin, Jesse S.; Wilson, Laurence S.

    2003-06-01

    Typically, inspiration is preferred when xraying the lungs. The x-ray technologist will ask a patient to be still and to take a deep breath and to hold it. This not only reduces the possibility of a blurred image but also enhances the quality of the image since air-filled lungs are easier to see on x-ray film. However, inspiration causes low density in the inner part of lung field. That means that ribs in the inner part of lung field have lower density than the other parts nearer to the border of the lung field. That is why edge detection algorithms often fail to detect ribs. Therefore to make rib edges clear we try to produce an expiration lung field using a 'hemi-elliptical cavity.' Based on the expiration lung field, we extract the rib edges using canny edge detector and a new connectivity method, called '4 way with 10-neighbors connectivity' to detect clavicle and rib edge candidates. Once the edge candidates are formed, our system selects the best candidates using knowledge-based constraints such as a gradient, length and location. The edges can be paired and labeled as superior rib edge and inferior rib edge. Then the system uses the clavicle, which is obtained in a same method for the rib edge detection, as a landmark to label all detected ribs.

  12. 2D spatiotemporal visualization system of expired gaseous ethanol after oral administration for real-time illustrated analysis of alcohol metabolism.

    PubMed

    Wang, Xin; Ando, Eri; Takahashi, Daishi; Arakawa, Takahiro; Kudo, Hiroyuki; Saito, Hirokazu; Mitsubayashi, Kohji

    2010-08-15

    A novel 2-dimensional spatiotemporal visualization system of expired gaseous ethanol after oral administration for real-time illustrated analysis of alcohol metabolism has been developed, which employed a low level light CCD camera to detect chemiluminescence (CL) generated by catalytic reactions of standard gaseous ethanol and expired gaseous ethanol after oral administration. First, the optimization of the substrates for visualization and the concentration of luminol solution for CL were investigated. The cotton mesh and 5.0 mmol L(-1) luminol solution were selected for further investigations and this system is useful for 0.1-20.0 mmol L(-1) of H(2)O(2) solution. Then, the effect of pH condition of Tris-HCl buffer solution was also evaluated with CL intensity and under the Tris-HCl buffer solution pH 10.1, a wide calibration range of standard gaseous ethanol (30-400 ppm) was obtained. Finally, expired air of 5 healthy volunteers after oral administration was measured at 15, 30, 45, 60, 75, 90, 105 and 120 min after oral administration, and this system showed a good sensitivity on expired gaseous ethanol for alcohol metabolism. The peaks of expired gaseous ethanol concentration appeared within 30 min after oral administration. During the 30 min after oral administration, the time variation profile based on mean values showed the absorption and distribution function, and the values onward showed the elimination function. The absorption and distribution of expired gaseous ethanol in 5 healthy volunteers following first-order absorption process were faster than the elimination process, which proves efficacious of this system for described alcohol metabolism in healthy volunteers. This system is expected to be used as a non-invasive method to detect VOCs as well as several other drugs in expired air for clinical purpose. Copyright 2010 Elsevier B.V. All rights reserved.

  13. Privacy Act System of Records - Passport Expiration Notification System (PENS) - EPA-72

    EPA Pesticide Factsheets

    Creation of a new system of records for the Passport Expiration Notification System (PENS). The purpose of the system is to assist in requesting and obtaining country clearances for EPA staff traveling to foreign countries to conduct government business.

  14. 41 CFR 102-85.205 - What happens if a customer agency continues occupancy after the expiration of an OA?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... assignments. However, provisions are necessary to cover the GSA and customer relationship if an OA expires... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What happens if a customer agency continues occupancy after the expiration of an OA? 102-85.205 Section 102-85.205 Public...

  15. 41 CFR 102-85.205 - What happens if a customer agency continues occupancy after the expiration of an OA?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... assignments. However, provisions are necessary to cover the GSA and customer relationship if an OA expires... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What happens if a customer agency continues occupancy after the expiration of an OA? 102-85.205 Section 102-85.205 Public...

  16. Mathematical simulation of forced expiration.

    PubMed

    Elad, D; Kamm, R D; Shapiro, A H

    1988-07-01

    Flow limitation during forced expiration is simulated by a mathematical model. This model draws on the pressure-area law obtained in the accompanying paper, and the methods of analysis for one-dimensional flow in collapsible tubes developed by Shapiro (Trans. ASME J. Biomech. Eng. 99: 126-147, 1977). These methods represent an improvement over previous models in that 1) the effects of changing lung volume and of parenchymal-bronchial interdependence are simulated; 2) a more realistic representation of collapsed airways is employed; 3) a solution is obtained mouthward of the flow-limiting site by allowing for a smooth transition from sub- to supercritical flow speeds, then matching mouth pressure by imposing an elastic jump (an abrupt transition from super- to subcritical flow speeds) at the appropriate location; and 4) the effects of levels of effort (or vacuum pressure) in excess of those required to produce incipient flow limitation are examined, including the effects of potential physiological limitation.

  17. 9 CFR 114.14 - Extension of expiration date for a serial or subserial.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... this subchapter. (2) For any serial or portion of any serial which has left licensed premises: Provided... requirements for release. The new expiration date shall be calculated from the date the latest satisfactory...

  18. A stability-study of expired ampoules manufactured more than 40 years ago.

    PubMed

    Zilker, Markus; Sörgel, Fritz; Holzgrabe, Ulrike

    2018-02-20

    Pharmaceutical manufacturers have to study the stability of drug products before marketing according to ICH guideline Q1A(R2); data of those investigations aim to set expiry dates. The expiry date on the container of a remedy assures the physician and the patient a stability of the drug in its formulation i.e. within a specification of 95-105%. Only few studies show that shelf-lives of pharmaceutical products are often longer than expiration dates. The objective of the study presented here was determining the content of nine expired ampoules manufactured in the last century and identifying the impurity profile by means of HPLC-UV and HPLC-MS, respectively. The ampoules are part of the "PEAK-collection" of long expired finished pharmaceutical products at IBMP, Nürnberg-Heroldsberg, and consists among others of epinephrine (Suprarenin and Adrenalin in Oil), etilefrine (Effortil ® ), synephrine (Sympatol ® ), caffeine and procaine (Impletol), caffeine and sodium salicylate (Caffeinum Salicylicum), dipyridamole (Persantin ® ), furosemide (Lasix ® ), and metamizole (Novalgin ® ). For chromatographic investigations methods of the European Pharmacopoeia for related substances were used; for determining the content, they were validated for linearity, precision, and accuracy. The results were compared to current reference ampoules. Five out of nine ampoules were still within the specified content limits. In Suprarenin and Adrenalin in Oil, both containing epinephrine, Impletol (procaine), and Persantin ® (dipyridamole) contents were decreased to 70%, 74%, 79%, and 86%, respectively, and therefore out of specification. Copyright © 2017 Elsevier B.V. All rights reserved.

  19. Human expiration content diagnostics by tunable diode lasers in middle infrared

    NASA Astrophysics Data System (ADS)

    Kouznetsov, Andrian I.; Moskalenko, Konstantin L.; Nadezhdinskii, Alexander I.; Stepanov, Eugene V.

    1992-04-01

    Results on the application of tunable diode laser gas analysis to determining the trace components of human breath are presented. Schemes of the analyzers specially developed for measurement of both carbon oxides in expiration are described. A few results illuminating possible applications of TDL in high sensitive medical diagnostics have been obtained. For nonsmokers, the expired concentration of CO is slightly higher than inhaled air. Specific surplus value depends on the person's age. The surplus CO content increased significantly just after intensive physical exercises like jogging. For smokers, the farmacokinetical curve of abundant CO removal from the organism could be investigated. The smoking status of tested individuals becomes easy available. Breath-hold simultaneous measurements of CO and CO2 have shown the difference in the dependencies of their concentrations on breath-holding time. The possibility to investigate phenomena like molecular pulmonary diffusion of the alveolar-capillary membrane and an organism's compensation reactions to oxygen shortage seems to become real. Perspective leads for development and the application of diode laser spectroscopy methods to the analysis of gaseous microimpurities in medicine are also discussed.

  20. 76 FR 8892 - Removal of Expired Federal Aviation Administration Regulations and References

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-16

    ... issues temporary regulations in 14 CFR called Special Federal Aviation Regulations (SFARs). These SFARs... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration 14 CFR Parts 21, 61, 63, 91, 93, 121..., 93-96, 121-352, 135-123, 142-6, 145-28, 183-14] Removal of Expired Federal Aviation Administration...

  1. 7 CFR 1488.7 - Expiration of period(s) for delivery and/or export.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... Under CCC Export Credit Sales Program (GSM-5) Financing Export Sales § 1488.7 Expiration of period(s..., the period for delivery may be extended by CCC by the period of such delay. (c) If delivery is made...

  2. 7 CFR 1488.7 - Expiration of period(s) for delivery and/or export.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... Under CCC Export Credit Sales Program (GSM-5) Financing Export Sales § 1488.7 Expiration of period(s..., the period for delivery may be extended by CCC by the period of such delay. (c) If delivery is made...

  3. 37 CFR 7.30 - Effect of cancellation or expiration of international registration.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Effect of cancellation or expiration of international registration. 7.30 Section 7.30 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE RULES OF PRACTICE IN FILINGS PURSUANT TO THE PROTOCOL...

  4. Investigation of molecular metabolites in expired air of healthy man in condition of long-term isolation in hermetical confined environment

    NASA Astrophysics Data System (ADS)

    Tsarkov, Dmitriy; Mardanov, Robert; Markin, Andrey; Moukhamedieva, Lana

    Investigation of intermediary metabolites, produced in cells, in expired air of healthy man is directed on determination of molecular markers which are reflecting normal physiological pro-cesses in an organism, as well as on determination and validation of biomarkers for objective screening and non-invasive prenosological diagnostics of disorders in metabolic processes caused by negative effect of live environment. Investigation of influence of long-term isolation in her-metical confined environment on composition of healthy human expired air was made during experiment with 105 days isolation in condition of controlled environment and standard food ra-tion. Expired air samples were analyzed on gas chromatograph associated with the quadrupole mass spectrometer. The investigation results show that at rest hydroxy ketones, mostly 1-hydroxy-prorapanone-2 (acetol), aldehydes (decenal, benzaldehyde), acetophenone, phenol and fatty acids were determined. After physical performance (oxidative stress) the content of ke-tones (heptanone-2, heptanone-3), phenol, determined aldehydes (decenal, octadecenal) and acetol in expired air of volunteers decreased. It can be concerned with prevailing of alternative -methylglyoxalic metabolic pathway and caused by oxidative stress. Analysis of expired air samples taken on 30, 60 and 90 day of isolation showed that in conditions of long-term iso-lation concentration of heptanone-2, heptanone-3, 2,3-butadione, acetol, furanones, aldehydes (decenal, benzaldehyde) and acetophenone is increasing while concentration of phenol and fatty acids is decreasing as compared to samples taken before isolation. It was shown that dynamics of concentration of saturated hydrocarbons in expired air can be informative marker for estima-tion of organism response to oxidative stress, while the level of acetol can be used as indicator of man's training status, validity of exercise load and as a marker of hypoxic state.

  5. 25 CFR 161.610 - What will BIA do if livestock is not removed when a permit expires or is cancelled?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 1 2010-04-01 2010-04-01 false What will BIA do if livestock is not removed when a permit expires or is cancelled? 161.610 Section 161.610 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF... will BIA do if livestock is not removed when a permit expires or is cancelled? If the livestock is not...

  6. 78 FR 54756 - Extension of Expiration Dates for Two Body System Listings

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... SOCIAL SECURITY ADMINISTRATION 20 CFR Part 404 [Docket No. SSA-2013-0039] RIN 0960-AH60 Extension of Expiration Dates for Two Body System Listings AGENCY: Social Security Administration. ACTION... national toll-free number, 1-800-772-1213, or TTY 1-800-325-0778, or visit our Internet site, Social...

  7. Nasal versus oronasal raised volume forced expirations in infants – A real physiologic challenge

    PubMed Central

    Morris, Mohy G.

    2012-01-01

    Summary Raised volume rapid thoracoabdominal compression (RTC) generates forced expiration (FE) in infants typically from an airway opening pressure of 30 cm H2O (V30). We hypothesized that the higher nasal than pulmonary airway resistance limits forced expiratory flows (FEF%) during (nasal) FEn, which an opened mouth, (oronasal) FEo, would resolve. Measurements were performed during a brief post-hyperventilation apnea on twelve healthy infants aged 6.9–104 weeks. In two infants, forced expiratory (FEFV) flow volume (FV) curves were generated using a facemask that covered the nose and a closed mouth, then again with a larger mask with the mouth opened. In other infants (n=10), the mouth closed spontaneously during FE. Oronasal passive expiration from V30 generated either the inspiratory capacity (IC) or by activating RTC before end-expiration, the slow vital capacity (jSVC). Peak flow (PF), FEF25, FEF50, FEF25–75, FEV0.4 and FEV0.5 were lower via FEn than FEo (p<0.05), but the ratio of expired volume at PF and forced vital capacity (FVC) as percent was higher (p<0.05). FEF75, FEF85, FEF90, FVC as well as the applied jacket pressures were not different (p>0.05). FEFV curves generated via FEo exhibited higher PF than FV curves of IC (p< 0.05); PF of those produced via FEn were not different from FV curves of IC (p> 0.05) but lower than those of jSVC (p< 0.05). In conclusion, the higher nasal than pulmonary airways resistance unequivocally affects the FEFV curves by consistently reducing PF and decreases mid-expiratory flows. A monitored slightly opened mouth and a gentle anterior jaw thrust are physiologically integral for raised volume RTC in order to maximize the oral and minimize nasal airways contribution to FE so that flow limitation would be in the pulmonary not nasal airways. PMID:22328241

  8. Strategic options for brand-name prescription drugs when patents expire.

    PubMed

    Mehta, S C; Mehta, S S

    1997-01-01

    Pharmaceutical companies face a very hostile competitive environment from generic drugs once the patents on their brand name drugs expire. Depending on the country, such patents usually last 10-15 years but no sooner do the patents expire then copies of off-patent brand name drugs, called generics, are introduced, generally by smaller-size and lesser known companies, at significantly lower prices. As health care costs escalate all over the world, efforts to control medication costs have created a major market for generic prescription drugs, particularly in government funded hospitals and in dispensing general practitioner markets of the Asia Pacific and the third world. The world market for generics is estimated at US$20 billion, doubling in only five years and capturing over 30% of the market share. Because of adverse effects on sales and profitability due to the launching of generics, most research based companies that produce original brand-name patented drugs are forced to take counter measures to overcome this problem, particularly when R&D costs for new patents are skyrocketing. This paper develops a brief perspective on this problem and then examines the experiences of many multinational companies in the Singapore market in dealing with the problem. While several different approaches are identified, only one company experience appeared to work successfully and this is discussed in relative detail.

  9. Resin composite characterizations following a simplified protocol of accelerated aging as a function of the expiration date.

    PubMed

    D'Alpino, Paulo Henrique Perlatti; Vismara, Marcus Vinícius Gonçalves; Mello, Luciano Marcelo de Medeiros; Di Hipólito, Vinicius; González, Alejandra Hortencia Miranda; Graeff, Carlos Frederico de Oliveira

    2014-07-01

    This study evaluated the mechanical, thermal, and morphological characteristics of different classifications of dental composites as a function of the material condition (new, aged and expired). Specimens were obtained according to these factors: Composites: Filtek P60, Filtek Z250, Filtek Z350XT, and Filtek Silorane; and Material conditions: new, aged, and expired. The syringe composites underwent an accelerated aging protocol (Arrhenius model). The flexural strength (FS) and flexural modulus (E) were obtained. The thermogravimetric analysis (TGA) and differential thermal analysis (DTA) were also performed and the glass transition temperature (Tg) and the weight loss calculated. Topographic analysis of the composites was performed under SEM. The material conditions influenced the mechanical properties of the composites. The silorane composite exhibited a characteristic thermal behavior different from that of the methacrylates. In general, the Tg increased after the accelerated aging protocol and decreased for expired ones, compared to the new composites. A significant increase in FS of Filtek Z350XT after aging was accompanied by an increase in the Tg. The filler packings were in accordance with the manufacture׳s information. The topographic aspects of the composites were modified as a function of the material condition. The mechanical properties of the composites following a simplified protocol of accelerated aging varied as a function of the expiration date. The silorane composite presented a characteristic thermal behavior. Although the dental manufacturers may not be able to control variables as storage temperature and transportation conditions, these effects on the composite clinical performance can be minimized if properly considered. Copyright © 2014 Elsevier Ltd. All rights reserved.

  10. 77 FR 25506 - Submission for Review: Expiring Information Collection, Interview Survey Form, INV 10

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-04-30

    ... OFFICE OF PERSONNEL MANAGEMENT Submission for Review: Expiring Information Collection, Interview... collection request (ICR), Office of Management and Budget (OMB) Control No. 3206- 0106, for the Interview[email protected] . SUPPLEMENTARY INFORMATION: The Interview Survey Form, INV 10, is a questionnaire that OPM...

  11. Effects of expiration of the Federal energy tax credit on the National Photovoltaics Program

    NASA Technical Reports Server (NTRS)

    Smith, J. L.

    1984-01-01

    Projected 1986 sales are significantly reduced as a direct result of system price increases following from expiration of the Federal energy tax credits. There would be greatly reduced emphasis on domestic electric utility applications. Indirect effects arising from unrealized economies of scale and reduced private investment in PV research and development (R&D) and in production facilities could have a very large cumulative adverse impact on the U.S. PV industry. The industry forecasts as much as fourfold reduction in 1990 sales if tax credits expire, compared with what sales would be with the credits. Because the National Photovoltaics Program is explicitly structured as a government partnership, large changes in the motivation or funding of either partner can affect Program success profoundly. Reduced industry participation implies that such industry tasks as industrialization and new product development would slow or halt. Those research areas receiving heavy R&D support from private PV manufacturers would be adversely affected.

  12. Restoration of reproductive potential after expiration or removal of melengestrol acetate contraceptive implants in Tigers (Panthera tigris).

    PubMed

    Chuei, Jason Y; Asa, Cheryl S; Hall-Woods, Monica; Ballou, Jonathon; Traylor-Holzer, Kathy

    2007-07-01

    The need for contraception in the successful management of captive wild animals is becoming increasingly apparent. Because concerns exist regarding the reversibility of the contraceptive implant melengestrol acetate (MGA), reproductive data for 94 female Amur (Panthera tigris altaica) and Sumatran tigers (Panthera tigris sumatrae) were analyzed using survival analyses to evaluate return to reproductive status after implant removal or assumed expiration. Females placed in potential breeding situations after MGA implants were surgically removed showed a 62% return to reproduction by 5.25 years, whereas females with implants that were assumed to have expired showed only a 30% return to reproduction by 6 years. Implanted females did not reproduce as successfully as non-implanted control females, which showed an 85% probability of reproducing after placement in a new breeding situation by 2.66 years. Parturition increased the probability of reproducing in non-implanted females, but not in implanted females. Litter size, stillbirths, and offspring survival were not significantly different between non-implanted, implant-removed and implant-expired female tigers. Ten female tigers reproduced both before and after implant placement, and the differences in litter size, stillbirths, and offspring survival were not significant, nor were they significantly different from non-implanted females. Prior parturition, age when implant was removed, and duration of implantation did not affect the probability of reproducing for females after implant removal. These results show substantial reversibility of MGA implants, leading to 62% successful reproduction after implant removal. The reasons for lower successful reproduction in animals previously treated with the contraceptive compared to non-implanted females are not known, but a greater delay in reversibility was seen when implants were left in place and only presumed expired. Zoo Biol 26:275-288, 2007. (c) 2007 Wiley-Liss, Inc.

  13. Comparison of several chemometric methods of libraries and classifiers for the analysis of expired drugs based on Raman spectra.

    PubMed

    Gao, Qun; Liu, Yan; Li, Hao; Chen, Hui; Chai, Yifeng; Lu, Feng

    2014-06-01

    Some expired drugs are difficult to detect by conventional means. If they are repackaged and sold back into market, they will constitute a new public health challenge. For the detection of repackaged expired drugs within specification, paracetamol tablet from a manufacturer was used as a model drug in this study for comparison of Raman spectra-based library verification and classification methods. Raman spectra of different batches of paracetamol tablets were collected and a library including standard spectra of unexpired batches of tablets was established. The Raman spectrum of each sample was identified by cosine and correlation with the standard spectrum. The average HQI of the suspicious samples and the standard spectrum were calculated. The optimum threshold values were 0.997 and 0.998 respectively as a result of ROC and four evaluations, for which the accuracy was up to 97%. Three supervised classifiers, PLS-DA, SVM and k-NN, were chosen to establish two-class classification models and compared subsequently. They were used to establish a classification of expired batches and an unexpired batch, and predict the suspect samples. The average accuracy was 90.12%, 96.80% and 89.37% respectively. Different pre-processing techniques were tried to find that first derivative was optimal for methods of libraries and max-min normalization was optimal for that of classifiers. The results obtained from these studies indicated both libraries and classifier methods could detect the expired drugs effectively, and they should be used complementarily in the fast-screening. Copyright © 2014 Elsevier B.V. All rights reserved.

  14. Retrofitting Steam Turbines with Expired Service Life

    NASA Astrophysics Data System (ADS)

    Dubrovskii, V. G.; Zubov, A. P.; Koshelev, S. A.; Babiev, A. N.; Kremer, V. L.

    2018-06-01

    Many pieces of equipment installed at thermal power stations (TPS) have an expired service life or are close to expiry and are obsolete. In addition, the structure of heat consumption by end users has changed. Among the ways for solving the problem of aging equipment is the retrofitting of turbines that allows for service life recovery and improvement of their performance to the modern level. The service life is recovered through replacement of high-temperature assemblies and parts of a turbine, and the performance is improved by retrofitting and major overhaul of low-temperature assemblies. Implementation of modern engineering solutions and numerical methods in designing upgraded flow paths of steam turbines considerably improves the turbine effectiveness. New flow paths include sabre-like guide vanes, integrally-machined shrouds, and effective honeycomb or axial-radial seals. The flow paths are designed using optimization and hydraulic simulation methods as well as approaches for improving the performance on the turbine blading and internal steam flow paths. Retrofitting of turbines should be performed to meet the customers' needs. The feasibility of implementation of one or another alternative must be determined on a case-by-case basis depending on the turbine conditions, the availability of reserves for generating live steam and supplying circulation water, and the demands and capacities for generation and delivery of power and heat. The main principle of retrofitting is to retain the foundation and the auxiliary and heat-exchange equipment that is fit for further operation. With the example of PT-60-130 and T-100-130, the experience is presented of a comprehensive approach to retrofitting considering the customer's current needs and the actual equipment conditions. Due to the use of modern engineering solutions and procedures, retrofitting yields updating and upgrading of the turbine at a relatively low cost.

  15. 76 FR 37045 - Synchronizing the Expiration Dates of EPA Pesticide Applicator Certificates With the Underlying...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... the agency taking this action? Section 171.11(e) states that an EPA Federal certificate based on a... Tribal certification plan in effect. * * * * * (e) Recognition of other certificates. The Administrator... Synchronizing the Expiration Dates of EPA Pesticide Applicator Certificates With the Underlying State or Tribal...

  16. Public vs. private provision of charity care? Evidence from the expiration of Hill–Burton requirements in Florida

    PubMed Central

    Almond, Douglas; Currie, Janet; Simeonova, Emilia

    2013-01-01

    This paper explores the consequences of the expiration of charity care requirements imposed on private hospitals by the Hill–Burton Act. We examine delivery care and the health of newborns using the universe of Florida births from 1989 to 2003 combined with hospital data from the American Hospital Association. We find that charity care requirements were binding on hospitals, but that private hospitals under obligation “cream skimmed” the least risky maternity patients. Conditional on patient characteristics, they provided less intensive maternity services but without compromising patient health. When obligations expired, private hospitals quickly reduced their charity caseloads, shifting maternity patients to public hospitals. The results in this paper suggest, perhaps surprisingly, that requiring private providers to serve the underinsured can be effective. PMID:21183236

  17. 37 CFR 2.196 - Times for taking action: Expiration on Saturday, Sunday or Federal holiday.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE RULES OF PRACTICE IN TRADEMARK CASES General Information and Correspondence in Trademark Cases § 2.196 Times for taking action: Expiration on Saturday, Sunday or Federal holiday. Whenever periods of time are specified in this part in days, calendar...

  18. 37 CFR 1.7 - Times for taking action; Expiration on Saturday, Sunday or Federal holiday.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES General Provisions General Information and Correspondence § 1.7 Times for taking action; Expiration on... taking any action or paying any fee in the United States Patent and Trademark Office falls on Saturday...

  19. Operational momentum in large-number addition and subtraction by 9-month-olds.

    PubMed

    McCrink, Koleen; Wynn, Karen

    2009-08-01

    Recent studies on nonsymbolic arithmetic have illustrated that under conditions that prevent exact calculation, adults display a systematic tendency to overestimate the answers to addition problems and underestimate the answers to subtraction problems. It has been suggested that this operational momentum results from exposure to a culture-specific practice of representing numbers spatially; alternatively, the mind may represent numbers in spatial terms from early in development. In the current study, we asked whether operational momentum is present during infancy, prior to exposure to culture-specific representations of numbers. Infants (9-month-olds) were shown videos of events involving the addition or subtraction of objects with three different types of outcomes: numerically correct, too large, and too small. Infants looked significantly longer only at those incorrect outcomes that violated the momentum of the arithmetic operation (i.e., at too-large outcomes in subtraction events and too-small outcomes in addition events). The presence of operational momentum during infancy indicates developmental continuity in the underlying mechanisms used when operating over numerical representations.

  20. 78 FR 48535 - Self-Regulatory Organizations; NYSE MKT LLC; Notice of Filing and Immediate Effectiveness of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-08

    ... Extending the Pilot Period for the Exchange's Retail Liquidity Program for an Additional 12 Months, To... period for the Exchange's Retail Liquidity Program (the ``Retail Liquidity Program'' or the ``Program... Retail Liquidity Program,\\3\\ currently scheduled to expire on July 31, 2013, for an additional 12 months...

  1. Interfacial distribution of mucus under forced expiration in a double bifurcation model

    NASA Astrophysics Data System (ADS)

    Rajendran, Rahul; Banerjee, Arindam

    2017-11-01

    Mucus is removed from the lung airways by the rhythmic beating of cilia and the mucus interaction with the turbulent core airflow generated during a cough or forced expiration. The quantity and quality of mucus are adversely altered, impairing mucociliary clearance under chronic pulmonary conditions. Existing studies on airflow induced mucus clearance have established a functional relationship between the airflow rate, mucus properties, flow bias, breathing frequency and clearance; however, the impact of airway branching, gravity, and characterization of primary and secondary flows have not been studied. The focus of the current investigation is the detailed understanding of air-mucus two-phase flow mechanism under steady expiratory airflow in a double bifurcation model. The effect of different airflow rates and mucus viscosities on the flow morphology, mucus layer thickness, mucus clearance and pressure drop across the model will be discussed. The impact of in-plane and out-of-plane configurations of the bifurcation model on the primary and secondary flow structures as well as the mucus distribution will be addressed. In addition, a detailed comparison of the flow structures in the mucus-lined airways, and its corresponding dry wall (no mucus lining) case will be presented.

  2. 21 CFR 1301.13 - Application for registration; time for application; expiration date; registration for independent...

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... treatment program is first registered, that business activity shall be assigned to one of twelve groups... these business activities to a group, the Administration may select a group the expiration date of which is less than one year from the date such business activity was registered. If the business activity...

  3. Association of expired nitric oxide with occupational particulate exposure.

    PubMed Central

    Kim, Jee Young; Wand, Matthew P; Hauser, Russ; Mukherjee, Sutapa; Herrick, Robert F; Christiani, David C

    2003-01-01

    Particulate air pollution has been associated with adverse respiratory health effects. This study assessed the utility of expired nitric oxide to detect acute airway responses to metal-containing fine particulates. Using a repeated-measures study design, we investigated the association between the fractional concentration of expired nitric oxide (F(E)NO) and exposure to particulate matter with an aerodynamic mass median diameter of less than or equal to 2.5 micro m (PM(2.5)) in boilermakers exposed to residual oil fly ash and metal fumes. Subjects were monitored for 5 days during boiler repair overhauls in 1999 (n = 20) or 2000 (n = 14). The Wilcoxon median baseline F(E)NO was 10.6 ppb [95% confidence interval (CI): 9.1, 12.7] in 1999 and 7.4 ppb (95% CI: 6.7, 8.0) in 2000. The Wilcoxon median PM(2.5) 8-hr time-weighted average was 0.56 mg/m(3) (95% CI: 0.37, 0.93) in 1999 and 0.86 mg/m(3) (95% CI: 0.65, 1.07) in 2000. F(E)NO levels during the work week were significantly lower than baseline F(E)NO in 1999 (p < 0.001). A significant inverse exposure-response relationship between log-transformed F(E)NO and the previous workday's PM(2.5) concentration was found in 1999, after adjusting for smoking status, age, and sampling year. With each 1 mg/m(3) incremental increase in PM(2.5) exposure, log F(E)NO decreased by 0.24 (95% CI: -0.38, -0.10) in 1999. The lack of an exposure-response relationship between PM(2.5) exposure and F(E)NO in 2000 could be attributable to exposure misclassification resulting from the use of respirators. In conclusion, occupational exposure to metal-containing fine particulates was associated with significant decreases in F(E)NO in a survey of workers with limited respirator usage. PMID:12727593

  4. Radiation therapy in the last month of life.

    PubMed

    Patel, Anand; Dunmore-Griffith, Jacquelyn; Lutz, Stephen; Johnstone, Peter A S

    2014-05-01

    We sought to survey a large, multi-center patient sample to better characterize/quantify RT utilization at the end of life. Few objective data exist for radiation therapy (RT) delivery at end of life (EOL). Data were retrieved for all patients receiving RT in calendar year 2010 in the Department of Radiation Oncology at Indiana University (IU) and Howard University (HU) hospitals. Specific attention was made of the group of patients receiving RT in the last 30 days of life. A total of 852 patients received all or part of their RT during 2010 (HU: 139, IU: 713). At time of analysis in early 2012, 179 patients had died (21%). Fifty-four patients (6.3% of total; 30% of expired patients) died within 30 days of receiving their last treatment. Twenty patients (2.3% of total; 11.2% of expired patients) received RT within their last week of life. For both sites, the median time until death from completion of therapy was 12.5 days (range 2-30 days). Radiation in the last month of life is likely to provide minimal palliation or survival benefit. This, coupled with the financial implications, time investment, and physical costs, suggests that physicians and patients should more strongly consider hospice, and minimize duration of palliative RT courses as far as possible. As with chemotherapy, RT utilization at EOL should be considered for collection as an overuse metric.

  5. Respirator triggering of electron beam computed tomography (EBCT): evaluation of dynamic changes during mechanical expiration in the traumatized patient

    NASA Astrophysics Data System (ADS)

    Recheis, Wolfgang A.; Kleinsasser, Axel; Hatschenberger, Robert; Knapp, Rudolf; zur Nedden, Dieter; Hoermann, Christoph

    1999-05-01

    The purpose of this project is to evaluate the dynamic changes during expiration at different levels of positive end- expiratory pressure (PEEP) in the ventilated patient. We wanted to discriminate between normal lung function and acute respiratory distress syndrome (ARDS). After approval by the local Ethic Committee we studied two ventilated patients: (1) with normal lung function; (2) ARDS). We used the 50 ms scan mode of the EBCT. The beam was positioned 1 cm above the diaphragm. The table position remained unchanged. An electronic trigger was developed, that utilizes the respirators synchronizing signal to start the EBCT at the onset of expiration. During controlled mechanical expiration at two levels of PEEP (0 and 15 cm H2O), pulmonary aeration was rated as: well-aerated (-900HU/-500HU), poorly- aerated (-500HU/-100HU) and non-aerated (-100HU/+100HU). Pathological and normal lung function showed different dynamic changes (FIG.4-12). The different PEEP levels resulted in a significant change of pulmonary aeration in the same patient. Although we studied only a very limited number of patients, respirator triggered EBCT may be accurate in discriminating pathological changes due to the abnormal lung function in the mechanically ventilated patient.

  6. 78 FR 53422 - Notice of Request for Revision to and Reinstatement of an Expired Information Collection; Bees...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-29

    ... Expired Information Collection; Bees and Related Articles AGENCY: Animal and Plant Health Inspection... information collection associated with the regulations for the importation of bees and related articles into... and related articles, contact Dr. Colin Stewart, Senior Entomologist, Pest Permit Evaluations, PPQ...

  7. Section 1603 Treasury Grant Expiration. Industry Insight on Financing and Market Implications

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

    Mendelsohn, Michael; Harper, John

    In the wake of the 2008-2009 financial crises, tax equity investors largely withdrew from the market, resulting in stagnation of project development. In response, Congress established the Treasury grant program pursuant to Section 1603 of the American Recovery and Reinvestment Act (Section 1603 Program) to offer a cash payment in lieu of a production and investment tax credit. This study addresses the likely project financing and market impacts from the expiration of the Section 1603 Program. The authors assembled an array of insights offered by financial executives active in the renewable energy (RE) market during conference panel discussions and inmore » presentations, direct interviews, and email correspondences. This analysis found that the Section 1603 Program alleviated the need to monetize the tax credit incentives through specialized investors, helped lower the transaction and financing costs associated with renewable electricity projects, and generally supported an extensive build-out of renewable power generation capacity. With the expiration of the Section 1603 Program, smaller or less-established renewable power developers will have more difficulty attracting needed financial capital and completing their projects, development of projects relying on newer or 'innovative' technologies will likely slow as traditional tax equity investors are known to be highly averse to technology risk in the projects they fund, and, finally, projects relying on tax equity may be more expensive to develop due to higher transaction costs and potentially higher yields required to attract tax equity.« less

  8. Section 1603 Treasury Grant Expiration: Industry Insight on Financing and Market Implications

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

    Mendelsohn, M.; Harper, J.

    In the wake of the 2008-2009 financial crises, tax equity investors largely withdrew from the market, resulting in stagnation of project development. In response, Congress established the Treasury grant program pursuant to Section 1603 of the American Recovery and Reinvestment Act (..Section..1603 Program) to offer a cash payment in lieu of a production and investment tax credit. This study addresses the likely project financing and market impacts from the expiration of the ..Section..1603 Program. The authors assembled an array of insights offered by financial executives active in the renewable energy (RE) market during conference panel discussions and in presentations, directmore » interviews, and email correspondences. This analysis found that the ..Section..1603 Program alleviated the need to monetize the tax credit incentives through specialized investors, helped lower the transaction and financing costs associated with renewable electricity projects, and generally supported an extensive build-out of renewable power generation capacity. With the expiration of the ..Section..1603 Program, smaller or less-established renewable power developers will have more difficulty attracting needed financial capital and completing their projects, development of projects relying on newer or 'innovative' technologies will likely slow as traditional tax equity investors are known to be highly averse to technology risk in the projects they fund, and, finally, projects relying on tax equity may be more expensive to develop due to higher transaction costs and potentially higher yields required to attract tax equity.« less

  9. Comprehensive integrated spirometry using raised volume passive and forced expirations and multiple-breath nitrogen washout in infants

    PubMed Central

    Morris, Mohy G.

    2009-01-01

    With the rapid somatic growth and development in infants, simultaneous accurate measurements of lung volume and airway function are essential. Raised volume rapid thoracoabdominal compression (RTC) is widely used to generate forced expiration from an airway opening pressure of 30 cm H2O (V30). The (dynamic) functional residual capacity (FRCdyn) remains the lung volume most routinely measured. The aim of this study was to develop comprehensive integrated spirometry that included all subdivisions of lung volume at V30 or total lung capacity (TLC30). Measurements were performed on seventeen healthy infants aged 8.6–119.7 weeks. A commercial system for multiple-breath nitrogen washout (MBNW) to measure lung volumes and a custom made system to perform RTC were used in unison. A refined automated raised volume RTC and the following two novel single maneuvers with dual volume measurements were performed from V30 during a brief post-hyperventilation apneic pause: (1) the passive expiratory flow was integrated to produce the inspiratory capacity (IC) and the static (passive) FRC (FRCst) was estimated by initiating MBNW after end-passive expiration; (2) RTC was initiated late during passive expiration, flow was integrated to produce the slow vital capacity (jSVC) and the residual volume (RV) was measured by initiating MBNW after end-expiration while the jacket (j) was inflated. Intrasubject FRCdyn and FRCst measurements overlapped (p= 0.6420) but neither did with the RV (p<0.0001). Means (95% confidence interval) of FRCdyn, IC, FRCst, jSVC, RV, forced vital capacity and tidal volume were 21.2 (19.7–22.7), 36.7 (33.0–40.4), 21.2 (19.6–22.8), 40.7 (37.2–44.2), 18.1 (16.6–19.7), 40.7 (37.1–44.2) and 10.2 (9.6–10.7) ml/kg, respectively. Static lung volumes and capacities at V30 and variables from the best forced expiratory flow-volume curve were dependent on age, body length and weight. In conclusion, we developed a comprehensive physiologically

  10. Comprehensive integrated spirometry using raised volume passive and forced expirations and multiple-breath nitrogen washout in infants.

    PubMed

    Morris, Mohy G

    2010-02-28

    With the rapid somatic growth and development in infants, simultaneous accurate measurements of lung volume and airway function are essential. Raised volume rapid thoracoabdominal compression (RTC) is widely used to generate forced expiration from an airway opening pressure of 30 cmH(2)O (V(30)). The (dynamic) functional residual capacity (FRC(dyn)) remains the lung volume most routinely measured. The aim of this study was to develop comprehensive integrated spirometry that included all subdivisions of lung volume at V(30) or total lung capacity (TLC(30)). Measurements were performed on 17 healthy infants aged 8.6-119.7 weeks. A commercial system for multiple-breath nitrogen washout (MBNW) to measure lung volumes and a custom made system to perform RTC were used in unison. A refined automated raised volume RTC and the following two novel single maneuvers with dual volume measurements were performed from V(30) during a brief post-hyperventilation apneic pause: (1) the passive expiratory flow was integrated to produce the inspiratory capacity (IC) and the static (passive) FRC (FRC(st)) was estimated by initiating MBNW after end-passive expiration; (2) RTC was initiated late during passive expiration, flow was integrated to produce the slow vital capacity ((j)SVC) and the residual volume (RV) was measured by initiating MBNW after end-expiration while the jacket (j) was inflated. Intrasubject FRC(dyn) and FRC(st) measurements overlapped (p=0.6420) but neither did with the RV (p<0.0001). Means (95% confidence interval) of FRC(dyn), IC, FRC(st), (j)SVC, RV, forced vital capacity and tidal volume were 21.2 (19.7-22.7), 36.7 (33.0-40.4), 21.2 (19.6-22.8), 40.7 (37.2-44.2), 18.1 (16.6-19.7), 40.7 (37.1-44.2) and 10.2 (9.6-10.7)ml/kg, respectively. Static lung volumes and capacities at V(30) and variables from the best forced expiratory flow-volume curve were dependent on age, body length and weight. In conclusion, we developed a comprehensive physiologically integrated

  11. Extension of expiration date for temporary pilot program setting the time and place for a hearing before an administrative law judge. Final rule.

    PubMed

    2014-07-18

    We are extending for one year our pilot program that authorizes the agency to set the time and place for a hearing before an administrative law judge (ALJ). Extending the pilot program continues our commitment to improve the efficiency of our hearing process and provide accurate, high-quality decisions for claimants. The current pilot program will expire on August 9, 2014. In this final rule, we are extending the expiration date to August 10, 2015. We are making no other substantive changes.

  12. Rebreathing expired gases from bedding: a cause of cot death?

    PubMed Central

    Bolton, D P; Taylor, B J; Campbell, A J; Galland, B C; Cresswell, C

    1993-01-01

    The reported association of cot death and sleeping prone could be due to rebreathing of expired gases. A mechanical model simulating the respiratory system of an infant, exhaling warm humidified air with an end tidal carbon dioxide of 5%, has been used to investigate this. Some commonly used bedding materials caused an accumulation of carbon dioxide of 7% to over 10% with the model lying face down. This phenomenon persisted even with the head inclined at 45 degrees, but only on very soft materials, and could be a cause of cot death in a baby unresponsive to asphyxial blood gas changes. A coir fibre mattress allowed complete dispersal of exhalate as did a rubber sheet between any mattress and the covering sheet. PMID:8215518

  13. Effectiveness of medicines authentication technology to detect counterfeit, recalled and expired medicines: a two-stage quantitative secondary care study.

