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Sample records for admit variable zoning

  1. Incompatible quantum measurements admitting a local-hidden-variable model

    NASA Astrophysics Data System (ADS)

    Quintino, Marco Túlio; Bowles, Joseph; Hirsch, Flavien; Brunner, Nicolas

    2016-05-01

    The observation of quantum nonlocality, i.e., quantum correlations violating a Bell inequality, implies the use of incompatible local quantum measurements. Here we consider the converse question. That is, can any set of incompatible measurements be used in order to demonstrate Bell inequality violation? Our main result is to construct a local hidden variable model for an incompatible set of qubit measurements. Specifically, we show that if Alice uses this set of measurements, then for any possible shared entangled state and any possible dichotomic measurements performed by Bob, the resulting statistics are local. This represents significant progress towards proving that measurement incompatibility does not imply Bell nonlocality in general.

  2. The spacetime models with dust matter that admit separation of variables in Hamilton-Jacobi equations of a test particle

    NASA Astrophysics Data System (ADS)

    Osetrin, Konstantin; Filippov, Altair; Osetrin, Evgeny

    2016-01-01

    The characteristics of dust matter in spacetime models, admitting the existence of privilege coordinate systems are given, where the single-particle Hamilton-Jacobi equation can be integrated by the method of complete separation of variables. The resulting functional form of the 4-velocity field and energy density of matter for all types of spaces under consideration is presented.

  3. Adaptive control with variable dead-zone nonlinearities

    NASA Technical Reports Server (NTRS)

    Orlicki, D.; Valavani, L.; Athans, M.; Stein, G.

    1984-01-01

    It has been found that fixed error dead-zones as defined in the existing literature result in serious degradation of performance, due to the conservativeness which characterizes the determination of their width. In the present paper, variable width dead-zones are derived for the adaptive control of plants with unmodeled dynamics. The derivation makes use of information available about the unmodeled dynamics both a priori as well as during the adaptation process, so as to stabilize the adaptive loop and at the same time overcome the conservativeness and performance limitations of fixed-dead zone adaptive or fixed gain controllers.

  4. Great earthquakes of variable magnitude at the Cascadia subduction zone

    USGS Publications Warehouse

    Nelson, A.R.; Kelsey, H.M.; Witter, R.C.

    2006-01-01

    Comparison of histories of great earthquakes and accompanying tsunamis at eight coastal sites suggests plate-boundary ruptures of varying length, implying great earthquakes of variable magnitude at the Cascadia subduction zone. Inference of rupture length relies on degree of overlap on radiocarbon age ranges for earthquakes and tsunamis, and relative amounts of coseismic subsidence and heights of tsunamis. Written records of a tsunami in Japan provide the most conclusive evidence for rupture of much of the plate boundary during the earthquake of 26 January 1700. Cascadia stratigraphic evidence dating from about 1600??cal yr B.P., similar to that for the 1700 earthquake, implies a similarly long rupture with substantial subsidence and a high tsunami. Correlations are consistent with other long ruptures about 1350??cal yr B.P., 2500??cal yr B.P., 3400??cal yr B.P., 3800??cal yr B.P., 4400??cal yr B.P., and 4900??cal yr B.P. A rupture about 700-1100??cal yr B.P. was limited to the northern and central parts of the subduction zone, and a northern rupture about 2900??cal yr B.P. may have been similarly limited. Times of probable short ruptures in southern Cascadia include about 1100??cal yr B.P., 1700??cal yr B.P., 3200??cal yr B.P., 4200??cal yr B.P., 4600??cal yr B.P., and 4700??cal yr B.P. Rupture patterns suggest that the plate boundary in northern Cascadia usually breaks in long ruptures during the greatest earthquakes. Ruptures in southernmost Cascadia vary in length and recurrence intervals more than ruptures in northern Cascadia.

  5. Parasuicide and drug self-poisoning: analysis of the epidemiological and clinical variables of the patients admitted to the Poisoning Treatment Centre (CAV), Niguarda General Hospital, Milan

    PubMed Central

    2005-01-01

    Epidemiological knowledge of parasuicides and drug self-poisoning is still limited by a lack of data. A number of preliminary studies, which require further analysis, evidenced that parasuicidal acts occur more often among females, that the peak rate is generally recorded between the ages of 15 and 34 years and psychotropic medications seems to be the most frequently used. The aim of this study was to describe the demographic and clinical variables of a sample of subjects admitted to the Posisoning Treatment Centre (CAV), Niguarda General Hospital, Milan, following drug self-poisoning. Furthermore, this study is aimed to identify the risk factors associated to parasuicidal gestures, with special care for the used drugs, the presence of psychiatric or organic disorders, alcoholism and drug addiction. The study included the 201 patients attending the CAV in 1999 and 2000 who satisfied the criteria of self-poisoning attempts: 106 cases in 1999 and 95 in 2000. The sample had a prevalence of females (64%). The peak rates of parasuicides from drug self-poisoning were reached between 21 and 30 years among the females, and 31 and 40 years among the males. 81.6% of the patients used one or more psychoactive drugs, the most frequent being the benzodiazepines (58.7%), classic neuroleptics (16.9%) and new-generation antidepressants (SSRIs, SNRIs, NARIs) (12.9%). The prevalence of mood disorders was higher among females (64% vs 42%), whereas schizophrenia was more frequently diagnosed in males (22% vs 10%). 61% (33%) had a history of previous attempted suicides. The presence of clinically relevant organic diseases was observed in 24.9% of the sample. PMID:15967050

  6. Characterization of climatic zones, variability and trend in northern Africa

    NASA Astrophysics Data System (ADS)

    Djomou, Zéphirin Yepdo; Monkam, David; Chamani, Roméo

    2015-03-01

    Using precipitation data from the Climatic Research Unit and the cluster analysis method, the northern Africa (0-30°N; 20°W-40°E) was sub-divided into four homogenous climatic zones for the base period (P0) 1901-1940. The four climatic zones were distributed into Saharan, Sahelian, wet tropical and equatorial climate types. The application of a segment of 15 years with overlap going from 1901-1940 (P0) and 1961 to 2000 (P4) throughout the periods 1916-1955 (P1), 1931-1970 (P2) and 1946-1985 (P3), shows important spatio-temporal modifications of rainfall zones south of 15°N . The semiarid lands (Sahelian) which govern the dynamics of this zone doubled at the end of the twentieth century, while the wet tropical and equatorial zones decreased at the half. Temperature trends have a magnitude of up to 1.5 K per century in all the four climatic zones. This warming was mainly observed during the last three decades. During these same three decades, regional precipitation trends were less significant. The extreme conditions in temperature and the precipitation were analysed in terms of their persistence. The sporadic long-lasting extreme conditions appear for several years to over 10 years during the last century.

  7. Vertical variability in saturated zone hydrochemistry near Yucca Mountain, Nevada

    USGS Publications Warehouse

    Patterson, G.L.; Striffler, P.S.

    2006-01-01

    The differences in the saturated zone hydrochemistry with depth at borehole NC-EWDP-22PC reflect the addition of recharge along Fortymile Wash. The differences in water chemistry with depth at borehole NC-EWDP-19PB appear to indicate that other processes are involved. Water from the lower part of NC-EWDP-19PB possesses chemical characteristics that clearly indicate that it has undergone cation exchange that resulted in the removal of calcium and magnesium and the addition of sodium. This water is very similar to water from the Western Yucca Mountain facies that has previously been thought to flow west of NC-EWDP-19PB. Water from the lower zone in NC-EWDP-19PB also could represent water from the Eastern Yucca Mountain fades that has moved through day-bearing or zeolitized aquifer material resulting in the altered chemistry. Water chemistry from the upper part of the saturated zone at NC-EWDP-19PB, both zones at NC-EWDP-22PC, and wells in the Fortymile Wash facies appears to be the result of recharge through the alluvium south of Yucca Mountain and within the Fortymile Wash channel.

  8. Spatiotemporal variability of the precipitation dipole transition zone in the western United States

    NASA Astrophysics Data System (ADS)

    Wise, Erika K.

    2010-04-01

    El Niño-Southern Oscillation-related hydroclimatic variability in the western United States is characterized by a north-south dipole pattern of precipitation anomalies with opposing signs. Here I use a high-resolution dataset to analyze spatiotemporal patterns in the transition zone between the centers of opposite association. Results indicate that the transition zone is spatially limited west of the continental divide, consisting of a narrow zone within the 40-42°N latitude band and portions of eastern Washington, eastern Oregon, and western Colorado. The transition zone was narrower when the Southern Oscillation Index and the Pacific Decadal Oscillation (PDO) were in a constructive phase and during the negative Atlantic Multidecadal Oscillation phase. Although the transition zone has remained remarkably stationary across the Great Basin, shifts (likely PDO-related) have occurred over time in the West Coast states. Implications for water resource planning in river basins underlying the transition zone vary by region.

  9. A variable-geometry combustor used to study primary and secondary zone stoichiometry

    NASA Technical Reports Server (NTRS)

    Briehl, D.; Schultz, D. F.; Ehlers, R. C.

    1983-01-01

    A combustion program is underway to evaluate fuel quality effects on gas turbine combustors. A rich-lean variable geometry combustor design was chosen to evaluate fuel quality effects over a wide range of primary and secondary zone equivalence ratios at simulated engine operating conditions. The first task of this effort, was to evaluate the performance of the variable geometry combustor. The combustor incorporates three stations of variable geometry to control primary and secondary zone equivalence ratio and overall pressure loss. Geometry changes could be made while a test was in progress through the use of remote control actuators. The primary zone liner was water cooled to eliminate the concern of liner durability. Emissions and performance data were obtained at simulated engine conditions of 80 percent and full power. Inlet air temperature varied from 611 to 665K, inlet total pressure varied from 1.02 to 1.24 MPa, reference velocity was a constant 1400 K.

  10. Environmental and economic benefits of variable rate nitrogen fertilization in a nitrate vulnerable zone.

    PubMed

    Basso, Bruno; Dumont, Benjamin; Cammarano, Davide; Pezzuolo, Andrea; Marinello, Francesco; Sartori, Luigi

    2016-03-01

    Agronomic input and management practices have traditionally been applied uniformly on agricultural fields despite the presence of spatial variability of soil properties and landscape position. When spatial variability is ignored, uniform agronomic management can be both economically and environmentally inefficient. The objectives of this study were to: i) identify optimal N fertilizer rates using an integrated spatio-temporal analysis of yield and site-specific N rate response; ii) test the sensitivity of site specific N management to nitrate leaching in response to different N rates; and iii) demonstrate the environmental benefits of variable rate N fertilizer in a Nitrate Vulnerable Zone. This study was carried out on a 13.6 ha field near the Venice Lagoon, northeast Italy over four years (2005-2008). We utilized a validated crop simulation model to evaluate crop response to different N rates at specific zones in the field based on localized soil and landscape properties under rainfed conditions. The simulated rates were: 50 kg N ha(-1) applied at sowing for the entire study area and increasing fractions, ranging from 150 to 350 kg N ha(-1) applied at V6 stage. Based on the analysis of yield maps from previous harvests and soil electrical resistivity data, three management zones were defined. Two N rates were applied in each of these zones, one suggested by our simulation analysis and the other with uniform N fertilization as normally applied by the producer. N leaching was lower and net revenue was higher in the zones where variable rates of N were applied when compared to uniform N fertilization. This demonstrates the efficacy of using crop models to determine variable rates of N fertilization within a field and the application of variable rate N fertilizer to achieve higher profit and reduce nitrate leaching. PMID:26747986

  11. Variable-intercept panel model for deformation zoning of a super-high arch dam.

    PubMed

    Shi, Zhongwen; Gu, Chongshi; Qin, Dong

    2016-01-01

    This study determines dam deformation similarity indexes based on an analysis of deformation zoning features and panel data clustering theory, with comprehensive consideration to the actual deformation law of super-high arch dams and the spatial-temporal features of dam deformation. Measurement methods of these indexes are studied. Based on the established deformation similarity criteria, the principle used to determine the number of dam deformation zones is constructed through entropy weight method. This study proposes the deformation zoning method for super-high arch dams and the implementation steps, analyzes the effect of special influencing factors of different dam zones on the deformation, introduces dummy variables that represent the special effect of dam deformation, and establishes a variable-intercept panel model for deformation zoning of super-high arch dams. Based on different patterns of the special effect in the variable-intercept panel model, two panel analysis models were established to monitor fixed and random effects of dam deformation. Hausman test method of model selection and model effectiveness assessment method are discussed. Finally, the effectiveness of established models is verified through a case study. PMID:27386345

  12. Booming during a bust: Asynchronous population responses of arid zone lizards to climatic variables

    NASA Astrophysics Data System (ADS)

    Read, John L.; Kovac, Kelli-Jo; Brook, Barry W.; Fordham, Damien A.

    2012-04-01

    The productivity of arid environments and the reproductive success of vertebrates in these systems, are typically thought to be primarily influenced by rainfall patterns. Data from our 15 year study at an Australian arid zone site reveals asynchronous demographic responses to rainfall and other climatic variables among different lizard species. We show that, in addition to precipitation, key demographic rates (fecundity, recruitment and survival) are correlated strongly with temporal variability in temperature, during and prior to the breeding season, and also to the density of sympatric lizard species. There were nine-fold fluctuations through time in the relative abundance of two similar-sized Ctenotus species, and asynchronous recruitment success and survival among other species, despite the absence of direct anthropogenic affects Understanding the drivers and magnitude of the substantial natural variability in arid-zone lizard assemblages is integral to predicting and interpreting their responses to future land use or climate-change scenarios.

  13. Adaptive significance and ontogenetic variability of the waxy zone in Nepenthes rafflesiana

    PubMed Central

    Gaume, Laurence; Di Giusto, Bruno

    2009-01-01

    Background and Aims The slippery waxy zone in the upper part of pitchers has long been considered the key trapping structure of the Nepenthes carnivorous plants; however, the presence of wax is reported to be variable within and between species of this species-rich genus. This study raises the question of the adaptive significance of the waxy zone and investigates the basis for an ontogenetic cause of its variability and correlation with pitcher shape. Methods In Brunei (Borneo) the expression of the waxy zone throughout plant ontogeny was studied in two taxa of the Nepenthes rafflesiana complex, typica and elongata, which differ in pitcher shape and size. We also tested the adaptive significance of this zone by comparing the trapping efficiency and the number of prey captured of wax-bearing and wax-lacking plants. Key Results In elongata, the waxy zone is always well expanded and the elongated pitchers change little in form during plant development. Wax efficiently traps experimental ants but the number of captured prey in pitchers is low. In contrast, in typica, the waxy zone is reduced in successively produced pitchers until it is lost at the end of the plant's juvenile stage. The form of pitchers thus changes continuously throughout plant ontogeny, from elongated to ovoid. In typica, the number of captured prey is greater, but the role of wax in trapping is minor compared with that of the digestive liquid, and waxy plants do not show a higher insect retention and prey abundance as compared with non-waxy plants. Conclusions The waxy zone is not always a key trapping structure in Nepenthes and can be lost when supplanted by more efficient features. This study points out how pitcher structure is submitted to selection, and that evolutionary changes in developmental mechanisms could play a role in the morphological diversity of Nepenthes. PMID:19805403

  14. Seasonal and interannual variability of pigment concentrations across a California Current frontal zone

    NASA Technical Reports Server (NTRS)

    Thomas, A. C.; Strub, P. T.

    1990-01-01

    The seasonal and interannual variability of the latitudinal position of the California Current frontal zone was investigated by examining satellite images of phytoplankton pigment from the coastal-zone color scanner for the periods 1979-1983 and 1986. The pigment concentrations associated with the zonal front were also determined. A general seasonal cycle of pigment concentrations is was established. It was found that variations in the frontal structure are controlled primarily by changes in pigment concentration north of the front. Seasonal variations were found to be minimal south of the front, where pigment concentrations remain low throughout the spring, summer, and fall.

  15. Modeling improved ISCO treatment of low permeable zones via viscosity modification: assessment of system variables.

    PubMed

    Kananizadeh, Negin; Chokejaroenrat, Chanat; Li, Yusong; Comfort, Steven

    2015-02-01

    A major challenge to successfully using in situ chemical oxidation (ISCO) for groundwater treatment is achieving uniform contact between the oxidant and contaminants in a heterogeneous aquifer. Viscosity modification technology, where a water-soluble polymer is mixed with remedial fluids, has been introduced in recent years to improve oxidant coverage of the target zone (i.e., sweep efficiency) and thus, treatment efficacy. In this work, we developed a numerical model to simulate the remedial fluid coverage from an ISCO injection with viscosity modification. Specifically, solution mixtures of xanthan and NaMnO4 were injected into a two-dimensional (2D) transport flow box that contained heterogeneous layers. Xanthan solutions were simulated as shear-thinning non-Newtonian fluids, where viscosity is a function of shear rate, polymer and NaMnO4 concentrations. Reactive transport of the polymer, NaMnO4, TCE, and reaction products were simultaneously modeled using advection dispersion reaction (ADR) equations coupled with the simulated flow field. The numerical model was validated using experimental data from the 2D cell experiments. Sensitivity analysis was conducted to investigate the relative contributions of system variables, such as polymer and permanganate concentrations, flow rate, permeability contrast, and different geometry settings. Results showed that higher concentration of permanganate and slower flow rate of the shear-thinning non-Newtonian fluids improved the oxidants ability to enter low permeable zones and react with the TCE. Higher permeability contrast decreased the velocity of the xanthan-MnO4(-) mixture inside the low permeable zone (LPZ), which increased TCE oxidation and product recovery. Changing the architecture of the LPZ from one zone to two smaller zones separated by a transmissive zone increased the overall product recovery. Thus, viscosity modification can improve both the sweeping efficiencies and TCE removal.

  16. Modeling improved ISCO treatment of low permeable zones via viscosity modification: Assessment of system variables

    NASA Astrophysics Data System (ADS)

    Kananizadeh, Negin; Chokejaroenrat, Chanat; Li, Yusong; Comfort, Steven

    2015-02-01

    A major challenge to successfully using in situ chemical oxidation (ISCO) for groundwater treatment is achieving uniform contact between the oxidant and contaminants in a heterogeneous aquifer. Viscosity modification technology, where a water-soluble polymer is mixed with remedial fluids, has been introduced in recent years to improve oxidant coverage of the target zone (i.e., sweep efficiency) and thus, treatment efficacy. In this work, we developed a numerical model to simulate the remedial fluid coverage from an ISCO injection with viscosity modification. Specifically, solution mixtures of xanthan and NaMnO4 were injected into a two-dimensional (2D) transport flow box that contained heterogeneous layers. Xanthan solutions were simulated as shear-thinning non-Newtonian fluids, where viscosity is a function of shear rate, polymer and NaMnO4 concentrations. Reactive transport of the polymer, NaMnO4, TCE, and reaction products were simultaneously modeled using advection dispersion reaction (ADR) equations coupled with the simulated flow field. The numerical model was validated using experimental data from the 2D cell experiments. Sensitivity analysis was conducted to investigate the relative contributions of system variables, such as polymer and permanganate concentrations, flow rate, permeability contrast, and different geometry settings. Results showed that higher concentration of permanganate and slower flow rate of the shear-thinning non-Newtonian fluids improved the oxidants ability to enter low permeable zones and react with the TCE. Higher permeability contrast decreased the velocity of the xanthan-MnO4- mixture inside the low permeable zone (LPZ), which increased TCE oxidation and product recovery. Changing the architecture of the LPZ from one zone to two smaller zones separated by a transmissive zone increased the overall product recovery. Thus, viscosity modification can improve both the sweeping efficiencies and TCE removal.

  17. Quantifying catchment scale soil variability in Marshall Gulch, Santa Catalina Mountains Critical Zone Observatory

    NASA Astrophysics Data System (ADS)

    Holleran, M.; Rasmussen, C.

    2012-12-01

    Quantifying regolith variation, both chemical and physical yields insights to the evolution of the subsurface. In this study we aim to quantify soil variability within a forested catchment, Marshall Gulch, AZ. Marshall Gulch (MG) lies within the Coronado National Forest, part of the Jemez River Basin-Santa Catalina Mountains Critical Zone Observatory (CZO). MG is 5-hectare, mixed-conifer forested catchment situated on granitic parent material, with a mean elevation of 2400m, mean annual temperature of 8°C and mean annual precipitation of 75 cm. To ensure samples sites capture landscape variability, principal component analysis (PCA) were run on NAIP imagery and additional ancillary data from the study area. The PCA determined input layers of soil depth, slope, soil wetness index, NDVI and NAIP bands 3/2 as the variables needed to capture the landscape variability of MG. A conditioned Latin Hyper Cube (cLHC) model was then utilized to randomly determine 20 sample locations within the catchment to equally represent the six input layers, as determined from the PCA. Regolith profiles were described and sampled at all 20 locations. At each sample site a soil pit was dug to refusal (paralithic contact) and sampled according to genetic horizon. Each sample was then analyzed using methods of X-Ray Fluorescence (XRF), X-Ray Diffraction (XRD), particle size, color, pH, EC, C/N isotopes, and loss on ignition (LOI) to characterize chemical and physical soil properties. By quantifying chemical denudation and mineralogical variability of the collected soils, we establish a proxy for regolith weathering both on the profile scale (1m2) as well as the catchment scale (50k m2). GIS spatial techniques enable us to produce maps depicting the variability of soil properties. We confidently extrapolate our findings (pH, depth to paralithic contact, color, mineralogy etc.) throughout the entirety of the MG field site, generating a high-resolution understanding of the processes shaping

  18. Energy Simulation of Integrated Multiple-Zone Variable Refrigerant Flow System

    SciTech Connect

    Shen, Bo; Rice, C Keith; Baxter, Van D

    2013-01-01

    We developed a detailed steady-state system model, to simulate the performance of an integrated five-zone variable refrigerant flow (VRF)heat pump system. The system is multi-functional, capable of space cooling, space heating, combined space cooling and water heating, and dedicated water heating. Methods were developed to map the VRF performance in each mode, based on the abundant data produced by the equipment system model. The performance maps were used in TRNSYS annual energy simulations. Using TRNSYS, we have successfully setup and run cases for a multiple-split, VRF heat pump and dehumidifier combination in 5-zone houses in 5 climates that control indoor dry-bulb temperature and relative humidity. We compared the calculated energy consumptions for the VRF heat pump against that of a baseline central air source heat pump, coupled with electric water heating and the standalone dehumidifiers. In addition, we investigated multiple control scenarios for the VRF heat pump, i.e. on/off control, variable indoor air flow rate, and using different zone temperature setting schedules, etc. The energy savings for the multiple scenarios were assessed.

  19. Assessment of surf zone environmental variables in a southwestern Atlantic sandy beach (Monte Hermoso, Argentina).

    PubMed

    Menéndez, M Clara; Fernández Severini, Melisa D; Buzzi, Natalia S; Piccolo, M Cintia; Perillo, Gerardo M E

    2016-08-01

    The aim of this study was to investigate the temporal dynamics (monthly/tidal) of water temperature, salinity, chlorophyll-a (chlo-a), suspended particulate matter (SPM), particulate organic carbon (POC), and dissolved nutrients in the surf zone of Monte Hermoso sandy beach, Argentina. We also aimed to understand the underlying mechanisms responsible for the observed variability. Sampling was carried out approximately monthly (September 2009-November 2010), and all samples were collected in a fixed station during high and low tide. Water temperature showed a clear seasonal variability (July: 9 °C-December: 26.5 °C) and a thermal amplitude of 17.5 °C. Salinity ranged from 33 to 37, without a pronounced seasonality. SPM (10-223 mg L(-1)) and POC concentrations (399-6445 mg C m(-3)) were high in surf zone waters. Chlo-a (0.05-9.16 μg L(-1)) was low and did not evidence the occurrence of surf diatom accumulations. Dissolved nutrient concentration was quite fluctuating. None of the variables seemed to be affected by tidal stage. The results showed how fluctuating the physico-chemical and biological variables can be in this particular system. The observed variability can be related with local beach conditions but also with regional processes. The study area is highly influenced by a neighbor estuary and as a consequence, could be vulnerable to their seasonal and inter-annual dynamics. All of these characteristics must be considered for further studies and planning of the uses of natural resources and should be taken into account in any environmental monitoring program conducted in a similar beach system.

  20. Assessment of surf zone environmental variables in a southwestern Atlantic sandy beach (Monte Hermoso, Argentina).

    PubMed

    Menéndez, M Clara; Fernández Severini, Melisa D; Buzzi, Natalia S; Piccolo, M Cintia; Perillo, Gerardo M E

    2016-08-01

    The aim of this study was to investigate the temporal dynamics (monthly/tidal) of water temperature, salinity, chlorophyll-a (chlo-a), suspended particulate matter (SPM), particulate organic carbon (POC), and dissolved nutrients in the surf zone of Monte Hermoso sandy beach, Argentina. We also aimed to understand the underlying mechanisms responsible for the observed variability. Sampling was carried out approximately monthly (September 2009-November 2010), and all samples were collected in a fixed station during high and low tide. Water temperature showed a clear seasonal variability (July: 9 °C-December: 26.5 °C) and a thermal amplitude of 17.5 °C. Salinity ranged from 33 to 37, without a pronounced seasonality. SPM (10-223 mg L(-1)) and POC concentrations (399-6445 mg C m(-3)) were high in surf zone waters. Chlo-a (0.05-9.16 μg L(-1)) was low and did not evidence the occurrence of surf diatom accumulations. Dissolved nutrient concentration was quite fluctuating. None of the variables seemed to be affected by tidal stage. The results showed how fluctuating the physico-chemical and biological variables can be in this particular system. The observed variability can be related with local beach conditions but also with regional processes. The study area is highly influenced by a neighbor estuary and as a consequence, could be vulnerable to their seasonal and inter-annual dynamics. All of these characteristics must be considered for further studies and planning of the uses of natural resources and should be taken into account in any environmental monitoring program conducted in a similar beach system. PMID:27473110

  1. Oxygen variability and meridional oxygen supply in the tropical North East Atlantic oxygen minimum zone

    NASA Astrophysics Data System (ADS)

    Hahn, Johannes; Brandt, Peter; Greatbatch, Richard J.; Krahmann, Gerd; Körtzinger, Arne

    2013-04-01

    The oxygen minimum zone (OMZ) of the tropical North East Atlantic (TNEA) is located between the oxygen-rich equatorial region and the Cape Verde Frontal Zone at about 20°N in a depth range of 300 - 700 m. Its horizontal extent is predominantly defined by the North Equatorial Current and by the equatorial zonal current system ventilating the region to the north and south of the OMZ, respectively. The interior of the OMZ is characterized by a sluggish flow regime, where mesoscale eddies play a major role in the ventilation. In this study we focus on the oxygen variability in the TNEA as well as the eddy driven lateral ventilation of the TNEA OMZ across its southern boundary. During recent years an intense measurement program was executed along 23°W cutting meridionally through the TNEA OMZ. Hydrographic and velocity data has been acquired from ship sections and moorings, together covering the latitude range between 6°S and 14°N with particularly high meridional resolution of shipboard and high temporal resolution of moored observations. Based on shipboard data we derived a meridional section of oxygen variance, which reveals numerous local maxima of oxygen variability. Exemplary, strong oxygen variability is observed at the upper (300m, 5° - 12°N) and the southern boundary (400m - 700m, 5°N - 8°N) of the OMZ, whereas the interior of the OMZ is characterized by weak variability. An application of the extended Osborn-Cox model shows that the strong oxygen variability at the southern boundary is mainly generated by mesoscale eddies. The strong variability at the upper boundary is generated by mesoscale eddies as well as microscale turbulence. We apply two methods to estimate the meridional oxygen flux: 1) a flux gradient parameterization and 2) a correlation of oxygen and velocity mooring time series. From the analysis of the 5°N mooring data we find a northward oxygen flux directed towards the OMZ at its core depth, that is mainly due to variability of

  2. Temperature and acidification variability reduce physiological performance in the intertidal zone porcelain crab Petrolisthes cinctipes.

    PubMed

    Paganini, Adam W; Miller, Nathan A; Stillman, Jonathon H

    2014-11-15

    We show here that increased variability of temperature and pH synergistically negatively affects the energetics of intertidal zone crabs. Under future climate scenarios, coastal ecosystems are projected to have increased extremes of low tide-associated thermal stress and ocean acidification-associated low pH, the individual or interactive effects of which have yet to be determined. To characterize energetic consequences of exposure to increased variability of pH and temperature, we exposed porcelain crabs, Petrolisthes cinctipes, to conditions that simulated current and future intertidal zone thermal and pH environments. During the daily low tide, specimens were exposed to no, moderate or extreme heating, and during the daily high tide experienced no, moderate or extreme acidification. Respiration rate and cardiac thermal limits were assessed following 2.5 weeks of acclimation. Thermal variation had a larger overall effect than pH variation, though there was an interactive effect between the two environmental drivers. Under the most extreme temperature and pH combination, respiration rate decreased while heat tolerance increased, indicating a smaller overall aerobic energy budget (i.e. a reduced O2 consumption rate) of which a larger portion is devoted to basal maintenance (i.e. greater thermal tolerance indicating induction of the cellular stress response). These results suggest the potential for negative long-term ecological consequences for intertidal ectotherms exposed to increased extremes in pH and temperature due to reduced energy for behavior and reproduction.

  3. Temperature and acidification variability reduce physiological performance in the intertidal zone porcelain crab Petrolisthes cinctipes.

    PubMed

    Paganini, Adam W; Miller, Nathan A; Stillman, Jonathon H

    2014-11-15

    We show here that increased variability of temperature and pH synergistically negatively affects the energetics of intertidal zone crabs. Under future climate scenarios, coastal ecosystems are projected to have increased extremes of low tide-associated thermal stress and ocean acidification-associated low pH, the individual or interactive effects of which have yet to be determined. To characterize energetic consequences of exposure to increased variability of pH and temperature, we exposed porcelain crabs, Petrolisthes cinctipes, to conditions that simulated current and future intertidal zone thermal and pH environments. During the daily low tide, specimens were exposed to no, moderate or extreme heating, and during the daily high tide experienced no, moderate or extreme acidification. Respiration rate and cardiac thermal limits were assessed following 2.5 weeks of acclimation. Thermal variation had a larger overall effect than pH variation, though there was an interactive effect between the two environmental drivers. Under the most extreme temperature and pH combination, respiration rate decreased while heat tolerance increased, indicating a smaller overall aerobic energy budget (i.e. a reduced O2 consumption rate) of which a larger portion is devoted to basal maintenance (i.e. greater thermal tolerance indicating induction of the cellular stress response). These results suggest the potential for negative long-term ecological consequences for intertidal ectotherms exposed to increased extremes in pH and temperature due to reduced energy for behavior and reproduction. PMID:25392458

  4. Estimating spatial variability of recharge in southern New Jersey from unsaturated-zone measurements

    USGS Publications Warehouse

    Baehr, Arthur L.; Kauffman, Leon J.; Perkins, Kimberlie; Nolan, Bernard T.

    2003-01-01

    Spatial variability of recharge in southern New Jersey was studied by sampling the unsat-urated zone at 48 sites distributed over approximately 930 square kilometers. Samples of unsaturated-zone sediment were collected during the summer and fall of 1996. Unsaturated flow was calculated using moisture-content data and estimates of conductivity and matric potential derived from sediment-size data. Matric forces were found to be important at about 70 percent of the sites despite the expectation that unsaturated flow in a humid climate is gravity driven. Upward water movement occurred at about 17 percent of the sites. The lower sediment layer at these sites consisted of sandy loam, indicating that upward movement can occur at depth only where the sediments are relatively fine-grained. At the other extreme, calculated flow at about 17 percent of the sites exceeded 250 centimeters per year. Because of the uncertainty inherent in unsaturated-flow calculations, the method provides only a scaling of recharge variability; however, the median calculated flow of 29.1 centimeters per year compares favorably with recharge estimates from previous water-budget studies. A map developed by spatial analysis of the recharge estimates identified an agricultural part of the study area where recharge was known to be low relative to recharge in other basins.

  5. Short-term spatial and temporal variability in greenhouse gas fluxes in riparian zones.

    PubMed

    Vidon, P; Marchese, S; Welsh, M; McMillan, S

    2015-08-01

    Recent research indicates that riparian zones have the potential to contribute significant amounts of greenhouse gases (GHG: N2O, CO2, CH4) to the atmosphere. Yet, the short-term spatial and temporal variability in GHG emission in these systems is poorly understood. Using two transects of three static chambers at two North Carolina agricultural riparian zones (one restored, one unrestored), we show that estimates of the average GHG flux at the site scale can vary by one order of magnitude depending on whether the mean or the median is used as a measure of central tendency. Because the median tends to mute the effect of outlier points (hot spots and hot moments), we propose that both must be reported or that other more advanced spatial averaging techniques (e.g., kriging, area-weighted average) should be used to estimate GHG fluxes at the site scale. Results also indicate that short-term temporal variability in GHG fluxes (a few days) under seemingly constant temperature and hydrological conditions can be as large as spatial variability at the site scale, suggesting that the scientific community should rethink sampling protocols for GHG at the soil-atmosphere interface to include repeated measures over short periods of time at select chambers to estimate GHG emissions in the field. Although recent advances in technology provide tools to address these challenges, their cost is often too high for widespread implementation. Until technology improves, sampling design strategies will need to be carefully considered to balance cost, time, and spatial and temporal representativeness of measurements.

  6. Effects of Atlantic warm pool variability over climate of South America tropical transition zone

    NASA Astrophysics Data System (ADS)

    Ricaurte Villota, Constanza; Romero-Rodríguez, Deisy; Andrés Ordoñez-Zuñiga, Silvio; Murcia-Riaño, Magnolia; Coca-Domínguez, Oswaldo

    2016-04-01

    Colombia is located in the northwestern corner of South America in a climatically complex region due to the influence processes modulators of climate both the Pacific and Atlantic region, becoming in a transition zone between phenomena of northern and southern hemisphere. Variations in the climatic conditions of this region, especially rainfall, have been attributed to the influence of the El Nino Southern Oscillation (ENSO), but little is known about the interaction within Atlantic Ocean and specifically Caribbean Sea with the environmental conditions of this region. In this work We studied the influence of the Atlantic Warm Pool (AWP) on the Colombian Caribbean (CC) climate using data of Sea Surface Temperature (SST) between 1900 - 2014 from ERSST V4, compared with in situ data SIMAC (National System for Coral Reef Monitoring in Colombia - INVEMAR), rainfall between 1953-2013 of meteorological stations located at main airports in the Colombian Caribbean zone, administered by IDEAM, and winds data between 2003 - 2014 from WindSat sensor. The parameters analyzed showed spatial differences throughout the study area. SST anomalies, representing the variability of the AWP, showed to be associated with Multidecadal Atlantic Oscillation (AMO) and with the index of sea surface temperature of the North-tropical Atlantic (NTA), the variations was on 3 to 5 years on the ENSO scale and of approximately 11 years possibly related to solar cycles. Rainfall anomalies in the central and northern CC respond to changes in SST, while in the south zone these are not fully engage and show a high relationship with the ENSO. Finally, the winds also respond to changes in SST and showed a signal approximately 90 days possibly related to the Madden-Julian Oscillation, whose intensity depends on the CC region being analyzed. The results confirm that region is a transition zone in which operate several forcing, the variability of climate conditions is difficult to attribute only one, as ENSO

  7. Intraseasonal variability of the Atlantic Intertropical Convergence Zone during austral summer and winter

    NASA Astrophysics Data System (ADS)

    Tomaziello, Ana Carolina Nóbile; Carvalho, Leila M. V.; Gandu, Adilson W.

    2016-09-01

    The Atlantic Intertropical Convergence Zone (A-ITCZ) exhibits variations on several time-scales and plays a crucial role in precipitation regimes of northern South America and western Africa. Here we investigate the variability of the A-ITCZ on intraseasonal time-scales during austral summer (November-March) and winter (May-September) based on a multivariate index that describes the main atmospheric features of the A-ITCZ and retains its variability on interannual, semiannual, and intraseasonal time-scales. This index is the time coefficient of the first combined empirical orthogonal function mode of anomalies (annual cycle removed) of precipitation, and zonal and meridional wind components at 850 hPa from the climate forecast system reanalysis (1979-2010). We examine associations between the intraseasonal variability of the A-ITCZ and the activity of the Madden-Julian oscillation (MJO). We show that during austral summer intraseasonal variability of the A-ITCZ is associated with a Rossby wave train in the Northern Hemisphere. In austral winter this variability is associated with the propagation of a Rossby wave in the Southern Hemisphere consistent with the Pacific-South American pattern. Moreover, we show that intense A-ITCZ events on intraseasonal time-scales are more frequent during the phase of MJO characterized by convection over western Pacific and suppression over the Indian Ocean. These teleconnection patterns induce anomalies in the trade winds and upper level divergence over the equatorial Atlantic that modulate the intensity of the A-ITCZ.

  8. Spatial variability of available soil microelements in an ecological functional zone of Beijing.

    PubMed

    Ye, Huichun; Shen, Chongyang; Huang, Yuanfang; Huang, Wenjiang; Zhang, Shiwen; Jia, Xiaohong

    2015-02-01

    Understanding the spatial variability of soil microelements and its influencing factors is of importance for a number of applications such as scientifically formulated fertilizer and environmental protection. This study used descriptive statistics and geostatistics to investigate the spatial variability of available soil Fe, Mn, Cu, and Zn contents in agricultural topsoil (0-20 cm) in an ecological functional zone located at Yanqing County, Beijing, China. Kriging method was applied to map the spatial patterns of available soil Fe, Mn, Cu, and Zn contents. Results showed that the available soil Cu had a widest spatial correlation distance (e.g., 9.6 km), which for available soil Fe, Mn, and Zn were only 1.29, 2.58, and 0.99 km, respectively. The values of C 0/sill for available soil Fe and Zn were 0.12 and 0.11, respectively, demonstrating that the spatial heterogeneity was mainly due to structural factors. The available soil Mn and Cu had the larger values of C 0/sill (i.e., 0.50 and 0.44 for Mn and Cu, respectively), which showed a medium spatial correlation. Mapping of the spatial patterns of the four microelements showed that the decrease trend of available soil Fe and Mn were from northeast to southwest across the study area. The highest amount of available soil Cu was distributed in the middle of the study area surrounding urban region which presented as a "single island". The highest amount of available soil Zn was mainly distributed in the north and south of the study area. One-way analysis of variance for the influencing factors showed that the lithology of parental materials, soil organic matter, and pH were important factors affecting spatial variability of the available microelements. The topography only had a significant influence on the spatial variability of available soil Fe and Mn contents, parental materials, and the land use types had little influence on the spatial variability.

  9. Century-scale movement of the Atlantic Intertropical Convergence Zone linked to solar variability

    USGS Publications Warehouse

    Poore, R.Z.; Quinn, T.M.; Verardo, S.

    2004-01-01

    The abundance of the planktic foraminifer Globigerinoides sacculifer in Gulf of Mexico (GOM) sediments is a proxy for the influx of Caribbean surface waters (the Loop Current) into the GOM. Penetration of the Loop Current into the GOM is related to the position of the Intertropical Convergence Zone (ITCZ): northward migration of the ITCZ results in increased incursion of the Loop Current into the GOM; southward migration of the ITCZ results in decreased penetration of the Loop Current into the GOM. Abundance variations of G. sacculifer in a sediment core from the Pigmy Basin in the GOM show distinct century-scale cyclicity over the last 5,000 years. The periodicity of these abundance variations is similar to the century-scale periodicity observed in proxy records of solar variability, which suggests that the average position of the ITCZ and thus Holocene century-scale variability in the Caribbean-GOM region is linked to solar variability. Copyright 2004 by the American Geophysical Union.

  10. Mapping and Assessing Variability in the Antarctic Marginal Ice Zone, the Pack Ice and Coastal Polynyas

    NASA Astrophysics Data System (ADS)

    Stroeve, Julienne; Jenouvrier, Stephanie

    2016-04-01

    Sea ice variability within the marginal ice zone (MIZ) and polynyas plays an important role for phytoplankton productivity and krill abundance. Therefore mapping their spatial extent, seasonal and interannual variability is essential for understanding how current and future changes in these biological active regions may impact the Antarctic marine ecosystem. Knowledge of the distribution of different ice types to the total Antarctic sea ice cover may also help to shed light on the factors contributing towards recent expansion of the Antarctic ice cover in some regions and contraction in others. The long-term passive microwave satellite data record provides the longest and most consistent data record for assessing different ice types. However, estimates of the amount of MIZ, consolidated pack ice and polynyas depends strongly on what sea ice algorithm is used. This study uses two popular passive microwave sea ice algorithms, the NASA Team and Bootstrap to evaluate the distribution and variability in the MIZ, the consolidated pack ice and coastal polynyas. Results reveal the NASA Team algorithm has on average twice the MIZ and half the consolidated pack ice area as the Bootstrap algorithm. Polynya area is also larger in the NASA Team algorithm, and the timing of maximum polynya area may differ by as much as 5 months between algorithms. These differences lead to different relationships between sea ice characteristics and biological processes, as illustrated here with the breeding success of an Antarctic seabird.

  11. Validating modelled variable surface saturation in the riparian zone with thermal infrared images

    NASA Astrophysics Data System (ADS)

    Glaser, Barbara; Klaus, Julian; Frei, Sven; Frentress, Jay; Pfister, Laurent; Hopp, Luisa

    2015-04-01

    Variable contributing areas and hydrological connectivity have become prominent new concepts for hydrologic process understanding in recent years. The dynamic connectivity within the hillslope-riparian-stream (HRS) system is known to have a first order control on discharge generation and especially the riparian zone functions as runoff buffering or producing zone. However, despite their importance, the highly dynamic processes of contraction and extension of saturation within the riparian zone and its impact on runoff generation still remain not fully understood. In this study, we analysed the potential of a distributed, fully coupled and physically based model (HydroGeoSphere) to represent the spatial and temporal water flux dynamics of a forested headwater HRS system (6 ha) in western Luxembourg. The model was set up and parameterised under consideration of experimentally-derived knowledge of catchment structure and was run for a period of four years (October 2010 to August 2014). For model evaluation, we especially focused on the temporally varying spatial patterns of surface saturation. We used ground-based thermal infrared (TIR) imagery to map surface saturation with a high spatial and temporal resolution and collected 20 panoramic snapshots of the riparian zone (ca. 10 by 20 m) under different hydrologic conditions. These TIR panoramas were used in addition to several classical discharge and soil moisture time series for a spatially-distributed model validation. In a manual calibration process we optimised model parameters (e.g. porosity, saturated hydraulic conductivity, evaporation depth) to achieve a better agreement between observed and modelled discharges and soil moistures. The subsequent validation of surface saturation patterns by a visual comparison of processed TIR panoramas and corresponding model output panoramas revealed an overall good accordance for all but one region that was always too dry in the model. However, quantitative comparisons of

  12. Modeling of the variability of fatigue crack growth using cohesive zone elements

    PubMed Central

    Beaurepaire, P.; Schuëller, G.I.

    2011-01-01

    By its nature, metal fatigue has random characteristics, leading to extensive scatter in the results. Both initiation and propagation of a fatigue crack can be seen as random processes. This manuscript develops a numerical analysis using cohesive zone elements allowing the use of one single model in the finite element simulation of the complete fatigue life. The present formulation includes a damage evolution mechanism that reflects gradual degradation of the cohesive strength under cyclic loading. The uncertainties inherent to the fatigue process are assumed to be caused by the variability of the material properties, which are modeled using random fields. An extrapolation scheme is proposed to reduce the computational time. First, the accuracy of the proposed formulation is assessed considering a deterministic crack growth problem. Second, the effect of randomness in the material properties on the total fatigue life of a structure is then analyzed. PMID:22049246

  13. [Spatial variability and management zone of soil major nutrients in tobacco fields in Qiannan mountainous region].

    PubMed

    Wu, De-Chuan; Luo, Hong-Xiang; Song, Ze-Min; Guo, Guang-Dong; Chen, Yong-An; Li, Yu-Xiang; Jiang, Yu-Ping; Li, Zhang-Hai

    2014-06-01

    Spatial variability and management zone of soil major nutrients in tobacco fields in Qian-nan mountainous region were analyzed using geostatistics and fuzzy c-mean algorithm. Results indicated that the level of soil organic matter (OM) was moderate, and alkalytic nitrogen (AN), available phosphorus (AP) and available potassium (AK) were rich according to tobacco soil nutrient classification standards. Coefficients of variation (CV) of OM, AN, AP and AK were moderate. Contents of OM, AN, AP and AK fitted log-normal distributions. Correlation analysis showed moderate correlations between OM and AN, AP and AK. OM and AN were best described by Gaussian semivariogram models, while AP and AK were described by exponential models. The four nutrients displayed moderate spatial autocorrelation. There were significant differences among lag distances of four soil nutrients. OM, AN, AP and AK in the majority of studied regions varied at moderate to very rich levels, and deficiencies of OM, AN, AP and AK only accounted for 0.93%, 0.53%, 0.24% and 7.91% of the total studied region, respectively. Based on the results, the studied region was divided into two management zones (MZ), namely MZ1 and MZ2, accounting for 69. 8% and 30. 2% of the studied region respectively. The soil levels of OM, AN, AP and AK in MZ1 were significantly lower than those in MZ2 (P < 0.01).

  14. Climate variability and environmental stress in the Sudan-Sahel zone of West Africa.

    PubMed

    Mertz, Ole; D'haen, Sarah; Maiga, Abdou; Moussa, Ibrahim Bouzou; Barbier, Bruno; Diouf, Awa; Diallo, Drissa; Da, Evariste Dapola; Dabi, Daniel

    2012-06-01

    Environmental change in the Sudan-Sahel region of West Africa (SSWA) has been much debated since the droughts of the 1970s. In this article we assess climate variability and environmental stress in the region. Households in Senegal, Mali, Burkina Faso, Niger, and Nigeria were asked about climatic changes and their perceptions were compared across north-south and west-east rainfall gradients. More than 80% of all households found that rainfall had decreased, especially in the wettest areas. Increases in wind speeds and temperature were perceived by an overall 60-80% of households. Contrary to household perceptions, observed rainfall patterns showed an increasing trend over the past 20 years. However, August rainfall declined, and could therefore potentially explain the contrasting negative household perceptions of rainfall trends. Most households reported degradation of soils, water resources, vegetation, and fauna, but more so in the 500-900 mm zones. Adaptation measures to counter environmental degradation included use of manure, reforestation, soil and water conservation, and protection of fauna and vegetation. The results raise concerns for future environmental management in the region, especially in the 500-900 mm zones and the western part of SSWA.

  15. Quantifying soil and critical zone variability in a forested catchment through digital soil mapping

    NASA Astrophysics Data System (ADS)

    Holleran, M.; Levi, M.; Rasmussen, C.

    2015-01-01

    Quantifying catchment-scale soil property variation yields insights into critical zone evolution and function. The objective of this study was to quantify and predict the spatial distribution of soil properties within a high-elevation forested catchment in southern Arizona, USA, using a combined set of digital soil mapping (DSM) and sampling design techniques to quantify catchment-scale soil spatial variability that would inform interpretation of soil-forming processes. The study focused on a 6 ha catchment on granitic parent materials under mixed-conifer forest, with a mean elevation of 2400 m a.s.l, mean annual temperature of 10 °C, and mean annual precipitation of ~ 85 cm yr-1. The sample design was developed using a unique combination of iterative principal component analysis (iPCA) of environmental covariates derived from remotely sensed imagery and topography, and a conditioned Latin hypercube sampling (cLHS) scheme. Samples were collected by genetic horizon from 24 soil profiles excavated to the depth of refusal and characterized for soil mineral assemblage, geochemical composition, and general soil physical and chemical properties. Soil properties were extrapolated across the entire catchment using a combination of least-squares linear regression between soil properties and selected environmental covariates, and spatial interpolation or regression residual using inverse distance weighting (IDW). Model results indicated that convergent portions of the landscape contained deeper soils, higher clay and carbon content, and greater Na mass loss relative to adjacent slopes and divergent ridgelines. The results of this study indicated that (i) the coupled application of iPCA and cLHS produced a sampling scheme that captured the greater part of catchment-scale soil variability; (ii) application of relatively simple regression models and IDW interpolation of residuals described well the variance in measured soil properties and predicted spatial correlation of soil

  16. The Dynamic Hyporheic Zone: Variability of Groundwater-Surface Water Exchange at Multiple Temporal Scales

    NASA Astrophysics Data System (ADS)

    Binley, A. M.; Dudley-Southern, M. J.

    2014-12-01

    The pathways of exchange of surface water and groundwater can have a significant influence on the delivery of nutrient-rich groundwater to streams. Many studies have revealed how the spatial variability of physical properties (sediment permeability, bedform structures, etc.) at the interface of groundwater and surface water can impact on flow pathways and residence times of hyporheic exchange flow. Here we explore the temporal variability of flow pathways at this interface. We focus on observations made on a study reach of the River Leith, UK but also provide evidence of dynamic exchanges at a number of other study sites. Under baseflow conditions, the study reach of the River Leith shows a predominance of upwelling of groundwater to the river, and in some sections of the reach a significant groundwater discharge zone in evident. However, from observations of piezometric heads made over a two year study period, repeated reversal of flow direction was observed during storm events. By deploying novel miniature electrode sensors in the river bed we were able to monitor the migration of surface water during these events. Penetration of river water to depths of 30cm was observed during monitored events, which support the reported reversal of hydraulic gradients. We, therefore, observed event-driven hyporheic exchange flow. The duration and frequency of such events may have significant impact on the biogeochemistry of shallow river bed sediments within this reach. Furthermore, temporal variability of exchange is not limited to such events: changes in regional groundwater flow pathways over longer time scales may have a significant impact on the location of localised upwelling; at much shorter timescales we see evidence of diurnal fluctuations in hydraulic heads due to evapotranspiration processes. We report on similar observations at companion study sites and discuss implications on the management of water quality in these groundwater fed systems.

  17. Distribution and variability of redox zones controlling spatial variability of arsenic in the Mississippi River Valley alluvial aquifer, southeastern Arkansas

    USGS Publications Warehouse

    Sharif, M.U.; Davis, R.K.; Steele, K.F.; Kim, B.; Hays, P.D.; Kresse, T.M.; Fazio, J.A.

    2008-01-01

    historic flushing of As and Fe from hydrous ferric oxides (HFO) by microbially-mediated reductive dissolution and aging of HFO to crystalline phases. Hydrogeochemical data suggests that the groundwater in the area falls in the mildly reducing (suboxic) to relatively highly reducing (anoxic) zone, and points to reductive dissolution of HFO as the dominant As release mechanism. Spatial variability of gypsum solubility and simultaneous SO42- reduction with co-precipitation of As and sulfide is an important limiting process controlling the concentration of As in groundwater in the area. ?? 2008 Elsevier B.V. All rights reserved.

  18. Spatial and temporal variability of clouds and precipitation over Germany: multiscale simulations across the "gray zone"

    NASA Astrophysics Data System (ADS)

    Barthlott, C.; Hoose, C.

    2015-11-01

    This paper assesses the resolution dependance of clouds and precipitation over Germany by numerical simulations with the COnsortium for Small-scale MOdeling (COSMO) model. Six intensive observation periods of the HOPE (HD(CP)2 Observational Prototype Experiment) measurement campaign conducted in spring 2013 and 1 summer day of the same year are simulated. By means of a series of grid-refinement resolution tests (horizontal grid spacing 2.8, 1 km, 500, and 250 m), the applicability of the COSMO model to represent real weather events in the gray zone, i.e., the scale ranging between the mesoscale limit (no turbulence resolved) and the large-eddy simulation limit (energy-containing turbulence resolved), is tested. To the authors' knowledge, this paper presents the first non-idealized COSMO simulations in the peer-reviewed literature at the 250-500 m scale. It is found that the kinetic energy spectra derived from model output show the expected -5/3 slope, as well as a dependency on model resolution, and that the effective resolution lies between 6 and 7 times the nominal resolution. Although the representation of a number of processes is enhanced with resolution (e.g., boundary-layer thermals, low-level convergence zones, gravity waves), their influence on the temporal evolution of precipitation is rather weak. However, rain intensities vary with resolution, leading to differences in the total rain amount of up to +48 %. Furthermore, the location of rain is similar for the springtime cases with moderate and strong synoptic forcing, whereas significant differences are obtained for the summertime case with air mass convection. Domain-averaged liquid water paths and cloud condensate profiles are used to analyze the temporal and spatial variability of the simulated clouds. Finally, probability density functions of convection-related parameters are analyzed to investigate their dependance on model resolution and their impact on cloud formation and subsequent precipitation.

  19. [Variability of vegetation growth season in different latitudinal zones of North China: a monitoring by NOAA NDVI and MSAVI].

    PubMed

    Wang, Hong; Li, Xiaobing; Han, Ruibo; Ge, Yongqin

    2006-12-01

    In this study, North China was latitudinally divided into five zones, i.e., 32 degrees - 36 degrees N (Zone I), 36 degrees - 40 degrees N (Zone II), 40 degrees - 44 degrees N (Zone III), 44 degrees - 48 degrees N (Zone IV) and 48 degrees - 52 degrees N (Zone V), and the NOAA/ AVHRR NDVI and MSAVI time-series images from 1982 to 1999 were smoothed with Savitzky-Golay filter algorithm. Based on the EOF analysis, the principal components of NDVI and MSAVI for the vegetations in different latitudinal zones of North China were extracted, the annual beginning and ending dates and the length of growth season in 1982 - 1999 were estimated, and the related parameters were linearly fitted, aimed to analyze the variability of vegetation growth season. The results showed that the beginning date of the growth season in different zones tended to be advanced, while the ending date tended to be postponed with increasing latitude. The length of the growth season was also prolonged, with the prolonging time exceeded 10 days.

  20. Variability of unsaturated zone water transport parameters: implications for hydrological modelling. 1. In situ measurements

    NASA Astrophysics Data System (ADS)

    Ragab, R.; Cooper, J. D.

    1993-07-01

    Physically based hydrological models require values of saturated and unsaturated hydraulic conductivity to solve the equations used to describe subsurface flow. Variability of these parameters within and between various land uses and soil types is an important consideration if hydrological behaviour is to be described realistically. A catchment in south-west England has been chosen to validate the European Hydrological System (Système Hydrologique Européen — SHE). The catchment includes three land use domains — arable (including temporary grass), permanent grassland and woodland. For the unsaturated zone component of the SHE both saturated hydraulic conductivity, Ks, and unsaturated hydraulic conductivity as a function of matric suction, K(ψ), are required. The aim of this investigation was to measure the parameters for input to the model, to assess the variability of these parameters and to determine whether or not parameters should be used for each domain independently. A Guelph permeameter was used to obtain Ks and α, which describes the slope of the logarithmic unsaturated hydraulic conductivity function ( K( ψ) = Ks exp( αψ)). Measurements at four depths were carried out. Domains were chosen according to land use — arable land (including temporary grass), permanent grassland and woodland. Both Ks and α were found to be lognormally distributed. The Ks values were highest in the grassland and lowest in arable land. The difference between means was significant for Ks but not for α in the three domains. High values of Ks were attributed to preferential flow along slate faces and root-induced channels in the grassland and woodland, respectively, as indicated by dye tests. Finally, it was concluded that, as Ks and K(ψ) differ significantly between domains, different hydrological behaviour would be expected. It is therefore recommended that different parameter sets be used for modelling the individual domains.

  1. Characterization of the variability of the South Pacific Convergence Zone using satellite and reanalysis wind products

    NASA Astrophysics Data System (ADS)

    Kidwell, Autumn; Lee, Tong; Jo, Young-Heon; Yan, Xiao-hai

    2016-04-01

    The South Pacific Convergence Zone (SPCZ), the largest rain band worldwide during austral summer, is important to atmospheric circulation (including cyclone genesis) and ocean circulation. Previous studies of the SPCZ have focused on parameters such as outgoing longwave radiation or precipitation. However, wind convergence is fundamental causing the variations of these parameters. In this study, the SPCZ variability is examined using ocean surface wind products derived from NASA's QuickSCAT (1999-2009) and ESA's ASCAT (2007 onward) satellite scatterometers and ERA-Interim atmospheric reanalysis (1981 onward). From these products, indices were developed to characterize the SPCZ strength, area, and centroid location. Excellent agreement is found in terms of the temporal variations of the indices derived from the satellites and reanalysis wind products, despite some small differences in the time-mean SPCZ strength. The SPCZ strength, area, and centroid latitude have a dominant seasonal cycle. In contrast, the SPCZ centroid longitude is dominated by intraseasonal variability due to the influence by the Madden-Julian Oscillation. The SPCZ indices are all correlated with El Niño-Southern Oscillation indices. Interannual and intraseasonal variations of SPCZ strength during strong El Niño are approximately twice as large as the respective seasonal variations. SPCZ strength depends more on the intensity of El Niño rather than the central- vs. eastern-Pacific type. The longer ERA-Interim product is also used to examine decadal variations of the SPCZ indices. The change from positive to negative Pacific Decadal Oscillation phase around 1999 resulted in a westward shift of the SPCZ centroid longitude, much smaller interannual swing in centroid latitude, and a decrease in SPCZ area. This study improves the understanding of the variations of the SPCZ on multiple time scales and reveals the variations of SPCZ strength not reported previously. The diagnostics analyses can be

  2. Effects of work zone configurations and traffic density on performance variables and subjective workload.

    PubMed

    Shakouri, Mahmoud; Ikuma, Laura H; Aghazadeh, Fereydoun; Punniaraj, Karthy; Ishak, Sherif

    2014-10-01

    This paper investigates the effect of changing work zone configurations and traffic density on performance variables and subjective workload. Data regarding travel time, average speed, maximum percent braking force and location of lane changes were collected by using a full size driving simulator. The NASA-TLX was used to measure self-reported workload ratings during the driving task. Conventional lane merge (CLM) and joint lane merge (JLM) were modeled in a driving simulator, and thirty participants (seven female and 23 male), navigated through the two configurations with two levels of traffic density. The mean maximum braking forces was 34% lower in the JLM configuration, and drivers going through the JLM configuration remained in the closed lane longer. However, no significant differences in speed were found between the two merge configurations. The analysis of self-reported workload ratings show that participants reported 15.3% lower total workload when driving through the JLM. In conclusion, the implemented changes in the JLM make it a more favorable merge configuration in both high and low traffic densities in terms of optimizing traffic flow by increasing the time and distance cars use both lanes, and in terms of improving safety due to lower braking forces and lower reported workload.

  3. Variable Holocene deformation above a shallow subduction zone extremely close to the trench

    PubMed Central

    Thirumalai, Kaustubh; Taylor, Frederick W.; Shen, Chuan-Chou; Lavier, Luc L.; Frohlich, Cliff; Wallace, Laura M.; Wu, Chung-Che; Sun, Hailong; Papabatu, Alison K.

    2015-01-01

    Histories of vertical crustal motions at convergent margins offer fundamental insights into the relationship between interplate slip and permanent deformation. Moreover, past abrupt motions are proxies for potential tsunamigenic earthquakes and benefit hazard assessment. Well-dated records are required to understand the relationship between past earthquakes and Holocene vertical deformation. Here we measure elevations and 230Th ages of in situ corals raised above the sea level in the western Solomon Islands to build an uplift event history overlying the seismogenic zone, extremely close to the trench (4–40 km). We find marked spatiotemporal heterogeneity in uplift from mid-Holocene to present: some areas accrue more permanent uplift than others. Thus, uplift imposed during the 1 April 2007 Mw 8.1 event may be retained in some locations but removed in others before the next megathrust rupture. This variability suggests significant changes in strain accumulation and the interplate thrust process from one event to the next. PMID:26123872

  4. Temporal and spatial variability of fecal indicator bacteria in the surf zone off Huntington Beach, CA

    USGS Publications Warehouse

    Rosenfeld, L.K.; McGee, C.D.; Robertson, G.L.; Noble, M.A.; Jones, B.H.

    2006-01-01

    Fecal indicator bacteria concentrations measured in the surf zone off Huntington Beach, CA from July 1998-December 2001 were analyzed with respect to their spatial patterns along 23 km of beach, and temporal variability on time scales from hourly to fortnightly. The majority of samples had bacterial concentrations less than, or equal to, the minimum detection limit, but a small percentage exceeded the California recreational water standards. Areas where coliform bacteria exceeded standards were more prevalent north of the Santa Ana River, whereas enterococci exceedances covered a broad area both north and south of the river. Higher concentrations of bacteria were associated with spring tides. No temporal correspondence was found between these bacterial events and either the timing of cold water pulses near shore due to internal tides, or the presence of southerly swell in the surface wave field. All three fecal indicator bacteria exhibited a diel cycle, but enterococci rebounded to high nighttime values almost as soon as the sun went down, whereas coliform levels were highest near the nighttime low tide, which was also the lower low tide. ?? 2006 Elsevier Ltd. All rights reserved.

  5. Decadal and shorter period variability of surf zone water quality at Huntington Beach, California.

    PubMed

    Boehm, A B; Grant, S B; Kim, J H; Mowbray, S L; McGee, C D; Clark, C D; Foley, D M; Wellman, D E

    2002-09-15

    The concentration of fecal indicator bacteria in the surf zone at Huntington Beach, CA, varies over time scales that span at least 7 orders of magnitude, from minutes to decades. Sources of this variability include historical changes in the treatment and disposal of wastewater and dry weather runoff, El Niño events, seasonal variations in rainfall, spring-neap tidal cycles, sunlight-induced mortality of bacteria, and nearshore mixing. On average, total coliform concentrations have decreased over the past 43 years, although point sources of shoreline contamination (storm drains, river outlets, and submarine outfalls) continue to cause transiently poor water quality. These transient point sources typically persist for 5-8 yr and are modulated by the phase of the moon, reflecting the influence of tides on the sourcing and transport of pollutants in the coastal ocean. Indicator bacteria are very sensitive to sunlight therefore, the time of day when samples are collected can influence the outcome of water quality testing. These results demonstrate that coastal water quality is forced by a complex combination of local and external processes and raise questions about the efficacy of existing marine bathing water monitoring and reporting programs. PMID:12269739

  6. Variability in the Antarctic Marginal Ice Zone and Pack Ice in Observations and NCAR CESM

    NASA Astrophysics Data System (ADS)

    Stroeve, J. C.; Campbell, G. G.; Holland, M. M.; Landrum, L.

    2015-12-01

    Sea ice around Antarctica reached another record high extent in September 2014, recording a maximum extent of more than 20 million km2 for the first time since the modern satellite data record began in October 1978. This follows previous record maxima in 2012 and 2013, resulting in an overall increase in Antarctic September sea ice extent of 1.3% per decade since 1979. Several explanations have been put forward to explain the increasing trends, such as anomalous short-term wind patterns that both grow and spread out the ice, and freshening of the surface ocean layer from increased melting of floating ice from the continent. These positive trends in Antarctic sea ice are at odds with climate model forecasts that suggest the sea ice should be declining in response to increasing greenhouse gases and stratospheric ozone depletion. While the reasons for the increases in total extent remain poorly understood, it is likely that these changes are not just impacting the total ice extent, but also the distribution of pack ice, the marginal ice zone (MIZ) and polynyas, with important ramifications for phytoplankton productivity that in turn impact zooplankton, fish, sea birds and marine mammals. This study evaluates changes in the distribution of the pack ice, polynyas and the marginal ice zone around Antarctica from two sea ice algorithms, the NASA Team and the Bootstrap. These results are further compared with climate model simulations from the CESM large ensemble output. Seasonal analysis of the different ice types using NASA Team and Bootstrap shows that during ice advance, the ice advances as pack ice, with a seasonal peak in September (broader peak for Bootstrap), and as the pack ice begins to retreat, it first converts to a wide area of MIZ, that reaches its peak around November (NASA Team) or December (Bootstrap). CESM also shows a similar seasonal cycle, with a peak in the pack ice in August, and a December/January peak in the MIZ. Seasonal variability and trends are

  7. Variable power distribution for zoned regeneration of an electrically heated particulate filter

    DOEpatents

    Bhatia, Garima [Bangalore, IN; Gonze, Eugene V [Pinckney, MI

    2012-04-03

    A system includes a particulate matter (PM) filter with multiple zones, an electric heater and a control module. The electrical heater includes heater segments, which each correspond with a respective one of the zones. The electrical heater is arranged upstream from and is proximate with the PM filter. The control module selectively applies a first energy level to a first one of the zones via a first one of the heater segments to initiate regeneration in the first zone. The control module also selectively applies a second energy level that is less than the first energy level to a second one of the zones via a second one of the heater segments to initiate regeneration in the second zone.

  8. Western Atlantic Intertropical Convergence Zone Variability Over the Last Full Glacial Cycle

    NASA Astrophysics Data System (ADS)

    Drenzek, N.; Hughen, K.; Sessions, A.; Bice, M.; Eglinton, T.

    2006-12-01

    Precipitation associated with the modern Intertropical Convergence Zone (ITCZ) in the Atlantic Basin is sensitive to fluctuations in both local insolation1 and remote North Atlantic2,3 and equatorial Pacific4 climate. Reconstructing the pattern and timing of precipitation change in regions influenced by the ITCZ may therefore clarify the mechanisms driving Quaternary climate change in, and the teleconnections between, low and high latitudes. In order to establish a record of ITCZ variability in the western tropical Atlantic, we measured the stable carbon and hydrogen isotopic compositions of individual vascular plant lipids preserved in Cariaco Basin sediments at sub-millennial resolution over the last glacial cycle. High frequency oscillations in the δ13C values of long chain fatty acids during Marine Isotope Stage 3, reflecting changes in the relative proportion of C3 vs C4 vegetation, and hence humidity, in northern South America, appear to coincide with Dansgaard- Oeschger (D-O) variability in high latitude ice cores. Positive (negative) excursions occur during stadial (interstadial) periods, with the largest enrichments associated with Heinrich Events in the North Atlantic. Corresponding D/H ratios also indicate rapid shifts in ambient humidity, although more work is needed to fully constrain the effect of glacial conditions on the isotopic composition of paleoprecipitation. These millennial scale fluctuations are superimposed upon a longer term oscillation with significant power near the 21 kyr spectral band. Together, these data imply that the ITCZ in this region of the tropics responded to both high and low latitude forcing over the late Quaternary. For example, the proportion of C4 plants rapidly increased at the onset of stadial periods in the North Atlantic, suggesting that a southward deflection of the ITCZ gave rise to more arid conditions in northern South America. The converse was true for interstadials. Moreover, the amplitude of these millennial

  9. Holocene climate variability in the Winter Rainfall Zone of South Africa

    NASA Astrophysics Data System (ADS)

    Weldeab, S.; Stuut, J.-B. W.; Schneider, R. R.; Siebel, W.

    2013-05-01

    We established a multi-proxy time series comprising analyses of major elements in bulk sediments, Sr and Nd isotopes and grain size of terrigenous fraction, and δ18O and δ13C in tests of Neogloboquadrina pachyderma (sinistral) from a marine sediment sequence recovered off the Orange River. The records reveal coherent patterns of variability that reflect changes in wind strength, precipitation over the river catchments, and upwelling of cold and nutrient-rich coastal waters off western South Africa. The wettest episode of the Holocene in the Winter Rainfall Zone (WRZ) of South Africa occurred during the "Little Ice Age" (700-100 yr BP). Wet phases were accompanied by strengthened coastal water upwellings, a decrease of Agulhas water leakage into the southern Atlantic, and a reduced dust incursion over Antarctica. A continuous aridification trend in the WRZ and a weakening of the southern Benguela Upwelling System (BUS) between 9000 and 5500 yr BP parallel with increase of dust deposition over Antarctica and an enhanced leakage of warm Agulhas water into the southeastern Atlantic. The temporal relationship between precipitation changes in the WRZ, the thermal state of the coastal surface water, and leakage of warm water in southern Atlantic, and variation of dust incursion over Antarctica suggests a causal link that most likely was related to latitudinal shifts of the Southern Hemisphere westerlies. Our results of the mid-Holocene time interval may serve as an analogue to a possible long-term consequence of the current and future southward shift of the westerlies that may result in a decline of rainfall over southwest Africa and a weakened upwelling with implication for phytoplankton productivity and fish stocks. Furthermore, warming of the coastal surface water as a result of warm Agulhas water incursion into the southern BUS may affect coastal fog formation that is critical as moisture source for the endemic flora of the Namaqualand.

  10. Holocene climate variability in the winter rainfall zone of South Africa

    NASA Astrophysics Data System (ADS)

    Weldeab, S.; Stuut, J.-B. W.; Schneider, R. R.; Siebel, W.