    PubMed

    Naughton, Bernard; Roberts, Lindsey; Dopson, Sue; Chapman, Stephen; Brindley, David

    2016-12-09

    To identify the authentication and detection rate of serialised medicines using medicines authentication technology. 4192 serialised medicines were entered into a hospital dispensary over two separate 8-week stages in 2015. Medicines were authenticated using secure external database cross-checking, triggered by the scanning of a two-dimensional data matrix with a unit specific 12-digit serial code. 4% of medicines included were preprogrammed with a message to identify the product as either expired, pack recalled, product recalled or counterfeit. A site within a large UK National Health Service teaching hospital trust. Accredited checking staff, pharmacists and dispensers in a pharmacy department. Authentication and detection rate of counterfeit expired and recalled medicines. The operational detection rate of counterfeit, recalled and expired medicines scanned as a combined group was 81.4% (stage 1 (S1)) and 87% (stage 2 (S2)). The technology's technical detection rate (TDR) was 100%; however, not all medicines were scanned and of those that were scanned not all that generated a warning message were quarantined. Owing to an operational authentication rate (OAR) of 66.3% (over both stages), only 31.8% of counterfeit medicines, 58% of recalled drugs and 64% of expired medicines were detected as a proportion of those entered into the study. Response times (RTs) of 152 ms (S1) and 165 ms (S2) were recorded, meeting the falsified medicines directive-mandated 300 ms limit. TDRs and RTs were not a limiting factor in this study. The suboptimal OAR poses significant quality and safety issues with this detection approach. Authentication at the checking stage, however, demonstrated higher OARs. There is a need for further qualitative research to establish the reasons for less than absolute authentication and detection rates in the hospital environment to improve this technology in preparation for the incumbent European Union regulative deadline. Published by the BMJ

  14. Effectiveness of medicines authentication technology to detect counterfeit, recalled and expired medicines: a two-stage quantitative secondary care study

    PubMed Central

    Naughton, Bernard; Roberts, Lindsey; Dopson, Sue; Chapman, Stephen; Brindley, David

    2016-01-01

    Objectives To identify the authentication and detection rate of serialised medicines using medicines authentication technology. Design and intervention 4192 serialised medicines were entered into a hospital dispensary over two separate 8-week stages in 2015. Medicines were authenticated using secure external database cross-checking, triggered by the scanning of a two-dimensional data matrix with a unit specific 12-digit serial code. 4% of medicines included were preprogrammed with a message to identify the product as either expired, pack recalled, product recalled or counterfeit. Setting A site within a large UK National Health Service teaching hospital trust. Participants Accredited checking staff, pharmacists and dispensers in a pharmacy department. Primary outcome measures Authentication and detection rate of counterfeit expired and recalled medicines. Results The operational detection rate of counterfeit, recalled and expired medicines scanned as a combined group was 81.4% (stage 1 (S1)) and 87% (stage 2 (S2)). The technology's technical detection rate (TDR) was 100%; however, not all medicines were scanned and of those that were scanned not all that generated a warning message were quarantined. Owing to an operational authentication rate (OAR) of 66.3% (over both stages), only 31.8% of counterfeit medicines, 58% of recalled drugs and 64% of expired medicines were detected as a proportion of those entered into the study. Response times (RTs) of 152 ms (S1) and 165 ms (S2) were recorded, meeting the falsified medicines directive-mandated 300 ms limit. Conclusions TDRs and RTs were not a limiting factor in this study. The suboptimal OAR poses significant quality and safety issues with this detection approach. Authentication at the checking stage, however, demonstrated higher OARs. There is a need for further qualitative research to establish the reasons for less than absolute authentication and detection rates in the hospital environment to improve this

  15. 10 CFR 70.38 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... increase potential health and safety impacts to workers or to the public, such as in any of the following... provided by Commission Order. (c) Each specific license continues in effect, beyond the expiration date if... licensee shall maintain in effect all decommissioning financial assurances established by the licensee...

  16. 10 CFR 30.36 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 10 Energy 1 2012-01-01 2012-01-01 false Expiration and termination of licenses and decommissioning of sites and separate buildings or outdoor areas. 30.36 Section 30.36 Energy NUCLEAR REGULATORY... section if the Commission determines that the alternative schedule is necessary to the effective conduct...

  17. 37 CFR 1.378 - Acceptance of delayed payment of maintenance fee in expired patent to reinstate patent.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... attorney or agent registered to practice before the Patent and Trademark Office, or by the patentee, the... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Acceptance of delayed payment of maintenance fee in expired patent to reinstate patent. 1.378 Section 1.378 Patents, Trademarks...

  18. 75 FR 64371 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Order Granting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-19

    ... Rule Change To List Series With Up to 12 Expiration Months for Broad-Based Security Index Options Upon... list series with up to 12 expiration months for options that overlie broad- based security indexes for...)(2), Terms of Index Options, to allow the Exchange to list series with up to 12 expiration months for...

  19. 25 CFR 1000.148 - What happens if an AFA expires before the effective date of the successor AFA?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... AFFAIRS, DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT... Funding Agreements Reallocation, Duration, and Amendments § 1000.148 What happens if an AFA expires before.... During this extension period, the current AFA shall remain in effect, including coverage of the Tribe...

  20. 25 CFR 1000.148 - What happens if an AFA expires before the effective date of the successor AFA?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... AFFAIRS, DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT... Funding Agreements Reallocation, Duration, and Amendments § 1000.148 What happens if an AFA expires before.... During this extension period, the current AFA shall remain in effect, including coverage of the Tribe...

  1. 25 CFR 1000.148 - What happens if an AFA expires before the effective date of the successor AFA?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... AFFAIRS, DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT... Funding Agreements Reallocation, Duration, and Amendments § 1000.148 What happens if an AFA expires before.... During this extension period, the current AFA shall remain in effect, including coverage of the Tribe...

  2. 25 CFR 1000.148 - What happens if an AFA expires before the effective date of the successor AFA?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... AFFAIRS, DEPARTMENT OF THE INTERIOR ANNUAL FUNDING AGREEMENTS UNDER THE TRIBAL SELF-GOVERNMENT ACT... Funding Agreements Reallocation, Duration, and Amendments § 1000.148 What happens if an AFA expires before.... During this extension period, the current AFA shall remain in effect, including coverage of the Tribe...

  3. Approach to recognition of flexible form for credit card expiration date recognition as example

    NASA Astrophysics Data System (ADS)

    Sheshkus, Alexander; Nikolaev, Dmitry P.; Ingacheva, Anastasia; Skoryukina, Natalya

    2015-12-01

    In this paper we consider a task of finding information fields within document with flexible form for credit card expiration date field as example. We discuss main difficulties and suggest possible solutions. In our case this task is to be solved on mobile devices therefore computational complexity has to be as low as possible. In this paper we provide results of the analysis of suggested algorithm. Error distribution of the recognition system shows that suggested algorithm solves the task with required accuracy.

  4. Validation of measurements of ventilation-to-perfusion ratio inequality in the lung from expired gas

    NASA Technical Reports Server (NTRS)

    Prisk, G. Kim; Guy, Harold J B.; West, John B.; Reed, James W.

    2003-01-01

    The analysis of the gas in a single expirate has long been used to estimate the degree of ventilation-perfusion (Va/Q) inequality in the lung. To further validate this estimate, we examined three measures of Va/Q inhomogeneity calculated from a single full exhalation in nine anesthetized mongrel dogs under control conditions and after exposure to aerosolized methacholine. These measurements were then compared with arterial blood gases and with measurements of Va/Q inhomogeneity obtained using the multiple inert gas elimination technique. The slope of the instantaneous respiratory exchange ratio (R slope) vs. expired volume was poorly correlated with independent measures, probably because of the curvilinear nature of the relationship due to continuing gas exchange. When R was converted to the intrabreath Va/Q (iV/Q), the best index was the slope of iV/Q vs. volume over phase III (iV/Q slope). This was strongly correlated with independent measures, especially those relating to inhomogeneity of perfusion. The correlations for iV/Q slope and R slope considerably improved when only the first half of phase III was considered. We conclude that a useful noninvasive measurement of Va/Q inhomogeneity can be derived from the intrabreath respiratory exchange ratio.

  5. 10 CFR 30.36 - Expiration and termination of licenses and decommissioning of sites and separate buildings or...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... increase potential health and safety impacts to workers or to the public, such as in any of the following... completed as soon as practicable and that the health and safety of workers and the public will be adequately... provided by Commission Order. (c) Each specific license continues in effect, beyond the expiration date if...

  6. 45 CFR 2540.550 - Is there an expiration date on approvals for use of national service insignia?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... writing by the director of the Office of Public Affairs, or his or her designee. However, the authority to... 45 Public Welfare 4 2010-10-01 2010-10-01 false Is there an expiration date on approvals for use of national service insignia? 2540.550 Section 2540.550 Public Welfare Regulations Relating to Public...

  7. ESTIMATION OF FAT ABSORPTION BY MONITORING OF EXPIRED RADIOACTIVE CARBON DIOXIDE AFTER FEEDING A RADIOACTIVE FAT

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

    Schwabe, A.D.; Cozzetto, F.J.; Bennett, L.R.

    1962-03-01

    A rapid, quantitative method based upon the oxidative decarboxylation of an easily, absorbable, short-chain fatty acid is described. The method for diagnosis of steatorrhea is based upon oral administration of radioactive glyceryl trioctanoate (RATO) and study of its oxidative decarboxylation as determined by monitoring expired C/sup 14/O/sub 2/. Results on 20 controls and 21 patients with steatorrhea of various types clearly separated 15 of the controls from all of the patients with steatorrhea, and 14 of 21 patients with steatorrhea fell below the lowest value encountered in 20 control subjects. The test was performed in the fasting patient, who wasmore » given a gelatin capsule containing 2 to 3 C of RATO in a corn oil base, and after 10 min C/sup 14/O/ sub 2/ in the expired air was measured. By calibration against standard sources the C/sup 14/O/sub 2/ is expressed in microcuries of activity. The average delay time is 26 min with a range of 8 to 54 min. The method thus provides a simple indication that gastric emptying has begun. (TCO)« less

  8. Transfer of methyl chloroform, trichloroethylene and tetrachloroethylene to milk, tissues and expired air following intraruminal or oral administration in lactating goats and milk-fed kids.

    PubMed

    Hamada, T; Tanaka, H

    1995-01-01

    The distribution of methyl chloroform was determined (MCF), trichloroethylene (TRI) and tetrachloroethylene (PCE) in milk, tissues and expired air by intraruminally administering 0.625 ml kg(-0.75) of an equal-volume mixture of the three compounds to lactating goats. The milk secreted during 24 h after the intraruminal administration contained 1.42 mg of MCF, 1.87 mg of TRI, 6.43 mg of PCE and 0.33 mg of trichloroethanol (TCE). MCF, TRI and PCE appeared in the blood less than 30 min after administration. Oral administration of these chemicals to milk-fed kids showed that at 3.5 h post-administration, the liver contained these chemicals in greatest abundance. The adaptation of milk-fed kids to 3 weeks administration of small amounts of propylene glycol stimulated the metabolic conversion of TRI to TCE. There were linear relationships between the blood concentrations of these chemicals and the expiration rates after oral administration of 0.4 ml kg(-1) of each chemical to milk-fed kids. The expiration rates of MCF, TRI and PCE were 605, 122 and 46 microg min(-1) kg(-1) at 2 microg ml(-1) blood concentrations of MCF, TRI and PCE, respectively. These results suggested that MCF is little metabolized, being most readily exhaled in expired air, while PCE demonstrates the greatest tissue-partitioning, being largely secreted into the milk or retained in the liver. TRI can be extensively metabolized to other compounds such as TCE in milk-fed kids.

  9. Prototype apparatus for the measurement of tritium in expired air using plastic scintillator pellets.

    PubMed

    Furuta, Etsuko; Ito, Takeshi

    2018-02-01

    A new apparatus for measuring tritiated water in expired air was developed using plastic scintillator (PS) pellets and a low-background liquid scintillation counter. The sensitivity of the apparatus was sufficient when a large adapted Teflon vial was used. The measurement method generated low amounts of organic waste because the PS pellets were reusable by rinsing, and had adequate detection limits. The apparatus is useful for the safety management of workers that are exposed to radioactive materials. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. The relationship of normal body temperature, end-expired breath temperature, and BAC/BrAC ratio in 98 physically fit human test subjects.

    PubMed

    Cowan, J Mack; Burris, James M; Hughes, James R; Cunningham, Margaret P

    2010-06-01

    The relationship between normal body temperature, end-expired breath temperature, and blood alcohol concentration (BAC)/breath alcohol concentration (BrAC) ratio was studied in 98 subjects (84 men, 14 women). Subjects consumed alcohol sufficient to produce a BrAC of at least 0.06 g/210 L 45-75 min after drinking. Breath samples were analyzed using an Intoxilyzer 8000 specially equipped to measure breath temperature. Venous blood samples and body temperatures were then taken. The mean body temperature of the men (36.6 degrees C) was lower than the women (37.0 degrees C); however, their mean breath temperatures were virtually identical (men: 34.5 degrees C; women: 34.6 degrees C). The BAC exceeded the BrAC for every subject. BAC/BrAC ratios were calculated from the BAC and BrAC analytical results. There was no difference in the BAC/BrAC ratios for men (1:2379) and women (1:2385). The correlation between BAC and BrAC was high (r = 0.938, p < 0.0001), whereas the correlations between body temperature and end-expired breath temperature, body temperature and BAC/BrAC ratio, and breath temperature and BAC/BrAC ratio were much lower. Neither normal body temperature nor end-expired breath temperature was strongly associated with BAC/BrAC ratio.

  11. Comparison of changes in the mobility of the pelvic floor muscle on during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction.

    PubMed

    Jung, Halim; Jung, Sangwoo; Joo, Sunghee; Song, Changho

    2016-01-01

    [Purpose] The purpose of this study was to compare changes in the mobility of the pelvic floor muscle during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. [Subjects] Thirty healthy adults participated in this study (15 men and 15 women). [Methods] All participants performed a bridge exercise and abdominal curl-up during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. Pelvic floor mobility was evaluated as the distance from the bladder base using ultrasound. [Results] According to exercise method, bridge exercise and abdominal curl-ups led to significantly different pelvic floor mobility. The pelvic floor muscle was elevated during the abdominal drawing-in maneuver and descended during maximal expiration. Finally, pelvic floor muscle mobility was greater during abdominal curl-up than during the bridge exercise. [Conclusion] According to these results, the abdominal drawing-in maneuver induced pelvic floor muscle contraction, and pelvic floor muscle contraction was greater during the abdominal curl-up than during the bridge exercise.

  12. 76 FR 6646 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing of Proposed Rule...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-07

    ... Series, adjusted option series and any options series until the time to expiration for such series is... time to expiration for such series is less than nine months be treated differently. Specifically, under... series until the time to expiration for such series is less than nine months. Accordingly, the...

  13. 76 FR 14111 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-15

    ... Options Series, adjusted option series and any options series until the time to expiration for such series... time to expiration for such series is less than nine months be treated differently. Specifically, under... until the time to expiration for such series is less than nine months. Accordingly, the requirement to...

  14. Dispositional Mindful Attention in Relation to Negative Affect, Tobacco Withdrawal, and Expired Carbon Monoxide On and After Quit Day.

    PubMed

    Paulus, Daniel J; Langdon, Kirsten J; Wetter, David W; Zvolensky, Michael J

    Mindfulness (or "Mindful Attention") has been described as the presence or absence of attention to, and awareness of, what is occurring in the present moment. Among smokers, greater mindfulness is associated with greater effect stability and reduced cue-induced craving. While studies have shown that mindfulness is associated with other smoking-related factors such as reduced withdrawal symptoms using cross-sectional data, relatively little is known about the associations between baseline mindful attention and future abstinence-related effect/withdrawal. The current study sought to examine whether levels of mindful attention before cessation predicts negative affect, withdrawal, and level of expired carbon monoxide (CO) on quit day, and also 3 and 7 days after quitting, during a self-quit attempt. Data from 58 adults (mean age = 34.9; 65.5% male) participating in a self-quit study were available for analysis. Self-report measures of mindful attention, negative affect, and withdrawal symptoms were collected. Biochemical measurement of expired CO was also collected. Dependent variables were assessed on quit day, and also 3 and 7 days after quitting. Covariates included age, race, sex, self-reported level of cigarette dependence, and smoking status through 7 days. Multivariate regression was used to evaluate the association of baseline mindful attention in relation to the studied outcomes. Greater mindful attention predicted lower negative affect and reduced withdrawal at all 3 time-points. Mindful attention did not predict levels of expired CO. The findings suggest that mindful attention before or during smoking-cessation treatment may help to reduce negative affect and withdrawal, which serve as barriers to cessation for many smokers.

  15. 78 FR 53794 - Self-Regulatory Organizations; The NASDAQ Stock Market LLC; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-30

    ... Proposed Rule Change To Change the Expiration Date for Most Option Contracts to the Third Friday of the... date for most option contracts to the third Friday of the expiration month instead of the Saturday... contracts to the third Friday of the expiration month instead of the Saturday following the third Friday...

  16. Comparison of changes in the mobility of the pelvic floor muscle on during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction

    PubMed Central

    Jung, Halim; Jung, Sangwoo; Joo, Sunghee; Song, Changho

    2016-01-01

    [Purpose] The purpose of this study was to compare changes in the mobility of the pelvic floor muscle during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. [Subjects] Thirty healthy adults participated in this study (15 men and 15 women). [Methods] All participants performed a bridge exercise and abdominal curl-up during the abdominal drawing-in maneuver, maximal expiration, and pelvic floor muscle maximal contraction. Pelvic floor mobility was evaluated as the distance from the bladder base using ultrasound. [Results] According to exercise method, bridge exercise and abdominal curl-ups led to significantly different pelvic floor mobility. The pelvic floor muscle was elevated during the abdominal drawing-in maneuver and descended during maximal expiration. Finally, pelvic floor muscle mobility was greater during abdominal curl-up than during the bridge exercise. [Conclusion] According to these results, the abdominal drawing-in maneuver induced pelvic floor muscle contraction, and pelvic floor muscle contraction was greater during the abdominal curl-up than during the bridge exercise. PMID:27065532

  17. 78 FR 59998 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-30

    ...-monthly expiration contracts are currently traded with business day expiration dates. These include FLEX... to Friday night. Eliminating Saturday expirations will allow OCC to streamline the expiration process... enhance intra-day risk management of cleared trades by the clearing member [[Page 59999

  18. 48 CFR 2404.805 - Storage, handling and disposal of contract files.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the contracting activity for a period of two months following the contract award as reference material for debriefings. Upon expiration of the two month period, the contracting office shall either: (1... period of two months following the contract award. Upon expiration of the two month period, the program...

  19. 48 CFR 2404.805 - Storage, handling and disposal of contract files.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... the contracting activity for a period of two months following the contract award as reference material for debriefings. Upon expiration of the two month period, the contracting office shall either: (1... period of two months following the contract award. Upon expiration of the two month period, the program...

  20. 48 CFR 2404.805 - Storage, handling and disposal of contract files.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the contracting activity for a period of two months following the contract award as reference material for debriefings. Upon expiration of the two month period, the contracting office shall either: (1... period of two months following the contract award. Upon expiration of the two month period, the program...

  1. 48 CFR 2404.805 - Storage, handling and disposal of contract files.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... the contracting activity for a period of two months following the contract award as reference material for debriefings. Upon expiration of the two month period, the contracting office shall either: (1... period of two months following the contract award. Upon expiration of the two month period, the program...

  2. 48 CFR 2404.805 - Storage, handling and disposal of contract files.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the contracting activity for a period of two months following the contract award as reference material for debriefings. Upon expiration of the two month period, the contracting office shall either: (1... period of two months following the contract award. Upon expiration of the two month period, the program...

  3. Subjective and physiological effects, and expired carbon monoxide concentrations in frequent and occasional cannabis smokers following smoked, vaporized, and oral cannabis administration.

    PubMed

    Newmeyer, Matthew N; Swortwood, Madeleine J; Abulseoud, Osama A; Huestis, Marilyn A

    2017-06-01

    Although smoking is the most common cannabis administration route, vaporization and consumption of cannabis edibles are common. Few studies directly compare cannabis' subjective and physiological effects following multiple administration routes. Subjective and physiological effects, and expired carbon monoxide (CO) were evaluated in frequent and occasional cannabis users following placebo (0.001% Δ 9 -tetrahydrocannabinol [THC]), smoked, vaporized, and oral cannabis (6.9% THC, ∼54mg). Participants' subjective ratings were significantly elevated compared to placebo after smoking and vaporization, while only occasional smokers' ratings were significantly elevated compared to placebo after oral dosing. Frequent smokers' maximum ratings were significantly different between inhaled and oral routes, while no differences in occasional smokers' maximum ratings between active routes were observed. Additionally, heart rate increases above baseline 0.5h after smoking (mean 12.2bpm) and vaporization (10.7bpm), and at 1.5h (13.0bpm) and 3h (10.2bpm) after oral dosing were significantly greater than changes after placebo, with no differences between frequent and occasional smokers. Finally, smoking produced significantly increased expired CO concentrations 0.25-6h post-dose compared to vaporization. All participants had significant elevations in subjective effects after smoking and vaporization, but only occasional smokers after oral cannabis, indicating partial tolerance to subjective effects with frequent exposure. There were no differences in occasional smokers' maximum subjective ratings across the three active administration routes. Vaporized cannabis is an attractive alternative for medicinal administrations over smoking or oral routes; effects occur quickly and doses can be titrated with minimal CO exposure. These results have strong implications for safety and abuse liability assessments. Published by Elsevier B.V.

  4. 78 FR 5544 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-25

    ... 1.1(ccc)) in at least the lesser of 99% of the non- adjusted option series that have a time to expiration of less than nine months or 100% of the non-adjusted option series that have a time to expiration... electronic quotes in series that have a time to expiration of nine months or more in the classes for which it...

  5. 78 FR 77191 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... Effectiveness of a Proposed Rule Relating to the Quarterly Option Series Program December 16, 2013. Pursuant to... the Quarterly Options Series (``QOS'') Program to eliminate the cap on the number of additional series... eliminate the cap on the number of additional series that may be listed per expiration month for each QOS in...

  6. 29 CFR 102.48 - Action of the Board upon expiration of time to file exceptions to the administrative law judge's...

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... action of the Board unless so ordered. A motion for reconsideration or for rehearing need not be filed to... 29 Labor 2 2011-07-01 2011-07-01 false Action of the Board upon expiration of time to file... motions. 102.48 Section 102.48 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES...

  7. 29 CFR 102.48 - Action of the Board upon expiration of time to file exceptions to the administrative law judge's...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... action of the Board unless so ordered. A motion for reconsideration or for rehearing need not be filed to... 29 Labor 2 2010-07-01 2010-07-01 false Action of the Board upon expiration of time to file... motions. 102.48 Section 102.48 Labor Regulations Relating to Labor NATIONAL LABOR RELATIONS BOARD RULES...

  8. 78 FR 53797 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-30

    ... Change the Expiration Date For Most Option Contracts to the Third Friday of the Expiration Month Instead... The Exchange proposes to amend Exchange rules to change the expiration date for most option contracts.... Purpose The Exchange is proposing to change the expiration date for most option contracts to the third...

  9. 42 CFR 137.137 - If the 45 day review period or extension thereto, has expired, and the Tribes offer is deemed...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., has expired, and the Tribes offer is deemed accepted by operation of law, are there any exceptions to this rule? 137.137 Section 137.137 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES INDIAN HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES TRIBAL SELF-GOVERNANCE Final Offer...

  10. Using expired air carbon monoxide to determine smoking status during pregnancy: preliminary identification of an appropriately sensitive and specific cut-point.

    PubMed

    Bailey, Beth A

    2013-10-01

    Measurement of carbon monoxide in expired air samples (ECO) is a non-invasive, cost-effective biochemical marker for smoking. Cut points of 6ppm-10ppm have been established, though appropriate cut-points for pregnant woman have been debated due to metabolic changes. This study assessed whether an ECO cut-point identifying at least 90% of pregnant smokers, and misidentifying fewer than 10% of non-smokers, could be established. Pregnant women (N=167) completed a validated self-report smoking assessment, a urine drug screen for cotinine (UDS), and provided an expired air sample twice during pregnancy. Half of women reported non-smoking status early (51%) and late (53%) in pregnancy, confirmed by UDS. Using a traditional 8ppm+cut-point for the early pregnancy reading, only 1% of non-smokers were incorrectly identified as smokers, but only 56% of all smokers, and 67% who smoked 5+ cigarettes in the previous 24h, were identified. However, at 4ppm+, only 8% of non-smokers were misclassified as smokers, and 90% of all smokers and 96% who smoked 5+ cigarettes in the previous 24h were identified. False positives were explained by heavy second hand smoke exposure and marijuana use. Results were similar for late pregnancy ECO, with ROC analysis revealing an area under the curve of .95 for early pregnancy, and .94 for late pregnancy readings. A lower 4ppm ECO cut-point may be necessary to identify pregnant smokers using expired air samples, and this cut-point appears valid throughout pregnancy. Work is ongoing to validate findings in larger samples, but it appears if an appropriate cut-point is used, ECO is a valid method for determining smoking status in pregnancy. Copyright © 2013 Elsevier Ltd. All rights reserved.

  11. Shelf life modelling for first-expired-first-out warehouse management

    PubMed Central

    Hertog, Maarten L. A. T. M.; Uysal, Ismail; McCarthy, Ultan; Verlinden, Bert M.; Nicolaï, Bart M.

    2014-01-01

    In the supply chain of perishable food products, large losses are incurred between farm and fork. Given the limited land resources and an ever-growing population, the food supply chain is faced with the challenge of increasing its handling efficiency and minimizing post-harvest food losses. Huge value can be added by optimizing warehouse management systems, taking into account the estimated remaining shelf life of the product, and matching it to the requirements of the subsequent part of the handling chain. This contribution focuses on how model approaches estimating quality changes and remaining shelf life can be combined in optimizing first-expired-first-out cold chain management strategies for perishable products. To this end, shelf-life-related performance indicators are used to introduce remaining shelf life and product quality in the cost function when optimizing the supply chain. A combinatorial exhaustive-search algorithm is shown to be feasible as the complexity of the optimization problem is sufficiently low for the size and properties of a typical commercial cold chain. The estimated shelf life distances for a particular batch can thus be taken as a guide to optimize logistics. PMID:24797134

  12. Marked Increase in Flow Velocities During Deep Expiration: A Duplex Doppler Sign of Celiac Artery Compression Syndrome

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

    Erden, Ayse; Yurdakul, Mehmet; Cumhur, Turhan

    1999-07-15

    Symptoms of chronic mesenteric ischemia develop when the celiac artery is constricted by the median arcuate ligament of the diaphragm. Lateral aortography is the primary modality for diagnosing ligamentous compression of the celiac artery. However, duplex Doppler sonography performed during deep expiration can cause a marked increase in flow velocities at the compressed region of the celiac artery and suggest the diagnosis of celiac arterial constriction due to the diaphragmatic ligament. RID='''' ID='''' Correspondence to: A. Erden, M.D., Hafta sokak. 23/6, Gaziosmanpasa, 06700 Ankara, Turkey.

  13. 45 CFR 233.145 - Expiration of medical assistance programs under titles I, IV-A, X, XIV and XVI of the Social...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...

  14. 45 CFR 233.145 - Expiration of medical assistance programs under titles I, IV-A, X, XIV and XVI of the Social...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...

  15. 45 CFR 233.145 - Expiration of medical assistance programs under titles I, IV-A, X, XIV and XVI of the Social...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...

  16. 45 CFR 233.145 - Expiration of medical assistance programs under titles I, IV-A, X, XIV and XVI of the Social...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...

  17. 45 CFR 233.145 - Expiration of medical assistance programs under titles I, IV-A, X, XIV and XVI of the Social...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... titles I, IV-A, X, XIV and XVI of the Social Security Act. 233.145 Section 233.145 Public Welfare... FINANCIAL ASSISTANCE PROGRAMS § 233.145 Expiration of medical assistance programs under titles I, IV-A, X..., enacted July 30, 1965, no payment may be made to any State under title I, IV-A, X, XIV or XVI of the...

  18. Flow-controlled expiration: a novel ventilation mode to attenuate experimental porcine lung injury.

    PubMed

    Goebel, U; Haberstroh, J; Foerster, K; Dassow, C; Priebe, H-J; Guttmann, J; Schumann, S

    2014-09-01

    Whereas the effects of various inspiratory ventilatory modifications in lung injury have extensively been studied, those of expiratory ventilatory modifications are less well known. We hypothesized that the newly developed flow-controlled expiration (FLEX) mode provides a means of attenuating experimental lung injury. Experimental acute respiratory distress syndrome was induced by i.v. injection of oleic acid in 15 anaesthetized and mechanically ventilated pigs. After established lung injury ([Formula: see text]ratio <27 kPa), animals were randomized to either a control group receiving volume-controlled ventilation (VCV) or a treatment group receiving VCV with additional FLEX (VCV+FLEX). At predefined times, lung mechanics and oxygenation were assessed. At the end of the experiment, the pigs were killed, and bronchoalveolar fluid and lung biopsies were taken. Expression of inflammatory cytokines was analysed in lung tissue and bronchoalveolar fluid. Lung injury score was determined on the basis of stained tissue samples. Compared with the control group (VCV; n=8), the VCV+FLEX group (n=7) demonstrated greater dynamic lung compliance and required less PEEP at comparable [Formula: see text] (both P<0.05), had lower regional lung wet-to-dry ratios and lung injury scores (both P<0.001), and showed less thickening of alveolar walls (an indicator of interstitial oedema) and de novo migration of macrophages into lung tissue (both P<0.001). The newly developed FLEX mode is able to attenuate experimental lung injury. FLEX could provide a novel means of lung-protective ventilation. © The Author [2014]. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  19. Product-line extensions and pricing strategies of brand-name drugs facing patent expiration.

    PubMed

    Hong, Song Hee; Shepherd, Marvin D; Scoones, David; Wan, Thomas T H

    2005-01-01

    This study proposed an alternative to brand loyalty as the explanation for the continued price rigidity of patent-expired brand-name prescription drugs despite the increase in market entry of generic drugs facilitated by the 1984 Drug Price Competition and Patent Term Restoration Act. Study hypotheses were to test (1) whether market entries of new-product extensions are associated with market success of original brand-name drugs before generic drug entry, and (2) whether original brand-name drugs exhibit price rigidity to generic entry only when they are extended. The design is a retrospective follow-up study for the prescription drug brands that lost their patents between 1987 and 1992. The drug brands were limited to nonantibiotic, orally administered drugs containing only 1 active pharmaceutical ingredient. Information on patent expiration, entry of a product extension, and market success were determined from the U.S. Food and Drug Administration.s Orange Book, First DataBank, and American Druggist, respectively. Market success was defined as whether an original drug brand was listed in the top 100 prescriptions most frequently dispensed before facing generic entry. Product-line extension was defined as the appearance of another product that a company introduces within the same market after its existing product. Drug prices were average wholesale prices from the Drug Topics Red Book. The relationship between product-line extension and market success was examined using a logistic regression analysis. The price rigidity to entry was tested using a panel regression analysis. A total of 27 drug brands lost their patents between 1987 and 1992. Drug brands that achieved market success were 16 times more likely to be extended than were those that did not (OR=16, 95% confidence interval, 2.12-120.65). The price rigidity to entry existed in drug brands with extensions (beta=2.65%, P <0.033), but not in those brands without extensions (beta=-2.40%, P <0.001). This study

  20. 78 FR 44183 - Self-Regulatory Organizations; Miami International Securities Exchange LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... Expiration Contracts, and to foster cooperation with persons engaged in the clearance and settlement of... to amend Exchange Rule 700, Exercise of Option Contracts, to describe accurately the deadlines for... expiration date for most option contracts to the third Friday of the expiration month instead of the Saturday...

  1. Infused chemotherapy use in the elderly after patent expiration.

    PubMed

    Conti, Rena M; Rosenthal, Meredith B; Polite, Blase N; Bach, Peter B; Shih, Ya-Chen Tina

    2012-05-01

    The use of anticancer drugs (chemotherapies) is an important determinant of national spending trends. Recent policies have aimed to accelerate generic entry among chemotherapies to generate cost savings. We examined the effects of generic entry on the choice of chemotherapy for the treatment of metastatic colorectal cancer (MCRC) between 2006 and 2009 using autoregressive-moving average modeling with case control. A nationally representative sample of oncologists and patients with cancer (age ≥ 65 years) was employed to estimate the magnitude and significance of the impact of the generic entry of irinotecan in February 2008 on the number of administrations of irinotecan compared with oxaliplatin. The generic entry of irinotecan resulted in a 17% to 19% decrease (P < .001) in use among elderly patients with MCRC compared with oxaliplatin. The results were robust to multiple sensitivity checks. This study provides novel and robust estimates of the decline in use of a chemotherapy to treat a common cancer in the elderly after patent expiration. The results suggest estimates from a previous Office of the Inspector General report of the potential savings derived from the generic entry of irinotecan for public payers are an overestimate, likely confounded by oncologists' response to financial incentives, changes in scientific evidence, and promotional activities. As calls for improving the quality and cost efficiency of oncology increase, future empirical work is needed to examine the responsiveness of oncologists' treatment decision making to incentives among patients of all ages and insurance types.

  2. Infused chemotherapy use in the elderly after patent expiration.

    PubMed

    Conti, Rena M; Rosenthal, Meredith B; Polite, Blase N; Bach, Peter B; Shih, Ya-Chen Tina

    2012-05-01

    The use of anticancer drugs (chemotherapies) is an important determinant of national spending trends. Recent policies have aimed to accelerate generic entry among chemotherapies to generate cost savings. We examined the effects of generic entry on the choice of chemotherapy for the treatment of metastatic colorectal cancer (MCRC) between 2006 and 2009 using autoregressivemoving average modeling with case control. A nationally representative sample of oncologists and patients with cancer (aged ≥65 years) was employed to estimate the magnitude and significance of the impact of the generic entry of irinotecan in February 2008 on the number of administrations of irinotecan compared with oxaliplatin. The generic entry of irinotecan resulted in a 17% to 19% decrease (P <.001) in use among elderly patients with MCRC compared with oxaliplatin. The results were robust to multiple sensitivity checks. This study provides novel and robust estimates of the decline in use of a chemotherapy to treat a common cancer in the elderly after patent expiration. The results suggest estimates from a previous Office of the Inspector General report of the potential savings derived from the generic entry of irinotecan for public payers are an overestimate, likely confounded by oncologists' response to financial incentives, changes in scientific evidence, and promotional activities. As calls for improving the quality and cost efficiency of oncology increase, future empirical work is needed to examine the responsiveness of oncologists' treatment decision making to incentives among patients of all ages and insurance types.

  3. 77 FR 42026 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-17

    ... greater than $100) in premium in each of the front two expiration months and 80% of the time for series... previous trading day's last sale price was greater than $100) in premium across all expiration months in... by other exchanges employing similar pricing schemes. For example, NASDAQ OMX PHLX, Inc. (``PHLX...

  4. 26 CFR 301.6501(d)-1 - Request for prompt assessment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... which is contemplating dissolution, is in the process of dissolution, or has been dissolved, may be... that the corporation contemplates dissolution at or before the expiration of such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun...

  5. 26 CFR 301.6501(d)-1 - Request for prompt assessment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... which is contemplating dissolution, is in the process of dissolution, or has been dissolved, may be... that the corporation contemplates dissolution at or before the expiration of such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun...

  6. 26 CFR 301.6501(d)-1 - Request for prompt assessment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... which is contemplating dissolution, is in the process of dissolution, or has been dissolved, may be... that the corporation contemplates dissolution at or before the expiration of such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun...

  7. 26 CFR 301.6501(d)-1 - Request for prompt assessment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... which is contemplating dissolution, is in the process of dissolution, or has been dissolved, may be... that the corporation contemplates dissolution at or before the expiration of such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun...

  8. 26 CFR 301.6501(d)-1 - Request for prompt assessment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... which is contemplating dissolution, is in the process of dissolution, or has been dissolved, may be... that the corporation contemplates dissolution at or before the expiration of such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun...

  9. 25 CFR 162.596 - What will BIA do if a lessee remains in possession after a WSR lease expires or is terminated or...

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 1 2013-04-01 2013-04-01 false What will BIA do if a lessee remains in possession after a WSR lease expires or is terminated or cancelled? 162.596 Section 162.596 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER LEASES AND PERMITS Wind and Solar Resource Leases Wsr...

  10. 25 CFR 162.596 - What will BIA do if a lessee remains in possession after a WSR lease expires or is terminated or...

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 1 2014-04-01 2014-04-01 false What will BIA do if a lessee remains in possession after a WSR lease expires or is terminated or cancelled? 162.596 Section 162.596 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR LAND AND WATER LEASES AND PERMITS Wind and Solar Resource Leases Wsr...

  11. 76 FR 71416 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-17

    ... greater than $100) in premium in each of the front two expiration months and 80% of the time for series... previous trading day's last sale price was greater than $100) in premium across all expiration months in... allocated because the fee is within the range of fees assessed by other exchanges employing similar pricing...

  12. The Additional Costs per Month of Progression-Free Survival and Overall Survival: An Economic Model Comparing Everolimus with Cabozantinib, Nivolumab, and Axitinib for Second-Line Treatment of Metastatic Renal Cell Carcinoma.

    PubMed

    Swallow, Elyse; Messali, Andrew; Ghate, Sameer; McDonald, Evangeline; Duchesneau, Emilie; Perez, Jose Ricardo

    2018-04-01

    When considering optimal second-line treatments for metastatic renal cell carcinoma (mRCC), clinicians and payers seek to understand the relative clinical benefits and costs of treatment. To use an economic model to compare the additional cost per month of overall survival (OS) and of progression-free survival (PFS) for cabozantinib, nivolumab, and axitinib with everolimus for the second-line treatment of mRCC from a third-party U.S. payer perspective. The model evaluated mean OS and PFS and costs associated with drug acquisition/administration; adverse event (AE) treatment; monitoring; and postprogression (third-line treatment, monitoring, and end-of-life costs) over 1- and 2-year horizons. Efficacy, safety, and treatment duration inputs were estimated from regimens' pivotal clinical trials; for everolimus, results were weighted across trials. Mean 1- and 2-year OS and mean 1-year PFS were estimated using regimens' reported OS and PFS Kaplan-Meier curves. Dosing and administration inputs were consistent with approved prescribing information and the clinical trials used to estimate efficacy and safety inputs. Cost inputs came from published literature and public data. Additional cost per additional month of OS or PFS was calculated using the ratio of the cost difference per treated patient and the corresponding difference in mean OS or PFS between everolimus and each comparator. One-way sensitivity analyses were conducted by varying efficacy and cost inputs. Compared with everolimus, cabozantinib, nivolumab, and axitinib were associated with 1.6, 0.3, and 0.5 additional months of PFS, respectively, over 1 year. Cabozantinib and nivolumab were associated with additional months of OS compared with everolimus (1 year: 0.7 and 0.8 months; 2 years: 1.6 and 2.3 months; respectively); axitinib was associated with fewer months (1 year: -0.2 months; 2 years: -0.7 months). The additional costs of treatment with cabozantinib, nivolumab, or axitinib versus everolimus over 1

  13. 78 FR 64563 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-29

    ... preference to not have a mix of options with open interest that expire on different days in a single month... that European-style options can be exercised only on the expiration date if such day is a business day or, in the case of option contracts expiring on a day that is not a business day, the last business...

  14. 78 FR 15073 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-08

    ... will not apply to such long-term options series until the time to expiration is less than nine months... trading on the Exchange, the Exchange shall from time to time open for trading series of options therein... not apply to options series until the time to expiration is less than nine months (that is, until such...

  15. 76 FR 38444 - [Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Order Granting Approval of Proposed Rule...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-30

    ... expiration month and series for each class of approved stock index options, and that the Exchange may open... to the rules in place for the listing of expiration months and series in stock or exchange-traded-fund (``ETF'') options.\\4\\ \\4\\ See Phlx Rule 1012(a)(1)(A); see also Nasdaq Rules Chapter IV, Section 6...

  16. Forced expirations and maximum expiratory flow-volume curves during sustained microgravity on SLS-1.

    PubMed

    Elliott, A R; Prisk, G K; Guy, H J; Kosonen, J M; West, J B

    1996-07-01

    Gravity is known to influence the mechanical behavior of the lung and chest wall. However, the effect of sustained microgravity (microG) on forced expirations has not previously been reported. Tests were carried out by four subjects in both the standing and supine postures during each of seven preflight and four postflight data-collection sessions and four times during the 9 days of microG exposure on Spacelab Life Sciences-1. Compared with preflight standing values, peak expiratory flow rate (PEFR) was significantly reduced by 12.5% on flight day 2 (FD2), 11.6% on FD4, and 5.0% on FD5 but returned to standing values by FD9. The supine posture caused a 9% reduction in PEFR. Forced vital capacity and forced expired volume in 1 s were slightly reduced (approximately 3-4%) on FD2 but returned to preflight standing values on FD4 and FD5, and by FD9 both values were slightly but significantly greater than standing values. Forced vital capacity and forced expiratory volume in 1 s were both reduced in the supine posture (approximately 8-10%). Forced expiratory flows at 50% and between 25 and 75% of vital capacity did not change during microG but were reduced in the supine posture. Analysis of the maximum expiratory flow-volume curve showed that microG caused no consistent change in the curve configuration when individual in-flight days were compared with preflight standing curves, although two subjects did show a slight reduction in flows at low lung volumes from FD2 to FD9. The interpretation of the lack of change in curve configuration must be made cautiously because the lung volumes varied from day to day in flight. Therefore, the flows at absolute lung volumes in microG and preflight standing are not being compared. The supine curves showed a subtle but consistent reduction in flows at low lung volumes. The mechanism responsible for the reduction in PEFR is not clear. It could be due to a lack of physical stabilization when performing the maneuver in the absence of

  17. Influence of pharyngeal airway respiration pressure on Class II mandibular retrusion in children: A computational fluid dynamics study of inspiration and expiration.

    PubMed

    Iwasaki, T; Sato, H; Suga, H; Takemoto, Y; Inada, E; Saitoh, I; Kakuno, K; Kanomi, R; Yamasaki, Y

    2017-05-01

    To examine the influence of negative pressure of the pharyngeal airway on mandibular retraction during inspiration in children with nasal obstruction using the computational fluid dynamics (CFD) method. Sixty-two children were divided into Classes I, II (mandibular retrusion) and III (mandibular protrusion) malocclusion groups. Cone-beam computed tomography data were used to reconstruct three-dimensional shapes of the nasal and pharyngeal airways. Airflow pressure was simulated using CFD to calculate nasal resistance and pharyngeal airway pressure during inspiration and expiration. Nasal resistance of the Class II group was significantly higher than that of the other two groups, and oropharyngeal airway inspiration pressure in the Class II (-247.64 Pa) group was larger than that in the Class I (-43.51 Pa) and Class III (-31.81 Pa) groups (P<.001). The oropharyngeal airway inspiration-expiration pressure difference in the Class II (-27.38 Pa) group was larger than that in the Class I (-5.17 Pa) and Class III (0.68 Pa) groups (P=.006). Large negative inspiratory pharyngeal airway pressure due to nasal obstruction in children with Class II malocclusion may be related to their retrognathia. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  18. Systems biology of stored blood cells: can it help to extend the expiration date?

    PubMed

    Paglia, Giuseppe; Palsson, Bernhard Ø; Sigurjonsson, Olafur E

    2012-12-05

    With increasingly stringent regulations regarding deferral and elimination of blood donors it will become increasingly important to extend the expiration date of blood components beyond the current allowed storage periods. One reason for the storage time limit for blood components is that platelets and red blood cells develop a condition called storage lesions during their storage in plastic blood containers. Systems biology provides comprehensive bio-chemical descriptions of organisms through quantitative measurements and data integration in mathematical models. The biological knowledge for a target organism can be translated in a mathematical format and used to compute physiological properties. The use of systems biology represents a concrete solution in the study of blood cell storage lesions, and it may open up new avenues towards developing better storage methods and better storage media, thereby extending the storage period of blood components. This article is part of a Special Issue entitled: Integrated omics. Copyright © 2012 Elsevier B.V. All rights reserved.

  19. Patent extension policy for paediatric indications: an evaluation of the impact within three drug classes in a state Medicaid programme.

    PubMed

    Nelson, Richard E; McAdam-Marx, Carrie; Evans, Megan L; Ward, Robert; Campbell, Benjamin; Brixner, Diana; Lafleur, Joanne

    2011-05-01

    The Food and Drug Administration Modernization Act (FDAMA) of 1997, Best Pharmaceuticals for Children Act (BPCA) of 2002 and Pediatric Research Equity Act of 2007 provide an extended period of 6 months of marketing exclusivity (i.e. patent extension) to prescription drug manufacturers that conduct paediatric studies. Branded drugs in the statin, ACE inhibitor and selective serotonin reuptake inhibitor (SSRI) classes were three of many classes with drugs granted patent extensions. We estimated the cost impact of the 6-month exclusivity extension policy on the Utah Medicaid drug programme by comparing actual costs to projected costs had the 6-month exclusivity extension not been granted for these drugs and thus less expensive generic alternatives been available sooner. Using these results, we then projected the cost impact of this policy on Medicaid programmes in the US during the 18 months following patent expiration. The Utah Medicaid prescription claims obtained for statins, ACE inhibitors and SSRIs included reimbursement amount, number of units dispensed, days supplied, date of service and drug strength. Actual expenditures for each drug were calculated for the 6 months before and 12 months after generic availability. The percentage difference between the brand name prescription reimbursement amount to Medicaid in the last 2 months of the 6-month extension and the generic prescription reimbursement amount to Medicaid in the first 2 months following exclusivity expiration was then calculated for each drug. This was done using data from the 5 months surrounding the exclusivity expiration by regressing the log-transformed Utah Medicaid reimbursement amount on an indicator for patent expiration, controlling for number of units, volume of sales, month filled and strength. This was used to estimate what the initial generic prescription price would have been without the 6-month patent extension and what costs would have been in the 18 months following the original

  20. The impact of expired commercial drugs on non-target marine species: A case study with the use of a battery of biomarkers in hemocytes of mussels.

    PubMed

    Politakis, Nektarios; Belavgeni, Alexia; Efthimiou, Ioanna; Charalampous, Nikolina; Kourkouta, Chara; Dailianis, Stefanos

    2018-02-01

    The present study investigated the effects of two expired commercial medicines, like Buscopan Plus and Mesulid, commonly classified as household medical wastes, on hemocytes of mussel Mytilus galloprovincialis. Mussel hemocytes' lysosomal membrane stability (in terms of neutral red retention assay), superoxide anions (O 2 · - ) and nitric oxides (NO, in terms of nitrites) production, lipid peroxidation (in terms of malondialdehyde/MDA content) and the formation of nuclear abnormalities (using the micronucleus/MN assay) were assessed in hemocytes of mussels treated for 7 days with appropriate amounts of each drug (the concentrations of active substances were considered in each case, due to the absence of data related with the excipients) as well as in hemocytes of post-treated/recovered mussels (7 days post-treatment/recovery period). According to the results, treated mussels showed significantly decreased NRRT values, enhanced O 2 · - , NO and MDA levels, as well as high frequencies of nuclear abnormalities in both cases. Thοse effects showed a drastic reduction in almost all cases, after the post-treatment/recovery period. Moreover, the "stress on stress" method, commonly performed for estimating mussels' ability to survive in air, showed significantly reduced LT 50 values in challenged mussels, compared to values observed in control mussels. The current findings revealed for the first time that both expired commercial drugs could affect mussels, probably via the formation of active substances bioactivated metabolites, as well as excipients, such as TiO 2 and SiO 2 , at least in case of Buscopan plus. Although further research is needed, the current findings indicate the environmental impact of expired commercial drugs, thus revealing the need for the proper disposal of household medical wastes. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Impact of the addition of new vaccines in the early childhood schedule on vaccine coverage by 24 months of age from 2006 to 2016 in Quebec, Canada.

    PubMed

    Kiely, Marilou; Boulianne, Nicole; Talbot, Denis; Ouakki, Manale; Guay, Maryse; Landry, Monique; Zafack, Joseline; Sauvageau, Chantal; De Serres, Gaston

    2018-07-05

    Between 2004 and 2016, in the province of Quebec (Canada), 4 new antigens were added in the early childhood vaccine schedule from birth to 18 months, increasing the number of injections or doses needed from 7 to 12. These additions may have decreased the proportion of children who had received all recommended vaccines. To assess the impact of the introduction of new vaccines to the childhood schedule on the 24-month vaccine coverage from 2006 to 2016 and identify factors associated with incomplete vaccination status by 24 months of age. We used the data from six cross-sectional vaccine coverage surveys conducted every two years which included a total of 3515 children aged 2 years old and randomly selected from the Quebec public health insurance database. Factors associated with an incomplete vaccine status by 24 months were identified with multivariable logistic regression. Despite the addition of 4 new vaccine antigens since 2004, the vaccine coverage remained high from 2006 (82.4%) through 2016 (88.3%) for vaccines present in the schedule since 2006. In 2016, vaccine coverage was 78.2% for all vaccines included in the schedule. The vaccine coverage of new vaccines increases rapidly within 2 years of their introduction. For both new and older vaccines, incomplete vaccine status by 24 months of age is associated with a delay of 30 days or more in receiving the vaccines scheduled at 2 and 12 months of age. Increasing to 12 the number of doses in the recommended schedule has slightly reduced the vaccine coverage by 24 months of age and the vaccine coverage of vaccines already in the schedule remained stable over the years. Future additions to the vaccine schedule may not be similarly accepted by the population and this will require continuing the monitoring of vaccine coverage. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. 78 FR 49563 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-14

    ... futures on all of the volatility indexes that underlie volatility index options trading on CBOE. Currently, volatility index (security) futures expirations correspond to each volatility index options expiration months...-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Proposed Rule To Amend Rule...

  3. A new method for noninvasive measurement of pulmonary gas exchange using expired gas.

    PubMed

    West, John B; Prisk, G Kim

    2018-01-01

    Measurement of the gas exchange efficiency of the lung is often required in the practice of pulmonary medicine and in other settings. The traditional standard is the values of the PO2, PCO2, and pH of arterial blood. However arterial puncture requires technical expertise, is invasive, uncomfortable for the patient, and expensive. Here we describe how the composition of expired gas can be used in conjunction with pulse oximetry to obtain useful measures of gas exchange efficiency. The new procedure is noninvasive, well tolerated by the patient, and takes only a few minutes. It could be particularly useful when repeated measurements of pulmonary gas exchange are required. One product of the procedure is the difference between the PO2 of end-tidal alveolar gas and the calculated PO2 of arterial blood. This measurement is related to the classical alveolar-arterial PO2 difference based on ideal alveolar gas. However that traditional index is heavily influenced by lung units with low ventilation-perfusion ratios, whereas the new index has a broader physiological basis because it includes contributions from the whole lung. Copyright © 2017 Elsevier B.V. All rights reserved.

  4. Chemical Potency and Degradation Products of Medications Stored Over 550 Earth Days at the International Space Station.

    PubMed

    Wotring, Virginia E

    2016-01-01

    Medications degrade over time, and degradation is hastened by extreme storage conditions. Current procedures ensure that medications aboard the International Space Station (ISS) are restocked before their expiration dates, but resupply may not be possible on future long-duration exploration missions. For this reason, medications stored on the ISS were returned to Earth for analysis. This was an opportunistic, observational pilot-scale investigation to test the hypothesis that ISS-aging does not cause unusual degradation. Nine medications were analyzed for active pharmaceutical ingredient (API) content and degradant amounts; results were compared to 2012 United States Pharmacopeia (USP) requirements. The medications were two sleep aids, two antihistamines/decongestants, three pain relievers, an antidiarrheal, and an alertness medication. Because the samples were obtained opportunistically from unused medical supplies, each medication was available at only 1 time point and no control samples (samples aged for a similar period on Earth) were available. One medication met USP requirements 5 months after its expiration date. Four of the nine (44% of those tested) medications tested met USP requirements 8 months post expiration. Another three medications (33%) met USP guidelines 2-3 months before expiration. One compound, a dietary supplement used as a sleep aid, failed to meet USP requirements at 11 months post expiration. No unusual degradation products were identified. Limited, evidence-based extension of medication shelf-lives may be possible and would be useful in preparation for lengthy exploration missions. Only analysis of flight-aged samples compared to appropriately matched ground controls will permit determination of the spaceflight environment on medication stability.

  5. 78 FR 47809 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-06

    ... the volume, open interest, and trading patterns data that the Exchange proposes to include in the... program. The Exchange noted that the analysis would examine trading in the proposed option product as well...-the-month (``Expiration Friday'') expiration dates, for which the exercise settlement value will be...

  6. Point-of-care urine albumin in general practice offices: effect of participation in an external quality assurance scheme.

    PubMed

    Bukve, Tone; Røraas, Thomas; Riksheim, Berit Oddny; Christensen, Nina Gade; Sandberg, Sverre

    2015-01-01

    The Norwegian Quality Improvement of Primary Care Laboratories (Noklus) offers external quality assurance (EQA) schemes (EQASs) for urine albumin (UA) annually. This study analyzed the EQA results to determine how the analytical quality of UA analysis in general practice (GP) offices developed between 1998 (n=473) and 2012 (n=1160). Two EQA urine samples were distributed yearly to the participants by mail. The participants measured the UA of each sample and returned the results together with information about their instrument, the profession and number of employees at the office, frequency of internal quality control (IQC), and number of analyses per month. In the feedback report, they received an assessment of their analytical performance. The number of years that the GP office had participated in Noklus was inversely related to the percentage of "poor" results for quantitative but not semiquantitative instruments. The analytical quality improved for participants using quantitative instruments who received an initial assessment of "poor" and who subsequently changed their instrument. Participants using reagents that had expired or were within 3 months of the expiration date performed worse than those using reagents that were expiring in more than 3 months. Continuous participation in the Noklus program improved the performance of quantitative UA analyses at GP offices. This is probably in part attributable to the complete Noklus quality system, whereby in addition to participating in EQAS, participants are visited by laboratory consultants who examine their procedures and provide practical advice and education regarding the use of different instruments.

  7. 78 FR 53007 - Additional Designations, Foreign Narcotics Kingpin Designation Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-27

    ... MORALES, Jairo Estuardo (a.k.a. ``EL PELON''), Aldea Dona Maria, Zacapa, Guatemala; DOB 28 Sep 1973; POB Zacapa, Guatemala; nationality Guatemala; citizen Guatemala; Cedula No. R-19 42080 (Guatemala); Passport 111904000420805 (Guatemala) issued 28 Aug 2008 expires 28 Aug 2013 (individual) [SDNTK]. Dated: August 20, 2013...

  8. 78 FR 41176 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ... market conditions. The text of the proposed rule change is available on the Exchange's Web site at http... business day prior to a monthly expiration in the event of unusual market conditions. This is a competitive... expiration if unusual market conditions exist. NYSE MKT, NYSE Arca, and CBOE amended their rules to permit...

  9. 75 FR 49010 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-12

    ... also proposes to identify EOW and EOM trading patterns by undertaking a time series analysis of open... a Friday, the Exchange will list an End of Month expiration series and not an End of Week expiration... continue to exist. However, any further trading in those series would be restricted to transactions where...

  10. Mechanistic Approach to Stability Studies as a Tool for the Optimization and Development of New Products Based on L. rhamnosus Lcr35® in Compliance with Current Regulations

    PubMed Central

    Muller, Claudia; Busignies, Virginie; Mazel, Vincent; Forestier, Christiane; Nivoliez, Adrien; Tchoreloff, Pierre

    2013-01-01

    Probiotics are of great current interest in the pharmaceutical industry because of their multiple effects on human health. To beneficially affect the host, an adequate dosage of the probiotic bacteria in the product must be guaranteed from the time of manufacturing to expiration date. Stability test guidelines as laid down by the ICH-Q1A stipulate a minimum testing period of 12 months. The challenge for producers is to reduce this time. In this paper, a mechanistic approach using the Arrhenius model is proposed to predict stability. Applied for the first time to laboratory and industrial probiotic powders, the model was able to provide a reliable mathematical representation of the effects of temperature on bacterial death (R2>0.9). The destruction rate (k) was determined according to the manufacturing process, strain and storage conditions. The marketed product demonstrated a better stability (k = 0.08 months−1) than the laboratory sample (k = 0.80 months−1). With industrial batches, k obtained at 6 months of studies was comparable to that obtained at 12 months, evidence of the model’s robustness. In addition, predicted values at 12 months were greatly similar (±30%) to those obtained by real-time assessing the model’s reliability. This method could be an interesting approach to predict the probiotic stability and could reduce to 6 months the length of stability studies as against 12 (ICH guideline) or 24 months (expiration date). PMID:24244412

  11. An Act to extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011.

    THOMAS, 111th Congress

    Rep. Dingell, John D. [D-MI-15

    2009-10-29

    02/27/2010 Became Public Law No: 111-141. (TXT | PDF) (All Actions) Notes: Title on passage: To extend expiring provisions of the USA PATRIOT Improvement and Reauthorization Act of 2005 and Intelligence Reform and Terrorism Prevention Act of 2004 until February 28, 2011. Tracker: This bill has the status Became LawHere are the steps for Status of Legislation:

  12. 17 CFR 150.1 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ....1 Definitions. As used in this part— (a) Spot month means the futures contract next to expire during... means each separate futures trading month, other than the spot month future. (c) All-months means the sum of all futures trading months including the spot month future. (d) Eligible entity means— A...

  13. 17 CFR 150.1 - Definitions.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ....1 Definitions. As used in this part— (a) Spot month means the futures contract next to expire during... means each separate futures trading month, other than the spot month future. (c) All-months means the sum of all futures trading months including the spot month future. (d) Eligible entity means— A...

  14. Association Between Low Trough Levels of Vedolizumab During Induction Therapy for Inflammatory Bowel Diseases and Need for Additional Doses Within 6 Months.

    PubMed

    Williet, Nicolas; Boschetti, Gilles; Fovet, Marion; Di Bernado, Thomas; Claudez, Pierre; Del Tedesco, Emilie; Jarlot, Camille; Rinaldi, Leslie; Berger, Anne; Phelip, Jean-Marc; Flourie, Bernard; Nancey, Stéphane; Paul, Stéphane; Roblin, Xavier

    2017-11-01

    We investigated whether serum trough levels of vedolizumab, a humanized monoclonal antibody against integrin α4β7, during the induction phase of treatment can determine whether patients will need additional doses (optimization of therapy) within the first 6 months. We conducted an observational study of 47 consecutive patients with Crohn's disease (CD; n = 31) or ulcerative colitis (UC; n = 16) who had not responded to 2 previous treatment regimens with antagonists of tumor necrosis factor and were starting therapy with vedolizumab at 2 hospitals in France, from June 2014 through April 2016. All patients were given a 300-mg infusion of vedolizumab at the start of the study, Week 2, Week 6, and then every 8 weeks; patients were also given corticosteroids during the first 4-6 weeks. Patients not in remission at Week 6 were given additional doses of vedolizumab at Week 10 and then every 4 weeks (extended therapy or optimization). Remission at Week 6 of treatment was defined as CD activity score below 150 points for patients with CD and a partial Mayo Clinic score of <3 points, without concomitant corticosteroids, for patients with UC. Blood samples were collected each week and serum levels of vedolizumab and antibodies against vedolizumab were measured using an enzyme-linked immunosorbent assay. Median trough levels of vedolizumab and interquartile ranges were compared using the nonparametric Mann-Whitney test. The primary objective was to determine whether trough levels of vedolizumab measured during the first 6 weeks of induction therapy associated with the need for extended treatment within the first 6 months. Based on response to therapy at Week 6, extended treatment was required for 30 of the 47 patients (23 patients with CD and 7 patients with UC). At Week 2, trough levels of vedolizumab for patients selected for extended treatment were 23.0 μg/mL (interquartile range, 14.0-37.0 μg/mL), compared with 42.5 μg/mL in patients who did not receive extended

  15. Dose monitoring in Partial Liquid Ventilation by infrared measurement of expired perfluorochemicals.

    PubMed

    Mazzoni, M; Nugent, L; Klein, D; Hoffman, J; Sekins, K M; Flaim, S F

    1999-01-01

    Patients undergoing Partial Liquid Ventilation (PLV) with the perfluorochemical liquid perflubron (PFB) continuously evaporate the drug from the lung during ventilatory expiration. In this study, two infrared (IR) devices, a modified industrial analyzer ("experimental prototype") and a custom-designed device suitable for use in a clinical environment ("clinical prototype"), were calibrated and validated on the bench to measure a range of PFB concentrations (CPFB) in a gas stream. PFB loss from the lung (area under the CPFB-vs-time-curve) could be correlated during PLV simulation with changes in tidal volume, breathing rate, and variable CPFB-vs-time profiles. The two IR devices produced nearly identical measurements for the same CPFB standards (maximum deviation = 1.5%). The experimental IR prototype was tested in 17 anesthetized, paralyzed, and ventilated swine (42-53 kg) to quantify the total amount and rate of evaporate loss of PFB over 12 hours of PLV, both with and without periodic supplemental PFB doses. The residual PFB volumes in the animal lungs at the end of the study, as determined by a gravimetric postmortem lung method, were found to agree on average for all animals to within 10% of the residual PFB volume as predicted by the IR approach. Furthermore, the IR signal of CPFB does not appear to correlate with the absolute amount of PFB in the lungs, but may reflect the relative proportion of PFB-wetted airway and alveolar surface. The authors conclude that IR quantitation of PFB evaporative loss is acceptably accurate for extended periods of PLV and may be a useful tool in the clinic for PFB dose monitoring and maintenance, thereby helping to optimize PLV treatment.

  16. Monthly Deaths Number And Concomitant Environmental Physical Activity: 192 Months Observation (1990-2005)

    NASA Astrophysics Data System (ADS)

    Stoupel, E.; Kalediene, R.; Petrauskiene, J.; Starkuviene, S.; Abramson, E.; Israelevich, P.; Sulkes, J.

    2007-12-01

    Human life and health state are dependent on many endogenous and exogenous influence factors. The aim of this study is to check the possible links between monthly deaths distribution and concomitant activity of three groups of cosmophysical factors: solar (SA), geomagnetic (GMA) and cosmic ray (CRA) activities. 192 months death number in years 1990-2005 (n=674004) at the Republic of Lithuania were analyzed. Total and both gender data were considered. In addition to the total death numbers, groups of ischemic heart disease (IHD), stroke (CVA), non-cardiovascular (NCV), accident, traffic accident and suicide-related deaths were studied. Sunspot number and solar radio flux (for SA), Ap, Cp and Am indices (for GMA) and neutron activity on the Earth s surface (for CRA) were the environmental physical activity parameters used in this study. Yearly and monthly deaths distributions were also studied. Pearson correlation coefficients (r) and their probabilities (p) were calculated. Multivariate analysis was conducted. Results revealed: 1) significant correlation of monthly deaths number with CRA (total, stroke, NCV and suicides) and inverse with SA and GMA; 2) significant correlation of monthly number of traffic accidents number with SA and GMA, and inverse with CRA; 3) a strong negative relationship between year and IHD/CVA victims number (an evidence for growing role of stroke in cardiovascular mortality); 4) significant links of rising cardiovascular deaths number at the beginning of the year and traffic accidents victims at the end of the year. It is concluded that CRA is related to monthly deaths distribution.

  17. 76 FR 47647 - Additional Designation of Person Whose Property and Interests in Property Are Blocked Pursuant to...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-05

    ... 10 Apr 1979; POB Garissa, Kenya; nationality Kenya; Kenyan ID No. 23446085 (Kenya); Passport A1180173 (Kenya) expires 20 Aug 2017; (INDIVIDUAL) [SOMALIA] Dated: July 29, 2011. Barbara C. Hammerle, Acting...

  18. Thermographic imaging of facial and ventilatory activity during vocalization, speech and expiration (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Izdebski, Krzysztof; Jarosz, Paweł; Usydus, Ireneusz

    2017-02-01

    Ventilation, speech and singing must use facial musculature to complete these motor tasks and these tasks are fueled by the air we inhale. This motor process requires increase in the blood flow as the muscles contract and relax, therefore skin surface temperature changes are expected. Hence, we used thermography to image these effects. The system used was the thermography camera model FLIR X6580sc with a chilled detector (FLIR Systems Advanced Thermal Solutions, 27700 SW Parkway Ave Wilsonville, OR 97070, USA). To assure improved imaging, the room temperature was air-conditioned to +18° C. All images were recoded at the speed of 30 f/s. Acquired data were analyzed with FLIR Research IR Max Version 4 software and software filters. In this preliminary study a male subject was imaged from frontal and lateral views simultaneously while he performed normal resting ventilation, speech and song. The lateral image was captured in a stainless steel mirror. Results showed different levels of heat flow in the facial musculature as a function of these three tasks. Also, we were able to capture the exalted air jet directionality. The breathing jet was discharged in horizontal direction, speaking voice jet was discharged downwards while singing jet went upward. We interpreted these jet directions as representing different gas content of air expired during these different tasks, with speech having less oxygen than singing. Further studies examining gas exchange during various forms of speech and song and emotional states are warranted.

  19. Outcomes of ≤6-month versus 12-month dual antiplatelet therapy after drug-eluting stent implantation

    PubMed Central

    Villablanca, Pedro A.; Massera, Daniele; Mathew, Verghese; Bangalore, Sripal; Christia, Panagiota; Perez, Irving; Wan, Ningxin; Schulz-Schüpke, Stefanie; Briceno, David F.; Bortnick, Anna E.; Garcia, Mario J.; Lucariello, Richard; Menegus, Mark; Pyo, Robert; Wiley, Jose; Ramakrishna, Harish

    2016-01-01

    Abstract Background: The benefit of ≤6-month compared with 12-month dual antiplatelet therapy (DAPT) after percutaneous coronary intervention (PCI) with drug-eluting stent (DES) placement remains controversial. We performed a meta-analysis and meta-regression of ≤6-month versus 12-month DAPT in patients undergoing PCI with DES placement. Methods: We conducted electronic database searches of randomized controlled trials (RCTs) comparing DAPT durations after DES placement. For studies with longer follow-up, outcomes at 12 months were identified. Odds ratios and 95% confidence intervals were computed with the Mantel–Haenszel method. Fixed-effect models were used; if heterogeneity (I2) > 40 was identified, effects were obtained with random models. Results: Nine RCTs were included with total n = 19,224 patients. No significant differences were observed between ≤6-month compared with 12-month DAPT in all-cause mortality (OR 0.87; 95% confidence interval (CI): 0.69–1.11), cardiovascular (CV) mortality (OR 0.89; 95% CI: 0.66–1.21), non-CV mortality (OR 0.85; 95% 0.58–1.24), myocardial infarction (OR 1.10; 95% CI: 0.89–1.37), stroke (OR 0.97; 95% CI: 0.67–1.42), stent thrombosis (ST) (OR 1.37; 95% CI: 0.89–2.10), and target vessel revascularization (OR 0.95; 95% CI: 0.77–1.18). No significant difference in major bleeding (OR 0.72; 95% CI: 0.49–1.05) was observed, though the all-bleeding event rate was significantly lower in the ≤6-month DAPT group (OR 0.76; 95% CI: 0.59–0.96). In the meta-regression analysis, a significant association between bleeding events and non-CV mortality with 12-month DAPT was found, as well as between ST and mortality in addition to MI with ≤6-month DAPT. Conclusion: DAPT for ≤6 months is associated with similar mortality and ischemic outcomes but less bleeding events compared with 12-month DAPT after PCI with DES. PMID:28033306

  20. 47 CFR 101.79 - Sunset provisions for licensees in the 1850-1990 MHz, 2110-2150 MHz, and 2160-2200 MHz bands.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... licensee (including MSS/ATC operator) requires use of the spectrum. ET licensees are not required to pay... no less than six months to vacate the spectrum. After the six-month notice period has expired, the... within the six-month period (e.g., because no alternative spectrum or other reasonable option is...

  1. 47 CFR 101.79 - Sunset provisions for licensees in the 1850-1990 MHz, 2110-2150 MHz, and 2160-2200 MHz bands.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... licensee (including MSS/ATC operator) requires use of the spectrum. ET licensees are not required to pay... no less than six months to vacate the spectrum. After the six-month notice period has expired, the... within the six-month period (e.g., because no alternative spectrum or other reasonable option is...

  2. 47 CFR 101.79 - Sunset provisions for licensees in the 1850-1990 MHz, 2110-2150 MHz, and 2160-2200 MHz bands.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... licensee (including MSS/ATC operator) requires use of the spectrum. ET licensees are not required to pay... no less than six months to vacate the spectrum. After the six-month notice period has expired, the... within the six-month period (e.g., because no alternative spectrum or other reasonable option is...

  3. Brainstem Regions Involved in the Expiration Reflex. A c-fos Study in Anesthetized Cats

    PubMed Central

    Poliacek, Ivan; Halasova, Erika; Jakus, Jan; Murin, Peter; Barani, Helena; Stransky, Albert; Bolser, Donald C

    2009-01-01

    Expression of the immediate-early gene c-fos, a marker of neuronal activation, was employed to localize brainstem neuronal populations functionally related to the expiration reflex (ER). Twelve spontaneously breathing, non-decerebrate, pentobarbital anesthetized cats were used. The level of Fos-like immunoreactivity (FLI) in 6 animals with repetitive ERs mechanically induced from the glottis (296±9 ERs) was compared to FLI in 6 control non-stimulated cats. Respiratory rate, arterial blood pressure, and end tidal CO2 concentration remained stable during the experiment. In the medulla, increased FLI was found in the region of nucleus tractus solitarii (p<0.001), in the ventrolateral medulla along with the lateral tegmental field (p<0.01), and in the vestibular nuclei (p<0.01). In the pons, increased FLI was detected in the caudal extensions of the lateral parabrachial and Kölliker-Fuse nuclei (p<0.05). Within the rostral mesencephalon FLI was enhanced in the midline area (p<0.05). A lower level of ER-related FLI compared to control animals was detected in the pontine raphe region (p<0.05) and the lateral division of mesencephalic periaqueductal gray (p<0.05). The results suggest that the ER is coordinated by a complex long loop of medullary-pontine-mesencephalic neuronal circuits, some of which may differ from those of other respiratory reflexes. The FLI related to the expulsive behavior ER differs from that induced by laryngeal stimulation and laryngeal adductor responses, particularly in ventrolateral medulla and mesencephalon. PMID:17964550

  4. 75 FR 65010 - Nationwide Limited Public Interest Waiver Under Section 1605 (Buy American) of the American...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-10-21

    ... (six months from the date of the original waiver issuance). Recipients of EERE Recovery Act funds who... domestically-manufactured cells. This waiver expires February 6, 2011 (six months from the date of the original... limiting the duration of this waiver to six months from the date it was originally issued, with the...

  5. 24 CFR 235.1218 - Additional eligibility requirements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Additional eligibility requirements... interest due and delinquent interest not to exceed two months; and (2) The original principal amount of the... based on the closing price for three-month forward delivery contracts closest to par but not exceeding...

  6. Electric Power Monthly, June 1990

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

    Not Available

    1990-09-13

    The EPM is prepared by the Electric Power Division; Office of Coal, Nuclear, Electric and Alternate Fuels, Energy Information Administration (EIA), Department of Energy. This publication provides monthly statistics at the national, Census division, and State levels for net generation, fuel consumption, fuel stocks, quantity and quality of fuel, electricity sales, and average revenue per kilowatthour of electricity sold. Data on net generation are also displayed at the North American Electric Reliability Council (NERC) region level. Additionally, company and plant level information are published in the EPM on capability of new plants, net generation, fuel consumption, fuel stocks, quantity andmore » quality of fuel, and cost of fuel. Quantity, quality, and cost of fuel data lag the net generation, fuel consumption, fuel stocks, electricity sales, and average revenue per kilowatthour data by 1 month. This difference in reporting appears in the national, Census division, and State level tables. However, at the plant level, all statistics presented are for the earlier month for the purpose of comparison. 40 tabs.« less

  7. Responder Technology Alert Monthly (January 2015)

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

    Upton, Jaki F.; Stein, Steven L.

    As part of technology foraging for the Responder Technology Alliance, established by the Department of Homeland Science and Technologies First Responders Group, this report summarizes technologies that are relevant in the area of “wearables,” with the potential for use by first responders. The content was collected over the previous month(s) and reproduced from a general Internet search using the term wearables. Additional information is available at the websites provided. This report is not meant to be an exhaustive list nor an endorsement of any technology described herein. Rather, it is meant to provide useful information about current developments in themore » areas wearable technology.« less

  8. The characteristics of registered nurses whose licenses expire: why they leave nursing and implications for retention and re-entry.

    PubMed

    Skillman, Susan M; Palazzo, Lorella; Hart, L Gary; Keepnews, David

    2010-01-01

    Little is known about RNs who drop their licenses and their potential re-entry into the nursing workforce. The results of this study provide insight into reasons nurses leave their careers and the barriers to re-entry, all important indicators of the current professional climate for nursing. While representing only one state, these findings suggest that RNs who allow their licenses to expire do so because they have reached retirement age or, among those who do not cite age as a factor, because many are unable or unwilling to work in the field. Inactive nurses who might otherwise appear to be likely candidates for re-entry into the profession may not be easily encouraged to practice nursing again without significant changes in their personal circumstances or the health care work environment. Effective ways to address current and pending RN workforce shortages include expanding RN education capacity to produce more RNs who can contribute to the workforce across the coming decades, and promote work environments in which RNs want to, and are able to, practice across a long nursing career.

  9. 40 CFR 766.35 - Reporting requirements.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... protocol for the test as follows: (A) The protocols for each chlorinated chemical substance produced by... be submitted 12 months after manufacture or importation begins for chlorinated chemical substances... exclusion for chlorinated chemical substances, and 24 months after expiration of the exemption, waiver or...

  10. 40 CFR 766.35 - Reporting requirements.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... protocol for the test as follows: (A) The protocols for each chlorinated chemical substance produced by... be submitted 12 months after manufacture or importation begins for chlorinated chemical substances... exclusion for chlorinated chemical substances, and 24 months after expiration of the exemption, waiver or...

  11. 25 CFR 542.3 - How do I comply with this part?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... the Commission no later than two weeks before the expiration of the nine (9) month period. (c) Tribal... (includes two 6-month periods) encompassing a portion or all of the most recent business year has been... (includes two 6-month periods) encompassing a portion or all of the most recent business year and determine...

  12. 47 CFR 27.1253 - Sunset Provisions.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... the 2150-2160/62 MHz band unless and until an AWS licensee requires use of the spectrum. AWS licensees... months to vacate the spectrum. After the six-month notice period has expired, the BRS licensee must turn... demonstrate that: (1) It cannot relocate within the six-month period (e.g., because no alternative spectrum or...

  13. 47 CFR 27.1253 - Sunset Provisions.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... the 2150-2160/62 MHz band unless and until an AWS licensee requires use of the spectrum. AWS licensees... months to vacate the spectrum. After the six-month notice period has expired, the BRS licensee must turn... demonstrate that: (1) It cannot relocate within the six-month period (e.g., because no alternative spectrum or...

  14. 47 CFR 27.1253 - Sunset Provisions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... the 2150-2160/62 MHz band unless and until an AWS licensee requires use of the spectrum. AWS licensees... months to vacate the spectrum. After the six-month notice period has expired, the BRS licensee must turn... demonstrate that: (1) It cannot relocate within the six-month period (e.g., because no alternative spectrum or...

  15. 15 CFR 280.320 - Maintenance of the certificate of recordal.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... six months following the expiration of the certificate of recordal. (e) After the six-month period... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Maintenance of the certificate of... Trade NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND...

  16. 15 CFR 280.320 - Maintenance of the certificate of recordal.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... six months following the expiration of the certificate of recordal. (e) After the six-month period... 15 Commerce and Foreign Trade 1 2011-01-01 2011-01-01 false Maintenance of the certificate of... Trade NATIONAL INSTITUTE OF STANDARDS AND TECHNOLOGY, DEPARTMENT OF COMMERCE ACCREDITATION AND...

  17. 77 FR 40948 - Additional Designation of Persons Whose Property and Interests in Property Are Blocked Pursuant...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ..., Mombasa, Kenya; DOB 1962; alt. DOB 1967; POB Kenya; citizen Kenya (individual) [SOMALIA]. 3. GOITOM, Taeme... Jan 1969; POB Kenya; alt. POB Lamu Island, Kenya; citizen Kenya (individual) [SOMALIA]. 5. NEGASH..., Kenya; Passport A764712 (Kenya) expires 27 Mar 2013; alt. Passport B002271 (Kenya); alt. Passport...

  18. Measles virus antibody responses in children randomly assigned to receive standard-titer edmonston-zagreb measles vaccine at 4.5 and 9 months of age, 9 months of age, or 9 and 18 months of age.

    PubMed

    Martins, Cesario; Garly, May-Lill; Bale, Carlitos; Rodrigues, Amabelia; Njie-Jobe, Jainaba; Benn, Christine S; Whittle, Hilton; Aaby, Peter

    2014-09-01

    The World Health Organization recommends administration of measles vaccine (MV) at age 9 months in low-income countries. We tested the measles virus antibody response at 4.5, 9, 18, and 24 months of age for children randomly assigned to receive standard-titer Edmonston-Zagreb MV at 4.5 and 9 months, at 9 months, or at 9 and 18 months of age. At 4.5 months of age, 75% had nonprotective measles virus antibody levels. Following receipt of MV at 4.5 months of age, 77% (316/408) had protective antibody levels at 9 months of age; after a second dose at 9 months of age, 97% (326/337) had protective levels at 24 months of age. In addition, the response at both 9 and 24 months of age was inversely correlated with the antibody level at receipt of the first dose of MV, and the second dose of MV, received at 9 months of age, provided a significant boost in antibody level to children who had low antibody levels. In the group of 318 children who received MV at 9 months of age, with or without a second dose at 18 months of age, 99% (314) had protective levels at 24 months of age. The geometric mean titer at 24 months of age was significantly lower in the group that received MV at 4.5 and 9 months of age than in the group that received MV at 9 months of age (P = .0001). In conclusion, an early 2-dose MV schedule was associated with protective measles virus antibody levels at 24 months of age in nearly all children. Clinical Trials Registration. NCT00168558. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  19. 78 FR 75395 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Order Granting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-11

    ... series expire (``Short Term Option Expiration Dates'') at one time; and (ii) state that additional series... Rule Change, as Modified by Amendment No. 1, Relating to the Short Term Option Series Program December... Exchange's Short Term Option Series Program (``Weeklys Program''). The proposed rule change was published...

  20. Pediatric cochlear implants: additional disabilities prevalence, risk factors, and effect on language outcomes.

    PubMed

    Birman, Catherine S; Elliott, Elizabeth J; Gibson, William P R

    2012-10-01

    To determine the prevalence of additional disabilities in a pediatric cochlear population, to identify medical and radiologic conditions associated with additional disabilities, and to identify the effect of additional disabilities on speech perception and language at 12 months postoperatively. Retrospective case review. Tertiary referral center and cochlear implant program. Records were reviewed for children 0 to 16 years old inclusive, who had cochlear implant-related operations over a 12-month period. Diagnostic and rehabilitative. Additional disabilities prevalence; medical history and radiologic abnormalities; and the effect on Categories of Auditory Performance (CAP) score at 12 months postoperatively. Eighty-eight children having 96 operations were identified. The overall prevalence of additional disabilities (including developmental delay, cerebral palsy, visual impairment, autism and attention deficit disorder) was 33%. The main conditions associated with additional disabilities were syndromes and chromosomal abnormalities (87%), jaundice (86%), prematurity (62%), cytomegalovirus (60%), and inner ear abnormalities including cochlea nerve hypoplasia or aplasia (75%) and semicircular canal anomalies (56%). At 12 months postoperatively, almost all (96%) of the children without additional disabilities had a CAP score of 5 or greater (speech), compared with 52% of children with additional disabilities. Children with developmental delay had a median CAP score of 4, at 12 months compared with 6 for those without developmental delay. Additional disabilities are prevalent in approximately a third of pediatric cochlear implant patients. Additional disabilities significantly affect the outcomes of cochlear implants.

  1. Object exploration in extremely preterm infants between 6 and 9 months and relation to cognitive and language development at 24 months.

    PubMed

    Zuccarini, Mariagrazia; Guarini, Annalisa; Savini, Silvia; Iverson, Jana M; Aureli, Tiziana; Alessandroni, Rosina; Faldella, Giacomo; Sansavini, Alessandra

    2017-09-01

    Although early object exploration is considered a key ability for subsequent achievements, very few studies have analyzed its development in extremely low gestational age infants (ELGA- GA <28 weeks), whose early motor skills are delayed. Moreover, no studies have examined its developmental relationship with cognitive and language skills. The present study examined developmental change in Motor Object Exploration (MOE) and different types of MOE (Holding, Oral, Manual and Manual Rhythmic Exploration) in 20 ELGA and 20 full term (FT) infants observed during mother-infant play interaction at 6 and 9 months. It also explored whether specific types of MOE were longitudinally related to 24-month language and cognitive abilities (GMDS-R scores). ELGA infants increased MOE duration from 6 to 9 months, eliminating the initial difference with FT infants. In addition, ELGA infants showed a different pattern of Oral Exploration, that did not increase at 6 months and decrease at 9 months. Oral and Manual Exploration durations at 6 months were longitudinally related to 24-month GMDS-R language and cognitive performance scores respectively. We discuss the relevance of assessing early exploratory abilities in ELGA infants in order to implement customized intervention programs for supporting the development of these skills. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Explaining poorer stroke outcomes in women: women surviving 3 months have more severe strokes than men despite a lower 3-month case fatality.