    2012-06-01

    We established a multi-proxy time series comprising analyses of major elements in bulk sediments, Sr and Nd isotopes, grain size of terrigenous fraction, and δ18O and δ13C in tests of Neogloboquadrina pachyderma (sinistral) from a marine sediment sequence recovered off the Orange River. The records reveal coherent patterns of variability that reflect changes in wind strength, precipitation over the river catchments, and upwelling of cold and nutrient-rich coastal waters off Western South Africa. The wettest episode of the Holocene in the Winter Rainfall Zone (WRZ) of South Africa occurred during the "Little Ice Age" (700-100 yr BP). Wet phases were accompanied by strengthened coastal water upwellings, a decrease of Agulhas water leakage into the Southern Atlantic, and a reduced dust incursion over Antarctica. A continuous aridification trend in the WRZ and a weakening of the Southern Benguela Upwelling System (BUS) between 9000 and 5500 yr BP parallel with evidence of a poleward shift of the austral mid-latitude westerlies and an enhanced leakage of warm Agulhas water into the Southeastern Atlantic. The temporal relationship between precipitation changes in the WRZ, the thermal state of the coastal surface water, and variation of dust incursion over Antarctica suggests a causal link that most likely was related to latitudinal shifts of the Southern Hemisphere westerlies and changes in the amount of Agulhas water leakage into the Southern BUS. Our results of the mid-Holocene time interval may serve as an analogue to a possible long-term consequence of the current and future southward shift of the westerlies that may result in a decline of rainfall over Southwest Africa and a weakened upwelling with implication for phytoplankton productivity and fish stocks. Furthermore, warming of the coastal surface water as a result of warm Agulhas water incursion into the Southern BUS may affect coastal fog formation that is critical as moisture source for the endemic flora of

  11. How Well Does Zone Sampling Based On Soil Electrical Conductivity Maps Represent Soil Variability

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Zone soil sampling is a method in which a field sampling is based on identifying homogenous areas using an easy to measure ancillary attribute such as apparent soil electrical conductivity (ECa). This study determined if ECa-directed zone sampling in two fields in northeastern Colorado could correc...

  12. Study of the variability of Atlantic Intertropical Convergence Zone using multivariate indices

    NASA Astrophysics Data System (ADS)

    Nóbile Tomaziello, A.; Gandu, A.; Carvalho, L. V.

    2013-05-01

    Ana Carolina Nóbile Tomaziello, Adilson Wagner Gandu Institute of Astronomy, Geophysics and Atmospheric Sciences, University of São Paulo, Brazil carolnobile@model.iag.usp.br; adwgandu@model.iag.usp.br Leila Maria Véspoli de Carvalho Department of Geography, University of California, Santa Barbara, United States leila@eri.ucsb.edu The variability of Atlantic Intertropical Convergence Zone (ITCZ) is studied using multivariate indices based on the first and second combined EOF (EOFc) of anomalies of zonal and meridional wind's components, specific humidity, and air temperature at 850 mb, and precipitation. The EOFc's spatial domain encompassed tropical Atlantic Ocean and part of Brazilian Northeast and western Africa. Silva and Carvalho (2007) described a similar index in order to characterize the South American monsoon. First and second modes of EOFc describe successfully ITCZ's main features. Composites for the percentile of 25% (75%) for EOFc-1 show convection (suppression), and easterly and south (westerly and north) wind anomalies in ITCZ. There are negative anomalies of humidity over central Brazil when there are positive ones over ITCZ, and vice-versa. For the second mode, composites for the percentile of 25% (75%) show convection (suppression), westerly and south (easterly and north) wind anomalies in ITCZ, and negative (positive) anomalies of temperature in tropical Atlantic. Negative (positive) anomalies of humidity in northern and northwestern South America, and central Brazil are accompanied by positive (negative) ones in tropical north Atlantic. Convergence (divergence) of meridional wind in tropical Atlantic is associated with divergence (convergence) over southern and part of southeastern Brazil. EOFc-2 illustrates a possible relationship between SACZ and ITCZ and also shows a Pacific-South America (PSA) like pattern teleconnecting Indian and Pacific Oceans to South America. The PSA-like wave train has opposite phases for percentiles of 25% and 75

  13. Spatial variability of time-constant slip rates on the San Jacinto fault zone, southern California

    NASA Astrophysics Data System (ADS)

    Blisniuk, K.; Oskin, M. E.; Sharp, W. D.; Meriaux, A. B.; Rockwell, T. K.; Fletcher, K.; Owen, L. A.

    2011-12-01

    In southern California, the San Andreas (SAF) and San Jacinto fault (SJF) zones account for 70-80% of the relative dextral motion between the Pacific and North American plates, with some studies suggesting that the SJF zone may be the dominant structure. However, few slip rate measurements are available for the SJF zone, making it difficult to evaluate the partitioning of deformation across the plate boundary. To more reliably constrain the late Quaternary slip history of the SJF zone, we measured the displacement of well-preserved alluvial fans along the Clark and Coyote Creek fault strands of the SJF zone using field mapping and high-resolution LiDAR topographic data, and dated the fans using U-series on pedogenic carbonate clast-coatings and in situ cosmogenic 10Be. Our results from four sites along the Clark fault strand and two sites along the Coyote Creek fault strand indicate that late Quaternary slip rates have fluctuated along their length but have remained constant since the late Pleistocene. Slip rates along the Clark fault strand over the past 50-30 kyr decrease southward over a distance of ~60 km from ~13 mm/yr at Anza, to 8.9 ± 2.0 mm/yr at Rockhouse Canyon, and 1.5 ± 0.4 mm/yr near the SE end of the Santa Rosa Mountains, probably due to transfer of slip from the Clark fault strand to the Coyote Creek fault strand and nearby zones of distributed deformation. Slip rates of up to ~14 to 18 mm/yr summed across the southern SJF zone suggest that since the latest Pleistocene, the SJF zone may rival the southern SAF zone in accommodating deformation across the Pacific-North America Plate boundary.

  14. Measuring spatial variability of vapor flux to characterize vadose-zone VOC sources: flow-cell experiments.

    PubMed

    Mainhagu, J; Morrison, C; Truex, M; Oostrom, M; Brusseau, M L

    2014-10-15

    A method termed vapor-phase tomography has recently been proposed to characterize the distribution of volatile organic contaminant mass in vadose-zone source areas, and to measure associated three-dimensional distributions of local contaminant mass discharge. The method is based on measuring the spatial variability of vapor flux, and thus inherent to its effectiveness is the premise that the magnitudes and temporal variability of vapor concentrations measured at different monitoring points within the interrogated area will be a function of the geospatial positions of the points relative to the source location. A series of flow-cell experiments was conducted to evaluate this premise. A well-defined source zone was created by injection and extraction of a non-reactive gas (SF6). Spatial and temporal concentration distributions obtained from the tests were compared to simulations produced with a mathematical model describing advective and diffusive transport. Tests were conducted to characterize both areal and vertical components of the application. Decreases in concentration over time were observed for monitoring points located on the opposite side of the source zone from the local-extraction point, whereas increases were observed for monitoring points located between the local-extraction point and the source zone. The results illustrate that comparison of temporal concentration profiles obtained at various monitoring points gives a general indication of the source location with respect to the extraction and monitoring points.

  15. Measuring Spatial Variability of Vapor Flux to Characterize Vadose-zone VOC Sources: Flow-cell Experiments

    PubMed Central

    Morrison, C.; Truex, M.; Oostrom, M.; Brusseau, M.L.

    2014-01-01

    A method termed vapor-phase tomography has recently been proposed to characterize the distribution of volatile organic contaminant mass in vadose-zone source areas, and to measure associated three-dimensional distributions of local contaminant mass discharge. The method is based on measuring the spatial variability of vapor flux, and thus inherent to its effectiveness is the premise that the magnitudes and temporal variability of vapor concentrations measured at different monitoring points within the interrogated area will be a function of the geospatial positions of the points relative to the source location. A series of flow-cell experiments was conducted to evaluate this premise. A well-defined source zone was created by injection and extraction of a non-reactive gas (SF6). Spatial and temporal concentration distributions obtained from the tests were compared to simulations produced with a mathematical model describing advective and diffusive transport. Tests were conducted to characterize both areal and vertical components of the application. Decreases in concentration over time were observed for monitoring points located on the opposite side of the source zone from the local–extraction point, whereas increases were observed for monitoring points located between the local–extraction point and the source zone. The results illustrate that comparison of temporal concentration profiles obtained at various monitoring points gives a general indication of the source location with respect to the extraction and monitoring points. PMID:25171394

  16. Measuring Spatial Variability of Vapor Flux to Characterize Vadose-zone VOC Sources: Flow-cell Experiments

    DOE PAGES

    Mainhagu, Jon; Morrison, C.; Truex, Michael J.; Oostrom, Martinus; Brusseau, Mark

    2014-08-05

    A method termed vapor-phase tomography has recently been proposed to characterize the distribution of volatile organic contaminant mass in vadose-zone source areas, and to measure associated three-dimensional distributions of local contaminant mass discharge. The method is based on measuring the spatial variability of vapor flux, and thus inherent to its effectiveness is the premise that the magnitudes and temporal variability of vapor concentrations measured at different monitoring points within the interrogated area will be a function of the geospatial positions of the points relative to the source location. A series of flow-cell experiments was conducted to evaluate this premise. Amore » well-defined source zone was created by injection and extraction of a non-reactive gas (SF6). Spatial and temporal concentration distributions obtained from the tests were compared to simulations produced with a mathematical model describing advective and diffusive transport. Tests were conducted to characterize both areal and vertical components of the application. Decreases in concentration over time were observed for monitoring points located on the opposite side of the source zone from the local–extraction point, whereas increases were observed for monitoring points located between the local–extraction point and the source zone. We found that the results illustrate that comparison of temporal concentration profiles obtained at various monitoring points gives a general indication of the source location with respect to the extraction and monitoring points.« less

  17. Measuring Spatial Variability of Vapor Flux to Characterize Vadose-zone VOC Sources: Flow-cell Experiments

    SciTech Connect

    Mainhagu, Jon; Morrison, C.; Truex, Michael J.; Oostrom, Martinus; Brusseau, Mark

    2014-08-05

    A method termed vapor-phase tomography has recently been proposed to characterize the distribution of volatile organic contaminant mass in vadose-zone source areas, and to measure associated three-dimensional distributions of local contaminant mass discharge. The method is based on measuring the spatial variability of vapor flux, and thus inherent to its effectiveness is the premise that the magnitudes and temporal variability of vapor concentrations measured at different monitoring points within the interrogated area will be a function of the geospatial positions of the points relative to the source location. A series of flow-cell experiments was conducted to evaluate this premise. A well-defined source zone was created by injection and extraction of a non-reactive gas (SF6). Spatial and temporal concentration distributions obtained from the tests were compared to simulations produced with a mathematical model describing advective and diffusive transport. Tests were conducted to characterize both areal and vertical components of the application. Decreases in concentration over time were observed for monitoring points located on the opposite side of the source zone from the local–extraction point, whereas increases were observed for monitoring points located between the local–extraction point and the source zone. We found that the results illustrate that comparison of temporal concentration profiles obtained at various monitoring points gives a general indication of the source location with respect to the extraction and monitoring points.

  18. Charged gravastars admitting conformal motion

    NASA Astrophysics Data System (ADS)

    Usmani, A. A.; Rahaman, F.; Ray, Saibal; Nandi, K. K.; Kuhfittig, Peter K. F.; Rakib, Sk. A.; Hasan, Z.

    2011-07-01

    We propose a new model of a gravastar admitting conformal motion. While retaining the framework of the Mazur-Mottola model, the gravastar is assumed to be internally charged, with an exterior defined by a Reissner-Nordström instead of a Schwarzschild line element. The solutions, obtained by exploiting an assumed conformal Killing vector, involve (i) the interior region, (ii) the shell, and (iii) the exterior region of the sphere. Of these three cases the first one is of primary interest since the total gravitational mass here turns out to be an electromagnetic mass under some specific conditions. This suggests that the interior de Sitter vacuum of a charged gravastar is essentially an electromagnetic mass model that must generate gravitational mass which provides a stable configuration by balancing the repulsive pressure arising from charge with its attractive gravity to avert a singularity. Therefore the present model, like the Mazur-Mottola model, results in the construction of a compact astrophysical object, as an alternative to a black hole. We have also analyzed various other aspects such as the stress energy tensor in the thin shell and the entropy of the system.

  19. Redox-variability and controls in subduction zones from an iron-isotope perspective

    NASA Astrophysics Data System (ADS)

    Nebel, O.; Sossi, P. A.; Bénard, A.; Wille, M.; Vroon, P. Z.; Arculus, R. J.

    2015-12-01

    An ongoing controversy in mantle geochemistry concerns the oxidation state of the sources of island arc lavas (IAL). Three key factors control oxidation-reduction (redox) of IAL sources: (i) metasomatism of the mantle wedge by fluids and/or melts, liberated from the underlying subducted slab; (ii) the oxidation state of the wedge prior to melting and metasomatism; and (iii) the loss of melt from IAL sources. Subsequently, magmatic differentiation by fractional crystallisation, possible crustal contamination and degassing of melts en route to and at the surface can further modify the redox states of IAL. The remote nature of sub-arc processes and the complex interplay between them render direct investigations difficult. However, a possible gauge for redox-controlled, high-temperature pre-eruptive differentiation conditions is variations in stable Fe isotope compositions (expressed here as δ57Fe) in erupting IAL because Fe isotopes can preserve a record of sub-surface mass transfer reactions involving the major element Fe. Here we report Fe isotope compositions of bulk IAL along the active Banda arc, Indonesia, which is well known for a prominent subducted sediment input. In conjunction with other arc rocks, δ57Fe in erupted Banda IAL indicates that fractional crystallisation and possibly crustal contamination primarily control their Fe isotope signatures. When corrected for fractional crystallisation and filtered for contamination, arc magmas that had variable sediment melt contributions in their sources show no resolvable co-variation of δ57Fe with radiogenic isotope tracers. This indicates that crustal recycling in the form of subducted sediment does not alter the Fe isotope character of arc lavas, in agreement with mass balance estimates. Primitive sources of IAL, however, are clearly isotopically lighter than those sourced beneath mid-ocean ridges, indicating either preferential Fe3+-depletion in the mantle wedge by prior, δ57Fe-heavy melt extraction, and

  20. Influence of riparian seepage zones on nitrate variability in two agricultural headwater streams

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Riparian seepage zones are one of the primary pathways of groundwater transport to headwater streams. While seeps have been recognized for their contributions to streamflow, there is little information on how seeps affect stream water quality. The objective of this study was to examine the influence...

  1. Quantifying soil and critical zone variability in a forested catchment through digital soil mapping

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Quantifying catchment scale soil property variation yields insights into critical zone evolution and function. The objective of this study was to quantify and predict the spatial distribution of soil properties within a high elevation forested catchment in southern AZ, USA using a combined set of di...

  2. Spatial variability of soils and salinization processes in the coastal zone of the Terek-Kuma Lowland

    NASA Astrophysics Data System (ADS)

    Zalibekov, Z. G.; Paizulaeva, R. M.; Biibolatova, Z. D.; Zalibekova, M. Z.; Biarslanov, A. B.

    2010-04-01

    The pattern of spatial changes in soil characteristics, including soil salinity, has been studied in coastal landscapes. It is shown that the spatial variability of soils is most pronounced in the coastal zone of the Terek-Kuma Lowland subjected to periodical inundation, waterlogging, and drying because of fluctuations in the Caspian Sea level and arid climate. The zone of interaction between underwater and terrestrial pedogenesis is formed under the impact of short-term (surges) and long-term (cyclic fluctuations with a period of up to 100 years) processes. During surges, the soils of the coastal zone acquire the initial pedogenic features related to the mineralization of organic remains, salt accumulation, and the formation of stratified soil profiles. Long-term cycles cause further differentiation of the vertical soil profile into horizons and enhance the spatial diversity of soils with respect to their salinity and alkalinity. The leading role of the cycles of sea level fluctuations in the development of the soil cover patterns and genetic soil properties in the coastal zone is illustrated.

  3. Discriminatory power of MicroResp analyses across variable spatial scales in semiarid ecological zones

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Indirect assessment of enzymatic activity potential via substrate induced respiration is a common tool used to evaluate variability in soil microbial activity induced by environmental or management variables. The MicroResp™ method for total soil sample catabolic profiling has been employed to estima...

  4. Meso- to submesocale oxygen variability and lateral oxygen fluxes in the oxygen minimum zone of the eastern tropical North Atlantic

    NASA Astrophysics Data System (ADS)

    Hahn, Johannes; Brandt, Peter; Krahmann, Gerd

    2015-04-01

    The oxygen minimum zone (OMZ) of the eastern tropical North Atlantic (ETNA) is located between the oxygen-rich equatorial region and the Cape Verde Frontal Zone at 20°N in a depth range between 300m - 700m. Its southern boundary is predominantly set by the equatorial zonal current system, where the northernmost current branch is represented by the eastward flowing North Equatorial Counter Current / North Equatorial Undercurrent (NECC/NEUC) at 5°N. Recent studies have shown enhanced oxygen variability for this location at the OMZ core depth which is generated due to mesoscale stirring induced by tropical instability waves as well as seasonal variability of the NECC/NEUC. An extensive measurement program was carried out in the past decade consisting of repeat ship sections as well as moored and glider observations along the 23°W section in order to study oxygen ventilation and oxygen variability in the ETNA OMZ regime. Moored and shipboard observations of oxygen and velocity reveal an eddy-driven northward oxygen flux towards the OMZ core, which results in an oxygen supply of up to 60% of the observed oxygen consumption. Based on the several year long moored observations at 5°N and 8°N, a seasonal variability of the eddy-driven meridional oxygen flux is found. Corresponding frequency spectra of the mooring time series are used to discuss time scales of enhanced variability of oxygen and meridional velocity. In this study, we explicitly present a measurement program which was conducted at 5°N, 23°W consisting of a triangular mooring array (Nov. 2012 - Apr. 2014) as well as a glider swarm experiment with a fleet of 3 gliders (Nov. - Dec. 2012). Based on this data set, a variogram of oxygen is derived to study spatial scales on the meso- to submesoscale in the NECC/NEUC regime.

  5. Circadian Variability in Methane Oxidation Activity in the Root Zone of Rice Plants

    NASA Astrophysics Data System (ADS)

    Schroth, M. H.; Cho, R.; Zeyer, J.

    2009-12-01

    Methane is an important greenhouse gas with a warming potential about 20 times stronger than that of carbon dioxide. A main source of biogenic methane are rice-paddy soils. Methane is produced in flooded rice fields under anaerobic conditions. Conversely, methanotrophic microorganisms oxidize methane to carbon dioxide in the root zone of rice plants in the presence of molecular oxygen supplied to the roots through the plants’ aerenchyma, thus reducing overall methane emissions to the atmosphere. To quantify methane oxidation we adapted push-pull tests (PPTs), a technique originally developed for aquifer testing, in combination with a suitable microbial inhibitor for application in the root zone of rice plants. During a PPT, 70 ml of a test solution containing dissolved substrates (methane, oxygen), nonreactive tracers (argon, chloride) and the methanogenesis inhibitor 2-Bromoethane sulfonate was injected into the plant’s root zone, and after a rest period of two hours extracted from the same location. Reaction rate constants were calculated from extraction-phase breakthrough curves of substrates and tracers. We conducted a set of three different laboratory PPTs to quantify methane oxidation at day time, directly after dawn, and at night in the root zone of four different potted rice plants each. High diurnal methane oxidation rate constants (up to 23 h-1) were obtained for all rice plants. Methane oxidation potential decreased soon after nightfall. At night, rate constants were usually below 1 h-1. Methane oxidation rates were apparently independent of additional oxygen supplied via the injected test solutions, but strongly dependent on photosynthetically produced oxygen transported to the roots through the plants’ aerenchyma. Additional PPTs utilizing 13C-labeled methane are currently being conducted to corroborate these findings. Ultimately, this novel tool shall support efforts to quantitatively understand the controlling mechanisms of methane turnover in

  6. Seasonal Variability in Vadose zone biodegradation at a crude oil pipeline rupture site

    USGS Publications Warehouse

    Sihota, Natasha J.; Trost, Jared J.; Bekins, Barbara; Berg, Andrew M.; Delin, Geoffrey N.; Mason, Brent E.; Warren, Ean; Mayer, K. Ulrich

    2016-01-01

    Understanding seasonal changes in natural attenuation processes is critical for evaluating source-zone longevity and informing management decisions. The seasonal variations of natural attenuation were investigated through measurements of surficial CO2 effluxes, shallow soil CO2 radiocarbon contents, subsurface gas concentrations, soil temperature, and volumetric water contents during a 2-yr period. Surficial CO2 effluxes varied seasonally, with peak values of total soil respiration (TSR) occurring in the late spring and summer. Efflux and radiocarbon data indicated that the fractional contributions of natural soil respiration (NSR) and contaminant soil respiration (CSR) to TSR varied seasonally. The NSR dominated in the spring and summer, and CSR dominated in the fall and winter. Subsurface gas concentrations also varied seasonally, with peak values of CO2 and CH4 occurring in the fall and winter. Vadose zone temperatures and subsurface CO2 concentrations revealed a correlation between contaminant respiration and temperature. A time lag of 5 to 7 mo between peak subsurface CO2 concentrations and peak surface efflux is consistent with travel-time estimates for subsurface gas migration. Periods of frozen soils coincided with depressed surface CO2 effluxes and elevated CO2 concentrations, pointing to the temporary presence of an ice layer that inhibited gas transport. Quantitative reactive transport simulations demonstrated aspects of the conceptual model developed from field measurements. Overall, results indicated that source-zone natural attenuation (SZNA) rates and gas transport processes varied seasonally and that the average annual SZNA rate estimated from periodic surface efflux measurements is 60% lower than rates determined from measurements during the summer.

  7. Temporal and spatial variability of surface fluxes over the ice edge zone in the northern Baltic Sea

    NASA Astrophysics Data System (ADS)

    Brümmer, B.; Schröder, D.; Launiainen, J.; Vihma, T.; Smedman, A.-S.; Magnusson, M.

    2002-08-01

    Three land-fast ice stations (one of them was the Finnish research ice breaker Aranda) and the German research aircraft Falcon were applied to measure the turbulent and radiation fluxes over the ice edge zone in the northern Baltic Sea during the Baltic Air-Sea-Ice Study (BASIS) field experiment from 16 February to 6 March 1998. The temporal and spatial variability of the surface fluxes is discussed. Synoptic weather systems passed the experimental area in a rapid sequence and dominated the conditions (wind speed, air-surface temperature difference, cloud field) for the variability of the turbulent and radiation fluxes. At the ice stations, the largest upward sensible heat fluxes of about 100 Wm-2 were measured during the passage of a cold front when the air cooled faster (-5 K per hour) than the surface. The largest downward flux of about -200 Wm-2 occurred during warm air advection when the air temperature reached +10°C but the surface temperature remained at 0°C. Spatial variability of fluxes was observed from the small scale (scale of ice floes and open water spots) to the mesoscale (width of the ice edge zone). The degree of spatial variability depends on the synoptic situation: during melting conditions downward heat fluxes were the same over ice and open water, whereas during strong cold-air advection upward heat fluxes differed by more than 100 Wm-2. A remarkable amount of grey ice with intermediate surface temperature was observed. The ice in the Baltic Sea cannot be described by one ice type only.

  8. Seasonal variability and long term trends of chlorofluorocarbon mixing ratios in the unsaturated zone.

    PubMed

    Santella, Nicholas; Schlosser, Peter; Smethie, William M; Ho, David T; Stute, Martin

    2006-07-15

    To investigate processes that might affect chlorofluorocarbon (CFC) mixing ratios at the water table, a time series was obtained of unsaturated zone soil gas CFCs to depths of ca. 4 m at a site near New York City (NYC). Observed CFC 11, 12, and 113 mixing ratios were lower in winter than expected from either a local, high-resolution time series or remote atmospheric mixing ratios. A diffusion model, which includes seasonal changes in soil temperature, moisture, and CFC solubility, reproduces to first order the observed soil gas mixing ratios for CFC 11 and 12. Underestimation by the model of the seasonal cycle of CFC 11 points to changing levels of sorption to soils due to seasonal changes in temperature as an additional cause of the cycle seen in CFC 11 mixing ratios in soil air. In the case of spring recharge, low CFC mixing ratios in soil air caused by increased solubility may result in low CFC 11 concentrations in groundwater and, when dating groundwater recharged before the 1990s with CFCs, older apparent ages by up to 4 years. Attempts to observe average atmospheric CFC levels from soil gas are also significantly hindered by these seasonal fluctuations. Our results indicate the importance of considering seasonal changes in soil temperature when making precise observations of even very moderately soluble gases in the unsaturated zone and shallow groundwater.

  9. Seasonal variability of the oxygen minimum zone off Peru in a high-resolution regional coupled model

    NASA Astrophysics Data System (ADS)

    Vergara, Oscar; Dewitte, Boris; Montes, Ivonne; Garçon, Veronique; Ramos, Marcel; Paulmier, Aurélien; Pizarro, Oscar

    2016-08-01

    In addition to being one of the most productive upwelling systems, the oceanic region off Peru is embedded in one of the most extensive oxygen minimum zones (OMZs) of the world ocean. The dynamics of the OMZ off Peru remain uncertain, partly due to the scarcity of data and to the ubiquitous role of mesoscale activity on the circulation and biogeochemistry. Here we use a high-resolution coupled physical/biogeochemical model simulation to investigate the seasonal variability of the OMZ off Peru. The focus is on characterizing the seasonal cycle in dissolved O2 (DO) eddy flux at the OMZ boundaries, including the coastal domain, viewed here as the eastern boundary of the OMZ, considering that the mean DO eddy flux in these zones has a significant contribution to the total DO flux. The results indicate that the seasonal variations of the OMZ can be interpreted as resulting from the seasonal modulation of the mesoscale activity. Along the coast, despite the increased seasonal low DO water upwelling, the DO peaks homogeneously over the water column and within the Peru Undercurrent (PUC) in austral winter, which results from mixing associated with the increase in both the intraseasonal wind variability and baroclinic instability of the PUC. The coastal ocean acts therefore as a source of DO in austral winter for the OMZ core, through eddy-induced offshore transport that is also shown to peak in austral winter. In the open ocean, the OMZ can be divided vertically into two zones: an upper zone above 400 m, where the mean DO eddy flux is larger on average than the mean seasonal DO flux and varies seasonally, and a lower part, where the mean seasonal DO flux exhibits vertical-zonal propagating features that share similar characteristics than those of the energy flux associated with the annual extratropical Rossby waves. At the OMZ meridional boundaries where the mean DO eddy flux is large, the DO eddy flux has also a marked seasonal cycle that peaks in austral winter (spring

  10. Systematically variable planktonic carbon metabolism along a land-to-lake gradient in a Great Lakes coastal zone

    PubMed Central

    Weinke, Anthony D.; Kendall, Scott T.; Kroll, Daniel J.; Strickler, Eric A.; Weinert, Maggie E.; Holcomb, Thomas M.; Defore, Angela A.; Dila, Deborah K.; Snider, Michael J.; Gereaux, Leon C.; Biddanda, Bopaiah A.

    2014-01-01

    During the summers of 2002–2013, we measured rates of carbon metabolism in surface waters of six sites across a land-to-lake gradient from the upstream end of drowned river-mouth Muskegon Lake (ML) (freshwater estuary) to 19 km offshore in Lake Michigan (LM) (a Great Lake). Despite considerable inter-year variability, the average rates of gross production (GP), respiration (R) and net production (NP) across ML (604 ± 58, 222 ± 22 and 381 ± 52 µg C L−1 day−1, respectively) decreased steeply in the furthest offshore LM site (22 ± 3, 55 ± 17 and −33 ± 15 µg C L−1day−1, respectively). Along this land-to-lake gradient, GP decreased by 96 ± 1%, whereas R only decreased by 75 ± 9%, variably influencing the carbon balance along this coastal zone. All ML sites were consistently net autotrophic (mean GP:R = 2.7), while the furthest offshore LM site was net heterotrophic (mean GP:R = 0.4). Our study suggests that pelagic waters of this Great Lakes coastal estuary are net carbon sinks that transition into net carbon sources offshore. Reactive and dynamic estuarine coastal zones everywhere may contribute similarly to regional and global carbon cycles. PMID:25954055

  11. Zone Management of Multi-Purpose Use of Groundwater Via Spatial Variability Analysis of Water Quality and Hydrogeology

    NASA Astrophysics Data System (ADS)

    Liang, C. P.; Chen, C. F.; Jang, C. S.; Chen, J. S.

    2014-12-01

    Groundwater is comprehensively used for irrigation, aquaculture and public water supply in Pingtung plain. Establishing a sound management plan of multi-purpose groundwater utilization in Pingtung plain is imperial for water resources sustainability. When extracting groundwater for such multi-purpose use, the major concerns are to assure the meets for the different water quality standards for various water use sectors demand and minimizing the pumping impacts on aquifers. The groundwater quality and hydrogeological conditions play important roles in multi-purpose groundwater utilization. Management and effective use of groundwater typically face great challenges, due to the spatial variability of groundwater quality and hydrogeological condition. This study combines the variability of groundwater quality and hydrological condition to propose zonal management of multi-purpose use of groundwater in Pingtung plain. Based on the water quality standards for various groundwater utilization sectors, the integration of hydrochemical parameters are used to delineate most appropriate zones of various groundwater utilization sectors. For evaluation of hydrogeological condition, transmissivity which represents the ability of water transmitted in aquifer is adopted to determine the most suitable zones of groundwater extraction. Based on the analytical results of the water quality parameters and transmissivity in combination with actual groundwater utilization, a zonal management plan of multi-purpose groundwater utilization is established. The framework in this project can provide an effective tool for government administrator establishing a zonal management of multi-purpose groundwater utilization in Pingtung plain.

  12. Long-term spatio-temporal precipitation variability in arid-zone Australia and implications for groundwater recharge

    NASA Astrophysics Data System (ADS)

    Acworth, R. Ian; Rau, Gabriel C.; Cuthbert, Mark O.; Jensen, Evan; Leggett, Keith

    2016-06-01

    Quantifying dryland groundwater recharge as a function of climate variability is becoming increasingly important in the face of a globally depleted resource, yet this remains a major challenge due to lack of adequate monitoring and the complexity of processes involved. A previously unpublished and unique dataset of high density and frequency rainfall measurements is presented, from the Fowlers Gap Arid Zone Research Station in western New South Wales (Australia). The dataset confirms extreme spatial and temporal variability in rainfall distribution which has been observed in other dryland areas and is generally explained by the dominance of individual storm cells. Contrary to previous observations, however, this dataset contains only a few localised storm cells despite the variability. The implications of spatiotemporal rainfall variability on the estimation of groundwater recharge is assessed and show that the most likely recharge mechanism is through indirect and localised, rather than direct, recharge. Examples of rainfall and stream gauge height illustrate runoff generation when a spatially averaged threshold of 15-25 mm (depending on the antecedent moisture conditions) is exceeded. Preliminary assessment of groundwater levels illustrates that the regional water table is much deeper than anticipated, especially considering the expected magnitude of indirect and localised recharge. A possible explanation is that pathways for indirect and localised recharge are inhibited by the large quantities of Aeolian dust observed at the site. Runoff readily occurs with water collecting in surface lakes which slowly dry and disappear. Assuming direct groundwater recharge under these conditions will significantly overestimate actual recharge.

  13. Defining an Abrasion Index for Lunar Surface Systems as a Function of Dust Interaction Modes and Variable Concentration Zones

    NASA Technical Reports Server (NTRS)

    Kobrick, Ryan L.; Klaus, David M.; Street, Kenneth W., Jr.

    2010-01-01

    Unexpected issues were encountered during the Apollo era of lunar exploration due to detrimental abrasion of materials upon exposure to the fine-grained, irregular shaped dust on the surface of the Moon. For critical design features involving contact with the lunar surface and for astronaut safety concerns, operational concepts and dust tolerance must be considered in the early phases of mission planning. To systematically define material selection criteria, dust interaction can be characterized by two-body or three-body abrasion testing, and subcategorically by physical interactions of compression, rolling, sliding and bending representing specific applications within the system. Two-body abrasion occurs when a single particle or asperity slides across a given surface removing or displacing material. Three-body abrasion occurs when multiple particles interact with a solid surface, or in between two surfaces, allowing the abrasives to freely rotate and interact with the material(s), leading to removal or displacement of mass. Different modes of interaction are described in this paper along with corresponding types of tests that can be utilized to evaluate each configuration. In addition to differential modes of abrasion, variable concentrations of dust in different zones can also be considered for a given system design and operational protocol. These zones include: (1) outside the habitat where extensive dust exposure occurs, (2) in a transitional zone such as an airlock or suitport, and (3) inside the habitat or spacesuit with a low particle count. These zones can be used to help define dust interaction frequencies, and corresponding risks to the systems and/or crew can be addressed by appropriate mitigation strategies. An abrasion index is introduced that includes the level of risk, R, the hardness of the mineralogy, H, the severity of the abrasion mode, S, and the frequency of particle interactions, F.

  14. Variable rates of late Quaternary strike slip on the San Jacinto fault zone, southern California.

    USGS Publications Warehouse

    Sharp, R.V.

    1981-01-01

    3 strike slip displacements of strata with known approximate ages have been measured at 2 locations on the San Jacinto fault zone. Minimum horizontal offset between 5.7 and 8.6km in no more than 0.73Myr NE of Anza indicates 8-12 mm/yr average slip rate since late Pleistocene time. Horizontal slip of 1.7m has been calculated for the youngest sediment of Lake Cahuilla since its deposition 271- 510 yr BP. The corresponding slip rate is 2.8-5.0 mm/yr. Right lateral offset of 10.9m measured on a buried stream channel older than 5060 yr BP but younger than 6820 yr BP yields average slip rates for the intermediate time periods, 400 to 6000 yr BP of 1-2 mm/yr. The rates of slip suggest a relatively quiescent period from about 4000 BC to about 1600 AD.-from Author

  15. Spatial variability and long-term analysis of groundwater quality of Faisalabad industrial zone

    NASA Astrophysics Data System (ADS)

    Nasir, Muhammad Salman; Nasir, Abdul; Rashid, Haroon; Shah, Syed Hamid Hussain

    2016-09-01

    Water is the basic necessity of life and is essential for healthy society. In this study, groundwater quality analysis was carried out for the industrial zone of Faisalabad city. Sixty samples of groundwater were collected from the study area. The quality maps of deliberately analyzed results were prepared in GIS. The collected samples were analyzed for chemical parameters and heavy metals, such as total hardness, alkalinity, cadmium, arsenic, nickel, lead, and fluoride, and then, the results were compared with the WHO guidelines. The values of these results were represented by a mapping of quality parameters using the ArcView GIS v9.3, and IDW was used for raster interpolation. The long-term analysis of these parameters has been carried out using the `R Statistical' software. It was concluded that water is partially not fit for drinking, and direct use of this groundwater may cause health issues.

  16. The Impact of Variable Accelerations on Crystal Growth onboard Spacecraft by the Floating Zone Method

    NASA Astrophysics Data System (ADS)

    Feonychev, A. I.; Kalachinskaya, I. S.

    2001-07-01

    The numerical investigation of the impact of time-dependent accelerations (vibrations) on the flow and heat and mass transfer in the melt is carried out for the case of modeling the crystal growth by the floating zone method under conditions of microgravity that exist onboard spacecraft. The effects of the Archimedean buoyancy force and of vibrations of the free surface of fluid are considered separately. When solving the problem of the effect of the vibrations of the free surface of fluid, the previously obtained data were used. It is shown that vibrations of the free surface have a much stronger effect on the processes under consideration than the buoyancy. Some problems that are related to the newly discovered effects are discussed. The use of vibroprotected systems and a rotating magnetic field can help solve these problems. We plan to continue our investigations in future spacecraft experiments, in particular, at the International Space Station, which is under construction at the moment.

  17. Time Variability of the Dust Sublimation Zones in Pre-Main Sequence Disk Systems

    NASA Technical Reports Server (NTRS)

    Sitko, Michael L.; Carpenter, W. J.; Grady, C. A.; Russel, R. W.; Lynch, D. K.; Rudy, R. J.; Mazuk, S. M.; Venturini, C. C.; Kimes, R. L.; Beerman, L. C.; Ablordeppey, K. E.; Puetter, R. C.; Wisnewski, P.; Brafford, S. M.; Polomski, E. R.; Hammel, H. B.; Perry, R. B.; Wilde, J. L.

    2007-01-01

    The dust sublimation zone (DSZ) is the region of pre-main sequence (PMS) disks where dust grains most easily anneal, sublime, and condense out of the gas. Because of this, it is a location where crystalline material may be enhanced and redistributed throughout the rest of the disk. A decade-long program to monitor the thermal emission of the grains located in this region demonstrates that large changes in emitted flux occur in many systems. Changes in the thermal emission between 3 and 13.5 microns were observed in HD 31648 (MWC 480), HD 163296 (MWC 275), and DG Tau. This emission is consistent with it being produced at the DSZ, where the transition from a disk of gas to one of gas+dust occurs. In the case of DG Tau, the outbursts were accompanied by increased emission on the 10 micron silicate band on one occasion, while on another occasion it went into absorption. This requires lofting of the material above the disk into the line of sight. Such changes will affect the determination of the inner disk structure obtained through interferometry measurements, and this has been confirmed in the case of HD 163296. Cyclic variations in the heating of the DSZ will lead to the annealing of large grains, the sublimation of smaller grains, possibly followed by re-condensation as the zone enters a cooling phase. Lofting of dust above the disk plane, and outward acceleration by stellar winds and radiation pressure, can re-distribute the processed material to cooler regions of the disk, where cometesimals form. This processing is consistent with the detection of the preferential concentration of large crystalline grains in the inner few AU of PMS disks using interferometric spectroscopy with the VLTI.

  18. Multiple-Zone Variable Refrigerant Flow System Modeling and Equipment Performance Mapping

    SciTech Connect

    Shen, Bo; Rice, C Keith

    2012-01-01

    We developed a variable refrigerant flow (VRF) vapor compression system model, which has five indoor units, one outdoor unit and one water heater. The VRF system can run simultaneous space conditioning (cooling or heating) and water heating. The indoor units and outdoor unit use fin-&-tube coil heat exchangers, and the water heater uses a tube-in-tube heat exchanger. The fin-&-tube coil heat exchangers are modeled using a segment-by-segment approach and the tube-in-tube water heater is modeled using a phase-by-phase approach. The compressor used is a variable-speed rotary design. We calibrated our model against a manufacturer s product literature. Based on the vapor compression system model, we investigated the methodology for generating VRF equipment performance maps, which can be used for energy simulations in TRNSYS and EnergyPlus, etc. In the study, the major independent variables for mapping are identified and the deviations between the simplified performance map and the actual equipment system simulation are quantified.

  19. Assessment of the spatial variability in tall wheatgrass forage using LANDSAT 8 satellite imagery to delineate potential management zones.

    PubMed

    Cicore, Pablo; Serrano, João; Shahidian, Shakib; Sousa, Adelia; Costa, José Luis; da Silva, José Rafael Marques

    2016-09-01

    Little information is available on the degree of within-field variability of potential production of Tall wheatgrass (Thinopyrum ponticum) forage under unirrigated conditions. The aim of this study was to characterize the spatial variability of the accumulated biomass (AB) without nutritional limitations through vegetation indexes, and then use this information to determine potential management zones. A 27-×-27-m grid cell size was chosen and 84 biomass sampling areas (BSA), each 2 m(2) in size, were georeferenced. Nitrogen and phosphorus fertilizers were applied after an initial cut at 3 cm height. At 500 °C day, the AB from each sampling area, was collected and evaluated. The spatial variability of AB was estimated more accurately using the Normalized Difference Vegetation Index (NDVI), calculated from LANDSAT 8 images obtained on 24 November 2014 (NDVInov) and 10 December 2014 (NDVIdec) because the potential AB was highly associated with NDVInov and NDVIdec (r (2)  = 0.85 and 0.83, respectively). These models between the potential AB data and NDVI were evaluated by root mean squared error (RMSE) and relative root mean squared error (RRMSE). This last coefficient was 12 and 15 % for NDVInov and NDVIdec, respectively. Potential AB and NDVI spatial correlation were quantified with semivariograms. The spatial dependence of AB was low. Six classes of NDVI were analyzed for comparison, and two management zones (MZ) were established with them. In order to evaluate if the NDVI method allows us to delimit MZ with different attainable yields, the AB estimated for these MZ were compared through an ANOVA test. The potential AB had significant differences among MZ. Based on these findings, it can be concluded that NDVI obtained from LANDSAT 8 images can be reliably used for creating MZ in soils under permanent pastures dominated by Tall wheatgrass.

  20. Assessment of the spatial variability in tall wheatgrass forage using LANDSAT 8 satellite imagery to delineate potential management zones.

    PubMed

    Cicore, Pablo; Serrano, João; Shahidian, Shakib; Sousa, Adelia; Costa, José Luis; da Silva, José Rafael Marques

    2016-09-01

    Little information is available on the degree of within-field variability of potential production of Tall wheatgrass (Thinopyrum ponticum) forage under unirrigated conditions. The aim of this study was to characterize the spatial variability of the accumulated biomass (AB) without nutritional limitations through vegetation indexes, and then use this information to determine potential management zones. A 27-×-27-m grid cell size was chosen and 84 biomass sampling areas (BSA), each 2 m(2) in size, were georeferenced. Nitrogen and phosphorus fertilizers were applied after an initial cut at 3 cm height. At 500 °C day, the AB from each sampling area, was collected and evaluated. The spatial variability of AB was estimated more accurately using the Normalized Difference Vegetation Index (NDVI), calculated from LANDSAT 8 images obtained on 24 November 2014 (NDVInov) and 10 December 2014 (NDVIdec) because the potential AB was highly associated with NDVInov and NDVIdec (r (2)  = 0.85 and 0.83, respectively). These models between the potential AB data and NDVI were evaluated by root mean squared error (RMSE) and relative root mean squared error (RRMSE). This last coefficient was 12 and 15 % for NDVInov and NDVIdec, respectively. Potential AB and NDVI spatial correlation were quantified with semivariograms. The spatial dependence of AB was low. Six classes of NDVI were analyzed for comparison, and two management zones (MZ) were established with them. In order to evaluate if the NDVI method allows us to delimit MZ with different attainable yields, the AB estimated for these MZ were compared through an ANOVA test. The potential AB had significant differences among MZ. Based on these findings, it can be concluded that NDVI obtained from LANDSAT 8 images can be reliably used for creating MZ in soils under permanent pastures dominated by Tall wheatgrass. PMID:27510986

  1. An Assessment of Actual and Potential Building Climate Zone Change and Variability From the Last 30 Years Through 2100 Using NASA's MERRA and CMIP5 Simulations

    NASA Technical Reports Server (NTRS)

    Stackhouse, Paul W., Jr.; Chandler, William S.; Hoell, James M.; Westberg, David; Zhang, Taiping

    2015-01-01

    Background: In the US, residential and commercial building infrastructure combined consumes about 40% of total energy usage and emits about 39% of total CO2 emission (DOE/EIA "Annual Energy Outlook 2013"). Building codes, as used by local and state enforcement entities are typically tied to the dominant climate within an enforcement jurisdiction classified according to various climate zones. These climate zones are based upon a 30-year average of local surface observations and are developed by DOE and ASHRAE. Establishing the current variability and potential changes to future building climate zones is very important for increasing the energy efficiency of buildings and reducing energy costs and emissions in the future. Objectives: This paper demonstrates the usefulness of using NASA's Modern Era Retrospective-analysis for Research and Applications (MERRA) atmospheric data assimilation to derive the DOE/ASHRAE building climate zone maps and then using MERRA to define the last 30 years of variability in climate zones for the Continental US. An atmospheric assimilation is a global atmospheric model optimized to satellite, atmospheric and surface in situ measurements. Using MERRA as a baseline, we then evaluate the latest Climate Model Inter-comparison Project (CMIP) climate model Version 5 runs to assess potential variability in future climate zones under various assumptions. Methods: We derive DOE/ASHRAE building climate zones using surface and temperature data products from MERRA. We assess these zones using the uncertainties derived by comparison to surface measurements. Using statistical tests, we evaluate variability of the climate zones in time and assess areas in the continental US for statistically significant trends by region. CMIP 5 produced a data base of over two dozen detailed climate model runs under various greenhouse gas forcing assumptions. We evaluate the variation in building climate zones for 3 different decades using an ensemble and quartile

  2. Investigating Rainfall Variability in the South Pacific Convergence Zone using the Geochemistry of Stalagmites from the Solomon Islands

    NASA Astrophysics Data System (ADS)

    Sekhon, N.; Quinn, T. M.; Partin, J. W.; Edwards, R. L.; Cheng, H.

    2015-12-01

    The South Pacific Convergence Zone (SPCZ), which extends southeastward from New Guinea to Tahiti, is the largest perennial rainfall feature in the Southern Hemisphere. The position of the SPCZ and its associated rainfall varies significantly on multidecadal timescales, as documented by instrumental and climate proxy data. For example, stalagmite δ18O records (rainfall proxy) from Espiritu Santo, Vanuatu (Partin et al., 2013) and Guadalcanal, Solomon Islands (Maupin et al., 2014), document large (~1‰), abrupt changes in stalagmite δ18O on multidecadal timescales over the past 600 years that arise from internal variability in the climate system. The proxy data agree with the type of rainfall changes observed in the instrumental record, such as the change across 1976/77, but the older changes are larger in relative magnitude. We expand on these earlier studies of rainfall variability in the SPCZ system using stable isotope variations in stalagmites from two other locations in the Solomon Islands (Munda, New Georgia, 8.3°S, 157.3°E; Suku, Nggela Pile (9.8° S, 160.2° E). These stalagmites range in age from about 400 CE to 1850 CE, based on U-Th dating, and have relatively fast growth rates (60 to 300 µm/yr). Stalagmite δ18O time series were generated from sub-samples milled every 500 µm, or approximately 1 to 8 years per data point. Initial results from these two new Solomon Island stalagmites not only confirm the presence of multidecadal variability in stalagmite δ18O identified in previous studies, but suggest that the same amplitude of variability has occurred over several windows of time during the past 1600 years. When complete, these new proxy rainfall records from Munda and Suku will further constrain the pattern and mechanism of SPCZ rainfall variability in western tropical Pacific region.

  3. Posttraumatic stress disorder in a national sample of female and male Vietnam veterans: risk factors, war-zone stressors, and resilience-recovery variables.

    PubMed

    King, D W; King, L A; Foy, D W; Keane, T M; Fairbank, J A

    1999-02-01

    Relationships among pretrauma risk factors (e.g., family instability, childhood antisocial behavior), war-zone stressors (e.g., combat, perceived threat), posttrauma resilience-recovery variables (e.g., hardiness, social support), and posttraumatic stress disorder (PTSD) symptom severity were examined. Data from a national sample of 432 female and 1,200 male veterans were analyzed using structural equation modeling. For both genders, direct links to PTSD from pretrauma, war-zone, and posttrauma variable categories were found; several direct associations between pretrauma and posttrauma variables were documented. Although war-zone stressors appeared preeminent for PTSD in men, posttrauma resilience-recovery variables were more salient for women. Researchers, policymakers, and clinicians are urged to take a broad view on trauma and its sequelae, especially regarding possible multiple exposures over time and the depletion and availability of important resources.

  4. Mapping Variable Width Riparian Zones Utilizing Open Source Data: A Robust New Approach

    NASA Astrophysics Data System (ADS)

    Abood, S. A.; Maclean, A.

    2013-12-01

    Riparian buffers are dynamic, transitional ecosystems between aquatic and terrestrial ecosystems with well-defined vegetation and soil characteristics. Previous approaches to riparian buffer delineation have primarily utilized fixed width buffers. However, these methodologies only take the watercourse into consideration and ignore critical geomorphology, associated vegetation and soil characteristics. Utilizing spatial data readily available from government agencies and geospatial clearinghouses, such as DEMs and the National Hydrography Dataset, the Riparian Buffer Delineation Model (RBDM) offers advantages by harnessing the geospatial modeling capabilities of ArcMap GIS, incorporating a statistically valid sampling technique along the watercourse to accurately map the critical 50-year plain, and delineating a variable width riparian buffer. Options within the model allow incorporation of National Wetlands Inventory (NWI), Soil Survey Data (SSURGO), National Land Cover Data (NLCD) and/or Cropland Data Layer (CDL) to improve the accuracy and utility of the riparian buffers attributes. This approach recognizes the dynamic and transitional natures of riparian buffers by accounting for hydrologic, geomorphic and vegetation data as inputs into the delineation process. By allowing the incorporation of land cover data, decision makers acquire a useful tool to assist in managing riparian buffers. The model is formatted as an ArcMap toolbox for easy installation and does require a Spatial Analyst license. Variable width riparian buffer utilizing 50-year flood height and 10m DEM. RBDM Inputs

  5. Aquatic bacterial assemblage variability in the supra littoral zone of Appledore Island, Gulf of Maine.

    PubMed

    Simonis, Joseph L; Neuharth-Keusch, Dani; Hewson, Ian

    2012-05-01

    We investigated the abundance and assemblage variability of bacteria in 10 spatially distinct freshwater pools on Appledore Island, Gulf of Maine. Assemblages were strongly heterogeneous between pools separated by even short distances. To gain insight into factors that may lead to the establishment of novel assemblages, we conducted an ecosystem-open choromophoric dissolved organic matter (CDOM) enrichment experiment within mesocosms inoculated with a standardized microbial community and observed patterns of their composition over time. Assemblages were strongly divergent from each other in composition after only 3 days of incubation. Divergence among mesocosms was significantly higher with increasing levels of CDOM. CDOM addition initially had a strong positive impact on bacterial operation taxonomic unit (OTU) richness and negative impact on bacterial OTU evenness, but no impact on total bacterial abundance, suggesting that factors controlling abundance are decoupled from those influencing overall composition.

  6. Estimating the Relative Sociolinguistic Salience of Segmental Variables in a Dialect Boundary Zone

    PubMed Central

    Llamas, Carmen; Watt, Dominic; MacFarlane, Andrew E.

    2016-01-01

    One way of evaluating the salience of a linguistic feature is by assessing the extent to which listeners associate the feature with a social category such as a particular socioeconomic class, gender, or nationality. Such ‘top–down’ associations will inevitably differ somewhat from listener to listener, as a linguistic feature – the pronunciation of a vowel or consonant, for instance – can evoke multiple social category associations, depending upon the dialect in which the feature is embedded and the context in which it is heard. In a given speech community it is reasonable to expect, as a consequence of the salience of the linguistic form in question, a certain level of intersubjective agreement on social category associations. Two metrics we can use to quantify the salience of a linguistic feature are (a) the speed with which the association is made, and (b) the degree to which members of a speech community appear to share the association. Through the use of a new technique, designed as an adaptation of the Implicit Association Test, this paper examines levels of agreement among 40 informants from the Scottish/English border region with respect to the associations they make between four key phonetic variables and the social categories of ‘Scotland’ and ‘England.’ Our findings reveal that the participants exhibit differential agreement patterns across the set of phonetic variables, and that listeners’ responses vary in line with whether participants are members of the Scottish or the English listener groups. These results demonstrate the importance of community-level agreement with respect to the associations that listeners make between social categories and linguistic forms, and as a means of ranking the forms’ relative salience. PMID:27574511

  7. Turbulent, Extreme Multi-zone Model for Simulating Flux and Polarization Variability in Blazars

    NASA Astrophysics Data System (ADS)

    Marscher, Alan P.

    2014-01-01

    The author presents a model for variability of the flux and polarization of blazars in which turbulent plasma flowing at a relativistic speed down a jet crosses a standing conical shock. The shock compresses the plasma and accelerates electrons to energies up to γmax >~ 104 times their rest-mass energy, with the value of γmax determined by the direction of the magnetic field relative to the shock front. The turbulence is approximated in a computer code as many cells, each with a uniform magnetic field whose direction is selected randomly. The density of high-energy electrons in the plasma changes randomly with time in a manner consistent with the power spectral density of flux variations derived from observations of blazars. The variations in flux and polarization are therefore caused by continuous noise processes rather than by singular events such as explosive injection of energy at the base of the jet. Sample simulations illustrate the behavior of flux and linear polarization versus time that such a model produces. The variations in γ-ray flux generated by the code are often, but not always, correlated with those at lower frequencies, and many of the flares are sharply peaked. The mean degree of polarization of synchrotron radiation is higher and its timescale of variability shorter toward higher frequencies, while the polarization electric vector sometimes randomly executes apparent rotations. The slope of the spectral energy distribution exhibits sharper breaks than can arise solely from energy losses. All of these results correspond to properties observed in blazars.

  8. Estimating the Relative Sociolinguistic Salience of Segmental Variables in a Dialect Boundary Zone.

    PubMed

    Llamas, Carmen; Watt, Dominic; MacFarlane, Andrew E

    2016-01-01

    One way of evaluating the salience of a linguistic feature is by assessing the extent to which listeners associate the feature with a social category such as a particular socioeconomic class, gender, or nationality. Such 'top-down' associations will inevitably differ somewhat from listener to listener, as a linguistic feature - the pronunciation of a vowel or consonant, for instance - can evoke multiple social category associations, depending upon the dialect in which the feature is embedded and the context in which it is heard. In a given speech community it is reasonable to expect, as a consequence of the salience of the linguistic form in question, a certain level of intersubjective agreement on social category associations. Two metrics we can use to quantify the salience of a linguistic feature are (a) the speed with which the association is made, and (b) the degree to which members of a speech community appear to share the association. Through the use of a new technique, designed as an adaptation of the Implicit Association Test, this paper examines levels of agreement among 40 informants from the Scottish/English border region with respect to the associations they make between four key phonetic variables and the social categories of 'Scotland' and 'England.' Our findings reveal that the participants exhibit differential agreement patterns across the set of phonetic variables, and that listeners' responses vary in line with whether participants are members of the Scottish or the English listener groups. These results demonstrate the importance of community-level agreement with respect to the associations that listeners make between social categories and linguistic forms, and as a means of ranking the forms' relative salience.

  9. Estimating the Relative Sociolinguistic Salience of Segmental Variables in a Dialect Boundary Zone.

    PubMed

    Llamas, Carmen; Watt, Dominic; MacFarlane, Andrew E

    2016-01-01

    One way of evaluating the salience of a linguistic feature is by assessing the extent to which listeners associate the feature with a social category such as a particular socioeconomic class, gender, or nationality. Such 'top-down' associations will inevitably differ somewhat from listener to listener, as a linguistic feature - the pronunciation of a vowel or consonant, for instance - can evoke multiple social category associations, depending upon the dialect in which the feature is embedded and the context in which it is heard. In a given speech community it is reasonable to expect, as a consequence of the salience of the linguistic form in question, a certain level of intersubjective agreement on social category associations. Two metrics we can use to quantify the salience of a linguistic feature are (a) the speed with which the association is made, and (b) the degree to which members of a speech community appear to share the association. Through the use of a new technique, designed as an adaptation of the Implicit Association Test, this paper examines levels of agreement among 40 informants from the Scottish/English border region with respect to the associations they make between four key phonetic variables and the social categories of 'Scotland' and 'England.' Our findings reveal that the participants exhibit differential agreement patterns across the set of phonetic variables, and that listeners' responses vary in line with whether participants are members of the Scottish or the English listener groups. These results demonstrate the importance of community-level agreement with respect to the associations that listeners make between social categories and linguistic forms, and as a means of ranking the forms' relative salience. PMID:27574511

  10. Spatial and temporal variability in nitrous oxide and methane emissions in urban riparian zones of the Pearl River Delta.

    PubMed

    Zhang, Taiping; Huang, Xinyu; Yang, Yue; Li, Yuelin; Dahlgren, Randy A

    2016-01-01

    Spatial and temporal variability in nitrous oxide and methane emissions were quantified in three seasons using closed chambers in three riparian zone locations of three branches of the Pearl River, Guangzhou, China. The sampling sites were selected in a rapidly developing urban area of Guangzhou and represented a pollution gradient. The results show that urban riparian landscapes can be large source areas for CH4 and N2O, with fluxes of -0.035∼32.30 mg m(-2) h(-1) and -5.49∼37.31 μg m(-2) h(-1), respectively. River water quality, sediment texture, and NH4-N and NO3-N concentrations correlated with N2O and CH4 emission rates. The riparian zones of the more seriously polluted tributaries showed higher greenhouse gas fluxes than that of the less polluted main stem of the Pearl River. Rain events increased emissions of CH4 by 6.5∼21.3 times and N2O by 2.2∼5.7 times. The lower concentrations of heavy metals increased the activity of denitrifying enzymes while inhibited the methane producing pathways. This work demonstrates that rapidly developing urban areas are an important source of greenhouse gas emissions, which is conditioned by various environmental factors.

  11. Spatial and temporal variability in nitrous oxide and methane emissions in urban riparian zones of the Pearl River Delta.

    PubMed

    Zhang, Taiping; Huang, Xinyu; Yang, Yue; Li, Yuelin; Dahlgren, Randy A

    2016-01-01

    Spatial and temporal variability in nitrous oxide and methane emissions were quantified in three seasons using closed chambers in three riparian zone locations of three branches of the Pearl River, Guangzhou, China. The sampling sites were selected in a rapidly developing urban area of Guangzhou and represented a pollution gradient. The results show that urban riparian landscapes can be large source areas for CH4 and N2O, with fluxes of -0.035∼32.30 mg m(-2) h(-1) and -5.49∼37.31 μg m(-2) h(-1), respectively. River water quality, sediment texture, and NH4-N and NO3-N concentrations correlated with N2O and CH4 emission rates. The riparian zones of the more seriously polluted tributaries showed higher greenhouse gas fluxes than that of the less polluted main stem of the Pearl River. Rain events increased emissions of CH4 by 6.5∼21.3 times and N2O by 2.2∼5.7 times. The lower concentrations of heavy metals increased the activity of denitrifying enzymes while inhibited the methane producing pathways. This work demonstrates that rapidly developing urban areas are an important source of greenhouse gas emissions, which is conditioned by various environmental factors. PMID:26377967

  12. A Coupled Formulation for Vadose Zone Transport of Multiple Gas Species With Plant Exchange Under Variable Gravity

    NASA Astrophysics Data System (ADS)

    Stothoff, S. A.

    2008-12-01

    Most plants require a balance between water availability and oxygen availability in the rooting zone. Procedures for raising plants under microgravity conditions, such as might be encountered in long-term space missions, face a special challenge: water redistribution is not affected by gravity, leading to difficulty in maintaining both water and oxygen levels in the rooting zone because flow is dominated by capillary properties. The plant substrate used for microgravity conditions is typically a coarse material that drains extremely rapidly under the fluctuating gravity conditions (0 to 1.8 G) experienced on KC-135 aircraft during flight parabolas. To evaluate control strategies for meeting plant water uptake and respiration needs under microgravity and to characterize flow redistribution under fluctuating gravity, a single formulation considering partial to full saturation was developed to cover this range of conditions. The fully coupled system of equations considers N>1 gaseous species, including water, that are all constituents in the liquid phase and in equilibrium between the gas and liquid phases where both phases are present. Plants are considered as separate quasi steady continua. Plant uptake and respiration, when considered, are defined using (possibly age dependent) transfer functions characterized by root length density. The formulation avoids complexities arising from switching variables when going from very dry to saturated conditions by using variables that are continuous throughout the domain: liquid pressure and N-1 mass fraction variables, expressed as partial capillary pressure. The mass fractions of all species in both phases are recovered from the standard equilibrium conditions used to define the partial capillary pressures. The use of partial capillary pressure state variables is inspired by mass balance considerations near saturation (where capillary pressure is almost zero), because mass balance convergence rates are dominated by the phase

  13. Spatial-temporal variability of soil CO2 emissions within urban areas in forest-steppe zone of Central Russia

    NASA Astrophysics Data System (ADS)

    Sarzhanov, Dmitrii; Vasenev, Viacheslav; Sotnikova, Julia; Tembo, Allan; Valentini, Riccardo

    2014-05-01

    Global climate change is of the most important environmental problems. It is widely assumed that increasing concentration of greenhouse gases (GHG) is one of the main reasons of global warming. Carbon dioxide (CO2) plays a key role in climate change because of considerable natural and anthropogenic fluxes. In comparison to all the other GHG CO2 makes the most considerable contribution to global warming (more than 60%). Land-use change and following alteration of carbon cycle is one the main reasons of global warming. Land use and management is the key factor distinguishing carbon stocks and fluxes of terrestrial ecosystems. Urbanization is one the most rapid current land-use change trends. Urbanization results in fundamental transformations in matter and energy fluxes, vegetation and soil cover. Urban soil is the key element in urban ecosystems. They are principally different from natural ones in respect of physical, chemical and biological features and fluxes. Urban soils can play a considerable role in carbon budget. Carbon stocks of urban soil can be considerable, although soil respiration is also high because of intensive mineralization of turf-sand substrates, used for urban soils' construction. Urbanization effect on soil carbon stocks and fluxes varies between bioclimatic zones. Central Chernozemic region in general and Kursk city in particular provide a promising study, because natural regional soil cover represented by grey forest soils and chernozems. Relative carbon stocks in chernozems and grey forest soils are among the highest in the world, although soil respiration in these soils is also very intensive. The current study aims to study the main factors behind spatial and temporal variability of CO2 emission from urban soil in forest-steppe conditions of Central Chernozemic region. We monitored CO2 fluxes on the three different functional zones in Kursk city: recreational, residential and industrial (15 replicas per each zone). Monitoring plots were

  14. Alongfront Variability of Precipitation Associated with a Midlatitude Frontal Zone: TRMM Observations and MM5 Simulation

    NASA Technical Reports Server (NTRS)

    Han, Mei; Braun, Scott A.; Persson, P. Ola; Bao, Jian-Wen

    2009-01-01

    On 19 February 2001, the Tropical Rainfall Measuring Mission (TRMM) satellite observed complex alongfront variability in the precipitation structure of an intense cold-frontal rainband. The TRMM Microwave Imager brightness temperatures suggested that, compared to the northern and southern ends of the rainband, a greater amount of precipitation ice was concentrated in the middle portion of the rainband where the front bowed out. A model simulation conducted using the fifth-generation Pennsylvania State University National Center for Atmospheric Research (PSU NCAR) Mesoscale Model (MM5) is examined to explain the distribution of precipitation associated with the cold-frontal rainband. The simulation reveals that the enhanced precipitation ice production and the implied mean ascent along the central part of the front were associated with a synergistic interaction between a low-level front and an upper-level front associated with an intrusion of high-PV stratospheric air. The low-level front contributed to an intense bow-shaped narrow cold-frontal rainband (NCFR). The upper-level front was dynamically active only along the central to northern portion of the NCFR, where the upper-level PV advection and Q-vector convergence were most prominent. The enhanced mean ascent associated with the upper-level front contributed to a wide cold-frontal rainband (WCFR) that trailed or overlapped with the NCFR along its central to northern segments. Because of the combination of the forcing from both lower- and upper-level fronts, the ascent was deepest and most intense along the central portion of the front. Thus, a large concentration of precipitation ice, attributed to both the NCFR and WCFR, was produced.

  15. Children's Motives for Admitting to Prosocial Behavior

    PubMed Central

    Watanabe, Yayoi; Lee, Kayo

    2016-01-01

    There has been extensive research on children's moral evaluation of lying in prosocial situations. Current knowledge regarding the concept of lying has been derived from studies showing that cultural differences exist, whereby non-Western children tend to rate lie telling more positively than Western children do. These findings suggest that there are different views about whether children should publicize their prosocial behaviors and that children have universal motives when they admit to engaging in prosocial behavior. A gender difference has also been found in relation to prosocial behavior. However, previous studies did not investigate in detail children's motives for admission or non-admission to prosocial behavior, and if there is a gender difference. Therefore, this study examined the diversity in and development of motives for admitting or not admitting to engaging in prosocial behavior, with the aim of clarifying these behaviors as a function of children's grade level in school, and how such motives differ with age and gender. Questionnaires from 1345 elementary and junior high school students in Japan were analyzed. Results showed that children's communication tendency with regard to prosocial behavior reports peaked in the fourth grade of elementary school and gradually decreased thereafter. From the third grade of elementary school onwards, children reported that they refrained from admitting prosocial behaviors. Younger children more likely cited honesty as a crucial motive for admitting to prosocial behaviors. Girls were more likely to endorse honesty as a motive than boys were. Moreover, among younger children, girls feared others' negative evaluation and wanted to comply with modesty norms when not admitting. Further research is needed to examine the developmental process for motives behind prosocial behaviors. PMID:26925025

  16. Temporal and spatial variability of sediment saturation and patterns of groundwater-surface water exchange in the intertidal zone at swash and tidal time scales

    NASA Astrophysics Data System (ADS)

    Heiss, J.; Puleo, J. A.; Ullman, W. J.; Michael, H. A.

    2015-12-01

    The swash zone on sandy beaches is a highly energetic and dynamic region of the coastal zone where wave runup and rundown and underlying subsurface flow result in groundwater-surface water exchange. Fluid flow across the sand surface within this zone is important to the biogeochemistry of coastal aquifers and the mobilization and transport of sediments and potentially contaminants along the coastline. Despite the importance of groundwater-surface water interactions in the swash zone, coupling between surface and subsurface flow is not well understood and spatial and temporal patterns of vertical flow direction and magnitude across the beachface remain unclear. Simultaneous high-frequency measurements of the position of the swash edge, the boundary between the saturated and unsaturated beachface, sediment saturation, and water table elevation were collected on a moderate-energy sandy beach. The measurements provide a unique dataset linking swash zone forcing to groundwater flow. Swash infiltration across the unsaturated beachface leads to an accumulation of water in the unsaturated zone and forms a stable lens of partially saturated sediment that serves as a source of water to the water table. The positions of infiltration, recharge, and discharge zones on the beachface were temporally and spatially variable and were distinguishable only through combined use of surface and subsurface measurements. The zone of infiltration was controlled primarily by swash processes while the width and location of the groundwater discharge zone on the beach surface was controlled by the tide. Saturation dynamics, time scales of flow, and the position and extent of infiltration, recharge, and discharge zones may be important considerations when estimating fluid, solute, and sediment fluxes to, from, and within the intertidal zone.

  17. ADMIT: The ALMA Data Mining Toolkit

    NASA Astrophysics Data System (ADS)

    Teuben, P.; Pound, M.; Mundy, L.; Rauch, K.; Friedel, D.; Looney, L.; Xu, L.; Kern, J.

    2015-09-01

    ADMIT (ALMA Data Mining ToolkiT), a toolkit for the creation of new science products from ALMA data, is being developed as an ALMA Development Project. It is written in Python and, while specifically targeted for a uniform analysis of the ALMA science products that come out of the ALMA pipeline, it is designed to be generally applicable to (radio) astronomical data. It first provides users with a detailed view of their science products created by ADMIT inside the ALMA pipeline: line identifications, line ‘cutout' cubes, moment maps, emission type analysis (e.g., feature detection). Using descriptor vectors the ALMA data archive is enriched with useful information to make archive data mining possible. Users can also opt to download the (small) ADMIT pipeline product, then fine-tune and re-run the pipeline and inspect their hopefully improved data. By running many projects in a parallel fashion, data mining between many astronomical sources and line transitions will also be possible. Future implementations of ADMIT may include EVLA and other instruments.

  18. Photophysiological variability and its influence on primary production in the NW Africa-Canary Islands coastal transition zone

    NASA Astrophysics Data System (ADS)

    Figueiras, F. G.; Arbones, B.; Montero, M. F.; Barton, E. D.; Arístegui, J.

    2016-05-01

    Photophysiological variability and its influence on primary production were studied in the NW Africa-Canary Islands coastal transition zone. The region showed strong mesoscale activity, in which upwelling filaments and island eddies interacted to cause significant vertical displacements of the deep chlorophyll maximum (DCM). Oligotrophic stations both in the open ocean and within anticyclonic eddies were characterised by low values of integrated chlorophyll (33 ± 4 mg chl a m- 2) and dominance of pico- and nanophytoplankton, while stations associated with filaments and cyclonic eddies showed moderate chl a values (50 ± 17 mg m- 2). Shelf stations affected by upwelling exhibited the highest chl a (112 ± 36 mg m- 2) with microphytoplankton dominance. Photosynthetic variables in the three groups of stations showed similar depth gradients, with maximum photosynthetic rates (PmB) decreasing with depth and maximum quantum yields (ϕm) increasing with depth. However, the increase with depth of ϕm was not so evident in shelf waters where nutrients were not depleted at the surface. Primary production (PP) displayed a coast-ocean gradient similar to that of chl a, with highest values (2.5 ± 1.2 g C m- 2 d- 1) at the eutrophic shelf stations and lowest (0.36 ± 0.11 g C m- 2 d- 1) at the oligotrophic stations. Nevertheless, integrated PP at the oligotrophic stations was not related to integrated chl a concentration but was positively (r = 0.95) correlated to carbon fixation at the DCM and negatively (r = - 0.85) correlated to the depth of the DCM, suggesting that light, and not phytoplankton biomass, was the main factor controlling PP in oligotrophic environments. It is concluded that downward displacements of the DCM, either by convergence fronts or downwelling at the core of anticyclones can significantly reduce PP in the oligotrophic ocean.

  19. Phenotypic variability confirmed by nuclear ribosomal DNA suggests a possible natural hybrid zone of Triatoma brasiliensis species complex.