    PubMed

    Olsen, Tom Skyhøj; Andersen, Zorana Jovanovic; Andersen, Klaus Kaae

    2012-06-01

    Women who survive stroke are more disabled and more often institutionalized than men. We explore this phenomenon by studying case fatality and stroke severity in stroke survivors separately for men and women. A Danish stroke registry (2000-2007) contains information about 26,818 patients with first-ever ischemic stroke, including stroke severity (Scandinavian Stroke Scale, 0 worst to 58 best), computed tomography scan, cardiovascular risk factors, and death 3 months after stroke. We modeled stroke severity by generalized additive linear model and 3-month case fatality with logistic model adjusting for age and cardiovascular risk factors. Male to female ratio was 51.5% to 48.5%. Mean age was 68.8 (SD 12.6) years in men; 73.7 (13.8) years in women. Stroke was more severe in women (mean [SD] Scandinavian Stroke Scale, 42.2 [16.0]) than in men (mean [SD] Scandinavian Stroke Scale, 45.6 [14.2]) also after adjustment for age and cardiovascular risk factors; significant in patients older than 75 years. In survivors at 3 months, stroke was more severe in women than men, given same age and cardiovascular risk factor profile; significant in patients older than 75 years. More women (11.9%) had died within 3 months than men (8.6%). However, adjusting for age, stroke severity, and risk factor profile, 3-month case fatality was lower in women than men; significant in patients older than 78 years. Although 3-month case fatality was lower in women than men, strokes were more severe among survivors at 3 months in women than in men. In addition, strokes were more severe in women. Our data help elucidate why women survive stroke better but have poorer functional outcomes that require more care than men. Copyright © 2012 Elsevier HS Journals, Inc. All rights reserved.

  3. Responder Technology Alert Monthly (Oct-Nov 2014)

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

    Upton, Jaki F.; Stein, Steven L.

    As part of technology foraging for the Responder Technology Alliance, established by the Department of Homeland Science and Technologies First Responders Group, this report summarizes technologies that are relevant in the area of “wearables,” with the potential for use by first responders. The content was collected over the previous month(s) and reproduced from a general Internet search using the term wearables. Additional information is available at the websites provided. This report is not meant to be an exhaustive list nor an endorsement of any technology described herein. Rather, it is meant to provide useful information about current developments in themore » areas wearable technology.« less

  4. 32 CFR 537.11 - Litigation.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... initiate litigation at least six months before the expiration of the statute of limitations (SOL), the RJA or recovery attorney may contact USARCS telephonically if SOL problems necessitate quick action on a...

  5. 27 CFR 70.74 - Request for prompt assessment.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... contemplating dissolution, is in the process of dissolution, or has been dissolved, may be liable, shall be... dissolution at or before the expirationof such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun is completed either before or...

  6. 27 CFR 70.74 - Request for prompt assessment.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... contemplating dissolution, is in the process of dissolution, or has been dissolved, may be liable, shall be... dissolution at or before the expirationof such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun is completed either before or...

  7. 27 CFR 70.74 - Request for prompt assessment.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... contemplating dissolution, is in the process of dissolution, or has been dissolved, may be liable, shall be... dissolution at or before the expirationof such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun is completed either before or...

  8. 27 CFR 70.74 - Request for prompt assessment.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... contemplating dissolution, is in the process of dissolution, or has been dissolved, may be liable, shall be... dissolution at or before the expirationof such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun is completed either before or...

  9. 27 CFR 70.74 - Request for prompt assessment.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... contemplating dissolution, is in the process of dissolution, or has been dissolved, may be liable, shall be... dissolution at or before the expirationof such 18-month period; the dissolution is in good faith begun before the expiration of such 18-month period; and the dissolution so begun is completed either before or...

  10. Maternal communicative functions and mind-mindedness at 16 months as predictors of children's internal and non-internal language at 20 months.

    PubMed

    Longobardi, Emiddia; Spataro, Pietro; Colonnesi, Cristina

    2018-02-01

    The effects of Communicative functions and Mind-Mindedness on children's language development have been typically investigated in separate studies. The present longitudinal research was therefore designed to yield new insight into the simultaneous impact of these two dimensions of maternal responsiveness on the acquisition of expressive language skills in a sample of 25 mother-child dyads. The frequencies of five communicative functions (Tutorial, Didactic, Conversational, Control and Asynchronous) and two types of mind-related comments (attuned vs. non-attuned) were assessed from a 15-min play session at 16 months. Children's expressive language was examined at both 16 months (number of word types and tokens produced, and number of words attributed to the child in the Questionnaire for Communication and Early Language development) and 20 months (number of internal and non-internal words attributed to the child in the Italian version of the Mac Arthur-Bates Communicative Development Inventory). The main finding was that mothers' use of attuned mind-related comments at 16 months predicted internal state language at 20 months, above and beyond the effects of CFs and children's linguistic ability at 16 months; in addition, mothers' Tutorial function at 16 months marginally predicted non-internal state language at 20 months, after controlling for MM and children's linguistic ability at 16 months. These results suggest that different expressions of maternal responsiveness influence distinct aspects of children's expressive language in the second year of life, although the effects of MM appear to be more robust. Copyright © 2017 Elsevier Inc. All rights reserved.

  11. Cough and expiration reflexes elicited by inhaled irritant gases are intensified in ovalbumin-sensitized mice.

    PubMed

    Zhang, Cheng; Lin, Ruei-Lung; Hong, Jeff; Khosravi, Mehdi; Lee, Lu-Yuan

    2017-05-01

    This study was designed to determine the effect of active sensitization with ovalbumin (Ova) on cough responses to inhaled irritant gases in mice. Conscious mice moved freely in a recording chamber, while the pressure change in the chamber and audio and video signals of the mouse movements were recorded simultaneously to measure the frequencies of cough reflex (CR) and expiration reflex (ER). To further verify the accuracy of cough analysis, the intrapleural pressure was also recorded by a telemetry sensor surgically implanted in the intrapleural space in a subgroup of mice. During the irritant gas inhalation challenge, sulfur dioxide (SO 2 ; 200 and 400 ppm) or ammonia (NH 3 ; 0.1% and 0.2%) was drawn into the chamber at a constant flow rate for 8 min. Ova sensitization and sham sensitization with vehicle (Veh) were performed over a 25-day period in separate groups of mice. Our results showed that 1 ) both SO 2 and NH 3 inhalation challenges increased CR and ER frequencies in a concentration-dependent manner before Ova sensitization; 2 ) the baseline CR frequency was significantly elevated after Ova sensitization, accompanied by pronounced airway inflammation; and 3 ) Ova sensitization also markedly augmented the responses of CR and ER to both SO 2 and NH 3 inhalation challenges; in sharp contrast, the cough responses did not change after sham sensitization in the Veh group. In conclusion, Ova sensitization caused distinct and lingering increases in baseline cough frequency, and also intensified both CR and ER responses to inhaled irritant gases, which probably resulted from an allergic inflammation-induced hypersensitivity of airway sensory nerves. Copyright © 2017 the American Physiological Society.

  12. Measurements of pulmonary gas exchange efficiency using expired gas and oximetry: results in normal subjects.

    PubMed

    West, John B; Wang, Daniel L; Prisk, G Kim

    2018-04-01

    We are developing a novel, noninvasive method for measuring the efficiency of pulmonary gas exchange in patients with lung disease. The patient wears an oximeter, and we measure the partial pressures of oxygen and carbon dioxide in inspired and expired gas using miniature analyzers. The arterial Po 2 is then calculated from the oximeter reading and the oxygen dissociation curve, using the end-tidal Pco 2 to allow for the Bohr effect. This calculation is only accurate when the oxygen saturation is <94%, and therefore, these normal subjects breathed 12.5% oxygen. When the procedure is used in patients with hypoxemia, they breathe air. The Po 2 difference between the end-tidal and arterial values is called the "oxygen deficit." Preliminary data show that this index increases substantially in patients with lung disease. Here we report measurements of the oxygen deficit in 20 young normal subjects (age 19 to 31 yr) and 11 older normal subjects (47 to 88 yr). The mean value of the oxygen deficit in the young subjects was 2.02 ± 3.56 mmHg (means ± SD). This mean is remarkably small. The corresponding value in the older group was 7.53 ± 5.16 mmHg (means ± SD). The results are consistent with the age-related trend of the traditional alveolar-arterial difference, which is calculated from the calculated ideal alveolar Po 2 minus the measured arterial Po 2 . That measurement requires an arterial blood sample. The present study suggests that this noninvasive procedure will be valuable in assessing the degree of impaired gas exchange in patients with lung disease.

  13. Survey on air pollution and cardiopulmonary mortality in shiraz from 2011 to 2012: an analytical-descriptive study.

    PubMed

    Dehghani, Mansooreh; Anushiravani, Amir; Hashemi, Hassan; Shamsedini, Narges

    2014-06-01

    Expanding cities with rapid economic development has resulted in increased energy consumption leading to numerous environmental problems for their residents. The aim of this study was to investigate the correlation between air pollution and mortality rate due to cardiovascular and respiratory diseases in Shiraz. This is an analytical cross-sectional study in which the correlation between major air pollutants (including carbon monoxide [CO], sulfur dioxide [SO2], nitrogen dioxide [NO2] and particle matter with a diameter of less than 10 μ [PM10]) and climatic parameters (temperature and relative humidity) with the number of those whom expired from cardiopulmonary disease in Shiraz from March 2011 to January 2012 was investigated. Data regarding the concentration of air pollutants were determined by Shiraz Environmental Organization. Information about climatic parameters was collected from the database of Iran's Meteorological Organization. The number of those expired from cardiopulmonary disease in Shiraz were provided by the Department of Health, Shiraz University of Medical Sciences. We used non-parametric correlation test to analyze the relationship between these parameters. The results demonstrated that in all the recorded data, the average monthly pollutants standard index (PSI) values of PM10 were higher than standard limits, while the average monthly PSI value of NO2 were lower than standard. There was no significant relationship between the number of those expired from cardiopulmonary disease and the air pollutant (P > 0.05). Air pollution can aggravate chronic cardiopulmonary disease. In the current study, one of the most important air pollutants in Shiraz was the PM10 component. Mechanical processes, such as wind blowing from neighboring countries, is the most important parameter increasing PM10 in Shiraz to alarming conditions. The average monthly variation in PSI values of air pollutants such as NO2, CO, and SO2 were lower than standard limits. Moreover

  14. 76 FR 28836 - Self-Regulatory Organizations; Notice of Filing of Proposed Rule Change by NASDAQ OMX PHLX LLC...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-18

    ... trading on the Exchange, the Exchange shall from time to time open for trading series of options therein... Index Option Months and Series May 12, 2011. Pursuant to Section 19(b)(1) of the Securities Exchange Act... one expiration month and one series for each class of index options open for trading on the Exchange...

  15. A needs assessment of unused and expired medication disposal practices: A study from the Medication Safety Research Network of Indiana.

    PubMed

    Kozak, Mary Ann; Melton, Johnna R; Gernant, Stephanie A; Snyder, Margie E

    2016-01-01

    Access and availability of unused and expired medication (UEM) due to improper disposal and storage is a serious issue, potentially leading to abuse and environmental concerns. To describe the extent of the UEM issue in Indiana (U.S. State), identify patient beliefs about UEM, and determine any association between those beliefs and various personal/demographic characteristics. A needs assessment was conducted among community pharmacy patients. A convenience sample of 200 patients from 15 community pharmacies that are part of a practice-based research network (PBRN) in Indiana completed a survey concerning UEM beliefs and behaviors from Feb-March, 2014. Approximately 40% of patients were aware of a UEM take-back location in their community, although only 15% had utilized a UEM take-back location. Seventy-seven percent of patients were willing to drive to a take-back location to return UEM. Particularly vulnerable populations lacking knowledge regarding UEM and access to proper disposal were identified. While states have made efforts to increase accessibility for UEM return, there remains a need for more disposal locations for both non-controlled and controlled medication. Copyright © 2016 Elsevier Inc. All rights reserved.

  16. Streamlining a blood center and hospital transfusion service supply chain with an informatics vendor-managed inventory solution: development, implementation, and 3-month follow-up.

    PubMed

    Tsang, Hamilton C; Garcia, Adam; Scott, Robert; Lancaster, David; Geary, Dianne; Nguyen, Anh-Thu; Shankar, Raina; Buchanan, Leslie; Pham, Tho D

    2018-05-16

    The ordering process at Stanford Health Care involved twice-daily shipments predicated upon current stock levels from the blood center to the hospital transfusion service. Manual census determination is time consuming and error prone. We aimed to enhance inventory management by developing an informatics platform to streamline the ordering process and reallocate staff productivity. The general inventory accounts for more than 50 product categories based on characteristics including component, blood type, irradiation status, and cytomegalovirus serology status. Over a 5-month calibration period, inventory levels were determined algorithmically and electronically. An in-house software program was created to determine inventory levels, optimize the electronic ordering process, and reduce labor time. A 3-month pilot period was implemented using this program. This system showed noninferiority while saving labor time. The average weekly transfused:stocked ratios for cryoprecipitate, plasma, and red blood cells, respectively, were 1.03, 1.21, and 1.48 before the pilot period, compared with 0.88, 1.17, and 1.40 during (p = 0.28). There were 27 (before) and 31 (during) average STAT units ordered per week (p = 0.86). The number of monthly wasted products due to expiration was 226 (before) and 196 (during) units, respectively (p = 0.28). An estimated 7 hours per week of technologist time was reallocated to other tasks. An in-house electronic ordering system can enhance information fidelity, reallocate and optimize valuable staff productivity, and further standardize ordering. This system showed noninferiority to the labor-intensive manual system while freeing up over 360 hours of staff time per year. © 2018 AABB.

  17. Additives for vaccine storage to improve thermal stability of adenoviruses from hours to months

    NASA Astrophysics Data System (ADS)

    Pelliccia, Maria; Andreozzi, Patrizia; Paulose, Jayson; D'Alicarnasso, Marco; Cagno, Valeria; Donalisio, Manuela; Civra, Andrea; Broeckel, Rebecca M.; Haese, Nicole; Jacob Silva, Paulo; Carney, Randy P.; Marjomäki, Varpu; Streblow, Daniel N.; Lembo, David; Stellacci, Francesco; Vitelli, Vincenzo; Krol, Silke

    2016-11-01

    Up to 80% of the cost of vaccination programmes is due to the cold chain problem (that is, keeping vaccines cold). Inexpensive, biocompatible additives to slow down the degradation of virus particles would address the problem. Here we propose and characterize additives that, already at very low concentrations, improve the storage time of adenovirus type 5. Anionic gold nanoparticles (10-8-10-6 M) or polyethylene glycol (PEG, molecular weight ~8,000 Da, 10-7-10-4 M) increase the half-life of a green fluorescent protein expressing adenovirus from ~48 h to 21 days at 37 °C (from 7 to >30 days at room temperature). They replicate the known stabilizing effect of sucrose, but at several orders of magnitude lower concentrations. PEG and sucrose maintained immunogenicity in vivo for viruses stored for 10 days at 37 °C. To achieve rational design of viral-vaccine stabilizers, our approach is aided by simplified quantitative models based on a single rate-limiting step.

  18. Association of expired nitric oxide with urinary metal concentrations in boilermakers exposed to residual oil fly ash.

    PubMed

    Kim, Jee Young; Hauser, Russ; Wand, Matthew P; Herrick, Robert F; Houk, R S; Aeschliman, David B; Woodin, Mark A; Christiani, David C

    2003-11-01

    Exposure to metal-containing particulate matter has been associated with adverse pulmonary responses. Metals in particulate matter are soluble, hence are readily recovered in urine of exposed individuals. This study investigated the association between urinary metal concentrations and the fractional concentration of expired nitric oxide (F(E)NO) in boilermakers (N = 32) exposed to residual oil fly ash (ROFA). Subjects were monitored at a boiler overhaul site located in the New England area, USA. F(E)NO and urine samples were collected pre- and post-workshift for 5 consecutive workdays. Metals investigated included vanadium (V), chromium (Cr), manganese (Mn), nickel (Ni), copper (Cu), and lead (Pb). The median F(E)NO was 7.5 ppb (95% CI: 7.4-8.0), and the median creatinine-adjusted urinary metal concentrations (mug/g creatinine) were: vanadium, 1.37; chromium, 0.48; manganese, 0.30; nickel, 1.52; copper, 3.70; and lead, 2.32. Linear mixed-effects models indicated significant inverse exposure-response relationships between log F(E)NO and the log-transformed urinary concentrations of vanadium, manganese, nickel, copper, and lead at several lag times, after adjusting for smoking status. Urine samples may be utilized as a biomarker of occupational metal exposure. The inverse association between F(E)NO and urinary metal concentrations suggests that exposure to metals in particulate matter may have an adverse effect on respiratory health. Copyright 2003 Wiley-Liss, Inc.

  19. Stability Analysis of ISS Medications

    NASA Technical Reports Server (NTRS)

    Wotring, V. E.

    2014-01-01

    the United States Pharmacopeia (USP) to measure the amount of intact active ingredient, identify degradation products and measure their amounts. Some analyses were conducted by an independent analytical laboratory, but certain (Schedule) medications could not be shipped to their facility and were analyzed at JSC. RESULTS Nine medications were analyzed with respect to active pharmaceutical ingredient (API) and degradant amounts. Results were compared to the USP requirements for API and degradants/impurities content for every FDA-approved medication. One medication met USP requirements at 5 months after its expiration date. Four of the nine (44% of those tested) medications tested met USP requirements up to 8 months post-expiration. Another 3 medications (33% of those tested) met USP guidelines 2-3 months before expiration. One medication, a compound classed by the FDA as a dietary supplement and sometimes used as a sleep aid, failed to meet USP requirements at 11 months post-expiration. CONCLUSION Analysis of each medication at a single time point provides limited information on the stability of a medication stored in particular conditions; it is not possible to predict how long a medication may be safe and effective from these data. Notwithstanding, five of the nine medications tested (56%) met USP requirements for API and degradants/impurities at least 5 months past expiration dates. The single compound that failed to meet USP requirements is not regulated as strictly as prescription medications are during manufacture; it is unknown if this medication would have met the requirements prior to flight. Notably, it was the furthest beyond its expiration date. Only more comprehensive analysis of flight-aged samples compared to appropriate ground controls will permit determination of spaceflight effects on medication stability.

  20. Surface electromyography activity of the rectus abdominis, internal oblique, and external oblique muscles during forced expiration in healthy adults.

    PubMed

    Ito, Kenichi; Nonaka, Koji; Ogaya, Shinya; Ogi, Atsushi; Matsunaka, Chiaki; Horie, Jun

    2016-06-01

    We aimed to characterize rectus abdominis, internal oblique, and external oblique muscle activity in healthy adults under expiratory resistance using surface electromyography. We randomly assigned 42 healthy adult subjects to 3 groups: 30%, 20%, and 10% maximal expiratory intraoral pressure (PEmax). After measuring 100% PEmax and muscle activity during 100% PEmax, the activity and maximum voluntary contraction of each muscle during the assigned experimental condition were measured. At 100% PEmax, the external oblique (p<0.01) and internal oblique (p<0.01) showed significantly elevated activity compared with the rectus abdominis muscle. Furthermore, at 20% and 30% PEmax, the external oblique (p<0.05 and<0.01, respectively) and the internal oblique (p<0.05 and<0.01, respectively) showed significantly elevated activity compared with the rectus abdominis muscle. At 10% PEmax, no significant differences were observed in muscle activity. Although we observed no significant difference between 10% and 20% PEmax, activity during 30% PEmax was significantly greater than during 20% PEmax (external oblique: p<0.05; internal oblique: p<0.01). The abdominal oblique muscles are the most active during forced expiration. Moreover, 30% PEmax is the minimum intensity required to achieve significant, albeit very slight, muscle activity during expiratory resistance. Copyright © 2016 Elsevier Ltd. All rights reserved.

  1. [The role of expired air moisture condensate in assessment of pulmonary inflammation in patients with chronic obstructive pulmonary disease].

    PubMed

    Dotsenko, E K; Goncharova, V A; Kuzubova, N A; Kamenova, M Iu; Egorova, N V

    2008-01-01

    To study biochemical composition of expired air condensate (EAC) in patients with chronic obstructive pulmonary disease (COPD) in relation to a phase and severity of the disease and its treatment. EAC was investigated in 18 COPD patients and 9 healthy subjects. Basic broncholytic therapy with ipratropium bromide was combined with beclomethasone and fenspiride in 11 and 7 patients, respectively. The condensate was lyophilised, the residue was solved and analysed on the biochemical analyzer Casis (Beringer Manheim, Rosch). EAC was examined for albumin, C-reactive protein, glucose, cholesterol, triglycerides, urea, uric acid, alkaline phosphatase (AP), lactate dehydrogenase, gamma-glutamyl transferase, total calcium, magnesium. Compared to healthy subjects, COPD patients' EAC contains significantly higher levels of albumin, C-reactive protein, calcium, bilirubin and more active AP. Quantitative composition of EAC depends on COPD phase and severity. A negative correlation exists between FEV+AEA-1 and albumin concentration, FEV+AEA-1 and CRP concentration. The anti-inflammatory therapy decreases EAC content of both protein and lipid metabolism products, enzyme activity reflecting attenuation of oxidant and inflammatory processes, stabilization of cell membranes in the respiratory zone. EAC composition reflects metabolic processes in the lungs and can be used for assessment of airway affection, activity of the inflammatory process and COPD treatment efficacy.

  2. 77 FR 1968 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-12

    ... permits the Exchange to list up to seven expiration months at any one time for certain broad-based index... the European-style index options approved for trading on BOX, Section 10(a)(5)(ii) references options...

  3. 78 FR 77185 - Self-Regulatory Organizations; BOX Options Exchange LLC; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-20

    ... options, including NDX. Rule 6090 permits the Exchange to list up to seven expiration months at any one...) specifically references options on NDX as one of the European-style index options approved for trading on BOX...

  4. Monthly petroleum-product price report

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

    Not Available

    1982-07-01

    This report provides Congress and the public with information on monthly national weighted average prices for refined petroleum products. the data published are the primary source of price data for refined products for the refining, reselling, and retailing sectors necessary for the Department of Energy (DOE) to execute its role in monitoring prices. In addition, the data provide the information necessary for Congress, DOE, and the public to perform analyses and projections related to energy supplies, demands, and prices. The legislative authority for this survey is the Federal Energy Administration Act of 1974 (PL 93-275). Price data in this publicationmore » were collected fronm separate surveys. Average prices are derived from a survey of refiners, large resellers and/or retailers, and independent gas plant operators. Data from this monthly survey are available from July 1975. Average No. 2 heating oil prices were derived from a sample survye of refiners, resellers, and retailers who sell heating oil. The geographic coverage for this report is the 50 states and the District of Columbia.« less

  5. 43 CFR 2812.6-2 - Terms and conditions of permit.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... may be granted under this paragraph to a reservation of rights-of-way for ditches and canals... direct to clean up and remove from the road and right-of-way within six months after the expiration or...

  6. Carcass analog addition enhances juvenile Atlantic salmon (Salmo salar) growth and condition

    USGS Publications Warehouse

    Guyette, Margaret Q.; Loftin, Cynthia S.; Zydlewski, Joseph D.

    2013-01-01

    Our study used historic marine-derived nutrient (MDN) delivery timing to simulate potential effects of restored connectivity on juvenile Atlantic salmon (ATS; Salmo salar) growth and condition. Four headwater streams were stocked with ATS young of the year (YOY) and received carcass analog additions (0.10 kg·m–2 wetted area) in treatment reaches to match the timing of sea lamprey (Petromyzon marinus) spawning. Individual ATS mass was 33%–48% greater and standard length was 9%–15% greater in treatment reaches relative to control reaches for 4 months following nutrient additions. Percent total lipids in YOY ATS were twice as great in treatment reaches 1 month following carcass analog additions and remained elevated in treatment fish for 2 more months. Absolute growth rates, based on otolith microstructure analysis, correlated with water temperature fluctuations in all reaches and were elevated by an average of 0.07 mm·day–1 in treatment reaches for 1 month following carcass analog additions. Simulated sea lamprey MDNs increased juvenile ATS growth, which, via potential increases in overwinter survival and decreases in smolt age, may contribute to population persistence and ecosystem productivity.

  7. Family, friends, and 12-month PTSD among African Americans.

    PubMed

    Nguyen, Ann W; Chatters, Linda M; Taylor, Robert Joseph; Levine, Debra Siegel; Himle, Joseph A

    2016-08-01

    Despite a growing literature on the influence of social support on mental health, little is known about the relationship between social support and specific psychiatric disorders for African Americans, such as PTSD. This study investigated the relationship between social support, negative interaction with family and 12-month PTSD among African Americans. Analyses were based on a nationally representative sample of African Americans from the National Survey of American Life (n = 3315). Social support variables included emotional support from family, frequency of contact with family and friends, subjective closeness with family and friends, and negative interactions with family. Results indicated that emotional support from family is negatively associated with 12-month PTSD while negative interaction with family is predictive of 12-month PTSD. Additionally, a significant interaction indicated that high levels of subjective closeness to friends could offset the impact of negative family interactions on 12-month PTSD. Overall, study results converged with previously established findings indicating that emotional support from family is associated with 12-month PTSD, while, negative interaction with family is associated with increased risk of 12-month PTSD. The findings are discussed in relation to prior research on the unique association between social support and mental health among African Americans.

  8. Family, Friends, and 12-month PTSD among African Americans

    PubMed Central

    Nguyen, Ann W.; Chatters, Linda M.; Taylor, Robert Joseph; Levine, Debra Siegel; Himle, Joseph A.

    2016-01-01

    Purpose Despite a growing literature on the influence of social support on mental health, little is known about the relationship between social support and specific psychiatric disorders for African Americans, such as PTSD. This study investigated the relationship between social support, negative interaction with family and 12-month PTSD among African Americans. Methods Analyses were based on a nationally representative sample of African Americans from the National Survey of American Life (n=3,315). Social support variables included emotional support from family, frequency of contact with family and friends, subjective closeness with family and friends, and negative interactions with family. Results Results indicated that emotional support from family is negatively associated with 12-month PTSD while negative interaction with family is predictive of 12-month PTSD. Additionally, a significant interaction indicated that high levels of subjective closeness to friends could offset the impact of negative family interactions on 12-month PTSD. Conclusions Overall, study results converged with previously established findings indicating that emotional support from family is associated with 12-month PTSD, while, negative interaction with family is associated with increased risk of 12-month PTSD. The findings are discussed in relation to prior research on the unique association between social support and mental health among African Americans. PMID:27189209

  9. 5 CFR 2634.903 - General requirements, filing dates, and extensions.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    .... The agency may request that the individual update such a report if more than six months has expired... may grant such individual a filing extension to last no longer than 90 days after the last day of: (i...

  10. 5 CFR 2634.903 - General requirements, filing dates, and extensions.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    .... The agency may request that the individual update such a report if more than six months has expired... may grant such individual a filing extension to last no longer than 90 days after the last day of: (i...

  11. 5 CFR 2634.903 - General requirements, filing dates, and extensions.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    .... The agency may request that the individual update such a report if more than six months has expired... may grant such individual a filing extension to last no longer than 90 days after the last day of: (i...

  12. Regionalization of monthly rainfall erosivity patternsin Switzerland

    NASA Astrophysics Data System (ADS)

    Schmidt, Simon; Alewell, Christine; Panagos, Panos; Meusburger, Katrin

    2016-10-01

    of 62 % of the total annual rainfall erosivity is identified within four months only (June-September). The highest erosion risk can be expected in July, where not only rainfall erosivity but also erosivity density is high. In addition to the intra-annual temporal regime, a spatial variability of this seasonality was detectable between different regions of Switzerland. The assessment of the dynamic behavior of the R-factor is valuable for the identification of susceptible seasons and regions.

  13. Comparison of the effects of 12 months of monthly minodronate monotherapy and monthly minodronate combination therapy with vitamin K2 or eldecalcitol in patients with primary osteoporosis.

    PubMed

    Ebina, Kosuke; Noguchi, Takaaki; Hirao, Makoto; Kaneshiro, Shoichi; Tsukamoto, Yasunori; Yoshikawa, Hideki

    2016-05-01

    The aim of this observational, nonrandomized study was to compare the effects of 12 months of monthly minodronate (MIN; 50 mg/month) monotherapy and MIN combination therapy with vitamin K2 (VK; 45 mg/day) or eldecalcitol (ELD; 0.75 μg/day) in treatment-naïve patients with primary osteoporosis. Patients (n = 193; 178 postmenopausal women and 15 men; mean age 71.6 years) were treated with (1) MIN monotherapy (n = 63), (2) MIN plus VK combination therapy (n = 50), or (3) MIN plus ELD combination therapy (n = 80) for 12 months. Changes in bone mineral density (BMD) and the levels of serum bone turnover markers were monitored. No significant difference was observed in baseline BMD among the three groups. After 12 months, BMD increased by 2.93, 4.65, and 6.55 % in the lumbar spine, 0.66, 2.57, and 3.42 % in the total hip, and 0.05, 2.06, and 3.58 % in the femoral neck in groups 1, 2, and 3, respectively. The BMD increase induced by MIN plus ELD combination therapy was significantly greater than that induced by MIN monotherapy in the lumbar spine (P = 0.0002), total hip (P = 0.003), and femoral neck (P = 0.004), and also that induced by MIN plus VK combination therapy in the lumbar spine (P = 0.03). MIN plus ELD combination therapy compared with MIN monotherapy resulted in a greater decrease in serum procollagen type I N-terminal propeptide levels (-37.4 % vs -54.6 %; P = 0.001) and tartrate-resistant acid phosphatase isoform 5b levels (-41.1 % vs -52.9 %; P = 0.009) at 3 months, and a greater decrease in procollagen type I N-terminal propeptide levels (-64.3 % vs -50.3 %; P = 0.03) and a decrease in intact parathyroid hormone levels (-12.3 % vs 14.0 %; P = 0.01) at 12 months. Combination therapy with MIN and VK or ELD for 12 months showed additive effects in decreasing the levels of bone turnover markers compared with MIN monotherapy, whereas MIN plus ELD combination therapy resulted in the highest BMD increase compared

  14. The variability of expiration peak flow of workers employed in the washing installation (laundry) of Haji Adam Malik general hospital Medan

    NASA Astrophysics Data System (ADS)

    Saragih, W.; Tarigan, A. P.; Nainggolan, N.; Eyanoer, P. C.

    2018-03-01

    Laundress in hospitals is very susceptible to respiratory disorders, especially occupational asthma. To investigate the occurrence of an obstruction, the daily Expiration Peak Flow (EPF) examination was carried to compare the EPF, before and after work. It is a descriptive study conducted in November 2016. The samplewas 24 workers in Haji Adam Malik General Hospital Medan Laundry Installation, without any exclusion criteria, where all workers have been working for more than one year. Sampling was by distributing daily questionnaires and EPF examination for 14 days. From the results of EPF examinations that have been conducted, there were nine persons were indicated to experience a decreased in lung function. Based on the most sex category, men were 5 people (55.6%), age ≥ 40 years were 2 people (22.2%), working duration ≥10 years were 3 people (33.3%), with the smoking habit were 5 people (55.6%), total dust ≥0.2 micron were 6 people (66.7), total exposure of bacterium ≥500 were 3 people (33.3%), poor APD usage was 3 people (33.3%). In conclusion, there was a decrease in lung function by ≥ 3.1% found in 9 workers.

  15. 75 FR 68790 - Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-09

    ... 0938-AP81 Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual... (SMI) program beginning January 1, 2011. In addition, this notice announces the monthly premium for... beneficiaries with modified adjusted gross income above certain threshold amounts. The monthly actuarial rates...

  16. 76 FR 67572 - Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... 0938-AQ16 Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual... (SMI) program beginning January 1, 2012. In addition, this notice announces the monthly premium for... beneficiaries with modified adjusted gross income above certain threshold amounts. The monthly actuarial rates...

  17. 78 FR 64943 - Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-30

    ... 0938-AR58 Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual... (SMI) program beginning January 1, 2014. In addition, this notice announces the monthly premium for... beneficiaries with modified adjusted gross income above certain threshold amounts. The monthly actuarial rates...

  18. Contributions of Kinetic Energy and Viscous Dissipation to Airway Resistance in Pulmonary Inspiratory and Expiratory Airflows in Successive Symmetric Airway Models With Various Bifurcation Angles.

    PubMed

    Choi, Sanghun; Choi, Jiwoong; Lin, Ching-Long

    2018-01-01

    The aim of this study was to investigate and quantify contributions of kinetic energy and viscous dissipation to airway resistance during inspiration and expiration at various flow rates in airway models of different bifurcation angles. We employed symmetric airway models up to the 20th generation with the following five different bifurcation angles at a tracheal flow rate of 20 L/min: 15 deg, 25 deg, 35 deg, 45 deg, and 55 deg. Thus, a total of ten computational fluid dynamics (CFD) simulations for both inspiration and expiration were conducted. Furthermore, we performed additional four simulations with tracheal flow rate values of 10 and 40 L/min for a bifurcation angle of 35 deg to study the effect of flow rate on inspiration and expiration. Using an energy balance equation, we quantified contributions of the pressure drop associated with kinetic energy and viscous dissipation. Kinetic energy was found to be a key variable that explained the differences in airway resistance on inspiration and expiration. The total pressure drop and airway resistance were larger during expiration than inspiration, whereas wall shear stress and viscous dissipation were larger during inspiration than expiration. The dimensional analysis demonstrated that the coefficients of kinetic energy and viscous dissipation were strongly correlated with generation number. In addition, the viscous dissipation coefficient was significantly correlated with bifurcation angle and tracheal flow rate. We performed multiple linear regressions to determine the coefficients of kinetic energy and viscous dissipation, which could be utilized to better estimate the pressure drop in broader ranges of successive bifurcation structures.

  19. Septic tank additive impacts on microbial populations.

    PubMed

    Pradhan, S; Hoover, M T; Clark, G H; Gumpertz, M; Wollum, A G; Cobb, C; Strock, J

    2008-01-01

    Environmental health specialists, other onsite wastewater professionals, scientists, and homeowners have questioned the effectiveness of septic tank additives. This paper describes an independent, third-party, field scale, research study of the effects of three liquid bacterial septic tank additives and a control (no additive) on septic tank microbial populations. Microbial populations were measured quarterly in a field study for 12 months in 48 full-size, functioning septic tanks. Bacterial populations in the 48 septic tanks were statistically analyzed with a mixed linear model. Additive effects were assessed for three septic tank maintenance levels (low, intermediate, and high). Dunnett's t-test for tank bacteria (alpha = .05) indicated that none of the treatments were significantly different, overall, from the control at the statistical level tested. In addition, the additives had no significant effects on septic tank bacterial populations at any of the septic tank maintenance levels. Additional controlled, field-based research iswarranted, however, to address additional additives and experimental conditions.

  20. Benchmarking monthly homogenization algorithms

    NASA Astrophysics Data System (ADS)

    Venema, V. K. C.; Mestre, O.; Aguilar, E.; Auer, I.; Guijarro, J. A.; Domonkos, P.; Vertacnik, G.; Szentimrey, T.; Stepanek, P.; Zahradnicek, P.; Viarre, J.; Müller-Westermeier, G.; Lakatos, M.; Williams, C. N.; Menne, M.; Lindau, R.; Rasol, D.; Rustemeier, E.; Kolokythas, K.; Marinova, T.; Andresen, L.; Acquaotta, F.; Fratianni, S.; Cheval, S.; Klancar, M.; Brunetti, M.; Gruber, C.; Prohom Duran, M.; Likso, T.; Esteban, P.; Brandsma, T.

    2011-08-01

    The COST (European Cooperation in Science and Technology) Action ES0601: Advances in homogenization methods of climate series: an integrated approach (HOME) has executed a blind intercomparison and validation study for monthly homogenization algorithms. Time series of monthly temperature and precipitation were evaluated because of their importance for climate studies and because they represent two important types of statistics (additive and multiplicative). The algorithms were validated against a realistic benchmark dataset. The benchmark contains real inhomogeneous data as well as simulated data with inserted inhomogeneities. Random break-type inhomogeneities were added to the simulated datasets modeled as a Poisson process with normally distributed breakpoint sizes. To approximate real world conditions, breaks were introduced that occur simultaneously in multiple station series within a simulated network of station data. The simulated time series also contained outliers, missing data periods and local station trends. Further, a stochastic nonlinear global (network-wide) trend was added. Participants provided 25 separate homogenized contributions as part of the blind study as well as 22 additional solutions submitted after the details of the imposed inhomogeneities were revealed. These homogenized datasets were assessed by a number of performance metrics including (i) the centered root mean square error relative to the true homogeneous value at various averaging scales, (ii) the error in linear trend estimates and (iii) traditional contingency skill scores. The metrics were computed both using the individual station series as well as the network average regional series. The performance of the contributions depends significantly on the error metric considered. Contingency scores by themselves are not very informative. Although relative homogenization algorithms typically improve the homogeneity of temperature data, only the best ones improve precipitation data

  1. Evaluation of scanning 2D barcoded vaccines to improve data accuracy of vaccines administered.

    PubMed

    Daily, Ashley; Kennedy, Erin D; Fierro, Leslie A; Reed, Jenica Huddleston; Greene, Michael; Williams, Warren W; Evanson, Heather V; Cox, Regina; Koeppl, Patrick; Gerlach, Ken

    2016-11-11

    Accurately recording vaccine lot number, expiration date, and product identifiers, in patient records is an important step in improving supply chain management and patient safety in the event of a recall. These data are being encoded on two-dimensional (2D) barcodes on most vaccine vials and syringes. Using electronic vaccine administration records, we evaluated the accuracy of lot number and expiration date entered using 2D barcode scanning compared to traditional manual or drop-down list entry methods. We analyzed 128,573 electronic records of vaccines administered at 32 facilities. We compared the accuracy of records entered using 2D barcode scanning with those entered using traditional methods using chi-square tests and multilevel logistic regression. When 2D barcodes were scanned, lot number data accuracy was 1.8 percentage points higher (94.3-96.1%, P<0.001) and expiration date data accuracy was 11 percentage points higher (84.8-95.8%, P<0.001) compared with traditional methods. In multivariate analysis, lot number was more likely to be accurate (aOR=1.75; 99% CI, 1.57-1.96) as was expiration date (aOR=2.39; 99% CI, 2.12-2.68). When controlling for scanning and other factors, manufacturer, month vaccine was administered, and vaccine type were associated with variation in accuracy for both lot number and expiration date. Two-dimensional barcode scanning shows promise for improving data accuracy of vaccine lot number and expiration date records. Adapting systems to further integrate with 2D barcoding could help increase adoption of 2D barcode scanning technology. Published by Elsevier Ltd.

  2. 77 FR 76334 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-27

    ... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-68491; File No. SR-ISE-2012-101] Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and Immediate... Prices Until the Close of Trading on the Second Business Day Prior to Monthly Expiration in Unusual...

  3. 37 CFR 1.362 - Time for payment of maintenance fees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... years and 6 months and through the day of the 4th anniversary of the grant for the first maintenance fee... maintenance fee will expire at the end of the same date (anniversary date) the patent was granted in the 4th...

  4. 37 CFR 1.362 - Time for payment of maintenance fees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... years and 6 months and through the day of the 4th anniversary of the grant for the first maintenance fee... maintenance fee will expire at the end of the same date (anniversary date) the patent was granted in the 4th...

  5. 37 CFR 1.362 - Time for payment of maintenance fees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... years and 6 months and through the day of the 4th anniversary of the grant for the first maintenance fee... maintenance fee will expire at the end of the same date (anniversary date) the patent was granted in the 4th...

  6. 37 CFR 1.362 - Time for payment of maintenance fees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... years and 6 months and through the day of the 4th anniversary of the grant for the first maintenance fee... maintenance fee will expire at the end of the same date (anniversary date) the patent was granted in the 4th...

  7. 37 CFR 1.362 - Time for payment of maintenance fees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... years and 6 months and through the day of the 4th anniversary of the grant for the first maintenance fee... maintenance fee will expire at the end of the same date (anniversary date) the patent was granted in the 4th...

  8. Photoreceptor change and visual outcome after idiopathic epiretinal membrane removal with or without additional internal limiting membrane peeling.

    PubMed

    Ahn, Seong Joon; Ahn, Jeeyun; Woo, Se Joon; Park, Kyu Hyung

    2014-01-01

    To compare the postoperative photoreceptor status and visual outcome after epiretinal membrane removal with or without additional internal limiting membrane (ILM) peeling. Medical records of 40 eyes from 37 patients undergoing epiretinal membrane removal with residual ILM peeling (additional ILM peeling group) and 69 eyes from 65 patients undergoing epiretinal membrane removal without additional ILM peeling (no additional peeling group) were reviewed. The length of defects in cone outer segment tips, inner segment/outer segment junction, and external limiting membrane line were measured using spectral domain optical coherence tomography images of the fovea before and at 1, 3, 6, and 12 months after the surgery. Cone outer segment tips and inner segment/outer segment junction line defects were most severe at postoperative 1 month and gradually restored at 12 months postoperatively. The cone outer segment tips line defect in the additional ILM peeling group was significantly greater than that in the no additional peeling group at postoperative 1 month (P = 0.006), and best-corrected visual acuity was significantly worse in the former group at the same month (P = 0.001). There was no significant difference in the defect size and best-corrected visual acuity at subsequent visits and recurrence rates between the two groups. Patients who received epiretinal membrane surgery without additional ILM peeling showed better visual and anatomical outcome than those with additional ILM peeling at postoperative 1 month. However, surgical outcomes were comparable between the two groups, thereafter. In terms of visual outcome and photoreceptor integrity, additional ILM peeling may not be an essential procedure.

  9. Applications of external cavity diode laser-based technique to noninvasive clinical diagnosis using expired breath ammonia analysis: chronic kidney disease, epilepsy

    NASA Astrophysics Data System (ADS)

    Bayrakli, Ismail; Turkmen, Aysenur; Akman, Hatice; Sezer, M. Tugrul; Kutluhan, Suleyman

    2016-08-01

    An external cavity laser (ECL)-based off-axis cavity-enhanced absorption spectroscopy was applied to noninvasive clinical diagnosis using expired breath ammonia analysis: (1) the correlation between breath ammonia levels and blood parameters related to chronic kidney disease (CKD) was investigated and (2) the relationship between breath ammonia levels and blood concentrations of valproic acid (VAP) was studied. The concentrations of breath ammonia in 15 healthy volunteers, 10 epilepsy patients (before and after taking VAP), and 27 patients with different stages of CKD were examined. The range of breath ammonia levels was 120 to 530 ppb for healthy subjects and 710 to 10,400 ppb for patients with CKD. There was a statistically significant positive correlation between breath ammonia concentrations and urea, blood urea nitrogen, creatinine, or estimated glomerular filtration rate in 27 patients. It was demonstrated that taking VAP gave rise to increasing breath ammonia levels. A statistically significant difference was found between the levels of exhaled ammonia (NH3) in healthy subjects and in patients with epilepsy before and after taking VAP. The results suggest that our breath ammonia measurement system has great potential as an easy, noninvasive, real-time, and continuous monitor of the clinical parameters related to epilepsy and CKD.

  10. User-determined end of net life in Senegal: a qualitative assessment of decision-making related to the retirement of expired nets

    PubMed Central

    2013-01-01

    Background Procurement and distribution of long-lasting insecticidal nets (LLINs) in the African region has decreased from 145 million in 2010 to 66 million nets in 2012. As resources for LLIN distribution appear to stagnate, it is important to understand the users’ perception of the life span of a net and at what point and why they stop using it. In order to get the most value out of distributed nets and to ensure that they are used for as long as possible, programmes must communicate to users about how to assess useful net life and how to extend it. Methods Data were collected from 114 respondents who participated in 56 in-depth interviews (IDIs) and eight focus group discussions (FGDs) in August 2012 in eight regions in Senegal. Households were eligible for the study if they owned at least one net and had an available household member over the age of 18. Data were coded by a team of four coders in ATLAS.ti using a primarily deductive approach. Results Respondents reported assessing useful net life using the following criteria: the age of net, the number and size of holes and the presence of mosquitoes in the net at night. If they had the means to do so, many respondents preferred the acquisition of a new net rather than the continued use of a very torn net. However, respondents would preferentially use newer nets, saving older, but useable nets for the future or sharing them with family or friends. Participants reported observing alternative uses of nets, primarily for nets that were considered expired. Conclusions The results indicate that decisions regarding the end of net life vary among community members in Senegal, but are primarily related to net integrity. Additional research is needed into user-determined end of net life as well as care and repair behaviours, which could extend useful net life. The results from this study and from future research on this topic should be used to understand current behaviours and develop communication programmes to

  11. 76 FR 26712 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... Defense (DoD) Pentagon Building Pass Files (September 11, 2008, 73 FR 52840). Changes: * * * * * System... completion date, access level, previous facility pass issuances, and authenticating official.'' Authority for...) months after expiration or return to PFPA. Verification records are maintained for 3-5 years and then...

  12. Holy month of Ramadan and increase in organ donation willingness.

    PubMed

    Najafizadeh, Katayoun; Ghorbani, Fariba; Hamidinia, Sajjad; Emamhadi, Mohammad Ali; Moinfar, Mohammad Ali; Ghobadi, Omid; Assari, Shervin

    2010-05-01

    Organ shortage is the most significant factor in restricting the activities of transplantation systems. We herein report the positive impact of Muslims' holy month of Ramadan on willingness to donate organs in Iran. Data were derived from the database of Donation Willingness Registries, affiliated to the organ procurement unit of Masih Daneshvari Hospital during March 2007 till March 2008. The number of applications for organ donation was compared between Ramadan and its previous month, and the socio-economic characteristics of the applicants were compared between those who applied in Ramadan and those who did so in the previous month. In addition, the mean number of daily applications was compared between Ramadan and the other months of the same year. A total of 11528 applications for organ donation cards were registered for the Ramadan of 2007 as opposed to 4538 applications in the previous month, showing an increasing rate of 154%. The mean number of daily applications was significantly higher in Ramadan than that of the other months of the same year (P < 0.001). There was also a significant difference in terms of the socio-economic characteristics between the applicants in Ramadan and those in the previous month. The increase in organ donation willingness in Ramadan may be the result of the propagation of altruism by the mass media and religious organizations. Ramadan seems to provide a great opportunity to promote organ donation across the Muslim world.

  13. Month-to-month variability of Indian summer monsoon rainfall in 2016: role of the Indo-Pacific climatic conditions

    NASA Astrophysics Data System (ADS)

    Chowdary, Jasti S.; Srinivas, G.; Du, Yan; Gopinath, K.; Gnanaseelan, C.; Parekh, Anant; Singh, Prem

    2018-03-01

    Indian summer monsoon (ISM) rainfall during 2016 exhibited a prominent month-to-month fluctuations over India, with below normal rainfall in June and August and above normal rainfall in July. The factors determining the month-to-month fluctuations in ISM rainfall during 2016 are investigated with main focus on the Indo-Pacific climatic anomalies. Warm sea surface temperature (SST) anomalies associated with super El Niño 2015 disappeared by early summer 2016 over the central and eastern Pacific. On the other hand, negative Indian Ocean dipole (IOD) like SST anomaly pattern over the equatorial Indian Ocean and anomalous anticyclonic circulation over the western North Pacific (WNP) are reported in summer 2016 concurrently with decaying El Niño/developing La Niña phase. Observations revealed that the low rainfall over central north India in June is due to moisture divergence caused by the westward extension of ridge corresponding to WNP anticyclone and subsidence induced by local Hadley cell partly related to negative IOD. Low level convergence of southeasterly wind from Bay of Bengal associated with weak WNP anticyclone and northwesterly wind corresponding to anticyclonic circulation over the northwest India remarkably contributed to positive rainfall in July over most of the Indian subcontinent. While reduced rainfall over the Indian subcontinent in August 2016 is associated with the anomalous moisture transport from ISM region to WNP region, in contrast to July, due to local cyclogenesis corroborated by number of tropical cyclones in the WNP. In addition to this, subsidence related to strong convection supported by cyclonic circulation over the WNP also resulted in low rainfall over the ISM region. Coupled General Circulation model sensitivity experiments confirmed that strong convective activities associated with cyclonic circulation over the WNP is primarily responsible for the observed negative ISM rainfall anomalies in August 2016. It is noted that the Indo

  14. 24 CFR 582.315 - Occupancy agreements.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 24 Housing and Urban Development 3 2014-04-01 2013-04-01 true Occupancy agreements. 582.315... agreements. (a) Initial occupancy agreement. Participants must enter into an occupancy agreement for a term of at least one month. The occupancy agreement must be automatically renewable upon expiration...

  15. 21 CFR 600.13 - Retention samples.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ..., sufficient for examination and testing for safety and potency, except Whole Blood, Cryoprecipitated AHF, Platelets, Red Blood Cells, Plasma, and Source Plasma and Allergenic Products prepared to a physician's... for a period of at least 6 months after the expiration date, unless a different time period is...

  16. 21 CFR 600.13 - Retention samples.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ..., sufficient for examination and testing for safety and potency, except Whole Blood, Cryoprecipitated AHF, Platelets, Red Blood Cells, Plasma, and Source Plasma and Allergenic Products prepared to a physician's... for a period of at least 6 months after the expiration date, unless a different time period is...

  17. 21 CFR 600.13 - Retention samples.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ..., sufficient for examination and testing for safety and potency, except Whole Blood, Cryoprecipitated AHF, Platelets, Red Blood Cells, Plasma, and Source Plasma and Allergenic Products prepared to a physician's... for a period of at least 6 months after the expiration date, unless a different time period is...

  18. Stennis observes Women's History Month

    NASA Image and Video Library

    2010-03-27

    NASA John C. Stennis Space Center employees observed Women's History Month on March 17 with a panel discussion that featured accomplished women of the facility. The gathering featured (l to r): Pam Covington, manager of the NASA Office of External Affairs at Stennis; Mary Jones, assistant chief of staff with the Navy Meterology & Oceanography Command; and Lauren Underwood, senior research scientist with Science Systems and Applications, Inc. In addition to the panel discussion, the Stennis Diversity Council and Patriot Technologies also hosted a pair of 'lunch-and-learn' sessions focused on women's issues and history. The luncheons featured videos on Sally Hemings, the slave widely recognized as the mistress of President Thomas Jefferson; and several mothers of U.S. presidents.

  19. Stennis observes Women's History Month

    NASA Technical Reports Server (NTRS)

    2010-01-01

    NASA John C. Stennis Space Center employees observed Women's History Month on March 17 with a panel discussion that featured accomplished women of the facility. The gathering featured (l to r): Pam Covington, manager of the NASA Office of External Affairs at Stennis; Mary Jones, assistant chief of staff with the Navy Meterology & Oceanography Command; and Lauren Underwood, senior research scientist with Science Systems and Applications, Inc. In addition to the panel discussion, the Stennis Diversity Council and Patriot Technologies also hosted a pair of 'lunch-and-learn' sessions focused on women's issues and history. The luncheons featured videos on Sally Hemings, the slave widely recognized as the mistress of President Thomas Jefferson; and several mothers of U.S. presidents.

  20. Six months therapy for tuberculous meningitis

    PubMed Central

    Jullien, Sophie; Ryan, Hannah; Modi, Manish; Bhatia, Rohit

    2016-01-01

    Background Tuberculous meningitis (TBM) is the main form of tuberculosis that affects the central nervous system and is associated with high rates of death and disability. Most international guidelines recommend longer antituberculous treatment (ATT) regimens for TBM than for pulmonary tuberculosis disease to prevent relapse. However, longer regimens are associated with poor adherence, which could contribute to increased relapse, development of drug resistance, and increased costs to patients and healthcare systems. Objectives To compare the effects of short-course (six months) regimens versus prolonged-course regimens for people with tuberculous meningitis (TBM). Search methods We searched the following databases up to 31 March 2016: the Cochrane Infectious Diseases Group Specialized Register; the Cochrane Central Register of Controlled Trials (CENTRAL), published in the Cochrane Library; MEDLINE; EMBASE; LILACS; INDMED; and the South Asian Database of Controlled Clinical Trials. We searched the World Health Organization International Clinical Trials Registry Platform (WHO ICTRP) and ClinicalTrials.gov for ongoing trials. We also checked article reference lists and contacted researchers in the field. Selection criteria We included randomized controlled trials (RCTs) and prospective cohort studies of adults and children with TBM treated with antituberculous regimens that included rifampicin for six months or longer than six months. The primary outcome was relapse, and included studies required a minimum of six months follow-up after completion of treatment. Data collection and analysis Two review authors (SJ and HR) independently assessed the literature search results for eligibility, and performed data extraction and 'Risk of bias' assessments of the included studies. We contacted study authors for additional information when necessary. Most data came from single arm cohort studies without a direct comparison so we pooled the findings for each group of cohorts and

  1. Developmental milestones record - 6 months

    MedlinePlus

    Normal childhood growth milestones - 6 months; Childhood growth milestones - 6 months; Growth milestones for children - 6 months ... the weight on hands (often occurs by 4 months) Able to pick up a dropped object Able ...

  2. Electricity Monthly Update

    EIA Publications

    2017-01-01

    Provides analysis and highlights of the data included in the Electric Power Monthly (EPM) publication and presents tables of electricity generation, fuel consumption for generation, fossil fuel stocks, and average retail sales and prices of electricity. The Electricity Monthly Update is published at the same time as the EPM.

  3. In vivo measurements of tooth wear over 12 months.

    PubMed

    Rodriguez, J M; Austin, R S; Bartlett, D W

    2012-01-01

    The aim of this study was to measure the progression of tooth wear in a cohort of 63 patients, 43 males and 20 females with a mean age of 39.1 years. Recruitment followed referral from general practice to Guy's Hospital for advice/management of tooth wear. Addition silicone impressions were taken at 6-month intervals for a total of 12 months; impressions were subsequently poured in type IV gypsum. Casts were scanned using a non-contacting laser profilometer and then superimposed using Geomagic® Qualify 11. Wear was measured in μm by tooth per time interval. A questionnaire highlighting dietary, parafunctional and gastric risk factors was obtained from each participant. Clustered multiple regression analysis was used to determine the relationship between tooth wear progression and risk factors. Maximum follow-up times were 6 months for 63 participants and 12 months for 30 participants. The measurement error was 15 μm. At the tooth level, 72.2% of 1,078 teeth wore <15 μm over a 6-month period. At the subject level, 77.7% of 63 participants showed median wear <15 μm over a 6-month period. There was a statistical trend towards tooth wear progression being associated with gastric risk factors (p < 0.05). The lower molars and the upper anterior teeth were the most commonly affected teeth; the lower molars and the upper central incisors were the most severely affected teeth. Tooth wear progression was slow in this cohort, suggesting that tooth wear may be cyclical and inactive in the majority of participants. Copyright © 2011 S. Karger AG, Basel.

  4. 76 FR 64984 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-19

    ... trading day's last sale price was greater than $100) in premium in each of the front two expiration months... options whose underlying stock's previous trading day's last sale price was greater than $100) in premium... other exchanges employing similar pricing schemes.\\18\\ \\18\\ The Boston Options Exchange currently...

  5. 77 FR 66607 - Placer County Water Agency; Notice of Application for Approval of Contract for the Sale of Power...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... contract with Pacific Gas and Electric Company (PG&E) for two months beyond the expiration of the current... of two major storage reservoirs, five smaller reservoirs and diversion pools, and five powerhouses... Water Agency; Notice of Application for Approval of Contract for the Sale of Power for a Period...

  6. 75 FR 27605 - Self-Regulatory Organizations; NASDAQ OMX PHLX, Inc.; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-17

    ... Rule Change Relating to One Cent Strike Price Intervals of Foreign Currency Options May 7, 2010... cent ($0.01) for each expiration month for U.S. dollar-settled foreign currency options (``FCOs'') opened for trading on the Exchange.\\3\\ \\3\\ FCOs are also known as World Currency Options (``WCOs...

  7. 77 FR 58429 - Self-Regulatory Organizations; NYSE MKT LLC; Notice of Filing of Proposed Rule Change Amending...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-20

    ... series of individual stock options and Exchange-Traded Fund Shares until the beginning of the month in... participants' risk management needs in a stock. In these situations, the Exchange has the ability to add... tailor their investment decisions and hedging decisions prior to expiration. The Exchange also believes...

  8. 76 FR 5646 - Self-Regulatory Organizations; NYSE Amex LLC; Order Granting Approval of Proposed Rule Change...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-01

    ... strike prices and non-parallel strikes in different expiration months of the same issue. The Commission... Listing of Options Series With $1 Strike Prices January 25, 2011. I. Introduction On November 24, 2010... Strike Price Program. The proposed rule change was published for comment in the Federal Register on...

  9. The relationship between twelve-month home stimulation and school achievement.

    PubMed

    van Doorninck, W J; Caldwell, B M; Wright, C; Frankenburg, W K

    1981-09-01

    Home Observation for Measurement of the Environment (HOME) was designed to reflect parental support of early cognitive and socioemotional development. 12-month HOME scores were correlated with elementary school achievement, 5--9 years later. 50 low-income children were rank ordered by a weighted average of centile estimates of achievement test scores, letter grades, and curriculum levels in reading and math. 24 children were classified as having significant school achievement problems. The HOME total score correlated significantly, r = .37, with school centile scores among the low-income families. The statistically more appropriate contingency table analysis revealed a 68% correct classification rate and a significantly reduced error rate over random or blanket prediction. The results supported the predictive value of the 12-month HOME for school achievement among low-income families. In an additional sample of 21 middle-income families, there was insufficient variability among HOME scores to allow prediction. The HOME total scores were highly correlated, r = .86, among siblings tested at least 10 months apart.

  10. Monthly petroleum product price report, November 1981

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

    Not Available

    1982-03-03

    This report provides Congress and the public with information on monthly national weighted average prices for refined petroleum products (motor gasoline, diesel fuels, residual fuel oils, aviation fuels, kerosene, petrochemical feedstocks, heating oils, and liquefied petroleum gases). The data published are the primary source of price data for refined products for the refining, reselling, and retailing sectors necessary for the Department of Energy to execute its role in monitoring prices. In addition, the data provide the information necessary for Congress, DOE, and the public to perform analyses and projections related to energy supplies, demands, and prices. Price data in thismore » publication were collected from separate surveys. Average prices are derived from a survey of refiners, large resellers and/or retailers, and independent gas plant operators. Data from this monthly survey are available from July 1975. Average No. 2 heating oil prices were derived from a sample survey of refiners, resellers, and retailers who sell heating oil. The geographic coverage for this report is the 50 states and the District of Columbia.« less

  11. Monthly petroleum product price report, December 1981

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

    Not Available

    1982-03-30

    This report provides Congress and the public with information on monthly national weighted average prices for refined petroleum products (motor gasoline, diesel fuels, residual fuel oils, aviation fuels, kerosene, petrochemical feedstocks, heating oils, and liquefied petroleum gases). The data published are the primary source of price data for refined products for the refining, reselling, and retailing sectors necessary for the Department of Energy to execute its role in monitoring prices. In addition, the data provide the information necessary for Congress, DOE, and the public to perform analyses and projections related to energy supplies, demands, and prices. Price data in thismore » publication were collected from separate surveys. Average prices are derived from a survey of refiners, large resellers and/or retailers, and independent gas plant operators. Data from this monthly survey are available from July 1975. Average No. 2 heating oil prices were derived from a sample survey of refiners, resellers, and retailers who sell heating oil. The geographic coverage for this report is the 50 states and the District of Columbia.« less

  12. Re-sprains during the first 3 months after initial ankle sprain are related to incomplete recovery: an observational study.

    PubMed

    van Middelkoop, Marienke; van Rijn, Rogier M; Verhaar, Jan A N; Koes, Bart W; Bierma-Zeinstra, Sita M A

    2012-01-01

    What are prognostic factors for incomplete recovery, instability, re-sprains and pain intensity 12 months after patients consult primary care practitioners for acute ankle sprains? Observational study. One hundred and two patients who consulted their general practitioner or an emergency department for an acute ankle sprain were included in the study. Possible prognostic factors were assessed at baseline and at 3 months follow-up. Outcome measures assessed at 12 months follow-up were self-reported recovery, instability, re-sprains and pain intensity. At 3 months follow-up, 65% of the participants reported instability and 24% reported one or more re-sprains. At 12 months follow-up, 55% still reported instability and more than 50% regarded themselves not completely recovered. None of the factors measured at baseline could predict the outcome at 12 months follow-up. Additionally, prognostic factors from the physical examination of the non-recovered participants at 3 months could not be identified. However, among the non-recovered participants at 3 months follow-up, re-sprains and self-reported pain at rest at 3 months were related to incomplete recovery at 12 months. A physical examination at 3 months follow-up for the non-recovered ankle sprain patient seems to have no additional value for predicting outcome at 12 months. However, for the non-recovered patients at 3 months follow-up, self-reported pain at rest and re-sprains during the first 3 months of follow-up seem to have a prognostic value for recovery at 12 months. Copyright © 2012 Australian Physiotherapy Association. Published by .. All rights reserved.

  13. 76 FR 50805 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-08-16

    ... trading day's last sale price was greater than $100) in premium in each of the front two expiration months... options whose underlying stock's previous trading day's last sale price was greater than $100) in premium... is within the range of fees assessed by other exchanges employing similar pricing schemes. For...

  14. 77 FR 829 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing of Proposed Rule Change...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-06

    ... Research Systems, Inc. (``FactSet') and Thomson Reuters (``Reuters''). Real time data is distributed at... series. As stated in the filing, the Exchange has rules in place designed to protect public customer... are long term options that generally expire from twelve to thirty-nine months from the time they are...

  15. 75 FR 6671 - Agency Forms Undergoing Paperwork Reduction Act Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-10

    ... Assessment of Fall Prevention Programs. This approval expires on 7/31/10. In June 2009, all Matter of Balance... Better Balance and Matter of Balance) and to assess the maintenance of fall prevention behaviors among participants six months after completing the Matter of Balance program. To assess the maintenance of fall...

  16. Benchmarking homogenization algorithms for monthly data

    NASA Astrophysics Data System (ADS)

    Venema, V. K. C.; Mestre, O.; Aguilar, E.; Auer, I.; Guijarro, J. A.; Domonkos, P.; Vertacnik, G.; Szentimrey, T.; Stepanek, P.; Zahradnicek, P.; Viarre, J.; Müller-Westermeier, G.; Lakatos, M.; Williams, C. N.; Menne, M. J.; Lindau, R.; Rasol, D.; Rustemeier, E.; Kolokythas, K.; Marinova, T.; Andresen, L.; Acquaotta, F.; Fratiannil, S.; Cheval, S.; Klancar, M.; Brunetti, M.; Gruber, C.; Prohom Duran, M.; Likso, T.; Esteban, P.; Brandsma, T.; Willett, K.

    2013-09-01

    The COST (European Cooperation in Science and Technology) Action ES0601: Advances in homogenization methods of climate series: an integrated approach (HOME) has executed a blind intercomparison and validation study for monthly homogenization algorithms. Time series of monthly temperature and precipitation were evaluated because of their importance for climate studies. The algorithms were validated against a realistic benchmark dataset. Participants provided 25 separate homogenized contributions as part of the blind study as well as 22 additional solutions submitted after the details of the imposed inhomogeneities were revealed. These homogenized datasets were assessed by a number of performance metrics including i) the centered root mean square error relative to the true homogeneous values at various averaging scales, ii) the error in linear trend estimates and iii) traditional contingency skill scores. The metrics were computed both using the individual station series as well as the network average regional series. The performance of the contributions depends significantly on the error metric considered. Although relative homogenization algorithms typically improve the homogeneity of temperature data, only the best ones improve precipitation data. Moreover, state-of-the-art relative homogenization algorithms developed to work with an inhomogeneous reference are shown to perform best. The study showed that currently automatic algorithms can perform as well as manual ones.

  17. Your Child's Development: 2 Months

    MedlinePlus

    ... new skills your baby may have this month: Communication and Language Skills develops more distinct cries to ... Baby's Hearing, Vision, and Other Senses: 2 Months Communication and Your 1- to 3-Month-Old Feeding ...

  18. NICU Network Neurobehavioral Scale: 1-month normative data and variation from birth to 1 month.

    PubMed

    Provenzi, Livio; Olson, Karen; Giusti, Lorenzo; Montirosso, Rosario; DeSantis, Andrea; Tronick, Ed

    2018-06-01

    BackgroundThe Neonatal Intensive Care Unit Network Neurobehavioral Scale (NNNS) is a standardized method for infant neurobehavioral assessment. Normative values are available for newborns, but the NNNS is not always feasible at birth. Unfortunately, 1-month NNNS normative data are lacking.AimsTo provide normative data for the NNNS examination at 1 month and to assess birth-to-one-month changes in NNNS summary scores.Study designThe NNNS was administered at birth and at 1 month within a longitudinal prospective study design.SubjectsA cohort of 99 clinically healthy full-term infants were recruited from a well-child nursery.Outcome measuresBirth-to-1-month NNNS variations were evaluated and the association of neonatal and sociodemographic variables with the rate of change of NNNS summary scores were investigated.Results and conclusionsNNNS scores from the 10th to the 90th percentile represent a range of normative performance at 1 month. A complex pattern of stability and change emerged comparing NNNS summary scores from birth to 1 month. Orienting, Regulation, and Quality of movements significantly increased, whereas Lethargy and Hypotonicity significantly decreased. Birth-to-1-month changes in NNNS performance suggest improvements in neurobehavioral organization. These data are useful for research purposes and for clinical evaluation of neurobehavioral performance in both healthy and at-risk 1-month-old infants.

  19. The High School Principal's Calendar: A Month-by-Month Planner for the School Year.

    ERIC Educational Resources Information Center

    Ricken, Robert; Simon, Richard; Terc, Michael

    This book has been developed for both new and experienced principals; it lays out everyday challenges and administrative necessities to help principals plan strategically for the academic year. This work provides a month-to-month guide to make the school year run smoothly from opening to closing. Chapters cover key tasks for each month beginning…

  20. 76 FR 63964 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-14

    ... stock's previous trading day's last sale price was greater than $100) in premium in each of the front... greater than $100) in premium across all expiration months in order to receive the rebate. The Exchange... fee is within the range of fees assessed by other exchanges employing similar pricing schemes and the...

  1. 77 FR 16295 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    ... trading day's last sale price was greater than $100) in premium in each of the front two expiration months... options whose underlying stock's previous trading day's last sale price was greater than $100) in premium... employing similar pricing schemes and in some cases, is lower that the fees assessed by other exchanges. For...

  2. 77 FR 40928 - Self-Regulatory Organizations; C2 Options Exchange, Incorporated; Order Granting Approval of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-11

    ..., thus there would be geographic diversity between the DRF and the main C2 trading system.\\9\\ The... listed and traded one ELO: SPXPM, which are Standard & Poor's 500 Index options with third- Friday-of-the-month expiration dates for which the exercise settlement value is based on the index value derived from...

  3. 26 CFR 301.6325-1 - Release of lien or discharge of property.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... collection, including such extension of the period for collection as is agreed to. (2) Bond accepted. The... bond that is conditioned upon the payment of the amount assessed (together with all interest in respect thereof), within the time agreed upon in the bond, but not later than 6 months before the expiration of...

  4. 26 CFR 301.6325-1 - Release of lien or discharge of property.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... collection, including such extension of the period for collection as is agreed to. (2) Bond accepted. The... bond that is conditioned upon the payment of the amount assessed (together with all interest in respect thereof), within the time agreed upon in the bond, but not later than 6 months before the expiration of...

  5. 26 CFR 301.6325-1 - Release of lien or discharge of property.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... collection, including such extension of the period for collection as is agreed to. (2) Bond accepted. The... bond that is conditioned upon the payment of the amount assessed (together with all interest in respect thereof), within the time agreed upon in the bond, but not later than 6 months before the expiration of...

  6. 26 CFR 301.6325-1 - Release of lien or discharge of property.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... collection, including such extension of the period for collection as is agreed to. (2) Bond accepted. The... bond that is conditioned upon the payment of the amount assessed (together with all interest in respect thereof), within the time agreed upon in the bond, but not later than 6 months before the expiration of...

  7. 77 FR 1710 - Extension of the Designation of El Salvador for Temporary Protected Status and Automatic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-11

    ... Docket No. USCIS 2007-0028] RIN 1615-ZB06 Extension of the Designation of El Salvador for Temporary... designation of El Salvador for temporary protected status (TPS) for 18 months from its current expiration date... warranted because the conditions in El Salvador that prompted the TPS designation continue to be met. There...

  8. 75 FR 39556 - Extension of the Designation of El Salvador for Temporary Protected Status and Automatic...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-07-09

    ... Docket No. USCIS 2010-0032] RIN 1615-ZA95 Extension of the Designation of El Salvador for Temporary... designation of El Salvador for temporary protected status (TPS) for 18 months from its current expiration date... nationals of El Salvador (or aliens having no nationality who last habitually resided in El Salvador) with...

  9. 24 CFR 401.99 - How does an owner request a section 8 contract renewal?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... section 8 contract renewal? (a) Requesting Restructuring Plan. An owner may request a section 8 contract renewal as part of a Restructuring Plan by, at least 3 months before the expiration date of any project... HUD of any pending suspension or debarment or other enforcement action, or, if so, a voluntary sale or...

  10. Effectiveness, safety and feasibility of extended-release naltrexone for opioid dependence: a 9-month follow-up to a 3-month randomized trial.

    PubMed

    Solli, Kristin Klemmetsby; Latif, Zill-E-Huma; Opheim, Arild; Krajci, Peter; Sharma-Haase, Kamni; Benth, Jūratė Šaltytė; Tanum, Lars; Kunoe, Nikolaj

    2018-05-28

    This is a follow-up study of a previously published randomized clinical trial conducted in Norway that compared extended-release naltrexone (XR-NTX) to buprenorphine-naloxone (BP-NLX) over 3 months. At the conclusion of the trial, participants were offered their choice of study medication for an additionalmonths. While BP-NLX was available at no cost through opioid maintenance treatment programmes, XR-NTX was available only through study participation, accounting for why almost all participants chose XR-NTX in the follow-up. The aim of this follow-up study was to compare differences in outcome between adults with opioid dependence continuing XR-NTX and those inducted on XR-NTX for a 9-month period, on measures of effectiveness, safety and feasibility. In this prospective cohort study, participants were either continuing XR-NTX, changed from BP-NLX to XR-NTX or re-included into the study and inducted on XR-NTX treatment. Five urban, out-patient addiction clinics in Norway. Opioid-dependent adults continuing (n = 54) or inducted on (n = 63) XR-NTX. XR-NTX administrated as intramuscular injections (380 mg) every fourth week. Data on retention, use of heroin and other illicit substances, opioid craving, treatment satisfaction, addiction-related problems and adverse events were reported every fourth week. Nine-month follow-up completion rates were 51.9% among participants continuing XR-NTX in the follow-up and 47.6% among those inducted on XR-NTX. Opioid abstinence rates were, respectively, 53.7 and 44.4%. No significant group differences were found in use of heroin and other opioids. Opioid-dependent individuals who elect to switch from buprenorphine-naltrexone treatment after 3 months to extended-release naltrexone treatment for 9 months appear to experience similar treatment completion and abstinence rates and similar adverse event profiles to individuals who had been on extended-release naltrexone from the start of treatment. © 2018 Society for the

  11. Infant formula samples: perinatal sources and breast-feeding outcomes at 1 month postpartum.

    PubMed

    Thurston, Amanda; Bolin, Jocelyn H; Chezem, Jo Carol

    2013-01-01

    The purpose was to describe sources of infant formula samples during the perinatal period and assess their associations with breast-feeding outcomes at 1 month postpartum. Subjects included expectant mothers who anticipated breast-feeding at least 1 month. Infant feeding history and sources of formula samples were obtained at 1 month postpartum. Associations between sources and breast-feeding outcomes were assessed using partial correlation. Of the 61 subjects who initiated breast-feeding, most were white (87%), married (75%), college-educated (75%), and planned exclusive breast-feeding (82%). Forty-two subjects (69%) continued breast-feeding at 1 month postpartum. Subjects received formula samples from the hospital (n = 40; 66%), physician's office (n = 10; 16%), and mail (n = 41; 67%). There were no significant correlations between formula samples from the hospital, physician's office, and/or mail and any or exclusive breast-feeding at 1 month (P > .05). In addition to the hospital, a long-standing source of formula samples, mail was also frequently reported as a route for distribution. The lack of statistically significant associations between formula samples and any or exclusive breast-feeding at 1 month may be related to small sample size and unique characteristics of the group studied.

  12. 75 FR 20561 - Patent Term Extension

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-20

    ... drug products, medical devices, food additives, and color additives are eligible for extension. The... approved product, or a method of manufacturing the approved product. In addition, the application for... of manufacturing a product shall be extended if the term of the patent has not expired before an...

  13. Assessment of carbon monoxide values in smokers: a comparison of carbon monoxide in expired air and carboxyhaemoglobin in arterial blood.

    PubMed

    Andersson, Mette F; Møller, Ann M

    2010-09-01

    Smoking increases perioperative complications. Carbon monoxide concentrations can estimate patients' smoking status and might be relevant in preoperative risk assessment. In smokers, we compared measurements of carbon monoxide in expired air (COexp) with measurements of carboxyhaemoglobin (COHb) in arterial blood. The objectives were to determine the level of correlation and to determine whether the methods showed agreement and evaluate them as diagnostic tests in discriminating between heavy and light smokers. The study population consisted of 37 patients. The Micro Smokerlyzer was used to measure COexp; it measures COexp in parts per million (ppm) and converts it to the percentage of haemoglobin combined with carbon monoxide (%Hb). COHb in arterial blood was measured by the ABL 725. Correlation analysis and Bland-Altman analysis were performed, and 2 x 2 contingency tables and receiver operating characteristic curve analysis were conducted. The correlation between the methods was high (rho = 0.964). Bland-Altman analysis demonstrated that the Micro Smokerlyzer underestimated COHb values. The areas under the receiver operating characteristic curves were 0.746 (ABL 725) and 0.754 (Micro Smokerlyzer) and, by comparison, no statistically significant difference was found (P = 0.815). The two methods showed a high level of correlation, but poor agreement. The Micro Smokerlyzer systematically underestimated COHb values and, in order to avoid this, we suggested an alternative algorithm for converting COexp from ppm to %Hb. The ABL 725 and Micro Smokerlyzer were fair diagnostic tests in distinguishing between heavy and light smokers, but the longer the patients' smoking cessation time, the poorer the ability as diagnostic tests.

  14. Is cost effectiveness sustained after weekend inpatient rehabilitation? 12 month follow up from a randomized controlled trial.

    PubMed

    Brusco, Natasha Kareem; Watts, Jennifer J; Shields, Nora; Taylor, Nicholas F

    2015-04-18

    Our previous work showed that providing additional rehabilitation on a Saturday was cost effective in the short term from the perspective of the health service provider. This study aimed to evaluate if providing additional rehabilitation on a Saturday was cost effective at 12 months, from a health system perspective inclusive of private costs. Cost effectiveness analyses alongside a single-blinded randomized controlled trial with 12 months follow up inclusive of informal care. Participants were adults admitted to two publicly funded inpatient rehabilitation facilities. The control group received usual care rehabilitation services from Monday to Friday and the intervention group received usual care plus additional Saturday rehabilitation. Incremental cost effectiveness ratios were reported as cost per quality adjusted life year (QALY) gained and for a minimal clinical important difference (MCID) in functional independence. A total of 996 patients [mean age 74 years (SD 13)] were randomly assigned to the intervention (n = 496) or control group (n = 500). The intervention was associated with improvements in QALY and MCID in function, as well as a non-significant reduction in cost from admission to 12 months (mean difference (MD) AUD$6,325; 95% CI -4,081 to 16,730; t test p = 0.23 and MWU p = 0.06), and a significant reduction in cost from admission to 6 months (MD AUD$6,445; 95% CI 3,368 to 9,522; t test p = 0.04 and MWU p = 0.01). There is a high degree of certainty that providing additional rehabilitation services on Saturday is cost effective. Sensitivity analyses varying the cost of informal carers and self-reported health service utilization, favored the intervention. From a health system perspective inclusive of private costs the provision of additional Saturday rehabilitation for inpatients is likely to have sustained cost savings per QALY gained and for a MCID in functional independence, for the inpatient stay and 12 months following

  15. Cost-Effectiveness Analysis of Monthly Zoledronic Acid, Zoledronic Acid Every 3 Months, and Monthly Denosumab in Women With Breast Cancer and Skeletal Metastases: CALGB 70604 (Alliance).

    PubMed

    Shapiro, Charles L; Moriarty, James P; Dusetzina, Stacie; Himelstein, Andrew L; Foster, Jared C; Grubbs, Stephen S; Novotny, Paul J; Borah, Bijan J

    2017-12-10

    Purpose Skeletal-related events (SREs) such as pathologic fracture, spinal cord compression, or the necessity for radiation or surgery to bone metastasis cause considerable morbidity, decrements in quality of life, and costs to the health care system. The results of a recent large randomized trial (Cancer and Leukemia Group B/Alliance for Clinical Trials in Oncology [CALGB/Alliance 70604]) showed that zoledronic acid (ZA) every 3 months was noninferior to monthly ZA in reducing the risks of SREs. We sought to determine the cost-effectiveness (CE) of monthly ZA, ZA every 3 months, and monthly denosumab in women with breast cancer and skeletal metastases. Methods Using a Markov model, costs per SRE avoided were calculated for the three treatments. Sensitivity analyses were performed where denosumab SRE probabilities were assumed to be 50%, 75%, and 90% lower than the ZA SRE probabilities. Quality-adjusted life-years were also calculated. The analysis was from the US payer perspective. Results The mean costs of the denosumab treatment strategy are nine-fold higher than generic ZA every 3 months. Quality-adjusted life-years were virtually identical in all the three treatment arms; hence, the optimal treatment would be ZA every 3 months because it was the least costly treatment. The sensitivity analyses showed that relative to ZA every 3 months, the incremental costs per mean SRE avoided for denosumab ranged from $162,918 to $347,655. Conclusion ZA every 3 months was more CE in reducing the risks of SRE than monthly denosumab. This analysis was one of the first to incorporate the costs of generic ZA and one of the first independent CE analyses not sponsored by either Novartis or Amgen, the makers of ZA and denosumab, respectively. ZA every 3 months is the more CE option and more reasonable alternative to monthly denosumab.

  16. Assessment of the 18-month permanence of onlay tip cartilage grafts following rhinoplasty.

    PubMed

    Persichetti, Paolo; Simone, Pierfranco; Carusi, Carlo

    2013-09-01

    Augmentation rhinoplasty requires addition of materials of various natures to reshape the nasal pyramid. Onlay tip grafts are single or multilayered grafts placed horizontally over the alar domes. The aim of the present study was to assess the 18-month permanence of onlay septal cartilage grafts. Twenty-eight patients underwent rhinoplasty with onlay tip cartilage graft, between June 2008 and November 2008 at the Campus Bio-Medico University in Rome, Italy. They were reviewed and photographed 6 months and 18 months postoperatively. Comparison of 6-month and 18-month postoperative pictures was performed with Adobe Photoshop CS. Measurements on pictures were taken with AutoCAD. Comparison of photographs showed no visible difference in nasal tip projection. Comparison of the measurements of tip projection showed a mean reduction of 0.06 mm (0.19%). Considerable stability of nasal tip projection after rhinoplasty with onlay tip grafts was observed postoperatively. Comparison of standardised digital photographs is a valid procedure to assess contour alterations of various anatomical structures after plastic surgery.

  17. Association between month of birth and melanoma risk: fact or fiction?

    PubMed

    Fiessler, Cornelia; Pfahlberg, Annette B; Keller, Andrea K; Radespiel-Tröger, Martin; Uter, Wolfgang; Gefeller, Olaf

    2017-04-01

    Evidence on the effect of ultraviolet radiation (UVR) exposure in infancy on melanoma risk in later life is scarce. Three recent studies suggest that people born in spring carry a higher melanoma risk. Our study aimed at verifying whether such a seasonal pattern of melanoma risk actually exists. Data from the population-based Cancer Registry Bavaria (CRB) on the birth months of 28 374 incident melanoma cases between 2002 and 2012 were analysed and compared with data from the Bavarian State Office for Statistics and Data Processing on the birth month distribution in the Bavarian population. Crude and adjusted analyses using negative binomial regression models were performed in the total study group and supplemented by several subgroup analyses. In the crude analysis, the birth months March-May were over-represented among melanoma cases. Negative binomial regression models adjusted only for sex and birth year revealed a seasonal association between melanoma risk and birth month with 13-21% higher relative incidence rates for March, April and May compared with the reference December. However, after additionally adjusting for the birth month distribution of the Bavarian population, these risk estimates decreased markedly and no association with the birth month was observed any more. Similar results emerged in all subgroup analyses. Our large registry-based study provides no evidence that people born in spring carry a higher risk for developing melanoma in later life and thus lends no support to the hypothesis of higher UVR susceptibility during the first months of life. © The Author 2016; all rights reserved. Published by Oxford University Press on behalf of the International Epidemiological Association

  18. Six months versus nine months anti-tuberculous therapy for female genital tuberculosis: a randomized controlled trial.