    PubMed

    Costa, Jane; Bargues, Maria Dolores; Neiva, Vanessa Lima; Lawrence, Gena G; Gumiel, Marcia; Oliveira, Genova; Cabello, Pedro; Lima, Marli Maria; Dotson, Ellen; Provance, David William; Almeida, Carlos Eduardo; Mateo, Lucia; Mas-Coma, Santiago; Dujardin, Jean Pierre

    2016-01-01

    Triatoma brasiliensis macromelasoma occurs in Pernambuco state, Brazil, which is situated between the distribution areas of Triatoma brasiliensis brasiliensis (north) and Triatoma juazeirensis (south). T. b. macromelasoma displays greater variations in its chromatic phenotype than either T. b. brasiliensis or T. juazeirensis, and patterns reminiscent of one or the other. Experimental crosses from each of these members of the T. brasiliensis species complex generated fertile offspring suggesting that viable hybrids could be present in nature, despite their significant genetic distances. Considering the geographical position of occurrence of the T. b. macromelasoma (in Pernambuco) it was proposed to be an area capable of supporting natural hybridization between T. b. brasiliensis and T. juazeirensis. Since phenotypic variability is expected, this study investigated the existence of intermediate chromatic phenotypes for T. b. macromelasoma in various locations in areas between the T. b. brasiliensis and T. juazeirensis occurrences. Thirteen different color patterns were for the first time characterized and nine of those displayed intermediate phenotypes. Molecular analysis performed using ribosomal DNA intergenic region, grouped all within the T. brasiliensis complex. The intermediate chromatic phenotypes, molecular analysis and experimental crosses all support the distinction of a zone of hybridization that gave rise to the T. b. macromelasoma through homoploidal evolution. PMID:26520796

  20. Phenotypic variability confirmed by nuclear ribosomal DNA suggests a possible natural hybrid zone of Triatoma brasiliensis species complex.

    PubMed

    Costa, Jane; Bargues, Maria Dolores; Neiva, Vanessa Lima; Lawrence, Gena G; Gumiel, Marcia; Oliveira, Genova; Cabello, Pedro; Lima, Marli Maria; Dotson, Ellen; Provance, David William; Almeida, Carlos Eduardo; Mateo, Lucia; Mas-Coma, Santiago; Dujardin, Jean Pierre

    2016-01-01

    Triatoma brasiliensis macromelasoma occurs in Pernambuco state, Brazil, which is situated between the distribution areas of Triatoma brasiliensis brasiliensis (north) and Triatoma juazeirensis (south). T. b. macromelasoma displays greater variations in its chromatic phenotype than either T. b. brasiliensis or T. juazeirensis, and patterns reminiscent of one or the other. Experimental crosses from each of these members of the T. brasiliensis species complex generated fertile offspring suggesting that viable hybrids could be present in nature, despite their significant genetic distances. Considering the geographical position of occurrence of the T. b. macromelasoma (in Pernambuco) it was proposed to be an area capable of supporting natural hybridization between T. b. brasiliensis and T. juazeirensis. Since phenotypic variability is expected, this study investigated the existence of intermediate chromatic phenotypes for T. b. macromelasoma in various locations in areas between the T. b. brasiliensis and T. juazeirensis occurrences. Thirteen different color patterns were for the first time characterized and nine of those displayed intermediate phenotypes. Molecular analysis performed using ribosomal DNA intergenic region, grouped all within the T. brasiliensis complex. The intermediate chromatic phenotypes, molecular analysis and experimental crosses all support the distinction of a zone of hybridization that gave rise to the T. b. macromelasoma through homoploidal evolution.

  1. Influence of climate variability on water partitioning and effective energy and mass transfer in a semi-arid critical zone

    NASA Astrophysics Data System (ADS)

    Zapata-Rios, Xavier; Brooks, Paul D.; Troch, Peter A.; McIntosh, Jennifer; Rasmussen, Craig

    2016-03-01

    The critical zone (CZ) is the heterogeneous, near-surface layer of the planet that regulates life-sustaining resources. Previous research has demonstrated that a quantification of the influxes of effective energy and mass transfer (EEMT) to the CZ can predict its structure and function. In this study, we quantify how climate variability in the last 3 decades (1984-2012) has affected water availability and the temporal trends in EEMT. This study takes place in the 1200 km2 upper Jemez River basin in northern New Mexico. The analysis of climate, water availability, and EEMT was based on records from two high-elevation SNOTEL stations, PRISM data, catchment-scale discharge, and satellite-derived net primary productivity (MODIS). Results from this study indicated a decreasing trend in water availability, a reduction in forest productivity (4 g C m-2 per 10 mm of reduction in precipitation), and decreasing EEMT (1.2-1.3 MJ m2 decade-1). Although we do not know the timescales of CZ change, these results suggest an upward migration of CZ/ecosystem structure on the order of 100 m decade-1, and that decadal-scale differences in EEMT are similar to the differences between convergent/hydrologically subsidized and planar/divergent landscapes, which have been shown to be very different in vegetation and CZ structure.

  2. Subpixel variability of MODIS albedo retrievals and its importance for ice sheet surface melting in southwestern Greenland's ablation zone

    NASA Astrophysics Data System (ADS)

    Moustafa, S.; Rennermalm, A. K.; Roman, M. O.; Koenig, L.; Smith, L. C.; Schaaf, C.; Wang, Z.; Mioduszewski, J.

    2013-12-01

    On the Greenland ice sheet, albedo declined across 70% of its surface since 2000, with the greatest reduction in the lower 600 m of the southwestern ablation zone. Because albedo plays a prominent role in the ice sheet surface energy balance, its decline has resulted in near doubling of meltwater production. To characterize ice sheet albedo, Moderate Imaging Spectrometer (MODIS) surface albedo products are typically used. However, it is unclear how the spatial variability of albedo within a MODIS pixel influences surface melting and whether it can be considered a linear function of albedo. In this study, high spatiotemporal resolution measurements of spectral albedo and ice sheet surface ablation were collected along a ~ 1.3 km transect during June 2013 within the Akuliarusiarsuup Kuua (AK) River watershed in southwest Greenland. Spectral measurements were made at 325-1075 nm using a Analytical Spectral Devices (ASD) spectroradiometer, fitted with a Remote Cosine Receptor (RCR). In situ albedo measurements are compared with the daily MODIS albedo product (MCD43A) to analyze how space, time, surface heterogeneity, atmospheric conditions, and solar zenith angle geometry govern albedo at different scales. Finally, analysis of sub-pixel albedo and ablation reveal its importance on meltwater production in the lower parts of the ice sheet margin.

  3. Variability of the Oxygen Minimum Zone during the Holocene in the Gulf of California, México

    NASA Astrophysics Data System (ADS)

    Mejia-Pina, K. G.; Gonzalez-Yajimovich, O.; Huerta-Diaz, M. A.

    2015-12-01

    Changes in the oxygen minimum zone (OMZ) in the southern portion of the Gulf of California (GoC) can be caused by changes in primary productivity or by advection of water masses with low oxygen concentrations. To discern the acting mechanism, multiple and gravity cores (NH01-22 and NH01-25) comprising the Holocene (~4800 and ~6600 years, respectively) were collected in the OMZ of the GoC during the CALMEX NH-01 cruise. Sediments were collected on the eastern slopes of Pescadero (PB) and Carmen (CB) Basins, intersecting in both cases the GoC's distinct OMZ. The cores were sectioned at 1-cm intervals and analyzed for total Mo (MoTotal), total Al and Fe-pyrite. With these values, Mo enrichment factors (EFMo) and degrees of pyritization (DOP) were calculated for each sediment interval. Average DOP values for CB and PB were 38%±11% (n=306) and 28.6%±6.5% (n=259), respectively, indicating that the sediments are not limited by the availability of reactive Fe. Higher average MoTOTAL values were measured in CB (0.22±0.04 μmol g-1) relative to PB (0.09±0.02 μmol g-1). As a result, EFMo values were high (14.5±3.4, range of 6.6-35.6) in CB and significantly lower in PB (4.5±1.1, range of 2.7-12.0). For CB, EFMO values are comparable to regions such as the west coast of Baja California, Mexico (EFMO=20±9) and the euxinic Black Sea (EFMO=27±8) and Saanich Inlet, British Columbia (EFMO=39±35) zones. In PB EFMO values were similar to those reported for well oxygenated marginal basins (e.g., Japan Sea; EFMO=2.5±1.5). DOP values for CB and PB are generally <40%, characteristic of oxic sedimentary environments. The DOP and EFMO conflicting results could indicate that the sediments are not completely pyritized because Fe is also associated with acid volatile sulfides (unlikely), or that values <40% are not necessarily associated with oxic sedimentary environments. However, for both basins, the persistence of laminations, the EFMo levels and the DOP values suggest variable

  4. Northeastern Pacific oxygen minimum zone variability over the past 70 kyr: Impact of biological production and oceanic ventilation

    NASA Astrophysics Data System (ADS)

    Cartapanis, Olivier; Tachikawa, Kazuyo; Bard, Edouard

    2011-12-01

    During the last glacial period, the Oxygen Minimum Zone (OMZ) within the northeastern Pacific Ocean strengthened and weakened on a millennial time scale, demonstrating a tight linkage with northern high latitude climate, although the precise mechanisms responsible remain unknown. Core MD02-2508, retrieved off Baja California, was analyzed for major and trace elements (Br, Ca, Ti, Fe, Mn, and Sr) using a XRF scanner and redox-sensitive trace elements (Cu, Ni, Cd, As, V, Cr, Mo, and U) using the ICP-MS. The trace element content, the Fe/Ti ratio, and Br-based organic carbon exhibit higher values during the Holocene and during warm Dansgaard-Oeschger events than during the Last Glacial Maximum (LGM), stadials, and Heinrich (H) events. A principal component analysis of the element/Al ratio indicated that the following two main factors controlled the chemical composition of the sediments: (1) export production, as represented by organic carbon, that was lower during cold periods; and (2) regional intermediate water oxygenation, as represented by U and Mo variability, that was not supported by a change in export production. The latter suggests that intermediate water oxygenation improved during H events, but slightly deteriorated during late Marine Isotope Stage (MIS) 3 and MIS 2. A local biogeochemical effect, forced by atmospheric processes, impacted the LGM and H events in the same manner. Whereas regional intermediate oceanic circulation varied in an opposite manner during the LGM and H events, possibly as a result of the global reorganization of intermediate water circulation during the LGM.

  5. Using MERRA, AMIP II, CMIP5 Outputs to Assess Actual and Potential Building Climate Zone Change and Variability From the Last 30 Years Through 2100

    NASA Astrophysics Data System (ADS)

    Stackhouse, P. W.; Westberg, D. J.; Hoell, J. M., Jr.; Chandler, W.; Zhang, T.

    2014-12-01

    In the US, residential and commercial building infrastructure combined consumes about 40% of total energy usage and emits about 39% of total CO2emission (DOE/EIA "Annual Energy Outlook 2013"). Thus, increasing the energy efficiency of buildings is paramount to reducing energy costs and emissions. Building codes, as used by local and state enforcement entities are typically tied to the dominant climate within an enforcement jurisdiction classified according to various climate zones. These climates zones are based upon a 30-year average of local surface observations and are developed by DOE and ASHRAE (formerly known as the American Society of Hearting, Refrigeration and Air-Conditioning Engineers). A significant shortcoming of the methodology used in constructing such maps is the use of surface observations (located mainly near airports) that are unequally distributed and frequently have periods of missing data that need to be filled by various approximation schemes. This paper demonstrates the usefulness of using NASA's Modern Era Retrospective-analysis for Research and Applications (MERRA) atmospheric data assimilation to derive the ASHRAE climate zone maps and then using MERRA to define the last 30 years of variability in climate zones. These results show that there is a statistically significant increase in the area covered by warmer climate zones and some tendency for a reduction of area in colder climate zones that require longer time series to confirm. Using the uncertainties of the basic surface temperature and precipitation parameters from MERRA as determined by comparison to surface measurements, we first compare patterns and variability of ASHRAE climate zones from MERRA relative to present day climate model runs from AMIP simulations to establish baseline sensitivity. Based upon these results, we assess the variability of the ASHRAE climate zones according to CMIP runs through 2100 using an ensemble analysis that classifies model output changes by

  6. Spatial and Temporal Variability in Nitrate Concentration below the Root Zone in an Almond Orchard and its Implications for Potential Groundwater Contamination

    NASA Astrophysics Data System (ADS)

    Baram, S.; Couvreur, V.

    2015-12-01

    Spatial and Temporal Variability in Nitrate Concentration below the Root Zone in an Almond Orchard and its Implications for Potential Groundwater Contamination S. Baram1, M. Read1, D. Smart2, T. Harter1, J Hopmans11Department of Land, Air & Water Resources University of California Davis 2Department of Viticulture and Enology University of California Davis Estimates of water and fertilizer losses below the root zone of nitrogen (N) intensive agricultural orchard crops are major concern in groundwater protection. However, microscopic and macroscopic heterogeneity in unsaturated soils make accurate loss estimates very challenging. In this study we aimed to examine field scale variability in nitrate (NO3-) losses below the root zone (>250cm) of a 15 years old almond orchard in Madera county California. Based on a soil variability survey, tensiometers and solution samplers were installed at 17 locations around the 40 acre orchard. The hydraulic potential and the NO3- concentrations were monitored over two growing seasons. Nitrate concentrations varied spatially and temporarily, and ranged from below to more than 30 times higher than the drinking water contamination standard of >10 mg NO3--N L-1. Principal component analysis of the relations between the NO3- concentration, presence of a hard pan in the subsurface, its depth and thickness, and the fertigation and irrigation events indicated that none of these factors explained the observed variability in pore-water NO3- concentrations, with hard pan being the most dominant factor. Throughout the irrigation season minimal leaching was observed, yet post-harvest and preseason flooding events led to deep drainage. Due to the high spatial and temporal variability in the NO3- concentration and the potential for deep drainage following a wet winter or flooding event we conclude that the most efficient way to protect ground water is by transitioning to high frequency low nitrogen fertigation which would retain NO3-in the active

  7. The nearshore zone during coastal upwelling: Daily variability and coupling between primary and secondary production off central Chile

    NASA Astrophysics Data System (ADS)

    Peterson, William T.; Arcos, Dagoberto F.; McManus, George B.; Dam, Hans; Bellantoni, Diane; Johnson, Thomas; Tiselius, Peter

    The nearshore region of central Chile is important for spawning of sardine ( Sardinops sagax) anchovy ( Engraulis ringens) and jack mackerel ( Trachurus murphyii) and the importance of fisheries for these species has led to an interest in factors controlling the area's productivity. We studied daily variations in productivity at a nearshore station (25m depth) off Dichato, Chile (36°30‧S) during January 1986 to understand how wind-driven variability in the hydrography is translated into pulses of primary and secondary production of the plankton. During the study period, we observed three complete cycles of upwelling favourable/unfavourable winds. Water column destratification, as indicated by the surface-to-bottom gradient of sigma-t, lagged the wind by about one day. During active upwelling, cold water (<11.5°C) of high nitrate and low oxygen concentration (20-25μM and 1-2ml 1 -1 respectively) was found near the surface. During subsequent relaxation of upwelling, the water column became stratified as temperature, oxygen and chlorophyll increased. The size and taxonomic composition of the phytoplankton varied from one event to the next. Over the course of the study, from 15-100% of the chlorophyll could pass a 20μm mesh screen. Chain-forming diatoms, microflagellates, and the autotrophic ciliate Mesodinium rubrum dominated the first, second and third events, respectively. In rank order of abundance, Paracalanus parvus, Centropages brachiatus, Oithona spp., Acartia tonsa, Oncaea spp., Calanoides patagoniensis and Calanus chilensis dominated the copepod community. Changes in abundance of most species did not closely follow the upwelling cycle. Possibly, vertical movements or other behavioural responses caused zooplankton distributions to be uncorrelated with movements of the surface Ekman layer. Fecundity of several of the important copepod species was measured using the egg ratio and bottle incubation techniques. Compared to values reported in the literature

  8. Unrecognized medical emergencies admitted to psychiatric units.

    PubMed

    Reeves, R R; Pendarvis, E J; Kimble, R

    2000-07-01

    Alteration of mental status secondary to medical illness may occasionally be incorrectly attributed to a psychiatric problem. The cases of 64 patients with unrecognized medical emergencies inappropriately admitted to psychiatric units from emergency departments were reviewed to determine the cause of the misdiagnoses. Medical diagnoses most often missed included severe intoxication with alcohol or other illicit substance (34.4%), drug or alcohol withdrawal or delirium tremens (12.5%), and prescription drug overdose (12.5%). In none of the cases (0%) was an appropriate mental status examination performed. Other common causes of misdiagnosis included inadequate physical examination (43.8%), failure to obtain indicated laboratory studies (34.4%), and failure to obtain available history (34.4%). A systematic approach is required for patients with altered mental status, including those with psychiatric presentations.

  9. The Prediction of Teacher Morale Using the Supervisory Conference Rating, the Zones of Indifference Instrument and Selected Personal Variables.

    ERIC Educational Resources Information Center

    Blackbourn, Joe M.; Wilkes, Sam T.

    A prediction equation for teacher morale was developed from the responses of 236 teachers in a large school system in Mississippi. The Supervisory Conference Rating (SCR) was used to measure teachers' perceptions of the supervisory conference following observation by the principal. The Zones of Indifference of these teachers were measured with the…

  10. On the spatial variability of the hyporheic zone: in-situ investigation of porosity and grain size using diving bells and 3D photogrammetry

    NASA Astrophysics Data System (ADS)

    Frings, R. M.; Vollmer, S.

    2012-04-01

    In order to improve the ecological status of rivers, lakes and other water bodies, recent legislation, such as the European Water Framework Directive, requires for each water body an assessment of its suitability as habitat for organisms. Such an assessment, though, is not easy. This is especially true for the lowest part of the water body: the substrate or hyporheic zone. Even if it is known which kind of hyporheic zone is preferred by an organism, it remains difficult to determine where it can be found, because it is often impossible to observe the hyporheic zone from the banks or shores. It has become common to classify an entire water body as suitable or unsuitable as habitat, using only limited field observations of the hyporheic zone. This is a doubtful practice, which disregards the huge spatial variability of this zone. The objective of this study was to quantify the spatial variability in hyporheic-zone characteristics in the river Rhine. We focused on two basic characteristics: grain size and porosity, the latter being a primary control on the transport of nutrients, heat, oxygen and organic matter. A diving bell (caisson) was used to obtain access to the river bed, which enabled undisturbed sampling of the hyporheic zone. Between 1968 and 2009 6436 sediment samples were taken and sieved to determine their grain size distribution. Furthermore, in 2009 and 2011 about 100 porosity measurements were carried out, using a novel technique based on a combination of field measurements using three-dimensional photogrammetry and laboratory measurements using the water displacement method. The measurements revealed a strong cross-sectional variability in porosity and grain size. Each river cross-section contains spots with high porosity (order 0.40) and spots with low porosity (order 0.10). The large cross-sectional variability made it impossible to recognize systematic streamwise porosity trends from the data. Therefore we investigated if porosity was correlated to

  11. Causally nonseparable processes admitting a causal model

    NASA Astrophysics Data System (ADS)

    Feix, Adrien; Araújo, Mateus; Brukner, Časlav

    2016-08-01

    A recent framework of quantum theory with no global causal order predicts the existence of ‘causally nonseparable’ processes. Some of these processes produce correlations incompatible with any causal order (they violate so-called ‘causal inequalities’ analogous to Bell inequalities) while others do not (they admit a ‘causal model’ analogous to a local model). Here we show for the first time that bipartite causally nonseparable processes with a causal model exist, and give evidence that they have no clear physical interpretation. We also provide an algorithm to generate processes of this kind and show that they have nonzero measure in the set of all processes. We demonstrate the existence of processes which stop violating causal inequalities but are still causally nonseparable when mixed with a certain amount of ‘white noise’. This is reminiscent of the behavior of Werner states in the context of entanglement and nonlocality. Finally, we provide numerical evidence for the existence of causally nonseparable processes which have a causal model even when extended with an entangled state shared among the parties.

  12. Variability of seismic source spectra, estimated stress drop, and radiated energy, derived from cohesive-zone models of symmetrical and asymmetrical circular and elliptical ruptures

    NASA Astrophysics Data System (ADS)

    Kaneko, Y.; Shearer, P. M.

    2015-02-01

    Large variability of earthquake stress drops and scaled energy has been commonly reported in the literature, but it is difficult to assess how much of this variability is caused by underlying physical source processes rather than simply observational uncertainties. Here we examine a variety of dynamically realistic rupture scenarios for circular and elliptical faults and investigate to what extent the variability in seismically estimated stress drops and scaled energy comes from differences in source geometry, rupture directivity, and rupture speeds. We numerically simulate earthquake source scenarios using a cohesive-zone model with the small-scale yielding limit, where the solution approaches a singular crack model with spontaneous healing of slip. Compared to symmetrical circular source models, asymmetrical models result in larger variability of estimated corner frequencies and scaled energy over the focal sphere. The general behavior of the spherical averages of corner frequencies and scaled energy in the subshear regime extends to the supershear regime, although shear Mach waves generated by the propagation of supershear rupture lead to much higher corner frequency and scaled energy estimates locally. Our results suggest that at least a factor of 2 difference in the spherical average of corner frequencies is expected in observational studies simply from variability in source characteristics almost independent of the actual stress drops, translating into a factor of 8 difference in estimated stress drops. Furthermore, radiation efficiency estimates derived from observed seismic spectra should not be directly interpreted as describing rupture properties unless there are independent constraints on rupture speed and geometry.

  13. Forearc structure from legacy multichannel seismic data linked to mechanical variability and rupture segmentation on the central Alaska-Aleutian subduction zone

    NASA Astrophysics Data System (ADS)

    Roland, E. C.; von Huene, R.; Miller, J.; Haeussler, P. J.; Scholl, D. W.; Ryan, H. F.; Kirby, S. H.

    2012-12-01

    The historical earthquake record, geodetic observations, and modern interseismic seismicity patterns indicate along-strike variability in the mechanical behavior of the subduction zone extending from the central Alaska peninsula west to the eastern Aleutian Islands. This region spans the rupture areas of several historical megathrust earthquakes, including the 1938 M8.3 Semidi Islands event, the 1946 M8.5 earthquake near Unimak Pass, and the 1957 M8.6 Andreanof Islands earthquake. Each of these events produced tsunamis that affected Alaska and/or far-field coastal regions in Hawaii and the mainland U.S. The '38 and '46 rupture areas are separated by a segment of the subduction zone in the vicinity of the Shumagin Islands where, based on plate velocities from GPS, plate coupling decreases from nearly fully locked in the east, to very low coupling in the western Shumagins, indicating an important change in seismic style along-strike. Changes in the degree of interseismic coupling are often attributed to variability in the mechanical strength of the thrust interface, influenced by heterogeneity in the material properties and subducted topographic relief. Furthermore, the expression of forearc structural features along the margin may indicate the width and up-dip limit of the locked zone. We explore structural characteristics of the shallow portion of the subduction system related to variations in the mechanical properties of the megathrust and interseismic coupling using legacy multichannel seismic (MCS) data from several segments along the Alaska-Aleutian subduction zone. Critical images were reprocessed with modern seismic processing systems. We characterize structural features of the downgoing plate and forearc, including the variation in thickness and character of subducted sediment, the geometry of the upper plate wedge, the distribution of imbricate thrust faults, the transition from outer prism to margin rock framework and extensional faulting. These

  14. Chlorophyll-a Variability in the Southern Ocean Mixed Layer and Euphotic Zone From Elephant Seals and Profiling Floats

    NASA Astrophysics Data System (ADS)

    Carranza, M. M.; Gille, S. T.; Franks, P. J. S.; Johnson, K. S.; Girton, J. B.

    2015-12-01

    The Southern Ocean contains some of the ocean's deepest mixed layers. Because deep mixed layers can transport phytoplankton below the euphotic zone, light levels depend on mixed-layer depth (MLD), and phytoplankton growth is hypothesized to be co-limited by iron and light. Estimates of Chl-a fluorescence, particle backscattering and hydrographic profiles collected by southern elephant seals, EM-APEX, and biogeochemical Argo floats are used to evaluate the extent to which MLD influences phytoplankton bloom development and the vertical structure of chlorophyll-a (Chl-a) in the Southern Ocean. We find that surface Chl-a (i.e., mean Chl-a for the upper light penetration depth) is a relatively good proxy of phytoplankton biomass (i.e., depth-integrated Chl-a) within the euphotic zone but gives an inadequate representation of biomass within the mixed layer, particularly in the summer. Although nearly vertically homogeneous Chl-a within the mixed layer prevails in seasonal mean profiles, subsurface Chl-a maxima are not uncommon from spring through fall. Deep Chl-a maxima that correlate with particle backscattering in summer and fall are found near the base of the mixed layer, closer to the nutrient maximum than the light maximum, suggesting that nutrient limitation (i.e., essentially iron) can play a greater role than light limitation in governing productivity.

  15. Precipitation variability in the winter rainfall zone of South Africa during the last 1400 yr linked to the austral westerlies

    NASA Astrophysics Data System (ADS)

    Stager, J. C.; Mayewski, P. A.; White, J.; Chase, B. M.; Neumann, F. H.; Meadows, M. E.; King, C. D.; Dixon, D. A.

    2012-05-01

    The austral westerlies strongly influence precipitation and ocean circulation in the southern temperate zone, with important consequences for cultures and ecosystems. Global climate models anticipate poleward retreat of the austral westerlies with future warming, but the available paleoclimate records that might test these models have been limited to South America and New Zealand, are not fully consistent with each other and may be complicated by influences from other climatic factors. Here we present the first high-resolution diatom and sedimentological records from the winter rainfall region of South Africa, representing precipitation in the equatorward margin of the westerly wind belt during the last 1400 yr. Inferred rainfall was relatively high ∼1400-1200 cal yr BP, decreased until ∼950 cal yr BP, and rose notably through the Little Ice Age with pulses centred on ∼600, 530, 470, 330, 200, 90, and 20 cal yr BP. Synchronous fluctuations in Antarctic ice core chemistry strongly suggest that these variations were linked to changes in the westerlies. Equatorward drift of the westerlies during the wet periods may have influenced Atlantic meridional overturning circulation by restricting marine flow around the tip of Africa. Apparent inconsistencies among some aspects of records from South America, New Zealand and South Africa warn against the simplistic application of single records to the Southern Hemisphere as a whole. Nonetheless, these findings in general do support model projections of increasing aridity in the austral winter rainfall zones with future warming.

  16. Exploratory data analysis as an alternative to automated variable selection in statistical susceptibility modeling. A case study for the Flysch Zone (Lower Austria)

    NASA Astrophysics Data System (ADS)

    Steger, Stefan; Bell, Rainer; Petschko, Helene; Glade, Thomas

    2013-04-01

    Statistical susceptibility modeling presents a widespread method to identify landslide prone areas. Since these quantitative methods are highly dependent on the quality of the input data, an appropriate selection of variables is essential. In this study a comprehensive spatial analysis of slope conditions, where landslides occurred in the rhenodanubian Flysch Zone of Lower Austria (a province in Austria), was performed to identify the most important factors which may lead to landslides in the study area. Analyses were conducted using two landslide inventories to demonstrate the impact of different dependent variables on the results. The ALS-Inventory was generated purposely for susceptibility modeling using a high resolution airborne laser scanning digital terrain model (ALS DTM) in a previous study. The building ground register (BGR) obtained by the Geological Survey of Lower Austria represents the damaging events of landslides in Lower Austria. The results reveal the relationships between the spatial occurrence of landslides and its preparatory factors for the respective inventory. Based on this information explanatory variables were selected. Only variables providing an explanation for the spatial distribution of landslides (for the respective spatial resolution of input data) were considered. Thus the limitations of input data were uncovered and taken into account in the statistical modeling. Although the study area is highly affected by human impact, the interpretation of the results lead to the exclusion of all land use - variables from subsequent modeling. In fact it was discovered that an inclusion of the land cover variables leads to unrealistic susceptibility values. The explanatory data analyses lead to the selection of six variables for the ALS-inventory and five variables for the BGR out of 19 independent variables. For the susceptibility modeling two statistical approaches, namely multivariate logistic regression analysis and a bivariate index

  17. Influence of management of variables, sampling zones and land units on LR analysis for landslide spatial prevision

    NASA Astrophysics Data System (ADS)

    Greco, R.; Sorriso-Valvo, M.

    2013-09-01

    Several authors, according to different methodological approaches, have employed logistic Regression (LR), a multivariate statistical analysis adopted to assess the spatial probability of landslide, even though its fundamental principles have remained unaltered. This study aims at assessing the influence of some of these methodological approaches on the performance of LR, through a series of sensitivity analyses developed over a test area of about 300 km2 in Calabria (southern Italy). In particular, four types of sampling (1 - the whole study area; 2 - transects running parallel to the general slope direction of the study area with a total surface of about 1/3 of the whole study area; 3 - buffers surrounding the phenomena with a 1/1 ratio between the stable and the unstable area; 4 - buffers surrounding the phenomena with a 1/2 ratio between the stable and the unstable area), two variable coding modes (1 - grouped variables; 2 - binary variables), and two types of elementary land (1 - cells units; 2 - slope units) units have been tested. The obtained results must be considered as statistically relevant in all cases (Aroc values > 70%), thus confirming the soundness of the LR analysis which maintains high predictive capacities notwithstanding the features of input data. As for the area under investigation, the best performing methodological choices are the following: (i) transects produced the best results (0 < P(y) ≤ 93.4%; Aroc = 79.5%); (ii) as for sampling modalities, binary variables (0 < P(y) ≤ 98.3%; Aroc = 80.7%) provide better performance than ordinated variables; (iii) as for the choice of elementary land units, slope units (0 < P(y) ≤ 100%; Aroc = 84.2%) have obtained better results than cells matrix.

  18. Variable post-Paleozoic deformation detected by seismic reflection profiling across the northwestern "prong" of New Madrid seismic zone

    USGS Publications Warehouse

    McBride, J.H.; Pugin, Andre J.M.; Nelson, W.J.; Larson, T.H.; Sargent, S.L.; Devera, J.A.; Denny, F.B.; Woolery, E.W.

    2003-01-01

    High-resolution shallow seismic reflection profiles across the northwesternmost part of the New Madrid seismic zone (NMSZ) and northwestern margin of the Reelfoot rift, near the confluence of the Ohio and Mississippi Rivers in the northern Mississippi embayment, reveal intense structural deformation that apparently took place during the late Paleozoic and/or Mesozoic up to near the end of the Cretaceous Period. The seismic profiles were sited on both sides of the northeast-trending Olmsted fault, defined by varying elevations of the top of Mississippian (locally base of Cretaceous) bedrock. The trend of this fault is close to and parallel with an unusually straight segment of the Ohio River and is approximately on trend with the westernmost of two groups of northeast-aligned epicenters ("prongs") in the NMSZ. Initially suspected on the basis of pre-existing borehole data, the deformation along the fault has been confirmed by four seismic reflection profiles, combined with some new information from drilling. The new data reveal (1) many high-angle normal and reverse faults expressed as narrow grabens and anticlines (suggesting both extensional and compressional regimes) that involved the largest displacements during the late Cretaceous (McNairy); (2) a different style of deformation involving probably more horizontal displacements (i.e., thrusting) that occurred at the end of this phase near the end of McNairy deposition, with some fault offsets of Paleocene and younger units; (3) zones of steeply dipping faults that bound chaotic blocks similar to that observed previously from the nearby Commerce geophysical lineament (CGL); and (4) complex internal deformation stratigraphically restricted to the McNairy, suggestive of major sediment liquefaction or landsliding. Our results thus confirm the prevalence of complex Cretaceous deformations continuing up into Tertiary strata near the northern terminus of the NMSZ. ?? 2003 Elsevier Science B.V. All rights reserved.

  19. Evaluating the role of soil variability on groundwater pollution and recharge at regional scale by integrating a process-based vadose zone model in a stochastic approach

    NASA Astrophysics Data System (ADS)

    Coppola, Antonio; Comegna, Alessandro; Dragonetti, Giovanna; Lamaddalena, Nicola; Zdruli, Pandi

    2013-04-01

    Interpreting and predicting the evolution of water resources and soils at regional scale are continuing challenges for natural scientists. Examples include non-point source (NPS) pollution of soil and surface and subsurface water from agricultural chemicals and pathogens, as well as overexploitation of groundwater resources. The presence and build up of NPS pollutants may be harmful for both soil and groundwater resources. The accumulation of salts and trace elements in soils can significantly impact crop productivity, while loading of salts, nitrates, trace elements and pesticides into groundwater supplies can deteriorate a source of drinking and irrigation water. Consequently, predicting the spatial distribution and fate of NPS pollutants in soils at applicative scales is now considered crucial for maintaining the fragile balance between crop productivity and the negative environmental impacts of NPS pollutants, which is a basis of sustainable agriculture. Soil scientists and hydrologists are regularly asked to assist state agencies to understand these critical environmental issues. The most frequent inquiries are related to the development of mathematical models needed for analyzing the impacts of alternative land-use and best management use and management of soil and water resources. Different modelling solutions exist, mainly differing on the role of the vadose zone and its horizontal and vertical variability in the predictive models. The vadose zone (the region from the soil surface to the groundwater surface) is a complex physical, chemical and biological ecosystem that controls the passage of NPS pollutants from the soil surface where they have been deposited or accumulated due to agricultural activities, to groundwater. Physically based distributed hydrological models require the internal variability of the vadose zone be explored at a variety of scales. The equations describing fluxes and storage of water and solutes in the unsaturated zone used in these

  20. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2011-04-01 2011-04-01 false Answer admitting facts. 71... Hearing Procedure Answers § 71.65 Answer admitting facts. If the respondent desires to waive the hearing on the allegations of fact set forth in the order to show cause, and does not contest the facts,...

  1. 27 CFR 71.65 - Answer admitting facts.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 2 2010-04-01 2010-04-01 false Answer admitting facts. 71... Hearing Procedure Answers § 71.65 Answer admitting facts. If the respondent desires to waive the hearing on the allegations of fact set forth in the order to show cause, and does not contest the facts,...

  2. Oxygen Isotope Zoning in Skarn Garnets: Evidence for Spatial and Temporal Fluid Source Variability in the Sierra Nevada and Mojave

    NASA Astrophysics Data System (ADS)

    Gevedon, M. L.; Ryan-Davis, J.; Lackey, J. S.; Barnes, J.; Kitajima, K.; Valley, J. W.

    2014-12-01

    Skarns provide insight to the depth, longevity, and dominant fluid regime associated with Sierra Nevada plutonism and Mesozoic magmatism in the Mojave National Preserve, which represent different spatial and temporal exposures of the Mesozoic arc. Skarns from these regions may serve as proxies for intricacies in the fluid source, and have the potential to resolve magmatic flare-ups and relative depths of emplacement. Both laser fluorination (LF) and secondary ion mass spectrometry (SIMS) δ18O analyses of garnet from multiple Mojave (Lucerne valley) skarns indicate a strong, early influence of meteoric fluid despite the presence of relatively deep plutonism. LF data from individual whole garnets and garnet chips broken during sample preparation reveal variation from +4.2‰ to -8.8‰ (n = 24), with an average of approximately -4.0‰. The large spread in these LF data suggest that (A) δ18O reflects an average of varying δ18O (fluid) compositions spanning multiple garnet growth oscillations; or (B) multiple generations of garnets exist within individual skarns, the growth of each coinciding with changes in the hydrothermal source and composition. SIMS analysis of two individual Mojave skarn garnets with oscillatory zoning (seen in backscatter electron images) reveal crystal cores with δ18O values of -9.6‰, internal variations of -9.4‰ to -3.3‰, and crystal rims of -2.2‰ and -2.9‰ (precision ±0.3; 2σ). In general, δ18O values negatively correlate with andradite compositions, with high andradite zones having lower δ18O values ([AND + CaTi] compositions range from 100 to 73). Similar analyses (both SIMS and LF) of garnets from Sierra Nevadan skarns (Tungsten Hills region) show variation in δ18O values with LF data ranging from 5.4‰ to 6.2‰ (n = 8), with an average of 5.7‰, and an additional 2.7‰ value obtained from a garnet interior. SIMS data show δ18O compositional variation from 4.0‰ to 5.9‰. Data across the two Tungsten Hills garnets

  3. Surgeons and suture zones: Hybridization among four surgeonfish species in the Indo-Pacific with variable evolutionary outcomes.

    PubMed

    DiBattista, Joseph D; Whitney, Jonathan; Craig, Matthew T; Hobbs, Jean-Paul A; Rocha, Luiz A; Feldheim, Kevin A; Berumen, Michael L; Bowen, Brian W

    2016-08-01

    Closely related species can provide valuable insights into evolutionary processes through comparison of their ecology, geographic distribution and the history recorded in their genomes. In the Indo-Pacific, many reef fishes are divided into sister species that come into secondary contact at biogeographic borders, most prominently where Indian Ocean and Pacific Ocean faunas meet. It is unclear whether hybridization in this contact zone represents incomplete speciation, secondary contact, an evolutionary dead-end (for hybrids) or some combination of the above. To address these issues, we conducted comprehensive surveys of two widely-distributed surgeonfish species, Acanthurus leucosternon (N=141) and A. nigricans (N=412), with mtDNA cytochrome b sequences and ten microsatellite loci. These surgeonfishes are found primarily in the Indian and Pacific Oceans, respectively, but overlap at the Christmas and Cocos-Keeling Islands hybrid zone in the eastern Indian Ocean. We also sampled the two other Pacific members of this species complex, A. achilles (N=54) and A. japonicus (N=49), which are known to hybridize with A. nigricans where their ranges overlap. Our results indicate separation between the four species that range from the recent Pleistocene to late Pliocene (235,000-2.25million years ago). The Pacific A. achilles is the most divergent (and possibly ancestral) species with mtDNA dcorr≈0.04, whereas the other two Pacific species (A. japonicus and A. nigricans) are distinguishable only at a population or subspecies level (ΦST=0.6533, P<0.001). Little population structure was observed within species, with evidence of recent population expansion across all four geographic ranges. We detected sharing of mtDNA haplotypes between species and extensive hybridization based on microsatellites, consistent with later generation hybrids but also the effects of allele homoplasy. Despite extensive introgression, 98% of specimens had concordance between mtDNA lineage and

  4. Surgeons and suture zones: Hybridization among four surgeonfish species in the Indo-Pacific with variable evolutionary outcomes.

    PubMed

    DiBattista, Joseph D; Whitney, Jonathan; Craig, Matthew T; Hobbs, Jean-Paul A; Rocha, Luiz A; Feldheim, Kevin A; Berumen, Michael L; Bowen, Brian W

    2016-08-01

    Closely related species can provide valuable insights into evolutionary processes through comparison of their ecology, geographic distribution and the history recorded in their genomes. In the Indo-Pacific, many reef fishes are divided into sister species that come into secondary contact at biogeographic borders, most prominently where Indian Ocean and Pacific Ocean faunas meet. It is unclear whether hybridization in this contact zone represents incomplete speciation, secondary contact, an evolutionary dead-end (for hybrids) or some combination of the above. To address these issues, we conducted comprehensive surveys of two widely-distributed surgeonfish species, Acanthurus leucosternon (N=141) and A. nigricans (N=412), with mtDNA cytochrome b sequences and ten microsatellite loci. These surgeonfishes are found primarily in the Indian and Pacific Oceans, respectively, but overlap at the Christmas and Cocos-Keeling Islands hybrid zone in the eastern Indian Ocean. We also sampled the two other Pacific members of this species complex, A. achilles (N=54) and A. japonicus (N=49), which are known to hybridize with A. nigricans where their ranges overlap. Our results indicate separation between the four species that range from the recent Pleistocene to late Pliocene (235,000-2.25million years ago). The Pacific A. achilles is the most divergent (and possibly ancestral) species with mtDNA dcorr≈0.04, whereas the other two Pacific species (A. japonicus and A. nigricans) are distinguishable only at a population or subspecies level (ΦST=0.6533, P<0.001). Little population structure was observed within species, with evidence of recent population expansion across all four geographic ranges. We detected sharing of mtDNA haplotypes between species and extensive hybridization based on microsatellites, consistent with later generation hybrids but also the effects of allele homoplasy. Despite extensive introgression, 98% of specimens had concordance between mtDNA lineage and

  5. Variable deep structure of a midcontinent fault and fold zone from seismic reflection: La Salle deformation belt, Illinois basin

    USGS Publications Warehouse

    McBride, J.H.

    1997-01-01

    Deformation within the United States mid-continent is frequently expressed as quasilinear zones of faulting and folding, such as the La Salle deformation belt, a northwest-trending series of folds cutting through the center of the Illinois basin. Seismic reflection profiles over the southern La Salle deformation belt reveal the three-dimensional structural style of deformation in the lower Paleozoic section and uppermost Precambrian(?) basement. Individual profiles and structural contour maps show for the first time that the folds of the La Salle deformation belt are underlain at depth by reverse faults that disrupt and offset intrabasement structure, offset the top of interpreted Precambrian basement, and accommodate folding of overlying Paleozoic strata. The folds do not represent development of initial dips by strata deposited over a preexisting basement high. Rather, the structures resemble subdued "Laramide-style" forced folds, in that Paleozoic stratal reflectors appear to be flexed over a fault-bounded basement uplift with the basement-cover contact folded concordantly with overlying strata. For about 40 km along strike, the dominant faults reverse their dip direction, alternating between east and west. Less well expressed antithetic or back thrusts appear to be associated with the dominant faults and could together describe a positive flower structure. The overall trend of this part of the La Salle deformation belt is disrupted by along-strike discontinuities that separate distinct fold culminations. Observations of dual vergence and along-strike discontinuities suggest an original deformation regime possibly involving limited transpression associated with distant late Paleozoic Appalachian-Ouachita mountain building. Moderate-magnitude earthquakes located west of the western flank of the La Salle deformation belt have reverse and strike-slip mechanisms at upper trustai depths, which might be reactivating deep basement faults such as observed in this study

  6. Refining a relativistic, hydrodynamic solver: Admitting ultra-relativistic flows

    NASA Astrophysics Data System (ADS)

    Bernstein, J. P.; Hughes, P. A.

    2009-09-01

    We have undertaken the simulation of hydrodynamic flows with bulk Lorentz factors in the range 102-106. We discuss the application of an existing relativistic, hydrodynamic primitive variable recovery algorithm to a study of pulsar winds, and, in particular, the refinement made to admit such ultra-relativistic flows. We show that an iterative quartic root finder breaks down for Lorentz factors above 102 and employ an analytic root finder as a solution. We find that the former, which is known to be robust for Lorentz factors up to at least 50, offers a 24% speed advantage. We demonstrate the existence of a simple diagnostic allowing for a hybrid primitives recovery algorithm that includes an automatic, real-time toggle between the iterative and analytical methods. We further determine the accuracy of the iterative and hybrid algorithms for a comprehensive selection of input parameters and demonstrate the latter’s capability to elucidate the internal structure of ultra-relativistic plasmas. In particular, we discuss simulations showing that the interaction of a light, ultra-relativistic pulsar wind with a slow, dense ambient medium can give rise to asymmetry reminiscent of the Guitar nebula leading to the formation of a relativistic backflow harboring a series of internal shockwaves. The shockwaves provide thermalized energy that is available for the continued inflation of the PWN bubble. In turn, the bubble enhances the asymmetry, thereby providing positive feedback to the backflow.

  7. Variability in pigment concentration in warm-core rings as determined by coastal zone color scanner satellite imagery from the Mid-Atlantic Bight

    NASA Technical Reports Server (NTRS)

    Garcia-Moliner, Graciela; Yoder, James A.

    1994-01-01

    A time series of coastal zone color scanner (CZCS) derived chlorophyll (CZCS-chl) and sea surface temperature (SST) satellite imagery was developed for the Mid-Atlantic Bight (MAB). Warm-core rings (WCR) were identified by both the warmer SST signal as well as the low pigment concentrations of their cores. The variation in pigment concentrations and SST observed in satellite imagery over the geographic range and life span of four WCRs is investigated. The hypotheses are that pigment concentration increase during the lifetime of the WCR is a response to processes such as convective overturn, upwelling, edge enhancement due to increased vertical mixing, active convergence, or lateral exchange. Empirical orthogonal function analysis (EOF) is used to investigate the relationship between SST and pigment patterns observed in the presence of a WCR. The first two EOF modes explain more than 80% of the variability observed in all four WCRs and in both (SST and pigment) data sets. The results of this study show that, at the synoptic scales of staellite data, the variability observed in the WCRs is greater at the periphery of the rings. These results show that advective entrainment, rather than processes at ring center (e.g., shoaling of the pycnocline/nutricline in response to frictional decay) or at the periphery due to other processes such as vertical mixing, is the mechanism responsible for the observed variability.

  8. Prognostication in Acutely Admitted Older Patients by Nurses and Physicians

    PubMed Central

    Buurman, Bianca M.; van Munster, Barbara C.; Abu-Hanna, Ameen; Levi, Marcel; de Rooij, Sophia E.

    2008-01-01

    Background The process of prognostication has not been described for acutely hospitalized older patients. Objective To investigate (1) which factors are associated with 90-day mortality risk in a group of acutely hospitalized older medical patients, and (2) whether adding a clinical impression score of nurses or physicians improves the discriminatory ability of mortality prediction. Design Prospective cohort study. Participants Four hundred and sixty-three medical patients 65 years or older acutely admitted from November 1, 2002, through July 1, 2005, to a 1024-bed tertiary university teaching hospital. Measurements At admission, the attending nurse and physician were asked to give a clinical impression score for the illness the patient was admitted for. This score ranged from 1 (high possibility of a good outcome) until 10 (high possibility of a bad outcome, including mortality). Of all patients baseline characteristics and clinical parameters were collected. Mortality was registered up to 90 days after admission. Main Results In total, 23.8% ( = 110) of patients died within 90 days of admission. Four parameters were significantly associated with mortality risk: functional impairment, diagnosis malignancy, co-morbidities and high urea nitrogen serum levels. The AUC for the baseline model which included these risk factors (model 1) was 0.76 (95% CI 0.71 to 0.82). The AUC for the model using the risk factors and the clinical impression score of the physician (model 2) was 0.77 (0.71 to 0.82). The AUC for the model using the risk factors and the clinical impression score of the nurse (model 3) was 0.76 (0.71 to 0.82) and the AUC for the model, including the baseline covariates and the clinical impression score of both nurses and physicians was 0.77 (0.72 to 0.82). Adding clinical impression scores to model 1 did not significantly improve its accuracy. Conclusion A set of four clinical variables predicted mortality risk in acutely hospitalized older patients

  9. Variability of Residence Time tracer Concentrations at the Southern Sierra Critical Zone Observatory during the California Drought

    NASA Astrophysics Data System (ADS)

    Visser, A.; Thaw, M.; Stacy, E.; Hunsaker, C. T.; Bibby, R. K.; Deinhart, A.; Schorzman, K.; Egnatuk, C. M.; Conklin, M. H.; Esser, B.

    2015-12-01

    California water supply from high elevation snow melt is vulnerable to climate change and prolonged drought conditions. Reduced snow pack and earlier snow melt will result in a greater reliance on man-made reservoirs and subsurface catchment storage. To gain insight into the subsurface storage volume of high elevation catchments, we studied the residence time distribution of surface water leaving the Southern Sierra Critical Zone Observatory. Since October 2014, we have collected monthly samples of two residence time tracers with contrasting half-lives: sulfur-35 (87.5 days) and tritium (12.32 years). Upstream catchment area at the three nested sampling locations is 1 km2 (P301 sub-catchment), 4 km2 (Providence Creek) and ~50 km2 (Big Creek). Samples were analyzed at LLNL by low level liquid scintillation counting and noble gas mass spectrometry after helium accumulation. Variations in tracer concentrations in precipitation, both for tritium (11-24 pCi/L) and sulfur-35 (24-100 mBq/L), complicate straightforward interpretation of residence times. Sulfur-35 concentrations show that last year precipitation contributes 1% - 10% of total stream flow, even during peak snowmelt. Tritium concentrations in stream flow vary between 40% and 60% of the initial concentration in precipitation (15.5 pCi/L), indicating that water leaving the catchment has a residence time on the order of years to decades. Additional analyses of sodium-22 (2.6 year half-life) will aid in deconvoluting the residence time distribution. These low tracer concentrations can be attributed to current severe drought conditions, resulting in low discharge rates and longer residence times. This work performed under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under Contract DE-AC52-07NA27344. LLNL-ABS-675107

  10. CO2 flux and seasonal variability in the turbidity maximum zone and surrounding area in the Changjiang River estuary

    NASA Astrophysics Data System (ADS)

    Li, Xuegang; Song, Jinming; Yuan, Huamao; Li, Ning; Duan, Liqin; Qu, Baoxiao

    2015-01-01

    The turbidity maximum zone (TMZ) is one of the most important regions in an estuary. However, the high concentration of suspended material makes it difficult to measure the partial pressure of CO2 ( pCO2) in these regions. Therefore, very little data is available on the pCO2 levels in TMZs. To relatively accurately evaluate the CO2 flux in an example estuary, we studied the TMZ and surrounding area in the Changjiang (Yangtze) River estuary. From seasonal cruises during February, August, November 2010, and May 2012, the pCO2 in the TMZ and surrounding area was calculated from pH and total alkalinity (TA) measured in situ, from which the CO2 flux was calculated. Overall, the TMZ and surrounding area acted as a source of atmosphere CO2 in February and November, and as a sink in May and August. The average FCO2 was -9, -16, 5, and 5 mmol/(m2·d) in May, August, November, and February, respectively. The TMZ's role as a source or sink of atmosphere CO2 was quite different to the outer estuary. In the TMZ and surrounding area, suspended matter, phytoplankton, and pH were the main factors controlling the FCO2, but here the influence of temperature, salinity, and total alkalinity on the FCO2 was weak. Organic carbon decomposition in suspended matter was the main reason for the region acting as a CO2 source in winter, and phytoplankton production was the main reason the region was a CO2 sink in summer.

  11. Evaluating the role of soil variability on groundwater pollution and recharge at regional scale by integrating a process-based vadose zone model in a stochastic approach

    NASA Astrophysics Data System (ADS)

    Coppola, Antonio; Comegna, Alessandro; Dragonetti, Giovanna; Lamaddalena, Nicola; Zdruli, Pandi

    2013-04-01

    Interpreting and predicting the evolution of water resources and soils at regional scale are continuing challenges for natural scientists. Examples include non-point source (NPS) pollution of soil and surface and subsurface water from agricultural chemicals and pathogens, as well as overexploitation of groundwater resources. The presence and build up of NPS pollutants may be harmful for both soil and groundwater resources. The accumulation of salts and trace elements in soils can significantly impact crop productivity, while loading of salts, nitrates, trace elements and pesticides into groundwater supplies can deteriorate a source of drinking and irrigation water. Consequently, predicting the spatial distribution and fate of NPS pollutants in soils at applicative scales is now considered crucial for maintaining the fragile balance between crop productivity and the negative environmental impacts of NPS pollutants, which is a basis of sustainable agriculture. Soil scientists and hydrologists are regularly asked to assist state agencies to understand these critical environmental issues. The most frequent inquiries are related to the development of mathematical models needed for analyzing the impacts of alternative land-use and best management use and management of soil and water resources. Different modelling solutions exist, mainly differing on the role of the vadose zone and its horizontal and vertical variability in the predictive models. The vadose zone (the region from the soil surface to the groundwater surface) is a complex physical, chemical and biological ecosystem that controls the passage of NPS pollutants from the soil surface where they have been deposited or accumulated due to agricultural activities, to groundwater. Physically based distributed hydrological models require the internal variability of the vadose zone be explored at a variety of scales. The equations describing fluxes and storage of water and solutes in the unsaturated zone used in these

  12. Why are patients with acute stroke admitted to hospital?

    PubMed Central

    Bamford, J; Sandercock, P; Warlow, C; Gray, M

    1986-01-01

    Data on 515 consecutive patients registered with the Oxfordshire Community Stroke Project were used to compare the characteristics of those patients who were admitted to hospital within one month after their first stroke with those who remained in the community during that time. Twenty eight patients had their stroke while in hospital for other conditions, and of the remaining 487, 266 were admitted. Though patients with a severe neurological deficit were significantly more likely to be admitted, 47 out of 202 such patients were managed in the community. In a substudy of 162 consecutive patients the general practitioners' reasons for either arranging admission to hospital or continuing with community care in the first week after the stroke were ascertained. Sixty patients were admitted. The only reason for admission was diagnostic uncertainty in five cases (though this was a contributing factor in 25) and to provide nursing or general, non-medical care in 25. Patients who lived alone were more likely to be admitted. All 12 patients who presented directly to the casualty department were admitted, though only five had had a severe stroke. A stroke service that provides a facility for rapid outpatient and domiciliary diagnosis as well as a rapidly acting domiciliary nursing team might reduce the number of patients with stroke admitted to hospital without adversely affecting the quality of patient care: this should be properly evaluated. PMID:3085852

  13. Integrating distributed temperature sensing and geological characterization to quantify spatiotemporal variability in subsurface heat transport within the Critical Zone

    NASA Astrophysics Data System (ADS)

    Lin, Y. F. F.; Stumpf, A.; Luo, Y.; Kumar, P.

    2015-12-01

    This study is designed to investigate how the ambient ground temperature fluctuates with diurnal and seasonal changes under various hydrogeological system variations as part of the Intensively Managed Landscapes-Critical Zone Observatory. A fiber-optic distributed temperature sensing (FO-DTS) system is used to measure thermal profiles in two adjacent boreholes situated in a complex glaciated landscape. The test site is located in east-central Illinois on a terminal moraine of the Laurentide Ice Sheet. The moraine crosses a buried preglacial bedrock valley that is 50 m deep. The valley fill contains alternating deposits of clayey glacial till and gravelly sand that have varying physical and hydrological properties. In the 100-m-deep borehole, a fiber-optic cable was installed without casing, sealed against the sidewall with grout. This borehole was drilled to the top of bedrock and penetrated a sequence of glacial sediments containing at least two aquifer units. Thick, Early Pleistocene glacial sand and gravel that penetrated near the bedrock forms an aquifer that is part of a regional groundwater system, the Mahomet Aquifer System. The aquifer system is primarily recharged by slow infiltration of surface waters and has been designated by the USEPA as a "Sole Source" of drinking water. At the same location, a second 40-m-deep borehole was drilled through Middle-Late Pleistocene till and fluvioglacial sediment, and a groundwater monitoring well was installed. Fiber-optic cable was attached along the outside of the casing, and the well was screened in a shallower, localized aquifer. At a broad scale, thermal variations in the subsurface appear to be correlated with sediment type. The basal sand and gravel aquifer exhibits a unique thermal profile deviating from patterns at shallower depths. Temperature measurements with 1-m and 0.1°C resolutions have being collected at various temporal scales, ranging from 30-minute to 2-week intervals, since June 2015. The initial

  14. Short-term variability in euphotic zone biogeochemistry and primary productivity at Station ALOHA: A case study of summer 2012

    NASA Astrophysics Data System (ADS)

    Wilson, Samuel T.; Barone, Benedetto; Ascani, Francois; Bidigare, Robert R.; Church, Matthew J.; Valle, Daniela A.; Dyhrman, Sonya T.; Ferrón, Sara; Fitzsimmons, Jessica N.; Juranek, Laurie W.; Kolber, Zbigniew S.; Letelier, Ricardo M.; Martínez-García, Sandra; Nicholson, David P.; Richards, Kelvin J.; Rii, Yoshimi M.; Rouco, Mónica; Viviani, Donn A.; White, Angelicque E.; Zehr, Jonathan P.; Karl, David M.

    2015-08-01

    Time-series observations are critical to understand the structure, function, and dynamics of marine ecosystems. The Hawaii Ocean Time-series program has maintained near-monthly sampling at Station ALOHA (22°45'N, 158°00'W) in the oligotrophic North Pacific Subtropical Gyre (NPSG) since 1988 and has identified ecosystem variability over seasonal to interannual timescales. To further extend the temporal resolution of these near-monthly time-series observations, an extensive field campaign was conducted during July-September 2012 at Station ALOHA with near-daily sampling of upper water-column biogeochemistry, phytoplankton abundance, and activity. The resulting data set provided biogeochemical measurements at high temporal resolution and documents two important events at Station ALOHA: (1) a prolonged period of low productivity when net community production in the mixed layer shifted to a net heterotrophic state and (2) detection of a distinct sea-surface salinity minimum feature which was prominent in the upper water column (0-50 m) for a period of approximately 30 days. The shipboard observations during July-September 2012 were supplemented with in situ measurements provided by Seagliders, profiling floats, and remote satellite observations that together revealed the extent of the low productivity and the sea-surface salinity minimum feature in the NPSG.

  15. Influence of Variable Environmental Conditions on Presence and Concentration of Energetic Chemicals Near Soil Surface in the Vadoze Zone

    NASA Astrophysics Data System (ADS)

    Anaya, A. A.; Padilla, I. Y.

    2008-12-01

    Many explosive-related compounds (ERCs) are found near the soil-atmospheric surface in sites containing buried explosive devices, such as landmines and unexploded ordnance, detonation-residual, and munitions residues from explosive manufacturing facilities. Accurate assessment of the fate and transport processes is essential for predicting their movement to the surface, groundwater, or any other important environmental compartment. The transport processes controlling the direction and magnitude of the movement, and chemical and physical processes controlling the fate of the chemicals vary with environmental conditions. This research addresses the effect of variable rainfall, evaporation, temperature, and solar radiation on fate and transport of 2,4,6-Trinitrotoluene (TNT), 2,4-Dinitrotoluene (DNT), and other related chemicals in partially saturated soil. Experiments have been conducted in a laboratory-scale 3D SoilBed placed inside an environmental chamber equipped with rainfall and solar radiation simulators, and temperature control settings. The SoilBed was packed with a sandy soil. Experiments have been conducted by burying a TNT/DNT source, simulating a landmine, and applying different rainfall and light radiation cycles while monitoring DNT, TNT, and other related ERCs solute concentrations temporally and spatially within the SoilBed. Experiments include different source characteristics, rainfall intensities, temperatures, and radiation cycles to evaluate their effect on the detection and movement of ERC in soils in both aqueous and vapor phases. Temporal and spatial data has been analyzed comparatively and quantitatively. Comparative analysis was developed using surfer®- and voxler®-generated images and 3D visualization models applying spatial interpolation and masking methods. Single and multi-variable statistical analysis has been employed to determine the most important factors affecting the fate, transport and detection of ERC near soil

  16. Wind forcing and short-term variability of phytoplankton and heterotrophic bacterioplankton in the coastal zone of the Concepción upwelling system (Central Chile)

    NASA Astrophysics Data System (ADS)

    Daneri, Giovanni; Lizárraga, Lorena; Montero, Paulina; González, Humberto E.; Tapia, Fabián J.

    2012-01-01

    Along South-Central Chile, upwelling-favorable winds do not blow steadily equatorward, and may remain calm or even reverse for periods of 2-8 days shifting the balance between water column stability and replenishment of inorganic nutrients to the photic zone. In this study, we focus on the short-term variability of phytoplankton and heterotrophic bacterioplankton associated with the temporal variability in upwelling at a single nearshore station at the entrance of Coliumo Bay, Central Chile. In situ sampling took place every other day between 24 January and 14 February 2007. Observed variability of wind, sea surface temperature, and surface chlorophyll concentrations during the preceding weeks and throughout our experiments indicated that nearshore productivity was tightly coupled to local upwelling conditions. Gross primary production remained relatively low (22.5 ± 6.1 μg C L -1 h -1) during the first 8 days (24 January-1 February), and increased six fold (142.4 ± 67.1 μg C L -1 h -1) during the second period (3-14 February). Average in situ chlorophyll concentrations increased from 2.0 ± 0.6 mg m -3 to 6.3 ± 3.8 mg m -3 over the same period. Bacterial Carbon Demand presented higher values (5-29.2 μg C L -1 h -1) during the first 6 days of sampling and lower values (<0.1 μg C L -1 h -1) for the rest of study period. Our results show that both biological productivity and the structure of the planktonic community can vary considerably due to short-term changes in wind conditions. Hence, previous productivity estimates for the Concepción upwelling ecosystem - based on observations gathered at lower frequencies - may not truly reflect its productivity potential.

  17. Interdecadal-decadal climate variability from multicoral oxygen isotope records in the South Pacific Convergence Zone region since 1650 A.D.

    NASA Astrophysics Data System (ADS)

    Linsley, Braddock K.; Zhang, Peipei; Kaplan, Alexey; Howe, Stephen S.; Wellington, Gerard M.

    2008-06-01

    In the South Pacific, interdecadal-decadal oceanic and atmospheric variability, referred to as the Interdecadal Pacific Oscillation (IPO), is most pronounced in the South Pacific Convergence Zone (SPCZ) salinity front region. Here we have used annual average oxygen isotope (δ18O) time series from five coral cores collected from Fiji and Tonga in this region to construct a Fiji-Tonga Interdecadal-Decadal Pacific Oscillation (F-T IDPO) index of low-frequency (>9 and <55 years) climate variability back to 1650 A.D. We first demonstrate the consistency between this F-T IDPO index and a mean sea level (MSL) pressure-based SPCZ position index (SPI) (1891-2000), thus verifying the ability of coral δ18O to record past interdecadal-decadal climatic variations in this region back to 1891. The F-T IDPO index is then shown to be synchronous with the IPO index (1856-2000), suggesting that this coral-based index effectively represents the interdecadal-decadal scale climate variance back to 1650. The regularity of the F-T IDPO index indicates that interdecadal-decadal variability in the SPCZ region has been relatively constant over the past 350 years with a mean frequency of ˜20 years (variance peaks near 11 and 35 years). There is a consistent antiphase correlation of the F-T IDPO index and the interdecadal-decadal components in equatorial Pacific coral δ18O series from Maiana and Palmyra. This observation indicates that the eastward expansion (westward contraction) of the eastern salinity front of the Western Pacific Warm Pool (WPWP) occurs simultaneously (±<1 year) with the westward (eastward) shift of the SPCZ salinity front during positive IPO (negative IPO) phases. This is the same relationship observed during the phases of the El Niño Southern Oscillation.

  18. Influence of climate variability on water partitioning and effective energy and mass transfer (EEMT) in a semi-arid critical zone

    NASA Astrophysics Data System (ADS)

    Zapata-Rios, X.; Brooks, P. D.; Troch, P. A.; McIntosh, J.; Rasmussen, C.

    2015-08-01

    The Critical Zone (CZ) is the heterogeneous, near-surface layer of the planet that regulates life-sustaining resources. Previous research has demonstrated that a quantification of the influxes of effective energy and mass (EEMT) to the CZ can predict its structure and function. In this study, we quantify how climate variability in the last three decades (1984-2012) has affected water availability and the temporal trends in EEMT. This study takes place in the 1200 km2 upper Jemez River Basin in northern New Mexico. The analysis of climate, water availability, and EEMT was based on records from two high elevation SNOTEL stations, PRISM data, catchment scale discharge, and satellite derived net primary productivity (MODIS). Records from the two SNOTEL stations showed clear increasing trends in winter and annual temperatures (+1.0-1.3 °C decade-1; +1.2-1.4 °C decade-1, respectively), decreasing trends in winter and annual precipitation (-41.6-51.4 mm decade-1; -69.8-73.2 mm decade-1, respectively) and maximum Snow Water Equivalent (SWE; -33.1-34.7 mm decade-1). The water partitioning fluxes at the basin scale showed statistically significant decreasing trends in precipitation (-61.7 mm decade-1), discharge (-17.6 mm decade-1) and vaporization (-45.7 mm decade-1). Similarly Q50, an indicator of snowmelt timing, is occurring 4.3 days decade-1 earlier. Results from this study indicated a decreasing trend in water availability, a reduction in forest productivity (4 g C m-2 per 10 mm of reduction in Precipitation) and EEMT (1.2-1.3 MJ m2 decade-1). These changes in EEMT point towards a hotter, drier and less productive ecosystem which may alter critical zone processes in high elevation semi-arid systems.

  19. Variable quartz lattice preferred orientation patterns within a mylonite from the Rockfish Valley Shear Zone of the Central Virginia Blue Ridge

    NASA Astrophysics Data System (ADS)

    Rahl, J. M.; Wala, V. T.; Roth, K. A.; Skemer, P. A.

    2013-12-01

    The lattice preferred orientation (LPO) patterns that develop during strain reflect deformation conditions, such as strain magnitude, shear sense, and deformation temperature. We present quartz LPO results from a suite of samples collected from a single mylonitic outcrop in the Rockfish Valley Shear Zone in the Blue Ridge of Virginia. In these rocks, quartz occurs both within elongate recrystallized ribbons and as isolated porphyroclasts, typically 250-500 μm long, surrounded by a mica-rich matrix. The quartz LPO patterns reveal a wide range of fabrics despite origination from a single outcrop. In the highly recrystallized ribbons and in some isolated porphyroclasts, well-developed c-axis fabrics are consistent with basal slip. In contrast, other isolated porphyroclasts show lower degrees of crystallization and LPO fabrics are strong but randomly oriented with respect to the macroscopic foliation. We interpret these fabrics to represent the orientation of the porphyroclast prior to deformation. In still other porphyroclasts, fabrics are less well-developed and appear transitional between an initial crystal orientation and the well-developed fabric observed in the highly recrystallized ribbons. Together, these observations suggest that quartz LPO patterns within individual porphyroclasts evolve towards a steady state fabric at different rates, even within samples that share a deformational and temperature history. Possible explanations for the variable recrystallization among these individual porphyroclasts are heterogeneous strain within the sample and/or orientation effects. We infer that ductile shear zones with abundant quartz and mica may require extremely large shear strains in order to reach rheological steady state.

  20. Fluids preserved in variably altered graphitic pelitic schists in the Dufferin Lake Zone, south-central Athabasca Basin, Canada: implications for graphite loss and uranium deposition

    NASA Astrophysics Data System (ADS)

    Pascal, Marjolaine; Boiron, Marie-Christine; Ansdell, Kevin; Annesley, Irvine R.; Kotzer, Tom; Jiricka, Dan; Cuney, Michel

    2016-06-01

    The Athabasca Basin (Canada) contains the highest grade unconformity-type uranium deposits in the world. Underlying the Athabasca Group sedimentary rocks of the Dufferin Lake Zone are variably graphitic, pelitic schists (VGPS), altered to chlorite and hematite (Red/Green Zone: RGZ). They were locally bleached near the unconformity during paleoweathering and/or later fluid interaction. Overall, graphite was lost from the RGZ and the bleached zone relative to the original VGPS. Fluid inclusions were examined in different generations of quartz veins, using microthermometry and Raman spectroscopy, to characterize and compare the different fluids that interacted with the RGZ and the VGPS. In the VGPS, CH4-, and N2-rich fluid inclusions, which homogenize into the vapor phase between -100 and -74 °C, and -152 and -125 °C, respectively, and CO2-rich fluid inclusions, homogenizing either into vapor or liquid between 20 and 28 °C, are present. Carbonic fluids could be the result of the breakdown of graphite to CH4 + CO2, whereas N2-rich fluid is interpreted to be the result of breakdown of feldspars/micas to NH4 ++N2. In the RGZ, the presence of fluid inclusions with low ice melting temperature (-38 to -16 °C) reflect the presence of CaCl2, and fluid inclusions with halite daughter minerals that dissolve between 190 and 240 °C indicate the presence of highly saline fluids. These fluids are interpreted to be derived from the Athabasca Basin. The circulation of carbonic fluids and brines occurred during two different events related to different P-T conditions of trapping. The carbonic fluids interacted with basement rocks during retrograde metamorphism of the basement rocks before deposition of the Athabasca Basin, whereas the brines circulated after the deposition of the Athabasca Basin. These latter fluids are similar to brines related to uranium mineralization at McArthur River and thus, in addition to possibly being related to graphite depletion in the RGZ, they could

  1. Analysing the Information Content of Point Measurements of the Vadose Zone State Variables for the Inverse Estimation of Soil Hydraulic Parameters

    NASA Astrophysics Data System (ADS)

    Werisch, S.; Lennartz, F.