    PubMed

    Sharma, Jai B; Singh, Neeta; Dharmendra, Sona; Singh, Urvashi B; P, Vanamail; Kumar, Sunesh; Roy, K K; Hari, Smriti; Iyer, V; Sharma, S K

    2016-08-01

    To compare six months versus nine months anti-tuberculous therapy in patients of female genital tuberculosis. It was a randomized controlled trial in a tertiary referral center teaching institute on 175 women presenting with infertility and found to have female genital tuberculosis on clinical examination and investigations. Group I women (86 women) were given 9 months of intermitted anti-tuberculous therapy under directly observed treatment short course (DOTS) strategy while Group II (89 women) were given 6 months of anti-tuberculous therapy under DOTS. Patients were evaluated for primary end points (complete cure, partial response, no response) and secondary end points (recurrence rate, pregnancy rate) during treatment. All patients were followed up further for one year after completion of therapy to assess recurrence of disease and further pregnancies. Baseline characteristics were similar between two randomized groups. There was no difference in the complete clinical response rate (95.3% vs 97.7%, p=0.441) between 9-months and 6-months groups. Four patients in 9-months group and two patients in 6-months group had recurrence of disease and required category II anti tuberculous therapy (p=0.441). Pregnancy rate during treatment and up to one year follow up was also similar in the two groups (23.2% vs 21.3%, p=0.762). Side effects occurred in 27(31.4%) and 29(32.6%) in 9-months and 6-months of therapy and were similar (p=0.866). There was no difference in complete cure rate, recurrent rate and pregnancy rate for either 6-months or 9-months of intermittent directly observed treatment short course anti-tuberculous therapy in female genital tuberculosis. The trial was registered in clinicaltrials.gov with registration no: CTRI/2009/091/001088. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  19. Climate Prediction Center - monthly Outlook

    Science.gov Websites

    Weather Service NWS logo - Click to go to the NWS home page Climate Prediction Center Site Map News Outlooks monthly Climate Outlooks Banner OFFICIAL Forecasts June 2018 [UPDATED MONTHLY FORECASTS SERVICE CHANGE NOTICE] [EXPERIMENTAL TWO-CLASS SEASONAL FORECASTS] Text-Format Discussions Monthly Long Lead 30

  20. 78 FR 17988 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-25

    ... minimum CMM quoting requirements based on a percentage of series or as a percentage of time achieves the... shares of underlying stock or exchange-traded fund shares. Long- term options are series with a time to... 60% of the non-adjusted options series that have a time to expiration of less than nine months); NYSE...

  1. 76 FR 67781 - Self-Regulatory Organizations; NASDAQ OMX BX, Inc.; Notice of Filing and Immediate Effectiveness...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-02

    ... expiration months and thus encourage competition without harming investors or the public interest. B. Self... SECURITIES AND EXCHANGE COMMISSION [Release No. 34-65642; File No. SR-BX-2011-072] Self-Regulatory.... 78s(b)(1). \\2\\ 17 CFR 240.19b-4. \\3\\ 17 CFR 240.19b-4(f)(6). I. Self-Regulatory Organization's...

  2. 77 FR 44291 - Self-Regulatory Organizations; NYSE Arca, Inc.; Order Granting Approval of Proposed Rule Change...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... volatility. On the day of the monthly expiration of VIX call options, previously purchased VIX call options are cash-settled, and new VIX call options are purchased at the 10 a.m., Central Time asking price... Index. \\9\\ Tail hedging, in the context used by the Index Provider, is the practice of trying to hedge...

  3. 76 FR 20771 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-13

    ... regular index options, with one general exception: The exercise settlement value is based on the index... note 5. Generally, EOWs and EOMs are priced in the market based on corresponding futures values. On the... on broad-based indexes to expire on (a) any Friday of the month, other than the third Friday-of- the...

  4. Application of solid-phase microextraction to the quantitative analysis of 1,8-cineole in blood and expired air in a Eucalyptus herbivore, the brushtail possum (Trichosurus vulpecula).

    PubMed

    Boyle, Rebecca R; McLean, Stuart; Brandon, Sue; Pass, Georgia J; Davies, Noel W

    2002-11-25

    We have developed two solid-phase microextraction (SPME) methods, coupled with gas chromatography, for quantitatively analysing the major Eucalyptus leaf terpene, 1,8-cineole, in both expired air and blood from the common brushtail possum (Trichosurus vulpecula). In-line SPME sampling (5 min at 20 degrees C room temperature) of excurrent air from an expiratory chamber containing a possum dosed orally with 1,8-cineole (50 mg/kg) allowed real-time semi-quantitative measurements reflecting 1,8-cineole blood concentrations. Headspace SPME using 50 microl whole blood collected from possums dosed orally with 1,8-cineole (30 mg/kg) resulted in excellent sensitivity (quantitation limit 1 ng/ml) and reproducibility. Blood concentrations ranged between 1 and 1380 ng/ml. Calibration curves were prepared for two concentration ranges (0.05-10 and 10-400 ng/50 microl) for the analysis of blood concentrations. Both calibration curves were linear (r(2)=0.999 and 0.994, respectively) and the equations for the two concentration ranges were consistent. Copyright 2002 Elsevier Science B.V.

  5. Early additional food and fluids for healthy breastfed full-term infants.

    PubMed

    Becker, Genevieve E; Remmington, Tracey

    2014-11-25

    Widespread recommendations from health organisations encourage exclusive breastfeeding for six months. However, the addition of other fluids or foods before six months is common in many countries and communities. This practice suggests perceived benefits of early supplementation or lack of awareness of the possible risks. To assess the benefits and harms of supplementation for full-term healthy breastfed infants and to examine the timing and type of supplementation. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (21 March 2014) and reference lists of all relevant retrieved papers. Randomised or quasi-randomised controlled trials in infants under six months of age comparing exclusive breastfeeding versus breastfeeding with any additional food or fluids. Two review authors independently selected the trials, extracted data and assessed risk of bias. We included eight trials (984 randomised infants/mothers). Six trials (n = 613 analysed) provided data on outcomes of interest to this review. The variation in outcome measures and time points made it difficult to pool results from trials. Data could only be combined in a meta-analysis for one secondary outcome (weight change). The trials that provided outcome data compared exclusively breastfed infants with breastfed infants who were allowed additional nutrients in the form of artificial milk, glucose, water or solid foods.In relation to the majority of the older trials, the description of study methods was inadequate to assess the risk of bias. The two more recent trials, were found to be at low risk of bias for selection and detection bias. The overall quality of the evidence for the main comparison was low.In one trial (170 infants) comparing exclusively breastfeeding infants with infants who were allowed additional glucose water, there was a significant difference favouring exclusive breastfeeding up to and including week 20 (risk ratio (RR) 1.45, 95% confidence interval (CI) 1.05 to 1

  6. Monthly streamflow forecasting in the Rhine basin

    NASA Astrophysics Data System (ADS)

    Schick, Simon; Rössler, Ole; Weingartner, Rolf

    2017-04-01

    Forecasting seasonal streamflow of the Rhine river is of societal relevance as the Rhine is an important water way and water resource in Western Europe. The present study investigates the predictability of monthly mean streamflow at lead times of zero, one, and two months with the focus on potential benefits by the integration of seasonal climate predictions. Specifically, we use seasonal predictions of precipitation and surface air temperature released by the European Centre for Medium-Range Weather Forecasts (ECMWF) for a regression analysis. In order to disentangle forecast uncertainty, the 'Reverse Ensemble Streamflow Prediction' framework is adapted here to the context of regression: By using appropriate subsets of predictors the regression model is constrained to either the initial conditions, the meteorological forcing, or both. An operational application is mimicked by equipping the model with the seasonal climate predictions provided by ECMWF. Finally, to mitigate the spatial aggregation of the meteorological fields the model is also applied at the subcatchment scale, and the resulting predictions are combined afterwards. The hindcast experiment is carried out for the period 1982-2011 in cross validation mode at two gauging stations, namely the Rhine at Lobith and Basel. The results show that monthly forecasts are skillful with respect to climatology only at zero lead time. In addition, at zero lead time the integration of seasonal climate predictions decreases the mean absolute error by 5 to 10 percentage compared to forecasts which are solely based on initial conditions. This reduction most likely is induced by the seasonal prediction of precipitation and not air temperature. The study is completed by bench marking the regression model with runoff simulations from ECMWFs seasonal forecast system. By simply using basin averages followed by a linear bias correction, these runoff simulations translate well to monthly streamflow. Though the regression model

  7. Benchmarking homogenization algorithms for monthly data

    NASA Astrophysics Data System (ADS)

    Venema, V. K. C.; Mestre, O.; Aguilar, E.; Auer, I.; Guijarro, J. A.; Domonkos, P.; Vertacnik, G.; Szentimrey, T.; Stepanek, P.; Zahradnicek, P.; Viarre, J.; Müller-Westermeier, G.; Lakatos, M.; Williams, C. N.; Menne, M. J.; Lindau, R.; Rasol, D.; Rustemeier, E.; Kolokythas, K.; Marinova, T.; Andresen, L.; Acquaotta, F.; Fratianni, S.; Cheval, S.; Klancar, M.; Brunetti, M.; Gruber, C.; Prohom Duran, M.; Likso, T.; Esteban, P.; Brandsma, T.

    2012-01-01

    The COST (European Cooperation in Science and Technology) Action ES0601: advances in homogenization methods of climate series: an integrated approach (HOME) has executed a blind intercomparison and validation study for monthly homogenization algorithms. Time series of monthly temperature and precipitation were evaluated because of their importance for climate studies and because they represent two important types of statistics (additive and multiplicative). The algorithms were validated against a realistic benchmark dataset. The benchmark contains real inhomogeneous data as well as simulated data with inserted inhomogeneities. Random independent break-type inhomogeneities with normally distributed breakpoint sizes were added to the simulated datasets. To approximate real world conditions, breaks were introduced that occur simultaneously in multiple station series within a simulated network of station data. The simulated time series also contained outliers, missing data periods and local station trends. Further, a stochastic nonlinear global (network-wide) trend was added. Participants provided 25 separate homogenized contributions as part of the blind study. After the deadline at which details of the imposed inhomogeneities were revealed, 22 additional solutions were submitted. These homogenized datasets were assessed by a number of performance metrics including (i) the centered root mean square error relative to the true homogeneous value at various averaging scales, (ii) the error in linear trend estimates and (iii) traditional contingency skill scores. The metrics were computed both using the individual station series as well as the network average regional series. The performance of the contributions depends significantly on the error metric considered. Contingency scores by themselves are not very informative. Although relative homogenization algorithms typically improve the homogeneity of temperature data, only the best ones improve precipitation data

  8. Environmental Assessment For the Proposed Construction of A Hazardous Materials Issue Facility and a Hazardous Wastes Storage Facility at Buckley Air Force Base, Colorado

    DTIC Science & Technology

    2005-04-01

    July 2002, and expires 30 June 2007 (BAFB 2001). In July 2002, the CDPHE performed an inspection of...months during the winter, spring, and fall to 9.8 million gallons for the summer months, such as July . BAFB disposed of approximately 1,477 tons of...assistance, please contact Amy Pallante , our Section 106 Compliance Coordinator, at (303) 866-4678. Sincerely, 1 " . ~"l·v’\\. /,. , fl: ··[;uf. . UV’"\\.:\\... .. ~oc-Georgianna Contigugli v State Historic Preservation Officer

  9. Environmental Assessment for the Proposed Construction and Operation of an Outdoor Recreation Equipment Rental Facility at Buckley Air Force Base, Colorado

    DTIC Science & Technology

    2004-10-01

    permit was originally issued on 28 August 1997, most recently reissued as of 01 July 2002, and expires 30 June 2007 (BAFB 2001). In July 2002, the...the months during winter, spring, and fall to 9.8 million gallons for the summer months, such as July . In the first quarter of FY 04, BAFB diverted...PS Form 3811, July 1999 Domestic Return Receipt UNITED STATES POSTAL SERVICE 102595-99-M-1 First-Class Mail Postage & Fees Paid USPS Permit No

  10. Complementary Feeding Diets Made of Local Foods Can Be Optimized, but Additional Interventions Will Be Needed to Meet Iron and Zinc Requirements in 6- to 23-Month-Old Children in Low- and Middle-Income Countries.

    PubMed

    Osendarp, Saskia J M; Broersen, Britt; van Liere, Marti J; De-Regil, Luz M; Bahirathan, Lavannya; Klassen, Eva; Neufeld, Lynnette M

    2016-12-01

    The question whether diets composed of local foods can meet recommended nutrient intakes in children aged 6 to 23 months living in low- and middle-income countries is contested. To review evidence of studies evaluating whether (1) macro- and micronutrient requirements of children aged 6 to 23 months from low- and middle-income countries are met by the consumption of locally available foods ("observed intake") and (2) nutrient requirements can be met when the use of local foods is optimized, using modeling techniques ("modeled intake"). Twenty-three articles were included after conducting a systematic literature search. To allow for comparisons between studies, findings of 15 observed intake studies were compared against their contribution to a standardized recommended nutrient intake from complementary foods. For studies with data on intake distribution, %< estimated average requirements were calculated. Data from the observed intake studies indicate that children aged 6 to 23 months meet requirements of protein, while diets are inadequate in calcium, iron, and zinc. Also for energy, vitamin A, thiamin, riboflavin, niacin, folate, and vitamin C, children did not always fulfill their requirements. Very few studies reported on vitamin B6, B12, and magnesium, and no conclusions can be drawn for these nutrients. When diets are optimized using modeling techniques, most of these nutrient requirements can be met, with the exception of iron and zinc and in some settings calcium, folate, and B vitamins. Our findings suggest that optimizing the use of local foods in diets of children aged 6 to 23 months can improve nutrient intakes; however, additional cost-effective strategies are needed to ensure adequate intakes of iron and zinc. © The Author(s) 2016.

  11. Replacing Phosphorus-Containing Food Additives With Foods Without Additives Reduces Phosphatemia in End-Stage Renal Disease Patients: A Randomized Clinical Trial.

    PubMed

    de Fornasari, Margareth Lage Leite; Dos Santos Sens, Yvoty Alves

    2017-03-01

    The purpose of the study was to verify the effects of replacing phosphorus-containing food additives with foods without additives on phosphatemia in end-stage renal disease (ESRD) patients. Randomized clinical trial. Adult patients on hemodialysis for ≥6 months at a single center. A total of 134 patients with phosphorus levels of >5.5 mg/dL were included and were randomized into an intervention group (n = 67) and a control group (n = 67). The IG received individual orientation to replace processed foods that have phosphorus additives with foods of similar nutritional value without these additives. The CG received only the nutritional orientation given before the study. Clinical laboratory data, nutritional status, energy and protein intake, and normalized protein nitrogen appearance (nPNA) were evaluated at the beginning of the study and after 90 days. There was no initial difference between the groups in terms of serum phosphorus levels, nutritional status, and energy intake. After 3 months, there was a decline in phosphorus levels in the IG (from 7.2 ± 1.4 to 5.0 ± 1.3 mg/dL, P < .001), but there was no significant difference in the CG (from 7.1 ± 1.2 to 6.7 ± 1.2 mg/dL, P = .65). In the IG, 69.7% of the patients reached the serum phosphorus target of ≤5.5 mg/dL; however, only 18.5% of the CG subjects reached this level (P < .001). At the end, there was no difference between the two groups in terms of nutritional status, energy intake, protein intake, and nPNA. The replacing phosphorus-containing food additives with foods without additives reduced serum phosphorus without interfering in the nutritional status of ESRD patients. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

  12. 76 FR 1448 - Notice of Submission of Proposed Information Collection to OMB Survey of Market Absorption of New...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-10

    ... proposal. This survey provides the data necessary to measure the rate at which different types of new... data is collected at quarterly intervals until the twelve months expire or until the units in a... meeting the present and future needs of the public. Data are collected under Title 12, U.S.C. Sec. 1701Z-1...

  13. 78 FR 76375 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-17

    ... expirations: week 1 quarterly option, week 2 weekly option, week 3 monthly option, week 4 weekly option, week... allowed: week 1 weekly option, week 2 weekly option, week 3 quarterly option, week 4 weekly option, week 5... the Securities Exchange Act of 1934 (the ``Act''),\\1\\ and Rule 19b-4 thereunder,\\2\\ notice is hereby...

  14. 46 CFR 188.10-1 - Anniversary date.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 7 2010-10-01 2010-10-01 false Anniversary date. 188.10-1 Section 188.10-1 Shipping... PROVISIONS Definition of Terms Used in This Subchapter § 188.10-1 Anniversary date. The term anniversary date means the day and the month of each year, which corresponds to the date of expiration of the Certificate...

  15. 75 FR 78288 - Self-Regulatory Organizations; International Securities Exchange, LLC; Notice of Filing and...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-15

    ....00 (for options whose underlying stock's previous trading day's last sale price was less than or... last sale price was greater than $100) in premium in each of the front two expiration months and 80% of... trading day's last sale price was less than or equal to $100) and between $0.10 and $5.00 (for options...

  16. 26 CFR 601.103 - Summary of general tax procedure.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... form of return which shows the facts upon which tax liability may be determined and assessed. Generally... taxpayer may then bring suit in the United States District Court or in the United States Claims Court for recovery of the tax. Suit may not be commenced before the expiration of six months from the date of filing...

  17. 26 CFR 601.103 - Summary of general tax procedure.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... form of return which shows the facts upon which tax liability may be determined and assessed. Generally... taxpayer may then bring suit in the United States District Court or in the United States Claims Court for recovery of the tax. Suit may not be commenced before the expiration of six months from the date of filing...

  18. 26 CFR 601.103 - Summary of general tax procedure.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... form of return which shows the facts upon which tax liability may be determined and assessed. Generally... taxpayer may then bring suit in the United States District Court or in the United States Claims Court for recovery of the tax. Suit may not be commenced before the expiration of six months from the date of filing...

  19. 26 CFR 601.103 - Summary of general tax procedure.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... form of return which shows the facts upon which tax liability may be determined and assessed. Generally... taxpayer may then bring suit in the United States District Court or in the United States Claims Court for recovery of the tax. Suit may not be commenced before the expiration of six months from the date of filing...

  20. 26 CFR 601.103 - Summary of general tax procedure.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... form of return which shows the facts upon which tax liability may be determined and assessed. Generally... taxpayer may then bring suit in the United States District Court or in the United States Claims Court for recovery of the tax. Suit may not be commenced before the expiration of six months from the date of filing...

  1. Triptorelin embonate (6-month formulation).

    PubMed

    Keating, Gillian M

    2010-02-12

    A 6-month formulation of the gonadotropin-releasing hormone agonist triptorelin embonate (designed to deliver 22.5 mg of triptorelin over a 6-month period) has been developed for use in the treatment of advanced prostate cancer. Following intramuscular administration of the 6-month formulation of triptorelin embonate 22.5 mg to men with advanced prostate cancer (subset of 15 patients from the pivotal clinical trial), serum testosterone levels initially increased, followed by a rapid, sustained decrease. Castrate serum testosterone levels (i.e. < or =1.735 nmol/L) were achieved in a geometric mean time of 18.8 days. The 6-month formulation of triptorelin embonate achieved and maintained castrate serum testosterone levels in patients with advanced prostate cancer (n = 120), according to the results of the pivotal, noncomparative, multicentre trial (patients received intramuscular triptorelin embonate 22.5 mg on day 1 and at month 6 [week 24]). By day 29, 97.5% of patients had castrate serum testosterone levels. Castrate serum testosterone levels were maintained from months 2 to 12 in 93.0% of patients. Prior to the second injection at month 6, 98.3% of patients had castrate serum testosterone levels, and 98.3% of patients had castrate serum testosterone levels at study completion. The 6-month formulation of triptorelin embonate 22.5 mg was generally well tolerated in patients with advanced prostate cancer; adverse events were of mild severity in the majority of patients. Drug-related adverse events (e.g. hot flushes) were consistent with the pharmacological action of triptorelin. Injection-site reactions occurred in 6.7% of triptorelin embonate recipients.

  2. Walking Gait Asymmetries Six Months Following Anterior Cruciate Ligament Reconstruction Predict Twelve-Month Patient-Reported Outcomes.

    PubMed

    Pietrosimone, Brian; Blackburn, J Troy; Padua, Darin A; Pfeiffer, Steven J; Davis, Hope C; Luc-Harkey, Brittney A; Harkey, Matthew S; Stanley, Laura E; Frank, Barnett S; Creighton, R Alexander; Kamath, Ganesh M; Spang, Jeffery T

    2018-05-21

    The study sought to determine the association between gait biomechanics (vertical ground reaction force [vGRF], vGRF loading rate [vGRF-LR]) collected six months following anterior cruciate ligament reconstruction (ACLR) with patient-reported outcomes at twelve months following ACLR. Walking gait mechanics and all subsections of the Knee Injury and Osteoarthritis Outcomes Score (KOOS) were collected at six and twelve months following ACLR, respectively, in 25 individuals with a unilateral ACLR. Peak vGRF and peak instantaneous vGRF-LR were extracted from the first 50% of the stance phase. Limb symmetry indices (LSI) were used to normalize outcomes in the ACLR limb to that of the uninjured limb (ACLR /uninjured). Linear regression analyses were used to determine associations between biomechanical outcomes and KOOS while accounting for walking speed. Receiver operator characteristic curves were used to determine the accuracy of 6-month biomechanical outcomes for identifying individuals with acceptable patient-reported outcomes, using previously defined KOOS cut-off scores,12 months post-ACLR. Individuals with lower peak vGRF LSI 6 months post-ACLR demonstrated worse patient-reported outcomes (KOOS Pain, Activities of Daily life, Sport and Recreation, Quality of Life) at the 12-month exam. A peak vGRF LSI ≥0.99 6 months following ACLR associated with 13.33x higher odds of reporting acceptable patient-reported outcomes 12 months post-ACLR. Lesser peak vGRF LSI during walking at 6-months post-ACLR may be a critical indicator of worse future patient-reported outcomes. Achieving early symmetrical lower extremity loading and minimizing under-loading of the ACLR limb during walking may be a potential therapeutic target for improving patient-reported outcomes post-ACLR. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  3. Monthly Petroleum Product Price Report, October 1981

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

    Not Available

    1981-01-01

    Data are reported on the prices of petroleum products for the period January 1980 through October 1981. The following products are included in the survey: gasoline, diesel fuels, residual fuels, aviation fuels, kerosene, liquefied petroleum gases heating oils, and No. 5 and No. 6 fuel oils. This report provides Congress and the public with information on monthly national weighted average prices for refined petroleum products. The data published are the primary source of price data for refined products for the refining, reselling, and retailing sectors necessary for the Department of Energy (DOE) to execute its role in monitoring prices. Inmore » addition, the data provide the information necessary for Congress, DOE, and the public to perform analyses and projections related to energy supplies, demands, and prices. Price data in this publication were collected from separate surveys. Average prices are derived from a survey of refiners, large resellers and/or retailers, and independent gas plant operators. Data from this monthly survey are available from July 1975. Average No. 2 heating oil prices were derived from a sample survey of refiners, resellers, and retailers who sell heating oil. The geographic coverage for this report is the 50 States and the District of Columbia.« less

  4. Monthly variation in pediatric visits for headache to US emergency departments.

    PubMed

    Caperell, Kerry; Rominger, Anna

    2017-08-01

    Headache is a common pediatric symptom often associated with stress and fatigue which may be more common during the school year. The purpose of this study is to determine if visits for headache are more common during the months of the school year. This study is a secondary analysis of the National Hospital Ambulatory Medical Care Survey (NHAMCS) database from 2001 to 2010. Patient visits in those aged 18 years or younger not associated with injury were examined. Only visits with an International Classification of Diseases, ninth revision (ICD-9) code consistent with headache were included. Data were analyzed using cumulative binomial probabilities. This statistic was used to establish the chance of seeing up to the observed number of visits for headache in a given month assuming that all months have an equal number of visits. A total of 660 unweighted visits representing 3.2 million patient encounters met the inclusion and exclusion criteria. Visits for headache were more common during the months of January, September, and October and less common in March, April, July, and November. Subgroup analysis was performed for children aged 13-18 years. In this subgroup, headaches were more common in January, September, and October. They were less common in July and December. Headache is more common during the first 2 months back to school in the fall as well as after the winter break in January. While we are not able to establish causality, we propose that children with headache require additional attention during the school year, particularly in the months following summer and winter breaks. Copyright © 2017 American Federation for Medical Research.

  5. Month-to-month and year-to-year reproducibility of high frequency QRS ECG signals

    NASA Technical Reports Server (NTRS)

    Batdorf, Niles J.; Feiveson, Alan H.; Schlegel, Todd T.

    2004-01-01

    High frequency electrocardiography analyzing the entire QRS complex in the frequency range of 150 to 250 Hz may prove useful in the detection of coronary artery disease, yet the long-term stability of these waveforms has not been fully characterized. Therefore, we prospectively investigated the reproducibility of the root mean squared voltage, kurtosis, and the presence versus absence of reduced amplitude zones in signal averaged 12-lead high frequency QRS recordings acquired in the supine position one month apart in 16 subjects and one year apart in 27 subjects. Reproducibility of root mean squared voltage and kurtosis was excellent over these time intervals in the limb leads, and acceptable in the precordial leads using both the V-lead and CR-lead derivations. The relative error of root mean squared voltage was 12% month-to-month and 16% year-to-year in the serial recordings when averaged over all 12 leads. Reduced amplitude zones were also reproducible up to a rate of 87% and 81%, respectively, for the month-to-month and year-to-year recordings. We conclude that 12-lead high frequency QRS electrocardiograms are sufficiently reproducible for clinical use.

  6. Month-to-Month and Year-to-Year Reproducibility of High Frequency QRS ECG signals

    NASA Technical Reports Server (NTRS)

    Batdorf, Niles; Feiveson, Alan H.; Schlegel, Todd T.

    2006-01-01

    High frequency (HF) electrocardiography analyzing the entire QRS complex in the frequency range of 150 to 250 Hz may prove useful in the detection of coronary artery disease, yet the long-term stability of these waveforms has not been fully characterized. We therefore prospectively investigated the reproducibility of the root mean squared (RMS) voltage, kurtosis, and the presence versus absence of reduced amplitude zones (RAzs) in signal averaged 12-lead HF QRS recordings acquired in the supine position one month apart in 16 subjects and one year apart in 27 subjects. Reproducibility of RMS voltage and kurtosis was excellent over these time intervals in the limb leads, and acceptable in the precordial leads using both the V-lead and CR-lead derivations. The relative error of RMS voltage was 12% month-to-month and 16% year-to-year in the serial recordings when averaged over all 12 leads. RAzs were also reproducible at a rate of up to 87% and 8 1 %, respectively, for the month-to-month and year-to-year recordings. We conclude that 12-lead HF QRS electrocardiograms are sufficiently reproducible for clinical use.

  7. Stochastic Generation of Monthly Rainfall Data

    NASA Astrophysics Data System (ADS)

    Srikanthan, R.

    2009-03-01

    Monthly rainfall data is generally needed in the simulation of water resources systems, and in the estimation of water yield from large catchments. Monthly streamflow data generation models are usually applied to generate monthly rainfall data, but this presents problems for most regions, which have significant months of no rainfall. In an earlier study, Srikanthan et al. (J. Hydrol. Eng., ASCE 11(3) (2006) 222-229) recommended the modified method of fragments to disaggregate the annual rainfall data generated by a first-order autoregressive model. The main drawback of this approach is the occurrence of similar patterns when only a short length of historic data is available. Porter and Pink (Hydrol. Water Res. Symp. (1991) 187-191) used synthetic fragments from a Thomas-Fiering monthly model to overcome this drawback. As an alternative, a new two-part monthly model is nested in an annual model to generate monthly rainfall data which preserves both the monthly and annual characteristics. This nested model was applied to generate rainfall data from seven rainfall stations located in eastern and southern parts of Australia, and the results showed that the model performed satisfactorily.

  8. Weight changes in obese adults 6-months after discontinuation of double-blind zonisamide or placebo treatment

    PubMed Central

    Shin, J.H.; Gadde, K.M.; Øtbye, T.; Bray, Bray

    2014-01-01

    We evaluated weight changes in obese patients at 6-months after they ended participation in a 12-month randomized controlled trial in which they received daily placebo, zonisamide 200 mg, or zonisamide 400 mg, in addition to lifestyle counseling. Of the originally randomized 225 patients, 218 completed month-12 when study interventions were discontinued. For the 154 patients who returned for 6-month follow-up off-treatment, weight changes between month-12 and month-18 for placebo (n=53), zonisamide 200 mg (n=49), and zonisamide 400 mg groups (n=52) were 0.5 kg (95% CI, −0.8 to 1.8; 0.7%), 1.5 kg (0.2 to 2.8; 1.6%; p=0.26 vs placebo) and 2.4 kg (1.1 to 3.7; 2.6%; p=0.04 vs placebo), respectively. Our results suggest that although zonisamide 400 mg daily for 12-months resulted in greater weight loss than with placebo, weight regain after discontinuation of interventions was greater in the zonisamide 400 mg group than placebo group. PMID:25123600

  9. Monthly Rainfall Erosivity Assessment for Switzerland

    NASA Astrophysics Data System (ADS)

    Schmidt, Simon; Meusburger, Katrin; Alewell, Christine

    2016-04-01

    Water erosion is crucially controlled by rainfall erosivity, which is quantified out of the kinetic energy of raindrop impact and associated surface runoff. Rainfall erosivity is often expressed as the R-factor in soil erosion risk models like the Universal Soil Loss Equation (USLE) and its revised version (RUSLE). Just like precipitation, the rainfall erosivity of Switzerland has a characteristic seasonal dynamic throughout the year. This inter-annual variability is to be assessed by a monthly and seasonal modelling approach. We used a network of 86 precipitation gauging stations with a 10-minute temporal resolution to calculate long-term average monthly R-factors. Stepwise regression and Monte Carlo Cross Validation (MCCV) was used to select spatial covariates to explain the spatial pattern of R-factor for each month across Switzerland. The regionalized monthly R-factor is mapped by its individual regression equation and the ordinary kriging interpolation of its residuals (Regression-Kriging). As covariates, a variety of precipitation indicator data has been included like snow height, a combination of hourly gauging measurements and radar observations (CombiPrecip), mean monthly alpine precipitation (EURO4M-APGD) and monthly precipitation sums (Rhires). Topographic parameters were also significant explanatory variables for single months. The comparison of all 12 monthly rainfall erosivity maps showed seasonality with highest rainfall erosivity in summer (June, July, and August) and lowest rainfall erosivity in winter months. Besides the inter-annual temporal regime, a seasonal spatial variability was detectable. Spatial maps of monthly rainfall erosivity are presented for the first time for Switzerland. The assessment of the spatial and temporal dynamic behaviour of the R-factor is valuable for the identification of more susceptible seasons and regions as well as for the application of selective erosion control measures. A combination with monthly vegetation

  10. Association Between Cognitive Function and Health Care Costs 3 Months and 6 Months After Initiating Antidepressant Medication for Depressive Disorders.

    PubMed

    Walker, Valery; Patel, Haridarshan; Kurlander, Jonathan L; Essoi, Breanna; Yang, Jiao; Mahableshwarkar, Atul R; Samp, Jennifer C; Akhras, Kasem S

    2015-09-01

    Major depressive disorder is one of the most common and disabling mental health disorders and is associated with substantial costs in terms of direct health care utilization and workplace productivity. Cognitive dysfunction, which alone substantially increases health care costs, is commonly associated with major depressive disorder. However, the health care costs of cognitive dysfunction in the context of depressive disorder are unknown. Recovery from mood symptoms is not always associated with resolution of cognitive dysfunction. Thus, cognitive dysfunction may contribute to health care burden even with successful antidepressant therapy.  To compare health care utilization and costs for patients with a depressive disorder with and without cognitive dysfunction, at 3 and 6 months after initiation of antidepressant medication.  This was an observational study, combining a cross-sectional patient survey, administered during a telephone interview, with health care claims data from a large, geographically diverse U.S. health plan. Included patients had at least 1 pharmacy claim for an antidepressant medication between August 1 and September 30, 2012, and no claim for any antidepressant during the 6 months prior to the index date. In addition to other criteria assessed in the claims data, patients confirmed a diagnosis of depression or major depressive disorder and the absence of any exclusionary neurological diagnoses possibly associated with cognitive impairment. Eligible patients were administered validated cognitive function assessments of verbal episodic memory (Hopkins Verbal Learning Test-Revised, Delayed and Total); attention (Digit Span Forward Maximum Sequence Length); working memory (Digit Span Backward Maximum Sequence Length); and executive function (D-KEFS-Letter Fluency Test). Based on comparison of scores with normative data, patients were assigned to cognitive dysfunction or cognitive normal cohorts. All-cause (all diagnoses) and depressive disorder

  11. Early additional food and fluids for healthy breastfed full-term infants.

    PubMed

    Smith, Hazel A; Becker, Genevieve E

    2016-08-30

    Health organisations recommend exclusive breastfeeding for six months. However, the addition of other fluids or foods before six months is common in many countries. Recently, research has suggested that introducing solid food at around four months of age while the baby continues to breastfeed is more protective against developing food allergies compared to exclusive breastfeeding for six months. Other studies have shown that the risks associated with non-exclusive breastfeeding are dependent on the type of additional food or fluid given. Given this background we felt it was important to update the previous version of this review to incorporate the latest findings from studies examining exclusive compared to non-exclusive breastfeeding. To assess the benefits and harms of additional food or fluid for full-term healthy breastfeeding infants and to examine the timing and type of additional food or fluid. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (1 March 2016) and reference lists of all relevant retrieved papers. Randomised or quasi-randomised controlled trials in infants under six months of age comparing exclusive breastfeeding versus breastfeeding with any additional food or fluids. Two review authors independently assessed trials for inclusion and risk of bias, extracted data and checked them for accuracy. Two review authors assessed the quality of the evidence using the GRADE approach. We included 11 trials (2542 randomised infants/mothers). Nine trials (2226 analysed) provided data on outcomes of interest to this review. The variation in outcome measures and time points made it difficult to pool results from trials. Data could only be combined in a meta-analysis for one primary (breastfeeding duration) and one secondary (weight change) outcome. None of the trials reported on physiological jaundice. Infant mortality was only reported in one trial.For the majority of older trials, the description of study methods was inadequate to

  12. Environmental Assessment For the Proposed Construction and Operation of a Consolidated Fuels Facility and the Demolition of the Existing Fuel Farm at Buckley Air Force Base, Colorado

    DTIC Science & Technology

    2005-12-01

    1-2 lntemattonal Airport Buckley AFB, Colorado Prepared By 460th CEV Last Revised 21 July 2005 SECTION 1.0 PURPOSE OF AND NEED FOR THE ACTION...88°F in July and low is l5°F in January. Monthly precipitation fluctuates throughout the year 15 with the wettest months being May through June. The...Operating Permit No. 950PAR118. This permit was originally issued on 28 August 1997, was 19 most recently reissued 0 I July 2002, and will expire 30

  13. Updated techniques for estimating monthly streamflow-duration characteristics at ungaged and partial-record sites in central Nevada

    USGS Publications Warehouse

    Hess, Glen W.

    2002-01-01

    Techniques for estimating monthly streamflow-duration characteristics at ungaged and partial-record sites in central Nevada have been updated. These techniques were developed using streamflow records at six continuous-record sites, basin physical and climatic characteristics, and concurrent streamflow measurements at four partial-record sites. Two methods, the basin-characteristic method and the concurrent-measurement method, were developed to provide estimating techniques for selected streamflow characteristics at ungaged and partial-record sites in central Nevada. In the first method, logarithmic-regression analyses were used to relate monthly mean streamflows (from all months and by month) from continuous-record gaging sites of various percent exceedence levels or monthly mean streamflows (by month) to selected basin physical and climatic variables at ungaged sites. Analyses indicate that the total drainage area and percent of drainage area at altitudes greater than 10,000 feet are the most significant variables. For the equations developed from all months of monthly mean streamflow, the coefficient of determination averaged 0.84 and the standard error of estimate of the relations for the ungaged sites averaged 72 percent. For the equations derived from monthly means by month, the coefficient of determination averaged 0.72 and the standard error of estimate of the relations averaged 78 percent. If standard errors are compared, the relations developed in this study appear generally to be less accurate than those developed in a previous study. However, the new relations are based on additional data and the slight increase in error may be due to the wider range of streamflow for a longer period of record, 1995-2000. In the second method, streamflow measurements at partial-record sites were correlated with concurrent streamflows at nearby gaged sites by the use of linear-regression techniques. Statistical measures of results using the second method typically

  14. Technologies for Clinical Diagnosis Using Expired Human Breath Analysis

    PubMed Central

    Mathew, Thalakkotur Lazar; Pownraj, Prabhahari; Abdulla, Sukhananazerin; Pullithadathil, Biji

    2015-01-01

    This review elucidates the technologies in the field of exhaled breath analysis. Exhaled breath gas analysis offers an inexpensive, noninvasive and rapid method for detecting a large number of compounds under various conditions for health and disease states. There are various techniques to analyze some exhaled breath gases, including spectrometry, gas chromatography and spectroscopy. This review places emphasis on some of the critical biomarkers present in exhaled human breath, and its related effects. Additionally, various medical monitoring techniques used for breath analysis have been discussed. It also includes the current scenario of breath analysis with nanotechnology-oriented techniques. PMID:26854142

  15. 76 FR 57102 - Notice and Request for Comments: Two-Year Extension of Softwood Lumber Agreement

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-15

    ... additional two years. The United States is considering extending the SLA through October 12, 2015. Interested... additional 2 years.'' Without an extension, the Agreement will expire in October 12, 2013. USTR is... for Comments: Two-Year Extension of Softwood Lumber Agreement AGENCY: Office of the United States...

  16. Emetic and Electric Shock Alcohol Aversion Therapy: Six- and Twelve-Month Follow-Up.

    ERIC Educational Resources Information Center

    Cannon, Dale S.; Baker, Timothy B.

    1981-01-01

    Follow-up data are presented for 6- and 12-months on male alcoholics (N=20) who received either a multifaceted inpatient alcoholism treatment program alone (controls) or emetic or shock aversion therapy in addition to that program. Both emetic and control subjects compiled more days of abstinence than shock subjects. (Author)

  17. Your Child's Development: 6 Months

    MedlinePlus

    ... are some things your baby might be doing: Communication and Language Skills blows raspberries and begin to ... Old Feeding Your 4- to 7-Month-Old Communication and Your 4- to 7-Month-Old Movement, ...

  18. Rituximab for Severe Membranous Nephropathy: A 6-Month Trial with Extended Follow-Up

    PubMed Central

    Debiec, Hanna; Plaisier, Emmanuelle; Cachanado, Marine; Rousseau, Alexandra; Wakselman, Laura; Michel, Pierre-Antoine; Mihout, Fabrice; Dussol, Bertrand; Matignon, Marie; Mousson, Christiane; Simon, Tabassome

    2017-01-01

    Randomized trials of rituximab in primary membranous nephropathy (PMN) have not been conducted. We undertook a multicenter, randomized, controlled trial at 31 French hospitals (NCT01508468). Patients with biopsy-proven PMN and nephrotic syndrome after 6 months of nonimmunosuppressive antiproteinuric treatment (NIAT) were randomly assigned to 6-month therapy with NIAT and 375 mg/m2 intravenous rituximab on days 1 and 8 (n=37) or NIAT alone (n=38). Median times to last follow-up were 17.0 (interquartile range, 12.5–24.0) months and 17.0 (interquartile range, 13.0–23.0) months in NIAT-rituximab and NIAT groups, respectively. Primary outcome was a combined end point of complete or partial remission of proteinuria at 6 months. At month 6, 13 (35.1%; 95% confidence interval [95% CI], 19.7 to 50.5) patients in the NIAT-rituximab group and eight (21.1%; 95% CI, 8.1 to 34.0) patients in the NIAT group achieved remission (P=0.21). Rates of antiphospholipase A2 receptor antibody (anti–PLA2R-Ab) depletion in NIAT-rituximab and NIAT groups were 14 of 25 (56%) and one of 23 (4.3%) patients at month 3 (P<0.001) and 13 of 26 (50%) and three of 25 (12%) patients at month 6 (P=0.004), respectively. Eight serious adverse events occurred in each group. During the observational phase, remission rates before change of assigned treatment were 24 of 37 (64.9%) and 13 of 38 (34.2%) patients in NIAT-rituximab and NIAT groups, respectively (P<0.01). Positive effect of rituximab on proteinuria remission occurred after 6 months. These data suggest that PLA2R-Ab levels are early markers of rituximab effect and that addition of rituximab to NIAT does not affect safety. PMID:27352623

  19. Your Child's Development: 9 Months

    MedlinePlus

    ... Child's Development: 9 Months Print en español El desarrollo de su hijo: 9 meses Nine-month-olds ... item in each hand at the same time Social and Emotional Development might be fearful of strangers ...

  20. Six-month therapy for abdominal tuberculosis

    PubMed Central

    Jullien, Sophie; Jain, Siddharth; Ryan, Hannah; Ahuja, Vineet

    2016-01-01

    Background Tuberculosis (TB) of the gastrointestinal tract and any other organ within the abdominal cavity is abdominal TB, and most guidelines recommend the same six-month regimen used for pulmonary TB for people with this diagnosis. However, some physicians are concerned whether a six-month treatment regimen is long enough to prevent relapse of the disease, particularly in people with gastrointestinal TB, which may sometimes cause antituberculous drugs to be poorly absorbed. On the other hand, longer regimens are associated with poor adherence, which could increase relapse, contribute to drug resistance developing, and increase costs to patients and health providers. Objectives To compare six-month versus longer drug regimens to treat people that have abdominal TB. Search methods We searched the following electronic databases up to 2 September 2016: the Cochrane Infectious Diseases Group Specialized Register, the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase (accessed via OvidSP), LILACS, INDMED, and the South Asian Database of Controlled Clinical Trials. We searched the World Health Organization (WHO) International Clinical Trials Registry Platform (ICTRP) and ClinicalTrials.gov for ongoing trials. We also checked article reference lists. Selection criteria We included randomized controlled trials (RCTs) that compared six-month regimens versus longer regimens that consisted of isoniazid, rifampicin, pyrazinamide, and ethambutol to treat adults and children that had abdominal TB. The primary outcomes were relapse, with a minimum of six-month follow-up after completion of antituberculous treatment (ATT), and clinical cure at the end of ATT. Data collection and analysis Two review authors independently selected trials, extracted data, and assessed the risk of bias in the included trials. For analysis of dichotomous outcomes, we used risk ratios (RR) with 95% confidence intervals (CIs). Where appropriate, we pooled data from the included

  1. Natural gas monthly, June 1996

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

    NONE

    1996-06-24

    The natural gas monthly (NGM) highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, the NGM features articles designed to assist readers in using and interpreting natural gas information. The feature article for this month is Natural Gas Industry Restructuring and EIA Data Collection.

  2. Comparison of ethanol concentrations in venous blood and end-expired breath during a controlled drinking study.

    PubMed

    Jones, A W; Andersson, L

    2003-03-12

    Concentration-time profiles of ethanol were determined for venous whole blood and end-expired breath during a controlled drinking experiment in which healthy men (n=9) and women (n=9) drank 0.40-0.65 g ethanol per kg body weight in 20-30 min. Specimens of blood and breath were obtained for analysis of ethanol starting at 50-60 min post-dosing and then every 30-60 min for 3-6 h. This protocol furnished 130 blood-breath pairs for statistical evaluation. Blood-ethanol concentration (BAC, mg/g) was determined by headspace gas chromatography and breath-ethanol concentration (BrAC, mg/2l) was determined with a quantitative infrared analyzer (Intoxilyzer 5000S), which is the instrument currently used in Sweden for legal purposes. In 18 instances the Intoxilyzer 5000S gave readings of 0.00 mg/2l whereas the actual BAC was 0.08 mg/g on average (range 0.04-0.15 mg/g). The remaining 112 blood- and breath-alcohol measurements were highly correlated (r=0.97) and the regression relationship was BAC=0.10+0.91BrAC and the residual standard deviation (S.D.) was 0.042 mg/g (8.4%). The slope (0.91+/-0.0217) differed significantly from unity being 9% low and the intercept (0.10+/-0.0101) deviated from zero (t=10.2, P<0.001), indicating the presence of both proportional and constant bias, respectively. The mean bias (BAC - BrAC) was 0.068 mg/g and the 95% limits of agreement were -0.021 and 0.156 mg/g. The average BAC/BrAC ratio was 2448+/-540 (+/-S.D.) with a median of 2351 and 2.5th and 97.5th percentiles of 1836 and 4082. We found no significant gender-related differences in BAC/BrAC ratios, being 2553+/-576 for men and 2417+/-494 for women (t=1.34, P>0.05). The mean rate of ethanol disappearance from blood was 0.157+/-0.021 mg/(g per hour), which was very close to the elimination rate from breath of 0.161+/-0.021 mg/(2l per hour) (P>0.05). Breath-test results obtained with Intoxilyzer 5000S (mg/2l) were generally less than the coexisting concentrations of ethanol in venous blood

  3. Effects of high intensity resistance aquatic training on body composition and walking speed in women with mild knee osteoarthritis: a 4-month RCT with 12-month follow-up.

    PubMed

    Waller, B; Munukka, M; Rantalainen, T; Lammentausta, E; Nieminen, M T; Kiviranta, I; Kautiainen, H; Häkkinen, A; Kujala, U M; Heinonen, A

    2017-08-01

    To investigate the effects of 4-months intensive aquatic resistance training on body composition and walking speed in post-menopausal women with mild knee osteoarthritis (OA), immediately after intervention and after 12-months follow-up. Additionally, influence of leisure time physical activity (LTPA) will be investigated. This randomised clinical trial assigned eighty-seven volunteer postmenopausal women into two study arms. The intervention group (n = 43) participated in 48 supervised intensive aquatic resistance training sessions over 4-months while the control group (n = 44) maintained normal physical activity. Eighty four participants continued into the 12-months' follow-up period. Body composition was measured with dual-energy X-ray absorptiometry (DXA). Walking speed over 2 km and the knee injury and osteoarthritis outcome score (KOOS) were measured. LTPA was recorded with self-reported diaries. After the 4-month intervention there was a significant decrease (P = 0.002) in fat mass (mean change: -1.17 kg; 95% CI: -2.00 to -0.43) and increase (P = 0.002) in walking speed (0.052 m/s; 95% CI: 0.018 to 0.086) in favour of the intervention group. Body composition returned to baseline after 12-months. In contrast, increased walking speed was maintained (0.046 m/s; 95% CI 0.006 to 0.086, P = 0.032). No change was seen in lean mass or KOOS. Daily LTPA over the 16-months had a significant effect (P = 0.007) on fat mass loss (f 2  = 0.05) but no effect on walking speed. Our findings show that high intensity aquatic resistance training decreases fat mass and improves walking speed in post-menopausal women with mild knee OA. Only improvements in walking speed were maintained at 12-months follow-up. Higher levels of LTPA were associated with fat mass loss. ISRCTN65346593. Copyright © 2017 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

  4. Your Baby's Growth: 5 Months

    MedlinePlus

    ... Search English Español Your Baby's Growth: 5 Months KidsHealth / For Parents / Your Baby's Growth: 5 Months What's ... the Nemours Web site. Note: All information on KidsHealth® is for educational purposes only. For specific medical ...

  5. Your Baby's Growth: 3 Months

    MedlinePlus

    ... Search English Español Your Baby's Growth: 3 Months KidsHealth / For Parents / Your Baby's Growth: 3 Months What's ... the Nemours Web site. Note: All information on KidsHealth® is for educational purposes only. For specific medical ...

  6. Responsiveness and Attention during Picture-Book Reading in 18-Month-Old to 24-Month-Old Toddlers at Risk

    ERIC Educational Resources Information Center

    Fletcher, Kathryn L.; Perez, Andreina; Hooper, Corrie; Claussen, Angelika H.

    2005-01-01

    The purpose of this research was to examine the spontaneous responsiveness and attention during picture-book reading in 18-month-old to 24-month-old children from at-risk backgrounds. Twenty-five, 18-month-old children in an early intervention program were randomly assigned to a read condition or play condition for six months. At each seventh…

  7. Respiratory-induced 3D deformations of the renal arteries quantified with geometric modeling during inspiration and expiration breath-holds of magnetic resonance angiography.

    PubMed

    Suh, Ga-Young; Choi, Gilwoo; Draney, Mary T; Herfkens, Robert J; Dalman, Ronald L; Cheng, Christopher P

    2013-12-01

    To quantify renal artery deformation due to respiration using magnetic resonance (MR) image-based geometric analysis. Five males were imaged with contrast-enhanced MR angiography during inspiratory and expiratory breath-holds. From 3D models of the abdominal aorta, left and right renal arteries (LRA and RRA), we quantified branching angle, curvature, peak curve angle, axial length, and locations of branch points. With expiration, maximum curvature changes were 0.054 ± 0.025 mm(-1) (P < 0.01), and curve angle at the most proximal curvature peak increased by 8.0 ± 4.5° (P < 0.05) in the LRA. Changes in maximum curvature and curve angles were not significant in the RRA. The first renal bifurcation point translated superiorly and posteriorly by 9.7 ± 3.6 mm (P < 0.005) and 3.5 ± 2.1 mm (P < 0.05), respectively, in the LRA, and 10.8 ± 6.1 mm (P < 0.05) and 3.6 ± 2.5 mm (P < 0.05), respectively, in the RRA. Changes in branching angle, axial length, and renal ostia locations were not significant. The LRA and RRA deformed and translated significantly. Greater deformation of the LRA as compared to the RRA may be due to asymmetric anatomy and mechanical support by the inferior vena cava. The presented methodology can extend to quantification of deformation of diseased and stented arteries to help renal artery implant development. Copyright © 2013 Wiley Periodicals, Inc.

  8. Cryopreservation of amniotic membrane with and without glycerol additive.

    PubMed

    Wagner, Malina; Walter, Peter; Salla, Sabine; Johnen, Sandra; Plange, Niklas; Rütten, Stephan; Goecke, Tamme W; Fuest, Matthias

    2018-06-01

    Amniotic membrane (AM) is an essential tool in ocular surface reconstruction. In this study, we analyzed the differential effects of glycerol and straight storage at - 80 °C for up to 6 months on the structural, biological, and mechanical properties of amniotic membrane (AM). Human placentae of 11 different subjects were analyzed. AMs were stored at - 80 °C, either with a 1:1 mixture of Dulbecco's modified Eagle medium and glycerol (glycerol) or without any medium or additives (straight). Histological image analysis, tensile strength, cell viability, and basic fibroblast growth factor (bFGF) secretion were evaluated at 0.5, 1, 3, and 6 months. Histologically, neither glycerol nor straight storage significantly altered the epithelial or stromal structure of the AM. However, the cell number of the stroma was significantly reduced during the freezing process, independently of the storage method (p = 0.05-0.001). Tensile strength and Young's modulus were not influenced by the storage method, but longer storage periods significantly increased the tensile strength of the AMs (p = 0.028). Cell viability was higher in glycerol rather than straight AM samples for up to 3 months of storage (p = 0.047-0.03). Secretion of bFGF at 3 months of storage was significantly higher in glycerol versus straight frozen AM samples (p = 0.04). Glycerol led to higher cell viability and higher bFGF secretion for up to 3 months of AM storage. However, no significant differences between the two methods were observed at 6 months of storage at - 80 °C.

  9. 42 CFR 406.32 - Monthly premiums.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... beginning January 1994, if an individual meets the requirements in paragraph (c) of this section, the... next higher dollar.) (c) Qualifying for a reduction in monthly premium. An individual who qualifies for... sections. (e) Collection of monthly premiums. (1) CMS will bill the enrollee on a monthly basis and include...

  10. 42 CFR 406.32 - Monthly premiums.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... beginning January 1994, if an individual meets the requirements in paragraph (c) of this section, the... next higher dollar.) (c) Qualifying for a reduction in monthly premium. An individual who qualifies for... sections. (e) Collection of monthly premiums. (1) CMS will bill the enrollee on a monthly basis and include...

  11. 42 CFR 406.32 - Monthly premiums.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... beginning January 1994, if an individual meets the requirements in paragraph (c) of this section, the... next higher dollar.) (c) Qualifying for a reduction in monthly premium. An individual who qualifies for... sections. (e) Collection of monthly premiums. (1) CMS will bill the enrollee on a monthly basis and include...

  12. 42 CFR 406.32 - Monthly premiums.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... beginning January 1994, if an individual meets the requirements in paragraph (c) of this section, the... next higher dollar.) (c) Qualifying for a reduction in monthly premium. An individual who qualifies for... sections. (e) Collection of monthly premiums. (1) CMS will bill the enrollee on a monthly basis and include...

  13. 77 FR 207 - National Mentoring Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-03

    ... Month, 2012 Proclamation 8769--National Stalking Awareness Month, 2012 #0; #0; #0; Presidential... National Mentoring Month, 2012 By the President of the United States of America A Proclamation Every day... Nation's youth for a bright future. During National Mentoring Month, we celebrate the contributions of...

  14. Attributing false beliefs about non-obvious properties at 18 months

    PubMed Central

    Scott, Rose M.; Baillargeon, Renée; Song, Hyun-joo; Leslie, Alan M.

    2010-01-01

    Reports that infants in the second year of life can attribute false beliefs to others have all used a search paradigm in which an agent with a false belief about an object’s location searches for the object. The present research asked whether 18-month-olds would still demonstrate false-belief understanding when tested with a novel non-search paradigm. An experimenter shook an object, demonstrating that it rattled, and then asked an agent, “Can you do it?” In response to this prompt, the agent selected one of two test objects. Infants realized that the agent could be led through inference (Experiment 1) or memory (Experiment 2) to hold a false belief about which of the two test objects rattled. These results suggest that 18-month-olds can attribute false beliefs about non-obvious properties to others, and can do so in a non-search paradigm. These and additional results (Experiment 3) help address several alternative interpretations of false-belief findings with infants. PMID:21047625

  15. 42 CFR 422.304 - Monthly payments.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... makes advance monthly payments of the amounts determined under paragraphs (a)(1) and (a)(2) of this... month. (1) Payment of bid for plans with bids below benchmark. For MA plans that have average per capita... benchmarks. The rebate amount under paragraph (a)(1)(ii) of this section is the amount of the monthly rebate...

  16. 42 CFR 422.304 - Monthly payments.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... makes advance monthly payments of the amounts determined under paragraphs (a)(1) and (a)(2) of this... month. (1) Payment of bid for plans with bids below benchmark. For MA plans that have average per capita... benchmarks. The rebate amount under paragraph (a)(1)(ii) of this section is the amount of the monthly rebate...

  17. 42 CFR 422.304 - Monthly payments.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... makes advance monthly payments of the amounts determined under paragraphs (a)(1) and (a)(2) of this... month. (1) Payment of bid for plans with bids below benchmark. For MA plans that have average per capita... benchmarks. The rebate amount under paragraph (a)(1)(ii) of this section is the amount of the monthly rebate...

  18. 20 CFR 404.325 - The termination month.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... activity level and continue to do so throughout the 36 months following completion of your trial work... third month following the earliest month you perform substantial gainful activity or are determined able to perform substantial gainful activity; however, in no event will the termination month under these...

  19. 20 CFR 404.325 - The termination month.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... activity level and continue to do so throughout the 36 months following completion of your trial work... third month following the earliest month you perform substantial gainful activity or are determined able to perform substantial gainful activity; however, in no event will the termination month under these...

  20. 75 FR 35452 - Agency Information Collection Activities; Submission To OMB for Review and Approval; Comment...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-22

    ... Additives: Requirements for Manufacturers (Renewal); EPA ICR No. 0309.13, OMB Control No. 2060-0150 AGENCY... No. 2060-0150. ICR Status: This ICR is scheduled to expire on July 31, 2010. Under OMB regulations...

  1. 17 CFR 31.16 - Monthly reporting requirements.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of business on the last business day of the month for: (i) All customer accounts, and (ii) Separately... National Futures Association, by the tenth business day of the month following the month covered by the... customers during the month for: (i) All customer accounts, and (ii) Separately for commercial leverage...

  2. Recycled Water Reuse Permit Renewal Application for the Central Facilities Area Sewage Treatment Plant

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

    Lewis, Mike

    This renewal application for a Recycled Water Reuse Permit is being submitted in accordance with the Idaho Administrative Procedures Act 58.01.17 “Recycled Water Rules” and the Municipal Wastewater Reuse Permit LA-000141-03 for continuing the operation of the Central Facilities Area Sewage Treatment Plant located at the Idaho National Laboratory. The permit expires March 16, 2015. The permit requires a renewal application to be submitted six months prior to the expiration date of the existing permit. For the Central Facilities Area Sewage Treatment Plant, the renewal application must be submitted by September 16, 2014. The information in this application is consistentmore » with the Idaho Department of Environmental Quality’s Guidance for Reclamation and Reuse of Municipal and Industrial Wastewater and discussions with Idaho Department of Environmental Quality personnel.« less

  3. Your Baby's Growth: 12 Months

    MedlinePlus

    ... little one). What's Next? For the remainder of this year and next year, expect that your baby's growth ... Gavin, MD Date reviewed: December 2014 More on this topic for: ... and Your 8- to 12-Month-Old Your Child's Checkup: 1 Year (12 Months) Movement, Coordination, and Your 8- to ...

  4. Haida Months of the Year.

    ERIC Educational Resources Information Center

    Cogo, Robert

    Students are introduced to Haida vocabulary in this booklet which briefly describes the seasons and traditional seasonal activities of Southeastern Alaska Natives. The first section lists the months in English and Haida; e.g., January is "Taan Kungaay," or "Bear Hunting Month." The second section contains seasonal names in…

  5. Quality and Safety in Health Care, Part XXXII: Additional Outcome Predictors for Transcatheter Aortic Valve Replacement.

    PubMed

    Harolds, Jay A

    2018-02-01

    Mortality 12 months after a transcatheter aortic valve replacement (TAVR) is partly due to a number of reasons in addition to the usual preprocedural medical patient risk factors. In patients who need a permanent pacemaker placed after the procedure, the mortality risk goes up. The death rate following a TAVR varies considerably at different institutions, and the past death rate of TAVR patients at an institution is predictive of the mortality rate of new patients having this procedure. In addition, the quality of life of the individual before the procedure is predictive of the 12-month mortality outcome after the TAVR is done.

  6. 76 FR 67510 - Self-Regulatory Organizations; C2 Options Exchange, Incorporated; Notice of Filing and Immediate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-01

    ... (``QIX'') Expirations.\\10\\ In the current situation, the Exchange merely proposes to apply the precedent... continue, under current rules, for an additional fifteen minutes until 3:15 p.m. and will not be priced on...

  7. 20 CFR 404.1807 - Monthly payment day.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... in writing if your monthly payment day is being changed to the 3rd of the month due to this provision... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Monthly payment day. 404.1807 Section 404... INSURANCE (1950- ) Payment Procedures § 404.1807 Monthly payment day. (a) General. Once we have made a...

  8. Effects of 24 months of treatment with romosozumab followed by 12 months of denosumab or placebo in postmenopausal women with low bone mineral density: A randomized, double-blind, phase 2, parallel group study.

    PubMed

    McClung, Michael R; Brown, Jacques P; Diez-Perez, Adolfo; Resch, Heinrich; Caminis, John; Meisner, Paul; Bolognese, Michael A; Goemaere, Stefan; Bone, Henry G; Zanchetta, Jose R; Maddox, Judy; Bray, Sarah; Grauer, Andreas

    2018-04-25

    Over 12 months, romosozumab increased bone formation and decreased bone resorption, resulting in increased BMD in postmenopausal women with low BMD (NCT00896532). Herein we report the study extension evaluating 24 months treatment with romosozumab, discontinuation of romosozumab, alendronate followed by romosozumab, and romosozumab followed by denosumab. Postmenopausal women age 55-85 years with a lumbar spine (LS), total hip (TH), or femoral neck T-score ≤-2.0 and ≥-3.5 were enrolled and randomly assigned to placebo, one of five romosozumab regimens (70mg, 140mg, 210mg monthly [QM]; 140mg Q3M; 210mg Q3M) for 24 months, or open-label alendronate for 12 months followed by romosozumab 140mg QM for 12 months. Eligible participants were then re-randomized 1:1 within original treatment groups to placebo or denosumab 60mg Q6M for an additional 12 months. Percentage change from baseline in BMD and bone turnover markers (BTMs) at months 24 and 36 and safety were evaluated. Of 364 participants initially randomized to romosozumab, placebo, or alendronate, 315 completed 24 months of treatment and 248 completed the extension. Romosozumab markedly increased LS and TH BMD through month 24, with largest gains observed with romosozumab 210mg QM (LS = 15.1%; TH = 5.4%). Women receiving romosozumab who transitioned to denosumab continued to accrue BMD, whereas BMD returned toward pretreatment levels with placebo. With romosozumab 210mg QM, bone formation marker P1NP initially increased following treatment initiation and gradually decreased to below baseline by month 12, remaining below baseline through month 24; and bone resorption marker β-CTX rapidly decreased following treatment, remaining below baseline through month 24. Transition to denosumab further decreased both BTMs, while after transition to placebo, P1NP returned to baseline and β-CTX increased above baseline. Adverse events were balanced between treatment groups through month 36. These data suggest that

  9. Mapping monthly rainfall erosivity in Europe.

    PubMed

    Ballabio, Cristiano; Borrelli, Pasquale; Spinoni, Jonathan; Meusburger, Katrin; Michaelides, Silas; Beguería, Santiago; Klik, Andreas; Petan, Sašo; Janeček, Miloslav; Olsen, Preben; Aalto, Juha; Lakatos, Mónika; Rymszewicz, Anna; Dumitrescu, Alexandru; Tadić, Melita Perčec; Diodato, Nazzareno; Kostalova, Julia; Rousseva, Svetla; Banasik, Kazimierz; Alewell, Christine; Panagos, Panos

    2017-02-01

    Rainfall erosivity as a dynamic factor of soil loss by water erosion is modelled intra-annually for the first time at European scale. The development of Rainfall Erosivity Database at European Scale (REDES) and its 2015 update with the extension to monthly component allowed to develop monthly and seasonal R-factor maps and assess rainfall erosivity both spatially and temporally. During winter months, significant rainfall erosivity is present only in part of the Mediterranean countries. A sudden increase of erosivity occurs in major part of European Union (except Mediterranean basin, western part of Britain and Ireland) in May and the highest values are registered during summer months. Starting from September, R-factor has a decreasing trend. The mean rainfall erosivity in summer is almost 4 times higher (315MJmmha -1 h -1 ) compared to winter (87MJmmha -1 h -1 ). The Cubist model has been selected among various statistical models to perform the spatial interpolation due to its excellent performance, ability to model non-linearity and interpretability. The monthly prediction is an order more difficult than the annual one as it is limited by the number of covariates and, for consistency, the sum of all months has to be close to annual erosivity. The performance of the Cubist models proved to be generally high, resulting in R 2 values between 0.40 and 0.64 in cross-validation. The obtained months show an increasing trend of erosivity occurring from winter to summer starting from western to Eastern Europe. The maps also show a clear delineation of areas with different erosivity seasonal patterns, whose spatial outline was evidenced by cluster analysis. The monthly erosivity maps can be used to develop composite indicators that map both intra-annual variability and concentration of erosive events. Consequently, spatio-temporal mapping of rainfall erosivity permits to identify the months and the areas with highest risk of soil loss where conservation measures should be

  10. 24 CFR 235.1226 - Additional provisions of the assistance payment contracts for section 235(r).

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Additional provisions of the... National Housing Act Contract for Assistance Payments § 235.1226 Additional provisions of the assistance... and Urban-Rural Recovery Act of 1983 (Pub. L. 98-181)) of the homeowner's adjusted monthly income and...

  11. Left behind by Birth Month

    ERIC Educational Resources Information Center

    Solli, Ingeborg Foldøy

    2017-01-01

    Utilizing comprehensive administrative data from Norway I investigate long-term birth month effects. I demonstrate that the oldest children in class have a substantially higher GPA than their younger peers. The birth month differences are larger for low-SES children. Furthermore, I find that the youngest children in class are lagging significantly…

  12. Medicare program; peer review organization contracts: solicitation of statements of interest from in-state organizations--Alaska, Delaware, the District of Columbia, Hawaii, Idaho, Illinois, Kentucky, Maine, Nebraska, Nevada, South Carolina, Vermont, and Wyoming--HCFA. Notice.

    PubMed

    1998-07-29

    This notice, in accordance with section 1153(i) of the Social Security Act, gives at least 6 months' advance notice of the expiration dates of contracts with out-of-State Utilization and Quality Control Peer Review Organizations. It also specifies the period of time in which in-State organizations may submit a statement of interest so that they may be eligible to compete for these contracts.

  13. Strategies and Performance in Elementary Students' Three-Digit Mental Addition

    ERIC Educational Resources Information Center

    Csíkos, Csaba

    2016-01-01

    The focus of this study is the relationship between students' performance in mental calculation and the strategies they use when solving three-digit mental addition problems. The sample comprises 78 4th grade students (40 boys and 38 girls). Their mean age was 10 years and 4 months. The main novelties of the current research include (1)…

  14. 2011 Women's History Month

    NASA Image and Video Library

    2011-03-24

    John C. Stennis Space Center employees (l to r) Janet Kovac (NASA Shared Services Center), Lael Butler (Environmental Protection Agency Gulf of Mexico Program), Mary Carter (NSSC) and Maura Lohrenz (Naval Research Laboratory) celebrate a correct answer during the Women's History Month Quiz Bowl held onsite March 24. The contest between the women and a panel of four men tested each side's knowledge of women's history facts and events. This year's Women's History Month theme was 'Our History is Our Strength.' Befitting that sentiment, the panel of women won the contest.

  15. 2011 Black History Month

    NASA Image and Video Library

    2011-02-16

    Victoria Webb (center) discusses African-American history during a Black History Month program for John C. Stennis Space Center employees on Feb. 16. Webb, a 103-year-old native of Pass Christian, was guest speaker for the program, sponsored by the Stennis Diversity Council and the Naval Meteorology and Oceanography Command. She was joined in her presentation by Valli Battle (left), a NAVOCEANO employee at Stennis, and friend Jeanell Barnes. Black History Month was first observed in 1976 and is celebrated each February. The 2011 theme was African-Americans and the Civil War.

  16. Latinas and Postpartum Depression: Role of Partner Relationship, Additional Children, and Breastfeeding

    ERIC Educational Resources Information Center

    Hassert, Silva; Kurpius, Sharon E. Robinson

    2011-01-01

    Breastfeeding, additional children, and partner relationship predicted postpartum depression among 59 Latinas who had an infant who was 6 months old or younger. The most powerful predictor was conflict with partner. Counselors working with Latinas experiencing postpartum depression should explore the partner relationship, particularly relationship…

  17. Mother-infant interaction at 12 months in prenatally cocaine-exposed children.

    PubMed

    Ukeje, I; Bendersky, M; Lewis, M

    2001-05-01

    This study examined mother-infant interactions of 12-month-old African-American prenatally cocaine-exposed infants and their mothers. Videotaped observations were made during a free-play dyadic interaction, a brief separation, and a reunion period. Videotapes were coded for maternal and child behaviors during each phase of the procedure. Although there were few differences in interactive behaviors between prenatally cocaine-exposed and nonexposed children and their mothers, children who were prenatally exposed to cocaine ignored their mother's departure (odds ratio [OR] = 3.0, p < .05) during separation significantly more often than nonexposed subjects. In addition, mothers who abused cocaine engaged in significantly more verbal behavior (F(2,104) = 7.00, p < .001) with their children than mothers of nonexposed children. These findings indicate that women who used cocaine during pregnancy may not differ from nonusers in their interactions with their 12-month-old infants.

  18. Information from multiple modalities helps 5-month-olds learn abstract rules.

    PubMed

    Frank, Michael C; Slemmer, Jonathan A; Marcus, Gary F; Johnson, Scott P

    2009-07-01

    By 7 months of age, infants are able to learn rules based on the abstract relationships between stimuli (Marcus et al., 1999), but they are better able to do so when exposed to speech than to some other classes of stimuli. In the current experiments we ask whether multimodal stimulus information will aid younger infants in identifying abstract rules. We habituated 5-month-olds to simple abstract patterns (ABA or ABB) instantiated in coordinated looming visual shapes and speech sounds (Experiment 1), shapes alone (Experiment 2), and speech sounds accompanied by uninformative but coordinated shapes (Experiment 3). Infants showed evidence of rule learning only in the presence of the informative multimodal cues. We hypothesize that the additional evidence present in these multimodal displays was responsible for the success of younger infants in learning rules, congruent with both a Bayesian account and with the Intersensory Redundancy Hypothesis.

  19. Monthly streamflow forecasting at varying spatial scales in the Rhine basin

    NASA Astrophysics Data System (ADS)

    Schick, Simon; Rössler, Ole; Weingartner, Rolf

    2018-02-01

    Model output statistics (MOS) methods can be used to empirically relate an environmental variable of interest to predictions from earth system models (ESMs). This variable often belongs to a spatial scale not resolved by the ESM. Here, using the linear model fitted by least squares, we regress monthly mean streamflow of the Rhine River at Lobith and Basel against seasonal predictions of precipitation, surface air temperature, and runoff from the European Centre for Medium-Range Weather Forecasts. To address potential effects of a scale mismatch between the ESM's horizontal grid resolution and the hydrological application, the MOS method is further tested with an experiment conducted at the subcatchment scale. This experiment applies the MOS method to 133 additional gauging stations located within the Rhine basin and combines the forecasts from the subcatchments to predict streamflow at Lobith and Basel. In doing so, the MOS method is tested for catchments areas covering 4 orders of magnitude. Using data from the period 1981-2011, the results show that skill, with respect to climatology, is restricted on average to the first month ahead. This result holds for both the predictor combination that mimics the initial conditions and the predictor combinations that additionally include the dynamical seasonal predictions. The latter, however, reduce the mean absolute error of the former in the range of 5 to 12 %, which is consistently reproduced at the subcatchment scale. An additional experiment conducted for 5-day mean streamflow indicates that the dynamical predictions help to reduce uncertainties up to about 20 days ahead, but it also reveals some shortcomings of the present MOS method.

  20. Celebration Time: Black History Month

    ERIC Educational Resources Information Center

    Pinkney, Andrea Davis

    2008-01-01

    Nowadays, more students, teachers, and librarians are aware of African-American History Month and try to give it greater attention. However, the author questions herself if people do really "celebrate" African-American History Month or is it just something folks feel obligated to do, so they "celebrate" by displaying a collection of books about…

  1. Analysis of the relationship between the monthly temperatures and weather types in Iberian Peninsula

    NASA Astrophysics Data System (ADS)

    Peña Angulo, Dhais; Trigo, Ricardo; Nicola, Cortesi; José Carlos, González-Hidalgo

    2016-04-01

    In this study, the relationship between the atmospheric circulation and weather types and the monthly average maximum and minimum temperatures in the Iberian Peninsula is modeled (period 1950-2010). The temperature data used were obtained from a high spatial resolution (10km x 10km) dataset (MOTEDAS dataset, Gonzalez-Hidalgo et al., 2015a). In addition, a dataset of Portuguese temperatures was used (obtained from the Portuguese Institute of Sea and Atmosphere). The weather type classification used was the one developed by Jenkinson and Collison, which was adapted for the Iberian Peninsula by Trigo and DaCamara (2000), using Sea Level Pressure data from NCAR/NCEP Reanalysis dataset (period 1951-2010). The analysis of the behaviour of monthly temperatures based on the weather types was carried out using a stepwise regression procedure of type forward to estimate temperatures in each cell of the considered grid, for each month, and for both maximum and minimum monthly average temperatures. The model selects the weather types that best estimate the temperatures. From the validation model it was obtained the error distribution in the time (months) and space (Iberian Peninsula). The results show that best estimations are obtained for minimum temperatures, during the winter months and in coastal areas. González-Hidalgo J.C., Peña-Angulo D., Brunetti M., Cortesi, C. (2015a): MOTEDAS: a new monthly temperature database for mainland Spain and the trend in temperature (1951-2010). International Journal of Climatology 31, 715-731. DOI: 10.1002/joc.4298

  2. Plasma concentrations of tafenoquine, a new long-acting antimalarial agent, in thai soldiers receiving monthly prophylaxis.

    PubMed

    Edstein, Michael D; Kocisko, David A; Walsh, Douglas S; Eamsila, Chirapa; Charles, Bruce G; Rieckmann, Karl H

    2003-12-15

    We measured plasma tafenoquine concentrations in Thai soldiers given a monthly regimen of tafenoquine to determine whether these concentrations adequately suppressed malarial infections on the Thai-Cambodian border. After receiving a treatment course of artesunate and doxycycline, 104 male soldiers were administered a loading dose of tafenoquine (400 mg daily for 3 days), followed by tafenoquine monthly (400 mg every 4 weeks) for 5 months. Consecutive monthly mean (+/- standard deviation) trough plasma tafenoquine concentrations were 223+/-41, 127+/-29, 157+/-51, 120+/-24, and 88+/-20 ng/mL. Only 1 soldier developed malaria during the study. At the time of malaria diagnosis, his plasma tafenoquine concentration was 40 ng/mL, which was approximately 3-fold lower than the trough concentrations of the other soldiers. Although low tafenoquine concentrations appear to be uncommon, additional investigations are needed to determine the relationship between plasma tafenoquine concentrations and suppression of malaria.

  3. Towards combined global monthly gravity field solutions

    NASA Astrophysics Data System (ADS)

    Jaeggi, Adrian; Meyer, Ulrich; Beutler, Gerhard; Weigelt, Matthias; van Dam, Tonie; Mayer-Gürr, Torsten; Flury, Jakob; Flechtner, Frank; Dahle, Christoph; Lemoine, Jean-Michel; Bruinsma, Sean

    2014-05-01

    Currently, official GRACE Science Data System (SDS) monthly gravity field solutions are generated independently by the Centre for Space Research (CSR) and the German Research Centre for Geosciences (GFZ). Additional GRACE SDS monthly fields are provided by the Jet Propulsion Laboratory (JPL) for validation and outside the SDS by a number of other institutions worldwide. Although the adopted background models and processing standards have been harmonized more and more by the various processing centers during the past years, notable differences still exist and the users are more or less left alone with a decision which model to choose for their individual applications. This procedure seriously limits the accessibility of these valuable data. Combinations are well established in the area of other space geodetic techniques, such as the Global Navigation Satellite Systems (GNSS), Satellite Laser Ranging (SLR), and Very Long Baseline Interferometry (VLBI). Regularly comparing and combining space-geodetic products has tremendously increased the usefulness of the products in a wide range of disciplines and scientific applications. Therefore, we propose in a first step to mutually compare the large variety of available monthly GRACE gravity field solutions, e.g., by assessing the signal content over selected regions, by estimating the noise over the oceans, and by performing significance tests. We make the attempt to assign different solution characteristics to different processing strategies in order to identify subsets of solutions, which are based on similar processing strategies. Using these subsets we will in a second step explore ways to generate combined solutions, e.g., based on a weighted average of the individual solutions using empirical weights derived from pair-wise comparisons. We will also assess the quality of such a combined solution and discuss the potential benefits for the GRACE and GRACE-FO user community, but also address minimum processing

  4. Natural Gas Monthly

    EIA Publications

    2017-01-01

    Highlights activities, events, and analyses associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer related activities and underground storage data are also reported.

  5. Impact of malnutrition on 12-month mortality following acute hip fracture.

    PubMed

    Bell, Jack J; Pulle, Ranjeev C; Crouch, Alisa M; Kuys, Suzanne S; Ferrier, Rebecca L; Whitehouse, Sarah L

    2016-03-01

    Studies investigating the relationship between malnutrition and post-discharge mortality following acute hip fracture yield conflicting results. This study aimed to determine whether malnutrition independently predicted 12-month post-fracture mortality after adjusting for clinically relevant covariates. An ethics approved, prospective, consecutive audit was undertaken for all surgically treated hip fracture inpatients admitted to a dedicated orthogeriatric unit (November 2010-October 2011). The 12-month mortality data were obtained by a dual search of the mortality registry and Queensland Health database. Malnutrition was evaluated using the Subjective Global Assessment. Demographic (age, gender, admission residence) and clinical covariates included fracture type, time to surgery, anaesthesia type, type of surgery, post-surgery time to mobilize and post-operative complications (delirium, pulmonary and deep vein thrombosis, cardiac complications, infections). The Charlson Comorbidity Index was retrospectively applied. All diagnoses were confirmed by the treating orthogeriatrician. A total of 322 of 346 patients were available for audit. Increased age (P = 0.004), admission from residential care (P < 0.001), Charlson Comorbidity Index (P = 0.007), malnutrition (P < 0.001), time to mobilize >48 h (P < 0.001), delirium (P = 0.003), pulmonary embolism (P = 0.029) and cardiovascular complication (P = 0.04) were associated with 12-month mortality. Logistic regression analysis demonstrated that malnutrition (odds ratio (OR) 2.4 (95% confidence interval (CI) 1.3-4.7, P = 0.007)), in addition to admission from residential care (OR 2.6 (95% CI 1.3-5.3, P = 0.005)) and pulmonary embolism (OR 11.0 (95% CI 1.5-78.7, P = 0.017)), independently predicted 12-month mortality. Findings substantiate malnutrition as an independent predictor of 12-month mortality in a representative sample of hip fracture inpatients. Effective strategies to identify and treat malnutrition in hip

  6. Seasonal variation exceeds effects of salmon carcass additions on benthic food webs in the Elwha River

    USGS Publications Warehouse

    Morley, S.A.; Coe, H.J.; Duda, J.J.; Dunphy, L.S.; McHenry, M.L.; Beckman, B.R.; Elofson, M.; Sampson, E. M.; Ward, L.

    2016-01-01

    Dam removal and other fish barrier removal projects in western North America are assumed to boost freshwater productivity via the transport of marine-derived nutrients from recolonizing Pacific salmon (Oncorhynchus spp.). In anticipation of the removal of two hydroelectric dams on the Elwha River in Washington State, we tested this hypothesis with a salmon carcass addition experiment. Our study was designed to examine how background nutrient dynamics and benthic food webs vary seasonally, and how these features respond to salmon subsidies. We conducted our experiment in six side channels of the Elwha River, each with a spatially paired reference and treatment reach. Each reach was sampled on multiple occasions from October 2007 to August 2008, before and after carcass placement. We evaluated nutrient limitation status; measured water chemistry, periphyton, benthic invertebrates, and juvenile rainbow trout (O. mykiss) response; and traced salmon-derived nutrient uptake using stable isotopes. Outside of winter, algal accrual was limited by both nitrogen and phosphorous and remained so even in the presence of salmon carcasses. One month after salmon addition, dissolved inorganic nitrogen levels doubled in treatment reaches. Two months after addition, benthic algal accrual was significantly elevated. We detected no changes in invertebrate or fish metrics, with the exception of 15N enrichment. Natural seasonal variability was greater than salmon effects for the majority of our response metrics. Yet seasonality and synchronicity of nutrient supply and demand are often overlooked in nutrient enhancement studies. Timing and magnitude of salmon-derived nitrogen utilization suggest that uptake of dissolved nutrients was favored over direct consumption of carcasses. The highest proportion of salmon-derived nitrogen was incorporated by herbivores (18–30%) and peaked 1–2 months after carcass addition. Peak nitrogen enrichment in predators (11–16%) occurred 2–3 months

  7. Monthly petroleum product price report. [January 1981-January 1982

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

    Riner, C.

    1982-01-01

    This report provides information on monthly national weighted average prices for refined petroleum products. The data published are the primary source of price data for refined products for the refining, reselling, and retailing sectors necessary for the Department of Energy (DOE) to execute its role in monitoring prices. In addition, the data provide the information necessary for Congress, DOE, and the public to perform analyses and projections related to energy supplies, demands, and prices. Price data in this publication were collected from separate surveys. Average prices are derived from a survey of refiners, large resellers and/or retailers, and independent gasmore » plant operators. Data from this monthly survey are available from July 1975. Average No. 2 heating oil prices were derived from a sample survey of refiners, resellers, and retailers who sell heating oil. The geographic coverage for this report is the 50 states and the District of Columbia. Data are presented on the following: gasoline, No. 1 and No. 2 diesel fuels, No. 1 and No. 2 heating oils, residual fuel oil, aviation fuels, kerosene, and liquefied petroleum gases.« less

  8. Monthly petroleum product price report. [January 1981-February 1982

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

    Riner, C.

    1982-02-01

    This report provides information on monthly national weighted average prices for refined petroleum products. The data published are the primary source of price data for refined products for the refining, reselling, and retailing sectors necessary for the Department of Energy (DOE) to execute its role in monitoring prices. In addition, the data provide the information necessary for Congress, DOE, and the public to perform analyses and projections related to energy supplies, demands, and prices. Price data in this publication were collected from separate surveys. Average prices are derived from a survey of refiners, large resellers and/or retailers, and independent gasmore » plant operators. Data from this monthly survey are available from July 1975. Average No. 2 heating oil prices were derived from a sample survey of refiners, resellers, and retailers who sell heating oil. The geographic coverage for this report is the 50 states and the District of Columbia. Data are presented on the following: gasoline, No. 1 and No. 2 diesel fuels, No. 1 and No. 2 heating oils, residual fuel oil, aviation fuels, kerosene, and liquefied petroleum gases.« less

  9. Language development at 18 months is related to multimodal communicative strategies at 12 months.

    PubMed

    Igualada, Alfonso; Bosch, Laura; Prieto, Pilar

    2015-05-01

    The present study investigated the degree to which an infants' use of simultaneous gesture-speech combinations during controlled social interactions predicts later language development. Nineteen infants participated in a declarative pointing task involving three different social conditions: two experimental conditions (a) available, when the adult was visually attending to the infant but did not attend to the object of reference jointly with the child, and (b) unavailable, when the adult was not visually attending to neither the infant nor the object; and (c) a baseline condition, when the adult jointly engaged with the infant's object of reference. At 12 months of age measures related to infants' speech-only productions, pointing-only gestures, and simultaneous pointing-speech combinations were obtained in each of the three social conditions. Each child's lexical and grammatical output was assessed at 18 months of age through parental report. Results revealed a significant interaction between social condition and type of communicative production. Specifically, only simultaneous pointing-speech combinations increased in frequency during the available condition compared to baseline, while no differences were found for speech-only and pointing-only productions. Moreover, simultaneous pointing-speech combinations in the available condition at 12 months positively correlated with lexical and grammatical development at 18 months of age. The ability to selectively use this multimodal communicative strategy to engage the adult in joint attention by drawing his attention toward an unseen event or object reveals 12-month-olds' clear understanding of referential cues that are relevant for language development. This strategy to successfully initiate and maintain joint attention is related to language development as it increases learning opportunities from social interactions. Copyright © 2015 Elsevier Inc. All rights reserved.