    2014-12-01

    Inverse modeling has become a common approach to infer the parameters of the water retention and hydraulic conductivity functions from observations of the vadose zone state variables during dynamic experiments under varying boundary conditions. This study focuses on the estimation and investigation of the feasibility of effective soil hydraulic properties to describe the soil water flow in an undisturbed 1m³ lysimeter. The lysimeter is equipped with 6 one-dimensional observation arrays consisting of 4 tensiometers and 4 water content probes each, leading to 6 replicated one-dimensional observations which establish the calibration data base. Methods of global sensitivity analysis and multiobjective calibration strategies have been applied to examine the information content about the soil hydraulic parameters of the Mualem-van Genuchten (MvG) model contained in the individual data sets, to assess the tradeoffs between the different calibration data sets and to infer effective soil hydraulic properties for each of the arrays. The results show that (1) information about the MvG model parameters decreases with increasing depth, due to effects of overlapping soil layers and reduced soil water dynamics, (2) parameter uncertainty is affected by correlation between the individual parameters. Despite these difficulties, (3) effective one-dimensional parameter sets, which produce satisfying fits and have acceptable trade-offs, can be identified for all arrays, but (4) the array specific parameter sets vary significantly and cannot be transferred to simulate the water flow in other arrays, and (5) none of the parameter sets is suitable to simulate the integral water flow within the lysimeter. The results of the study challenge the feasibility of the inversely estimated soil hydraulic properties from multiple point measurements of the soil hydraulic state variables. Relying only on point measurements of the state variables, which is the usual case, inverse modeling can lead to

  2. Mapping and assessing variability in the Antarctic marginal ice zone, pack ice and coastal polynyas in two sea ice algorithms with implications on breeding success of snow petrels

    NASA Astrophysics Data System (ADS)

    Stroeve, Julienne C.; Jenouvrier, Stephanie; Campbell, G. Garrett; Barbraud, Christophe; Delord, Karine

    2016-08-01

    Sea ice variability within the marginal ice zone (MIZ) and polynyas plays an important role for phytoplankton productivity and krill abundance. Therefore, mapping their spatial extent as well as seasonal and interannual variability is essential for understanding how current and future changes in these biologically active regions may impact the Antarctic marine ecosystem. Knowledge of the distribution of MIZ, consolidated pack ice and coastal polynyas in the total Antarctic sea ice cover may also help to shed light on the factors contributing towards recent expansion of the Antarctic ice cover in some regions and contraction in others. The long-term passive microwave satellite data record provides the longest and most consistent record for assessing the proportion of the sea ice cover that is covered by each of these ice categories. However, estimates of the amount of MIZ, consolidated pack ice and polynyas depend strongly on which sea ice algorithm is used. This study uses two popular passive microwave sea ice algorithms, the NASA Team and Bootstrap, and applies the same thresholds to the sea ice concentrations to evaluate the distribution and variability in the MIZ, the consolidated pack ice and coastal polynyas. Results reveal that the seasonal cycle in the MIZ and pack ice is generally similar between both algorithms, yet the NASA Team algorithm has on average twice the MIZ and half the consolidated pack ice area as the Bootstrap algorithm. Trends also differ, with the Bootstrap algorithm suggesting statistically significant trends towards increased pack ice area and no statistically significant trends in the MIZ. The NASA Team algorithm on the other hand indicates statistically significant positive trends in the MIZ during spring. Potential coastal polynya area and amount of broken ice within the consolidated ice pack are also larger in the NASA Team algorithm. The timing of maximum polynya area may differ by as much as 5 months between algorithms. These

  3. Outcomes for patients with lung cancer admitted to intensive care units

    PubMed Central

    Müller, Alice Mânica; Gazzana, Marcelo Basso; Silva, Denise Rossato

    2013-01-01

    Objective This study aimed to evaluate the outcomes for patients with lung cancer admitted to intensive care units and assess their clinical and demographic profiles. Methods Retrospective, analytical, observational study, wherein the outcomes for patients diagnosed with lung cancer admitted to the intensive care unit of university hospital from January 2010 until February 2011 were evaluated. Results Thirty-four patients' medical records were included. Twenty-six (76.5%) patients received some type of ventilatory support, of whom 21 (61.8%) used invasive mechanical ventilation and 11 (32.4%) used noninvasive ventilation at some point during their stay at the intensive care unit. Regarding mortality, 12 (35.3%) patients died during hospitalization at the intensive care unit, totaling 15 (44.1%) deaths during the entire hospitalization period; 19 (55.9%) patients were discharged from the hospital. The analysis of the variables showed that the patients who died had remained on invasive mechanical ventilation for a longer period 5.0 (0.25 to 15.0) days than the survivors (1.0 (0 to 1.0) days) (p=0.033) and underwent dialysis during their stay at the intensive care unit (p=0.014). Conclusions The mortality of patients with lung cancer admitted to the intensive care unit is associated with the time spent on invasive mechanical ventilation and the need for dialysis. PMID:23887754

  4. A Profile of the Newly-Admitted Nursing Home Resident.

    ERIC Educational Resources Information Center

    Erber, Joan T.; Dye, Carol J.

    1982-01-01

    Recently admitted nursing home residents received a battery of psychological tests and were rated on a number of behavioral indices. Results revealed the morale/anxiety dimension was independent of cognitive competency, internally controlled residents were rated high by others in behavioral competency, and self-rating scales measure something…

  5. DISQUALIFIED STUDENTS ADMITTED TO THE FALL, 1965 SEMESTER.

    ERIC Educational Resources Information Center

    BISSIRI, AUGUST

    ANALYSIS OF THE RECORDS OF 387 STUDENTS ADMITTED TO LOS ANGELES CITY COLLEGE (LACC) AFTER DISQUALIFICATION FROM VARIOUS COLLEGES, INCLUDING LACC, PROVIDES GUIDELINES FOR USE IN COUNSELING DISQUALIFIED STUDENTS. AS COMPARED TO THE TOTAL SCHOOL POPULATION, THESE STUDENTS TEND TO BE SLIGHTLY OLDER, THERE ARE MORE MALES, THEY ALL HAVE HAD PREVIOUS…

  6. Admitting Failure (With a Little Help from My Friends)

    ERIC Educational Resources Information Center

    Cooper, Sarah

    2015-01-01

    Teachers who are no longer considered novices can have a difficult time admitting failures. There is an expectation that teachers should be "on" all the time, but disorientation can happen even to veteran teachers--or maybe especially to veteran teachers--if expectations are too high. Sarah Cooper, an experienced teacher and dean of…

  7. The anatomic variability of the coronary vasculature of the human heart--part I: functional vascular zones--a morphological view.

    PubMed

    Pejković, Bozena; Krajnc, Ivan

    2004-06-30

    The myocardium may be divided into distinct zones which act as functional units of the coronary vascular network. The basic principle of this functional systematization of cardiac blood vessels is a constant relationship between the "distributing" and the "delivering" vessels. Six arterial zones of the myocardium are identified under this scheme: anterior right ventricular, lateral left ventricular, posterior left ventricular, interventricular septal, posterior right ventricular, and atrial. The distributing vessels of functional myocardial zones are most frequently both arterial and venous. However, between the lateral and posterior left ventricular zones there is sometimes only the left marginal vein (24%) or left marginal artery (20%). Between the atrial and posterior right ventricular zones there is sometimes only the right coronary artery (52%), or only the small cardiac vein (14%) as a distributing vessel. Between the left and the right posterior ventricular zones there is sometimes an arterial and sometimes a venous distributing vessel (10%). Between the posterior and anterior right ventricular zones there is either the artery (21%) or the right marginal vein (8%) as a distributing vessel. The permanence of the six functional myocardial zones is determined not only by the arterial but also by the venous distributing vessels, and in some cases the venous vessels are the only distributing vessels between certain zones.

  8. Nitrate and Nitrite Variability at the Seafloor of an Oxygen Minimum Zone Revealed by a Novel Microfluidic In-Situ Chemical Sensor.

    PubMed

    Yücel, Mustafa; Beaton, Alexander D; Dengler, Marcus; Mowlem, Matthew C; Sohl, Frank; Sommer, Stefan

    2015-01-01

    Microfluidics, or lab-on-a-chip (LOC) is a promising technology that allows the development of miniaturized chemical sensors. In contrast to the surging interest in biomedical sciences, the utilization of LOC sensors in aquatic sciences is still in infancy but a wider use of such sensors could mitigate the undersampling problem of ocean biogeochemical processes. Here we describe the first underwater test of a novel LOC sensor to obtain in situ calibrated time-series (up to 40 h) of nitrate+nitrite (ΣNOx) and nitrite on the seafloor of the Mauritanian oxygen minimum zone, offshore Western Africa. Initial tests showed that the sensor successfully reproduced water column (160 m) nutrient profiles. Lander deployments at 50, 100 and 170 m depth indicated that the biogeochemical variability was high over the Mauritanian shelf: The 50 m site had the lowest ΣNOx concentration, with 15.2 to 23.4 μM (median=18.3 μM); while at the 100 site ΣNOx varied between 21.0 and 30.1 μM over 40 hours (median = 25.1 μM). The 170 m site had the highest median ΣNOx level (25.8 μM) with less variability (22.8 to 27.7 μM). At the 50 m site, nitrite concentration decreased fivefold from 1 to 0.2 μM in just 30 hours accompanied by decreasing oxygen and increasing nitrate concentrations. Taken together with the time series of oxygen, temperature, pressure and current velocities, we propose that the episodic intrusion of deeper waters via cross-shelf transport leads to intrusion of nitrate-rich, but oxygen-poor waters to shallower locations, with consequences for benthic nitrogen cycling. This first validation of an LOC sensor at elevated water depths revealed that when deployed for longer periods and as a part of a sensor network, LOC technology has the potential to contribute to the understanding of the benthic biogeochemical dynamics. PMID:26161958

  9. Nitrate and Nitrite Variability at the Seafloor of an Oxygen Minimum Zone Revealed by a Novel Microfluidic In-Situ Chemical Sensor

    PubMed Central

    Yücel, Mustafa; Beaton, Alexander D.; Dengler, Marcus; Mowlem, Matthew C.; Sohl, Frank; Sommer, Stefan

    2015-01-01

    Microfluidics, or lab-on-a-chip (LOC) is a promising technology that allows the development of miniaturized chemical sensors. In contrast to the surging interest in biomedical sciences, the utilization of LOC sensors in aquatic sciences is still in infancy but a wider use of such sensors could mitigate the undersampling problem of ocean biogeochemical processes. Here we describe the first underwater test of a novel LOC sensor to obtain in situ calibrated time-series (up to 40 h) of nitrate+nitrite (ΣNOx) and nitrite on the seafloor of the Mauritanian oxygen minimum zone, offshore Western Africa. Initial tests showed that the sensor successfully reproduced water column (160 m) nutrient profiles. Lander deployments at 50, 100 and 170 m depth indicated that the biogeochemical variability was high over the Mauritanian shelf: The 50 m site had the lowest ΣNOx concentration, with 15.2 to 23.4 μM (median=18.3 μM); while at the 100 site ΣNOx varied between 21.0 and 30.1 μM over 40 hours (median = 25.1μM). The 170 m site had the highest median ΣNOx level (25.8 μM) with less variability (22.8 to 27.7 μM). At the 50 m site, nitrite concentration decreased fivefold from 1 to 0.2 μM in just 30 hours accompanied by decreasing oxygen and increasing nitrate concentrations. Taken together with the time series of oxygen, temperature, pressure and current velocities, we propose that the episodic intrusion of deeper waters via cross-shelf transport leads to intrusion of nitrate-rich, but oxygen-poor waters to shallower locations, with consequences for benthic nitrogen cycling. This first validation of an LOC sensor at elevated water depths revealed that when deployed for longer periods and as a part of a sensor network, LOC technology has the potential to contribute to the understanding of the benthic biogeochemical dynamics. PMID:26161958

  10. Thermal variability within the hyporheic zone of an Alpine stream gravel bar is influenced by solar radiation and other climatic factors

    NASA Astrophysics Data System (ADS)

    Boodoo, Kyle; Schelker, Jakob; Battin, Tom

    2016-04-01

    Gravel bars with largely unsubmerged surface areas exposed to the atmosphere are recipient to high levels of incoming radiation during the day, particularly during summer months. Transfer of heat from the atmosphere downward into the hyporheic zone (HZ) below a gravel bar (GB) can thus possibly lead to the alteration of the vertical temperature profile within its HZ, with implications for physical and biogeochemical processes therein. Here we present results from the analysis of seasonal, high frequency spatio-temporal data including, vertical hyporheic temperature, physical parameters and climatic data for a GB located within an Alpine cold water stream (Oberer Seebach, Austria). Vertical temperature profiles throughout the GB were analyzed together with corresponding climatic data for different seasons to elucidate the spatio-temporal variability of HZ temperature gradients in relation to air temperature, incoming global radiation and stream discharge.Initial analyses indicate a clear seasonal difference between Summer and Autumn temperature profiles throughout the GB, with a strongly developed, exponentially decreasing temperature-depth gradient throughout the GB during summer months. In contrast, this observed gradient substantially weakened or collapsed during autumn months. Furthermore, the highest absolute temperatures and steepest depth gradients within the HZ occurred during summer days, coinciding with the falling hydrograph,where hyporheic temperatures exceeded that of both surface water and groundwater. These findings point to the effect of solar radiation and/or air temperature as a contributor to GB temperatures, possibly influencing diurnal and seasonal GB temperature profiles.Overall, our results suggest that not only the mixing of groundwater and streamwater, but also heat transfer associated with solar radiation and/or air temperature may act as an important driver of HZ temperature, particularly during summer months. This may have implications

  11. Hillslope-scale variability in seasonal frost depth and soil water content investigated by GPR on the southern margin of the sporadic permafrost zone on the Tibetan Plateau

    NASA Astrophysics Data System (ADS)

    Zubrzycki, S.; Ma, Y.; Zhang, Y.

    2015-12-01

    Ground temperature data show that permafrost has recently been absent at a site on the southern edge of the sporadic permafrost zone on the Tibetan Plateau (TP). A detailed survey of seasonal frost depth (SFD) and soil water content (SWC) here is significant for understanding the hydrological response to thawing permafrost. However, little is known about the spatial heterogeneity of SFD and SWC at the hillslope-scale in this vulnerable permafrost region. Thus, high-frequency ground-penetrating radar (GPR) was applied to a field site that varied in terms of topography (slope, aspect and elevation) and surface environments (vegetation cover and stream presence). The GPR data and accompanying field observations of gravimetric water content and frost depth revealed a spatial variation at the hillslope-scale in SFD and SWC, and indicated that topography, vegetation and stream distribution significantly influence the patterns observed. The average SFD was much deeper along the north-facing slope, compared to the south-facing slope in early May and its thickness varied considerably with altitude along each slope. An increase in the extent of vegetation cover correlated with decreasing SFD. The SWC at shallow depth was higher along the south-facing slope than along the north-facing slope in the beginning of the thawing period. For slopes of both aspects, the SWC vertical profiles exhibited a similar variability, with SWC decreasing with depth, but at different rates. This study demonstrates that GPR provides an appropriate method for quantifying soil water content at hillslope scale on the Tibetan Plateau.

  12. 15 CFR 30.52 - Foreign Trade Zones.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... requirements contained in CBP regulations 19 CFR 146, “Foreign Trade Zones.”) When foreign goods are admitted into a FTZ, the zone operator is required to file CBP-214, “Application for Foreign Trade Zone... CFR 146.32(a), the applicant for admission shall present CBP-214 to the Port Director and...

  13. The challenge of admitting the very elderly to intensive care.

    PubMed

    Nguyen, Yên-Lan; Angus, Derek C; Boumendil, Ariane; Guidet, Bertrand

    2011-01-01

    The aging of the population has increased the demand for healthcare resources. The number of patients aged 80 years and older admitted to the intensive care unit (ICU) increased during the past decade, as has the intensity of care for such patients. Yet, many physicians remain reluctant to admit the oldest, arguing a "squandering" of societal resources, that ICU care could be deleterious, or that ICU care may not actually be what the patient or family wants in this instance. Other ICU physicians are strong advocates for admission of a selected elderly population. These discrepant opinions may partly be explained by the current lack of validated criteria to select accurately the patients (of any age) who will benefit most from ICU hospitalization. This review describes the epidemiology of the elderly aged 80 years and older admitted in the ICU, their long-term outcomes, and to discuss some of the solutions to cope with the burden of an aging population receiving acute care hospitalization. PMID:21906383

  14. Inclusion of carers when confused relatives are admitted to hospital.

    PubMed

    Barber, Jeanette

    2015-06-01

    It is well recognised that many older people have dementia but have never been investigated or received a formal diagnosis. If they are admitted to acute hospitals from their own homes or long-term care settings with confusion and little background information about their usual condition, it can be challenging for staff to determine if they have dementia, delirium, delirium superimposed on pre-existing dementia or confusion with a reversible cause such as vitamin deficiency. A careful history and information seeking from carers or family members about their loved one's pre-admission baseline can inform nursing and medical assessments and help nurses to provide high quality care. PMID:26018488

  15. Outcome of patients admitted to an acute geriatric medical unit

    PubMed Central

    Devine, M J; McAleer, J J A; Gallagher, P M; Beirne, J A; McElroy, J G

    1986-01-01

    To find out what happens to patients admitted to an acute geriatric medical unit, all admissions during 1982 were reviewed. Demographic features were compared with those of the community served, and rehabilitation, inpatient mortality and mortality in the year following discharge were assessed. Inpatients accounted for 4% of the community aged over 65, and most patients were discharged back to the community. Inpatient mortality was 25% and mortality in the year following discharge was 23%, giving a two year mortality of 42%, which was similar in all age groups. The achievement of high rehabilitation rates was tempered by the considerable mortality rates following discharge. PMID:3739060

  16. Girl scouts face complaints over reluctance to admit girl.

    PubMed

    1999-04-01

    A claim filed by the Legal Action Center alleges that the Girl Scouts USA and the Adirondack Girl Scout Council discriminated against 8-year-old [name removed] [name removed] by refusing to admit her because she has HIV. One complaint, filed in the New York State's Division of Human Rights, alleged that the Adirondack Council denied the girl equal access based on New York's human rights law. A second complaint alleged that the Girl Scouts USA aided and abetted in the discrimination by not requiring the Adirondack unit to comply with national organization policy barring discrimination based on disability. The girl has been successfully placed in another troop.

  17. Girl scouts face complaints over reluctance to admit girl.

    PubMed

    1999-04-01

    A claim filed by the Legal Action Center alleges that the Girl Scouts USA and the Adirondack Girl Scout Council discriminated against 8-year-old [name removed] [name removed] by refusing to admit her because she has HIV. One complaint, filed in the New York State's Division of Human Rights, alleged that the Adirondack Council denied the girl equal access based on New York's human rights law. A second complaint alleged that the Girl Scouts USA aided and abetted in the discrimination by not requiring the Adirondack unit to comply with national organization policy barring discrimination based on disability. The girl has been successfully placed in another troop. PMID:11366636

  18. Ultraviolet-Visible and Fluorescence Analyses Reveal the Spatial and Seasonal Variability of Dissolved Organic Matter through the Vadose Zone to Groundwater at the Rifle, Colorado River Floodplain Site

    NASA Astrophysics Data System (ADS)

    Dong, W.; Wan, J.; Tokunaga, T. K.; Gilbert, B.; Kim, Y.; Williams, K. H.

    2014-12-01

    Dissolved organic matter (DOM) is a complex and poorly understood mixture of natural organic compounds that play important roles in terrestrial C transport and biogeochemical cycles, and its reactivity makes it sensitive to seasonal variations and longer term climate change. As a component within the LBNL Science Focus Area 2.0, this study is designed to determine the spatial and temporal variability of DOM concentrations and characteristics throughout the vadose zone and groundwater within a semi-arid floodplain at Rifle, Colorado. Three sets of vertically stratified pore water samplers and wells were installed along a groundwater flow transect. These installations allowed acquisition of vertically- and temporally-resolved pore water samples from the vadose zone, capillary fringe, and saturated zone from April 2013 to May 2014. Ultraviolet-visible absorbance (UVA) and fluorescence excitation-emission matrix (EEM) spectroscopy are being applied to trace the changes in DOM characteristics. Initial results indicate that the aromatic C contents (%) of DOM vary with depth and season and exhibit patterns distinct from groundwater. EEM analysis identified fulvic- and humic-like substances as the major fluorescent components of DOM in pore water samples. The concentrations of fulvic- and humic-like matter decreases with depth within the vadose zone, and increases from Spring and Summer to Fall, then decreases in Winter. The trend is consistent with UVA results. Microbial by-product-like components in DOM show higher concentrations in the vadose zone, and decrease from Spring to Winter. Fulvic- and humic-like substances are the only detectable fluorophore components in the groundwater samples. The results from both UVA and EEM suggest that (1) aromatic C or fulvic- and humic-like matter are preferentially adsorbed within shallower sediments during transport; and (2) microbial transformations of DOM composition may occur in the vadose zone, particularly during late Spring

  19. Vulnerabilities of children admitted to a pediatric inpatient care unit☆

    PubMed Central

    de Oliveira, Larissa Natacha; Breigeiron, Márcia Koja; Hallmann, Sofia; Witkowski, Maria Carolina

    2014-01-01

    OBJECTIVE: To identify the vulnerabilities of children admitted to a pediatric inpatient unit of a university hospital. METHODS: Cross-sectional, descriptive study from April to September 2013 with36 children aged 30 days to 12 years old, admitted to medical-surgical pediatric inpatient units of a university hospital and their caregivers. Data concerning sociocultural, socioeconomic and clinical context of children and their families were collected by interview with the child caregiver and from patients, records, and analyzed by descriptive statistics. RESULTS: Of the total sample, 97.1% (n=132) of children had at least one type of vulnerability, the majority related to the caregiver's level of education, followed by caregiver's financial situation, health history of the child, caregiver's family situation, use of alcohol, tobacco, and illicit drugs by the caregiver, family's living conditions, caregiver's schooling, and bonding between the caregiver and the child. Only 2.9% (n=4) of the children did not show any criteria to be classified in a category of vulnerability. CONCLUSIONS: Most children were classified has having a social vulnerability. It is imperative to create networks of support between the hospital and the primary healthcare service to promote healthcare practices directed to the needs of the child and family. PMID:25511001

  20. New algorithm of mortality risk prediction for cardiovascular patients admitted in intensive care unit

    PubMed Central

    Moridani, Mohammad Karimi; Setarehdan, Seyed Kamaledin; Nasrabadi, Ali Motie; Hajinasrollah, Esmaeil

    2015-01-01

    Objective: Recognizing and managing of admitted patients in intensive care unit (ICU) with high risk of mortality is important for maximizing the patient’s outcomes and minimizing the costs. This study is based on linear and nonlinear analysis of heart rate variability (HRV) to design a classifier for mortality prediction of cardio vascular patients admitted to ICU. Methods: In this study we evaluated 90 cardiovascular ICU patients (45 males and 45 females). Linear and nonlinear features of HRV include SDNN, NN50, low frequency (LF), high frequency (HF), correlation dimension, approximate entropy; detrended fluctuation analysis (DFA) and Poincaré plot were analyzed. Paired sample t-test was used for statistical comparison. Finally, we fed these features to the Multi-Layer Perceptron (MLP) and Support Vector Machines (SVMs) to find a robust classification method to classify the patients with low risk and high risk of death. Results: Almost all HRV features measuring heart rate complexity were significantly decreased in the episode of half-hour before death. The results generated based on SVM and MLP classifiers show that SVM classifier is enable to distinguish high and low risk episodes with the total classification sensitivity, specificity, positive productivity and accuracy rate of 97.3%, 98.1%, 92.5% and 99.3%, respectively. Conclusions: The results of the current study suggest that nonlinear features of the HRV signals could be show nonlinear dynamics. PMID:26309114

  1. Predictors of PTSD symptoms in adults admitted to a Level I trauma center: a prospective analysis.

    PubMed

    Powers, Mark B; Warren, Ann Marie; Rosenfield, David; Roden-Foreman, Kenleigh; Bennett, Monica; Reynolds, Megan C; Davis, Michelle L; Foreman, Michael L; Petrey, Laura B; Smits, Jasper A J

    2014-04-01

    Trauma centers are an ideal point of intervention in efforts to prevent posttraumatic stress disorder (PTSD). In order to assist in the development of prevention efforts, this study sought to identify early predictors of PTSD symptoms among adults admitted to a Level I trauma center using a novel analytic strategy (Fournier et al., 2009). Upon admission, participants (N=327) were screened for PTSD symptoms and provided information on potential predictor variables. Their PTSD symptoms were assessed again 3 months later (N=227). Participants were classified as symptomatic (positive PTSD screen) or asymptomatic (negative PTSD screen) at the follow-up assessment. Multinomial logistic regression showed that age, depression, number of premorbid psychiatric disorders, gunshot wound, auto vs. pedestrian injury, and alcohol use predicted who had PTSD symptoms at FU with 76.3% accuracy. However, when controlling for PTSD severity at baseline, only age, number of premorbid psychiatric disorders, and gunshot wounds predicted PTSD symptoms at FU but with 78.5% accuracy. These findings suggest that psychological prevention efforts in trauma centers may be best directed toward adults who are young, have premorbid psychiatric disorders, and those admitted with gunshot wounds.

  2. Variability of the horizontal gradients of the air and the water surface temperatures in the vernal frontal zone period of Lake Ladoga

    NASA Astrophysics Data System (ADS)

    Naumenko, M. A.; Guzivaty, V. V.; Karetnikov, S. G.

    2012-11-01

    Every year, the during springtime heating conditions, the seasonal thermal frontal zone appears in Lake Ladoga. It features high horizontal water temperature gradients. The coastal waters, stably stratified in density, interact with the waters of the open lake that are unstably stratified because of the free convection developing in the temperature range between 0°C and the maximum density of the water at 4°C. In Lake Ladoga, the advance of the vernal frontal zone lasts about 7-8 weeks from mid-May to the beginning of July. Both the water temperature and air temperature distributions over the water's surface show that large spatial temperature ranges exist in the vernal front reaching more than 11°C. We investigated the spatial horizontal gradients of the water's surface and the air temperature using a spatial grid with a resolution of 5 km. The surface water temperature and the air temperature gradients were compared with each other as well as with the temperatures in the region of varying depths. During the spring peak of the frontal activity in Lake Ladoga, most of the fronts feature mean temperatures greater than 4°C. This indicates that the thermal bar marks the offshore edge of the most extensive frontal zone.

  3. Nosocomial transmission of rotavirus from patients admitted with diarrhea.

    PubMed Central

    Gaggero, A; Avendaño, L F; Fernández, J; Spencer, E

    1992-01-01

    We studied the transmission of rotavirus (RV) in 950 patients under 2 years of age hospitalized for diarrhea in Santiago, Chile. Stool samples were collected every other day from all patients during their entire hospital stay. To trace nosocomial transmission, we mapped the ward at the time of detection of RV. Comparative study by polyacrylamide gel electrophoresis of 315 RV isolates (180 detected upon admission of patients and 135 attributed to nosocomial transmission) allowed the identification of 18 different electropherotypes. An electropherotype similar to that of a community-acquired case was found in the same room in 81% of nosocomial cases and in the ward in 92% of nosocomial cases. It was concluded that the infants admitted shedding RV are the major source of nosocomial transmission and there was not a RV strain that was particularly transmissible. Images PMID:1333491

  4. Overriding plate deformation and variability of fore-arc deformation during subduction: Insight from geodynamic models and application to the Calabria subduction zone

    NASA Astrophysics Data System (ADS)

    Chen, Zhihao; Schellart, Wouter P.; Duarte, João. C.

    2015-10-01

    In nature, subducting slabs and overriding plate segments bordering subduction zones are generally embedded within larger plates. Such large plates can impose far-field boundary conditions that influence the style of subduction and overriding plate deformation. Here we present dynamic laboratory models of progressive subduction in three-dimensional space, in which the far-field boundary conditions at the trailing edges of the subducting plate (SP) and overriding plate (OP) are varied. Four configurations are presented: Free (both plates free), SP-Fixed, OP-Fixed, and SP-OP-Fixed. We investigate their impact on the kinematics and dynamics of subduction, particularly focusing on overriding plate deformation. The results indicate that the variation in far-field boundary conditions has an influence on the slab geometry, subduction partitioning, and trench migration partitioning. Our models also indicate that in natural (narrow) subduction zones, assuming a homogeneous overriding plate, the formation of back-arc basins (e.g., Tyrrhenian Sea, Aegean Sea, and Scotia Sea) is generally expected to occur at a comparable location (250-700 km from the trench), irrespective of the boundary condition. In addition, our models indicate that the style of fore-arc deformation (shortening or extension) is influenced by the mobility of the overriding plate through controlling the force normal to the subduction zone interface (trench suction). Our geodynamic model that uses the SP-OP-Fixed setup is comparable to the Calabria subduction zone with respect to subduction kinematics, slab geometry, trench curvature, and accretionary configuration. Furthermore, the model can explain back-arc and fore-arc extension at the Calabria subduction zone since the latest middle Miocene as a consequence of subduction of the narrow Calabrian slab and the immobility of the subducting African plate and overriding Eurasian plate. This setting induced strong trench suction, driving fore-arc extension, and

  5. Gravitational instantons admit hyper-Kähler structure

    NASA Astrophysics Data System (ADS)

    Aliev, A. N.; Nutku, Y.

    1999-01-01

    We construct the explicit form of three almost-complex structures that a Riemannian manifold with self-dual curvature admits and show that their Nijenhuis tensors vanish so that they are integrable. This proves that gravitational instantons with self-dual curvature admit hyper-Kähler structure. In order to arrive at the three vector-valued 1-forms defining almost-complex structure, we give a spinor description of real four-dimensional Riemannian manifolds with Euclidean signature in terms of two independent sets of two-component spinors. This is a version of the original Newman-Penrose formalism that is appropriate to the discussion of the mathematical, as well as physical properties of gravitational instantons. We shall build on the work of Goldblatt who first developed an NP formalism for gravitational instantons but we shall adopt it to differential forms in the NP basis to make the formalism much more compact. We shall show that the spin coefficients, connection 1-form, curvature 2-form, Ricci and Bianchi identities, as well as the Maxwell equations naturally split up into their self-dual and anti-self-dual parts corresponding to the two independent spin frames. We shall give the complex dyad as well as the spinor formulation of the almost-complex structures and show that they reappear under the guise of a triad basis for the Petrov classification of gravitational instantons. Completing the work of Salamon on hyper-Kähler structure, we show that the vanishing of the Nijenhuis tensor for all three almost-complex structures depends on the choice of a self-dual gauge for the connection which is guaranteed by virtue of the fact that the curvature 2-form is self-dual for gravitational instantons.

  6. Pattern of Pulmonary Involvement and Outcome of Aspiration Pneumonia in Patients with Altered Consciousness Admitted in Dhaka Medical College Hospital.

    PubMed

    Chowdhury, R A; Azad, A K; Sardar, H; Siddiqui, M R; Saad, S; Rahman, S; Sikder, A S

    2016-01-01

    Aspiration is well recognized as a cause of pulmonary disease and is not uncommon in patients with altered consciousness.The mortality rate of aspiration pneumonia is approximately 1% in outpatient setting and upto 25% in those requiring hospitalization. This study was done to see the pattern of pulmonary involvement and outcome of aspiration pneumonia in patients with altered consciousness admitted in medicine department of a tertiary care hospital in our country. This was a prospective observational study conducted among the 52 adult patients of aspiration pneumonia with altered consciousness admitted in the medicine department of Dhaka Medical College Hospital (DMCH), during June 2010 to December 2010. Aspiration pneumonia was confirmed by clinical examination and laboratory investigations. Hematologic measurements (TC of WBC, Hb%, ESR, platelet count), chest X-ray, blood gas analysis, blood urea, creatinine and random blood sugar, sputum for Gram staining, sputum for culture sensitivity and blood culture were done in all patients.Assessment of altered conscious patient was done by application of the Glasgow Coma Scale. Case record forms with appropriate questionnaire were filled for all patients. The mean±SD age was 57.42±13.63 years with ranged from 25 to 90 years. Out of 52 patients, 37(71.15%) patients were male and 15(28.85%) patients were female. Following aspiration 76.92% patients developed pneumonitis, 13.46% patients developed lung abscess and only 9.62% patients developed ARDS. Most (33) of the patients had opacity in right lower zone and 13 patients had opacity in the left lower zone, 6 patients had opacity in right mid zone. Only 10 patients had opacity in both lower zones. In this study overall mortality rate was 23%. If only one lobe was involved radiologically, mortality was 8.33%. If two or more lobes on one or both sides were involved, mortality was in the range of 25-91%.

  7. Subduction of fracture zones

    NASA Astrophysics Data System (ADS)

    Constantin Manea, Vlad; Gerya, Taras; Manea, Marina; Zhu, Guizhi; Leeman, William

    2013-04-01

    Since Wilson proposed in 1965 the existence of a new class of faults on the ocean floor, namely transform faults, the geodynamic effects and importance of fracture zone subduction is still little studied. It is known that oceanic plates are characterized by numerous fracture zones, and some of them have the potential to transport into subduction zones large volumes of water-rich serpentinite, providing a fertile water source for magma generated in subduction-related arc volcanoes. In most previous geodynamic studies, subducting plates are considered to be homogeneous, and there is no clear indication how the subduction of a fracture zone influences the melting pattern in the mantle wedge and the slab-derived fluids distribution in the subarc mantle. Here we show that subduction of serpentinized fracture zones plays a significant role in distribution of melt and fluids in the mantle wedge above the slab. Using high-resolution tree-dimensional coupled petrological-termomechanical simulations of subduction, we show that fluids, including melts and water, vary dramatically in the region where a serpentinized fracture zone enters into subduction. Our models show that substantial hydration and partial melting tend to concentrate where fracture zones are being subducted, creating favorable conditions for partially molten hydrous plumes to develop. These results are consistent with the along-arc variability in magma source compositions and processes in several regions, as the Aleutian Arc, the Cascades, the Southern Mexican Volcanic Arc, and the Andean Southern Volcanic Zone.

  8. Origins of streamflow in a crystalline basement catchment in a sub-humid Sudanian zone: The Donga basin (Benin, West Africa): Inter-annual variability of water budget

    NASA Astrophysics Data System (ADS)

    Séguis, L.; Kamagaté, B.; Favreau, G.; Descloitres, M.; Seidel, J.-L.; Galle, S.; Peugeot, C.; Gosset, M.; Le Barbé, L.; Malinur, F.; Van Exter, S.; Arjounin, M.; Boubkraoui, S.; Wubda, M.

    2011-05-01

    SummaryDuring the last quarter of the 20th century, West Africa underwent a particularly intense and generalized drought. During this period, the biggest drops in streamflow were observed in the Sudanian zone rather than in the Sahelian zone, but the reasons are still poorly understood. In 2000, a meso-scale hydrological observatory was set up in the sub-humid Sudanian zone of the Upper Ouémé Valley (Benin). Three embedded catchments of 12-586 km 2 located on a crystalline bedrock were intensively instrumented to document the different terms of the water budget and to identify the main streamflow generating processes and base-flow mechanisms at different scales. Geophysical, hydrological and geochemical data were collected throughout the catchments from 2002 to 2006. Crossing these data helped define their hydrological functioning. The region has seasonal streamflow, and the permanent groundwater in the weathered mantle does not drain to rivers, instead, seasonal perched groundwaters are the major contributor to annual streamflow. The perched groundwaters are mainly located in seasonally waterlogged sandy layers in the headwater bottom-lands called bas-fonds in French-speaking West Africa of 1st order streams. During the period 2003-2006, regolith groundwater recharge ranged between 10% and 15% of the annual rainfall depth. Depletion of permanent groundwater during the dry season is probably explained by local evapotranspiration which was seen not to be limited to gallery forests. During the 4-year study period, a reduction of 20% in annual rainfall led to a 50% reduction in streamflow. This reduction was observed in the two components of the flow: direct runoff and drainage of perched groundwater. Thanks to the comprehensive dataset obtained, the results obtained for the Donga experimental catchment are now being extrapolated to the whole upper Ouémé valley, which can be considered as representative of sub-humid Sudanian rivers flowing on a crystalline

  9. Pattern of ocular trauma admitted in a tertiary hospital.

    PubMed

    Quayum, M A; Akhanda, A H

    2009-01-01

    Ocular trauma is an important cause of ocular morbidity. This prospective study was conducted to identify primarily the population at risk, sources of eye injuries and the common barriers for their early management. Cases were selected randomly during the period Aug/2006 to March/2008 among the patients admitted in the department of ophthalmology, Mymensingh Medical College Hospital, with the history of ocular injury. A total of 100 eyes in 97 patients were included in the study. Age ranges were 1.5 years to 75 years. Male were 78.35% (n=76) & female were 21.65% (n=21). 56.00% (n=56) injuries were accidental occupational injuries. Common sources of eye injury included sharp objects used in occupational activities 43% (n=43), blunt objects 23% (n=23), Chemicals 7% (n=7), Projectile objects 8%, (n=8), Bird-beak 5% (n=5), agricultural trauma 3% (n=3) and miscellaneous 11% (n=11). Young adult males engaged in industrial, mechanical, agricultural or domestic works are at particular risk for ophthalmic trauma. Poverty, ignorance, indigenous treatment, remote communications and lack of supervised and collaborative management seems to be the possible barriers for the early management of ocular injuries. Preventive measures are recommended to adopt not only in the workplaces but also in domestic, recreational, sports and transport settings.

  10. Meningitis admitted to a military hospital: a retrospective case series.

    PubMed

    Harrell, Travis; Hammes, John S

    2012-10-01

    Meningitis is a common admission diagnosis. No case series or descriptive studies on meningitis have recently been published. Additionally, no recent data exist on meningitis in the U.S. Military Health System. We reviewed charts of adult patients admitted to Naval Medical Center San Diego between January 2004 and December 2008 with an admission diagnosis of meningitis. Charts were excluded if they did not meet our case definition of meningitis, if missing data, or if meningitis was nosocomial or iatrogenic. We reviewed results of cerebrospinal fluid cultures during this period. We compared rates and characteristics, and outcomes of bacterial and aseptic meningitis. Two hundred twenty-one cases met our criteria. Of these, 208 were aseptic. Cerebrospinal fluid polymerase chain reaction testing was positive for enteroviruses and herpes simplex viruses in 42 (20.2%) and 17 (8.2%) cases, respectively. Of culture/polymerase chain reaction/serologically positive cases, the pathogens were Neisseria meningitidis (3), Streptococcus pneumoniae (3), viridans streptococci (2), Cryptococcus neoformans (2), Coccidioides immitis (2), and Mycobacterium tuberculosis (1). Three patients had poor outcomes: one died from S. pneumoniae and two had long-term neurologic deficits. Meningitis is a common admission diagnosis, but serious virulent pathogens are uncommon and adverse outcomes are rare.

  11. Interactions between seasonality and oceanic forcing drive the phytoplankton variability in the tropical-temperate transition zone (~ 30°S) of Eastern Australia

    NASA Astrophysics Data System (ADS)

    Armbrecht, Linda H.; Schaeffer, Amandine; Roughan, Moninya; Armand, Leanne K.

    2015-04-01

    The East Australian Current (EAC) has been shown to be warming rapidly, which is expected to cause latitudinal shifts in phytoplankton abundance, distribution and composition along the east Australian coast. Yet a lack of phytoplankton information exists northward of 34°S. Here, we provide the first detailed taxonomic time-series survey (monthly sampling for about one annual cycle, 2011-2012) in the east Australian tropical-temperate transition zone (~ 30°S, upstream of the EAC separation point at ~ 31-32°S). All phytoplankton (categorised depending on their association with specific water-types) show a seasonal signal with abundance maxima (minima) during summer (winter). This seasonal signal is most pronounced in the seasonal/bloom category and least expressed by deep-water taxa, which prefer cold, saline and dense bottom water independent of the season. Different extents of EAC encroachment onto the continental shelf drive the cross-shelf phytoplankton composition and distribution, such that a weak EAC is associated with phytoplankton community being organised along 'depth' and 'distance from the coast' gradients with high phytoplankton abundances inshore. A strong EAC favours the occurrence of warm-water taxa offshore and an increase in diatom abundance on the mid-shelf (53% shelf width). We conclude that the phytoplankton community in the tropical-temperate transition zone of Eastern Australia is driven by an interaction of intrinsic seasonal cycles and primarily EAC-driven oceanic forcing. Our findings benefit studies located in Western Boundary Current systems worldwide, in which warming and strengthening of these currents are predicted to severely impact phytoplankton dynamics.

  12. Modelling vegetation water-use and groundwater recharge as affected by climate variability in an arid-zone Acacia savanna woodland

    NASA Astrophysics Data System (ADS)

    Chen, Chao; Eamus, Derek; Cleverly, James; Boulain, Nicolas; Cook, Peter; Zhang, Lu; Cheng, Lei; Yu, Qiang

    2014-11-01

    For efficient and sustainable utilisation of limited groundwater resources, improved understanding of how vegetation water-use responds to climate variation and the corresponding controls on recharge is essential. This study investigated these responses using a modelling approach. The biophysically based model WAVES was calibrated and validated with more than two years of field experimental data conducted in Mulga (Acacia aneura) in arid central Australia. The validated model was then applied to simulate vegetation growth (as changes in overstory and understory leaf area index; LAI), vegetation water-use and groundwater recharge using observed climate data for the period 1981-2012. Due to large inter-annual climatic variability, especially precipitation, simulated annual mean LAI ranged from 0.12 to 0.35 for the overstory and 0.07 to 0.21 for the understory. These variations in simulated LAI resulted in vegetation water-use varying greatly from year-to-year, from 64 to 601 mm pa. Simulated vegetation water-use also showed distinct seasonal patterns. Vegetation dynamics affected by climate variability exerted significant controls on simulated annual recharge, which was greatly reduced to 0-48 mm compared to that (58-672 mm) only affected by climate. Understanding how climate variability and land use/land cover change interactively impact on groundwater recharge significantly improves groundwater resources management in arid and semi-arid regions.

  13. Limitation to Advanced Life Support in patients admitted to intensive care unit with integrated palliative care

    PubMed Central

    Mazutti, Sandra Regina Gonzaga; Nascimento, Andréia de Fátima; Fumis, Renata Rego Lins

    2016-01-01

    Objective To estimate the incidence of limitations to Advanced Life Support in critically ill patients admitted to an intensive care unit with integrated palliative care. Methods This retrospective cohort study included patients in the palliative care program of the intensive care unit of Hospital Paulistano over 18 years of age from May 1, 2011, to January 31, 2014. The limitations to Advanced Life Support that were analyzed included do-not-resuscitate orders, mechanical ventilation, dialysis and vasoactive drugs. Central tendency measures were calculated for quantitative variables. The chi-squared test was used to compare the characteristics of patients with or without limits to Advanced Life Support, and the Wilcoxon test was used to compare length of stay after Advanced Life Support. Confidence intervals reflecting p ≤ 0.05 were considered for statistical significance. Results A total of 3,487 patients were admitted to the intensive care unit, of whom 342 were included in the palliative care program. It was observed that after entering the palliative care program, it took a median of 2 (1 - 4) days for death to occur in the intensive care unit and 4 (2 - 11) days for hospital death to occur. Many of the limitations to Advanced Life Support (42.7%) took place on the first day of hospitalization. Cardiopulmonary resuscitation (96.8%) and ventilatory support (73.6%) were the most adopted limitations. Conclusion The contribution of palliative care integrated into the intensive care unit was important for the practice of orthothanasia, i.e., the non-extension of the life of a critically ill patient by artificial means. PMID:27626949

  14. A Fiji multi-coral δ18O composite approach to obtaining a more accurate reconstruction of the last two-centuries of the ocean-climate variability in the South Pacific Convergence Zone region

    NASA Astrophysics Data System (ADS)

    Dassié, Emilie P.; Linsley, Braddock K.; Corrège, Thierry; Wu, Henry C.; Lemley, Gavin M.; Howe, Steve; Cabioch, Guy

    2014-12-01

    The limited availability of oceanographic data in the tropical Pacific Ocean prior to the satellite era makes coral-based climate reconstructions a key tool for extending the instrumental record back in time, thereby providing a much needed test for climate models and projections. We have generated a unique regional network consisting of five Porites coral δ18O time series from different locations in the Fijian archipelago. Our results indicate that using a minimum of three Porites coral δ18O records from Fiji is statistically sufficient to obtain a reliable signal for climate reconstruction, and that application of an approach used in tree ring studies is a suitable tool to determine this number. The coral δ18O composite indicates that while sea surface temperature (SST) variability is the primary driver of seasonal δ18O variability in these Fiji corals, annual average coral δ18O is more closely correlated to sea surface salinity (SSS) as previously reported. Our results highlight the importance of water mass advection in controlling Fiji coral δ18O and salinity variability at interannual and decadal time scales despite being located in the heavy rainfall region of the South Pacific Convergence Zone (SPCZ). The Fiji δ18O composite presents a secular freshening and warming trend since the 1850s coupled with changes in both interannual (IA) and decadal/interdecadal (D/I) variance. The changes in IA and D/I variance suggest a re-organization of climatic variability in the SPCZ region beginning in the late 1800s to period of a more dominant interannual variability, which could correspond to a southeast expansion of the SPCZ.

  15. Variable-beamwidth monopulse antennas

    NASA Technical Reports Server (NTRS)

    Schmidt, R. F.

    1974-01-01

    The merits of nine methods for zooming microwave amplitude-sensing monopulse antenna patterns are discussed. Of these, six are directly related to the TDRSS (Tracking Data Relay Satellite System) and are compatible with a deployable-mesh pseudo-paraboloidal main reflector. The remaining three methods utilize radically different geometrical configurations that depart considerably from the TDRSS parameters existing at this time. Preservation of the monopulse postulates is considered to be of prime importance for any variable-beamwidth candidate, however, it is allowed that approximate satisfaction of the postulates should be accepted for practical reasons. All of the methods discussed admit free choice of the polarization state, and the zooming function is never predicated on polarization. Exploration of the zooming techniques was carried out almost entirely by means of the Kirchhoff-Kottler vector diffraction program. The program generates electric and magnetic field intensity, associated phase, and time-average Poynting vector power flow in the intermediate near-field and far-field zones in both receive and transmit modes of operation. A few of the concepts have been verified experimentally with excellent agreement between theory and practice.

  16. Spatial and Temporal Variability in the Circulation and Thermal Evolution of the Mantle in Subduction Zones: Insights From 3-D Laboratory Experiments.

    NASA Astrophysics Data System (ADS)

    Kincaid, C.; Griffiths, R. W.

    2003-12-01

    The subduction of oceanic lithosphere plays a key role in plate tectonics, the thermal evolution of the mantle and recycling processes between Earth's interior and surface. The majority of subduction models are two-dimensional (2-D), assuming limited variability in the direction parallel to the trench. Observationally based models increasingly appeal to three-dimensional (3-D) flow associated with trench migration and the sinking of oceanic plates with a translational component of motion (rollback). We report results from laboratory experiments that reveal fundamental differences in 3-D mantle circulation and temperature structure in response to subduction with and without a rollback component. In our experiments the upper mantle is simulated with glucose syrup and the subducting plate is represented with a Phenolic sheet that is forced to sink into the glucose along prescribed trajectories. An array of 40 thermisters embedded within the plate is used to monitor slab surface temperatures (SSTs). We vary the relative magnitude of downdip and translational components of slab motion and also consider cases where the plate steepens with time. Another parameter is the initial thickness of the thermal boundary layer (TBL) beneath the overriding plate. Without rollback motion, flow in the mantle wedge is sluggish, there is no mass flux around the plate, and plate edges heat up faster than plate centers. Rollback subduction drives flow around and beneath the sinking plate, velocities increase within the mantle wedge and are focussed towards the center of the plate and the surface of the plate heats more along the centerline. In addition to lateral variability in flow and mantle temperatures, results highlight temporal variability in SSTs and 3-D mantle flow trajectories associated with the initiation of subduction and variations between periods of predominantly downdip versus rollback sinking.

  17. Variability for Categorical Variables

    ERIC Educational Resources Information Center

    Kader, Gary D.; Perry, Mike

    2007-01-01

    Introductory statistics textbooks rarely discuss the concept of variability for a categorical variable and thus, in this case, do not provide a measure of variability. The impression is thus given that there is no measurement of variability for a categorical variable. A measure of variability depends on the concept of variability. Research has…

  18. Prevalence of victims of violence admitted to an emergency department

    PubMed Central

    Hofner, M; Python, N; Martin, E; Gervasoni, J; Graz, B; Yersin, B

    2005-01-01

    Objective: To collect data on the consultation frequency and demographic profile of victims of violence attending an emergency department (ED) in Switzerland. Methods: We undertook screening of all admitted adult patients (>16 years) in the ED of the CHUV, Lausanne, Switzerland, over a 1 month period, using a modified version of the Partner Violence Screen questionnaire. Exclusionary criteria were: life threatening injury (National Advisory Committee on Aeronautics score ⩾4), or inability to understand or speak French, to give oral informed consent, or to be questioned without a family member or accompanying person being present. Data were collected on history of physical and/or psychological violence during the previous 12 months, the type of violence experienced by the patient, and if violence was the reason for the current consultation. Sociodemographic data were obtained from the registration documents. Results: The final sample consisted of 1602 patients (participation rate of 77.2%), with a refusal rate of 1.1%. Violence during the past 12 months was reported by 11.4% of patients. Of the total sample, 25% stated that violence was the reason for the current consultation; of these, 95% of patients were confirmed as victims of violence by the ED physicians. Patients reporting violence were more likely to be young and separated from their partner. Men were more likely to be victims of public violence and women more commonly victims of domestic violence. Conclusions: Based on this monthly prevalence rate, we estimate that over 3000 adults affected by violence consult our ED per annum. This underlines the importance of the problem and the need to address it. Health services organisations should establish measures to improve quality of care for victims. Guidelines and educational programmes for nurses and physicians should be developed in order to enhance providers' skills and basic knowledge of all types of violence, how to recognise and interact appropriately

  19. Scientists Admitting to Plagiarism: A Meta-analysis of Surveys.

    PubMed

    Pupovac, Vanja; Fanelli, Daniele

    2015-10-01

    We conducted a systematic review and meta-analysis of anonymous surveys asking scientists whether they ever committed various forms of plagiarism. From May to December 2011 we searched 35 bibliographic databases, five grey literature databases and hand searched nine journals for potentially relevant studies. We included surveys that asked scientists if, in a given recall period, they had committed or knew of a colleague who committed plagiarism, and from each survey extracted the proportion of those who reported at least one case. Studies that focused on academic (i.e. student) plagiarism were excluded. Literature searches returned 12,460 titles from which 17 relevant survey studies were identified. Meta-analysis of studies reporting committed (N = 7) and witnessed (N = 11) plagiarism yielded a pooled estimate of, respectively, 1.7% (95% CI 1.2-2.4) and 30% (95% CI 17-46). Basic methodological factors, including sample size, year of survey, delivery method and whether survey questions were explicit rather than indirect made a significant difference on survey results. Even after controlling for these methodological factors, between-study differences in admission rates were significantly above those expected by sampling error alone and remained largely unexplained. Despite several limitations of the data and of this meta-analysis, we draw three robust conclusions: (1) The rate at which scientists report knowing a colleague who committed plagiarism is higher than for data fabrication and falsification; (2) The rate at which scientists report knowing a colleague who committed plagiarism is correlated to that of fabrication and falsification; (3) The rate at which scientists admit having committed either form of misconduct (i.e. fabrication, falsification and plagiarism) in surveys has declined over time. PMID:25352123

  20. Scientists Admitting to Plagiarism: A Meta-analysis of Surveys.

    PubMed

    Pupovac, Vanja; Fanelli, Daniele

    2015-10-01

    We conducted a systematic review and meta-analysis of anonymous surveys asking scientists whether they ever committed various forms of plagiarism. From May to December 2011 we searched 35 bibliographic databases, five grey literature databases and hand searched nine journals for potentially relevant studies. We included surveys that asked scientists if, in a given recall period, they had committed or knew of a colleague who committed plagiarism, and from each survey extracted the proportion of those who reported at least one case. Studies that focused on academic (i.e. student) plagiarism were excluded. Literature searches returned 12,460 titles from which 17 relevant survey studies were identified. Meta-analysis of studies reporting committed (N = 7) and witnessed (N = 11) plagiarism yielded a pooled estimate of, respectively, 1.7% (95% CI 1.2-2.4) and 30% (95% CI 17-46). Basic methodological factors, including sample size, year of survey, delivery method and whether survey questions were explicit rather than indirect made a significant difference on survey results. Even after controlling for these methodological factors, between-study differences in admission rates were significantly above those expected by sampling error alone and remained largely unexplained. Despite several limitations of the data and of this meta-analysis, we draw three robust conclusions: (1) The rate at which scientists report knowing a colleague who committed plagiarism is higher than for data fabrication and falsification; (2) The rate at which scientists report knowing a colleague who committed plagiarism is correlated to that of fabrication and falsification; (3) The rate at which scientists admit having committed either form of misconduct (i.e. fabrication, falsification and plagiarism) in surveys has declined over time.

  1. Effects of bottom water dissolved oxygen variability on copper and lead fractionation in the sediments across the oxygen minimum zone, western continental margin of India.

    PubMed

    Chakraborty, Parthasarathi; Chakraborty, Sucharita; Jayachandran, Saranya; Madan, Ritu; Sarkar, Arindam; Linsy, P; Nath, B Nagender

    2016-10-01

    This study describes the effect of varying bottom-water oxygen concentration on geochemical fractionation (operational speciation) of Cu and Pb in the underneath sediments across the oxygen minimum zone (Arabian Sea) in the west coast of India. Both, Cu and Pb were redistributed among the different binding phases of the sediments with changing dissolved oxygen level (from oxic to hypoxic and close to suboxic) in the bottom water. The average lability of Cu-sediment complexes gradually decreased (i.e., stability increased) with the decreasing dissolved oxygen concentrations of the bottom water. Decreasing bottom-water oxygen concentration increased Cu association with sedimentary organic matter. However, Pb association with Fe/Mn-oxyhydroxide phases in the sediments gradually decreased with the decreasing dissolved oxygen concentration of the overlying bottom water (due to dissolution of Fe/Mn oxyhydroxide phase). The lability of Pb-sediment complexes increased with the decreasing bottom-water oxygen concentration. This study suggests that bottom-water oxygen concentration is one of the key factors governing stability and lability of Cu and Pb complexes in the underneath sediment. Sedimentary organic matter and Fe/Mn oxyhydroxide binding phases were the major hosting phases for Cu and Pb respectively in the study area. Increasing lability of Pb-complexes in bottom sediments may lead to positive benthic fluxes of Pb at low oxygen environment. PMID:27267721

  2. Assessment of Spatial Variability of Heavy Metals in Metropolitan Zone of Toluca Valley, Mexico, Using the Biomonitoring Technique in Mosses and TXRF Analysis

    PubMed Central

    Zarazúa-Ortega, Graciela; Poblano-Bata, Josefina; Tejeda-Vega, Samuel; Ávila-Pérez, Pedro; Zepeda-Gómez, Carmen; Ortiz-Oliveros, Huemantzin; Macedo-Miranda, Guadalupe

    2013-01-01

    This study is aimed at assessing atmospheric deposition of heavy metals using the epiphytic moss genera Fabronia ciliaris collected from six urban sites in the Metropolitan Zone of the Toluca Valley in Mexico. The concentrations of K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Rb, Sr, and Pb were determined by total reflection X-ray fluorescence technique. Results show that the average metal concentration decrease in the following order: Fe (8207 mg/Kg) > Ca (7315 mg/Kg) > K (3842 mg/Kg) > Ti (387 mg/Kg) > Mn, Zn (191 mg/Kg) > Sr (71 mg/Kg) > Pb (59 mg/Kg) > Cu, V (32 mg/Kg) > Cr (24 mg/Kg) > Rb (13 mg/Kg) > Ni (10 mg/Kg). Enrichment factors show a high enrichment for Cr, Cu, Zn, and Pb which provides an evidence of anthropogenic impact in the industrial and urban areas, mainly due to the intense vehicular traffic and the fossil fuel combustion. Monitoring techniques in mosses have proved to be a powerful tool for determining the deposition of heavy metals coming from diverse point sources of pollution. PMID:23853536

  3. Assessment of spatial variability of heavy metals in Metropolitan Zone of Toluca Valley, Mexico, using the biomonitoring technique in mosses and TXRF analysis.

    PubMed

    Zarazúa-Ortega, Graciela; Poblano-Bata, Josefina; Tejeda-Vega, Samuel; Ávila-Pérez, Pedro; Zepeda-Gómez, Carmen; Ortiz-Oliveros, Huemantzin; Macedo-Miranda, Guadalupe

    2013-01-01

    This study is aimed at assessing atmospheric deposition of heavy metals using the epiphytic moss genera Fabronia ciliaris collected from six urban sites in the Metropolitan Zone of the Toluca Valley in Mexico. The concentrations of K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Rb, Sr, and Pb were determined by total reflection X-ray fluorescence technique. Results show that the average metal concentration decrease in the following order: Fe (8207 mg/Kg) > Ca (7315 mg/Kg) > K (3842 mg/Kg) > Ti (387 mg/Kg) > Mn, Zn (191 mg/Kg) > Sr (71 mg/Kg) > Pb (59 mg/Kg) > Cu, V (32 mg/Kg) > Cr (24 mg/Kg) > Rb (13 mg/Kg) > Ni (10 mg/Kg). Enrichment factors show a high enrichment for Cr, Cu, Zn, and Pb which provides an evidence of anthropogenic impact in the industrial and urban areas, mainly due to the intense vehicular traffic and the fossil fuel combustion. Monitoring techniques in mosses have proved to be a powerful tool for determining the deposition of heavy metals coming from diverse point sources of pollution.

  4. Assessment of spatial variability of heavy metals in Metropolitan Zone of Toluca Valley, Mexico, using the biomonitoring technique in mosses and TXRF analysis.

    PubMed

    Zarazúa-Ortega, Graciela; Poblano-Bata, Josefina; Tejeda-Vega, Samuel; Ávila-Pérez, Pedro; Zepeda-Gómez, Carmen; Ortiz-Oliveros, Huemantzin; Macedo-Miranda, Guadalupe

    2013-01-01

    This study is aimed at assessing atmospheric deposition of heavy metals using the epiphytic moss genera Fabronia ciliaris collected from six urban sites in the Metropolitan Zone of the Toluca Valley in Mexico. The concentrations of K, Ca, Ti, V, Cr, Mn, Fe, Ni, Cu, Zn, Rb, Sr, and Pb were determined by total reflection X-ray fluorescence technique. Results show that the average metal concentration decrease in the following order: Fe (8207 mg/Kg) > Ca (7315 mg/Kg) > K (3842 mg/Kg) > Ti (387 mg/Kg) > Mn, Zn (191 mg/Kg) > Sr (71 mg/Kg) > Pb (59 mg/Kg) > Cu, V (32 mg/Kg) > Cr (24 mg/Kg) > Rb (13 mg/Kg) > Ni (10 mg/Kg). Enrichment factors show a high enrichment for Cr, Cu, Zn, and Pb which provides an evidence of anthropogenic impact in the industrial and urban areas, mainly due to the intense vehicular traffic and the fossil fuel combustion. Monitoring techniques in mosses have proved to be a powerful tool for determining the deposition of heavy metals coming from diverse point sources of pollution. PMID:23853536

  5. Effects of bottom water dissolved oxygen variability on copper and lead fractionation in the sediments across the oxygen minimum zone, western continental margin of India.

    PubMed

    Chakraborty, Parthasarathi; Chakraborty, Sucharita; Jayachandran, Saranya; Madan, Ritu; Sarkar, Arindam; Linsy, P; Nath, B Nagender

    2016-10-01

    This study describes the effect of varying bottom-water oxygen concentration on geochemical fractionation (operational speciation) of Cu and Pb in the underneath sediments across the oxygen minimum zone (Arabian Sea) in the west coast of India. Both, Cu and Pb were redistributed among the different binding phases of the sediments with changing dissolved oxygen level (from oxic to hypoxic and close to suboxic) in the bottom water. The average lability of Cu-sediment complexes gradually decreased (i.e., stability increased) with the decreasing dissolved oxygen concentrations of the bottom water. Decreasing bottom-water oxygen concentration increased Cu association with sedimentary organic matter. However, Pb association with Fe/Mn-oxyhydroxide phases in the sediments gradually decreased with the decreasing dissolved oxygen concentration of the overlying bottom water (due to dissolution of Fe/Mn oxyhydroxide phase). The lability of Pb-sediment complexes increased with the decreasing bottom-water oxygen concentration. This study suggests that bottom-water oxygen concentration is one of the key factors governing stability and lability of Cu and Pb complexes in the underneath sediment. Sedimentary organic matter and Fe/Mn oxyhydroxide binding phases were the major hosting phases for Cu and Pb respectively in the study area. Increasing lability of Pb-complexes in bottom sediments may lead to positive benthic fluxes of Pb at low oxygen environment.

  6. A Method for Determining the Nominal Occular Hazard Zone for Gaussian Beam Laser Rangers with a Firmware Controlled Variable Focal Length

    NASA Technical Reports Server (NTRS)

    Picco, C. E.; Shavers, M. R.; Victor, J. M.; Duron, J. L.; Bowers, W. h.; Gillis, D. B.; VanBaalen, M.

    2009-01-01

    LIDAR systems that maintain a constant beam spot size on a retroreflector in order to increase the accuracy of bearing and ranging data must use a software controlled variable position lens. These systems periodically update the estimated range and set the position of the focusing lens accordingly. In order to precisely calculate the r NOHD for such a system, the software method for setting the variable position lens and gaussian laser propagation can be used to calculate the irradiance at any point given the range estimation. NASA s Space Shuttle LIDAR, called the Trajectory Control Sensor (TCS), uses this configuration. Analytical tools were developed using Excel and VBA to determine the radiant energy to the International Space Station (ISS) crewmembers eyes while viewing the shuttle on approach and departure. Various viewing scenarios are considered including the use of through-the-lens imaging optics and the window transmissivity at the TCS wavelength. The methodology incorporates the TCS system control logic, gaussian laser propagation, potential failure mode end states, and guidance from American National Standard for the Safe Use of Lasers (ANSI Z136.1-2007). This approach can be adapted for laser safety analyses of similar LIDAR systems.

  7. Plasmodium Juxtanucleare associated with mortality in black-footed penguins (Spheniscus demersus) admitted to a rehabilitation center.

    PubMed

    Grim, K Christiana; Van der Merwe, Estelle; Sullivan, Margery; Parsons, Nola; McCutchan, Thomas F; Cranfield, Michael

    2003-09-01

    Five black-footed penguins (Spheniscus demersus) admitted to the Southern African Foundation for the Conservation of Coastal Birds, in Cape Town, South Africa, died from malaria infection. Evidence for malaria as the cause of death included antemortem clinical signs, parasitemia, splenomegaly, pulmonary edema, and the presence of histologically visible schizonts in the reticuloendothelial system. A portion of the malarial small subunit ribosomal ribonucleic acid gene was detected by polymerase chain reaction from postmortem blood samples from all the birds. A species-specific variable region of this gene was compared with the same region on genes from other known avian malarial organisms, establishing that Plasmodium juxtanucleare was involved.

  8. X-ray fluorescence spectroscopy (XRF) calibration and its application as a tool to study the Oxygen Minimum Zone variability during the Holocene.

    NASA Astrophysics Data System (ADS)

    Mejia-Pina, K. G.; Gonzalez-Yajimovich, O.; Huerta-Diaz, M. A.

    2014-12-01

    X-ray fluorescence spectroscopy (XRF) is a non destructive analytical technique widely used to estimate the elemental composition of sedimentary records. This analytical technique measure a number of elements in a sample with a resolution similar or better than conventional destructive methods, is quick and requires minimal analytical effort.We tested the precision and reliability of a handheld XRF instrument (DELTA Premium-XRF analyzer) and developed a methodological calibration of the equipment considered to be a potential tool for paleo-environmental investigations, i.e., in the reconstruction of past oxygen concentrations by analyzing redox sensitive trace metals like Mo, which is sequestered from the water column and transferred to the underlying sediments under anoxic and sulfidic conditions (euxinic).Calibration of the instrument was performed using eight certified standards and twelve in-house standards to create a calibration curve and its linear regression model (Pearson, r2=0.98 and p<0.001). Once the XRF was calibrated, the total concentrations of Mo were determined in gravity and multiple cores (NH01-20, 21, 22 and NH01-25, 26, 27) recovered during the CALMEX NH-01 cruise in the eastern slopes of Carmen and Pescadero basins (Gulf of California, Mexico). These sites are intersected by an Oxygen Minimum Zone promoting excellent sediment preservation. All cores were sampled every 1 cm to obtain high-resolution records of the last ~10,000 years. We conclude that handheld XRF enables precise and exact determinations of Mo concentrations in sediments, applied to the characterization of past euxinic environments.

  9. On variable density surface water groundwater interaction: A theoretical analysis of mixed convection in a stably-stratified fresh surface water saline groundwater discharge zone

    NASA Astrophysics Data System (ADS)

    Massmann, Gudrun; Simmons, Craig; Love, Andrew; Ward, James; James-Smith, Julianne

    2006-10-01

    SummaryUnderstanding the discharge behaviour of saline groundwater into fresh surface water can be critical for the effective management of water resources. While variable density flow has been studied intensely in a number of settings, the role it plays on the discharge behaviour of saline groundwater into freshwater streams is often neglected when calculating salt loads into a stream. The aim of this study was to determine what role variable-density flow behaviour plays in surface water/groundwater interaction in a stably-stratified fresh surface water/saline groundwater interface. The mixed convection ratio M, a measure of the ratio of density driven flow to advective driven flow, was defined for a matrix of one-dimensional numerical simulations that employed both varying hydraulic and density gradients. Vertical salt breakthrough into the surface water only occurred in the advection dominated cases ( M < 1) and the salt flux into the surface water increased with increasing groundwater concentration until M reached a value of 1. Beyond this, when the flow was driven by the density difference between the two fluids ( M > 1) vertical discharge of salt into surface water did not occur and the saltwater/freshwater interface migrated downwards with increasing density differences between the two fluids. This study therefore shows that there is a critical concentration difference that maximises salt loads to a surface water body and that a density-invariant approach to estimate the salt flux into the surface water (as the product of flow velocity determined through a potentiometric analysis and groundwater concentration) may be inadequate, especially where large density differences exist between the fresher surface water body and the underlying saline groundwater. The study is a purely theoretical approach and conclusions were drawn from simplified 1D simulations. Hence, further laboratory and modelling work is needed to confirm and test the plausibility of these

  10. Rapid Ascent of Aphyric Mantle Melts through the Overriding Crust in Subduction Zones: Evidence from Variable Uranium-Series Disequilibria, Amorphous Hydrous Alteration Microtextures in Crystal Rims, and Two-Pyroxene Pseudo-Decompression Paths

    NASA Astrophysics Data System (ADS)

    Zellmer, G. F.; Freymuth, H.; Hsieh, H. H.; Hwang, S. L.; Iizuka, Y.; Miller, C. A.; Rubin, K. H.; Sakamoto, N.; Yurimoto, H.

    2014-12-01

    Volcanic hazard mitigation at subduction zones critically depends on knowledge of magma generation and ascent processes and timescales. Two diametrically opposite scenarios are presently debated: One paradigm is the generation of low-silica (basaltic) melts in the mantle wedge, followed by protracted sub-liquidus magma ascent and evolution through crystal growth and fractionation in crustal reservoirs, which are tapped during volcanic eruptions. In contrast, a diametrically opposite model favours the generation of higher silica melts in the mantle or in a lower crustal hot zone, followed by rapid decompression to the surface under super-liquidus conditions. In the latter case, crystals are picked up during magma ascent, and are in the process of dissolving. We present multiple lines of evidence that point to crystal uptake as the principal processes by which arc melts acquire their crystal cargo: (i) variable 234U-238U disequilibria in mineral separates; (ii) hydrous mineral rims with amorphous alteration textures; and (iii) two-pyroxene pseudo-decompression paths; cf. Zellmer et al. (2014a,b,c), doi: 10.1144/SP385.3 and 10.1144/SP385.9 and 10.1144/SP410.1. These observations point to a scarcity of true phenocrysts in many arc magmas, and thus to decompression of aphyric melts that take up their crystal cargo during ascent. The data imply that many hydrous wedge melts are more silica-rich than basalts and achieve super-liquidus conditions during rapid ascent from great depth.

  11. Geochemical variability of hydrothermal emissions between three Pacific volcanic arc systems: Alaskan-Aleutian and Cascadian, North America and Taupo Volcanic Zone, New Zealand

    NASA Astrophysics Data System (ADS)

    Blackstock, J. M.; Horton, T. W.; Gravley, D. M.; Deering, C. D.

    2013-12-01

    Knowledge of the source, transport, and fate of hydrothermal fluids in the upper crust informs our understanding and interpretation of ore-forming processes, volcanogenic hazards, geothermal resources, and volatile cycling. Co-variation between fluid inclusion CO2/CH4 and N2/Ar ratios is an established tracer of magmatic, meteoric, and crustal fluid end-members. Yet, this tracer has had limited application to macroscopic fluid reservoirs accessible via geothermal wells and hydrothermal features (e.g. pools). In this study, we compared the covariance CO2/CH4 and N2/Ar ratios of gases collected throughout the Taupo Volcanic Zone, New Zealand (TVZ), the Alaska-Aleutian Volcanic Arc, USA (AAVA), and the Cascadian Volcanic Arc, USA (CVA) with corresponding δ13C and 3He/4He values. Our findings show that there is good agreement between these proxies for different end-member contributions at coarse scales. However, some samples classified as meteoric water according to the CO2/CH4 and N2/Ar ratios also show more positive δ13C values (~ -7.0 per mil) and relatively higher 3He/4He ratios indicative of magmatic input from primarily mantle sources. This unexpected result may be related to magmatic fluids, CO2 in particular, mixing with predominantly meteoric derived waters. The potential to identify magmatic CO2 in groundwater samples overlying geothermal systems in differing volcanic arc settings using simple and cost-effective gas ratios is a promising step forward in the search for ';surface blind' but developable geothermal systems and volcanic monitoring. 3He/4He anomalies also support this inference and underscore the potential decoupling of thermal anomalies and magmatic-derived fluids in the Earth's crust. The general agreement between the co-variation of CO2/CH4 and N2/Ar ratios with other isotope and geochemical proxies for magmatic, meteoric, and crustal end-members is encouraging to employ expanded use of these ratios for both the exploration and monitoring of

  12. Interannual variability in sea-ice thickness in the pack-ice zone off Lützow-Holm Bay, East Antarctica

    NASA Astrophysics Data System (ADS)

    Sugimoto, Fuko; Tamura, Takeshi; Shimoda, Haruhito; Uto, Shotaro; Simizu, Daisuke; Tateyama, Kazutaka; Hoshino, Seita; Ozeki, Toshihiro; Fukamachi, Yasushi; Ushio, Shuki; Ohshima, Kay I.

    2016-03-01

    Under the Japanese Antarctic Research Expedition (JARE) program, sea-ice thickness has been routinely monitored off Lützow-Holm Bay (East Antarctica) during the summer (mid-December to early January) since 2000/01, using an electromagnetic induction (EM) instrument onboard the icebreaker Shirase. Analysis of these data over a 10-year period, combined with visual observations using a simplified form of the ASPeCt (Antarctic Sea ice Processes and Climate) protocol, suggests a strong interannual variability in sea-ice thickness in this region. For the repeat pack-ice observation area, where the sea-ice thickness averaged over the nine seasons is ∼1.9 m, mean thicknesses of observed sea-ice in 2010/11 and 2011/12 are exceptionally large, at ∼3.3 and ∼5.8 m, respectively. This result is strongly related to regional patterns of sea ice dynamics. Ice convergence caused by anomalous northerly winds was particularly high in 2011/12, suggesting that the extremely thick ice observed in that season resulted largely from sea-ice deformation processes (including pressure ridging). Longer-term analysis of data from the past 34 years confirms that sea-ice conditions and thickness off Lützow-Holm Bay in summer are determined mainly by the large-scale pattern of atmospheric pressure in December.

  13. Factors Influencing Success of Conditionally Admitted Students in Graduate TESOL Programs

    ERIC Educational Resources Information Center

    Micek, Timothy A.; Kim, Soonhyang; Weinstein, Daniel A.

    2012-01-01

    Many graduate TESOL programs grapple with whether to admit applicants who fall short of meeting established admission criteria yet who show promise as future TESOL professionals. This study examined key characteristics affecting the success of candidates admitted conditionally to graduate TESOL programs. Participants were 21 students who had been…

  14. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 25 Indians 2 2011-04-01 2011-04-01 false How is a Tribe/Consortium admitted to the applicant pool... Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be considered for admission in the applicant pool, a Tribe/Consortium must submit an application to the...

  15. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 25 Indians 2 2012-04-01 2012-04-01 false How is a Tribe/Consortium admitted to the applicant pool... Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be considered for admission in the applicant pool, a Tribe/Consortium must submit an application to the...

  16. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 25 Indians 2 2013-04-01 2013-04-01 false How is a Tribe/Consortium admitted to the applicant pool... Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be considered for admission in the applicant pool, a Tribe/Consortium must submit an application to the...

  17. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 25 Indians 2 2014-04-01 2014-04-01 false How is a Tribe/Consortium admitted to the applicant pool... Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be considered for admission in the applicant pool, a Tribe/Consortium must submit an application to the...

  18. 41 CFR 102-74.375 - What is the policy on admitting persons to Government property?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... policy on admitting persons to Government property? Federal agencies must— (a) Except as otherwise... 41 Public Contracts and Property Management 3 2013-07-01 2013-07-01 false What is the policy on admitting persons to Government property? 102-74.375 Section 102-74.375 Public Contracts and...

  19. 41 CFR 102-74.375 - What is the policy on admitting persons to Government property?

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... policy on admitting persons to Government property? Federal agencies must— (a) Except as otherwise... 41 Public Contracts and Property Management 3 2014-01-01 2014-01-01 false What is the policy on admitting persons to Government property? 102-74.375 Section 102-74.375 Public Contracts and...

  20. 41 CFR 102-74.375 - What is the policy on admitting persons to Government property?

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... policy on admitting persons to Government property? Federal agencies must— (a) Except as otherwise... 41 Public Contracts and Property Management 3 2012-01-01 2012-01-01 false What is the policy on admitting persons to Government property? 102-74.375 Section 102-74.375 Public Contracts and...

  1. 41 CFR 102-74.375 - What is the policy on admitting persons to Government property?

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... policy on admitting persons to Government property? Federal agencies must— (a) Except as otherwise... 41 Public Contracts and Property Management 3 2011-01-01 2011-01-01 false What is the policy on admitting persons to Government property? 102-74.375 Section 102-74.375 Public Contracts and...

  2. 41 CFR 102-74.375 - What is the policy on admitting persons to Government property?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... policy on admitting persons to Government property? Federal agencies must— (a) Except as otherwise... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What is the policy on admitting persons to Government property? 102-74.375 Section 102-74.375 Public Contracts and...

  3. Todays Foundlings: A Survey of Young Children Admitted to the Care of Voluntary Societies in England.

    ERIC Educational Resources Information Center

    London Univ. (England). Inst. of Education.

    This survey was undertaken to provide information about the fate of young children (0-5 years) admitted to the care of voluntary societies. Data, collected from the files of three large voluntary societies, included information about all children admitted in 1962, 1963 and 1964. The movements of the children were followed until December 1968. None…

  4. 25 CFR 1000.23 - How is a Tribe/Consortium admitted to the applicant pool?

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 25 Indians 2 2010-04-01 2010-04-01 false How is a Tribe/Consortium admitted to the applicant pool... Admission into the Applicant Pool § 1000.23 How is a Tribe/Consortium admitted to the applicant pool? To be considered for admission in the applicant pool, a Tribe/Consortium must submit an application to the...

  5. A Semester Late: A Phenomenological Study Examining the Experiences of Spring Admits in Higher Education

    ERIC Educational Resources Information Center

    Roth-Francis, Chrissy

    2013-01-01

    More than 25% of new college students begin their higher education careers outside of the traditional fall start date (National Student Clearinghouse, 2012). This study examines the social, personal, and academic experiences of spring admits at a large, private research institution in the western United States. In this study, a spring admit is…

  6. Differences between Newly Admitted Nursing Home Residents in Rural and Nonrural Areas in a National Sample

    ERIC Educational Resources Information Center

    Bolin, Jane Nelson; Phillips, Charles D.; Hawes, Catherine

    2006-01-01

    Purpose: Previous research in specific locales indicates that individuals admitted to rural nursing homes have lower care needs than individuals admitted to nursing homes in urban areas, and that rural nursing homes differ in their mix of short-stay and chronic-care residents. This research investigates whether differences in acuity are a function…

  7. Evaluation of a global internal-tide resolving and submesoscale admitting ocean simulation

    NASA Astrophysics Data System (ADS)

    Ubelmann, C.; Menemenlis, D.; Fu, L. L.; Zhao, Z.

    2014-12-01

    We will present ongoing evaluation of a global ocean and sea ice configuration of the Massachusetts Institute of Technology general circulation model (MITgcm) that has 0.75 to 2.2 km horizontal grid spacing and 1-m thick vertical levels near the surface. Surface boundary conditions are from the 0.14-degree European Center for Medium-Range Weather Forecasts (ECMWF) atmospheric operational model analysis, starting in 2011, including atmospheric pressure forcing. The simulation also includes tidal forcing. A unique feature of this simulation is that we save hourly output of full 3-dimensional model prognostic variables, making it a remarkable tool for the study of ocean processes and for the simulation of satellite observations. Although this initial simulation was run without ocean data constraints, it already presents very interesting features and interactions between an exceptionally wide range of scales. The simulation resolves geostrophic eddies and internal tides and admits submesoscale variability and unbalanced dynamics such as internal waves at non-tidal frequencies.We will present some evaluation of these different components based on altimetry observations and moorings. As a first result, the internal tides for the major tidal components have overall realistic amplitudes and spatial patterns compared to independent analyses from altimetry, although some discrepancies arise in equatorial regions. Despite discrepancies with observations, this simulation already constitutes an extremely useful tool for ocean process studies and for satellite observation system experiments, for example, in preparation for the Surface Water and Ocean Topography (SWOT) mission. As a preliminary exercise, the simulation has been tested in the SWOT simulator developed at the Jet Propulsion Laboratory (Fu et al., in this session). Some illustrations of the challenges will be presented.

  8. Does drinking water influence hospital-admitted sialolithiasis on an epidemiological level in Denmark?

    PubMed Central

    Schrøder, Stine; Homøe, Preben; Wagner, Niels; Vataire, Anne-Lise; Lundager Madsen, Hans Erik; Bardow, Allan

    2015-01-01

    Objectives Sialolithiasis, or salivary stones, is not a rare disease of the major salivary glands. However, the aetiology and incidence remain largely unknown. Since sialoliths are comprised mainly of calcium phosphate salts, we hypothesise that drinking water calcium levels and other elements in drinking water could play a role in sialolithiasis. Owing to substantial intermunicipality differences in drinking water composition, Denmark constitutes a unique environment for testing such relations. Design An epidemiological study based on patient data extracted from the National Patient Registry and drinking water data from the Geological Survey of Denmark and Greenland retrieved as weighted data on all major drinking water constituents for each of the 3364 waterworks in Denmark. All patient cases with International Statistical Classification of Diseases 10th Revision (ICD-10) codes for sialolithiasis registered between the years 2000 and 2010 were included in the study (n=3014) and related to the drinking water composition on a municipality level (n=98). Primary and secondary outcome measures Multiple regression analysis using iterative search and testing among all demographic and drinking water variables with sialolithiasis incidence as the outcome in search of possible relations among the variables tested. Results The nationwide incidence of hospital-admitted sialolithiasis was 5.5 cases per 100 000 citizens per year in Denmark. Strong relations were found between the incidence of sialolithiasis and the drinking water concentration of calcium, magnesium and hydrogen carbonate, however, in separate models (p<0.001). Analyses also confirmed correlations between drinking water calcium and magnesium and their concentration in saliva whereas this was not the case for hydrogen carbonate. Conclusions Differences in drinking water calcium and magnesium may play a role in the incidence of sialolithiasis. These findings are of interest because many countries have started

  9. Admission temperature and survival in patients admitted to burn centers.

    PubMed

    Hostler, David; Weaver, Matthew D; Ziembicki, Jenny A; Kowger, Heather L; McEntire, Serina J; Rittenberger, Jon C; Callaway, Clifton W; Patterson, P Daniel; Corcos, Alain C

    2013-01-01

    It is commonly believed that hypothermia occurring during burn resuscitation is associated with poor outcome, but there is little direct supporting evidence. The authors conducted an analysis of a statewide trauma registry to determine whether hypothermia (T ≤36.5°C) was associated with mortality when controlling for clinical confounders. They included all patients treated at an accredited burn center from 2000 to 2011 where the trauma registrar recorded the primary injury type as a burn. They excluded records with missing data and nonphysiologic temperature (<26°C or >42°C). The primary exposure of interest was hypothermia. The authors constructed a hierarchical, multivariable logistic regression model to examine the effect of hypothermia on survival, controlling for potentially confounding variables. Predictors of mortality are presented as odds ratio (95% confidence interval). Primary burn injury was coded 17,098 times during the study period. Of these, 3809 were not treated at a burn center and 1192 were excluded for missing data. Admission hypothermia was independently associated with mortality (1.91 [1.58-2.29]) when adjusting for age, sex, total second- and third-degree burn surface area (TBSA), comorbid conditions, injury severity score, direct transport vs referral, method of temperature measurement, year, and the hospital providing care. Increasing age, female sex, TBSA >40%, presence of multiple comorbid conditions, and increasing injury severity score were associated with mortality. Other variables in the model were not independently associated with outcome. There was a weak correlation between TBSA and admission temperature (r = .18). Hypothermia at hospital admission is independently associated with mortality in burn patients when controlling for clinical confounders. Future studies should address potential causes underlying this observation.

  10. Patients with community acquired pneumonia admitted to European intensive care units: an epidemiological survey of the GenOSept cohort

    PubMed Central

    2014-01-01

    Introduction Community acquired pneumonia (CAP) is the most common infectious reason for admission to the Intensive Care Unit (ICU). The GenOSept study was designed to determine genetic influences on sepsis outcome. Phenotypic data was recorded using a robust clinical database allowing a contemporary analysis of the clinical characteristics, microbiology, outcomes and independent risk factors in patients with severe CAP admitted to ICUs across Europe. Methods Kaplan-Meier analysis was used to determine mortality rates. A Cox Proportional Hazards (PH) model was used to identify variables independently associated with 28-day and six-month mortality. Results Data from 1166 patients admitted to 102 centres across 17 countries was extracted. Median age was 64 years, 62% were male. Mortality rate at 28 days was 17%, rising to 27% at six months. Streptococcus pneumoniae was the commonest organism isolated (28% of cases) with no organism identified in 36%. Independent risk factors associated with an increased risk of death at six months included APACHE II score (hazard ratio, HR, 1.03; confidence interval, CI, 1.01-1.05), bilateral pulmonary infiltrates (HR1.44; CI 1.11-1.87) and ventilator support (HR 3.04; CI 1.64-5.62). Haematocrit, pH and urine volume on day one were all associated with a worse outcome. Conclusions The mortality rate in patients with severe CAP admitted to European ICUs was 27% at six months. Streptococcus pneumoniae was the commonest organism isolated. In many cases the infecting organism was not identified. Ventilator support, the presence of diffuse pulmonary infiltrates, lower haematocrit, urine volume and pH on admission were independent predictors of a worse outcome. PMID:24690444

  11. Variability in warm-season atmospheric circulation and precipitation patterns over subtropical South America: relationships between the South Atlantic convergence zone and large-scale organized convection over the La Plata basin

    NASA Astrophysics Data System (ADS)

    Mattingly, Kyle S.; Mote, Thomas L.

    2016-03-01

    Warm-season precipitation variability over subtropical South America is characterized by an inverse relationship between the South Atlantic convergence zone (SACZ) and precipitation over the central and western La Plata basin of southeastern South America. This study extends the analysis of this "South American Seesaw" precipitation dipole to relationships between the SACZ and large, long-lived mesoscale convective systems (LLCSs) over the La Plata basin. By classifying SACZ events into distinct continental and oceanic categories and building a logistic regression model that relates LLCS activity across the region to continental and oceanic SACZ precipitation, a detailed account of spatial variability in the out-of-phase coupling between the SACZ and large-scale organized convection over the La Plata basin is provided. Enhanced precipitation in the continental SACZ is found to result in increased LLCS activity over northern, northeastern, and western sections of the La Plata basin, in association with poleward atmospheric moisture flux from the Amazon basin toward these regions, and a decrease in the probability of LLCS occurrence over the southeastern La Plata basin. Increased oceanic SACZ precipitation, however, was strongly related to reduced atmospheric moisture and decreased probability of LLCS occurrence over nearly the entire La Plata basin. These results suggest that continental SACZ activity and large-scale organized convection over the northern and eastern sections of the La Plata basin are closely tied to atmospheric moisture transport from the Amazon basin, while the warm coastal Brazil Current may also play an important role as an evaporative moisture source for LLCSs over the central and western La Plata basin.

  12. Compact range for variable-zone measurements

    DOEpatents

    Burnside, Walter D.; Rudduck, Roger C.; Yu, Jiunn S.

    1988-08-02

    A compact range for testing antennas or radar targets includes a source for directing energy along a feedline toward a parabolic reflector. The reflected wave is a spherical wave with a radius dependent on the distance of the source from the focal point of the reflector.

  13. Compact range for variable-zone measurements

    DOEpatents

    Burnside, Walter D.; Rudduck, Roger C.; Yu, Jiunn S.

    1988-01-01

    A compact range for testing antennas or radar targets includes a source for directing energy along a feedline toward a parabolic reflector. The reflected wave is a spherical wave with a radius dependent on the distance of the source from the focal point of the reflector.

  14. Compact range for variable-zone measurements

    DOEpatents

    Burnside, W.D.; Rudduck, R.C.; Yu, J.S.

    1987-02-27

    A compact range for testing antennas or radar targets includes a source for directing energy along a feedline toward a parabolic reflector. The reflected wave is a spherical wave with a radius dependent on the distance of the source from the focal point of the reflector. 2 figs.

  15. Prevalence of pressure ulcers by race and ethnicity for older adults admitted to nursing homes.

    PubMed

    Harms, Susan; Bliss, Donna Z; Garrard, Judith; Cunanan, Kristen; Savik, Kay; Gurvich, Olga; Mueller, Christine; Wyman, Jean F; Eberly, Lynn; Virnig, Beth

    2014-03-01

    Little is known about the prevalence of pressure ulcers (PUs) among racial and ethnic groups of older individuals admitted to nursing homes (NHs). NHs admitting higher percentages of minority individuals may face resource challenges for groups with more PUs or ones of greater severity. This study examined the prevalence of PUs (Stages 2 to 4) among older adults admitted to NHs by race and ethnicity at the individual, NH, and regional levels. Results show that the prevalence of PUs in Black older adults admitted to NHs was greater than that in Hispanic older adults, which were both greater than in White older adults. The PU rate among admissions of Black individuals was 1.7 times higher than White individuals. A higher prevalence of PUs was observed among NHs with a lower percentage of admissions of White individuals. [Journal of Gerontological Nursing, 40(3), 20-26.]. PMID:24219072

  16. The Effect of Depression on Social Engagement in Newly Admitted Dutch Nursing Home Residents.

    ERIC Educational Resources Information Center

    Achterberg, Wilco; Pot, Anne Margriet; Kerkstra, Ada; Ooms, Marcel; Muller, Martien; Ribbe, Miel

    2003-01-01

    Studies the effect of depression on social engagement among newly admitted nursing home residents. Results reveal that residents with depression were significantly more often found to have low social engagement. (Contains 26 references and 3 tables.) (GCP)

  17. The effect of admitted patients in the emergency department on rates of hospital admissions

    PubMed Central

    Fogarty, Eoin M; Cummins, Fergal

    2013-01-01

    Emergency Department overcrowding with admitted inpatients is a common international occurrence. We undertook a retrospective review to compare patient admission rates from patients presenting to our Emergency Department with the level of overcrowding with admitted inpatients on that particular day in the Emergency Department. Over the 2-year study period there was no change in the rate or absolute number of admissions per day compared with the level of inpatient overcrowding. PMID:23073760

  18. The effect of admitted patients in the emergency department on rates of hospital admissions.

    PubMed

    Fogarty, Eoin M; Cummins, Fergal

    2013-09-01

    Emergency Department overcrowding with admitted inpatients is a common international occurrence. We undertook a retrospective review to compare patient admission rates from patients presenting to our Emergency Department with the level of overcrowding with admitted inpatients on that particular day in the Emergency Department. Over the 2-year study period there was no change in the rate or absolute number of admissions per day compared with the level of inpatient overcrowding. PMID:23073760

  19. 15 CFR 30.52 - Foreign Trade Zones.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... requirements contained in CBP regulations 19 CFR 146, “Foreign Trade Zones.”) When foreign goods are admitted... CFR 146.32(a), the applicant for admission shall present CBP-214 to the Port Director and shall... statistical purposes. (Use the instructions and definitions provided in 19 CFR 146 for completing these...

  20. 15 CFR 30.52 - Foreign Trade Zones.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... requirements contained in CBP regulations 19 CFR 146, “Foreign Trade Zones.”) When foreign goods are admitted... CFR 146.32(a), the applicant for admission shall present CBP-214 to the Port Director and shall... statistical purposes. (Use the instructions and definitions provided in 19 CFR 146 for completing these...

  1. 15 CFR 30.52 - Foreign Trade Zones.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... statistical purposes. (Use the instructions and definitions provided in 19 CFR 146 for completing these fields... requirements contained in CBP regulations 19 CFR 146, “Foreign Trade Zones.”) When foreign goods are admitted... CFR 146.32(a), the applicant for admission shall present CBP-214 to the Port Director and...

  2. 15 CFR 30.52 - Foreign Trade Zones.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... requirements contained in CBP regulations 19 CFR 146, “Foreign Trade Zones.”) When foreign goods are admitted... CFR 146.32(a), the applicant for admission shall present CBP-214 to the Port Director and shall... statistical purposes. (Use the instructions and definitions provided in 19 CFR 146 for completing these...

  3. Geophysics applications in critical zone science: emerging topics.

    NASA Astrophysics Data System (ADS)

    Pachepsky, Y. A.; Martinez, G.; Guber, A.; Walthall, C. L.; Vereecken, H.

    2012-12-01

    Geophysical studies have resulted in remarkable advances in characterization of critical zone. The geophysics applications uncover the relationships between structure and function in subsurface as they seek to define subsurface structural units with individual properties of retention and transmission of water, energy, solutes, electrical charge, etc. Several focal points of the research have emerged as the knowledge base of the critical zone geophysics grows. Time-lapse or multiple geophysical surveys admittedly improve the subsurface characterization. One of intriguing possibilities here is to use the temporal variation in geophysical parameters among time-lapse surveys directly to model spatial variation in soil properties affecting soil-water contents. Because critical phenomena causing erratic routing have been recently discovered in hillslope subsurface flow networks, it remains to be seen whether the time-lapse imagery depicts the same flow network if weather conditions are seemingly similar. High-frequency network observations usually reveal the temporal stability patterns in soil variables, including water contents, CO2 fluxes, etc. It becomes clear that these patterns can be described with spatiotemporal geostatistics models, and the opportunity arises to infer the spatial correlation structure of soil parameters from temporal variations of soil dynamic variables. There are indications that the spatial correlation structures of the geophysical parameters and soil/plant variables can be similar even though the correlations between these parameters are low. This may open additional avenues for mapping sparsely measured soil and plant variables. Fallacies of scale in geophysical depicting subsurface structural units and patterns are far from being understood. Soil state variables affect geophysical retrieval in nonlinear ways, and therefore scale effects in retrievals are warranted. For this reason, the strength and type of dependencies between geophysical

  4. Climate change and dead zones.

    PubMed

    Altieri, Andrew H; Gedan, Keryn B

    2015-04-01

    Estuaries and coastal seas provide valuable ecosystem services but are particularly vulnerable to the co-occurring threats of climate change and oxygen-depleted dead zones. We analyzed the severity of climate change predicted for existing dead zones, and found that 94% of dead zones are in regions that will experience at least a 2 °C temperature increase by the end of the century. We then reviewed how climate change will exacerbate hypoxic conditions through oceanographic, ecological, and physiological processes. We found evidence that suggests numerous climate variables including temperature, ocean acidification, sea-level rise, precipitation, wind, and storm patterns will affect dead zones, and that each of those factors has the potential to act through multiple pathways on both oxygen availability and ecological responses to hypoxia. Given the variety and strength of the mechanisms by which climate change exacerbates hypoxia, and the rates at which climate is changing, we posit that climate change variables are contributing to the dead zone epidemic by acting synergistically with one another and with recognized anthropogenic triggers of hypoxia including eutrophication. This suggests that a multidisciplinary, integrated approach that considers the full range of climate variables is needed to track and potentially reverse the spread of dead zones.

  5. Climate change and dead zones.

    PubMed

    Altieri, Andrew H; Gedan, Keryn B

    2015-04-01

    Estuaries and coastal seas provide valuable ecosystem services but are particularly vulnerable to the co-occurring threats of climate change and oxygen-depleted dead zones. We analyzed the severity of climate change predicted for existing dead zones, and found that 94% of dead zones are in regions that will experience at least a 2 °C temperature increase by the end of the century. We then reviewed how climate change will exacerbate hypoxic conditions through oceanographic, ecological, and physiological processes. We found evidence that suggests numerous climate variables including temperature, ocean acidification, sea-level rise, precipitation, wind, and storm patterns will affect dead zones, and that each of those factors has the potential to act through multiple pathways on both oxygen availability and ecological responses to hypoxia. Given the variety and strength of the mechanisms by which climate change exacerbates hypoxia, and the rates at which climate is changing, we posit that climate change variables are contributing to the dead zone epidemic by acting synergistically with one another and with recognized anthropogenic triggers of hypoxia including eutrophication. This suggests that a multidisciplinary, integrated approach that considers the full range of climate variables is needed to track and potentially reverse the spread of dead zones. PMID:25385668

  6. Effect of climate, intra and inter-annual variability, on nutrients emission (C,N, P) in stream water: lessons from an agricultural long term observatory of the temperate zone

    NASA Astrophysics Data System (ADS)

    Gascuel-Odoux, Chantal; Remi, Dupas; Patrick, Durand; Ophélie, Fovet; Gerard, Gruau; Anne, Jaffrezic; Guillaume, Humbert; Philippe, Merot; Gu, Sen

    2016-04-01

    Agriculture greatly contributes to modify C, N and P cycles, particularly in animal breeding regions due to high inputs. Climatic conditions, intra and inter-annual variabilities, modify nutrient stream water emissions, acting in time on transfer and transformation, accumulation and mobilization processes, connecting and disconnecting in time different compartments (soil, riparian areas, groundwater). In agricultural catchments, nutrient perturbations are dominated by agricultural land use, and decoupling human activities and climate effects is far from easy. Climate change generally appears as a secondary driver compared to land use. If studied, generally only one nutrient is considered. Only long term, high frequency and multiple element data series can decouple these two drivers. The Kervidy-Naizin watershed belongs to the AgrHyS environmental research observatory (http://www6.inra.fr/ore_agrhys_eng), itself included in RBV (French catchment network of the CZO). On this catchment, 6 years of daily data on DOC, NO3, SRP, TP concentrations allow us to analyze the effect of seasonal and inter-annual climatic variabilities on water quality (C, N, P). Different papers have been published on the effect of climate on nitrate (Molenat et al, 2008), SRP and TP (Dupas et al, 2015) and DOC (Humbert et al, 2015). We will present first results comparing the effect of climate on these three major solute forms of C, N and P. While C and P dynamics are very close and controlled by fluctuation of water table downslope, i.e. in riparian areas, mobilizing C and P in time, nitrate dynamics is controlled by GW dynamics upslope acting as the major N reservoir. As example, the dryness conditions in summer appears a key factor of the C and P emissions in autumn. All the three solute forms interact when anoxic conditions are observed in riparian zones. These basic processes explain how climatic variability can influence and explain interactions between C, N and P emissions in stream

  7. Zone refining of plutonium metal

    SciTech Connect

    Blau, M.S.

    1994-08-01

    The zone refining process was applied to Pu metal containing known amounts of impurities. Rod specimens of plutonium metal were melted into and contained in tantalum boats, each of which was passed horizontally through a three-turn, high-frequency coil in such a manner as to cause a narrow molten zone to pass through the Pu metal rod 10 times. The impurity elements Co, Cr, Fe, Ni, Np, U were found to move in the same direction as the molten zone as predicted by binary phase diagrams. The elements Al, Am, and Ga moved in the opposite direction of the molten zone as predicted by binary phase diagrams. As the impurity alloy was zone refined, {delta}-phase plutonium metal crystals were produced. The first few zone refining passes were more effective than each later pass because an oxide layer formed on the rod surface. There was no clear evidence of better impurity movement at the slower zone refining speed. Also, constant or variable coil power appeared to have no effect on impurity movement during a single run (10 passes). This experiment was the first step to developing a zone refining process for plutonium metal.

  8. Reaction zone structure for strong, weak overdriven, and weak underdriven oblique detonations

    NASA Technical Reports Server (NTRS)

    Powers, Joseph M.; Gonthier, Keith A.

    1992-01-01

    A simple dynamic systems analysis is used to give examples of strong, weak overdriven, and weak underdriven oblique detonations. Steady oblique detonations consisting of a straight lead shock attached to a solid wedge followed by a resolved reaction zone structure are admitted as solutions to the reactive Euler equations. This is demonstrated for a fluid that is taken to be an inviscid, calorically perfect ideal gas that undergoes a two-step irreversible reaction with the first step exothermic and the second step endothermic. This model admits solutions for a continuum of shock wave angles for two classes of solutions identified by a Rankine-Hugoniot analysis: strong and weak overdriven waves. The other class, weak underdriven, is admitted for eigenvalue shock-wave angles. Chapman-Jouguet waves, however, are not admitted. These results contrast those for a corresponding onestep model that, for detonations with a straight lead shock, only admits strong, weak overdriven, and Chapman-Jouguet solutions.

  9. Involvement of a Surgical Service Improves Patient Satisfaction in Patients Admitted with Small Bowel Obstruction

    PubMed Central

    Schmocker, Ryan K.; Vang, Xia; Cherney Stafford, Linda M.; Leverson, Glen E.; Winslow, Emily R.

    2015-01-01

    Background For patients with small bowel obstruction (SBO), surgical care has been associated with improved outcomes; however it remains unknown how it impacts satisfaction. Methods Patients admitted for SBO who completed the hospital satisfaction survey were eligible. Only those with adhesions or hernias were included. Chart review extracted structural characteristics and outcomes. Results 47 patients were included; 74% (n=35) were admitted to a surgical service. 26% (n=12) were admitted to medicine, and 50% of those (n=6) had surgical consultation. Patients with surgical involvement as the consulting or primary service (SURG) had higher satisfaction with the hospital than those cared for by the medical service (80% SURG; 33% MED, p=0.015). SURG patients also had higher satisfaction with physicians (74% SURG; 44% MED; p=0.015). Conclusions Surgical involvement during SBO admissions is associated with increased patient satisfaction, and adds further weight to the recommendation that these patients be cared for by surgeons. PMID:25886702

  10. Comparative study of the prevalence of sepsis in patients admitted to dermatology and internal medicine wards*

    PubMed Central

    Almeida, Luiz Maurício Costa; Diniz, Michelle dos Santos; Diniz, Lorena dos Santos; Machado-Pinto, Jackson; Silva, Francisco Chagas Lima

    2013-01-01

    BACKGROUND Sepsis is a common cause of morbidity and mortality among hospitalized patients. The prevalence of this condition has increased significantly in different parts of the world. Patients admitted to dermatology wards often have severe loss of skin barrier and use systemic corticosteroids, which favor the development of sepsis. OBJECTIVES To evaluate the prevalence of sepsis among patients admitted to a dermatology ward compared to that among patients admitted to an internal medicine ward. METHODS It is a cross-sectional, observational, comparative study that was conducted at Hospital Santa Casa de Belo Horizonte. Data were collected from all patients admitted to four hospital beds at the dermatology and internal medicine wards between July 2008 and July 2009. Medical records were analyzed for the occurrence of sepsis, dermatologic diagnoses, comorbidities, types of pathogens and most commonly used antibiotics. RESULTS We analyzed 185 medical records. The prevalence of sepsis was 7.6% among patients admitted to the dermatology ward and 2.2% (p = 0.10) among those admitted to the internal medicine ward. Patients with comorbidities, diabetes mellitus and cancer did not show a higher incidence of sepsis. The main agent found was Staphylococcus aureus, and the most commonly used antibiotics were ciprofloxacin and oxacillin. There was a significant association between sepsis and the use of systemic corticosteroids (p <0.001). CONCLUSION It becomes clear that epidemiological studies on sepsis should be performed more extensively and accurately in Brazil so that efforts to prevent and treat this serious disease can be made more effectively. PMID:24173179

  11. Long-term persistence of MRSA in re-admitted patients

    PubMed Central

    Biertz, F.; Ziesing, S.; Gastmeier, P.; Chaberny, I. F.

    2010-01-01

    Background A better knowledge of methicillin-resistant Staphylococcus aureus (MRSA) persistence in hospitalised patients may impact on specific prevention strategies. We have investigated the persistence of MRSA-carriage in patients admitted and re-admitted to a university hospital. Patients and methods Between January 2002 and October 2005 all MRSA-positive patients admitted to the university hospital of Hannover Medical School were assessed at first admission and all subsequent re-admissions. Patients re-admitted at least once were analysed for the persistence or loss of MRSA. The association of possible factors influencing the persistence of MRSA colonisation or infection (age group, gender, decolonisation therapy during first hospital stay due to MRSA positivity and colonisation of different anatomical sites) was analysed using univariate, multivariate and time-dependent analyses. Results A total of 1,032 patients who had tested positive at least once for MRSA were admitted to our hospital during the study period, accounting for 2,038 admissions. Of these patients, 403 (39.1%) were admitted more than once (from two times to 21 times), and 238 (59.1%) of the re-admitted patients remained MRSA positive during all subsequent admissions. Fifty-five (13.6%) patients tested MRSA negative at their last admission, and 61 (15.1%) tested MRSA negative at at least two consecutive admissions. In 27 (6.7%) patients, the MRSA status differed more than once between subsequent admissions. Overall, the half-life time (HLT) of MRSA persistence was 549 days, with the duration of persistence dependent on the colonisation of different anatomical sites (HLT only wounds 117 days; HLT mouth, throat, bronchial secretions 627 days; HLT nose, wounds and other body sites 801 days; p < 0.01) and was prolonged if more than one body site was MRSA-positive (HR 2.18, 95% confidence interval 1.52–3.15). Conclusion A detailed knowledge of the dynamics of the loss of MRSA infection could

  12. Eating difficulties, need for assisted eating, nutritional status and pressure ulcers in patients admitted for stroke rehabilitation.

    PubMed

    Westergren, A; Karlsson, S; Andersson, P; Ohlsson, O; Hallberg, I R

    2001-03-01

    The aim of this study was to describe the types and extent of eating difficulties, the need for assistance when eating, the nutritional status and pressure ulcers in consecutive patients (n = 162) admitted for stroke rehabilitation over a period of 1 year. Structured observations and assessments of eating, nutritional status (subjective global assessment of nutritional status), pressure ulcers and activities in daily living (Katz ADL-index) were performed by a nurse who also trained the staff to perform these assessments. Difficulties in eating were found in 80%, and 52.5% were unable to eat without assistance. Eating difficulties were: 'eats three-quarters or less of served food' (60%), difficulties in 'manipulating food on the plate' (56%), 'transportation of food to the mouth' (46%), 'sitting position' (29%), 'aberrant eating speed' (slow or forced) (26%), 'manipulating food in the mouth' (leakage, hoarding, chewing difficulties) (24%), 'swallowing difficulties' (18%), 'opening and/or closing the mouth' (16%), and 'alertness' (9%). Thirty-two percent were undernourished (49% of patients needing assisted eating and 13% of those not needing assistance, P < 0.0005). Among patients who were dependent in one or more functions according to the Katz ADL-index, 15% had pressure ulcers. The strongest eating variables for predicting nutritional status were 'alertness', 'swallowing difficulties', 'eats three-quarters or less of served food', and 'aberrant eating speed'. Nutritional status could in turn significantly predict pressure ulcers. Eating difficulties among patients with stroke are complex and the patient's situation before stroke adds to this complexity, especially among those dependent on assisted eating. As difficulties occur both among patients needing and not needing assisted eating, all patients with stroke admitted for rehabilitation need to be systematically assessed for eating difficulties and action needs to be taken to facilitate eating, especially as

  13. Profile of patients admitted to a triage dermatology clinic at a tertiary hospital in São Paulo, Brazil*

    PubMed Central

    Bertanha, Fernanda; Nelumba, Erica Judite Pimentel; Freiberg, Alyne Korukian; Samorano, Luciana Paula; Festa Neto, Cyro

    2016-01-01

    Background Knowledge of epidemiological data on skin diseases is important in planning preventive strategies in healthcare services. Objective To assess data from patients admitted to a triage dermatology clinic. Methods A retrospective study was performed of patients admitted over a one-year period to the Triage Dermatology Clinic at the Hospital das Clínicas of the University of São Paulo Medical School. Data were obtained from record books. The variables analyzed were: patient age, gender, dermatologic disease (initial diagnosis), origin (from where the patient was referred) and destination (where the patient was referred to). Results A total of 16,399 patients and 17,454 diseases were identified for analysis. The most frequent skin disorders were eczema (18%), cutaneous infections (13.1%), erythematous squamous diseases (6.8%) and malignant cutaneous neoplasms (6.1%). Atopic dermatitis was the most common disease in children. Acne was more common among children and adults, as were viral warts. Basal cell carcinoma and squamous cell carcinoma were more common in the elderly. Contact dermatitis and acne predominated in women. The most frequent origins were: the primary/secondary health system (26.6%), other outpatient specialties (25.5%), emergency care (14.9%); while the destinations were: discharged (27.5%), follow-up in our Dermatology Division (24.1%), return (14.1%) and the primary/secondary health system (20.7%). Conclusion Understanding the incidence of skin diseases is fundamental in making decisions regarding resource allocation for clinical care and research. Thus, we believe our findings can contribute to improving public health policies. PMID:27438199

  14. A comparison of outcomes among hospital survivors with and without severe comorbidity admitted to the intensive care unit.

    PubMed

    Williams, T A; McConigley, R; Leslie, G D; Dobbs, G J; Phillips, M; Davies, H; Aoun, S

    2015-03-01

    Little is known about the experiences of patients with severe comorbidity discharged from Intensive Care Units (ICUs). This project aimed to determine the effects of an ICU stay for patients with severe comorbidity by comparing 1) quality of life (QOL), 2) the symptom profile of hospital survivors and 3) health service use after hospital discharge for patients admitted to ICU with and without severe comorbidity. A case-control study was used. Patients with severe comorbidity were matched to a contemporaneous cohort of ICU patients by age and severity of illness. Assessment tools were the Medical Outcome Study 36-item short-form and European Organisation for Research and Treatment of Cancer QLQ-C15-PAL questionnaires for QOL and the Symptom Assessment Scale for symptom distress. A proportional odds assumption was performed using an ordinal regression model. The difference in QOL outcome was the dependent variable for each pair. Health service use after discharge from ICU was monitored with patient diaries. Patients aged 18+ years admitted to an ICU in a metropolitan teaching hospital between 2011 and 2012 were included. We recruited 30 cases and 30 controls. QOL improved over the six months after hospital discharge for patients with and without severe comorbidity (P <0.01) within the groups but there was no difference found between the groups (P >0.3). There was no difference in symptoms or health service use between patients with and without severe comorbidity. ICU admission for people with severe comorbidity can be appropriate to stabilise the patient's condition and is likely to be followed by some overall improvement over the six months after hospital discharge. PMID:25735690

  15. A comparison of outcomes among hospital survivors with and without severe comorbidity admitted to the intensive care unit.

    PubMed

    Williams, T A; McConigley, R; Leslie, G D; Dobbs, G J; Phillips, M; Davies, H; Aoun, S

    2015-03-01

    Little is known about the experiences of patients with severe comorbidity discharged from Intensive Care Units (ICUs). This project aimed to determine the effects of an ICU stay for patients with severe comorbidity by comparing 1) quality of life (QOL), 2) the symptom profile of hospital survivors and 3) health service use after hospital discharge for patients admitted to ICU with and without severe comorbidity. A case-control study was used. Patients with severe comorbidity were matched to a contemporaneous cohort of ICU patients by age and severity of illness. Assessment tools were the Medical Outcome Study 36-item short-form and European Organisation for Research and Treatment of Cancer QLQ-C15-PAL questionnaires for QOL and the Symptom Assessment Scale for symptom distress. A proportional odds assumption was performed using an ordinal regression model. The difference in QOL outcome was the dependent variable for each pair. Health service use after discharge from ICU was monitored with patient diaries. Patients aged 18+ years admitted to an ICU in a metropolitan teaching hospital between 2011 and 2012 were included. We recruited 30 cases and 30 controls. QOL improved over the six months after hospital discharge for patients with and without severe comorbidity (P <0.01) within the groups but there was no difference found between the groups (P >0.3). There was no difference in symptoms or health service use between patients with and without severe comorbidity. ICU admission for people with severe comorbidity can be appropriate to stabilise the patient's condition and is likely to be followed by some overall improvement over the six months after hospital discharge.

  16. Profile of Patients Admitted in a Large Teaching Hospital as a Result of Earthquake in Kashmir During October 2005

    PubMed Central

    Yatoto, GH; Syed, AT; Rangrez, RA; Singh, Dara

    2009-01-01

    Background: Among natural calamities Earthquakes are more devastating, as much of the life and property is affected. Methods: The study was carried- out in Accident & Emergency Department of SKIMS, to determine personnel and medical profile of earthquake victims of October 2005, when the state was rattled by a major tremor. Data was obtained from Accident & Emergency Department. Total no of patients Admitted were 166, which were followed from admission to discharge/Death. Each patient was subjected to a pretested questionnaire indicating age, sex, rural/urban distribution, Glasgow coma score, out come of treatment and referral to other care facility. Results: The study revealed that children were mostly affected, being the valnerable group. Most of the patients had head and bone injuries. 143 patients out of 166 patients had a Glasgow coma score of 15. Only 9 patients died. The reason for better end result was because of initial first Aid, Rapid transportatation to Hospital and prompt treatment in the Hospital. Conclusion: As Jammu and Kashmir falls in seismic zone 5, it needs a central trauma centre, having all the specialties and sub specialties under one roof. This will save precious time, as cross referral to other hospitals will not be needed PMID:21475539

  17. Surveillance for West Nile Virus in Clinic-admitted Raptors, Colorado

    PubMed Central

    Kratz, Gail; Edwards, Eric; Scherpelz, Judy; Bowen, Richard; Komar, Nicholas

    2007-01-01

    In 2005, 13.5% of clinic-admitted raptors in northern Colorado tested positive for West Nile virus (WNV). Clinic-admitted–raptor surveillance detected WNV activity nearly 14 weeks earlier than other surveillance systems. WNV surveillance using live raptor admissions to rehabilitation clinics may offer a novel surveillance method and should be considered along with other techniques already in use. PMID:17479898

  18. Personality preference distribution of dental students admitted to one dental school using different selection methods.

    PubMed

    von Bergmann, Hsingchi; Dalrymple, Kirsten R; Shuler, Charles F

    2014-04-01

    This study sought to determine whether using the Myers-Briggs Type Indicator (MBTI) would detect differences in personality preferences in first-year dental students admitted to the same dental school through different admission methods. First-year dental students admitted in 2000 and 2001 were given the MBTI instrument during orientation prior to the start of classes. In fall 2000, the Class of 2004 had 140 students, with 116 in the traditional track and twenty-four in the parallel problem-based learning (PBL) track. In fall 2001, the Class of 2005 had 144 students, all enrolled in the PBL curriculum. All students admitted to the PBL track had experienced a process that included evaluation of their participation in a small group. Students in the traditional track had individual interviews with faculty members. Both student groups were required to meet the same baseline grade point average and Dental Admission Test standards. In 2000, the PBL students showed personality preferences that were distinctly different from the personality preferences of traditional track students in the categories of Extroversion (89 percent PBL, 44 percent traditional) and Thinking (72 percent PBL, 39 percent traditional). In 2001, the all-PBL class retained the trend towards Extroversion (69 percent). This study suggests that admission method may effectively change the personality preference distribution exhibited by the students who are admitted to dental school. PMID:24706688

  19. Supporting Conditionally-Admitted Students: A Case Study of Assessing Persistence in a Learning Community

    ERIC Educational Resources Information Center

    Heaney, April; Fisher, Rick

    2011-01-01

    Using Astin's I-E-O model as a framework, this article explores the effects of a variety of factors on first-year persistence for conditionally-admitted students participating in a learning community at a public land-grant university. Since the learning community began in 2002, program administrators have collected survey, interview, and academic…

  20. Persistence and Graduation of UC Davis Undergraduates Admitted by Special Action: 1975-1985.

    ERIC Educational Resources Information Center

    Hunziker, Celeste M.

    Persistence and graduation rates of University of California, Davis, special action students admitted in any fall quarter from 1975 to 1985 were studied. Special action students show academic potential but do not meet admission requirements of completed course work and academic achievement. The number of special action students during this 10-year…

  1. 24 CFR 290.39 - Nondiscrimination in admitting certificate and voucher holders.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... any tenant or purchaser is a certificate or voucher holder under 24 CFR part 982. (b) Inapplicability... certificate and voucher holders. 290.39 Section 290.39 Housing and Urban Development Regulations Relating to... Nondiscrimination in admitting certificate and voucher holders. (a) Nondiscrimination requirement. For any...

  2. Personality preference distribution of dental students admitted to one dental school using different selection methods.

    PubMed

    von Bergmann, Hsingchi; Dalrymple, Kirsten R; Shuler, Charles F

    2014-04-01

    This study sought to determine whether using the Myers-Briggs Type Indicator (MBTI) would detect differences in personality preferences in first-year dental students admitted to the same dental school through different admission methods. First-year dental students admitted in 2000 and 2001 were given the MBTI instrument during orientation prior to the start of classes. In fall 2000, the Class of 2004 had 140 students, with 116 in the traditional track and twenty-four in the parallel problem-based learning (PBL) track. In fall 2001, the Class of 2005 had 144 students, all enrolled in the PBL curriculum. All students admitted to the PBL track had experienced a process that included evaluation of their participation in a small group. Students in the traditional track had individual interviews with faculty members. Both student groups were required to meet the same baseline grade point average and Dental Admission Test standards. In 2000, the PBL students showed personality preferences that were distinctly different from the personality preferences of traditional track students in the categories of Extroversion (89 percent PBL, 44 percent traditional) and Thinking (72 percent PBL, 39 percent traditional). In 2001, the all-PBL class retained the trend towards Extroversion (69 percent). This study suggests that admission method may effectively change the personality preference distribution exhibited by the students who are admitted to dental school.

  3. Characteristics of Youths with Hearing Loss Admitted to Substance Abuse Treatment

    ERIC Educational Resources Information Center

    Titus, Janet C.; Schiller, James A.; Guthmann, Debra

    2008-01-01

    The purpose of this study is to provide a profile of youths with hearing loss admitted to substance abuse treatment facilities. Intake data on 4,167 youths (28% female; 3% reporting a hearing loss) collected via the Global Appraisal of Individual Need-I assessment was used for the analyses. Information on demographics, environmental…

  4. College Choice of Minority Students Admitted to Institutions in the Council for Christian Colleges and Universities

    ERIC Educational Resources Information Center

    Confer, Christopher; Mamiseishvili, Ketevan

    2012-01-01

    The study examined the factors that affected minority students' choice to enroll at private four-year faith-based institutions in the Council of Christian Colleges and Universities (CCCU) in the United States. The study utilized the data from the College Board's Admitted Student Questionnaire PLUS (ASQ PLUS) survey. The final sample included 283…

  5. Admission Rhetoric and Academic Self-Efficacy: The Importance of First Communications for Conditionally Admitted Students

    ERIC Educational Resources Information Center

    Stewart, Joyce; Heaney, April

    2013-01-01

    This article advocates for increased attention on the college admission letter to strengthen conditionally admitted students' academic self-efficacy as they begin the college experience. Although first communications are often considered perfunctory, the language of admission materials has strong potential to help at-risk students begin…

  6. Self-Admitted Pretensions of Mac Users on a Predominantly PC University Campus

    ERIC Educational Resources Information Center

    Firmin, Michael W.; Wood, Whitney L. Muhlenkamp; Firmin, Ruth L.; Wood, Jordan C.

    2010-01-01

    The present qualitative research study addressed the overall research question of college students' pretention dynamics in the context of a university setting. Thirty-five Mac users were interviewed on a university campus that exclusively supports PC machines. Mac users shared four self-admitted pretensions related to using Macintosh computers.…

  7. 78 FR 42863 - Adjustment of Status to That of Person Admitted for Permanent Residence

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HOMELAND SECURITY 8 CFR Part 245 Adjustment of Status to That of Person Admitted for Permanent Residence CFR Correction 0 In Title 8 of the Code of Federal Regulations, revised as of January 1, 2013, on page 568,...

  8. Determining the Reasons Why Some Applicants Admitted to a Community College Do Not Begin Coursework.

    ERIC Educational Resources Information Center

    Zitzewitz, Barbara; And Others

    A study was conducted at Charles Stewart Mott Community College (MCC) to determine why many persons admitted to the college never complete any courses, to identify aspects of the college environment which might be changed to retain some of these potential students, and to learn how to channel recruitment resources toward applicants who are more…

  9. Cortisol Predicts Behavioral Dysregulation and Length of Stay among Children Admitted for Psychiatric Inpatient Treatment

    ERIC Educational Resources Information Center

    Luebbe, Aaron M.; Elledge, L. Christian; Kiel, Elizabeth J.; Stoppelbein, Laura

    2012-01-01

    Individual differences in behavioral regulation system (BRS) and stress response system (SRS) functioning may reflect greater biological sensitivity to context. The current study tested whether children's cortisol, a measure of the SRS, was related to observed dysregulated behavior, an indicator of the BRS, in a sample of children admitted for…

  10. Predictors of Service Disengagement in First-Admitted Adolescents with Psychosis

    ERIC Educational Resources Information Center

    Schimmelmann, Benno Graf; Conus, Philippe; Schacht, Melanie; McGorry, Patrick; Lambert, Martin

    2006-01-01

    Objective: To assess the risk and predictors of service disengagement in adolescents with first-episode psychosis (FEP) receiving their first treatment in a long-standing early intervention and prevention centre. Method: The Early Psychosis Prevention and Intervention Centre (EPPIC) in Australia admitted 157 adolescents, ages 15 to 18, with FEP…

  11. Symmetries and conservation laws of space-times admitting two commuting killing vectors

    NASA Astrophysics Data System (ADS)

    Menon, Balraj

    In this dissertation, we determined all first-order generalized symmetries of the vacuum Einstein equations for spacetimes admitting two commuting Killing vector fields. The field equations for the two Killing vector models, referred to as the reduced Einstein equations, were first derived using a projection formalism first developed by Geroch. In the derivation of the reduced Einstein equations, we assumed the two-dimensional distribution orthogonal to the vector spaces spanned by the Killing vector fields admits integral submanifolds. Prior to embarking on the symmetry analysis, the reduced Einstein equations were expressed in harmonic-null coordinates. A brief survey of the theory of symmetry groups of differential equations, variational symmetries, and local conservation laws preceded the generalized symmetry analysis of the reduced Einstein equation. These concepts were motivated and presented through their application to a variety of physical systems drawn from classical mechanics, quantum mechanics, classical electromagnetism, and general relativity. We obtained partial results from a preliminary analysis of kth-order generalized symmetries (for k ≥ 1) of the reduced Einstein equations. This was followed by the determination of all first-order generalized symmetries admitted by the reduced Einstein equations. We showed that all first-order generalized symmetries of the reduced Einstein equations are, in fact, prolonged point symmetries. Since the reduced Einstein equations admit a Lagrangian formulation, the variational symmetries and local conservation laws associated with the first-order symmetries were also determined and discussed.

  12. Post-Admission Cognitive Therapy: A Brief Intervention for Psychiatric Inpatients Admitted After a Suicide Attempt

    ERIC Educational Resources Information Center

    Ghahramanlou-Holloway, Marjan; Cox, Daniel W.; Greene, Farrah N.

    2012-01-01

    To date, no empirically based inpatient intervention for individuals who have attempted suicide exists. We present an overview of a novel psychotherapeutic approach, Post-Admission Cognitive Therapy (PACT), currently under development and empirical testing for inpatients who have been admitted for a recent suicide attempt. PACT is adapted from an…

  13. Medicare Cost Differences between Nursing Home Patients Admitted with and without Dementia

    ERIC Educational Resources Information Center

    Stuart, Bruce; Gruber-Baldini, Ann L.; Fahlman, Cheryl; Quinn, Charlene C.; Burton, Lynda; Zuckerman, Illene H.; Hebel, J. Rich; Zimmerman, Sheryl; Singhal, Puneet K.; Magaziner, Jay

    2005-01-01

    Purpose: Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings. Design and Methods: An expert panel established the dementia status of a stratified random sample of newly admitted residents in 59 Maryland nursing homes between 1992 and 1995. Medicare expenditures…

  14. 76 FR 60602 - Proposed Collection of Information: Annual Letters-Certificates of Authority (A) and Admitted...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-29

    ... Admitted Reinsurer (B) AGENCY: Financial Management Service, Fiscal Service, Treasury. ACTION: Notice and request for comments. SUMMARY: The Financial Management Service, as part of its continuing effort to.... ADDRESSES: Direct all written comments to Financial Management Service, 3700 East West Highway, Records...

  15. The characteristics of patients frequently admitted to academic medical centers in the United States

    PubMed Central

    Williams, Mark V.; Carrier, Danielle; Hensley, Laurie; Thomas, Stephen; Cerese, Julie

    2015-01-01

    BACKGROUND The recent intense attention to hospital readmissions and their implications for quality, safety, and reimbursement necessitates understanding specific subsets of readmitted patients. Frequently admitted patients, defined as patients who are admitted 5 or more times within 1 year, may have some distinguishing characteristics that require novel solutions. METHODS A comprehensive administrative database (University HealthSystem Consortium's Clinical Data Base/Resource Manager™) was analyzed to identify demographic, social, and clinical characteristics of frequently admitted patients in 101 US academic medical centers. RESULTS We studied 28,291 frequently admitted patients with 180,185 admissions over a 1‐year period (2011–2012). These patients comprise 1.6% of all patients, but account for 8% of all admissions and 7% of direct costs. Their admissions are driven by multiple chronic conditions; compared to other hospitalized patients, they have significantly more comorbidities (an average of 7.1 vs 2.5), and 84% of their admissions are to medical services. A minority, but significantly more than other patients, have comorbidities of psychosis or substance abuse. Moreover, although they are slightly more likely than other patients to be on Medicaid or to be uninsured (27.6% vs 21.6%), nearly three‐quarters have private or Medicare coverage. CONCLUSIONS Patients who are frequently admitted to US academic medical centers are likely to have multiple complex chronic conditions and may have behavioral comorbidities that mediate their health behaviors, resulting in acute episodes requiring hospitalization. This information can be used to identify solutions for preventing repeat hospitalization for this small group of patients who consume a highly disproportionate share of healthcare resources. Journal of Hospital Medicine 2015;10:563–568. © 2015 The Authors Journal of Hospital Medicine published by Wiley Periodicals, Inc. on behalf of Society of Hospital

  16. Length of stay and hospital costs among patients admitted to hospital by family physicians

    PubMed Central

    Wen, Chuck K.; Chambers, Catharine; Fang, Dianne; Mazowita, Garey; Hwang, Stephen W.

    2012-01-01

    Abstract Objective To compare length of stay and total hospital costs among patients admitted to hospital under the care of family physicians who were their usual health care providers in the community (group A) and patients admitted to the same inpatient service under the care of family physicians who were not their usual health care providers (group B). Design Retrospective observational study. Setting A large urban hospital in Vancouver, BC. Participants All adult admissions to the family practice inpatient service between April 1, 2006, and June 30, 2008. Main outcome measures Ratio of length of stay to expected length of stay and total hospital costs per resource intensity weight unit. Multivariate linear regression was performed to determine the effect of admitting group (group A vs group B) on the natural logarithm transformations of the outcomes. Results The median acute length of stay was 8.0 days (interquartile range [IQR] 4.0 to 13.0 days) for group A admissions and 8.0 days (IQR 4.0 to 15.0 days) for group B admissions. The median (IQR) total hospital costs were $6498 ($4035 to $11 313) for group A admissions and $6798 ($4040 to $12 713) for group B admissions. After adjustment for patient characteristics, patients admitted to hospital under the care of their own family physicians did not significantly differ in terms of acute length of stay to expected length of stay ratio (percent change 0.6%, P = .942) or total hospital costs per resource intensity weight unit (percent change −2.0%, P = .722) compared with patients admitted under the care of other family physicians. Conclusion These findings suggest that having networks of family physicians involved in hospital care for patients is not less efficient than having family physicians provide care for their own patients. PMID:22518905

  17. Quality of Life in Patients with Substance Use Disorders Admitted to Detoxification Compared with Those Admitted to Hospitals for Medical Disorders: Follow-Up Results

    PubMed Central

    Vederhus, John-Kåre; Pripp, Are Hugo; Clausen, Thomas

    2016-01-01

    Quality of life (QoL) in patients admitted to a general hospital was compared with those admitted to a detoxification unit for the treatment of substance use disorder (SUD). This study combines data from two separate data collections: a cross-sectional study in a general hospital unit (somatic sample, N = 519) and a follow-up study in a detoxification unit (SUD sample, N = 140). A total of 659 patients recruited during 2008–2013 were included in this study. All patients completed a generic QoL questionnaire at inclusion, and the SUD sample also completed it at the six-month follow-up. SUD patients experienced comparably low physical QoL and had significantly lower psychological, social, and existential QoL domain scores when compared with the somatic sample. Mental distress and having a SUD were the major factors explaining variations in QoL, with both influencing QoL negatively. In the SUD sample, QoL improved moderately at the six-month follow-up with less improvement for the domain relationship to a partner. To facilitate the recovery of SUD patients, clinicians must view their patients’ situation holistically and invest efforts into the different life domains affected by poor QoL. PMID:27226719

  18. Profile of B.C. College Transfer Students Admitted to Simon Fraser University, 1994/95 to 1998/99.

    ERIC Educational Resources Information Center

    Heslop, Joanne

    The report presents a profile of transfer students admitted to Simon Fraser University (SFU) from colleges in British Columbia (BC), Canada, over the five-year period, 1994/95 to 1998/99. In the five year period ending in the 1999 spring semester, a total of 8,323 students were admitted to SFU from BC colleges (33% of all new students admitted to…

  19. Mushy-zone model with an exact solution

    SciTech Connect

    Solomon, A. D.; Wilson, D. G.; Alexiades, V.

    1982-04-01

    In this paper we propose a very simple model of a mushy zone which admits of an explicit solution. To our knowledge, it is the only instance where an actual observation of the mushy zone width and structure is used as a partial basis for the model definition. The model rests upon two unknown parameters. The first determines the relation between the equilibrium temperature gradient and the mushy zone width. The second depends upon the dendritic structure in the mushy zone, and is related to the solid fraction. Both can be estimated from experiments. We will limit ourselves to defining the model, presenting its closed form solution, and giving tables from which the solution can be found explicitly. It is shown that in most cases the predicted mushy zone is of very negligible importance.

  20. Spectrum of Opportunistic Infections and Risk Factors for In-Hospital Mortality of Admitted AIDS Patients in Shanghai

    PubMed Central

    Luo, Bin; Sun, Jianjun; Cai, Rentian; Shen, Yinzhong; Liu, Li; Wang, Jiangrong; Zhang, Renfang; Shen, Jiayin; Lu, Hongzhou

    2016-01-01

    Abstract To investigate the frequency and the spectrum of major opportunistic infections (OIs), evaluate the major clinical factors associated with each specific OI, and identify the risk factors for in-hospital death among HIV patients in East China. A retrospective cohort study was made including all the HIV-infected patients who were admitted for the first time to the Shanghai Public Health Clinical Center during June 1, 2013 to June 1, 2015. The demographic and clinical data were collected. Comparison of continuous variables was analyzed by one-way ANOVA and rank sum test. Person χ2 test and Fisher exact test were applied to analyze the categorical variables. A Cox proportional hazards regression model was used to determine the risk for the occurrence of in-hospital death. In total, 920 patients were enrolled with age of 41.59 ± 13.36 years and 91% male. Median CD4 was 34 (IQR, 13–94) cells/μL. Among these patients, 94.7% acquired OIs while the rest developed malignancies. Pneumocystis pneumonia and bacterial coinfection (42.1%) was found to be the most common OIs, followed by tuberculosis (31.4%), CMV (20.9%), Cryptococcosis (9.0%), and MAC infection (5.2%). Of the above 5 major OIs, CMV-infected patients had the lowest median CD4 cell count 22.50 (IQR, 7.50–82.00) while the patients with tuberculosis infection had the highest count 61.00 (IQR, 27.00–176.00). In-hospital death rate was 4.2 per 100 person-years among these patients. Of note, admitted patients with 2 types of OIs (2.20, 95% CI 1.39–3.48) and those patients who were 40-year old or older (1.75, 95% CI 1.10–2.78) had a higher risk of such death. Pneumocystis pneumonia and tuberculosis were still the leading causes for the admission of HIV-infected patients in East China, and these patients tended to have very low CD4 cell counts. It is believed that expanding the HIV screening test and pushing the infected ones get ART earlier is required for generating a more successful HIV management

  1. Spectrum of Opportunistic Infections and Risk Factors for In-Hospital Mortality of Admitted AIDS Patients in Shanghai.

    PubMed

    Luo, Bin; Sun, Jianjun; Cai, Rentian; Shen, Yinzhong; Liu, Li; Wang, Jiangrong; Zhang, Renfang; Shen, Jiayin; Lu, Hongzhou

    2016-05-01

    To investigate the frequency and the spectrum of major opportunistic infections (OIs), evaluate the major clinical factors associated with each specific OI, and identify the risk factors for in-hospital death among HIV patients in East China.A retrospective cohort study was made including all the HIV-infected patients who were admitted for the first time to the Shanghai Public Health Clinical Center during June 1, 2013 to June 1, 2015. The demographic and clinical data were collected. Comparison of continuous variables was analyzed by one-way ANOVA and rank sum test. Person χ test and Fisher exact test were applied to analyze the categorical variables. A Cox proportional hazards regression model was used to determine the risk for the occurrence of in-hospital death.In total, 920 patients were enrolled with age of 41.59 ± 13.36 years and 91% male. Median CD4 was 34 (IQR, 13-94) cells/μL. Among these patients, 94.7% acquired OIs while the rest developed malignancies. Pneumocystis pneumonia and bacterial coinfection (42.1%) was found to be the most common OIs, followed by tuberculosis (31.4%), CMV (20.9%), Cryptococcosis (9.0%), and MAC infection (5.2%). Of the above 5 major OIs, CMV-infected patients had the lowest median CD4 cell count 22.50 (IQR, 7.50-82.00) while the patients with tuberculosis infection had the highest count 61.00 (IQR, 27.00-176.00). In-hospital death rate was 4.2 per 100 person-years among these patients. Of note, admitted patients with 2 types of OIs (2.20, 95% CI 1.39-3.48) and those patients who were 40-year old or older (1.75, 95% CI 1.10-2.78) had a higher risk of such death.Pneumocystis pneumonia and tuberculosis were still the leading causes for the admission of HIV-infected patients in East China, and these patients tended to have very low CD4 cell counts. It is believed that expanding the HIV screening test and pushing the infected ones get ART earlier is required for generating a more successful HIV management strategy.

  2. On the Limit Cycles for a Class of Continuous Piecewise Linear Differential Systems with Three Zones

    NASA Astrophysics Data System (ADS)

    Lima, Maurício Firmino Silva; Pessoa, Claudio; Pereira, Weber F.

    Lima and Llibre [2012] have studied a class of planar continuous piecewise linear vector fields with three zones. Using the Poincaré map, they proved that this class admits always a unique limit cycle, which is hyperbolic. The class studied in [Lima & Llibre, 2012] belongs to a larger set of planar continuous piecewise linear vector fields with three zones that can be separated into four other classes. Here, we consider some of these classes and we prove that some of them always admit a unique limit cycle, which is hyperbolic. However we find a class that does not have limit cycles.

  3. Evaluating the Pediatric Early Warning Score (PEWS) System for Admitted Patients in the Pediatric Emergency Department

    PubMed Central

    Gold, Delia L.; Mihalov, Leslie K.; Cohen, Daniel M.

    2015-01-01

    Objectives The Pediatric Early Warning Score (PEWS) systems were developed to provide a reproducible assessment of a child’s clinical status while hospitalized. Most studies investigating the PEWS evaluate its usefulness in the inpatient setting. Limited studies evaluate the effectiveness and integration of PEWS in the pediatric emergency department (ED). The goal of this study was to explore the test characteristics of an ED-assigned PEWS score for intensive care unit (ICU) admission or clinical deterioration in admitted patients. Methods This was a prospective 12-month observational study of patients, aged 0 to 21 years, admitted from the ED of an urban, tertiary care children’s hospital. ED nurses were instructed in PEWS assignment and electronic medical record (EMR) documentation. Interrater reliability between nurses was evaluated. PEWS scores were measured at initial assessment (P0) and time of admission (P1). Patients were stratified into outcome groups: those admitted to the ICU either from the ED or as transfers from the floor and those admitted to the floor only. Clinical deterioration was defined as transfer to the ICU within 6 hours or within 6 to 24 hours of admission. PEWS scores and receiver operating characteristic (ROC) curves were compared for patients admitted to the floor, ICU, and with clinical deterioration. Results The authors evaluated 12,306 consecutively admitted patients, with 99% having a PEWS documented in the EMR. Interrater reliability was excellent (intraclass coefficient 0.91). A total of 1,300 (10.6%) patients were admitted to the ICU and 11,066 (89.4%) were admitted to the floor. PEWS scores were higher for patients in the ICU group (P0 = 2.8, SD ± 2.4; P1 = 3.2, SD ± 2.4; p < 0.0001) versus floor patients (P0 = 0.7, SD ± 1.2; P1 = 0.5, SD ± 0.9; p < 0.0001). To predict the need for ICU admission, the optimal cutoff points on the ROC are P0 = 1 and P1 = 2, with areas under the ROC curve (AUCs) of 0.79 and 0

  4. Prevalence and Predictors of Chronic Health Conditions of Inmates Newly Admitted to Maximum Security Prisons.

    PubMed

    Bai, Jennifer R; Befus, Montina; Mukherjee, Dhritiman V; Lowy, Franklin D; Larson, Elaine L

    2015-07-01

    This study estimated the prevalence of chronic medical conditions and risk predictors of 759 newly admitted inmates in two New York State maximum-security prisons. The most prevalent conditions were respiratory (34.1%), cardiovascular (17.4%), and sexually transmitted diseases (STD; 16.1%); least prevalent were HIV (3.6%), cancer (1.7%), and kidney disease (1.7%). Results of the multivariable logistic regression showed that females had higher risk for all conditions except cardiovascular and liver disease; individuals aged 40 years and older had significantly higher risk for all conditions except asthma and STD; non-Hispanic Black inmates had higher risk for respiratory disease and STD; cigarette smoking was associated with asthma; and obesity was significantly associated with diabetes, asthma, and cardiovascular conditions. These findings highlight the heavy burden of chronic illnesses among newly admitted inmates and the need to address adequate screening, prevention, and treatment services. PMID:26084947

  5. Psychological problems in the family members of gravely traumatised patients admitted into an intensive care unit.

    PubMed

    Pérez-San Gregorio, M A; Blanco-Picabia, A; Murillo-Cabezas, F; Domínguez-Roldán, J M; Sánchez, B; Núñez-Roldán, A

    1992-01-01

    The aim of these studies was the analysis of the psychological repercussions on the closest members of families of 76 gravely traumatised patients admitted into the Intensive Care Unit (ICU) of the Hospital Universitario de Rehabilitación y Traumatología "Virgen del Rocio", Sevilla (Spain). An investigation based on social information and the Clinical Analysis Questionnaire was used. The sample of family members was composed of 42 women and 34 men, with an average age of 41.3 years (SD +/- 12.8). Results showed that (a) more than 50% of the family members of gravely traumatised patients admitted into an ICU showed symptoms of depression, (b) the women scored more points in hypochondria, suicidal depression, anxious depression, low-energy depression, guilt-resentment, apathy-withdrawal, paranoia, schizophrenia, psychasthenia and psychological disadjustment, and (c) in general terms, the psychological characteristics of the families were far from the norm of the control group.

  6. Gravitational collapse in f (R) gravity for a spherically symmetric spacetime admitting a homothetic Killing vector

    NASA Astrophysics Data System (ADS)

    Chakrabarti, Soumya; Banerjee, Narayan

    2016-05-01

    The gravitational collapse of a spherical distribution, in a class of f ( R) theories of gravity, where f ( R) is a power function of R , is discussed. The spacetime is assumed to admit a homothetic Killing vector. In the collapsing modes, some of the situations indeed hit a singularity, but they are all covered with an apparent horizon. Some peculiar cases are observed where the collapsing body settles to a constant radius at a given value of the radial coordinate.

  7. A profile of hospital-admitted paediatric burns patients in South Africa

    PubMed Central

    2010-01-01

    Background Injuries and deaths from burns are a serious, yet preventable health problem globally. This paper describes burns in a cohort of children admitted to the Red Cross Children's Hospital, in Cape Town, South Africa. This six month retrospective case note review looked at a sample of consecutively admitted patients from the 1 st April 2007 to the 30 th September 2007. Information was collected using a project-specific data capture sheet. Descriptive statistics (percentages, medians, means and standard deviations) were calculated, and data was compared between age groups. Spearman's correlation co-efficient was employed to look at the association between the total body surface area and the length of stay in hospital. Findings During the study period, 294 children were admitted (f= 115 (39.1%), m= 179 (60.9%)). Hot liquids caused 83.0% of the burns and 36.0% of these occurred in children aged two years or younger. Children over the age of five were equally susceptible to hot liquid burns, but the mechanism differed from that which caused burns in the younger child. Conclusion In South Africa, most hospitalised burnt children came from informal settlements where home safety is a low priority. Black babies and toddlers are most at risk for sustaining severe burns when their environment is disorganized with respect to safety. Burns injuries can be prevented by improving the home environment and socio-economic living conditions through the health, social welfare, education and housing departments. PMID:20540732

  8. Missed Opportunities for Nutritional Rehabilitation in Children Admitted to Surgical Wards

    PubMed Central

    Dave, Pooja; Nimbalkar, Somashekhar; Phatak, Ajay; Desai, Rajendra; Srivastava, Shirish

    2016-01-01

    Background. Malnutrition in children has serious health and economic consequences. We studied documentation of malnutrition, actual prevalence, and treatment given in children admitted to surgical wards. Methods. Retrospective study of 154 patients aged <5 yrs admitted to general surgical, orthopedic, and otorhinolaryngology wards. Records were evaluated for completeness of data, way of documentation, and data quality. Descriptive analysis was done. If malnutrition was not identified and/or proper action was not taken, it was defined as a “missed opportunity.” Results. Of 154 records audited, 100 (64.94%) were males, 108 (70.13%) were from general surgery ward, and 78 (50.65%) were residing in suburban area. The mean (SD) age of the study population was 2.32 (1.16) years whereas mean (SD) duration of stay was 5.84 (6.29) days. Weight and height were mentioned in 116 (75.32%) and 8 (5.19%) records, respectively, mostly by nonsurgical personnel. Documentation and treatment of malnutrition were poor. Out of 106 apparently correct weight records, 19 (17.93%) children were severely undernourished and 30 (28.30%) were moderately undernourished whereas 20 (18.87%) children were not undernourished but required nutritional attention. Conclusion. There is poor documentation of nutritional indicators of children admitted to surgical wards. From data that was available, it is apparent that malnutrition is at high levels. “Identification” and hence management of malnutrition need more attention. PMID:27429836

  9. Sodium Disturbances in Children Admitted to a Kenyan Hospital: Magnitude, Outcome and Associated Factors

    PubMed Central

    Zarnack, Hans-Christoph; Newton, Charles R.