  10. Electric Power Monthly

    EIA Publications

    2017-01-01

    Provides monthly statistics at the state, Census division, and U.S. levels for net generation, fossil fuel consumption and stocks, quantity and quality of fossil fuels, cost of fossil fuels, electricity sales, revenue, and average revenue per kilowatthour of electricity sold.

  11. Iron Status at Age 6 Months in Colombian Infants Exclusively Breast-fed for 4 to 5 Versus 6 Months.

    PubMed

    Olaya, Gilma A; Lawson, Margaret; Fewtrell, Mary

    2017-03-01

    The optimal age for introducing complementary feeding to breast-fed infants may differ depending on the setting. Prolonged exclusive breast-feeding (EBF) protects against infection but may increase the risk of iron deficiency (ID)/anaemia (IDA) in vulnerable infants. The aim of the present study was to compare haemoglobin (Hb), serum ferritin (SF), anaemia (Hb < 11 g/L), ID (SF < 12 μg/L) and IDA (Hb < 10.5 g/dL + Hct < 33% + ID) using observational analyses in 6-month old infants from Bogota, Colombia who were EBF for 4 to 5 versus 6 months or older, and examine predictors. Infant feeding was recorded, anthropometry performed, and blood obtained for Hb and SF at 6 months in healthy term infants (birth weight > 2500 g), all EBF for ≥4 months. One hundred eight infants (54% boys) were recruited; 46% EBF for 4 to 5 months, 54% EBF at 6 months. Prevalence of anaemia, ID, and IDA was 20%, 10%, and 5%, with no significant difference between EBF4-5 and EBF6 groups. In multivariate models, anaemia/ID were predicted by greater weight gain from 0 to 6 months, and anaemia also by caesarean delivery; Hb was lower in infants with higher intake of cows' milk; SF was lower in boys and those with greater weight gain. EBF4-5 versus EBF6 was not a significant predictor of any outcome. Anaemia and ID were common at 6 months but were not affected by EBF for 4 to 5 versus 6 months, suggesting 6 months EBF is safe in this population. Further research is, however, required to examine effects on later iron status. The findings highlight the need to emphasise avoidance of cow's milk before 12 months.

  12. Etiologies, predictors and economic impact of readmission within one-month among patients with takotsubo cardiomyopathy.

    PubMed

    Shah, Mahek; Ram, Pradhum; Lo, Kevin Bryan U; Sirinvaravong, Natee; Patel, Brijesh; Tripathi, Byomesh; Patil, Shantanu; Figueredo, Vincent M

    2018-05-03

    Limited data exists on readmission among patients with takotsubo cardiomyopathy [TC], a commonly reversible cause of heart failure. We sought to identify etiologies and predictors for readmission among TC patients. We queried the National Readmissions Database for 2013-2014 to identify patients with primary admission for TC using ICD-9CM code 429.83. Patients who were readmitted to the hospital within 1-month post-discharge were further evaluated to identify etiologies, predictors and the resultant economic burden of readmission. Additionally, we analyzed readmission for TC at 6-months. We studied 5,997 patients admitted with TC, of whom 1.2% experienced in-hospital mortality. The median age was 67 years with 91.5% of the studied patients being female. Among survivors, 10.3% of the patients were readmitted within 1-month Twenty-five percent of the initial 1-month readmissions occurred within 4-days, 50% within 10-days and 75% within 20-days from discharge. The commonest etiologies for readmission were cardiac (26%), respiratory (16%) and gastrointestinal (11%) causes. Heart failure was the commonest cardiac etiology. Significant predictors of increased 1-month readmission included systemic thromboembolic events, length of stay ≥3 days, and underlying psychoses. Obesity and private insurance predicted lower 1-month readmission. The annual national cost impact for index admission and 1-month readmissions was ≈112$ million. Recurrent TC was seen among 1.9% of patients readmitted within 6-months. While the overall rate of 1-month readmission following TC is low, associated economic burden from readmission is still significant. Patients are readmitted for mostly non-cardiac causes. Readmission for another episode of TC within six-months was uncommon. This article is protected by copyright. All rights reserved.

  13. 75 FR 74748 - Senior Executive Service; Appointment of Members to the Performance Review Board

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-01

    ... Compensation--appointment expires on 09/30/11 SOL Katherine E. Bissell, Associate Solicitor for Civil Rights and Labor Management--appointment expires on 09/30/11 SOL Michael D. Felsen, Regional Solicitor, Boston--appointment expires on 09/30/12 SOL Deborah Greenfield, Deputy Solicitor--appointment expires on...

  14. Monthly stumpage prices for the Pacific Northwest.

    Treesearch

    Richard W. Haynes

    1991-01-01

    Seasonal variation is found in monthly stumpage price data. Seasonal adjustments indicate that monthly adjustments improve the utility of estimates of monthly stumpage prices. Comparisons of adjusted and unadjusted prices suggest that the unadjusted price series are reasonably robust.

  15. Semantic processing of actions at 9months is linked to language proficiency at 9 and 18months.

    PubMed

    Kaduk, Katharina; Bakker, Marta; Juvrud, Joshua; Gredebäck, Gustaf; Westermann, Gert; Lunn, Judith; Reid, Vincent M

    2016-11-01

    The current study uses event-related potential methodologies to investigate how social-cognitive processes in preverbal infants relate to language performance. We assessed 9-month-olds' understanding of the semantic structure of actions via an N400 event-related potential (ERP) response to action sequences that contained expected and unexpected outcomes. At 9 and 18months of age, infants' language abilities were measured using the Swedish Early Communicative Development Inventory (SECDI). Here we show that 9-month-olds' understanding of the semantic structure of actions, evidenced in an N400 ERP response to action sequences with unexpected outcomes, is related to language comprehension scores at 9months and is related to language production scores at 18months of age. Infants who showed a selective N400 response to unexpected action outcomes are those who are classed as above mean in their language proficiency. The results provide evidence that language performance is related to the ability to detect and interpret human actions at 9months of age. This study suggests that some basic cognitive mechanisms are involved in the processing of sequential events that are shared between two conceptually different cognitive domains and that pre-linguistic social understanding skills and language proficiency are linked to one another. Copyright © 2016. Published by Elsevier Inc.

  16. 24-month HIV-free survival among infants born to HIV-positive women enrolled in Option B+ program in Kigali, Rwanda: The Kabeho Study.

    PubMed

    Gill, Michelle M; Hoffman, Heather J; Ndatimana, Dieudonne; Mugwaneza, Placidie; Guay, Laura; Ndayisaba, Gilles F; Bobrow, Emily A; Asiimwe, Anita; Mofenson, Lynne M

    2017-12-01

    Lifelong antiretroviral therapy (ART) provision to all pregnant HIV-positive women ("Option B+") has been recommended by the World Health Organization since 2013, but there remain limited data on the effects of Option B+ on long-term HIV-free survival in breastfeeding HIV-exposed infants. The Kigali Antiretroviral and Breastfeeding Assessment for the Elimination of HIV (Kabeho) study enrolled HIV-positive women from the third trimester of pregnancy to 2 weeks postpartum in 14 heath facilities implementing Option B+ in Kigali, Rwanda. Mother-child pairs in the longitudinal observational cohort were followed until 24 months postpartum, with HIV diagnostic testing at 6 weeks, and 9, 18 and 24 months. The Kaplan-Meier method was used to estimate HIV transmission, survival, and HIV-free survival through 24 months. We enrolled 608 HIV-positive women in 2013-2014; birth outcome data were available for 600 women and 597 live-born infants. By 6 weeks, 11 infants had died and 3 infants had confirmed HIV infection (0.5% transmission; 95% confidence interval [CI] 0.2-1.6). At 9 months, there were 9 additional deaths and 2 new infections (cumulative transmission 0.9%, 95% CI 0.4-2.2). At 18 months, there were 6 additional deaths and no new infant infections. At 24 months, there were no additional child deaths and 1 new infection (cumulative 2.2%, 95% CI 0.7-7.0), for an overall 24-month HIV-free survival of 93.2% (95% CI 89.5-95.6). Low transmission rates and high HIV-free survival at 24 months were achieved in breastfeeding infants of HIV-positive mothers receiving universal ART in urban health facilities in Rwanda, though vigilance on maintaining viral suppression for ART-experienced women is needed. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  17. The sale of 'out of date' foods in the Republic of Palau.

    PubMed

    McCreadie, Kristy; Leary, Zina O

    2005-03-01

    'Out of date' or near out of date' foods are regularly imported into the Palau from the US and Australasia. The sale of such food products has recently been recognised by Palau as a significant public health threat for both its tourists and local population. The aim of this study is to gather baseline data on the nature and extent of expired foods sales in Palau in order to aid the development of appropriate protocols for dealing with the issue. This study used observational techniques to take a cross sectional inventory of fourteen categories of expired food products across food retailers in the urban region of Koror. The study showed that out of date foods were found across all fourteen food categories in each of the stores sampled. Many products exceeded their expiry dates by over six months. Additionally, some product lines were only sold 'out of date' suggesting that Palau is a target for off loading such food supplies. Labelling was also found to be highly problematic with food products carrying a wide range of 'out of date' descriptors, no descriptors, no date following the descriptor, or descriptors not in English. Another issue was the tendency for the retailers to freeze imported fresh products without providing a freezing date, making it impossible to tell if they were frozen before expiry. Local foods were also found to have insufficient labelling and product information.

  18. Neural Activity During Health Messaging Predicts Reductions in Smoking Above and Beyond Self-Report

    PubMed Central

    Falk, Emily B.; Berkman, Elliot T.; Whalen, Danielle; Lieberman, Matthew D.

    2011-01-01

    Objective The current study tested whether neural activity in response to messages designed to help smokers quit could predict smoking reduction, above and beyond self-report. Design Using neural activity in an a priori region of interest (a subregion of medial prefrontal cortex [MPFC]), in response to ads designed to help smokers quit smoking, we prospectively predicted reductions in smoking in a community sample of smokers (N = 28) who were attempting to quit smoking. Smoking was assessed via expired carbon monoxide (CO; a biological measure of recent smoking) at baseline and 1 month following exposure to professionally developed quitting ads. Results A positive relationship was observed between activity in the MPFC region of interest and successful quitting (increased activity in MPFC was associated with a greater decrease in expired CO). The addition of neural activity to a model predicting changes in CO from self-reported intentions, self-efficacy, and ability to relate to the messages significantly improved model fit, doubling the variance explained ( Rself−report2=.15,Rself−report+neuralactivity2=.35,Rchange2=.20). Conclusion: Neural activity is a useful complement to existing self-report measures. In this investigation, we extend prior work predicting behavior change based on neural activity in response to persuasive media to an important health domain and discuss potential psychological interpretations of the brain–behavior link. Our results support a novel use of neuroimaging technology for understanding the psychology of behavior change and facilitating health promotion. PMID:21261410

  19. 78 FR 26413 - Self-Regulatory Organizations; The Options Clearing Corporation; Notice of Filing of Proposed...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-06

    ... Contracts from Saturday to Friday night. Eliminating Saturday expirations will allow OCC to streamline the... expiration date for Standard Expiration Contracts is moved to Friday night, expiration processing for standard options, quarterly options, and weekly options will all occur on the same day and will be a single...

  20. 42 CFR 422.304 - Monthly payments.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Payments to Medicare Advantage Organizations § 422.304 Monthly... original fee-for-service benefits for an individual in an MA payment area for a month. (1) Payment of bid...

  1. Exclusive breastfeeding for six months: the WHO six months recommendation in the Asia Pacific Region.

    PubMed

    Binns, Colin W; Lee, Mi Kyung

    2014-01-01

    In 2001 the World Health Assembly adopted the infant feeding strategy which included the recommendation for exclusive breastfeeding until 6 months of age with continued breastfeeding while complementary foods are introduced. This recommendation has been endorsed by many national authorities, professional organisations and most countries in the Asia Pacific Region. Reviews by WHO, the US Surgeon General, Agency for Healthcare Research and Quality, US Department of Health and Human Services and others have documented the many benefits of breastfeeding. The introduction of solid foods before six months of age is associated with increased rates of infection, reduced breastmilk production, disruption to the microbiome and possibly obesity. If solids are introduced at around six months (by 26 weeks) there is no evidence of increases in allergic diseases.

  2. Infant Development: Birth to 3 Months

    MedlinePlus

    ... major infant development milestones from birth to 3 months — and know what to do when something's not ... A lot happens during your baby's first three months. Most babies reach certain milestones at similar ages, ...

  3. 12-MONTH PREVALENCE AND TREATMENT OF MENTAL DISORDERS IN LEBANON

    PubMed Central

    Karam, Elie G.; Mneimneh, Zeina N.; Karam, Aimee N.; Fayyad, John A.; Nasser, Soumana C.; Chatterji, Somnath; Kessler, Ronald C.

    2007-01-01

    SUMMARY Background: Mental disorders are thought to account for a significant portion of disease burden throughout the world. However, no national studies have been conducted to assess this assumption in the Arab world. Methods: As part of the World Health Organization (WHO) World Mental Health (WMH) Survey Initiative, a nationally representative psychiatric epidemiological survey of n = 2857 adults (ages 18+) was carried out in Lebanon (the Lebanese Evaluation of the Burden of Ailments and Needs Of the Nation: LEBANON). Twelve-month prevalence and severity of DSM-IV disorders and treatment were assessed with the WHO Composite International Diagnostic Interview (CIDI, Version 3.0). Information was also obtained about socio-demographics and exposure to traumatic events in the Lebanon wars. Findings: One-sixth (17.0%) of respondents met criteria for at least one 12-month DSM-IV/CIDI disorder, 27.0% of whom were classified serious and an additional 36.0% moderate. Nearly half of respondents had a history of exposure to war-related traumatic events. Significantly elevated odd-ratios (OR) of mood, anxiety and impulse-control disorders were associated with two (OR = 2.0-3.6) or more (OR = 2.2-9.1) war-related traumatic events, resulting in substantially higher proportions of moderate or severe 12-month mental disorders among respondents exposed to multiple war-related traumata (16.8-20.4%) than other respondents (3.3-3.5%). Only 10.9% of respondents with 12-month disorders obtained treatment. Two-thirds of treatment was provided in the general medical sector. Interpretation: Mental disorders are common in Lebanon. Prevalence is similar to WMH surveys in Western Europe. Unmet need for treatment is considerably higher in Lebanon than in Western countries. PMID:16564362

  4. Gender differences in cue exposure reactivity and 9-month outcome.

    PubMed

    Sterling, Robert C; Dean, Jessica; Weinstein, Stephen P; Murphy, Jennifer; Gottheil, Edward

    2004-07-01

    Gender differences have been shown to be related to the course of cocaine dependence and treatment. While previous research has shown cue exposure procedures to be somewhat effective at reducing reactivity of substance dependent individuals to drug related stimuli, the few studies that have examined gender differences in craving and cue-reactivity have yielded equivocal results. We have recently demonstrated that an active cue-exposure procedure that featured cocaine-dependent individuals receiving immediate feedback about their level of physiological arousal following videotaped exposure to cocaine-related stimuli was capable of positively influencing in-treatment (helplessness, abstinence efficacy) as well as 9-month followup outcome (i.e., urinalysis) indices (Sterling, R., Gottheil, E., Murphy, J., & Weinstein, S. (2001). Cue exposure and abstinence efficacy. College on Problems of Drug Dependence, Phoenix, AZ, June 17, 2001). The purpose of the present study was to determine whether differential in-treatment or 9-month followup outcomes were obtained for male and female study participants. Subjects in this study were 81 individuals (47 male/34 female) who met DSM-IV criteria for cocaine dependence and who had consented to be randomly assigned to either the active cue-exposure or control conditions. Participants were compared along a myriad of pre-treatment, in-treatment, and 9-month followup measures. Other than males reporting more recent employment, there was no obvious systematic pattern of differences on pre-treatment indices. No gender differences in treatment retention were observed. With respect to 9-month followup, no gender differences on measures of addiction severity, psychological functioning, or urinalyses were noted. However males were more "cue-reactive" and more successful at establishing control over their reactivity to the cocaine stimuli. Additional research is needed to determine whether these differences in reactivity can be more clearly

  5. Combination of monthly gravity field solutions from different processing centers

    NASA Astrophysics Data System (ADS)

    Jean, Yoomin; Meyer, Ulrich; Jäggi, Adrian

    2015-04-01

    Currently, the official GRACE Science Data System (SDS) monthly gravity field solutions are generated independently by the Centre for Space Research (CSR) and the German Research Centre for Geosciences (GFZ). Additional GRACE SDS monthly fields are provided by the Jet Propulsion Laboratory (JPL) for validation and outside the SDS by a number of other institutions worldwide. Although the adopted background models and processing standards have been harmonized more and more by the various processing centers during the past years, notable differences still exist and the users are more or less left alone with a decision which model to choose for their individual applications. Combinations are well-established in the area of other space geodetic techniques, such as the Global Navigation Satellite Systems (GNSS), Satellite Laser Ranging (SLR), and Very Long Baseline Interferometry (VLBI), where regular comparisons and combinations of space-geodetic products have tremendously increased the usefulness of the products in a wide range of disciplines and scientific applications. In the frame of the recently started Horizon 2020 project European Gravity Service for Improved Emergency Management (EGSIEM), a scientific combination service shall therefore be established to deliver the best gravity products for applications in Earth and environmental science research based on the unified knowledge of the European GRACE community. In a first step the large variety of available monthly GRACE gravity field solutions shall be mutually compared spatially and spectrally. We assess the noise of the raw as well as filtered solutions and compare the secular and seasonal periodic variations fitted to the monthly solutions. In a second step we will explore ways to generate combined solutions, e.g., based on a weighted average of the individual solutions using empirical weights derived from pair-wise comparisons. We will also assess the quality of such a combined solution and discuss the

  6. Mothers' Expectations for Shared Reading Following Delivery: Implications For Reading Activities at 6 Months

    PubMed Central

    Berkule, Samantha B.; Dreyer, Benard P.; Klass, Perri E.; Huberman, Harris S.; Yin, Hsiang S.; Mendelsohn, Alan L.

    2008-01-01

    Objective To determine whether mothers with plans related to shared reading and baby books in the home at the time of delivery of their newborns would be more likely to engage in shared reading behaviors at age 6 months. Method This was a cohort study with enrollment post-partum and follow-up at 6 months in an urban public hospital. Predictors: mothers' attitudes and resources related to shared reading during the postpartum period. Outcomes: mothers' shared reading activities and resources at 6 months (StimQ-READ). Results 173 mother-infant dyads were assessed. In multiple regression analyses adjusting for sociodemographics and maternal depression and literacy, StimQ-READ at 6 months was increased in association with all 3 postpartum predictors: plans for reading as a strategy for school success (adjusted mean 1.7 point increase in 6 month score; 95% CI: 0.3 – 3.0), plans to read in infancy (3.1 point increase; 95% CI: 1.6-4.6), and having baby books in the home (2.3 point increase; 95% CI: 0.9 – 3.6). In multiple logistic regression analysis, mothers with two or more attitudes and resources had an AOR of 6.2 (95% CI: 2.0-18.9) for having initiated reading at 6 months. Conclusions Maternal attitudes and resources in early infancy related to shared reading are important predictors of reading behaviors by 6 months. Cumulative postnatal attitudes and resources are the strongest predictors of later behaviors. Additional research is needed regarding whether guidance about shared reading in early infancy or pregnancy would enhance programs such as Reach Out and Read. PMID:18501863

  7. 76 FR 32857 - Great Outdoors Month, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-07

    ... Outdoors Month, 2011 By the President of the United States of America A Proclamation For generations... through stone-faced cliffs. During Great Outdoors Month, we rededicate ourselves to experiencing and... natural heritage. This month, let each of us resolve to protect our great outdoors; discover their wonders...

  8. Feeding Your 4- to 7-Month-Old

    MedlinePlus

    ... Search English Español Feeding Your 4- to 7-Month-Old KidsHealth / For Parents / Feeding Your 4- to 7-Month-Old What's in this article? Is My Baby ... solid foods when a baby is about 6 months old, depending on the baby's readiness and nutritional ...

  9. 78 FR 54747 - National Wilderness Month, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-06

    ... National Wilderness Month, 2013 By the President of the United States of America A Proclamation In... landscapes, leaving their beauty unmarred. This month, we uphold that proud tradition and resolve that future... businesses and supporting American jobs. During National Wilderness Month, we reflect on the profound...

  10. 75 FR 81083 - National Mentoring Month, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-27

    ... National Mentoring Month, 2011 By the President of the United States of America A Proclamation Across our.... During National Mentoring Month, we honor these important individuals who unlock the potential and... 2011 as National Mentoring Month. I call upon all public officials, business and community leaders...

  11. 15-18 Months: Your Child's Development

    MedlinePlus

    ... a Member Home Resources & Services Parenting Resource 15–18 Months: Your Child’s Development Download Files Feb 10, ... to. Spotlight on Problem-Solving Between 15 and 18 Months The ability to solve problems is very ...

  12. Monthly Financial Reporting: Keeping the Community Informed.

    ERIC Educational Resources Information Center

    Weeks, Richard H.

    1998-01-01

    Accurate, timely, and concise monthly financial reporting is achieved through mastering statistics. A Grafton, Massachusetts school business manager's monthly presentation to the school committee is a composite of all the statistics he has reviewed during the previous month. This presentation reports where and how funds have been spent and…

  13. 77 FR 55097 - National Preparedness Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ... National Preparedness Month, 2012 By the President of the United States of America A Proclamation As... of our country. During National Preparedness Month, we renew our commitment to promoting emergency... people and as one American family. This month, let us honor that spirit by standing with all those...

  14. 75 FR 23559 - Older Americans Month, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-04

    ... Americans Month, 2010 By the President of the United States of America A Proclamation Older Americans have.... During Older Americans Month, we show our support and appreciation for these treasured individuals who have contributed so much to our Nation. This year's theme for Older Americans Month, ``Age Strong, Live...

  15. 78 FR 66609 - National Adoption Month, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-05

    ... National Adoption Month, 2013 By the President of the United States of America A Proclamation Every young..., adoptive families give that chance to over a million children and teenagers. During National Adoption Month... service providers, and it will provide greater safeguards to both parents and children. This month, we...

  16. 76 FR 68613 - National Adoption Month, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-04

    ... National Adoption Month, 2011 By the President of the United States of America A Proclamation As a Nation... without families. During National Adoption Month, we celebrate the acts of compassion and love that unite... the foster care system. Last year, during National Adoption Month, I signed the International Adoption...

  17. 20 CFR 226.51 - Maximum monthly amount.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Maximum monthly amount. 226.51 Section 226.51... EMPLOYEE, SPOUSE, AND DIVORCED SPOUSE ANNUITIES Railroad Retirement Family Maximum § 226.51 Maximum monthly amount. The railroad retirement family maximum is equal to an employee's “final average monthly...

  18. 25 CFR 700.81 - Monthly housing cost.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false Monthly housing cost. 700.81 Section 700.81 Indians THE OFFICE OF NAVAJO AND HOPI INDIAN RELOCATION COMMISSION OPERATIONS AND RELOCATION PROCEDURES General Policies and Instructions Definitions § 700.81 Monthly housing cost. (a) General. The term monthly housing...

  19. Event segmentation improves event memory up to one month later.

    PubMed

    Flores, Shaney; Bailey, Heather R; Eisenberg, Michelle L; Zacks, Jeffrey M

    2017-08-01

    When people observe everyday activity, they spontaneously parse it into discrete meaningful events. Individuals who segment activity in a more normative fashion show better subsequent memory for the events. If segmenting events effectively leads to better memory, does asking people to attend to segmentation improve subsequent memory? To answer this question, participants viewed movies of naturalistic activity with instructions to remember the activity for a later test, and in some conditions additionally pressed a button to segment the movies into meaningful events or performed a control condition that required button-pressing but not attending to segmentation. In 5 experiments, memory for the movies was assessed at intervals ranging from immediately following viewing to 1 month later. Performing the event segmentation task led to superior memory at delays ranging from 10 min to 1 month. Further, individual differences in segmentation ability predicted individual differences in memory performance for up to a month following encoding. This study provides the first evidence that manipulating event segmentation affects memory over long delays and that individual differences in event segmentation are related to differences in memory over long delays. These effects suggest that attending to how an activity breaks down into meaningful events contributes to memory formation. Instructing people to more effectively segment events may serve as a potential intervention to alleviate everyday memory complaints in aging and clinical populations. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Natural gas monthly, July 1994

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

    Not Available

    1994-07-20

    The Natural Gas Monthly (NGM) highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, the NGM features articles designed to assist readers in using and interpreting natural gas information.

  1. Natural gas monthly, September 1995

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

    NONE

    1995-09-27

    The (NGM) Natural Gas Monthly highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, the NGM features articles designed to assist readers in using and interpreting natural gas information.

  2. Impact of bone marker feedback on adherence to once monthly ibandronate for osteoporosis among Asian postmenopausal women.

    PubMed

    Kung, Annie Wai-Chee; Rachman, Ichramsjah A; Adam, John M F; Roeshadi, Djoko; Torralba, Tito; Navarra, Sandra; Gamilla, Zayda; Cañete, Arthur; de la Rosa, Miles; Tsai, KehSung; Lin, Hsiao-Yi; Soong, Yung Kuei; Lan, Joung-Liang; Hsu, Horng-Chaung; Tu, Shih-Te; Lin, Ruey-Mo; Yuktanandana, Pongsak; Songpatanasilp, Thawee; Ngarmukos, Srihatach; Soontrapa, Sugree; Soontrapa, Suppasin; Rojanasthien, Sattaya; Luevitoonvechkij, Sirichai; Leerapan, Taninnit; Albert, Adelin; Vanbelle, Sophie

    2009-09-01

    This study assesses the impact of serum carboxy-terminal collagen crosslinks (CTX) bone marker feedback (BMF) on adherence to ibandronate treatment in Asian postmenopausal women with osteoporosis. This was a 12-month (6-monthly phased), randomized, prospective, open-label, multi-center study conducted in 596 (of 628 enrolled) postmenopausal women with osteoporosis (< or = 85 years old) who were naïve, lapsed, or current bisphosphonate users. Patients were randomized into two arms: serum CTX BMF at 3 months versus no-BMF. Once-monthly 150 mg ibandronate tablet was administered for 12 months and adherence to therapy was assessed at 6 and 12 months. In addition, patient satisfaction and safety of ibandronate treatment were also assessed. Serum CTX BMF at 3 months showed no impact on adherence. The proportions of adherent patients were comparable in the BMF versus no-BMF arms (92.6%vs. 96.0%, P = 0.16); overall, serum CTX levels were similar for adherent and non-adherent patients. However, BMF patients felt more informed about their osteoporosis (P < 0.001) and more satisfied (P < 0.01) than no-BMF patients. The Asian postmenopausal osteoporosis patients in this study had a high adherence rate to once-monthly ibandronate therapy. Use of serum CTX BMF had no further impact on increasing adherence, but increased treatment satisfaction.

  3. 20 CFR 226.62 - Computing average monthly compensation.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Computing average monthly compensation. 226... RETIREMENT ACT COMPUTING EMPLOYEE, SPOUSE, AND DIVORCED SPOUSE ANNUITIES Years of Service and Average Monthly Compensation § 226.62 Computing average monthly compensation. The employee's average monthly compensation is...

  4. 78 FR 853 - National Mentoring Month, 2013

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-01-07

    ... 8922 of December 31, 2012 National Mentoring Month, 2013 By the President of the United States of... mission to serve others. During National Mentoring Month, we pay special tribute to the men and women who... proclaim January 2013 as National Mentoring Month. I call upon public officials, business and community...

  5. 77 FR 13185 - Women's History Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-06

    ... History Month, 2012 By the President of the United States of America A Proclamation As Americans, ours is... of full and enduring equality. During Women's History Month, we commemorate their struggles... support to women in areas of conflict and improving the chances for lasting peace. In the months ahead, my...

  6. 77 FR 66517 - National Adoption Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-06

    ... National Adoption Month, 2012 By the President of the United States of America A Proclamation As a Nation... National Adoption Month, we give voice to children who are still waiting for that opportunity, celebrate... child with the care and security that will nurture their development and well-being. Later this month...

  7. Legal Services: Claims

    DTIC Science & Technology

    1997-12-31

    waive such exemp- tions or privileges and direct release of the protected documents, upon balancing all pertinent factors, including finding that...injury causing death until expiration of decedent’s worklife ex- pectancy. When requested, the previous five years Federal income tax forms must be...knowing at all times how much of the CEA has been obligated, its remaining balance , and assessing each month whether the balance will cover claims

  8. Cyclophosphamide's addition in relapsed/refractory multiple myeloma patients with biochemical progression during lenalidomide-dexamethasone treatment.

    PubMed

    Cesini, Laura; Siniscalchi, Agostina; Grammatico, Sara; Andriani, Alessandro; Fiorini, Alessia; De Rosa, Luca; Za, Tommaso; Rago, Angela; Caravita, Tommaso; Petrucci, Maria Teresa

    2018-05-02

    The aim of this study was to evaluate the addition of cyclophosphamide in relapsed-refractory multiple myeloma patients (RRMM) who experienced biochemical relapse or progression without CRAB, during treatment with lenalidomide and dexamethasone (Rd), to slow down the progression in active relapse. This analysis included 31 patients with RRMM treated with Rd who received cyclophosphamide (CRd) at biochemical relapse. The CRd regimen was continued until disease progression. The median number of CRd cycles administered was 8 (range: 1-35). A response was observed in 9 (29%) patients. After a median observation time of 11 months, the median overall survival (OS) from the beginning of CRd was 17.7 months. The median progression-free survival (PFS) from the beginning of CRd was 13.1 months. The addition of cyclophosphamide delays the progression in patients who present a biochemical relapse during Rd treatment. The response rate and the duration of PFS obtained with minimal toxicities and low costs induced us to setting up a randomized clinical trial. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Prediction of Malaysian monthly GDP

    NASA Astrophysics Data System (ADS)

    Hin, Pooi Ah; Ching, Soo Huei; Yeing, Pan Wei

    2015-12-01

    The paper attempts to use a method based on multivariate power-normal distribution to predict the Malaysian Gross Domestic Product next month. Letting r(t) be the vector consisting of the month-t values on m selected macroeconomic variables, and GDP, we model the month-(t+1) GDP to be dependent on the present and l-1 past values r(t), r(t-1),…,r(t-l+1) via a conditional distribution which is derived from a [(m+1)l+1]-dimensional power-normal distribution. The 100(α/2)% and 100(1-α/2)% points of the conditional distribution may be used to form an out-of sample prediction interval. This interval together with the mean of the conditional distribution may be used to predict the month-(t+1) GDP. The mean absolute percentage error (MAPE), estimated coverage probability and average length of the prediction interval are used as the criterions for selecting the suitable lag value l-1 and the subset from a pool of 17 macroeconomic variables. It is found that the relatively better models would be those of which 2 ≤ l ≤ 3, and involving one or two of the macroeconomic variables given by Market Indicative Yield, Oil Prices, Exchange Rate and Import Trade.

  10. Monthly Energy Review

    EIA Publications

    2017-01-01

    The Monthly Energy Review (MER) is the U.S. Energy Information Administration's primary report of recent energy statistics. Included are total energy production, consumption, and trade; energy prices; overviews of petroleum, natural gas, coal, electricity, nuclear energy, renewable energy, and international petroleum; carbon dioxide emissions; and data unit conversions.

  11. 30-36 Months: Your Child's Development

    MedlinePlus

    ... Resources & Services Parenting Resource 30–36 Months: Your Child’s Development Download Files Feb 10, 2016 Older toddlers are ... go?” Then you two can switch. Downloads Your Child's Development: 30–36 Months PDF 373 KB Read more ...

  12. 12-15 Months: Your Child's Development

    MedlinePlus

    ... Resources & Services Parenting Resource 12–15 Months: Your Child’s Development Download Files Feb 9, 2016 This is a ... who she is. Downloads 12–15 Months: Your Child’s Development PDF 418 KB Read more about: Ages and ...

  13. A stepwise model to predict monthly streamflow

    NASA Astrophysics Data System (ADS)

    Mahmood Al-Juboori, Anas; Guven, Aytac

    2016-12-01

    In this study, a stepwise model empowered with genetic programming is developed to predict the monthly flows of Hurman River in Turkey and Diyalah and Lesser Zab Rivers in Iraq. The model divides the monthly flow data to twelve intervals representing the number of months in a year. The flow of a month, t is considered as a function of the antecedent month's flow (t - 1) and it is predicted by multiplying the antecedent monthly flow by a constant value called K. The optimum value of K is obtained by a stepwise procedure which employs Gene Expression Programming (GEP) and Nonlinear Generalized Reduced Gradient Optimization (NGRGO) as alternative to traditional nonlinear regression technique. The degree of determination and root mean squared error are used to evaluate the performance of the proposed models. The results of the proposed model are compared with the conventional Markovian and Auto Regressive Integrated Moving Average (ARIMA) models based on observed monthly flow data. The comparison results based on five different statistic measures show that the proposed stepwise model performed better than Markovian model and ARIMA model. The R2 values of the proposed model range between 0.81 and 0.92 for the three rivers in this study.

  14. 75 FR 67905 - National Hospice Month, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... National Hospice Month, 2010 By the President of the United States of America A Proclamation During National Hospice Month, we recognize the dignity hospice care can provide to patients who need it most, and... their lives, in spite of a terminal illness. During this month, let us recognize those who allow the...

  15. Chronic inhalation study of fiber glass and amosite asbestos in hamsters: twelve-month preliminary results.

    PubMed

    Hesterberg, T W; Axten, C; McConnell, E E; Oberdörster, G; Everitt, J; Miiller, W C; Chevalier, J; Chase, G R; Thevenaz, P

    1997-09-01

    The effects of chronic inhalation of glass fibers and amosite asbestos are currently under study in hamsters. The study includes 18 months of inhalation exposure followed by lifetime recovery. Syrian golden hamsters are exposed, nose only, for 6 hr/day, 5 day/week to size-selected test fibers: MMVF10a (Schuller 901 insulation glass); MMVF33 (Schuller 475 durable glass); amosite asbestos (three doses); or to filtered air (controls). Here we report interim results on airborne fiber characterization, lung fiber burden, and pathology (preliminary) through 12 months. Aerosolized test fibers averaged 15 to 20 microns in length and 0.5 to 1 micron in diameter. Target aerosol concentrations of World Health Organization (WHO) fibers (longer than 5 microns) were 250 fibers/cc for MMVF10a and MMVF33, and 25, 125, or 250 fibers/cc for amosite. WHO fiber lung burdens showed time-dependent and (for amosite) dose-dependent increases. After a 12-month exposure, lung burdens of fibers longer than 20 microns were greatest with amosite high and mid doses, similar for low-dose amosite and MMVF33, and smaller for MMVF10a. Biological responses of animals exposed for 12 months to MMVF10a were limited to nonspecific pulmonary inflammation. However, exposures to MMVF33 and each of three doses of amosite were associated with lung fibrosis and possible mesotheliomas (1 with MMVF33 and 2, 3, and 1 with amosite low, mid, and high doses, respectively). Pulmonary and pleural changes associated with amosite were qualitatively and quantitatively more severe than those associated with MMVF33. As of the 12-month time point, this study demonstrates that two different fiber glass compositions with similar fiber dimensions but different durabilities can have distinctly different effects on the hamster lung and pleura after inhalation exposure. (Preliminary tumor data through 18 months of exposure and 6 weeks of postexposure recovery became available as this manuscript went to press: No tumors were

  16. Chronic inhalation study of fiber glass and amosite asbestos in hamsters: twelve-month preliminary results.

    PubMed Central

    Hesterberg, T W; Axten, C; McConnell, E E; Oberdörster, G; Everitt, J; Miiller, W C; Chevalier, J; Chase, G R; Thevenaz, P

    1997-01-01

    The effects of chronic inhalation of glass fibers and amosite asbestos are currently under study in hamsters. The study includes 18 months of inhalation exposure followed by lifetime recovery. Syrian golden hamsters are exposed, nose only, for 6 hr/day, 5 day/week to size-selected test fibers: MMVF10a (Schuller 901 insulation glass); MMVF33 (Schuller 475 durable glass); amosite asbestos (three doses); or to filtered air (controls). Here we report interim results on airborne fiber characterization, lung fiber burden, and pathology (preliminary) through 12 months. Aerosolized test fibers averaged 15 to 20 microns in length and 0.5 to 1 micron in diameter. Target aerosol concentrations of World Health Organization (WHO) fibers (longer than 5 microns) were 250 fibers/cc for MMVF10a and MMVF33, and 25, 125, or 250 fibers/cc for amosite. WHO fiber lung burdens showed time-dependent and (for amosite) dose-dependent increases. After a 12-month exposure, lung burdens of fibers longer than 20 microns were greatest with amosite high and mid doses, similar for low-dose amosite and MMVF33, and smaller for MMVF10a. Biological responses of animals exposed for 12 months to MMVF10a were limited to nonspecific pulmonary inflammation. However, exposures to MMVF33 and each of three doses of amosite were associated with lung fibrosis and possible mesotheliomas (1 with MMVF33 and 2, 3, and 1 with amosite low, mid, and high doses, respectively). Pulmonary and pleural changes associated with amosite were qualitatively and quantitatively more severe than those associated with MMVF33. As of the 12-month time point, this study demonstrates that two different fiber glass compositions with similar fiber dimensions but different durabilities can have distinctly different effects on the hamster lung and pleura after inhalation exposure. (Preliminary tumor data through 18 months of exposure and 6 weeks of postexposure recovery became available as this manuscript went to press: No tumors were

  17. Prosthetic complications in fixed endosseous implant-borne reconstructions after an observations period of at least 40 months.

    PubMed

    De Boever, A L; Keersmaekers, K; Vanmaele, G; Kerschbaum, T; Theuniers, G; De Boever, J A

    2006-11-01

    One hundred and seventy-two fixed reconstructions (317 prosthetic units), made on 283 ITI implants in 105 patients (age range 25-86 years) with a minimum follow-up period of 40 months, were taken into the study to analyse technical complication rate, complication type and costs for repair. The mean evaluation time was 62.5 +/- 25.3 months. Eighty were single crowns and 92 different types of fixed partial dentures (FPDs). In 45 cases the construction was screw retained and in 127 cases cemented with zinc phosphate cement or an acrylic-based cement. Complications occurred after a minimum period of 2 months and a maximum period of 100 months (mean: 35.9 +/- 21.4 months). Fifty-five prosthetic interventions were needed on 44 constructions (25%) of which 88% in the molar/premolar region. The lowest percentage of complications occurred in single crowns (25%), the highest in 3-4 unit FPDs (35%) and in FPDs with an extension (44%). Of the necessary clinical repair, 36% was recementing and 38% tightening the screws. Of all interventions, 14% were classified as minor (no treatment or <10 min chair time), 70% as moderate (>10 min but <60 min chair time) and 14% as major interventions (>60 min and additional costs for replacement of parts and/or laboratory). For seven patients the additional costs ranged from euro 28 to euro 840. Bruxing seemed to play a significant role in the frequency of complications. Longer constructions seemed to be more prone to complications. The relatively high occurrence of technical complications should be discussed with the patient before the start of the treatment.

  18. 77 FR 26905 - Jewish American Heritage Month, 2012

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-07

    ... Heritage Month, 2012 Proclamation 8814--National Foster Care Month, 2012 #0; #0; #0; Presidential Documents... Heritage Month, 2012 By the President of the United States of America A Proclamation Three hundred and... imagine. Our country is stronger for their contributions, and this month, we commemorate the myriad ways...

  19. 75 FR 25099 - Jewish American Heritage Month, 2010

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... 8513 of April 30, 2010 Jewish American Heritage Month, 2010 By the President of the United States of... also maintained their own unique identity. During Jewish American Heritage Month we celebrate this... Jewish American Heritage Month. I call upon all Americans to observe this month with appropriate programs...

  20. 76 FR 11925 - American Red Cross Month, 2011

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-03

    ... Month, 2011 Proclamation 8629--Irish-American Heritage Month, 2011 Proclamation 8630--Women's History Month, 2011 Proclamation 8631--50th Anniversary of the Peace Corps Proclamation 8632--Death of Army... American Red Cross Month, 2011 By the President of the United States of America A Proclamation For over a...