    2016-01-01

    Background Perturbations of blood sodium are the most frequently encountered electrolyte disorder in sick children, and may influence fluid therapy. We examined the frequency of blood sodium perturbations, and factors and outcomes associated with hyponatremia in children admitted to a rural Kenyan hospital and investigated the risk factors associated with deaths in hyponatremic children. Methods Plasma sodium levels and other laboratory parameters were measured in children admitted to a rural Kenyan hospital. Clinical measurements were collected using standard forms and entered into a computer database. The proportion of children admitted with hyponatremia was determined. Logistic regression models were used to investigate factors associated with hyponatremia, and death in those with hyponatremia. Results Abnormal plasma sodium occurred in 46.6% (95% confidence interval (95%CI) 43.5–49.6%) of 1026 pediatric admissions. Hyponatremia occurred in 44.4% (95%CI 41.4–47.5%) and hypernatremia in 2.1% (95%CI 1.3–3.0%). Malaria (40.8%) was the most common underlying primary diagnosis in hyponatremic children. Malaria, hyperglycemia, wasting, high creatinine levels and preserved consciousness were associated with hyponatremia. Pallor and seizures were associated with increased mortality in hyponatremic children. Conclusions Sodium disturbances are common in pediatric admissions to a County hospital in rural Kenya. Seizures and pallor were predictors of mortality in hyponatremic children. PMID:27603309

  10. Outcome and periprocedural time management in referred versus directly admitted stroke patients treated with thrombectomy

    PubMed Central

    Weber, Ralph; Reimann, Gernot; Weimar, Christian; Winkler, Angela; Berger, Klaus; Nordmeyer, Hannes; Hadisurya, Jeffrie; Brassel, Friedhelm; Kitzrow, Martin; Krogias, Christos; Weber, Werner; Busch, Elmar W.; Eyding, Jens

    2015-01-01

    Background: After thrombectomy has shown to be effective in acute stroke patients with large vessel occlusion, the potential benefit of secondary referral for such an intervention needs to be validated. Aims: We aimed to compare consecutive stoke patients directly admitted and treated with thrombectomy at a neurointerventional centre with patients secondarily referred for such a procedure from hospitals with a stroke unit. Methods: Periprocedure times and mortality in 300 patients primarily treated in eight neurointerventional centres were compared with 343 patients referred from nine other hospitals in a prospective multicentre study of a German neurovascular network. Data on functional outcome at 3 months was available in 430 (76.4%) patients. Results: In-hospital mortality (14.8% versus 11.7%, p = 0.26) and 3 months mortality (21.9% versus 24.1%, p = 0.53) were not statistically different in both patient groups despite a significant shorter symptom to groin puncture time in directly admitted patients, which was mainly caused by a longer interfacility transfer time. We found a nonsignificant trend for better functional outcome at 3 months in directly admitted patients (modified Rankin Scale 0–2, 44.0% versus 35.7%, p = 0.08). Conclusions: Our results show that a drip-and-ship thrombectomy concept can be effectively organized in a metropolitan stroke network. Every effort should be made to speed up the emergency interfacility transfer to a neurointerventional centre in stroke patients eligible for thrombectomy after initial brain imaging. PMID:27006695

  11. Missed Opportunities for Nutritional Rehabilitation in Children Admitted to Surgical Wards.

    PubMed

    Dave, Pooja; Nimbalkar, Somashekhar; Phatak, Ajay; Desai, Rajendra; Srivastava, Shirish

    2016-01-01

    Background. Malnutrition in children has serious health and economic consequences. We studied documentation of malnutrition, actual prevalence, and treatment given in children admitted to surgical wards. Methods. Retrospective study of 154 patients aged <5 yrs admitted to general surgical, orthopedic, and otorhinolaryngology wards. Records were evaluated for completeness of data, way of documentation, and data quality. Descriptive analysis was done. If malnutrition was not identified and/or proper action was not taken, it was defined as a "missed opportunity." Results. Of 154 records audited, 100 (64.94%) were males, 108 (70.13%) were from general surgery ward, and 78 (50.65%) were residing in suburban area. The mean (SD) age of the study population was 2.32 (1.16) years whereas mean (SD) duration of stay was 5.84 (6.29) days. Weight and height were mentioned in 116 (75.32%) and 8 (5.19%) records, respectively, mostly by nonsurgical personnel. Documentation and treatment of malnutrition were poor. Out of 106 apparently correct weight records, 19 (17.93%) children were severely undernourished and 30 (28.30%) were moderately undernourished whereas 20 (18.87%) children were not undernourished but required nutritional attention. Conclusion. There is poor documentation of nutritional indicators of children admitted to surgical wards. From data that was available, it is apparent that malnutrition is at high levels. "Identification" and hence management of malnutrition need more attention. PMID:27429836

  12. Using the Admitted Class Evaluation Service (ACES) to Conduct Institution-Specific Admission or Placement Validity Studies

    ERIC Educational Resources Information Center

    Shaw, Emily J.

    2011-01-01

    Presented at the 23rd Annual Historically Black Colleges & Universities (HBCU) Conference in Atlanta, GA, in September 2011. Admitted Class Evaluation Service (ACES) is the College Board's free online service that predicts how admitted students will perform at a college or university generally, and how successful students will be in specific…

  13. Profile of BC College Transfer Students Admitted to Simon Fraser University 2003/04 to 2007/08

    ERIC Educational Resources Information Center

    Lee, Jacy; Chan, Liny; Chuang, Rachel

    2009-01-01

    This report presents data and analysis about students admitted to Simon Fraser University (SFU) who have BC College experience in the period 2003/04 to 2007/08. The first and second sections of the report focus on the profile of students admitted to SFU on the basis of BC College transfer including number of credits transferred, institution…

  14. Root apex transition zone as oscillatory zone.

    PubMed

    Baluška, František; Mancuso, Stefano

    2013-01-01

    Root apex of higher plants shows very high sensitivity to environmental stimuli. The root cap acts as the most prominent plant sensory organ; sensing diverse physical parameters such as gravity, light, humidity, oxygen, and critical inorganic nutrients. However, the motoric responses to these stimuli are accomplished in the elongation region. This spatial discrepancy was solved when we have discovered and characterized the transition zone which is interpolated between the apical meristem and the subapical elongation zone. Cells of this zone are very active in the cytoskeletal rearrangements, endocytosis and endocytic vesicle recycling, as well as in electric activities. Here we discuss the oscillatory nature of the transition zone which, together with several other features of this zone, suggest that it acts as some kind of command center. In accordance with the early proposal of Charles and Francis Darwin, cells of this root zone receive sensory information from the root cap and instruct the motoric responses of cells in the elongation zone.

  15. Root Apex Transition Zone As Oscillatory Zone

    PubMed Central

    Baluška, František; Mancuso, Stefano

    2013-01-01

    Root apex of higher plants shows very high sensitivity to environmental stimuli. The root cap acts as the most prominent plant sensory organ; sensing diverse physical parameters such as gravity, light, humidity, oxygen, and critical inorganic nutrients. However, the motoric responses to these stimuli are accomplished in the elongation region. This spatial discrepancy was solved when we have discovered and characterized the transition zone which is interpolated between the apical meristem and the subapical elongation zone. Cells of this zone are very active in the cytoskeletal rearrangements, endocytosis and endocytic vesicle recycling, as well as in electric activities. Here we discuss the oscillatory nature of the transition zone which, together with several other features of this zone, suggest that it acts as some kind of command center. In accordance with the early proposal of Charles and Francis Darwin, cells of this root zone receive sensory information from the root cap and instruct the motoric responses of cells in the elongation zone. PMID:24106493

  16. Complex strain patterns developed at the frontal and lateral tips to shear zones and thrust zones

    NASA Astrophysics Data System (ADS)

    Coward, M. P.; Potts, G. J.

    Many of the complex strain patterns seen in shear zones and thrust zones, such as variable fabric orientations, refolded folds and fabrics, together with folds with hinges almost parallel to the main transport direction, can be explained in terms of differential movement within the shear zones. These strains are developed at the frontal and lateral tips of the zones as they propagate. Examples are taken from the Moine thrust zone of Scotland which show variations in strains particularly at the lateral tips. The form of differential movement described here may lead to complex strain paths and non-plane strain ellipsoids and the spatial variations in finite strain may be used to delineate zones of extensional and compressional flow and differential movement in the shear zones or thrusts.

  17. Predictors of major lower limb amputation among type II diabetic patients admitted for diabetic foot problems

    PubMed Central

    Yusof, Nazri Mohd; Rahman, Jamalludin Ab; Zulkifly, Ahmad Hafiz; Che-Ahmad, Aminudin; Khalid, Kamarul Ariffin; Sulong, Ahmad Fadzli; Vijayasingham, Naveen

    2015-01-01

    INTRODUCTION Diabetes mellitus (DM) is the most common cause of amputations in Malaysia. This study aimed to identify the predictive factors for major lower limb amputation among patients with type 2 DM (T2DM) who were admitted to a hospital, in order to reduce its likelihood. METHODS This cross-sectional study involved 218 patients with T2DM who were admitted to Hospital Tengku Ampuan Afzan, Kuantan, Malaysia, for diabetic foot problems from June 2011 to July 2012. A form was developed to document the patients’ profiles, comorbidities, complications, investigations, treatment and clinical outcomes. The predictors for major lower limb amputations were determined using univariate and stepwise logistic regression analysis. RESULTS A total of 31 patients underwent major lower limb amputations (25 transtibial, 6 transfemoral). The following factors were found to be associated with the incidence of major lower limb amputations: T2DM duration ≥ 10 years, diabetic neuropathy, diabetic nephropathy, presentation with gangrene, diabetic foot conditions of Wagner grade 4 or 5, and necrotising fasciitis. Patients who underwent major amputations had significantly lower haemoglobin and albumin levels, and higher total white blood cell counts, erythrocyte sedimentation rates, and C-reactive protein, urea and creatinine levels. However, only T2DM duration ≥ 10 years, positive bacterial culture and albumin levels were significant on stepwise logistic regression analysis. CONCLUSION T2DM duration ≥ 10 years, positive bacterial culture and low albumin levels were found to be significant predictive factors for major lower limb amputation among patients with T2DM admitted for diabetic foot problems. PMID:26668408

  18. Stressors in the relatives of patients admitted to an intensive care unit

    PubMed Central

    Barth, Angélica Adam; Weigel, Bruna Dorfey; Dummer, Claus Dieter; Machado, Kelly Campara; Tisott, Taís Montagner

    2016-01-01

    Objective To identify and stratify the main stressors for the relatives of patients admitted to the adult intensive care unit of a teaching hospital. Methods Cross-sectional descriptive study conducted with relatives of patients admitted to an intensive care unit from April to October 2014. The following materials were used: a questionnaire containing identification information and demographic data of the relatives, clinical data of the patients, and 25 stressors adapted from the Intensive Care Unit Environmental Stressor Scale. The degree of stress caused by each factor was determined on a scale of values from 1 to 4. The stressors were ranked based on the average score obtained. Results The main cause of admission to the intensive care unit was clinical in 36 (52.2%) cases. The main stressors were the patient being in a state of coma (3.15 ± 1.23), the patient being unable to speak (3.15 ± 1.20), and the reason for admission (3.00 ± 1.27). After removing the 27 (39.1%) coma patients from the analysis, the main stressors for the relatives were the reason for admission (2.75 ± 1.354), seeing the patient in the intensive care unit (2.51 ± 1.227), and the patient being unable to speak (2.50 ± 1.269). Conclusion Difficulties in communication and in the relationship with the patient admitted to the intensive care unit were identified as the main stressors by their relatives, with the state of coma being predominant. By contrast, the environment, work routines, and relationship between the relatives and intensive care unit team had the least impact as stressors. PMID:27737424

  19. Strange star admitting Chaplygin equation of state in Finch-Skea spacetime

    NASA Astrophysics Data System (ADS)

    Bhar, Piyali

    2015-10-01

    In the present paper we propose a new model of an anisotropic strange star which admits the Chaplygin equation of state. The exterior spacetime is described by a Schwarzschild line element. The model is developed by assuming the Finch-Skea ansatz (Finch and Skea in Class. Quantum Gravity 6:467, 1989. We obtain the model parameters in closed form. Our model is free from a central singularity. Choosing some particular values for the parameter we show that our model corroborates the observational data of the strange star PSR J1614-2230 (Gangopadhyay et al. in Mon. Not. R. Astron. Soc. 431:3216, 2013.

  20. Refeeding syndrome is uncommon in alcoholics admitted to a hospital detoxification unit.

    PubMed

    Manning, S; Gilmour, M; Weatherall, M; Robinson, G M

    2014-05-01

    The refeeding syndrome is increasingly recognised. It is a serious change in electrolytes when nutrition is reintroduced to malnourished patients. Alcohol dependence is a risk factor for the refeeding syndrome. We report a prospective cohort study of 36 alcoholics hospitalised for withdrawal management. We found no evidence of refeeding syndrome in any patient after 3 days of hospitalisation, despite hypomagnesaemia, a risk factor for the refeeding syndrome being prevalent (44% of subjects). Low thiamine levels were infrequent affecting 3/29 (10%). We recommend that in alcoholics admitted for managed withdrawal, risk of refeeding syndrome appears to be low, and routine testing of repeat electrolytes appears unnecessary.

  1. The influence of episodic mood disorders on length of stay among patients admitted to private and non-profit hospitals with alcohol dependence syndrome.

    PubMed

    Dickerson, Justin B

    2011-02-22

    Episodic mood disorders are often associated with alcohol dependence. Few studies have explored the contribution of episodic mood disorders to length of stay among those hospitalized with alcohol dependence syndrome. Filling this research gap could improve care for patients while minimizing hospital utilization costs. This study was a cross-sectional analysis of the National Hospital Discharge Survey. ICD-9-CM diagnosis codes were used to identify those admitted to a private or non-profit hospital with alcohol dependence syndrome, and a co-morbid diagnosis of an episodic mood disorder (n=358). Descriptive statistics were used to highlight differences in key demographic and hospital variables between those with and without episodic mood disorders. Negative binomial regression was used to associate episodic mood disorders with hospital length of stay. Incidence rate ratios were calculated. Co-morbid episodic mood disorders (β=0.31, P=0.001), referral to a hospital by a physician (β=0.35, P=0.014), and increasing age (β= 0.01, P=0.001) were associated with longer hospital stays. Hospital patients with an admitting diagnosis of alcohol dependence syndrome were 36% more likely to have a longer hospital stay if they also had a co-morbid diagnosis of an episodic mood disorder (IRR=1.36, CI=1.14-1.62). Patients admitted to a hospital with alcohol dependence syndrome should be routinely screened for episodic mood disorders. Opportunities exist for enhanced transitional care between acute, ambulatory, and community-based care settings to lower hospital utilization.

  2. Epidemiology and Outcome of Chemical Burn Patients Admitted in Burn Unit of JNMC Hospital, Aligarh Muslim University, Aligarh, Uttar Pradesh, India: A 5-year Experience

    PubMed Central

    Akhtar, Md Sohaib; Ahmad, Imran; Khurram, M. Fahud; Kanungo, Srikanta

    2015-01-01

    Aims and Objective: The objectives of this study were to evaluate the epidemiology, clinical variable of chemical burns, and their outcomes to prevent or reduce the frequency and morbidity of such injuries. Materials and Methods: A retrospective analysis was performed on all the patients with chemical burns admitted at author's center between November 2008 and December 2013. All the patients were evaluated in terms of age, sex, total body surface area, etiology, treatment given, morbidity, mortality, final outcome, and then educated regarding specific preventive measures. Results: A total of 96 patients (2.4% of total burn admissions) (42 males and 54 females) were admitted to our hospital with chemical burn injuries. Most of the patients were in the age group of 16–30 years. Incidence in females was slightly higher than in males. Acid was found to be the most common cause of injury. We found 55% patients admitted had <10% total body surface area (TBSA) involvement, 35% had burns involving between 11 and 20% TBSA, and 4% had burns involving 21–30% TBSA, and 6% had burns in >30% TBSA. Morbidity was noticed in the form of skin defect in 80% of cases, soft tissue defect with exposed tendon, bone, or vessels in 16% of cases, and 4% of patients developed contracture and hypertrophic scar. Eighty-six percent of patients required operative intervention. A total of three deaths (3%) were recorded. Conclusion: It was found that chemical burns, though not very common, are deeper burns and can be accidental or non-accidental, and the high-risk age group is 16–25 years. Chemical burns are largely preventable and if properly managed have a good outcome. PMID:25810999

  3. Vadose zone microbiology

    SciTech Connect

    Kieft, Thomas L.; Brockman, Fred J.

    2001-01-17

    The vadose zone is defined as the portion of the terrestrial subsurface that extends from the land surface downward to the water table. As such, it comprises the surface soil (the rooting zone), the underlying subsoil, and the capillary fringe that directly overlies the water table. The unsaturated zone between the rooting zone and the capillary fringe is termed the "intermediate zone" (Chapelle, 1993). The vadose zone has also been defined as the unsaturated zone, since the sediment pores and/or rock fractures are generally not completely water filled, but instead contain both water and air. The latter characteristic results in the term "zone of aeration" to describe the vadose zone. The terms "vadose zone," "unsaturated zone", and "zone of aeration" are nearly synonymous, except that the vadose zone may contain regions of perched water that are actually saturated. The term "subsoil" has also been used for studies of shallow areas of the subsurface immediately below the rooting zone. This review focuses almost exclusively on the unsaturated region beneath the soil layer since there is already an extensive body of literature on surface soil microbial communities and process, e.g., Paul and Clark (1989), Metting (1993), Richter and Markowitz, (1995), and Sylvia et al. (1998); whereas the deeper strata of the unsaturated zone have only recently come under scrutiny for their microbiological properties.

  4. Women are less likely to be admitted to substance abuse treatment within 30 days of assessment.

    PubMed

    Arfken, Cynthia L; Borisova, Natalie; Klein, Chris; di Menza, Salvatore; Schuster, Charles R

    2002-01-01

    The information gathered in a centralized intake unit (CIU) allows payers and administrators to examine if there are access issues for their population. For this study, the authors examined whether there were gender differences in the rate at which people are admitted to treatment within 30 days of assessment. Of the 5,004 individuals seeking publicly-funded substance abuse treatment in Detroit for the years 1996-97, 50.3% of those assessed at the CIU actually entered treatment. Women (31% of the people assessed) had a lower rate of admission (45% for women versus 53% for men) a difference that was maintained even after controlling for known risk factors. Women who were given priority for admission (i.e., those who were pregnant, had children, or injected drugs) had a higher rate of admission than other women (73% versus 39%), but only 17% of the women presenting were included in the priority groups. Men who were injecting drugs (a priority group) also had a higher rate of admission than other men (83% versus 49%). In multivariate analysis controlling for priority groups and known risk factors, women were still less likely to be admitted to treatment within 30 days of admission than men. Establishing priorities improves the rate of admission within 30 days of assessment for those groups, but more needs to be done to improve the admission rate for women. These results demonstrate that a CIU allows administrators to monitor for access issues.

  5. Neurodevelopmental outcome of very low birth weight babies admitted to a Malaysian nursery.

    PubMed

    Ho, J J; Amar, H S; Mohan, A J; Hon, T H

    1999-04-01

    This paper examines the prevalence and pattern of neurodevelopmental handicap at 2 years of age in very-low-birth-weight (VLBW) infants admitted during 1993 to a level 3 nursery in Malaysia. The study included all VLBW babies born in the hospital or referred for neonatal care. Control infants were randomly selected during attendance at a primary health care clinic. A total of 82 (54.6%) out of the 150 VLBW infants admitted survived for 2 years, 77 (93.9%) of which were evaluated. The mean General Quotient (GQ) on the Griffiths Scales was 94 (15.7) for the study group and 104 (8.3) for the 60 controls. For GQ, 21 infants (27.3%) of the study population were 1 or more standard deviations (SD) below the mean, as compared with 1 infant (1.6%) of the control group who was 1-2 SD below the mean. Visual impairment occurred in 2 study infants and none of the controls. There was no hearing impairment in either group. In conclusion, mortality was higher than reported in developing countries but the rate of handicap was not different. Neonatal intensive care should continue to be upgraded in developing countries but at a rate compatible with the availability of resources. PMID:10365356

  6. Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh.

    PubMed

    Das, Rina; Sarker, Anupam; Saha, Haimanti; Bin Shahid, Abu Sadat Mohammad Sayeem; Shahunja, K M; Chisti, Mohammod Jobayer

    2015-01-01

    There is lack of information in the medical literature on clinically diagnosed Down syndrome children presenting with diarrhea. Our aim was to describe our experience with Down syndrome patients admitted with diarrhea by evaluating the factors associated with Down syndrome presenting with diarrheal illness. In this retrospective chart analysis, we enrolled all the diarrheal children aged 0-59 months admitted to the Dhaka Hospital of the International Centre for Diarrheal Disease Research, Bangladesh (icddr, b), from March 2011 to February 2013. Down syndrome children with diarrhea constituted cases and randomly selected threefold diarrheal children without Down syndrome constituted controls. Among 8422 enrolled children 32 and 96 were the cases and the controls, respectively. Median age (months) of the cases and the controls was comparable (7.6 (4.0, 15.0) versus 9.0 (5.0, 16.8); p = 0.496). The cases more often presented with severe acute malnutrition, developmental delay, congenital heart disease, hypothyroidism, sepsis, hypocalcemia, developed hospital acquired infection (HAI) during hospitalization, and required prolonged stay at hospital compared to the controls (for all p < 0.05). Thus, diarrheal children with clinically diagnosed Down syndrome should be investigated for these simple clinical parameters for their prompt management that may prevent HAI and prolonged hospital stay.

  7. Experience with Clinically Diagnosed Down Syndrome Children Admitted with Diarrhea in an Urban Hospital in Bangladesh

    PubMed Central

    Das, Rina; Sarker, Anupam; Saha, Haimanti; Bin Shahid, Abu Sadat Mohammad Sayeem; Chisti, Mohammod Jobayer

    2015-01-01

    There is lack of information in the medical literature on clinically diagnosed Down syndrome children presenting with diarrhea. Our aim was to describe our experience with Down syndrome patients admitted with diarrhea by evaluating the factors associated with Down syndrome presenting with diarrheal illness. In this retrospective chart analysis, we enrolled all the diarrheal children aged 0–59 months admitted to the Dhaka Hospital of the International Centre for Diarrheal Disease Research, Bangladesh (icddr, b), from March 2011 to February 2013. Down syndrome children with diarrhea constituted cases and randomly selected threefold diarrheal children without Down syndrome constituted controls. Among 8422 enrolled children 32 and 96 were the cases and the controls, respectively. Median age (months) of the cases and the controls was comparable (7.6 (4.0, 15.0) versus 9.0 (5.0, 16.8); p = 0.496). The cases more often presented with severe acute malnutrition, developmental delay, congenital heart disease, hypothyroidism, sepsis, hypocalcemia, developed hospital acquired infection (HAI) during hospitalization, and required prolonged stay at hospital compared to the controls (for all p < 0.05). Thus, diarrheal children with clinically diagnosed Down syndrome should be investigated for these simple clinical parameters for their prompt management that may prevent HAI and prolonged hospital stay. PMID:27351021

  8. Increased mortality among the critically ill patients admitted on weekends: a global trend.

    PubMed

    Degenhardt, Natalie

    2011-01-01

    Critical illness and injury have no concept of time and do not always occur within regular business hours or at times conducive to optimal hospital function. In fact, it is a global trend that critically ill patients admitted to hospitals on weekends suffer higher mortality rates than those admitted during the week. Using a Canadian nursing lens, it is clear that there are some obvious differences in hospital function on weekends that include decreased hospital staffing, access to diagnostic services, intensivist coverage and the reluctance of patients to seek care on weekends. However, the exact differences contributing to the increased mortality in this patient population on weekends and the solutions remain unclear in the literature, and further research is needed. Possible solutions include moving to a "closed" ICU system, increasing nurse staffing, intensivist coverage and diagnostic accessibility, and creating a true seven-day hospital system. Finally, it is unclear exactly how to solve the nurse staffing portion of this problem, as it appears internally linked to the nursing profession and externally to hospital management, recruiting difficulties and financial restraints, and a problem that will take more than change in nursing management strategy to resolve.

  9. Comparison of communication skills between medical students admitted after interviews or on academic merits

    PubMed Central

    2012-01-01

    Background Selection of the best medical students among applicants is debated and many different methods are used. Academic merits predict good academic performance, but students admitted by other pathways need not be less successful. The aim of this study, was to compare communication skills between students admitted to medical school through interviews or on academic merits, respectively. Methods A retrospective cohort study. Communication skills at a surgical OSCE in 2008 were assessed independently by two observers using an evaluative rating scale. Correlations, t-tests and multivariate analyses by logistic regressions were employed. Academic merits were defined as upper secondary school grade point average (GPA) or scores from the Swedish Scholastic Assessment Test (SweSAT). Results The risk of showing unsatisfactory communicative performance was significantly lower among the students selected by interviews (OR 0.32, CI95 0.12-0.83), compared to those selected on the basis of academic merits. However, there was no significant difference in communication skills scores between the different admission groups; neither did the proportion of high performers differ. No difference in the result of the written examination was seen between groups. Conclusions Our results confirm previous experience from many medical schools that students selected in different ways achieve comparable results during the clinical semesters. However, selection through interview seems to reduce the number of students who demonstrate inferior communication skills at 4th year of medical school. PMID:22726308

  10. Neurodevelopmental outcome of very low birth weight babies admitted to a Malaysian nursery.

    PubMed

    Ho, J J; Amar, H S; Mohan, A J; Hon, T H

    1999-04-01

    This paper examines the prevalence and pattern of neurodevelopmental handicap at 2 years of age in very-low-birth-weight (VLBW) infants admitted during 1993 to a level 3 nursery in Malaysia. The study included all VLBW babies born in the hospital or referred for neonatal care. Control infants were randomly selected during attendance at a primary health care clinic. A total of 82 (54.6%) out of the 150 VLBW infants admitted survived for 2 years, 77 (93.9%) of which were evaluated. The mean General Quotient (GQ) on the Griffiths Scales was 94 (15.7) for the study group and 104 (8.3) for the 60 controls. For GQ, 21 infants (27.3%) of the study population were 1 or more standard deviations (SD) below the mean, as compared with 1 infant (1.6%) of the control group who was 1-2 SD below the mean. Visual impairment occurred in 2 study infants and none of the controls. There was no hearing impairment in either group. In conclusion, mortality was higher than reported in developing countries but the rate of handicap was not different. Neonatal intensive care should continue to be upgraded in developing countries but at a rate compatible with the availability of resources.

  11. Unintentional injuries among children admitted in a tertiary care hospital in North Kerala.

    PubMed

    Sheriff, Akbar; Rahim, Asma; Lailabi, M P; Gopi, Jibin

    2011-01-01

    World Health Organization global disease update (2004) points out injuries as the sixth leading cause of morbidity and mortality in childhood. A descriptive hospital based study was conducted to find out the common types of unintentional injuries among children admitted for management of unintentional injuries in Pediatric Surgery department and Intensive Care Unit of a tertiary care hospital of North Kerala and to find out the contributing risk factors. A total of 400 children admitted during the study period of 6 months of 2009 constituted the study population. Mechanical injuries comprising of Road traffic accidents and accidental fall were the major cause of unintentional injuries (36%), followed by Poisoning (22.3%). A higher proportion of unintentional injuries were noted to occur among children of younger mothers, overactive child, children belonging to extended or joint families, child left alone or with friends, pre-school children, male child and from urban dwellings. The study highlights the need to identify the different types of unintentional injuries and the risk factors of childhood injuries which require hospitalisation. Identification of risk factors will help to formulate strategies aimed at risk reduction and prevention of childhood injuries.

  12. Diagnostic Stability of Psychiatric Disorders in Re-Admitted Psychiatric Patients in Kerman, Iran

    PubMed Central

    Alavi, Fatemeh; Nakhaee, Nouzar; Sabahi, Abdolreza

    2014-01-01

    Background: Several studies have evaluated the stability of psychiatric diagnosis follow in readmission of patients in psychiatric hospitals. However, there is little data concerning this matter from Iran. This study is designed to evaluate this diagnostic stability of the commonest psychiatric disorders in Iran. Objectives: The objective of this study was to determine the long-term diagnostic stability of the most prevalent psychiatric disorders among re-admitted patients at the Shahid Beheshti teaching hospital in Kerman, Iran. Patients and Methods: This study was based on 485 adult patients re-admitted at the Shahid Beheshti hospital between July and November 2012. All of the diagnoses were made according to DSM IV TR. Prospective and retrospective consistency and the ratio of patients who were obtained a diagnosis in at least 75%, 100% of the admissions were calculated. Results: The most frequent diagnoses at the first admission were bipolar disorder (48.5%) and Major depressive disorder (18.8%). The most stable diagnosis was bipolar disorder (71% prospective consistency, 69.4% retrospective consistency). Schizoaffective disorder had the greatest diagnostic instability (28.5% prospective consistency, 16.6% retrospective consistency). Conclusions: Among the cases evaluated, bipolar disorder had the most stability in diagnosis and the stability of schizoaffective disorder was poor. PMID:25168983

  13. Dynamic Bayesian Networks to predict sequences of organ failures in patients admitted to ICU.

    PubMed

    Sandri, Micol; Berchialla, Paola; Baldi, Ileana; Gregori, Dario; De Blasi, Roberto Alberto

    2014-04-01

    Multi Organ Dysfunction Syndrome (MODS) represents a continuum of physiologic derangements and is the major cause of death in the Intensive Care Unit (ICU). Scoring systems for organ failure have become an integral part of critical care practice and play an important role in ICU-based research by tracking disease progression and facilitating patient stratification based on evaluation of illness severity during ICU stay. In this study a Dynamic Bayesian Network (DBN) was applied to model SOFA severity score changes in 79 adult critically ill patients consecutively admitted to the general ICU of the Sant'Andrea University hospital (Rome, Italy) from September 2010 to March 2011, with the aim to identify the most probable sequences of organs failures in the first week after the ICU admission. Approximately 56% of patients were admitted into the ICU with lung failure and about 27% of patients with heart failure. Results suggest that, given the first organ failure at the ICU admission, a sequence of organ failures can be predicted with a certain degree of probability. Sequences involving heart, lung, hematologic system and liver turned out to be the more likely to occur, with slightly different probabilities depending on the day of the week they occur. DBNs could be successfully applied for modeling temporal systems in critical care domain. Capability to predict sequences of likely organ failures makes DBNs a promising prognostic tool, intended to help physicians in undertaking therapeutic decisions in a patient-tailored approach.

  14. Suicide Attempts Among Patients Admited to Hospital of Kermanshah University of Medical Sciences

    PubMed Central

    Sadeghi, Shokouh; Heydarheydari, Sahel; Darabi, Fatemeh; Golchinnia, Abdollah

    2015-01-01

    Background: Suicide is a modern-age human challenge considered as a social and mental health problem acquiring enormous attention on primary and secondary heath care plans. Objectives: The current study aimed to investigate frequency of suicide attempts and related social factors among patients admitted in Hospital of Kermanshah University of Medical Sciences Patients and Methods: This cross-sectional study was descriptive-analytical type carried out on 251 patients admitted at medical centers of Kermanshah University of Medical Sciences after failed suicide attempts. Data collection was done through filling forms. Results: Average age of the population was 29 ± 11.6 years. Female were more prone to commit suicide whereas the patients had a variety of social lifestyles and crisis such as divorce, drug abuse, and domestic problems. The most frequent method of committing suicide was the use of burning materials. Conclusions: In reference to the young age of the statistical population of attempters and frequent personal-life crisis among them, educational, welfare and consultation facilities are suggested. PMID:26082910

  15. Short- and long-term outcomes of AL amyloidosis patients admitted into intensive care units.

    PubMed

    Guinault, Damien; Canet, Emmanuel; Huart, Antoine; Jaccard, Arnaud; Ribes, David; Lavayssiere, Laurence; Venot, Marion; Cointault, Olivier; Roussel, Murielle; Nogier, Marie-Béatrice; Pichereau, Claire; Lemiale, Virginie; Arnulf, Bertrand; Attal, Michel; Chauveau, Dominique; Azoulay, Elie; Faguer, Stanislas

    2016-09-01

    Amyloidosis is a rare and threatening condition that may require intensive care because of amyloid deposit-related organ dysfunction or therapy-related adverse events. Although new multiple myeloma drugs have dramatically improved outcomes in AL amyloidosis, the outcomes of AL patients admitted into intensive care units (ICUs) remain largely unknown. Admission has been often restricted to patients with low Mayo Clinic staging and/or with a complete or very good immunological response at admission. In a retrospective multicentre cohort of 66 adult AL (n = 52) or AA (n = 14) amyloidosis patients, with similar causes of admission to an ICU, the 28-d and 6-month survival rates of AA patients were significantly higher compared to AL patients (93% vs. 60%, P = 0·03; 71% vs. 45%, P = 0·02, respectively). In AL patients, the simplified Index of Gravity Score (IGS2) was the only independent predictive factor for death by day 28, whereas the Mayo-Clinic classification stage had no influence. In Cox's multivariate regression model, only cardiac arrest and on-going chemotherapy at ICU admission significantly predicted death at 6 months. Short-term outcomes of AL patients admitted into an ICU were mainly related to the severity of the acute medical condition, whereas on-going chemotherapy for active amyloidosis impacted on long-term outcomes.

  16. Local metrics admitting a principal Killing-Yano tensor with torsion

    NASA Astrophysics Data System (ADS)

    Houri, Tsuyoshi; Kubizňák, David; Warnick, Claude M.; Yasui, Yukinori

    2012-08-01

    In this paper we initiate a classification of local metrics admitting the principal Killing-Yano tensor with a skew-symmetric torsion. It is demonstrated that in such spacetimes rank-2 Killing tensors occur naturally and mutually commute. We reduce the classification problem to that of solving a set of partial differential equations, and we present some solutions to these PDEs. In even dimensions, three types of local metrics are obtained: one of them naturally generalizes the torsion-less case while the others occur only when the torsion is present. In odd dimensions, we obtain more varieties of local metrics. The explicit metrics constructed in this paper are not the most general possible admitting the required symmetry; nevertheless, it is demonstrated that they cover a wide variety of solutions of various supergravities, such as the Kerr-Sen black holes of (un-)gauged Abelian heterotic supergravity, the Chong-Cvetic-Lü-Pope black hole solution of five-dimensional minimal supergravity or the Kähler with torsion manifolds. The relation between generalized Killing-Yano tensors and various torsion Killing spinors is also discussed.

  17. Hospital Organization and Importance of an Interventional Radiology Inpatient Admitting Service: Italian Single-Center 3-Year Experience

    SciTech Connect

    Simonetti, Giovanni; Bollero, Enrico; Ciarrapico, Anna Micaela; Gandini, Roberto; Konda, Daniel Bartolucci, Alberto; Di Primio, Massimiliano; Mammucari, Matteo; Chiocchi, Marcello; D'Alba, Fabrizio; Masala, Salvatore

    2009-03-15

    In June 2005 a Complex Operating Unit of Interventional Radiology (COUIR), consisting of an outpatient visit service, an inpatient admitting service with four beds, and a day-hospital service with four beds was installed at our department. Between June 2005 and May 2008, 1772 and 861 well-screened elective patients were admitted to the inpatient ward of the COUIR and to the Internal Medicine Unit (IMU) or Surgery Unit (SU) of our hospital, respectively, and treated with IR procedures. For elective patients admitted to the COUIR's inpatient ward, hospital stays were significantly shorter and differences between reimbursements and costs were significantly higher for almost all IR procedures compared to those for patients admitted to the IMU and SU (Student's t-test for unpaired data, p < 0.05). The results of the 3-year activity show that the activation of a COUIR with an inpatient admitting service, and the better organization of the patient pathway that came with it, evidenced more efficient use of resources, with the possibility for the hospital to save money and obtain positive margins (differences between reimbursements and costs). During 3 years of activity, the inpatient admitting service of our COUIR yielded a positive difference between reimbursements and effective costs of Euro 1,009,095.35. The creation of an inpatient IR service and the admission of well-screened elective patients allowed short hospitalization times, reduction of waiting lists, and a positive economic outcome.

  18. Procalcitonin levels in acute exacerbation of COPD admitted in ICU: a prospective cohort study

    PubMed Central

    Daubin, Cédric; Parienti, Jean-Jacques; Vabret, Astrid; Ramakers, Michel; Fradin, Sabine; Terzi, Nicolas; Freymuth, François; Charbonneau, Pierre; du Cheyron, Damien

    2008-01-01

    Background Antibiotics are recommended for severe acute exacerbation of chronic obstructive pulmonary disease (AECOPD) admitted to intensive care units (ICU). Serum procalcitonin (PCT) could be a useful tool for selecting patients with a lower probability of developing bacterial infection, but its measurement has not been investigated in this population. Methods We conducted a single center prospective cohort study in consecutive COPD patients admitted to the ICU for AECOPD between September 2005 and September 2006. Sputum samples or tracheal aspirates were tested for the presence of bacteria and viruses. PCT levels were measured at the time of admittance, six hours, and 24 hours using a sensitive immunoassay. Results Thirty nine AECOPD patients were included, 31 of which (79%) required a ventilator support at admission. The median [25%–75% interquartile range] PCT level, assessed in 35/39 patients, was: 0.096 μg/L [IQR, 0.065 to 0.178] at the time of admission, 0.113 μg/L [IQR, 0.074 to 0.548] at six hours, and 0.137 μg/L [IQR, 0.088 to 0.252] at 24 hours. The highest PCT (PCTmax) levels were less than 0.1 μg/L in 14/35 (40%) patients and more than 0.25 μg/L in 10/35 (29%) patients, suggesting low and high probability of bacterial infection, respectively. Five species of bacteria and nine species of viruses were detected in 12/39 (31%) patients. Among the four patients positive for Pseudomonas aeruginosa, one had a PCTmax less than 0.25 μg/L and three had a PCTmax less than 0.1 μg/L. The one patient positive for Haemophilus influenzae had a PCTmax more than 0.25 μg/L. The presence or absence of viruses did not influence PCT at time of admission (0.068 vs 0.098 μg/L respectively, P = 0.80). Conclusion The likelihood of bacterial infection is low among COPD patients admitted to ICU for AECOPD (40% with PCT < 0.1 μg/L) suggesting a possible inappropriate use of antibiotics. Further studies are necessary to assess the impact of a procalcitonin

  19. Etiologies and Management of Aseptic Meningitis in Patients Admitted to an Internal Medicine Department

    PubMed Central

    Jarrin, Irène; Sellier, Pierre; Lopes, Amanda; Morgand, Marjolaine; Makovec, Tamara; Delcey, Veronique; Champion, Karine; Simoneau, Guy; Green, Andrew; Mouly, Stéphane; Bergmann, Jean-François; Lloret-Linares, Célia

    2016-01-01

    Abstract Several studies have focused on the clinical and biological characteristics of meningitis in order to distinguish between bacterial and viral meningitis in the emergency setting. However, little is known about the etiologies and outcomes of aseptic meningitis in patients admitted to Internal Medicine. The aim of the study is to describe the etiologies, characteristics, and outcomes of aseptic meningitis with or without encephalitis in adults admitted to an Internal Medicine Department. A retrospective cohort study was conducted in the Internal Medicine Department of the Lariboisière Hospital in Paris, France, from January 2009 to December 2011. Clinical and biological characteristics of aseptic meningitis were recorded. These included cerebrospinal fluid analysis, results of polymerase chain reaction testing, final diagnoses, and therapeutic management. The cohort included 180 patients fulfilling the criteria for aseptic meningitis with (n = 56) or without (n = 124) encephalitis. A definitive etiological diagnosis was established in 83 of the 180 cases. Of the cases with a definitive diagnosis, 73 were due to infectious agents, mainly enteroviruses, Herpes Simplex Virus 2, and Varicella Zoster Virus (43.4%, 16.8%, and 14.5% respectively). Inflammatory diseases were diagnosed in 7 cases. Among the 97 cases without definitive diagnoses, 26 (26.8%) remained free of treatment throughout their management whereas antiviral or antibiotic therapy was initiated in the emergency department for the remaining 71 patients. The treatment was discontinued in only 10 patients deemed to have viral meningitis upon admission to Internal Medicine. The prevalence of inflammatory diseases among patients admitted to internal medicine for aseptic meningitis is not rare (4% of overall aseptic meningitis). The PCR upon admission to the emergency department is obviously of major importance for the prompt optimization of therapy and management. However, meningitis due to

  20. Association between sociodemographic characteristics and anxiety levels of violence-exposed patients admitted to emergency clinic

    PubMed Central

    Hocagil, Hilal; Izci, Filiz; Hocagil, Abdullah Cüneyt; Findikli, Ebru; Korkmaz, Sevda; Koc, Merve Iris

    2016-01-01

    Background Here we aimed to investigate sociodemographic characteristics, psychiatric history, and association between sociodemographic characteristics and anxiety levels of violence-exposed patients admitted to emergency clinic. Methods This study consists of 73 violence-exposed patients admitted to emergency clinic who were literate and agreed to participate in the study. A sociodemographic data form created by us to investigate alcohol-substance abuse, suicide attempt, previous history of trauma, self and family history of psychiatric disorders and Beck Anxiety Inventory was given to the patients. Results Of the patients exposed to violence 63% (n=46) were female and 27% (n=27) were male. Of these patients, 68.5% (n=50) were married, 43.8% (n=25) were workers, 34.2% were housewives, 11% were unemployed, and 11% were civil servants. Of the violence-exposed patients, 56.2% (n=41) were primary school, 21.9% (n=16) were high school, and 21.9% (n=16) were university graduates. Smoking and alcohol use rates were 54.8% (n=40) and 17.8% (n=13), respectively. The most common trauma type was assault using physical force with a ratio of 78.1% (n=57). In addition, anxiety scores were high in 42.5% (n=31) and moderate in 9.6% (n=7) of the patients. Mentioned psychiatric disorder was present in 17.8% (n=13) of the patients and 19.2% (n=14) of the patients’ relatives. The correlation between sociodemographic characteristics and anxiety scores revealed that married patients had higher anxiety scores (P<0.01) and patients assaulted by their parents had lower anxiety scores (P<0.00). Conclusion A total of 63% of the violence-exposed patients admitted to emergency room were females, 56.2% were primary school graduates, and 43.8% were factory workers; this result shows that low socioeconomical status and education level affect exposure to trauma especially in females. In addition, ~20% of the patients and patients’ relatives had a psychiatric disorder and 53.4% of perpetrators

  1. Etiologies and Management of Aseptic Meningitis in Patients Admitted to an Internal Medicine Department.

    PubMed

    Jarrin, Irène; Sellier, Pierre; Lopes, Amanda; Morgand, Marjolaine; Makovec, Tamara; Delcey, Veronique; Champion, Karine; Simoneau, Guy; Green, Andrew; Mouly, Stéphane; Bergmann, Jean-François; Lloret-Linares, Célia

    2016-01-01

    Several studies have focused on the clinical and biological characteristics of meningitis in order to distinguish between bacterial and viral meningitis in the emergency setting. However, little is known about the etiologies and outcomes of aseptic meningitis in patients admitted to Internal Medicine.The aim of the study is to describe the etiologies, characteristics, and outcomes of aseptic meningitis with or without encephalitis in adults admitted to an Internal Medicine Department.A retrospective cohort study was conducted in the Internal Medicine Department of the Lariboisière Hospital in Paris, France, from January 2009 to December 2011. Clinical and biological characteristics of aseptic meningitis were recorded. These included cerebrospinal fluid analysis, results of polymerase chain reaction testing, final diagnoses, and therapeutic management.The cohort included 180 patients fulfilling the criteria for aseptic meningitis with (n = 56) or without (n = 124) encephalitis. A definitive etiological diagnosis was established in 83 of the 180 cases. Of the cases with a definitive diagnosis, 73 were due to infectious agents, mainly enteroviruses, Herpes Simplex Virus 2, and Varicella Zoster Virus (43.4%, 16.8%, and 14.5% respectively). Inflammatory diseases were diagnosed in 7 cases. Among the 97 cases without definitive diagnoses, 26 (26.8%) remained free of treatment throughout their management whereas antiviral or antibiotic therapy was initiated in the emergency department for the remaining 71 patients. The treatment was discontinued in only 10 patients deemed to have viral meningitis upon admission to Internal Medicine.The prevalence of inflammatory diseases among patients admitted to internal medicine for aseptic meningitis is not rare (4% of overall aseptic meningitis). The PCR upon admission to the emergency department is obviously of major importance for the prompt optimization of therapy and management. However, meningitis due to viral agents or

  2. Psychiatric disorders and clinical correlates of suicidal patients admitted to a psychiatric hospital in Tokyo

    PubMed Central

    2010-01-01

    Background Patients admitted to a psychiatric hospital with suicidal behavior (SB) are considered to be especially at high risk of suicide. However, the number of studies that have addressed this patient population remains insufficient compared to that of studies on suicidal patients in emergency or medical settings. The purpose of this study is to seek features of a sample of newly admitted suicidal psychiatric patients in a metropolitan area of Japan. Method 155 suicidal patients consecutively admitted to a large psychiatric center during a 20-month period, admission styles of whom were mostly involuntary, were assessed using Structured Clinical Interviews for DSM-IV Axis I and II Disorders (SCID-I CV and SCID-II) and SB-related psychiatric measures. Associations of the psychiatric diagnoses and SB-related characteristics with gender and age were examined. Results The common DSM-IV axis I diagnoses were affective disorders 62%, anxiety disorders 56% and substance-related disorders 38%. 56% of the subjects were diagnosed as having borderline PD, and 87% of them, at least one type of personality disorder (PD). SB methods used prior to admission were self-cutting 41%, overdosing 32%, self-strangulation 15%, jumping from a height 12% and attempting traffic death 10%, the first two of which were frequent among young females. The median (range) of the total number of SBs in the lifetime history was 7 (1-141). Severity of depressive symptomatology, suicidal intent and other symptoms, proportions of the subjects who reported SB-preceding life events and life problems, and childhood and adolescent abuse were comparable to those of the previous studies conducted in medical or emergency service settings. Gender and age-relevant life-problems and life events were identified. Conclusions Features of the studied sample were the high prevalence of affective disorders, anxiety disorders and borderline PD, a variety of SB methods used prior to admission and frequent SB repetition

  3. Zone refining of plutonium metal

    SciTech Connect

    1997-05-01

    The purpose of this study was to investigate zone refining techniques for the purification of plutonium metal. The redistribution of 10 impurity elements from zone melting was examined. Four tantalum boats were loaded with plutonium impurity alloy, placed in a vacuum furnace, heated to 700{degrees}C, and held at temperature for one hour. Ten passes were made with each boat. Metallographic and chemical analyses performed on the plutonium rods showed that, after 10 passes, moderate movement of certain elements were achieved. Molten zone speeds of 1 or 2 inches per hour had no effect on impurity element movement. Likewise, the application of constant or variable power had no effect on impurity movement. The study implies that development of a zone refining process to purify plutonium is feasible. Development of a process will be hampered by two factors: (1) the effect on impurity element redistribution of the oxide layer formed on the exposed surface of the material is not understood, and (2) the tantalum container material is not inert in the presence of plutonium. Cold boat studies are planned, with higher temperature and vacuum levels, to determine the effect on these factors. 5 refs., 1 tab., 5 figs.

  4. Flunitrazepam consumption among heroin addicts admitted for in-patient detoxification.

    PubMed

    San, L; Tato, J; Torrens, M; Castillo, C; Farré, M; Camí, J

    1993-05-01

    The use of benzodiazepines among 973 heroin addicts admitted for inpatient detoxification over a 10-year period was assessed in a cross-sectional study. A total of 780 (80.2%) patients had a history of benzodiazepine use; 666 (68.5%) were consuming benzodiazepines at the time of admission and 419 (43.1%) on an almost daily basis. Seventy-five (7.7%) patients fulfilled criteria for sedative-hypnotic abuse or dependence. Consumption of benzodiazepines began after subjects had become addicted to heroin. Flunitrazepam was ranked first by 68.4% of patients, followed by clorazepate (13%), and diazepam (12.4%). The prevalence of benzodiazepine use, in particular flunitrazepam, among heroin addicts is very high. Specific abuse liability studies are needed to determine whether pharmacologic reasons exist to explain heroin addicts' preference for this compound.

  5. Interior solutions of fluid sphere in f(R,T) gravity admitting conformal killing vectors

    NASA Astrophysics Data System (ADS)

    Zubair, M.; Sardar, I. H.; Rahaman, F.; Abbas, G.

    2016-07-01

    We discuss the interior solutions of fluid Sphere in f(R,T) gravity admitting conformal killing vectors, where R is Ricci scalar and T is trace of energy momentum tensor. The solutions corresponding to isotropic and anisotropic configurations have been investigated explicitly. Further, the anisotropic case has been dealt by the utilization of linear equation of state. The results for both cases have been interpreted graphically. The equation of state parameter, integration constants and other parameters of the theory have been chosen to find the central density equal to standard value of central density of the compact objects. The energy conditions as well as stability of the solutions have been investigated in the background of f(R,T) gravity.

  6. Urinary tract infections in patients admitted to rehabilitation from acute care settings: a descriptive research study.

    PubMed

    Romito, Diane; Beaudoin, JoAnn M; Stein, Patricia

    2011-01-01

    The use of an indwelling urinary catheter comes with associated risks. At a hospital in southern California, nurses on the acute rehabilitation unit suspected their patients were arriving from acute care with undiagnosed urinary tract infections (UTIs). This descriptive research study quantified the incidence of UTI on admission to a rehabilitation unit and correlations with catheter use. During the study period, 132 patients were admitted to acute rehabilitation from an acute care setting, and 123 met criteria to participate in the study. Among participants, 12% had a UTI upon admission. Questionnaires examined nursing attitudes toward appropriate urinary catheter use and proactive catheter removal. The data revealed that nurses want to be involved in decisions about urinary catheter use and that medical/surgical and rehabilitation nurses agree strongly about advocating for patients with indwelling urinary catheters.

  7. Vacuum solutions admitting a geodesic null congruence with shear proportional to expansion

    NASA Astrophysics Data System (ADS)

    Kupeli, A. H.

    1988-02-01

    Algebraically general, nontwisting solutions for the vacuum to vacuum generalized Kerr-Schild (GKS) transformation are obtained. These solutions admit a geodesic null congruence with shear proportional to expansion. In the Newman-Penrose formalism, if lμ is chosen to be the null vector of the GKS transformation, this property is stated as σ=aρ and Da=0. It is assumed that a is a constant, and the background is chosen as a pp-wave solution. For generic values of a, the GKS metrics consist of the Kasner solutions. For a=±(1±(2)1/2), there are solutions with less symmetries including special cases of the Kóta-Perjés and Lukács solutions.

  8. Vacuum solutions admitting a geodesic null congruence with shear proportional to expansion

    SciTech Connect

    Kupeli, A.H.

    1988-02-01

    Algebraically general, nontwisting solutions for the vacuum to vacuum generalized Kerr--Schild (GKS) transformation are obtained. These solutions admit a geodesic null congruence with shear proportional to expansion. In the Newman--Penrose formalism, if l/sup ..mu../ is chosen to be the null vector of the GKS transformation, this property is stated as sigma = arho and Da = 0. It is assumed that a is a constant, and the background is chosen as a pp-wave solution. For generic values of a, the GKS metrics consist of the Kasner solutions. For a = +- (1 +- (2)/sup 1/2/), there are solutions with less symmetries including special cases of the Kota--Perjes and Lukacs solutions.

  9. Patient-centered transfer process for patients admitted through the ED boosts satisfaction, improves safety.

    PubMed

    2013-02-01

    To improve safety and patient flow, administrators at Hallmark Health System, based in Melrose, MA, implemented a new patient-centered transfer process for patients admitted through the ED at the health system's two hospitals. Under the new approach, inpatient nurses come down to the ED to take reports on new patients in a process that includes the ED care team as well as family members. The inpatient nurses then accompany the patients up to their designated floors. Since the new patient-transfer process was implemented in June 2012, patient satisfaction has increased by at least one point on patient satisfaction surveys. Administrators anticipate that medical errors or omissions related to the handoff process will show a drop of at least 50%, when data is tabulated.

  10. Zone Refining by Laser

    NASA Technical Reports Server (NTRS)

    Griner, D. B.

    1986-01-01

    System developed for studying use of laser beam for zone-refining semiconductors and metals. Specimen scanned with focused CO2 laser beam in such way that thin zone of molten material moves along specimen sweeps impurities with it. Zone-melting system comprises microcomputer, laser, electromechanical and optical components for beam control, vacuum chamber that holds specimen, and sensor for determining specimen temperature.

  11. Early invasive fungal infections and colonization in patients with cirrhosis admitted to the intensive care unit.

    PubMed

    Theocharidou, E; Agarwal, B; Jeffrey, G; Jalan, R; Harrison, D; Burroughs, A K; Kibbler, C C

    2016-02-01

    Bacterial infections in cirrhosis are common and associated with increased mortality, but little is known about fungal infections. The aim of this study, a sub-analysis of the Fungal Infection Risk Evaluation study, was to assess the incidence and implications of early invasive fungal disease (IFD) in patients with cirrhosis admitted to intensive care units (ICU). Clinical and laboratory parameters collected in the first 3 days of ICU stay for 782 patients with cirrhosis and/or portal hypertension were analysed and compared with those of 273 patients with very severe cardiovascular disease (CVD). The CVD patients had more co-morbidities and higher APACHE II scores. The overall incidence of IFD was similar in the two groups, but the incidence of IFD in ICU was higher in liver patients (1% versus 0.4%; p 0.025) as was fungal colonization (23.8% versus 13.9%; p 0.001). The ICU and in-hospital mortality, and length of stay were similar in the two groups. A higher proportion of liver patients received antifungal therapy (19.2% versus 7%; p <0.0005). There was no difference in mortality between colonized patients who received antifungal therapy and colonized patients who did not. The incidence of IFD in patients with cirrhosis in ICU is higher compared with another high-risk group, although it is still very low. This risk might be higher in patients with advanced liver disease admitted with acute-on-chronic liver failure, and this should be investigated further. Our data do not support prophylactic use of antifungal therapy in cirrhosis. PMID:26551838

  12. Errors Related to Medication Reconciliation: A Prospective Study in Patients Admitted to the Post CCU

    PubMed Central

    Haji Aghajani, Mohammad; Ghazaeian, Monireh; Mehrazin, Hamid Reza; Sistanizad, Mohammad; Miri, Mirmohammad

    2016-01-01

    Medication errors are one of the important factors that increase fatal injuries to the patients and burden significant economic costs to the health care. An appropriate medical history could reduce errors related to omission of the previous drugs at the time of hospitalization. The aim of this study, as first one in Iran, was evaluating the discrepancies between medication histories obtained by pharmacists and physicians/nurses and first order of physician. From September 2012 until March 2013, patients admitted to the post CCU of a 550 bed university hospital, were recruited in the study. As a part of medication reconciliation on admission, the physicians/nurses obtained medication history from all admitted patients. For patients included in the study, medication history was obtained by both physician/nurse and a pharmacy student (after training by a faculty clinical pharmacist) during the first 24 h of admission. 250 patients met inclusion criteria. The mean age of patients was 61.19 ± 14.41 years. Comparing pharmacy student drug history with medication lists obtained by nurses/physicians revealed 3036 discrepancies. On average, 12.14 discrepancies, ranged from 0 to 68, were identified per patient. Only in 20 patients (8%) there was 100 % agreement among medication lists obtained by pharmacist and physician/nurse. Comparing the medications by list of drugs ordered by physician at first visit showed 12.1 discrepancies on average ranging 0 to 72. According to the results, omission errors in our setting are higher than other countries. Pharmacy-based medication reconciliation could be recommended to decrease this type of error. PMID:27642331

  13. Epidemiology and outcome of severe pneumococcal pneumonia admitted to intensive care unit: a multicenter study

    PubMed Central

    2012-01-01

    Introduction Community-acquired pneumonia (CAP) account for a high proportion of ICU admissions, with Streptococcus pneumoniae being the main pathogen responsible for these infections. However, little is known on the clinical features and outcomes of ICU patients with pneumococcal pneumonia. The aims of this study were to provide epidemiological data and to determine risk factors of mortality in patients admitted to ICU for severe S. pneumoniae CAP. Methods We performed a retrospective review of two prospectively-acquired multicentre ICU databases (2001-2008). Patients admitted for management of severe pneumococcal CAP were enrolled if they met the 2001 American Thoracic Society criteria for severe pneumonia, had life-threatening organ failure and had a positive microbiological sample for S. pneumoniae. Patients with bronchitis, aspiration pneumonia or with non-pulmonary pneumococcal infections were excluded. Results Two hundred and twenty two patients were included, with a median SAPS II score reaching 47 [36-64]. Acute respiratory failure (n = 154) and septic shock (n = 54) were their most frequent causes of ICU admission. Septic shock occurred in 170 patients (77%) and mechanical ventilation was required in 186 patients (84%); renal replacement therapy was initiated in 70 patients (32%). Bacteraemia was diagnosed in 101 patients. The prevalence of S. pneumoniae strains with decreased susceptibility to penicillin was 39.7%. Although antibiotherapy was adequate in 92.3% of cases, hospital mortality reached 28.8%. In multivariate analysis, independent risk factors for mortality were age (OR 1.05 (95% CI: 1.02-1.08)), male sex (OR 2.83 (95% CI: 1.16-6.91)) and renal replacement therapy (OR 3.78 (95% CI: 1.71-8.36)). Co-morbidities, macrolide administration, concomitant bacteremia or penicillin susceptibility did not influence outcome. Conclusions In ICU, mortality of pneumococcal CAP remains high despite adequate antimicrobial treatment. Baseline demographic data

  14. Severe metapneumovirus infections among immunocompetent and immunocompromised patients admitted to hospital with respiratory infection.

    PubMed

    Souza, Juliana Sinohara; Watanabe, Aripuana; Carraro, Emerson; Granato, Celso; Bellei, Nancy

    2013-03-01

    Human metapneumovirus (hMPV) is considered an important cause of acute respiratory infections. hMPV can cause morbidity in hematopoietic stem cell transplant recipients and recent research has demonstrated that it is an important virus in patients admitted to hospital with respiratory infections and suspected of having pandemic 2009 influenza A (H1N1pdm09) virus. The purpose of this study was to investigate infections caused by hMPV in two groups of patients admitted to hospital: Immunocompromized patients with a potential risk of severe outcomes and immunocompetent patients with severe acute respiratory syndrome. A total of 288 samples were tested: 165 samples were collected from patients with suspected influenza A (H1N1) pdm09 infection during the first pandemic wave in 2009; and 123 samples were collected from patients of a hematopoietic stem cell transplantation program in 2008-2009. Amplification of the hMPV genes was performed by polymerase chain reaction. This was followed by sequencing and phylogenetic analysis. hMPV was detected in 14.2% (41/288) of all samples: 17% (28/165) of immunocompetent patients with suspected H1N1 infection and 10.6% (13/123) among hematopoietic stem cell transplant recipients. hMPV accounted for 12.1% (8/66) of immunocompetent adults patients with severe respiratory infections (median age, 55.9 years). Two hMPV subtypes were identified, A2 (26.9%; 7/26) and B2 (73.1%; 19/26) but no difference was observed between the patient groups in terms of age or immunosuppression level. This study highlights the significance of hMPV in immunocompetent adult patients with severe infections and further investigations are recommended for understanding the impact of this virus.

  15. Errors Related to Medication Reconciliation: A Prospective Study in Patients Admitted to the Post CCU.

    PubMed

    Haji Aghajani, Mohammad; Ghazaeian, Monireh; Mehrazin, Hamid Reza; Sistanizad, Mohammad; Miri, Mirmohammad

    2016-01-01

    Medication errors are one of the important factors that increase fatal injuries to the patients and burden significant economic costs to the health care. An appropriate medical history could reduce errors related to omission of the previous drugs at the time of hospitalization. The aim of this study, as first one in Iran, was evaluating the discrepancies between medication histories obtained by pharmacists and physicians/nurses and first order of physician. From September 2012 until March 2013, patients admitted to the post CCU of a 550 bed university hospital, were recruited in the study. As a part of medication reconciliation on admission, the physicians/nurses obtained medication history from all admitted patients. For patients included in the study, medication history was obtained by both physician/nurse and a pharmacy student (after training by a faculty clinical pharmacist) during the first 24 h of admission. 250 patients met inclusion criteria. The mean age of patients was 61.19 ± 14.41 years. Comparing pharmacy student drug history with medication lists obtained by nurses/physicians revealed 3036 discrepancies. On average, 12.14 discrepancies, ranged from 0 to 68, were identified per patient. Only in 20 patients (8%) there was 100 % agreement among medication lists obtained by pharmacist and physician/nurse. Comparing the medications by list of drugs ordered by physician at first visit showed 12.1 discrepancies on average ranging 0 to 72. According to the results, omission errors in our setting are higher than other countries. Pharmacy-based medication reconciliation could be recommended to decrease this type of error. PMID:27642331

  16. Cardiac or pulmonary dyspnea in patients admitted to the emergency department.

    PubMed

    Malas, O; Cağlayan, B; Fidan, A; Ocal, Z; Ozdoğan, S; Torun, E

    2003-12-01

    A simple and quick way of discrimination between cardiac and pulmonary causes of dyspnea is essential in patients admitted to the emergency department. We aimed to assess the utility of easily applicable diagnostic tools in the differential diagnosis of cardiac and pulmonary causes of dyspnea in patients presenting with shortness of breath. Clinical and radiologic evaluation, peak expiratory flow (PEF), PaO2, PaCO2 measurements were performed in 94 patients admitted to the emergency room with dyspnea. All the patients were hospitalized for accurate diagnosis and later were categorized into cardiac and pulmonary dyspnea groups. PEF, %PEF (percent of predicted PEF), dyspnea differentiation index (DDI = PEF x PaO2/1000), %DDI (%PEF x PaO2/1000), PaO2 and PaCO2 measurements were compared between the two groups. When cardiac and pulmonary dyspnea groups were compared, considering 1.6 as the cut-off value for DDI, measurements above this value imply cardiac pathology with 76.7% sensitivity and 67.2% specificity. The sensitivity and specificity for cardiac dyspnea calculated according to the cut-off values were 96.7% and 40.6% for %DDI; 86.7% and 60.9% for PEF; 86.7% and 54.7% for %PEF; 66.7 and 68.7 for PaO2. Also for pulmonary dyspnea, sensitivity and specificity values for PaCO2 were 50% and 93%. We conclude that DDI, %DDI, PEF, %PEF, PaO2 and PaCO2 are simple and easily applicable tools for differential diagnosis of cardiac and pulmonary dyspnea. Adjunctive utility of these tests in the emergency department with clinical and radiologic evaluation contributes to this discrimination.

  17. Clinical Factors Associated with Morbidity and Mortality in Patients Admitted with Sickle Cell Disease

    PubMed Central

    Galloway-Blake, K; Reid, M; Walters, C; Jaggon, J; Lee, MG

    2014-01-01

    ABSTRACT Objective: To determine the clinical factors associated with the length of hospitalization and mortality in patients with sickle cell disease (SCD). Methods: All patients with SCD admitted to the medical wards of the University Hospital of the West Indies, Jamaica, over a five-year period, January 1, 2005 to December 31, 2010, were reviewed. Data were extracted from hospital charts and comprised demographic and clinical information, investigations, interventions, duration of stay, pathological data and outcomes. Results: There were 105 patients reviewed; 84% were genotype Hb SS. Females accounted for 59% and males 41%. Overall mean age was 32.5 years (SD 13.7, range 12–66 years). The mean length of hospitalization was 10.2 days (SD 10.9, range 1–84 days). The main admission diagnoses were painful crisis, acute chest syndrome, severe anaemia, sepsis, hepatic sequestration, congestive cardiac failure and renal failure. The mean values for the following laboratory investigations were: haemoglobin 7.7 g/dL (SD 2.8), total white blood cell count 21.7 × 109/L (SD 14.2), platelet count 320 × 109/L (SD 191.9), blood urea 9.8 mmol/L (SD 11.9) and serum creatinine 198 umol/L (SD 267.9). Medical interventions included: blood transfusions in 20.9%, 55% received antibiotics and 74% received narcotic analgesia. There were 40 deaths with four autopsies done. The mortality rate for SCD was 38%. There were 189 repeat SCD admissions. Conclusion: Sickle cell disease still carries a high morbidity and mortality in patients admitted to hospital. Recurrent admissions are a concern, as they impact on patient's morbidity and quality of life. PMID:25867578

  18. SSRIs Increase Risk of Blood Transfusion in Patients Admitted for Hip Surgery

    PubMed Central

    Schutte, Hermien Janneke; Jansen, Sofie; Schafroth, Matthias U.; Goslings, J. Carel; van der Velde, Nathalie; de Rooij, Sophia E. J. A.

    2014-01-01

    Background Recent studies have shown that an increased bleeding tendency can be caused by Selective Serotonin Reuptake Inhibitors (SSRI) use. We aimed to investigate the occurrence and risk of blood transfusion in SSRI users compared to non-SSRI users in a cohort of patients admitted for hip-surgery. Methods We conducted a retrospective cohort study of patients who underwent planned or emergency hip surgery from 1996 to 2011 in the Academic Medical Center in Amsterdam. Primary outcome measure was risk of blood transfusion. Secondary outcome measures were pre- and postoperative hemoglobin level. Multivariate logistic regression was used to adjust for potential confounders. Results One-hundred and fourteen SSRI users were compared to 1773 non-SSRI users. Risk of blood transfusion during admission was increased for SSRI users in multivariate analyses (OR 1.7 [95% CI 1.1–2.5]). Also, pre-operative hemoglobin levels were lower in SSRI users (7.8±1.0 mmol/L) compared to non-SSRI users (8.0±1.0 mmol/L) (p = 0.042)), as were postoperative hemoglobin levels (6.2±1.0 mmol/L vs. 6.4±1.0 mmol/L respectively) (p = 0.017)). Conclusions SSRI users undergoing hip surgery have an increased risk for blood transfusion during admission, potentially explained by a lower hemoglobin level before surgery. SSRI use should be considered as a potential risk indicator for increased blood loss in patients admitted for hip surgery. These results need to be confirmed in a prospective study. PMID:24848000

  19. Suicide attempts and related factors in patients admitted to a general hospital: a ten-year cross-sectional study (1997-2007)

    PubMed Central

    2011-01-01

    Background Suicide and suicide attempts represent a severe problem for public health services. The aim of this study is to determine the socio-demographic and psychopathological variables associated with suicide attempts in the population admitted to a General Hospital. Methods An observational-descriptive study of patients admitted to the A Coruña University Hospital (Spain) during the period 1997-2007, assessed by the Consultation and Liaison Psychiatric Unit. We include n = 5,234 admissions from 4,509 patients. Among these admissions, n = 361 (6.9%) were subsequent to a suicide attempt. Admissions arising from a suicide attempt were compared with admissions occurring due to other reasons. Multivariate generalised estimating equation logistic regression models were used to examine factors associated with suicide attempts. Results Adjusting by age, gender, educational level, cohabitation status, being employed or unemployed, the psychiatric diagnosis at the time of the interview and the information on previous suicide attempts, we found that the variables associated with the risk of a suicide attempt were: age, psychiatric diagnosis and previous suicide attempts. The risk of suicide attempts decreases with age (OR = 0.969). Psychiatric diagnosis was associated with a higher risk of suicide attempts, with the highest risk being found for Mood or Affective Disorders (OR = 7.49), followed by Personality Disorders (OR = 7.31), and Schizophrenia and Other Psychotic Disorders (OR = 5.03). The strongest single predictive factor for suicide attempts was a prior history of attempts (OR = 23.63). Conclusions Age, psychopathological diagnosis and previous suicide attempts are determinants of suicide attempts. PMID:21453478

  20. Coastal Zone Color Scanner

    NASA Technical Reports Server (NTRS)

    Johnson, B.

    1988-01-01

    The Coastal Zone Color Scanner (CZCS) spacecraft ocean color instrument is capable of measuring and mapping global ocean surface chlorophyll concentration. It is a scanning radiometer with multiband capability. With new electronics and some mechanical, and optical re-work, it probably can be made flight worthy. Some additional components of a second flight model are also available. An engineering study and further tests are necessary to determine exactly what effort is required to properly prepare the instrument for spaceflight and the nature of interfaces to prospective spacecraft. The CZCS provides operational instrument capability for monitoring of ocean productivity and currents. It could be a simple, low cost alternative to developing new instruments for ocean color imaging. Researchers have determined that with global ocean color data they can: specify quantitatively the role of oceans in the global carbon cycle and other major biogeochemical cycles; determine the magnitude and variability of annual primary production by marine phytoplankton on a global scale; understand the fate of fluvial nutrients and their possible affect on carbon budgets; elucidate the coupling mechanism between upwelling and large scale patterns in ocean basins; answer questions concerning the large scale distribution and timing of spring blooms in the global ocean; acquire a better understanding of the processes associated with mixing along the edge of eddies, coastal currents, western boundary currents, etc., and acquire global data on marine optical properties.

  1. Holdridge life zone physical inconsistency

    NASA Astrophysics Data System (ADS)

    Martínez, A., Sr.; Ochoa, A.

    2015-12-01

    Life zones is a very used classification system, developed by L.R. Holdridge in 1967, used to discern why plants have different adaptation mechanism to their surrounding environment. In this paper, the relation between potential evapotranspiration rate (ETr ), anual precipitation (P ) and biotemperature (Tb ) in the Holdridge triangle, is parametrized (P = (500/9)*ETr) to evaluate if the rain process is conserved in Colombia. Further, an adiabatic ascent of air with diurnal and interannual variability, and cluster analysis is view as a classification example of the advantage of using physical process to evaluate the plants adaptation mechanisms . The most inconsistency life zones are situated in the rainiest places of Colombian pacific costs in tropical latitudinal region, are non-exist places in holdridge triangle with annual biotemperature higher than 26◦ C, annual precipitation about 10.000mm and annual potential evapotranspiration rate about 0.1. The difference between Holdridge predicted precipitation and the precipitation measured with TRMM are about 5.000mm in these places. Classification systems based on an annual average, do not stablish adaptation as a function of diurnal variability, for example, the difference between valley sides vegetation could not being determined. This kind of limitations, added to a validation procces and the auscence of a physic procces in the variable interaction, make the Holdridge Life Zones a very useful tool, but physically inconsistent for caracterice vegetation as a function of precipitation. The rain process is very complex, depend of mass and energy exchanges and is still a controversial topic in atmospheric modeling, as a biotic pump.

  2. Factors affecting the discharge destination of hip fracture patients who live alone and have been admitted to an inpatient rehabilitation unit

    PubMed Central

    Hayashi, Hiroyuki; Iwai, Midori; Matsuoka, Hiroka; Nakashima, Daiki; Nakamura, Shugo; Kubo, Ayumi; Tomiyama, Naoki

    2016-01-01

    [Purpose] (1) The aim of this study was to examine relations between clinical and functional assessment and discharge destination and (2) to identify the optimal cutoff point for estimating discharge to home after inpatient rehabilitation. [Subjects] The subjects were 54 hip fracture patients (15 males, 39 females; mean age 81.3 ± 7.4 years) living alone. [Methods] The patients were classified into two groups: those discharged to home and those admitted to an institution. Age, gender, side of fracture, fracture type, number of comorbidities, Functional Independence Measure motor score, and Functional Independence Measure cognitive score were compared between groups. Multiple logistic regression analysis was conducted with discharge to home as the dependent variable and age, gender, side of fracture, fracture type, number of comorbidities, Functional Independence Measure motor score, and Functional Independence Measure cognitive score as independent variables. A receiver operating characteristic curve analysis was used to identify a cutoff point for classification of the patients into the two groups. [Results] Multiple logistic regression analysis showed that the Functional Independence Measure cognitive score was a significant variable affecting the discharge destination. The receiver operating characteristic curve analysis revealed that discharge to home was predicted accurately by a Functional Independence Measure cognitive score of 23.5. [Conclusion] Information from this study is expected to be useful for determining discharge plans and for the setting of treatment goals. PMID:27190457

  3. Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit.

    PubMed

    Christl, Bettina; Reilly, Nicole; Yin, Carolyn; Austin, Marie-Paule

    2015-12-01

    This study examines the clinical profile of women admitted to a psychiatric mother-baby unit as well as change in their clinical, parenting, attachment and quality of life outcomes. Data was collected from 191 mothers through self-report measures at admission and discharge. Change was analysed in terms of Edinburgh Postnatal Depression Scale (EPDS) score, parenting confidence, maternal attachment to the infant and overall functioning. Psychosocial factors impacting on symptom severity and recovery were examined. Most women (64.8 %) were admitted in the first 3 months after birth with an ICD-10 unipolar depressive episode (52.3 %) or anxiety disorder (25.7 %), and 47.6 % had comorbid diagnoses. Improvement from admission to discharge was seen with large effect sizes (≥one standard deviation, i.e. μ) in terms of clinical symptoms (EPDS, μ = 1.7), parenting confidence (Karitane Parenting Confidence Scale (KPCS), μ = 1.1) and attachment to their infant (Maternal Postpartum Attachment Scale (MPAS), μ = 0.9) as well as overall level of functioning (SF-14, μ = 1.9). The majority (73.3 %) recovered symptomatically, and this was associated with increasing maternal age (odds ratio (OR) = 1.129, p = 0.002) and lower levels of psychosocial risk at admission (OR = 0.963, p = 0.008). Improvement in parenting confidence was associated with increasing maternal age (OR = 1.17, p = 0.003). No predictive factors were found for improvement in maternal attachment after controlling for admission scores. In the short term, joint admission of mothers with their infants is highly beneficial in terms of clinical, functional and parenting outcomes, but follow up studies are needed to assess the longer term benefits for mother-infant dyads. The use of an observational tool to enhance our assessment of maternal-infant interaction and some measure of maternal emotional dysregulation-both important mediators of development of secure infant

  4. Clinical profile and outcomes of women admitted to a psychiatric mother-baby unit.

    PubMed

    Christl, Bettina; Reilly, Nicole; Yin, Carolyn; Austin, Marie-Paule

    2015-12-01

    This study examines the clinical profile of women admitted to a psychiatric mother-baby unit as well as change in their clinical, parenting, attachment and quality of life outcomes. Data was collected from 191 mothers through self-report measures at admission and discharge. Change was analysed in terms of Edinburgh Postnatal Depression Scale (EPDS) score, parenting confidence, maternal attachment to the infant and overall functioning. Psychosocial factors impacting on symptom severity and recovery were examined. Most women (64.8 %) were admitted in the first 3 months after birth with an ICD-10 unipolar depressive episode (52.3 %) or anxiety disorder (25.7 %), and 47.6 % had comorbid diagnoses. Improvement from admission to discharge was seen with large effect sizes (≥one standard deviation, i.e. μ) in terms of clinical symptoms (EPDS, μ = 1.7), parenting confidence (Karitane Parenting Confidence Scale (KPCS), μ = 1.1) and attachment to their infant (Maternal Postpartum Attachment Scale (MPAS), μ = 0.9) as well as overall level of functioning (SF-14, μ = 1.9). The majority (73.3 %) recovered symptomatically, and this was associated with increasing maternal age (odds ratio (OR) = 1.129, p = 0.002) and lower levels of psychosocial risk at admission (OR = 0.963, p = 0.008). Improvement in parenting confidence was associated with increasing maternal age (OR = 1.17, p = 0.003). No predictive factors were found for improvement in maternal attachment after controlling for admission scores. In the short term, joint admission of mothers with their infants is highly beneficial in terms of clinical, functional and parenting outcomes, but follow up studies are needed to assess the longer term benefits for mother-infant dyads. The use of an observational tool to enhance our assessment of maternal-infant interaction and some measure of maternal emotional dysregulation-both important mediators of development of secure infant

  5. Short-term outcomes of sport- and recreation-related concussion in patients admitted to a pediatric trauma service.

    PubMed

    Bramley, Harry; Mcfarland, Carol; Lewis, Mechelle M; Shaffer, Michele L; Cilley, Robert; Engbrecht, Brett; Santos, Mary; Rzucidlo, Susan; Shirk, Beverly; Simmons, Lynn; Dias, Mark S

    2014-07-01

    The outcomes of patients admitted to the hospital following a sport-related concussion are largely unknown. Medical records of patients admitted to the pediatric trauma service between 2008 and 2011 after sustaining a sport-related concussion were reviewed. In all, 59 participants were in the high-velocity activities group, and 21 in the field or court sport group. Abnormal CT scans were found in 14 patients in the high-velocity group and 2 in the field or court sport group. The majority of participants in the field or court sport group were football players, all of whom had normal CT scans. Headache was predictive of an abnormal CT scan. Among the patients, 56% clinically improved and were discharged the following day. Patients with field or court sport-related concussion admitted to a pediatric trauma service appear to be at low risk for clinically significant intracranial pathology and do well in the acute setting.

  6. Pyroclastic passage zones in glaciovolcanic sequences.

    PubMed

    Russell, James K; Edwards, Benjamin R; Porritt, Lucy A

    2013-01-01

    Volcanoes are increasingly recognized as agents and recorders of global climate variability, although deciphering the linkages between planetary climate and volcanism is still in its infancy. The growth and emergence of subaqueous volcanoes produce passage zones, which are stratigraphic surfaces marking major transitions in depositional environments. In glaciovolcanic settings, they record the elevations of syn-eruptive englacial lakes. Thus, they allow for forensic recovery of minimum ice thicknesses. Here we present the first description of a passage zone preserved entirely within pyroclastic deposits, marking the growth of a tephra cone above the englacial lake level. Our discovery requires extension of the passage-zone concept to accommodate explosive volcanism and guides future studies of hundreds of glaciovolcanic edifices on Earth and Mars. Our recognition of pyroclastic passage zones increases the potential for recovering transient paleolake levels, improving estimates of paleo-ice thicknesses and providing new constraints on paleoclimate models that consider the extents and timing of planetary glaciations.

  7. Medical comorbidity and projected survival in patients admitted to a specialist addictions in-patient unit

    PubMed Central

    Mogford, Daniel V.; Lawrence, Rebecca J.

    2016-01-01

    Aims and method To investigate the burden of medical comorbidity in a population receiving in-patient treatment for drug and alcohol problems. All patients admitted over a 6-month period were included in the data-set. We recorded diagnostic information on admission that allowed the calculation of predicted 10-year survival using a previously validated comorbidity index. Results Despite the majority of the sample having a predicted 10-year survival chance of greater than 75%, a sizeable minority (16.7%) are carrying a high burden of medical comorbidity, with a predicted 10-year survival chance of less than 50%. More than half (55.2%) of these patients were under the age of 55. Chronic respiratory disease was the most frequent diagnosis. Clinical implications In-patient substance misuse units serve a complicated group of patients, whose needs are met by active medical input, resident medical cover and effective liaison with general hospitals. This is important when planning and commissioning treatment services. The high burden of respiratory disease suggests the utility of robust smoking cessation interventions among this population. PMID:27752344

  8. QTc Prolongation in Patients Acutely Admitted to Hospital for Psychosis and Treated with Second Generation Antipsychotics

    PubMed Central

    Kroken, Rune A.; Løberg, Else-Marie; Jørgensen, Hugo A.

    2013-01-01

    QTc interval prolongation is a side effect of several antipsychotic drugs, with associated risks of torsade de pointes arrhythmias and sudden cardiac death. There is an ongoing debate of whether or not electrocardiogram (ECG) assessments should be mandatory in patients starting antipsychotic drugs. To investigate QTc prolongation in a clinically relevant patient group 171 adult patients acutely admitted to an emergency ward for psychosis were consecutively recruited. ECGs were recorded at baseline and then at discharge or after 6 weeks at the latest (discharge/6 weeks), thus reflecting the acute phase treatment period. The mean QTc interval was 421.1 (30.4) ms at baseline and there was a positive association between the QTc interval and the agitation score whereas the QTc interval was inversely associated with the serum calcium level. A total of 11.6% had abnormally prolonged QTc intervals and another 14.3% had borderline prolongation. At discharge/6 weeks, the corresponding proportions were reduced to 4.2% and 5.3%, respectively. The reduction of the proportion with prolonged QTc intervals reached statistical significance (chi-square exact test: P = 0.046). The finding of about one-quarter of the patients with borderline or prolonged QTc intervals could indicate mandatory ECG recordings in this population. This trial is registered with ClinicalTrials.gov ID: NCT00932529. PMID:24490070

  9. Thoracolumbar vertebral fractures in Sweden: an analysis of 13,496 patients admitted to hospital

    PubMed Central

    Blomqvist, Paul; Svedmark, Per; Granath, Fredrik; Buskens, Erik; Larsson, Martin; Adami, Johanna

    2010-01-01

    National Longitudinal data of thoracolumbar fracture incidence, trends or mortality rates are lacking. The correlation between admissions and operations of thoracolumbar vertebral fractures has not been investigated. The aim of our nationwide population-based epidemiological study was to analyse the incidence, admissions, operations, and case fatality rate among patients with thoracolumbar vertebral fractures admitted to hospital in Sweden. The Swedish Hospital Discharge Register (SHDR) and the Cause of Death Register (CDR) were linked to determine the incidence of surgical interventions, trends, characteristics of the patients, and case fatality rate for thoracolumbar vertebral fractures based on comprehensive national data. The annual incidence of thoracolumbar fractures was on average 30 per 100,000 inhabitants and did not change considerably during the study period. Among patients younger than 60 years of age the annual incidence was 13 per 100,000 and was twice as high in men compared to women. The proportion operated on was 15%. In the age-group 60 years and older the majority were women. In this group two percent were operated on. However, males were operated on twice as often as women. The 90-day case-fatality rate after surgery was 1.4%. This information may assist health care providers in health care planning. Moreover, these data can also be used for power calculations when planning future clinical studies. PMID:20449637

  10. Types of borderline personality disorder (BPD) in patients admitted for suicide-related behavior.

    PubMed

    Rebok, Federico; Teti, Germán L; Fantini, Adrián P; Cárdenas-Delgado, Christian; Rojas, Sasha M; Derito, María N C; Daray, Federico M

    2015-03-01

    Borderline personality disorder (BPD) is determined by the presence of any five of nine diagnostic criteria, leading patients with heterogeneous clinical features to be diagnosed under the same label without an individualized clinical and therapeutic approach. In response to this problem, Oldham proposed five types of BPD: affective, impulsive, aggressive, dependent and empty. The present study categorized a sample of BPD patients hospitalized due to suicide-related behavior according to Oldham's BPD proposed subtypes, and evaluated their clinical and demographic characteristics. Data were obtained from a sample of 93 female patients admitted to the « Dr. Braulio A. Moyano » Neuropsychiatric Hospital following suicide-related behavior. A total of 87 patients were classified as affective (26%), impulsive (37%), aggressive (4%), dependent (29%), and empty (5%). Patients classified as dependent were significantly older at the time of first suicide-related behavior (p = 0.0008) and reported significantly less events of previous suicide-related behaviors (p = 0.03), while patients classified as impulsive reported significantly higher rates of drug use (p = 0.02). Dependent, impulsive and affective BPD types were observed most frequently in our sample. Findings are discussed specific to demographic and clinical implications of BPD patients reporting concurrent suicidal behavior.

  11. Inhaler technique: facts and fantasies. A view from the Aerosol Drug Management Improvement Team (ADMIT)

    PubMed Central

    Levy, Mark L; Dekhuijzen, P N R; Barnes, P J; Broeders, M; Corrigan, C J; Chawes, B L; Corbetta, L; Dubus, J C; Hausen, Th; Lavorini, F; Roche, N; Sanchis, J; Usmani, Omar S; Viejo, J; Vincken, W; Voshaar, Th; Crompton, G K; Pedersen, Soren

    2016-01-01

    Health professionals tasked with advising patients with asthma and chronic obstructive pulmonary disease (COPD) how to use inhaler devices properly and what to do about unwanted effects will be aware of a variety of commonly held precepts. The evidence for many of these is, however, lacking or old and therefore in need of re-examination. Few would disagree that facilitating and encouraging regular and proper use of inhaler devices for the treatment of asthma and COPD is critical for successful outcomes. It seems logical that the abandonment of unnecessary or ill-founded practices forms an integral part of this process: the use of inhalers is bewildering enough, particularly with regular introduction of new drugs, devices and ancillary equipment, without unnecessary and pointless adages. We review the evidence, or lack thereof, underlying ten items of inhaler ‘lore’ commonly passed on by health professionals to each other and thence to patients. The exercise is intended as a pragmatic, evidence-informed review by a group of clinicians with appropriate experience. It is not intended to be an exhaustive review of the literature; rather, we aim to stimulate debate, and to encourage researchers to challenge some of these ideas and to provide new, updated evidence on which to base relevant, meaningful advice in the future. The discussion on each item is followed by a formal, expert opinion by members of the ADMIT Working Group. PMID:27098045

  12. Profile of injury cases admitted to a tertiary level hospital in south India.

    PubMed

    Uthkarsh, Pallavi Sarji; Suryanarayana, S P; Gautham, M S; Shivraj, N S; Murthy, N S; Pruthvish, S

    2012-01-01

    Injuries now rank among the leading causes of morbidity and mortality the world over. Injuries are steadily increasing in developing countries like India. Systematic and scientific efforts in injury prevention and control are yet to begin in India. Data on injuries are very essential to plan preventive and control measures. The objective of this study is to know the profile of the injury cases admitted to M S Ramaiah hospital, Bangalore, India, using a cross-sectional study design for six months, i.e. from Oct 2008 to April 2009. The mean age of the study population was 35.3 years (SD = 15.38), 69.1% were injured in road traffic accidents (RTA), 28.7% due to falls and 2.2% due to burns. Nearly 14.4% were under the influence of alcohol. Nearly 73.6% of RTA cases were two-wheeler users, 48.5% had not followed sign boards and 56.5% had not obeyed the one-way rules, 63.5% of the two-wheeler users did not use helmets. Also, 38% of two wheelers had two pillion riders, whereas 57% of four-wheeler users had not used a seat belt. Among falls, 58% occurred at home, 49% occurred due to slippery surface. Road traffic accidents were the most common cause for injuries, in which two wheelers were most commonly involved. Strict enforcement of traffic rules and education on road safety are very essential to prevent injuries. PMID:21812707

  13. The morbidity of Guillain-Barré syndrome admitted to the intensive care unit.

    PubMed

    Henderson, R D; Lawn, N D; Fletcher, D D; McClelland, R L; Wijdicks, E F M

    2003-01-14

    Patients with severe forms of Guillain-Barré syndrome (GBS) require intensive care. Specific treatment, catheterization, and devices may increase morbidity in the intensive care unit (ICU). To understand the spectrum of morbidity associated with ICU care, the authors studied 114 patients with GBS. Major morbidity occurred in 60% of patients. Complications were uncommon if ICU stay was less than 3 weeks. Respiratory complications such as pneumonia and tracheobronchitis occurred in half of the patients and were linked to mechanical ventilation. Systemic infection occurred in one-fifth of patients and was more frequent with increasing duration of ICU admission. Direct complications of treatment and invasive procedures occurred infrequently. Life-threatening complications such as gastrointestinal bleeding and pulmonary embolism were very uncommon. Pulmonary morbidity predominates in patients with severe GBS admitted to the ICU. Attention to management of mechanical ventilation and weaning is important to minimize this complication of GBS. Other causes of morbidity in a tertiary center ICU are uncommon. PMID:12530364

  14. Chlamydiaceae in North Atlantic Seabirds Admitted to a Wildlife Rescue Center in Western France

    PubMed Central

    Aaziz, R.; Gourlay, P.; Vorimore, F.; Sachse, K.; Siarkou, V. I.

    2015-01-01

    Birds are the primary hosts of Chlamydia psittaci, a bacterium that can cause avian chlamydiosis in birds and psittacosis in humans. Wild seabirds are frequently admitted to wildlife rescue centers (WRC) at European Atlantic coasts, for example, in connection with oil spills. To investigate the extent of chlamydial shedding by these birds and the resulting risk for animals in care and the medical staff, seabirds from a French WRC were sampled from May 2011 to January 2014. By use of a quantitative PCR (qPCR), 195 seabirds belonging to 4 orders, 5 families and 13 species were examined, of which 18.5% proved to be Chlamydiaceae positive. The highest prevalence of shedders was found in northern gannets (Morus bassanus) (41%), followed by European herring gulls (Larus argentatus) (14%) and common murres (Uria aalge) (7%). Molecular characterization and phylogenetic analysis of qPCR-positive northern gannet samples revealed two variants of a strain closely related to C. psittaci. In European herring gulls and in one common murre, strains showing high sequence similarity to the atypical Chlamydiaceae-like C122 previously found in gulls were detected. Our study shows that seabirds from the northeastern Atlantic Ocean carry several chlamydial organisms, including C. psittaci-related strains. The staff in WRCs should take protective measures, particularly in the case of mass admissions of seabirds. PMID:25934619

  15. A profile of middle-aged and older adults admitted to nursing homes: 2000-2008.

    PubMed

    Miller, Nancy A; Pinet-Peralta, Luis M; Elder, Keith T

    2012-01-01

    Middle-aged adults are becoming an increasing share of the nursing home population. Minimum Data Set assessment data for 2000 and 2008 are used to explore similarities and differences in sociodemographic, residential, medical, and psychiatric characteristics of newly admitted middle-aged adults (31-64) compared to their older counterparts (65+). Relative to their share of the state population, Black middle-aged adults are overrepresented in nursing homes across 45 states and the District of Columbia. Chronic conditions, including diabetes, renal failure, chronic obstructive pulmonary disease, asthma, and circulatory/heart disorders, appeared to contribute to the increasing presence of middle-aged adults. There were substantial increases in diagnoses of psychiatric disorders at admission; psychiatric diagnoses were significantly higher among middle-aged adults. Middle-aged adults were also more likely to have residential histories of prior stays in psychiatric facilities relative to older adults. States' rebalancing efforts need to attend to the increasing presence of disability associated with chronic medical and psychiatric conditions among middle-aged adults. PMID:22720887

  16. Quality assurance for patients with head injuries admitted to a regional trauma unit.

    PubMed

    Schwartz, M L; Sharkey, P W; Andersen, J A

    1991-07-01

    The efficacy of trauma systems in reducing preventable deaths has been established but the methods of auditing care are still evolving. Various "audit filters" to identify which patients' charts should be reviewed have been proposed. An analysis of all patients admitted to the Regional Trauma Unit (RTU) over a 19-month period was conducted. Of 729 patients, 135 were identified as having suffered a traumatic intracranial hemorrhage (TICH). On review, neither delay in transfer from the emergency room to the operating room nor increasing time from the incident to the operating room correlated with increasing mortality. In contrast to delay, the Glasgow Coma Scale (GCS) score on admission correlated well with outcome. The charts of patients with anomalous outcomes based on admission GCS score were reviewed, and two possibly preventable deaths were identified. There were 48 patients with TICH who had no operations but there were no deaths attributable to a missed operation. There were 76 patients for whom the GCS score at the referring hospital and the GCS score on admission to the RTU were available. Seven of 19 patients who worsened on transfer declined because of significant pulmonary injuries. Anomalous outcomes based on admission GCS score and declining GCS scores are recommended as quality assurance filters. PMID:2072435

  17. Assessment of the sexually abused female children admitted to a tertiary care hospital: Eight year experience

    PubMed Central

    Mollamahmutoglu, Leyla; Uzunlar, Ozlem; Kahyaoglu, Inci; Ozyer, Sebnem; Besli, Mustafa; Karaca, Mujdegul

    2014-01-01

    Objective: To discuss the medical, social and legal characteristics of the child sexual abuse and to provide a perspective for gynecologists on this topic. Methods: A retrospective analysis was carried out of the medicolegal records of female children below the age of 18 referred to a tertiary teaching hospital and diagnosed as being exposed to sexual abuse within the family between the years of 2004 to 2012. Results: One hundred and thirty-nine cases were diagnosed as being exposed to sexual abuse during the 8 year period, 23 of them (16.5%) had been involved in sexual abuse within the family. Eleven out of 23 had been admitted as part of a legal process while the rest were reported by a third person. Conclusion: Since sexual abuse within the family is a taboo in Islamic societies, the diagnosis can take a long time. Recognition of sexually abused children, providing early performance of medicolegal examinations, and applying standardized medical guidelines are essential to protect these children. PMID:25225535

  18. Risk factors of mortality among dengue patients admitted to a tertiary care setting in Kerala, India.

    PubMed

    Karunakaran, Aswath; Ilyas, Waseem Mohammed; Sheen, S F; Jose, Nelson K; Nujum, Zinia T

    2014-01-01

    Dengue is one of the most serious and rapidly emerging tropical mosquito-borne diseases. The state of Kerala in India is hyperendemic for the disease and is one of the leading states in the reporting of deaths due to dengue. As primary prevention of dengue has had limited success, the prevention of mortality through the identification of risk factors and efficient patient management is of utmost importance. Hence, a record-based case control study was conducted in the Medical College Hospital in Thiruvananthapuram to identify the risk factors of mortality in patients admitted with dengue. Dengue patients over 40years of age were 9.3 times (95% CI; 1.9-44.4) more likely to die compared with younger patients. The clinical features associated with mortality from dengue were altered sensorium (odds ratio (OR) - 156, 95% CI; 12.575-1935.197), abnormal reflexes (OR - 8.5, 95% CI; 1.833-39.421) and edema (OR - 13.22, 95% CI; 2.651-65.951). Mortality was also higher in those patients with co-morbidities such as diabetes mellitus (OR - 26, 95% CI; 2.47-273.674) and hypertension (OR - 44, 95% CI; 6.23-315.499). The independent predictors of mortality were altered sensorium and hypertension. Dengue fever patients with these clinical features and those who are elderly should be more rigorously monitored and promptly referred from lower settings when required to reduce mortality.

  19. Morbidity and mortality of reptiles admitted to the Wildlife Center of Virginia, 1991 to 2000.

    PubMed

    Brown, Justin D; Sleeman, Jonathan M

    2002-10-01

    Medical records from 694 reptiles admitted to the Wildlife Center of Virginia (WCV; Waynesboro, Virginia, USA) from 1991 to 2000 were reviewed to determine causes of morbidity and mortality. Eighteen species were represented but the majority of cases were four species; eastern box turtle (Terrapene carolina) (66%), eastern painted turtle (Chrysemys picta) (11%), common snapping turtle (Chelydra serpentina) (10%), and rat snake (Elaphe sp.) (6%). There was a significant increase in reptile cases during the study period both in absolute number and in proportion to the total caseload. Trauma (74%) was the most frequent cause of morbidity and mortality followed by unknown or undetermined (13%), aural abscessation (7%), infectious diseases (2%), and one nutritional disorder (0.1%). In addition, 3% of the cases were healthy animals that had been removed from the wild and consequently brought to the WCV. Causes of morbidity and mortality differed between the four most numerous species. Impact with a motor vehicle was the most frequent cause of trauma for eastern box turtles, eastern painted turtles, and common snapping turtles; however, garden-equipment-related trauma was the most frequent cause for rat snakes. Aural abscessation was only seen in eastern box turtles. Eighty percent of cases occurred between May and September and 65% occurred within the five counties closest to the WCV. The majority of morbidity and mortality was the result of human activities. The expanding human population in Virginia likely will continue to have an impact on the health of wild reptiles. PMID:12528435

  20. Inhaler technique: facts and fantasies. A view from the Aerosol Drug Management Improvement Team (ADMIT).

    PubMed

    Levy, Mark L; Dekhuijzen, P N R; Barnes, P J; Broeders, M; Corrigan, C J; Chawes, B L; Corbetta, L; Dubus, J C; Hausen, Th; Lavorini, F; Roche, N; Sanchis, J; Usmani, Omar S; Viejo, J; Vincken, W; Voshaar, Th; Crompton, G K; Pedersen, Soren

    2016-01-01

    Health professionals tasked with advising patients with asthma and chronic obstructive pulmonary disease (COPD) how to use inhaler devices properly and what to do about unwanted effects will be aware of a variety of commonly held precepts. The evidence for many of these is, however, lacking or old and therefore in need of re-examination. Few would disagree that facilitating and encouraging regular and proper use of inhaler devices for the treatment of asthma and COPD is critical for successful outcomes. It seems logical that the abandonment of unnecessary or ill-founded practices forms an integral part of this process: the use of inhalers is bewildering enough, particularly with regular introduction of new drugs, devices and ancillary equipment, without unnecessary and pointless adages. We review the evidence, or lack thereof, underlying ten items of inhaler 'lore' commonly passed on by health professionals to each other and thence to patients. The exercise is intended as a pragmatic, evidence-informed review by a group of clinicians with appropriate experience. It is not intended to be an exhaustive review of the literature; rather, we aim to stimulate debate, and to encourage researchers to challenge some of these ideas and to provide new, updated evidence on which to base relevant, meaningful advice in the future. The discussion on each item is followed by a formal, expert opinion by members of the ADMIT Working Group. PMID:27098045

  1. Patients with hypertensive crises who are admitted to a coronary care unit: clinical characteristics and outcomes.

    PubMed

    González Pacheco, Héctor; Morales Victorino, Neisser; Núñez Urquiza, Juan Pablo; Altamirano Castillo, Alfredo; Juárez Herrera, Ursulo; Arias Mendoza, Alexandra; Azar Manzur, Francisco; Briseño de la Cruz, Jose Luis; Martínez Sánchez, Carlos

    2013-03-01

    Patients with hypertensive crises, especially hypertensive emergencies, require immediate admittance to an intensive care unit for rapid blood pressure (BP) control. The authors analyzed the prevalence of hypertensive crisis, the clinical characteristics, and the evolution of patients with hypertensive emergencies and urgencies. Patients were divided into 3 groups according to their BP values: group I, predominant systolic hypertension (≥180/≤119 mm Hg); group II, severe systolic and diastolic hypertension (≥180/≥120 mm Hg); and group III, predominant diastolic hypertension (≤179/≥120 mm Hg). Of all of the patients admitted to a coronary care unit, 538 experienced a hypertensive crisis, which represented 5.08% of all admissions. Hypertensive emergency was predominant in 76.6% of the cases, which corresponded to acute coronary syndrome and acute decompensated heart failure in 59.5% and 25.2% of the cases, respectively. A pattern of predominant systolic hypertension (≥180/≤119 mm Hg) was most commonly observed in the hypertensive crisis group (71.4%) and the hypertensive emergency group (72.1%). The medications that were most commonly used at onset included intravenous vasodilators (nitroglycerin in 63.4% and sodium nitroprusside in 16.4% of the patients). The overall mortality rate was 3.7%. The mortality rate was 4.6% for hypertensive emergency cases and 0.8% for hypertensive urgencies cases.

  2. The interplay of infections, function and length of stay (LOS) in newly admitted geriatric psychiatry patients.

    PubMed

    Malyuk, Rhonda E; Wong, Carol; Buree, Barbara; Kang, Arvind; Kang, Nirmal

    2012-01-01

    The purpose of this study was to determine the impact of identifying and treating infections on functional outcomes and length of stay (LOS). Our retrospective naturalistic study reviewed all new admissions to a tertiary geriatric psychiatry teaching hospital from 2003 to 2007. Over this four-year period, 390 patients were admitted and discharged with 21% (85) of patients identified as having infections on admission. Those with infections were compared to the group without to determine and compare clinical characteristics. Factors included in analysis were: age, gender, diagnoses, medical comorbidity, neuropsychiatric symptoms, functional outcomes, medications and LOS. Both groups were similar in gender, psychiatric diagnoses and severity of dementia. Those requiring antibiotics for treatment of infections on admission, were older (p=0.003), had poorer baseline function (p=0.005) and higher medical comorbidity (p<0.001). At discharge, the group with infections showed greater functional improvement (p<0.001), particularly in mobility (p=0.005) and cognition (p=0.046), and had a shorter LOS (p=0.02). We conclude that a significant number of patients in tertiary geriatric services continue to have infections on admission. Early identification and treatment of infections can result in improved function and decreased LOS. PMID:21377222

  3. Spatial and temporal variability of rock fall in a (peri)glacial environment: a LiDAR-based, multi-year investigation of rock fall release zones and volumes, Kitzsteinhorn, Austria

    NASA Astrophysics Data System (ADS)

    Delleske, Robert; Hartmeyer, Ingo; Keuschnig, Markus; Götz, Joachim

    2014-05-01

    October). All scans (n = 41) were conducted using a RIEGL LMS-Z620. The resulting spatial resolution varies between 0.1 and 0.5 m and object distance (i.e. distance between scanner and rock face) ranges from 250 to 500 m. Post-processing of TLS data enabled to precisely identify rock fall release zones, rock fall volumes and surface changes of the Schmiedingerkees glacier (lowering rate of approximately 1.5 m per year). Since 2011 a total number of nine rock fall events with a volume exceeding 100 m³ have been recorded - with the largest reaching a volume of approx. 500 m³. All were triggered from areas that have been exposed by the retreating Schmiedingerkees glacier over the last 1-2 decades. Thus, glacial debuttressing and subsequent exposure to atmospheric influences might be considered as the dominant destabilizing factors. Temporal clustering of rock fall events over the first three seasons (2011 to 2013) tentatively indicates a bimodal occurrence pattern with a first maximum during snowmelt (May/June) and a second distinct peak during the warmest period of the year (August).

  4. Some Aspects of the Physical Variability of the Caribbean Sea Relevant to Regional Climate Variability

    NASA Astrophysics Data System (ADS)

    Mooers, C. N.

    2001-12-01

    The Caribbean Sea is the least studied portion of the Intra-Americas Sea (IAS), which is the combined Caribbean Sea, Gulf of Mexico, Straits of Florida, and the adjacent western North Atlantic. The upstream elements of the Gulf Stream System are the dominant features of the upper ocean circulation in the Caribbean Sea. The Trade Winds superimpose a coastal upwelling regime along the northern coast of South America and a coastal downwelling regime along the southern coasts of Cuba and Hispaniola. The inflow from the Atlantic through several Antillean passages is derived from tropical and subtropical sources and is relatively weak, shallow, and variable; the outflow to the Gulf of Mexico through the Yucatan Channel is relatively strong, deep, and variable. The variability includes mesoscale eddies and meanders as well as the seasonal cycle and year-to-year variability; it also includes lengthy plumes from the Orinoco and other rivers and lengthy filaments from coastal upwelling centers. Some of the mesoscale variability originates in the Eastern Caribbean; other components originate in the Western Caribbean, especially in the cyclonic Panama-Colombia Gyre. The upper ocean of the Caribbean Sea is not only under the influence of the Trade Winds and their seasonal and longer term variability but also two other, not mutually exclusive, sources of variability: the seasonal heating and precipitation cycles on one hand, and synoptic scale and mesoscale phenomena on the other hand. For example, there are wet and dry seasons, and the Eastern Caribbean is typically dry and the Western Caribbean typically wet, with a heavy rainfall zone off the coast of Central America. And the patterns of atmospheric deep convection and subsidence apparently account for the summertime intensification of an extensive "warm pool" concentrated in the Northwestern Caribbean, which is exported to the Gulf of Mexico. As another example, the weekly Tropical Easterly Waves (TEWs) are the predominant

  5. Intrinsically variable stars

    NASA Technical Reports Server (NTRS)

    Bohm-Vitense, Erika; Querci, Monique

    1987-01-01

    The characteristics of intrinsically variable stars are examined, reviewing the results of observations obtained with the IUE satellite since its launch in 1978. Selected data on both medium-spectral-class pulsating stars (Delta Cep stars, W Vir stars, and related groups) and late-type variables (M, S, and C giants and supergiants) are presented in spectra, graphs, and tables and described in detail. Topics addressed include the calibration of the the period-luminosity relation, Cepheid distance determination, checking stellar evolution theory by the giant companions of Cepheids, Cepheid masses, the importance of the hydrogen convection zone in Cepheids, temperature and abundance estimates for Population II pulsating stars, mass loss in Population II Cepheids, SWP and LWP images of cold giants and supergiants, temporal variations in the UV lines of cold stars, C-rich cold stars, and cold stars with highly ionized emission lines.

  6. 20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 20 Employees' Benefits 2 2013-04-01 2013-04-01 false How to prove you are lawfully admitted for permanent residence in the United States. 416.1615 Section 416.1615 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Residence and Citizenship §...

  7. 20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false How to prove you are lawfully admitted for permanent residence in the United States. 416.1615 Section 416.1615 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Residence and Citizenship §...

  8. 20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 20 Employees' Benefits 2 2012-04-01 2012-04-01 false How to prove you are lawfully admitted for permanent residence in the United States. 416.1615 Section 416.1615 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Residence and Citizenship §...

  9. 20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 20 Employees' Benefits 2 2011-04-01 2011-04-01 false How to prove you are lawfully admitted for permanent residence in the United States. 416.1615 Section 416.1615 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Residence and Citizenship §...

  10. 20 CFR 416.1615 - How to prove you are lawfully admitted for permanent residence in the United States.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 20 Employees' Benefits 2 2014-04-01 2014-04-01 false How to prove you are lawfully admitted for permanent residence in the United States. 416.1615 Section 416.1615 Employees' Benefits SOCIAL SECURITY ADMINISTRATION SUPPLEMENTAL SECURITY INCOME FOR THE AGED, BLIND, AND DISABLED Residence and Citizenship §...

  11. Profile of BC College Transfer Students Admitted to the University of British Columbia: 2003/04 to 2007/08

    ERIC Educational Resources Information Center

    Lambert-Maberly, Ashley

    2009-01-01

    This report examines the demographics, performance, and success of students who were admitted to the University of British Columbia's Vancouver campus on the basis of a minimum 24 transfer credits earned at a BC college during the five year period comprising the 2003/04 through 2007/08 academic years. The report mines familiar ground--similar…

  12. 37 CFR 1.91 - Models or exhibits not generally admitted as part of application or patent.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Models or exhibits not generally admitted as part of application or patent. 1.91 Section 1.91 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF COMMERCE GENERAL RULES OF PRACTICE IN PATENT CASES National Processing Provisions...

  13. Treatment needs, diagnoses and use of services for acutely admitted psychiatric patients in northwest Russia and northern Norway

    PubMed Central

    2013-01-01

    Background We compared demography, diagnoses and clinical needs in acutely admitted psychiatric hospital patients in northwest Russia and northern Norway. Method All acutely admitted psychiatric patients in 1 psychiatric hospital in north-west Russia and 2 in northern Norway were in a three months period assessed with HoNOS and a Norwegian form developed to study acute psychiatric services (MAP). Data from a total of 841 patients were analysed (377 Norwegian, 464 Russian) with univariate and multivariate statistics. Results Russian patients were more often males who had paid work. 2/3 were diagnosed with alcohol and organic disorders, and 70% reported problems related to sleep. Depression was widespread, as were problems associated with occupation. Many more Norwegian patients were on various forms of social security and lived in community supported homes. They had a clinical profile of affective disorders, use of drugs, suicidality and problems with activities involved of daily life. Slightly more Norwegian patients were involuntary admitted. Conclusion Acutely admitted psychiatric patients in North West Russia and Northern Norwegian showed different clinical profiles: alcohol, depression and organic disorders characterised Russian patients, affective disorders, suicidality and use of drugs characterised the Norwegians. Whereas Norwegian patients are mainly referred from GPs the Russians come via 1.line psychiatric services (“dispensaries”). Average length of stay for Russian patients was 2.5 times longer than that of the Norwegian. PMID:23317010

  14. Comparison of Adults with Intellectual Disabilities and Mental Health Problems Admitted to Specialist and Generic Inpatient Units

    ERIC Educational Resources Information Center

    Hemmings, C. P.; O'Hara, J.; McCarthy, J.; Holt, G.; Eoster, F.; Costello, H.; Hammond, R.; Xenitidis, K.; Bouras, N.

    2009-01-01

    This study aimed to compare the characteristics of service users with intellectual disabilities and mental health problems admitted to either a specialist or a generic inpatient unit in an area of South London. Socio-demographic and clinical characteristics of consecutive admissions over a 5.5-year period were recorded using a questionnaire. Key…

  15. [Investigation of the hepatitis E virus seroprevalence in cases admitted to Hacettepe University Medical Faculty Hospital].

    PubMed

    Aydın, Nesibe Nur; Ergünay, Koray; Karagül, Aydan; Pınar, Ahmet; Us, Dürdal

    2015-10-01

    Hepatitis E virus (HEV), classified in Hepeviridae family, Hepevirus genus, is a non-enveloped virus with icosahedral capsid containing single-stranded positive sense RNA genome. HEV infections may be asymptomatic especially in children, however it may present as fulminant hepatitis in pregnant women, as well as chronic hepatitis in immunocompromised patients. There are four well-known genotypes of HEV that infect humans and many mammalian species. Genotype 1 and 2 are frequently responsible for water-borne infections transmitted by fecal-oral way in developing countries, while genotype 3 and 4 cause zoonotic infections in developed countries. Turkey is considered as an endemic country with a total seroprevalence rate of 6.3% for normal population, showing significant variation (0-73%) according to the regions and study groups. The aims of this study were to investigate the HEV seropositivity in cases admitted to Hacettepe University Medical Faculty Hospital (HUMFH), to evaluate the results according to the demographic features of patients, and to determine the current HEV seroprevalence in our region, contributing seroepidemiological data in Turkey. A total of 1043 serum samples (514 female, 529 male; age range: 1-90 years, mean age: 38.03) obtained from 327 blood donors (32 female, 295 male; age range: 19-59 years, mean age: 31.1) who were admitted to HUMFH Blood Center, and 716 sera (482 female, 234 male; age range: 1-90 years, mean age: 41.7) that were sent to HUMFH Central Laboratory from various outpatient/inpatient clinics, between November 2012 to November 2013, were included in the study. The presence of HEV-IgG antibodies in serum samples was detected by a commercial ELISA method (Euroimmun, Germany), and the presence of HEV-IgM antibodies was also investigated in the sera with IgG-positive results. The overall HEV-IgG seropositivity rate was determined as 4.4% (46/1043), and the seropositivity rates for blood donors and in/outpatients were as 0.92% (3

  16. [Evaluation of the oropharyngeal tularemia cases admitted to our hospital from the provinces of Central Anatolia].

    PubMed

    Uyar, Melek; Cengiz, Buğra; Unlü, Murat; Celebi, Bekir; Kılıç, Selçuk; Eryılmaz, Adil

    2011-01-01

    Tularemia caused by the bacterium Francisella tularensis is a zoonotic infection which has re-emerged in Turkey in recent years as water-borne endemics. Oropharyngeal form is the most frequently reported form of the disease from Turkey. The aim of this study was to evaluate the clinical and laboratory findings of oropharyngeal tularemia patients admitted to ear, nose & throat outpatient clinic between January-March 2010. A total of 10 patients (age range: 16-80 years, mean age: 43.9 years; nine were male) inhabiting in the provinces in Central Anatolia, Turkey, were admitted to our hospital with the complaints of fever, sore throat and painful cervical lump. They have been previously diagnosed as tonsillo-pharyngitis at different medical centers and empirical antibiotic therapy has initiated, however, their complaints have not recovered. Endoscopic laryngoscopic examination revealed that oropharynx, larynx and hypopharynx were normal. Physical examination of the neck yielded localized fixed masses with diameters between 2-7 cm. The lesions were localized at right submandibular (n= 4), upper jugular (n=3) and one of each at left posterior cervical, left submandibular and left jugulodigastric regions. The patients were hospitalized with the pre-diagnosis of "neck mass with unknown origin" for further investigation and treatment. The mean white blood cell count of the cases was 9730 (7500-15.100) cells/µl; the mean erythrocyte sedimantation rate was 68.7 (46-85) mm3/hours and the mean C-reactive protein level was 4.3 (1.5-7.4) µg/dl. Salmonella, Brucella, Toxoplasma gondii, rubella, cytomegalovirus, herpes simplex virus, Epstein-Barr virus and viral hepatitis serology did not indicate acute infections. Serum and tissue samples were sent to Refik Saydam National Public Health Agency in order to test for tularemia, namely culture, microagglutination test (MAT), direct fluorescence antibody (DFA) test and in-house polymerase chain reaction (PCR). All of the patients

  17. [Investigation of the hepatitis E virus seroprevalence in cases admitted to Hacettepe University Medical Faculty Hospital].

    PubMed

    Aydın, Nesibe Nur; Ergünay, Koray; Karagül, Aydan; Pınar, Ahmet; Us, Dürdal

    2015-10-01

    Hepatitis E virus (HEV), classified in Hepeviridae family, Hepevirus genus, is a non-enveloped virus with icosahedral capsid containing single-stranded positive sense RNA genome. HEV infections may be asymptomatic especially in children, however it may present as fulminant hepatitis in pregnant women, as well as chronic hepatitis in immunocompromised patients. There are four well-known genotypes of HEV that infect humans and many mammalian species. Genotype 1 and 2 are frequently responsible for water-borne infections transmitted by fecal-oral way in developing countries, while genotype 3 and 4 cause zoonotic infections in developed countries. Turkey is considered as an endemic country with a total seroprevalence rate of 6.3% for normal population, showing significant variation (0-73%) according to the regions and study groups. The aims of this study were to investigate the HEV seropositivity in cases admitted to Hacettepe University Medical Faculty Hospital (HUMFH), to evaluate the results according to the demographic features of patients, and to determine the current HEV seroprevalence in our region, contributing seroepidemiological data in Turkey. A total of 1043 serum samples (514 female, 529 male; age range: 1-90 years, mean age: 38.03) obtained from 327 blood donors (32 female, 295 male; age range: 19-59 years, mean age: 31.1) who were admitted to HUMFH Blood Center, and 716 sera (482 female, 234 male; age range: 1-90 years, mean age: 41.7) that were sent to HUMFH Central Laboratory from various outpatient/inpatient clinics, between November 2012 to November 2013, were included in the study. The presence of HEV-IgG antibodies in serum samples was detected by a commercial ELISA method (Euroimmun, Germany), and the presence of HEV-IgM antibodies was also investigated in the sera with IgG-positive results. The overall HEV-IgG seropositivity rate was determined as 4.4% (46/1043), and the seropositivity rates for blood donors and in/outpatients were as 0.92% (3

  18. Microgravity silicon zoning investigation

    NASA Technical Reports Server (NTRS)

    Kern, E. L.; Gill, G. L., Jr.

    1983-01-01

    A resistance heated zoner, suitable for early zoning experiments with silicon, was designed and put into operation. The initial power usage and size was designed for an shown to be compatible with payload carriers contemplated for the Shuttle. This equipment will be used in the definition and development of flight experiments and apparatus for float zoning silicon and other materials in microgravity.

  19. Float Zone Workshop

    NASA Technical Reports Server (NTRS)

    Naumann, R. J.

    1980-01-01

    A summary of the Analytical Float Zone Experiment System (AFZES) concept is presented. The types of experiments considered for such a facility are discussed. Reports from various industrial producers and users of float zone material are presented. Special emphasis is placed on state-of-the-art developments in low gravity manufacturing and their applications to space processing.

  20. Investigating Aquatic Dead Zones

    ERIC Educational Resources Information Center

    Testa, Jeremy; Gurbisz, Cassie; Murray, Laura; Gray, William; Bosch, Jennifer; Burrell, Chris; Kemp, Michael

    2010-01-01

    This article features two engaging high school activities that include current scientific information, data, and authentic case studies. The activities address the physical, biological, and chemical processes that are associated with oxygen-depleted areas, or "dead zones," in aquatic systems. Students can explore these dead zones through both…

  1. Coastal zone management

    NASA Technical Reports Server (NTRS)

    Tilton, E. L., III

    1975-01-01

    A panel of federal and state representatives concerned with coastal zone affairs discussed their problems in this area. In addition, several demonstrations of the application of remote sensing technology to coastal zone management were described. These demonstrations were performed by several agencies in a variety of geographical areas.

  2. Antithrombin III in patients admitted to intensive care units: a multicenter observational study

    PubMed Central

    Messori, Andrea; Vacca, Franca; Vaiani, Monica; Trippoli, Sabrina

    2002-01-01

    Introduction The administration of antithrombin III (ATIII) is useful in patients with congenital deficiency, but evidence for the other therapeutic indications of this drug is still uncertain. In Italy, the use of ATIII is very common in intensive care units (ICUs). For this reason we undertook an observational study to determine the pattern of use of ATIII in ICUs and to assess the outcome of patients given this treatment. Methods From 20 May to 20 July 2001 all consecutive patients admitted to ICUs in 20 Italian hospitals and treated with ATIII were enrolled. The following information was recorded from each patient: congenital deficiency, indication for use of ATIII, daily dose and duration of ATIII treatment, outcome of hospitalization (alive or dead). The outcome data of our observational study were compared with those reported in previously published randomized controlled trials (RCTs). Results Two hundred and sixteen patients were enrolled in the study. The clinical indications for using ATIII were sepsis (25.9%), disseminated intravascular coagulation (23.1%), and other clinical conditions (46.8%). At the end of the study, 65.3% of the patients were alive, 24.5% died and 10.2% were still in the hospital. Among the patients with sepsis (n = 56), 19 died during the observation period (33.9%; 95% confidence interval 22.1–47.5%). Discussion Our study described the pattern of use of ATIII in Italian hospitals and provided information on the outcome of the subgroup treated with sepsis. A meta-analysis of current data from RCTs, together with our findings, indicates that there is no sound basis for using this drug in ICU patients with sepsis. PMID:12398786

  3. Effect of White Noise on Sleep in Patients Admitted to a Coronary Care

    PubMed Central

    Farokhnezhad Afshar, Pouya; Bahramnezhad, Fatemeh; Asgari, Parvaneh; Shiri, Mahmoud

    2016-01-01

    Introduction: Sleep disorders are a common problem in patients in the critical care unit. The objective of the present study was to determine the effect of white noise on the quality of sleep in patients admitted to the CCU. Methods: The present study was single-blind, quasi-experimental study. A total of 60 patients were selected using the purposive sampling method. Quality of sleep was measured with PSQI on the first day in admission, then after three nights of admission without any intervention for control group and for the experimental group quality of sleep measured by white noise with intensity of 50-60 dB then Quality of sleep was measured with PSQI. Data were analyzed by SPSS 13 software. Results: The average total sleep time in the control group before the study reached from 7.08 (0.8) to 4.75 (0.66) hours after three nights of hospitalization, while in the experimental group, no significant changes were seen in the average sleep hours (6.69 ± 0.84 vs. 6.92 ± 0.89, P = 0.15).The average minutes of sleep in the control group before the study reached from 12.66 (7.51) to 25.83 (11.75) minutes after a three- night stay, while in the experimental group, no significant changes were observed in the average sleep duration (12.16 ± 7.50 vs. 11 ±6. 07, P = 0.16). Conclusion: The use of white noise is recommended as a method for masking environmental noises, improving sleep, and maintaining sleep in the coronary care unit. PMID:27354974

  4. Experiences of fathering a baby admitted to neonatal intensive care: a critical gender analysis.

    PubMed

    Deeney, Kathleen; Lohan, Maria; Spence, Dale; Parkes, Jackie

    2012-09-01

    More fathers than ever before attend at the birth of their child and, internationally, there is a palpable pressure on maternity and neonatal services to include and engage with fathers. It is, thus, more important than ever to understand how fathers experience reproductive and neonatal health services and to understand how fathers can be successfully accommodated in these environments alongside their partners. In this paper we advance a theoretical framework for re-thinking fatherhood and health services approaches to fatherhood based on Critical Studies on Men (CSM). We illustrate the importance of this feminist informed theoretical approach to understanding the gendered experiences of fathers in a Neonatal Intensive Care Unit (NICU) setting in Northern Ireland. Using a longitudinal follow-up research design, with two data collection points, a total of 39 in-depth semi-structured interviews was conducted with 21 fathers of infants admitted to the NICU between August 2008 and December 2009. The findings demonstrate: (i) how men are forging new gendered identities around the birth of their baby but, over time, acknowledge women as the primary caregivers; (ii) how social class is a key determinant of men's ability to enact hegemonic forms of 'involved fatherhood' in the NICU, and; (iii) how men also encounter resistance from their partners and health professionals in challenging a gender order which associates women with the competent care of infants. An understanding of these gendered experiences operating at both individual and structural levels is critical to leading change for the inclusion of fathers as equal parents in healthcare settings. PMID:22694990

  5. Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre.

    PubMed

    Yildirgan, Kemal; Zahir, Edris; Sharafi, Siamak; Ahmad, Sufian; Schaller, Benoit; Ricklin, Meret E; Exadaktylos, Aristomenis K

    2016-01-01

    Mandibular fracture is a common occurrence in emergency medicine and belongs to the most frequent facial fractures. Historically road traffic injuries (RTIs) have played a prominent role as a cause for mandibular fractures. We extracted data from all patients between August 2012 and February 2015 with "lower jaw fracture" or "mandibular fracture" from the routine database from the emergency department. We conducted a descriptive analysis at a Swiss level one trauma centre. 144 patients were admitted with suspected mandibular fractures. The majority underwent CT diagnostic (83%). In 7% suspected mandibular fracture was not confirmed. More than half of all patients suffered two or more fractures. The fractures were median or paramedian in 77/144 patients (53%) and in other parts (corpus, mandibular angle, ramus mandibularis, collum, and temporomandibular joint) in 100/144 (69%). Male to female ratio was 3 : 1 up to 59 years of age; 69% were younger than 40 years. 72% of all patients presented during daytime, 69% had to be hospitalized, and 31% could be discharged from the ED after treatment. Most fractures were due to fall (44%), followed by interpersonal violence (25%) and sport activities (12%). Falls were a dominant cause of fracture in all age groups while violence and sport activities were common only in younger patients. Comparisons to other studies were difficult due to lack of standardization of causes contributing to the injuries. In the observed time period and setting RTIs have played a minor role compared to falls, interpersonal violence, and sports. In the future, standardized documentation as well as categorization of causes for analytic purposes is urgently needed to facilitate international comparison of studies. PMID:27656297

  6. Acute outcome of treating patients admitted with electrical storm in a tertiary care centre

    PubMed Central

    Prabhu, Mukund A.; Namboodiri, Narayanan; Prasad BV, Srinivas; Abhilash, S.P.; Thajudeen, Anees; Ajith, Kumar V.K.

    2016-01-01

    Background Electrical storm (ES) is a life threatening emergency. There is little data available regarding acute outcome of ES. Aims The study aimed to analyze the acute outcome of ES, various treatment modalities used, and the factors associated with mortality. Methods This is a retrospective observational study involving patients admitted with ES at our centre between 1/1/2007 and 31/12/2013. Results 41 patients (mean age 54.61 ± 12.41 years; 86.7% males; mean ejection fraction (EF) 44.51 ± 16.48%) underwent treatment for ES. Hypokalemia (14.63%) and acute coronary syndrome (ACS) (14.63%) were the commonest identifiable triggers. Only 9 (21.95%) patients already had an ICD implanted. Apart from antiarrhythmic drugs (100%), deep sedation (87.8%), mechanical ventilation (24.39%) and neuraxial modulation using left sympathetic cardiac denervation (21.95%) were the common treatment modalities used. Thirty-three (80.49%) patients could be discharged after a mean duration of 14.2 ± 2.31 days. Eight (19.5%) patients died in hospital. The mortality was significantly higher in those with EF < 35% compared to those with a higher EF (8 (42.11% vs 0 (0%), p = 0.03)). There was no significant difference in mortality between those with versus without a structural heart disease (8 (21.1% vs 0 (0%), p = 0.32)). Comparison of mortality an ACS with ES versus ES of other aetiologies (3 (50%) vs 5 (14.29) %, p = 0.076)) showed a trend towards significance. Conclusion With comprehensive treatment, there is reasonable acute survival rate of ES. Hypokalemia and ACS are the commonest triggers of ES. Patients with low EF and ACS have higher mortality. PMID:27479203

  7. Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre

    PubMed Central

    Yildirgan, Kemal; Zahir, Edris; Sharafi, Siamak; Schaller, Benoit; Exadaktylos, Aristomenis K.

    2016-01-01

    Mandibular fracture is a common occurrence in emergency medicine and belongs to the most frequent facial fractures. Historically road traffic injuries (RTIs) have played a prominent role as a cause for mandibular fractures. We extracted data from all patients between August 2012 and February 2015 with “lower jaw fracture” or “mandibular fracture” from the routine database from the emergency department. We conducted a descriptive analysis at a Swiss level one trauma centre. 144 patients were admitted with suspected mandibular fractures. The majority underwent CT diagnostic (83%). In 7% suspected mandibular fracture was not confirmed. More than half of all patients suffered two or more fractures. The fractures were median or paramedian in 77/144 patients (53%) and in other parts (corpus, mandibular angle, ramus mandibularis, collum, and temporomandibular joint) in 100/144 (69%). Male to female ratio was 3 : 1 up to 59 years of age; 69% were younger than 40 years. 72% of all patients presented during daytime, 69% had to be hospitalized, and 31% could be discharged from the ED after treatment. Most fractures were due to fall (44%), followed by interpersonal violence (25%) and sport activities (12%). Falls were a dominant cause of fracture in all age groups while violence and sport activities were common only in younger patients. Comparisons to other studies were difficult due to lack of standardization of causes contributing to the injuries. In the observed time period and setting RTIs have played a minor role compared to falls, interpersonal violence, and sports. In the future, standardized documentation as well as categorization of causes for analytic purposes is urgently needed to facilitate international comparison of studies. PMID:27656297

  8. Clinical Features, Psychiatric Assessment, and Longitudinal Outcome of Suicide Attempters Admitted to a Tertiary Emergency Hospital.

    PubMed

    Ferreira, Alcinéia Donizeti; Sponholz, Alcion; Mantovani, Célia; Pazin-Filho, Antônio; Passos, Afonso Dinis Costa; Botega, Neury José; Del-Ben, Cristina Marta

    2016-01-01

    The objective of this study was to characterize admissions to an emergency hospital due to suicide attempts and verify outcomes in 2 years. Data were collected from medical records and were analyzed using descriptive statistics and logistic regression. The sample consisted of 412 patients (58.7% women; mean age = 32.6 years old, SD = 14.3). Self-poisoning was the most frequent method (84.0%), and they were diagnosed mainly as depressive (40.3%) and borderline personality disorders (19.1%). Previous suicide attempts and current psychiatric treatment were reported by, respectively, 32.0% and 28.4%. Fifteen patients (3.6%, 9 males) died during hospitalization. At discharge, 79.3% were referred to community-based psychiatric services. Being male (OR = 2.11; 95% CI = 1.25-3.55), using violent methods (i.e., hanging, firearms, and knives) (OR = 1.96; 95% CI = 1.02-3.75) and psychiatric treatment history (OR = 2.58; 95% CI = 1.53-4.36) were predictors for psychiatric hospitalization. Of 258 patients followed for 2 years, 10 (3.9%) died (3 suicide), and 24 (9.3%) undertook new suicide attempts. Patients with a history of psychiatric treatment had higher risks of new suicide attempts (OR = 2.46, 95% CI = 1.07-5.65). Suicide attempters admitted to emergency hospitals exhibit severe psychiatric disorders, and despite interventions, they continue to present high risks for suicide attempts and death. PMID:25961847

  9. Palliative care for patients with HIV/AIDS admitted to intensive care units

    PubMed Central

    Souza, Paola Nóbrega; de Miranda, Erique José Peixoto; Cruz, Ronaldo; Forte, Daniel Neves

    2016-01-01

    Objective To describe the characteristics of patients with HIV/AIDS and to compare the therapeutic interventions and end-of-life care before and after evaluation by the palliative care team. Methods This retrospective cohort study included all patients with HIV/AIDS admitted to the intensive care unit of the Instituto de Infectologia Emílio Ribas who were evaluated by a palliative care team between January 2006 and December 2012. Results Of the 109 patients evaluated, 89% acquired opportunistic infections, 70% had CD4 counts lower than 100 cells/mm3, and only 19% adhered to treatment. The overall mortality rate was 88%. Among patients predicted with a terminally ill (68%), the use of highly active antiretroviral therapy decreased from 50.0% to 23.1% (p = 0.02), the use of antibiotics decreased from 100% to 63.6% (p < 0.001), the use of vasoactive drugs decreased from 62.1% to 37.8% (p = 0.009), the use of renal replacement therapy decreased from 34.8% to 23.0% (p < 0.0001), and the number of blood product transfusions decreased from 74.2% to 19.7% (p < 0.0001). Meetings with the family were held in 48 cases, and 23% of the terminally ill patients were discharged from the intensive care unit. Conclusion Palliative care was required in patients with severe illnesses and high mortality. The number of potentially inappropriate interventions in terminally ill patients monitored by the palliative care team significantly decreased, and 26% of the patients were discharged from the intensive care unit. PMID:27737420

  10. Spectrum and Prevalence of Thyroid Disorders in Patients Admitted to the Anaesthesiology Outpatient Clinic for Surgery

    PubMed Central

    Sarıtaş, Aykut; Sarıtaş, Pelin Uzun; Kurnaz, Muhammed Murat; Çelik, Abdullah

    2015-01-01

    Objective An anaesthetic approach and surgery are important treatment strategies in patients with thyroid dysfunction due to potential complications. We investigated the prevalence of thyroid disorders, the significance of thyroid function tests (TFTs) with respect to anaesthesia in the preoperative period and the need for routine examinations. Methods A total of 10,600 patients who were admitted to the anaesthesiology outpatient clinic for surgery were retrospectively screened and enrolled between 2011 and 2013. Evident hypothyroidism was defined as free tetra-iodothyronine (fT4) <0.7 ng dL−1 and thyroid-stimulating hormone (TSH) >4 mIU mL−1, and subclinical hypothyroidism was defined as TSH >4 mIU mL−1 with normal free hormone levels. Evident hyperthyroidism was defined as fT4 >1.7 ng dL−1 and TSH <0.1 mIU mL−1, and subclinical hyperthyroidism was defined as TSH <0.1 mIU mL−1 with normal free hormone levels. Statistical analysis was conducted using the Statistical Package for the Social Sciences (SPSS) version 17.0. Independent samples t-test and one-way analysis of variance were used to compare the difference between groups. Results Of the participants, 8.5% were found to have hypothyroidism, 2.5% had hyperthyroidism, 3.5% received treatment and 2.5% had their treatment postponed. The likelihood of hypothyroidism was greater among females, and no difference was found between genders with respect to hyperthyroidism. Conclusion We believe that TFTs are important because of regional factors. However, given the high cost of TFTs and because thyroid dysfunction risk increases with age, we concluded that routine TFTs in young patients with normal physical examination findings are not mandatory. PMID:27366505

  11. Mandibular Fractures Admitted to the Emergency Department: Data Analysis from a Swiss Level One Trauma Centre

    PubMed Central

    Yildirgan, Kemal; Zahir, Edris; Sharafi, Siamak; Schaller, Benoit; Exadaktylos, Aristomenis K.

    2016-01-01

    Mandibular fracture is a common occurrence in emergency medicine and belongs to the most frequent facial fractures. Historically road traffic injuries (RTIs) have played a prominent role as a cause for mandibular fractures. We extracted data from all patients between August 2012 and February 2015 with “lower jaw fracture” or “mandibular fracture” from the routine database from the emergency department. We conducted a descriptive analysis at a Swiss level one trauma centre. 144 patients were admitted with suspected mandibular fractures. The majority underwent CT diagnostic (83%). In 7% suspected mandibular fracture was not confirmed. More than half of all patients suffered two or more fractures. The fractures were median or paramedian in 77/144 patients (53%) and in other parts (corpus, mandibular angle, ramus mandibularis, collum, and temporomandibular joint) in 100/144 (69%). Male to female ratio was 3 : 1 up to 59 years of age; 69% were younger than 40 years. 72% of all patients presented during daytime, 69% had to be hospitalized, and 31% could be discharged from the ED after treatment. Most fractures were due to fall (44%), followed by interpersonal violence (25%) and sport activities (12%). Falls were a dominant cause of fracture in all age groups while violence and sport activities were common only in younger patients. Comparisons to other studies were difficult due to lack of standardization of causes contributing to the injuries. In the observed time period and setting RTIs have played a minor role compared to falls, interpersonal violence, and sports. In the future, standardized documentation as well as categorization of causes for analytic purposes is urgently needed to facilitate international comparison of studies.

  12. Acute adult poisoning cases admitted to a university hospital in Tabriz, Iran.

    PubMed

    Islambulchilar, M; Islambulchilar, Z; Kargar-Maher, M H

    2009-04-01

    The aim of our study was to investigate the etiological and demographical characteristics of acute adult poisoning cases admitted to a university hospital in Tabriz, Iran. This retrospective study was performed on 1342 poisoning admissions to a university hospital from 2003 to 2005, by data collection from the medical records of patients. Poisonings were 5.40% of the total admissions. There was a predominance of female patients (55.7%) compared to male patients (44.3%) with a female-to-male ratio of 1.2:1. Most poisonings occurred in the age range of 11-20 years (38.9%). Drugs were the most common cause of poisonings (60.8%). Among the drug poisonings, benzodiazepines (40.31%) were the most frequent agents, followed by antidepressants (31.98%). The seasonal distribution in poisoning patients suggested a peak in spring (28%) and summer (27.5%). In 9.8% of cases accidental and in 90.2% intentional poisonings were evident. Most suicide attempts were made by women (58.51%) and unmarried people (51.4%).The mean duration of hospitalization was 3.02 +/- 2.8 days. There were 28 (2.3%) deaths; the majority (13 cases) was due to pesticides. This was a university hospital-based study, so these results may not be representative of the general population. Despite this drawback, these data still provide important information on the characteristics of the poisoning in this part of Iran. To prevent such poisonings, the community education about the danger of central nervous system-acting drugs and reducing the exposure period of people to pesticides are recommended. PMID:19734268

  13. The outcomes of patients with severe dengue admitted to intensive care units.

    PubMed

    Chen, Chin-Ming; Chan, Khee-Siang; Yu, Wen-Liang; Cheng, Kuo-Chen; Chao, Hui-Chun; Yeh, Chiu-Yin; Lai, Chih-Cheng

    2016-08-01

    Outcomes of adult patients with dengue infections requiring intensive care unit (ICU) admissions remain unclear. We assessed the clinical manifestations and prognostic factors of patients critically ill with severe dengue.This retrospective study was done in a tertiary referral hospital with 96 adult ICU beds. All of the patients with laboratory-confirmed severe dengue infections and admitted to the ICU were enrolled between July 31 and November 31, 2015, during the large outbreak period. The medical records of all the recruited patients were reviewed for the following information: age, gender, clinical manifestations, disease severity scores, underlying conditions, laboratory examinations, and outcomes. The primary endpoint was to find the predictors of ICU mortality.During the study period, 4787 patients with dengue infections required ICU admission. One hundred forty-three (2.99%) were critically ill (mean age: 69.7 years). Hypertension (n = 90, 62.9%) and diabetes mellitus (n = 70, 49.0%) were the 2 most common underlying diseases. Eighty critically ill patients (55.9%) had cobacterial infections, and 33 had cobacteremia. The hematologic system failed most often, followed by thoracic and cardiovascular systems. Fever was the most common presentation (n = 112; 78.3%), followed by anorexia (n = 47; 32.9%) and abdominal pain (n = 46; 32.2%). Overall, 33 patients died (mortality rate: 23.1%). Multivariate analysis showed that ICU mortality was significantly associated with lower Glasgow Coma Scale (GCS) scores, lower platelet counts before ICU discharge, and more organ failures.The number of severe dengue patients who require ICU admission remains high. The mortality rate was associated with lower GCS scores, lower platelet counts, and more organ failures. In addition, more than half of the critically ill dengue patients had comorbid bacterial infections. PMID:27495047

  14. Prevalence and risk factors of pneumothorax among patients admitted to a Pediatric Intensive Care Unit

    PubMed Central

    El-Nawawy, Ahmed Ahmed; Al-Halawany, Amina Sedky; Antonios, Manal Abdelmalik; Newegy, Reem Gamal

    2016-01-01

    Objective: Pneumothorax should be considered a medical emergency and requires a high index of suspicion and prompt recognition and intervention. Aims: The objective of the study was to evaluate cases developing pneumothorax following admission to a Pediatric Intensive Care Unit (PICU) over a 5-year period. Settings and Design: Case notes of all PICU patients (n = 1298) were reviewed, revealing that 135 cases (10.4%) developed pneumothorax, and these were compared with those patients who did not. The most common tool for diagnosis used was chest X-ray followed by a clinical examination. Subjects and Methods: Case notes of 1298 patients admitted in PICU over 1-year study. Results: Patients with pneumothorax had higher mortality rate (P < 0.001), longer length of stay (P < 0.001), higher need for mechanical ventilation (MV) (P < 0.001), and were of younger age (P < 0.001), lower body weight (P < 0.001), higher pediatric index of mortality 2 score on admission (P < 0.001), higher pediatric logistic organ dysfunction score (P < 0.001), compared to their counterpart. Iatrogenic pneumothorax (IP) represented 95% of episodes of pneumothorax. The most common causes of IP were barotrauma secondary to MV, central vein catheter insertion, and other (69.6%, 13.2%, and 17.2%, respectively). Compared to ventilated patients without pneumothorax, ventilated patients who developed pneumothorax had a longer duration of MV care (P < 0.001) and higher nonconventional and high-frequency oscillatory ventilation settings (P < 0.001). Conclusions: This study demonstrated that pneumothorax is common in Alexandria University PICU patients, especially in those on MV and emphasized the importance of the strict application of protective lung strategies among ventilated patients to minimize the risk of pneumothorax. PMID:27630456

  15. Intestinal parasitic infection among children and neonatus admitted to Ibn-Sina Hospital, Sirt, Libya.

    PubMed

    Kasssem, Hamed H; Zaed, Hana Abdalsalam; Sadaga, Gazala A

    2007-08-01

    A total of 350 stool samples from 196 males and 154 female children and neonatus admitted in Ibn-Sina hospital, Sirt, were examined from June 2001 to May 2002, to determine the prevalence of intestinal parasites. Intestinal parasitic infections were identified in 196 (56%) of children and neonates. No intestinal helminthic parasites were detected but 13 intestinal protozoan parasites were detected. The most prevalent protozoan was Entamoeba histolytica /E. dispar (36.57%); Blastocystis hominis (12.57%), Giardia lamblia (10.29%), Isospora belli (3.14%) and Balantidium coli (0.86%), the latter was detected in non-Libyan children. The non-pathogenic ones were Entamoeba coli (15.14%), Endolimax nana (13.71%), Entamoeba hartmanni (4.29%), Chilomastix mesnilli (4.29%), Retortamonas intestinalis (3.43%), Dientamoeba fragilis (2%), Iodamoeba butschlii (0.86%) and Trichomonas hominis (0.86%). The result showed a significant difference exists between the prevalence of pathogenic and non-pathogenic protozoan parasites (P < 0.05). High prevalence of E. histolytica/ E. dispar followed by E. coli, E. nana, B. hominis and G. lamblia in both sexes of children, while the prevalence of other intestinal parasites were low in both sexes, significantly different existed in the prevalence of intestinal parasites between males and females children (t = 24.68; P < 0.05). Age groups had no effect on the prevalence of intestinal parasites (F = 0.66; P < 0.05). Significant differences existed in the prevalence between single and multiple infections with pathogenic protozoa. The socio-economic status of children parents revealed that high prevalence in children from medium socio-economic status. The family size had no significant effect on the prevalence of the intestinal parasites. PMID:17985574

  16. The outcomes of patients with severe dengue admitted to intensive care units

    PubMed Central

    Chen, Chin-Ming; Chan, Khee-Siang; Yu, Wen-Liang; Cheng, Kuo-Chen; Chao, Hui-Chun; Yeh, Chiu-Yin; Lai, Chih-Cheng

    2016-01-01

    Abstract Outcomes of adult patients with dengue infections requiring intensive care unit (ICU) admissions remain unclear. We assessed the clinical manifestations and prognostic factors of patients critically ill with severe dengue. This retrospective study was done in a tertiary referral hospital with 96 adult ICU beds. All of the patients with laboratory-confirmed severe dengue infections and admitted to the ICU were enrolled between July 31 and November 31, 2015, during the large outbreak period. The medical records of all the recruited patients were reviewed for the following information: age, gender, clinical manifestations, disease severity scores, underlying conditions, laboratory examinations, and outcomes. The primary endpoint was to find the predictors of ICU mortality. During the study period, 4787 patients with dengue infections required ICU admission. One hundred forty-three (2.99%) were critically ill (mean age: 69.7 years). Hypertension (n = 90, 62.9%) and diabetes mellitus (n = 70, 49.0%) were the 2 most common underlying diseases. Eighty critically ill patients (55.9%) had cobacterial infections, and 33 had cobacteremia. The hematologic system failed most often, followed by thoracic and cardiovascular systems. Fever was the most common presentation (n = 112; 78.3%), followed by anorexia (n = 47; 32.9%) and abdominal pain (n = 46; 32.2%). Overall, 33 patients died (mortality rate: 23.1%). Multivariate analysis showed that ICU mortality was significantly associated with lower Glasgow Coma Scale (GCS) scores, lower platelet counts before ICU discharge, and more organ failures. The number of severe dengue patients who require ICU admission remains high. The mortality rate was associated with lower GCS scores, lower platelet counts, and more organ failures. In addition, more than half of the critically ill dengue patients had comorbid bacterial infections. PMID:27495047

  17. Associations between sleep disturbance and suicidal ideation in adolescents admitted to an inpatient psychiatric unit.

    PubMed

    Kaplan, Sebastian G; Ali, Shahzad K; Simpson, Brittany; Britt, Victoria; McCall, W Vaughn

    2014-01-01

    The goals of our study were to: 1) describe the incidence of disturbances in sleep quality, sleep hygiene, sleep-related cognitions and nightmares; and 2) investigate the association between these sleep-related disturbances and suicidal ideation (SI), in adolescents admitted to a psychiatric inpatient unit. Our sample consisted of 50 adolescents between the ages of 12 and 17 years (32 females and 18 males; 41 Caucasian and nine African American). Our cross-sectional design involved the administration of the Adolescent Sleep Wake Scale (ASWS), the Adolescent Sleep Hygiene Scale (ASHS), the Dysfunctional Beliefs and Attitudes about Sleep-Short version for use with children (DBAS-C10), the Disturbing Dreams and Nightmare Scale (DDNSI), and the Suicidal Ideation Questionnaire Jr (SIQ-JR). Analyses were conducted using Pearson correlations, as well as univariate and multivariate regression. Results indicated that our sample experienced sleep disturbances and SI to a greater degree than non-clinical samples. Sleep quality was correlated with nightmares, while sleep quality and nightmares were each correlated with SI. Sleep quality, dysfunctional beliefs, and nightmares each independently predicted SI. Our study was the first to use the four sleep measures with an adolescent psychiatric inpatient sample. It is important to develop sleep-related assessment tools in high-risk populations given the link between sleep disturbances and suicidality. Furthermore, a better understanding of the relationships between SI and sleep quality, sleep-related cognitions, and nightmares is needed to develop potential prevention and treatment options for suicidality in adolescents. PMID:24356389

  18. Beyond Admission: Understanding Pre-College Variables and the Success of At-Risk Students

    ERIC Educational Resources Information Center

    Mattson, Christopher Erik

    2007-01-01

    This study examined pre-college variables from an admission-office perspective and the ability of these variables to predict college grade point average (GPA) for students specially admitted into an academic support program for at-risk students. The research was conducted at a private, highly-selective, research university in the southwest United…

  19. Multi-zone furnace system

    SciTech Connect

    Orbeck, G.A.

    1986-05-06

    A multi-zone furnace is described which consists of: a furnace chamber having at least one heat zone and at least one zone adjacent to the heat zone and disposed along the length of the furnace chamber; the heat zone having a hearth at a level different from the hearth level of the adjacent zone; a walking beam conveyor disposed in the furnace chamber and operative in a short stroke mode to convey a product along the hearth of the heat zone, and in a long stroke mode to convey a product from the heat zone to the adjacent zone.

  20. Fault zone hydrogeology

    NASA Astrophysics Data System (ADS)

    Bense, V. F.; Gleeson, T.; Loveless, S. E.; Bour, O.; Scibek, J.

    2013-12-01

    Deformation along faults in the shallow crust (< 1 km) introduces permeability heterogeneity and anisotropy, which has an important impact on processes such as regional groundwater flow, hydrocarbon migration, and hydrothermal fluid circulation. Fault zones have the capacity to be hydraulic conduits connecting shallow and deep geological environments, but simultaneously the fault cores of many faults often form effective barriers to flow. The direct evaluation of the impact of faults to fluid flow patterns remains a challenge and requires a multidisciplinary research effort of structural geologists and hydrogeologists. However, we find that these disciplines often use different methods with little interaction between them. In this review, we document the current multi-disciplinary understanding of fault zone hydrogeology. We discuss surface- and subsurface observations from diverse rock types from unlithified and lithified clastic sediments through to carbonate, crystalline, and volcanic rocks. For each rock type, we evaluate geological deformation mechanisms, hydrogeologic observations and conceptual models of fault zone hydrogeology. Outcrop observations indicate that fault zones commonly have a permeability structure suggesting they should act as complex conduit-barrier systems in which along-fault flow is encouraged and across-fault flow is impeded. Hydrogeological observations of fault zones reported in the literature show a broad qualitative agreement with outcrop-based conceptual models of fault zone hydrogeology. Nevertheless, the specific impact of a particular fault permeability structure on fault zone hydrogeology can only be assessed when the hydrogeological context of the fault zone is considered and not from outcrop observations alone. To gain a more integrated, comprehensive understanding of fault zone hydrogeology, we foresee numerous synergistic opportunities and challenges for the discipline of structural geology and hydrogeology to co-evolve and

  1. Tactical determinants of setting zone in elite men's volleyball.

    PubMed

    Afonso, Jose; Esteves, Francisca; Araújo, Rui; Thomas, Luke; Mesquita, Isabel

    2012-01-01

    The interactions between two opposing teams lead to the emergence of unique game patterns. In volleyball, attack efficacy emerges as the strongest predictor of the final result and thus it becomes of foremost importance to understand which game patterns afford the attaining of higher attack efficacies. These rely on the quality of the setting action. In turn, the serve and the serve reception constrain the setter's actions and the attacker's efficacy. Therefore, the purpose of this study was to examine predictors of the setting zone in elite-level men's volleyball. Thirty-one matches of the 2007 World Cup were analyzed, in total 5117 rallies. The dependent variable was the setting zone, and the independent variables were the server player, serve type, serve direction, serve depth, reception zone, receiver player and reception type. Multinomial logistic regression was applied, in order to obtain the estimated likelihood of occurrence of the dependent variable, based on the values of the independent variables (p < 0.05). Only the serve direction showed not to be predictive of the setting zone. Concerning the remaining variables, the tennis jump serve, serves from the middle-player, deep serves, reception near the endline or sidelines, reception by the zone 4 attackers when in defensive zone, and low reception all proved to impair the quality of reception, demanding the setter to play more often in the not acceptable setting zone. Results suggest that, at this level, practice of serve-reception should preferably cover the deep tennis jump serve, and attempt to afford the libero more opportunities to receive. By focusing on the variables with the most predictive power, performers may better allocate their attention towards the most pertinent cues at each moment. Knowledge of these interactive models provides valuable insights into the dynamics of the action sequences, affording coaches important information and guidance. Key pointsA set of key variables interact and

  2. Growth recovery zones.

    PubMed

    Siffert, R S; Katz, J F

    1983-05-01

    Growth arrest lines and zones have been reinvestigated. Sequential studies after dietary deprivation reveal transformations of the physis with diminution in formation of the zone of cell columns, resorption of previously formed bone, and cessation of new bone formation. At 6 weeks post diet restriction, the physis is prominently narrowed with transversely oriented, thin bone plaque sealing it from the subjacent marrow. Initially, restoration of stock diet thickens the bony plaque, creating a growth arrest line. Later the zone of osteogenesis adds new bone as a dense metaphyseal band.

  3. Multidrug-Resistant Tuberculosis in Admitted Patients at a Tertiary Referral Hospital of Bangladesh

    PubMed Central

    Banu, Sayera; Mahmud, Asif Mujtaba; Rahman, Md. Toufiq; Hossain, Arman; Uddin, Mohammad Khaja Mafij; Ahmed, Tahmeed; Khatun, Razia; Akhanda, Wahiduzzaman; Brosch, Roland

    2012-01-01

    Background This study was set out to investigate the magnitude, patterns and molecular characterization of drug-resistant Mycobacterium tuberculosis strains at a tertiary referral hospital in Bangladesh. Methods Pulmonary tuberculosis (TB) patients admitted at National Institute of Diseases of the Chest and Hospital from February 2002 to September 2005 with or without previous history of TB and/or other complications were randomly interviewed. Among 265 participants enrolled, M. tuberculosis isolates from 189 patients were finally tested for susceptibility to rifampicin (RMP), isoniazid (INH), ethambutol (ETM) and streptomycin (STM). Genotyping of M. tuberculosis was done using deletion analysis and spoligotyping. Results Eighty-eight percent (n = 167) of the patients had history of previous anti-TB treatment while the remaining 12% were new TB cases. Of the 189 isolates, 9% were fully susceptible to the first line anti-TB drugs and 73.5% were multi-drug resistant TB. Other susceptibility results showed 79.4%, 77.2%, 76.7% and 78.8% resistance to INH, RMP, ETM and STM respectively. Multi-drug resistance was significantly higher among the 130 (78%) patients with previous history of anti-tuberculosis treatment (95% confidence interval, p = 0.001). Among the 189 analyzed isolates, 69% were classified as “modern” M. tuberculosis strains (i.e. TbD1- strains, lacking the M. tuberculosis-deletion region TbD1), whereas the remaining 31% were found to belong to the “ancestal” TbD1+ M. tuberculosis lineages. One hundred and five different spoligotype patterns were identified in which 16 clusters contained 100 strains and 89 strains had unique pattern. Strains with a spoligotype characteristic for the “Beijing” cluster were predominant (19%) and most of these strains (75%) were multi-drug resistant (MDR). Conclusions A high level of drug resistance observed among the re-treatment patients poses a threat of transmission of resistant strains to susceptible

  4. Satellite-Derived Management Zones

    NASA Technical Reports Server (NTRS)

    Lepoutre, Damien; Layrol, Laurent

    2005-01-01

    The term "satellite-derived management zones" (SAMZ) denotes agricultural management zones that are subdivisions of large fields and that are derived from images of the fields acquired by instruments aboard Earth-orbiting satellites during approximately the past 15 years. "SAMZ" also denotes the methodology and the software that implements the methodology for creating such zones. The SAMZ approach is one of several products of continuing efforts to realize a concept of precision agriculture, which involves optimal variations in seeding, in application of chemicals, and in irrigation, plus decisions to farm or not to farm certain portions of fields, all in an effort to maximize profitability in view of spatial and temporal variations in the growth and health of crops, and in the chemical and physical conditions of soils. As used here, "management zone" signifies, more precisely, a subdivision of a field within which the crop-production behavior is regarded as homogeneous. From the perspective of precision agriculture, management zones are the smallest subdivisions between which the seeding, application of chemicals, and other management parameters are to be varied. In the SAMZ approach, the main sources of data are the archives of satellite imagery that have been collected over the years for diverse purposes. One of the main advantages afforded by the SAMZ approach is that the data in these archives can be reused for purposes of precision agriculture at low cost. De facto, these archives contain information on all sources of variability within a field, including weather, crop types, crop management, soil types, and water drainage patterns. The SAMZ methodology involves the establishment of a Web-based interface based on an algorithm that generates management zones automatically and quickly from archival satellite image data in response to requests from farmers. A farmer can make a request by either uploading data describing a field boundary to the Web site or else

  5. INEEL Vadose Zone Research Park

    NASA Astrophysics Data System (ADS)

    Heath, G.; Hull, L.; Ansley, S.; Versteeg, R.; Scott, C.; Street, L.

    2003-12-01

    The Vadose Zone Research Park was developed to address mission critical issues related to operations, waste management, and environmental restoration at U. S. Department of Energy (DOE) sites that are located over thick vadose zones. The research park provides instrumentation and facilities for scientists to address vadose zone processes that are important in assessing operational activities, remedial measures, and long-term stewardship of DOE lands. The park, at the Idaho National Engineering and Environmental Laboratory (INEEL), is strategically located along the Big Lost River, an intermittent river, and around two new percolation ponds. This location provides the opportunity to study variable recharge from the river, continuous recharge from the ponds, and the interactions between the two sources. Drilling began in September 2000 and was completed in June 2001. Thirty one wells and instrumented boreholes have been installed at the park to monitor perched water, measure moisture movement, collect water and gas samples, and study intra-well geophysical properties. Nine of the boreholes, ranging in depth from 150 ft to 504 ft below land surface (bls), are instrumented to monitor moisture in the vadose zone. Instruments include: tensiometers, moisture content sensors, suction lysimeters, temperature sensors, gas ports and electrodes for electrical resistance tomography. Electrodes are evenly spaced throughout the borehole with hydrologic instruments concentrated in and near the sedimentary interbeds-discontinuous layers of silts and clays that occur between some basalt flows. Eighteen monitoring wells, ranging in depth from 60 ft to 250 ft bls, are completed with 4 or 6 inch PVC casing, and generally include an electrical resistivity electrode array attached to the casing. Three bore holes are constructed for testing cross-hole ground penetrating radar as well as for testing new nuclear logging tools being designed at the INEEL. The remaining borehole contains only

  6. Controlling variability.

    PubMed

    Sanger, Terence D

    2010-11-01

    In human motor control, there is uncertainty in both estimation of initial sensory state and prediction of the outcome of motor commands. With practice, increasing precision can often be achieved, but such precision incurs costs in time, effort, and neural resources. Therefore, motor planning must account for variability, uncertainty, and noise, not just at the endpoint of movement but throughout the movement. The author presents a mathematical basis for understanding the time course of uncertainty during movement. He shows that it is possible to achieve accurate control of the endpoint of a movement even with highly inaccurate and variable controllers. The results provide a first step toward a theory of optimal control for variable, uncertain, and noisy systems that must nevertheless accomplish real-world tasks reliably.

  7. Urinary Uric Acid/Creatinine Ratio as a Marker of Mortality and Unfavorable Outcome in NICU-Admitted Neonates

    PubMed Central

    Nariman, Shahin; Mosayebi, Ziba; Sagheb, Setareh; Rastad, Hadith; Hosseininodeh, Seyyed Saeed

    2016-01-01

    Background The survival of neonates who have been admitted to the NICU, especially premature infants with few mortality and morbidity, is the most important attitude. Objectives We presumed whether urinary uric acid/creatinine (UUA/Cr) ratio can be a marker of mortality and adverse outcome in neonates which were admitted to the NICU. Patients and Methods All preterm infants admitted to our NICU after birth from March 2014 to April 2015 were enrolled in this prospective cohort study. UUA/Cr was measured during the first day of life. The severity of diseases (indicated by the need for high set-up of mechanical ventilation, complications of prematurity, and duration of stay in the NICU) and neonatal death were considered to be the final unfavorable outcomes. The relationship between the Log-transformation (Ln) urinary uric acid/creatinine ratio and the Apgar score at the first and 5th minute after birth and the duration of stay were analyzed by using linear regression. Statistical analysis was done by using STATA version 11 (STATA Corp, TX, USA). A P < 0.05 was considered to be statistically significant. Results A total of 362 preterm infants with a mean gestational age of 32.7 (± 3.9) weeks were admitted to the NICU, out of whom 64 (17.6%) had severe disease and 43 (11.8%) died. The mean UUA/Cr ratio was significantly higher in the admitted neonates (3.30 ± 1.95 vs. 1.36 ± 0.42. P = 0.0001). There was a negative correlation between the UUA/Cr ratio and the 1-minute Apgar score (r = -0.17, P = 0.006) and the 5-minute Apgar score (r = -0.19, P = 0.003). The 1-minute Apgar scores were negatively correlated with the outcome (OR = 0.68; P < 0.001) and the duration of stay (β = -.28; P < 0.001). There was no significant correlation between 5-minute Apgar scores and the outcome. There was a significant positive correlation between the UUA/Cr ratio and an unfavorable outcome (OR = 1.24; CI %95: 1.06 to 1.43, P = 0.006) and increasing duration of stay (β = 0.17; P = 0

  8. The gray zone.

    PubMed

    Kisner, H J

    1998-01-01

    Think for a minute about the terms equivocal and indeterminate. Equivocal is defined as "of uncertain significance", and indeterminate is defined as "indefinite, uncertain". Now think of the context in which laboratory results are reported: either by using the exact words equivocal or indeterminate or cloaked in technical jargon (e.g., cytologic diagnoses "ASCUS" or "AGUS"). Clinicians expect (or at least want) laboratory results to be black or white (i.e., bimodally distributed), whereas laboratorians strive for the perfect shade of gray because of data that often are bimodal but overlapping. A consequence of this color war is "the gray zone" (often confused with the "twilight zone"), a noncommittal zone that leaves laboratorians and clinicians alike plenty of wiggle room, allowing us to interpret results on either side of the fence. This article examines the root causes of the gray zone, with several clinical examples of how it permeates laboratory interpretation.

  9. Cascadia Subduction Zone

    USGS Publications Warehouse

    Frankel, Arthur D.; Petersen, Mark D.

    2008-01-01

    The geometry and recurrence times of large earthquakes associated with the Cascadia Subduction Zone (CSZ) were discussed and debated at a March 28-29, 2006 Pacific Northwest workshop for the USGS National Seismic Hazard Maps. The CSZ is modeled from Cape Mendocino in California to Vancouver Island in British Columbia. We include the same geometry and weighting scheme as was used in the 2002 model (Frankel and others, 2002) based on thermal constraints (Fig. 1; Fluck and others, 1997 and a reexamination by Wang et al., 2003, Fig. 11, eastern edge of intermediate shading). This scheme includes four possibilities for the lower (eastern) limit of seismic rupture: the base of elastic zone (weight 0.1), the base of transition zone (weight 0.2), the midpoint of the transition zone (weight 0.2), and a model with a long north-south segment at 123.8? W in the southern and central portions of the CSZ, with a dogleg to the northwest in the northern portion of the zone (weight 0.5). The latter model was derived from the approximate average longitude of the contour of the 30 km depth of the CSZ as modeled by Fluck et al. (1997). A global study of the maximum depth of thrust earthquakes on subduction zones by Tichelaar and Ruff (1993) indicated maximum depths of about 40 km for most of the subduction zones studied, although the Mexican subduction zone had a maximum depth of about 25 km (R. LaForge, pers. comm., 2006). The recent inversion of GPS data by McCaffrey et al. (2007) shows a significant amount of coupling (a coupling factor of 0.2-0.3) as far east as 123.8? West in some portions of the CSZ. Both of these lines of evidence lend support to the model with a north-south segment at 123.8? W.

  10. Which variability?

    PubMed

    Toraldo, Alessio; Luzzatti, Claudio

    2006-02-01

    Drai and Grodzinsky provide a valuable analysis that offers a way of disentangling the effects of Movement and Mood in agrammatic comprehension. However, their mathematical implementation (Beta model) hides theoretically relevant information, i.e., qualitative heterogeneities of performance within the patient sample. This heterogeneity is crucial in the variability debate.

  11. Dentin Caries Zones

    PubMed Central

    Pugach, M.K.; Strother, J.; Darling, C.L.; Fried, D.; Gansky, S.A.; Marshall, S.J.; Marshall, G.W.

    2009-01-01

    Caries Detector staining reveals 4 zones in dentin containing caries lesions, but characteristics of each zone are not well-defined. We therefore investigated the physical and microstructural properties of carious dentin in the 4 different zones to determine important differences revealed by Caries Detector staining. Six arrested dentin caries lesions and 2 normal controls were Caries-Detector-stained, each zone (pink, light pink, transparent, apparently normal) being analyzed by atomic force microscopy (AFM) imaging for microstructure, by AFM nano-indentation for mechanical properties, and by transverse digital microradiography (TMR) for mineral content. Microstructure changes, and nanomechanical properties and mineral content significantly decreased across zones. Hydrated elastic modulus and mineral content from normal dentin to pink Caries-Detector-stained dentin ranged from 19.5 [10.6-25.3] GPa to 1.6 [0.0-5.0] GPa and from 42.9 [39.8-44.6] vol% to 12.4 [9.1-14.2] vol%, respectively. Even the most demineralized pink zone contained considerable residual mineral. PMID:19131321

  12. Evaluation of the sensitivity and specificity of criteria for isolation of patients admitted to a specialized cancer hospital.

    PubMed

    Cataneo, Caroline; Canini, Silvia Rita Marin da Silva; e Castro, Paulo de Tarso Oliveira; Hayashida, Miyeko; Gir, Elucir

    2011-01-01

    Early isolation of patients possibly colonized by multi-resistant microorganisms can minimize their spread, reducing cases of hospital infection and the related costs. This study aimed to identify the sensitivity and specificity of the criteria for isolation of patients admitted to a specialized cancer hospital. Cross-sectional study with a population of 61 patients coming from other hospitals who were admitted to the hospital between March 1st and August 31th, 2009. At the moment of admission, a data collection instrument was filled out and nasal and anal swabs were collected for microbiological culture. Of the 56 patients who met the isolation criteria, 30 (49.2%) presented positive cultures for multi-resistant microorganisms and methicillin-resistant Staphylococcus aureus was the most frequently identified microorganism. Most patients colonized by multi-resistant microorganisms were isolated at the moment of admission. The sensitivity of the isolation criteria was 90% and the specificity was 6.5%. PMID:22030570

  13. Multidrug-resistant organisms detected in refugee patients admitted to a University Hospital, Germany June‒December 2015.

    PubMed

    Reinheimer, Claudia; Kempf, Volkhard A J; Göttig, Stephan; Hogardt, Michael; Wichelhaus, Thomas A; O'Rourke, Fiona; Brandt, Christian

    2016-01-01

    Multidrug-resistant Gram-negative bacteria (MDR GNB) were found to colonise 60.8% (95% confidence interval: 52.3-68.9) of 143 refugee patients mainly from Syria (47), Afghanistan (29), and Somalia (14) admitted to the University Hospital Frankfurt, Germany, between June and December 2015. This percentage exceeds the prevalence of MDR GNB in resident patients four-fold. Healthcare personnel should be aware of this and the need to implement or adapt adequate infection control measures. PMID:26794850

  14. Molecular epidemiology of coagulase-negative Staphylococcus carriage in neonates admitted to an intensive care unit in Brazil

    PubMed Central

    2013-01-01

    Background Nasal colonization with coagulase-negative Staphylococcus (CoNS) has been described as a risk factor for subsequent systemic infection. In this study, we evaluated the genetic profile of CoNS isolates colonizing the nares of children admitted to a neonatal intensive care unit (NICU). Methods We assessed CoNS carriage at admittance and discharge among newborns admitted to a NICU from July 2007 through May 2008 in one of the major municipalities of Brazil. Isolates were screened on mannitol salt agar and tryptic soy broth and tested for susceptibility to antimicrobials using the disc diffusion method. Polymerase chain reaction (PCR) was used to determine the species, the presence of the mecA gene, and to perform SCCmec typing. S. epidermidis and S. haemolyticus isolated from the same child at both admission and discharge were characterized by PFGE. Results Among 429 neonates admitted to the NICU, 392 (91.4%) had nasal swabs collected at both admission and discharge. The incidence of CoNS during the hospitalization period was 55.9% (95% confidence interval [CI]: 50.9-60.7). The most frequently isolated species were S. haemolyticus (38.3%) and S.epidermidis (38.0%). Multidrug resistance (MDR) was detected in 2.2% and 29.9% of the CoNS isolates, respectively at admittance and discharge (p = 0.053). The mecA gene was more prevalent among strains isolated at discharge (83.6%) than those isolated at admission (60%); overall, SCCmec type I was isolated most frequently. The length of hospitalization was associated with colonization by MDR isolates (p < 0.005). Great genetic diversity was observed among S. epidermidis and S. haemolyticus. Conclusions NICU represents an environment of risk for colonization by MDR CoNS. Neonates admitted to the NICU can become a reservoir of CoNS strains with the potential to spread MDR strains into the community. PMID:24308773

  15. The characteristics of advanced cancer patients followed at home, but admitted to the hospital for the last days of life.

    PubMed

    Mercadante, Sebastiano; Masedu, Francesco; Valenti, Marco; Mercadante, Alessandro; Aielli, Federica

    2016-08-01

    Information regarding advanced cancer patients followed at home who are admitted to the hospital in the last days of life are lacking. The aim of this study was to assess the characteristics of patients who were hospitalized in the last days of life after being assisted by a home palliative care team. The secondary outcome was to identify possible risk factors for hospitalization. The charts were analyzed of a consecutive sample of advanced cancer patients admitted to hospital wards in the last days of life after being followed at home by a palliative care team. Of 550 consecutive patients followed at home, 138 (25.1 %) were admitted to the hospital. Younger patients were more likely to die in the hospital. In a logistic risk analysis adjusted for age, patients with lung and head-neck cancer were more likely to die in the hospital. Patients having a female relative or a female consort as a caregiver were more likely to die at home. CAGE-positive patients (7.25 %), and patients with a shorter period of home assistance were more likely transported to hospital before dying (p = 0.00 and p < 0.024, respectively). The most frequent reason for hospital admission was dyspnea. Admission was more frequent to the oncology ward. Patients who were admitted to the hospital died after a mean of 10.2 days (SD 8.2, range 0-40). This study provides preliminary data on the risk factors of hospitalization at the end of life for advanced cancer patients followed at home.

  16. Multidrug-resistant organisms detected in refugee patients admitted to a University Hospital, Germany June‒December 2015.

    PubMed

    Reinheimer, Claudia; Kempf, Volkhard A J; Göttig, Stephan; Hogardt, Michael; Wichelhaus, Thomas A; O'Rourke, Fiona; Brandt, Christian

    2016-01-01

    Multidrug-resistant Gram-negative bacteria (MDR GNB) were found to colonise 60.8% (95% confidence interval: 52.3-68.9) of 143 refugee patients mainly from Syria (47), Afghanistan (29), and Somalia (14) admitted to the University Hospital Frankfurt, Germany, between June and December 2015. This percentage exceeds the prevalence of MDR GNB in resident patients four-fold. Healthcare personnel should be aware of this and the need to implement or adapt adequate infection control measures.

  17. Drivers׳ merging behavior data in highway work zones.

    PubMed

    Shakouri, Mahmoud; Ikuma, Laura H; Aghazadeh, Fereydoun; Ishak, Sherif

    2016-03-01

    There have been growing research interests in finding a suitable work zone layout to improve work zone safety and traffic efficiency. This paper contains data supporting the research article entitled: Effects of work zone configurations and traffic density on performance variables and subjective workload (Shakouri et al., 2014 [1]). A full factorial experiment was conducted to compare the efficiency of two work zone configurations by using a driving simulator with two levels of work zone configuration, two levels of traffic density and three levels of sign placement as fixed factors. Seven female and 23 male participants completed the experiment. In this paper we present the data relating to demographic information of participants, driving simulator data and subjective workload evaluation of participants for each work zone. PMID:26937456

  18. Drivers׳ merging behavior data in highway work zones

    PubMed Central

    Shakouri, Mahmoud; Ikuma, Laura H.; Aghazadeh, Fereydoun; Ishak, Sherif

    2016-01-01

    There have been growing research interests in finding a suitable work zone layout to improve work zone safety and traffic efficiency. This paper contains data supporting the research article entitled: Effects of work zone configurations and traffic density on performance variables and subjective workload (Shakouri et al., 2014 [1]). A full factorial experiment was conducted to compare the efficiency of two work zone configurations by using a driving simulator with two levels of work zone configuration, two levels of traffic density and three levels of sign placement as fixed factors. Seven female and 23 male participants completed the experiment. In this paper we present the data relating to demographic information of participants, driving simulator data and subjective workload evaluation of participants for each work zone. PMID:26937456

  19. Clinical profiles and outcomes of children admitted to the pediatric intensive care unit from the emergency department.

    PubMed

    Haque, Anwarul; Siddiqui, Naveedur Rehman; Jafri, Sidra Kaleem; Hoda, Mehar; Bano, Surraiya; Mian, Asad

    2015-04-01

    The aim of this study was to describe clinical profiles and outcomes of children admitted directly from the Emergency Room (ER) to the Pediatric Intensive Care Unit (PICU) of academic hospital. The medical records of all children (1 month to 16 years) admitted in PICU from ER, from January 2011 to December 2012 were reviewed. Of the 26,774 patients seen in the ER during the study period, 468 (1.7%) were admitted to the PICU which constituted about 41.5% (468/1127) of all the total PICU admissions. Sixty three percent (n=294) were under-five; males were 60.9% (285), 82.3% (385) were in medical category. Neurological and respiratory illnesses were the most common groups (> 50% of all ER admissions). Multi-organ dysfunction syndrome and co-morbidity were present in 25.2% (n=118) and 23.5% (n=110) respectively. The mean length of stay was 5 ± 3.7 hours. The case-fatality rate was 20.3% (n=95) as compared to the overall PICU mortality rate of 11.9% (n=135). PMID:25899201

  20. 17 CFR 240.12f-4 - Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... admitted to unlisted trading privileges from sections 13, 14 and 16. 240.12f-4 Section 240.12f-4 Commodity... Trading § 240.12f-4 Exemption of securities admitted to unlisted trading privileges from sections 13, 14 and 16. (a) Any security for which unlisted trading privileges on any national securities...

  1. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or...

  2. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or...

  3. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or...

  4. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or...

  5. 7 CFR 202.43 - Proceedings under section 302(a) to show cause why seed or screenings should be admitted into the...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... seed or screenings should be admitted into the United States. 202.43 Section 202.43 Agriculture..., Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) FEDERAL SEED ACT FEDERAL SEED ACT... show cause why seed or screenings should be admitted into the United States. When seed or...

  6. Mesopelagic zone ecology and biogeochemistry - a synthesis

    NASA Astrophysics Data System (ADS)

    Robinson, Carol; Steinberg, Deborah K.; Anderson, Thomas R.; Arístegui, Javier; Carlson, Craig A.; Frost, Jessica R.; Ghiglione, Jean-François; Hernández-León, Santiago; Jackson, George A.; Koppelmann, Rolf; Quéguiner, Bernard; Ragueneau, Olivier; Rassoulzadegan, Fereidoun; Robison, Bruce H.; Tamburini, Christian; Tanaka, Tsuneo; Wishner, Karen F.; Zhang, Jing

    2010-08-01

    The mesopelagic zone is the oceanic region through which carbon and other elements must pass in order to reach deeper waters or the sea floor. However, the food web interactions that occur in the mesopelagic zone are difficult to measure and so, despite their crucial importance to global elemental cycles, are not very well known. Recent developments in technology and new approaches have advanced the study of the variability in and controls upon the distribution and diversity of organisms in the mesopelagic zone, including the roles of respiration, recycling, and repackaging of particulate and dissolved organic material. However, there are remarkably few syntheses of the ecology and biogeochemistry of the microbes and metazoa that permanently reside or habitually visit this 'twilight zone'. Without this synthesis, it is difficult to assess the impact of ongoing changes in ocean hydrography and chemistry, due to increasing atmospheric carbon dioxide levels, on the biological carbon pump. This paper reviews what is known about the distribution of microbes and metazoa in the mesopelagic zone in relation to their activity and impact on global biogeochemical cycles. Thus, gaps in our knowledge are identified and suggestions made for priority research programmes that will improve our ability to predict the effects of climate change on carbon sequestration.

  7. Semiautomatic fracture zone tracking

    NASA Astrophysics Data System (ADS)

    Wessel, Paul; Matthews, Kara J.; Müller, R. Dietmar; Mazzoni, Aline; Whittaker, Joanne M.; Myhill, Robert; Chandler, Michael T.

    2015-07-01

    Oceanic fracture zone traces are widely used in studies of seafloor morphology and plate kinematics. Satellite altimetry missions have resulted in high-resolution gravity maps in which all major fracture zones and other tectonic fabric can be identified, and numerous scientists have digitized such lineaments. We have initiated a community effort to maintain low-cost infrastructure that allows seafloor fabric lineaments to be stored, accessed, and updated. A key improvement over past efforts is our processing software (released as a GMT5 supplement) that allows for semiautomatic corrections to previously digitized fracture zone traces given improved gridded data sets. Here we report on our seafloor fabric processing tools, which complement our database of seafloor fabric lineations, magnetic anomaly identifications, and plate kinematic models.

  8. Hierarchical analysis of rainfall variability across Nigeria

    NASA Astrophysics Data System (ADS)

    Nnaji, Chidozie Charles; Mama, Cordelia Nnennaya; Ukpabi, Okechukwu

    2016-01-01

    Rainfall in Nigeria is subjected to wide variability both in time and space. This variability has assumed a more pronounced dimension as a result of climate change. In this paper, cluster analyses were used to study rainfall variability in Nigeria. Rainfall data in 20 locations spread across the geopolitical and ecological zones of Nigeria were subjected to hierarchical cluster analysis and analysis of time series and coefficient of variation for over periods spanning 30 years. Maps of spatial variations of mean annual rainfall and mean rainfall coefficient of variation were produced using ARCGIS 10.1. Furthermore, a better understanding of temporal variation of rainfall was sought by an investigation into the time series of rainfall coefficients of variation. It was found that the southern parts of the country were given to more severe rainfall variability/fluctuations than the northern parts. The north central parts exhibited more similarity to the southern parts than the other northern locations. The relationship between average annual rainfall and the coefficient of rainfall variation was found to follow a power law with R 2 value approximately 0.7. With respect to variability of annual rainfall, three zones emerged as follows: a linear relationship ( R 2 = 0.90) exists between coefficient of variation and average annual rainfall for the rainforest zone of the southsouth; a power law ( R 2 = 0.86) exists between coefficient of variation and average annual rainfall for all rainforest and derived guinea savannah zones of the southeastern and southwestern states; and a logarithmic relationship ( R 2 = 0.54) exists between coefficient of variation and average annual rainfall for all northern states regardless of ecological zone. Generally, in-year rainfall variability increases from the northwest to the southwest; while between-year (yearly) rainfall variability increases from the north central to the southeast. This study further confirms that rainfall variability

  9. Nuclear free zone

    SciTech Connect

    Christoffel, T.

    1987-07-01

    Health professionals have played a leading role in alerting and educating the public regarding the danger of nuclear war which has been described as the last epidemic our civilization will know. Having convinced most people that the use of nuclear weapons would mean intolerable consequences, groups such as Physicians for Social Responsibility have focused on the second critical question how likely is it that these weapons will be used. The oultlook is grim. This article describes the nuclear free zone movement, explores relevant legal questions, and shows how the political potential of nuclear free zones threatens to open a deep rift in the American constitutional system.

  10. Weak electromagnetic field admitting integrability in Kerr-NUT-(A)dS spacetimes

    NASA Astrophysics Data System (ADS)

    Kolář, Ivan; Krtouš, Pavel

    2015-06-01

    We investigate properties of higher-dimensional generally rotating black-hole spacetimes, so-called Kerr-NUT-(anti)-de Sitter spacetimes, as well as a family of related spaces which share the same explicit and hidden symmetries. In these spaces, we study a particle motion in the presence of a weak electromagnetic field and compare it with its operator analogies. First, we find general commutativity conditions for classical observables and for their operator counterparts, then we investigate a fulfillment of these conditions in the Kerr-NUT-(anti)-de Sitter and related spaces. We find the most general form of the weak electromagnetic field compatible with the complete integrability of the particle motion and the comutativity of the field operators. For such a field we solve the charged Hamilton-Jacobi and Klein-Gordon equations by separation of variables.

  11. Current Climate Variability & Change

    NASA Astrophysics Data System (ADS)

    Diem, J.; Criswell, B.; Elliott, W. C.

    2013-12-01

    climate change. The next section guides students through the exploration of temporal changes in global temperature from the surface to the lower stratosphere. Students discover that there has been global warming over the past several decades, and the subsequent section allows them to consider solar radiation and greenhouse gases as possible causes of this warming. Students then zoom in on different latitudinal zones to examine changes in temperature for each zone and hypothesize about why one zone may have warmed more than others. The final section, prior to the answering of the essential questions, is an examination of the following effects of the current change in temperatures: loss of sea ice; rise of sea level; loss of permafrost loss; and moistening of the atmosphere. The lab addresses 14 climate-literacy concepts and all seven climate-literacy principles through data and images that are mainly NASA products. It focuses on the satellite era of climate data; therefore, 1979 is the typical starting year for most datasets used by students. Additionally, all time-series analysis end with the latest year with full-year data availability; thus, the climate variability and trends truly are 'current.'

  12. Reductive dechlorination of trichloroethene DNAPL source zones: source zone architecture versus electron donor availability

    NASA Astrophysics Data System (ADS)

    Krol, M.; Kokkinaki, A.; Sleep, B.

    2014-12-01

    The persistence of dense-non-aqueous-phase liquids (DNAPLs) in the subsurface has led practitioners and regulatory agencies to turn towards low-maintenance, low-cost remediation methods. Biological degradation has been suggested as a possible solution, based on the well-proven ability of certain microbial species to break down dissolved chlorinated ethenes under favorable conditions. However, the biodegradation of pure phase chlorinated ethenes is subject to additional constraints: the continuous release of electron acceptor at a rate governed by mass transfer kinetics, and the temporal and spatial heterogeneity of DNAPL source zones which leads to spatially and temporally variable availability of the reactants for reductive dechlorination. In this work, we investigate the relationship between various DNAPL source zone characteristics and reaction kinetics using COMPSIM, a multiphase groundwater model that considers non-equilibrium mass transfer and Monod-type kinetics for reductive dechlorination. Numerical simulations are performed for simple, homogeneous trichloroethene DNAPL source zones to demonstrate the effect of single source zone characteristics, as well as for larger, more realistic heterogeneous source zones. It is shown that source zone size, and mass transfer kinetics may have a decisive effect on the predicted bio-enhancement. Finally, we evaluate the performance of DNAPL bioremediation for realistic, thermodynamically constrained, concentrations of electron donor. Our results indicate that the latter may be the most important limitation for the success of DNAPL bioremediation, leading to reduced bio-enhancement and, in many cases, comparable performance with water flooding.

  13. Zones of Peace.

    ERIC Educational Resources Information Center

    Evans, Judith L.; And Others

    1996-01-01

    Children affected by armed violence face a specific set of stressors and challenges which calls for appropriate programming. This Coordinator's Notebook focuses on how to work with children affected by organized violence in order to provide them the best possible early childhood experiences. It is divided into five sections. "Children as Zones of…

  14. Fast aurora zone analysis

    NASA Technical Reports Server (NTRS)

    Booker, Mattie

    1992-01-01

    The Flight Dynamics Facility (FDF) of the Flight Dynamics Division (FDD), of the Goddard Space Flight Center provides acquisition data to tracking stations and orbit and attitude services to scientists and mission support personnel. The following paper explains how a method was determined that found spacecraft entry and exit times of the aurora zone.

  15. Are patients admitted to hospitals from care homes dehydrated? A retrospective analysis of hypernatraemia and in-hospital mortality

    PubMed Central

    Wolff, Anthony; Stuckler, David

    2015-01-01

    Objectives To compare risks of hypernatraemia on admission to hospital in persons who were with those who were not identified as care home residents and evaluate the association of hypernatraemia with in-hospital mortality. Design Retrospective observational study. Setting A National Health Service Trust in London. Participants A total of 21,610 patients aged over 65 years whose first admission to the Trust was between 1 January 2011 and 31 December 2013. Main outcome measures Hypernatraemia on admission (plasma Na > 145 mmol/L) and in-hospital death. Results Patients admitted from care homes had 10-fold higher prevalence of hypernatraemia than those from their own homes (12.0% versus 1.3%, respectively; odds ratio [OR]: 10.5, 95% confidence interval [CI]: 8.43–13.0). Of those with hypernatraemia, nine in 10 cases were associated with nursing home ECOHOST residency (attributable fraction exposure: 90.5%), and the population attributable fraction of hypernatraemia on admission associated with care homes was 36.0%. After correcting for age, gender, mode of admission and dementia, care home residents were significantly more likely to be admitted with hypernatraemia than were own-home residents (adjusted odds ratio [AOR]: 5.32, 95% CI: 3.85–7.37). Compared with own-home residents, care home residents were also at about a two-fold higher risk of in-hospital mortality compared with non-care home residents (AOR: 1.97, 95% CI: 1.59–2.45). Consistent with evidence that hypernatraemia is implicated in higher mortality, the association of nursing homes with in-hospital mortality was attenuated after adjustment for it (AOR: 1.61, 95% CI: 1.26–2.06). Conclusions Patients admitted to hospital from care homes are commonly dehydrated on admission and, as a result, appear to experience significantly greater risks of in-hospital mortality. PMID:25592963

  16. Acute Poisonings Admitted to a Tertiary Level Intensive Care Unit in Northern India: Patient Profile and Outcomes

    PubMed Central

    Mathai, Ashu Sara; Pannu, Aman; Arora, Rohit

    2015-01-01

    Background Poisoning is becoming a real health care burden for developing countries like India. An improved knowledge of the patterns of poisonings, as well as the clinical course and outcomes of these cases can help to formulate better preventive and management strategies. Aim To study the demographic and clinical profiles of patients admitted to the ICU with acute poisoning and to study the factors that predict their mortality. Materials and Methods Retrospective two years (September 1, 2010 to August 31, 2012) study of all consecutive patients admitted to the Intensive Care Unit (ICU) with acute poisoning at a tertiary care hospital in Northern India. Results Out of the 67 patients admitted to the ICU during the study period, the majority were young (median age 29 years) males (69%) who had consumed poison intentionally. Pesticides were the most commonly employed poison, notably organophosphorus compounds (22 patients, 32.8%) and aluminium phosphide (14 patients, 20.9%). While the overall mortality from all poisonings was low (18%), aluminium phosphide was highly toxic, with a mortality rate of 35%. The factors at ICU admission that were found to be associated with a significant risk of death were, high APACHE II and SOFA scores (p =0.0001 and p=0.006, respectively), as well as the need for mechanical ventilation and drugs for vasoactive support (p=0.012 and p= 0.0001, respectively). Conclusion Use of pesticides for intentional poisoning continues to be rampant in Northern India, with many patients presenting in a critical condition to tertiary level hospitals. Pesticide regulations laws, educational awareness, counseling and poison information centers will help to curtail this public health problem. PMID:26557594

  17. Stable wormholes on a noncommutative-geometry background admitting a one-parameter group of conformal motions

    NASA Astrophysics Data System (ADS)

    Kuhfittig, P. K. F.

    2016-07-01

    When Morris and Thorne first proposed the possible existence of traversable wormholes, they adopted the following strategy: maintain complete control over the geometry, thereby leaving open the determination of the stress-energy tensor. In this paper we determine this tensor by starting with a noncommutative-geometry background and assuming that the static and spherically symmetric spacetime admits conformal motions. This had been established in a previous collaboration with Rahaman et al. using a slightly different approach. Accordingly, the main purpose of this paper is to show that the wormhole obtained can be made stable to linearized radial perturbations.

  18. Users manual for program ADMIT: Admittance and pressure transfer function developed for use on a PC computer

    NASA Technical Reports Server (NTRS)

    Armstrong, Wilbur C.

    1992-01-01

    The piping in a liquid rocket can assume complex configurations due to multiple tanks, multiple engines, and structures that must be piped around. The capability to handle some of these complex configurations have been incorporated into the ADMIT code. The capability to modify the input on line has been implemented. The configurations allowed include multiple tanks, multiple engines, the splitting of a pipe into unequal segments going to different (or the same) engines. This program will handle the following type elements: straight pipes, bends, inline accumulators, tuned stub accumulators, Helmholtz resonators, parallel resonators, pumps, split pipes, multiple tanks, and multiple engines.

  19. Lab-score is a valuable predictor of serious bacterial infection in infants admitted to hospital.

    PubMed

    Markic, Josko; Kovacevic, Tanja; Krzelj, Vjekoslav; Bosnjak, Nada; Sapunar, Ada

    2015-12-01

    Parents frequently bring their children to the Emergency Department (ED) because of the fever without apparent source (FWAS). To avoid possible complications, it is important to recognize serious bacterial infection (SBI) as early as possible. Various tests, including different clinical scores and scales, are used in the laboratory evaluation of patients. However, it is still impossible to predict the presence of SBI with complete certainty. Galetto-Lacour et al. developed and validated a risk index score, named Lab-score. Lab-score is based on the three predictive variables independently associated with SBI: procalcitonin (PCT), C-reactive protein (CRP), and urinary dipstick. The objective of this study was to assess the performance of the Lab-score in predicting SBI in well-appearing infants ≤ 180 days of age with FWAS, who presented to ED and were hospitalized with suspicion of having SBI. Based on this study findings, white blood cells count (WBC), CRP, PCT, and lab-score ≥ 3 were confirmed as useful biomarkers for differentiation between SBI and non-SBI. Also, receiver operating characteristic curve (ROC) analysis confirmed that all of them were useful for differentiation between SBI and non-SBI patients with the highest area under curve (AUC) calculated for the Lab-score. The results of this research confirmed its value, with calculated sensitivity of 67.7% and specificity of 98.6% in prediction of SBI in infants aged ≤ 180 days. Its value was even better in infants aged ≤ 90 days with sensitivity of 75% and specificity of 97.7%. In conclusion, we demonstrated the high value of lab-score in detecting SBI in infants under 6 months of age with FWAS.

  20. Patients with Acute Myeloid Leukemia Admitted to Intensive Care Units: Outcome Analysis and Risk Prediction

    PubMed Central

    Braess, Jan; Thudium, Johannes; Schmid, Christoph; Kochanek, Matthias; Kreuzer, Karl-Anton; Lebiedz, Pia; Görlich, Dennis; Gerth, Hans U.; Rohde, Christian; Kessler, Torsten; Müller-Tidow, Carsten; Stelljes, Matthias; Büchner, Thomas; Schlimok, Günter; Hallek, Michael; Waltenberger, Johannes; Hiddemann, Wolfgang; Berdel, Wolfgang E.; Heilmeier, Bernhard; Krug, Utz

    2016-01-01

    Background This retrospective, multicenter study aimed to reveal risk predictors for mortality in the intensive care unit (ICU) as well as survival after ICU discharge in patients with acute myeloid leukemia (AML) requiring treatment in the ICU. Methods and Results Multivariate analysis of data for 187 adults with AML treated in the ICU in one institution revealed the following as independent prognostic factors for death in the ICU: arterial oxygen partial pressure below 72 mmHg, active AML and systemic inflammatory response syndrome upon ICU admission, and need for hemodialysis and mechanical ventilation in the ICU. Based on these variables, we developed an ICU mortality score and validated the score in an independent cohort of 264 patients treated in the ICU in three additional tertiary hospitals. Compared with the Simplified Acute Physiology Score (SAPS) II, the Logistic Organ Dysfunction (LOD) score, and the Sequential Organ Failure Assessment (SOFA) score, our score yielded a better prediction of ICU mortality in the receiver operator characteristics (ROC) analysis (AUC = 0.913 vs. AUC = 0.710 [SAPS II], AUC = 0.708 [LOD], and 0.770 [SOFA] in the training cohort; AUC = 0.841 for the developed score vs. AUC = 0.730 [SAPSII], AUC = 0.773 [LOD], and 0.783 [SOFA] in the validation cohort). Factors predicting decreased survival after ICU discharge were as follows: relapse or refractory disease, previous allogeneic stem cell transplantation, time between hospital admission and ICU admission, time spent in ICU, impaired diuresis, Glasgow Coma Scale <8 and hematocrit of ≥25% at ICU admission. Based on these factors, an ICU survival score was created and used for risk stratification into three risk groups. This stratification discriminated distinct survival rates after ICU discharge. Conclusions Our data emphasize that although individual risks differ widely depending on the patient and disease status, a substantial portion of critically ill patients with AML benefit

  1. Twin Convergence Zones

    NASA Technical Reports Server (NTRS)

    2002-01-01

    NASA's QuikSCAT satellite has confirmed a 30-year old largely unproven theory that there are two areas near the equator where the winds converge year after year and drive ocean circulation south of the equator. By analyzing winds, QuikSCAT has found a year-round southern and northern Intertropical Convergence Zone. This find is important to climate modelers and weather forecasters because it provides more detail on how the oceans and atmosphere interact near the equator. The Intertropical Convergence Zone (ITCZ) is the region that circles the Earth near the equator, where the trade winds of both the Northern and Southern Hemispheres come together. North of the equator, strong sun and warm water of the equator heats the air in the ITCZ, drawing air in from north and south and causing the air to rise. As the air rises it cools, releasing the accumulated moisture in an almost perpetual series of thunderstorms. Satellite data, however, has confirmed that there is an ITCZ north of the equator and a parallel ITCZ south of the equator. Variation in the location of the ITCZ is important to people around the world because it affects the north-south atmospheric circulation, which redistributes energy. It drastically affects rainfall in many equatorial nations, resulting in the wet and dry seasons of the tropics rather than the cold and warm seasons of higher latitudes. Longer term changes in the ITCZ can result in severe droughts or flooding in nearby areas. 'The double ITCZ is usually only identified in the Pacific and Atlantic Oceans on a limited and seasonal basis,' said Timothy Liu, of NASA's Jet Propulsion Laboratory and California Institute of Technology, Pasadena, Calif., and lead researcher on the project. In the eastern Pacific Ocean, the southern ITCZ is usually seen springtime. In the western Atlantic Ocean, the southern ITCZ was recently clearly identified only in the summertime. However, QuikSCAT's wind data has seen the southern ITCZ in all seasons across the

  2. The Comparison of Procalcitonin Guidance Administer Antibiotics with Empiric Antibiotic Therapy in Critically Ill Patients Admitted in Intensive Care Unit.

    PubMed

    Najafi, Atabak; Khodadadian, Ali; Sanatkar, Mehdi; Shariat Moharari, Reza; Etezadi, Farhad; Ahmadi, Arezoo; Imani, Farsad; Khajavi, Mohammad Reza

    2015-01-01

    The empiric antibiotic therapy can result in antibiotic overuse, development of bacterial resistance and increasing costs in critically ill patients. The aim of the present study was to evaluate the effect of procalcitonin (PCT) guide treatment on antibiotic use and clinical outcomes of patients admitted to intensive care unit (ICU) with systemic inflammatory response syndrome (SIRS). A total of 60 patients were enrolled in this study and randomly divided into two groups, cases that underwent antibiotic treatment based on serum level of PCT as PCT group (n=30) and patients who undergoing antibiotic empiric therapy as control group (n=30). Our primary endpoint was the use of antibiotic treatment. Additional endpoints were changed in clinical status and early mortality. Antibiotics use was lower in PCT group compared to control group (P=0.03). Current data showed that difference in SOFA score from the first day to the second day after admitting patients in ICU did not significantly differ (P=0.88). Patients in PCT group had a significantly shorter median ICU stay, four days versus six days (P=0.01). However, hospital stay was not statistically significant different between two groups, 20 days versus 22 days (P=0.23). Early mortality was similar between two groups. PCT guidance administers antibiotics reduce antibiotics exposure and length of ICU stay, and we found no differences in clinical outcomes and early mortality rates between the two studied groups. PMID:26553084

  3. Influenza epidemiology in adults admitted to sentinel Australian hospitals in 2014: the Influenza Complications Alert Network (FluCAN).

    PubMed

    Cheng, Allen C; Holmes, Mark; Senenayake, Sanjaya; Dwyer, Dominic E; Hewagama, Saliya; Korman, Tony; Irving, Louis; Brown, Simon; Waterer, Grant; Hunter, Cameron; Friedman, N Deborah; Wark, Peter; Simpson, Graham; Upman, John; Bowler, Simon; Macartney, Kristine; Blyth, Christopher; Kotsimbos, Tom; Kelly, Paul

    2015-09-01

    The Influenza Complications Alert Network (FluCAN) is a sentinel hospital-based surveillance program that operates at sites in all states and territories in Australia. This report summarises the epidemiology of hospitalisations with laboratory-confirmed influenza during the 2014 influenza season. In this observational study, cases were defined as patients admitted to one of the sentinel hospitals with an acute respiratory illness with influenza confirmed by nucleic acid detection. During the period 3 April to 31 October 2014 (the 2014 influenza season), 1,692 adult patients (>16 years) were admitted with confirmed influenza to one of 15 of 17 FluCAN sentinel hospitals (excluding 2 paediatric hospitals). Of these, 47% were over 65 years of age, 10% were Indigenous Australians, 3.3% were pregnant and 85% had chronic co-morbidities. The majority of cases were due to influenza A. Influenza B was detected in 7% of patients. There were a large number of hospital admissions detected with confirmed influenza in this national observational surveillance system in 2014. These are estimated to represent a national annual burden of around 15,000 admissions and almost 100,000 bed-days nationally. PMID:26620349

  4. The Comparison of Procalcitonin Guidance Administer Antibiotics with Empiric Antibiotic Therapy in Critically Ill Patients Admitted in Intensive Care Unit.

    PubMed

    Najafi, Atabak; Khodadadian, Ali; Sanatkar, Mehdi; Shariat Moharari, Reza; Etezadi, Farhad; Ahmadi, Arezoo; Imani, Farsad; Khajavi, Mohammad Reza

    2015-01-01

    The empiric antibiotic therapy can result in antibiotic overuse, development of bacterial resistance and increasing costs in critically ill patients. The aim of the present study was to evaluate the effect of procalcitonin (PCT) guide treatment on antibiotic use and clinical outcomes of patients admitted to intensive care unit (ICU) with systemic inflammatory response syndrome (SIRS). A total of 60 patients were enrolled in this study and randomly divided into two groups, cases that underwent antibiotic treatment based on serum level of PCT as PCT group (n=30) and patients who undergoing antibiotic empiric therapy as control group (n=30). Our primary endpoint was the use of antibiotic treatment. Additional endpoints were changed in clinical status and early mortality. Antibiotics use was lower in PCT group compared to control group (P=0.03). Current data showed that difference in SOFA score from the first day to the second day after admitting patients in ICU did not significantly differ (P=0.88). Patients in PCT group had a significantly shorter median ICU stay, four days versus six days (P=0.01). However, hospital stay was not statistically significant different between two groups, 20 days versus 22 days (P=0.23). Early mortality was similar between two groups. PCT guidance administers antibiotics reduce antibiotics exposure and length of ICU stay, and we found no differences in clinical outcomes and early mortality rates between the two studied groups.

  5. Transport of through a Thick Vadose Zone.

    PubMed

    Arnaud, Emmanuelle; Best, Anna; Parker, Beth L; Aravena, Ramon; Dunfield, Kari

    2015-09-01

    Livestock manure applications on fields can be a source of contamination in water resources, including groundwater. Although fecal indicators like have often been detected in tile drainage systems, few studies have monitored groundwater at depth after manure treatments, especially at sites with a deep, heterogeneous vadose zone. Our hypothesis was that microbial transport through a thick vadose zone would be limited or nonexistent due to attenuation processes, subsurface thickness, and heterogeneity. This study tested this hypothesis by monitoring concentrations beneath a 12-m-thick vadose zone of coarse, heterogeneous glacial sediments after surface application of liquid swine manure. was detected on all 23 sample dates over the 5-mo period (4 Apr. 2012-13 Aug. 2012), with particularly elevated concentrations 1 wk after application and lasting for 5 wk. Variable low-level concentrations before and after the elevated period suggest remobilization and delayed transport of microorganisms to the water table without additional loadings within the flow field. These findings suggest preferential flow pathways allowing deep infiltration of manure bacteria as well as a continued source of bacteria, with variable retention and travel times, over several months. Preferential flow pathways at this site include soil macropores, depression focused infiltration, and pathways related to subsurface heterogeneity and/or fracture flow through finer-grained diamict beds. Further research is needed to confirm the relative contribution of sources, constrain travel times, and define specific transport pathways. PMID:26436260

  6. Transport of through a Thick Vadose Zone.

    PubMed

    Arnaud, Emmanuelle; Best, Anna; Parker, Beth L; Aravena, Ramon; Dunfield, Kari

    2015-09-01

    Livestock manure applications on fields can be a source of contamination in water resources, including groundwater. Although fecal indicators like have often been detected in tile drainage systems, few studies have monitored groundwater at depth after manure treatments, especially at sites with a deep, heterogeneous vadose zone. Our hypothesis was that microbial transport through a thick vadose zone would be limited or nonexistent due to attenuation processes, subsurface thickness, and heterogeneity. This study tested this hypothesis by monitoring concentrations beneath a 12-m-thick vadose zone of coarse, heterogeneous glacial sediments after surface application of liquid swine manure. was detected on all 23 sample dates over the 5-mo period (4 Apr. 2012-13 Aug. 2012), with particularly elevated concentrations 1 wk after application and lasting for 5 wk. Variable low-level concentrations before and after the elevated period suggest remobilization and delayed transport of microorganisms to the water table without additional loadings within the flow field. These findings suggest preferential flow pathways allowing deep infiltration of manure bacteria as well as a continued source of bacteria, with variable retention and travel times, over several months. Preferential flow pathways at this site include soil macropores, depression focused infiltration, and pathways related to subsurface heterogeneity and/or fracture flow through finer-grained diamict beds. Further research is needed to confirm the relative contribution of sources, constrain travel times, and define specific transport pathways.

  7. Vadose zone water fluxmeter

    DOEpatents

    Faybishenko, Boris A.

    2005-10-25

    A Vadose Zone Water Fluxmeter (WFM) or Direct Measurement WFM provides direct measurement of unsaturated water flow in the vadose zone. The fluxmeter is a cylindrical device that fits in a borehole or can be installed near the surface, or in pits, or in pile structures. The fluxmeter is primarily a combination of tensiometers and a porous element or plate in a water cell that is used for water injection or extraction under field conditions. The same water pressure measured outside and inside of the soil sheltered by the lower cylinder of the fluxmeter indicates that the water flux through the lower cylinder is similar to the water flux in the surrounding soil. The fluxmeter provides direct measurement of the water flow rate in the unsaturated soils and then determines the water flux, i.e. the water flow rate per unit area.

  8. Trojans in habitable zones.

    PubMed

    Schwarz, Richard; Pilat-Lohinger, Elke; Dvorak, Rudolf; Erdi, Balint; Sándor, Zsolt

    2005-10-01

    With the aid of numerical experiments we examined the dynamical stability of fictitious terrestrial planets in 1:1 mean motion resonance with Jovian-like planets of extrasolar planetary systems. In our stability study of the so-called "Trojan" planets in the habitable zone, we used the restricted three-body problem with different mass ratios of the primary bodies. The application of the three-body problem showed that even massive Trojan planets can be stable in the 1:1 mean motion resonance. From the 117 extrasolar planetary systems only 11 systems were found with one giant planet in the habitable zone. Out of this sample set we chose four planetary systems--HD17051, HD27442, HD28185, and HD108874--for further investigation. To study the orbital behavior of the stable zone in the different systems, we used direct numerical computations (Lie Integration Method) that allowed us to determine the escape times and the maximum eccentricity of the fictitious "Trojan planets." PMID:16225431

  9. Radiant zone heated particulate filter

    DOEpatents

    Gonze, Eugene V [Pinckney, MI

    2011-12-27

    A system includes a particulate matter (PM) filter including an upstream end for receiving exhaust gas and a downstream end. A radiant zoned heater includes N zones, where N is an integer greater than one, wherein each of the N zones includes M sub-zones, where M is an integer greater than or equal to one. A control module selectively activates at least a selected one of the N zones to initiate regeneration in downstream portions of the PM filter from the one of the N zones, restricts exhaust gas flow in a portion of the PM filter that corresponds to the selected one of the N zones, and deactivates non-selected ones of the N zones.

  10. Variable residence time vortex combustor

    DOEpatents

    Melconian, Jerry O.

    1987-01-01

    A variable residence time vortex combustor including a primary combustion chamber for containing a combustion vortex, and a plurality of louvres peripherally disposed about the primary combustion chamber and longitudinally distributed along its primary axis. The louvres are inclined to impel air about the primary combustion chamber to cool its interior surfaces and to impel air inwardly to assist in driving the combustion vortex in a first rotational direction and to feed combustion in the primary combustion chamber. The vortex combustor also includes a second combustion chamber having a secondary zone and a narrowed waist region in the primary combustion chamber interconnecting the output of the primary combustion chamber with the secondary zone for passing only lower density particles and trapping higher density particles in the combustion vortex in the primary combustion chamber for substantial combustion.

  11. Usefulness of Combining Galectin-3 and BIVA Assessments in Predicting Short- and Long-Term Events in Patients Admitted for Acute Heart Failure

    PubMed Central

    De Berardinis, Benedetta; Magrini, Laura; Zampini, Giorgio; Zancla, Benedetta; Salerno, Gerardo; Cardelli, Patrizia; Di Stasio, Enrico; Gaggin, Hanna K.; Belcher, Arianna; Parry, Blair A.; Nagurney, John T.; Januzzi, James L.; Di Somma, Salvatore

    2014-01-01

    Introduction. Acute heart failure (AHF) is associated with a higher risk for the occurrence of rehospitalization and death. Galectin-3 (GAL3) is elevated in AHF patients and is an indicator in predicting short-term mortality. The total body water using bioimpedance vector analysis (BIVA) is able to identify mortality within AHF patients. The aim of this study was to evaluate the short- and long-term predictive value of GAL3, BIVA, and the combination of both in AHF patients in Emergency Department (ED). Methods. 205 ED patients with AHF were evaluated by testing for B type natriuretic peptide (BNP) and GAL3. The primary endpoint was death and rehospitalization at 30, 60, 90, and 180 days and 12 and 18 months. AHF patients were evaluated at the moment of ED arrival with clinical judgment and GAL3 and BIVA measurement. Results. GAL3 level was significantly higher in patients >71 years old, and with eGFR < 30 cc/min. The area under the curve (AUC) of GAL3 + BIVA, GAL3 and BIVA for death and rehospitalization both when considered in total and when considered serially for the follow-up period showed that the combination has a better prognostic value. Kaplan-Meier survival curve for GAL3 values >17.8 ng/mL shows significant survival difference. At multivariate Cox regression analysis GAL3 is an independent variable to predict death + rehospitalization with a value of 32.24 ng/mL at 30 days (P < 0.005). Conclusion. In patients admitted for AHF an early assessment of GAL3 and BIVA seems to be useful in identifying patients at high risk for death and rehospitalization at short and long term. Combining the biomarker and the device could be of great utility since they monitor the severity of two pathophysiological different mechanisms: heart fibrosis and fluid overload. PMID:25101304

  12. Riparian Zone Evapotranspiration Estimates using Streamflow Diel Signals

    NASA Astrophysics Data System (ADS)

    Geisler, E.; McNamara, J. P.; Benner, S. G.; Flores, A. N.

    2015-12-01

    Diel climate variations impact vegetation and hydrologic systems in semi-arid mountainous watersheds primarily through transpiration. The impact diel variations have are particularly evident in streamflow during low flows. Understanding the controls on streamflow diel signals and the interaction they have within the riparian zone has been a focus of multiple studies to better understand the riparian zones as a system. The focus of the study was to monitor streamflow diel signals at five gauging stations within the same watershed to calculate riparian zone evapotranspiration (ET) and to understand diel signal variability throughout the watershed. Amplitude and timing of diel signals were analyzed at each site and used in determining controls on the diel signal. Meteorological and sap flux measurements were also monitored on both hillslope and riparian areas for comparison of fluxes. A spatially distributed hypsometric method was used to calculate ET for each gauging station sub-watershed for comparison with riparian ET estimates. The study found that, with the use of diel signals and a fixed riparian area, the estimated riparian zone ET ranged from a fraction to several times the calculated meteorological ET depending on the season. Although the riparian zone ET calculation was highly variable, it was constrained using diel signal timing and amplitude. Observations of differences in hillslope and riparian zone meteorological and sap flux variables also supported diel signal calculations. The study concludes that riparian zone ET is a substantial contributor to watershed scale ET during the summer months and that streamflow diel signal plays a large role in understanding watershed scale interactions and the riparian zone's influence on a semi-arid watershed.

  13. Quantifying differences in the "fat burning" zone and the aerobic zone: implications for training.

    PubMed

    Carey, Daniel G

    2009-10-01

    The primary objective of this study was to examine the relationship of the "fat burning" and aerobic zones. Subjects consisted of 36 relatively fit runners (20 male, 16 female) who completed a maximal exercise test to exhaustion on a motor-driven treadmill. The lower and upper limit of the "fat burning" zone was visually assessed by examining each individual graph. Maximal fat oxidation (MFO) was determined to be that point during the test at which fat metabolism in fat calories per minute peaked. The lower limit of the aerobic zone was assessed as 50% of heart rate reserve, whereas the upper limit was set at anaerobic threshold. Although the lower and upper limits of the "fat burning" zone (67.6-87.1% maximal heart rate) were significantly lower (p < 0.05) than their counterparts in the aerobic zone (58.9-76.2%), the considerable overlap of the 2 zones would indicate that training for fat oxidation and training for aerobic fitness are not mutually exclusive and may be accomplished with the same training program. Furthermore, it was determined that this training program could simultaneously meet the requirements of the American College of Sports Medicine for both aerobic fitness and weight control. Maximal fat oxidation occurred at 54.2% maximal oxygen uptake (VO2max). However, the great variability in response between individuals would preclude the prediction of both the "fat burning" zone and MFO, indicating a need for measurement in the laboratory. If laboratory testing is not possible, the practitioner or subject can be reasonably confident MFO lies between 60.2% and 80.0% of the maximal heart rate. PMID:19855335

  14. A gendered analysis of Canadian Aboriginal individuals admitted to inpatient substance abuse detoxification: a three-year medical chart review.

    PubMed

    Callaghan, Russell C; Cull, Randi; Vettese, Lisa C; Taylor, Lawren

    2006-01-01

    This study examined gender differences within a sample of Canadian Aboriginal individuals admitted to an inpatient, hospital-based substance abuse detoxification program. Even though alcohol was the most frequent primary drug of detoxification for both genders, women received proportionately higher rates of cocaine or opiate detoxification diagnoses. In addition to a younger age, females reported higher rates of physical and sexual abuse. Women were also administered antidepressants, antibiotic medication protocols, and more medical evaluation tests. It appears that Canadian Aboriginal women have a diverse set of psychological and medical needs. This study demonstrates the need for detoxification programs to address the substantial rates of intravenous drug use and the associated risk of infectious disease (eg, Hepatitis C, HIV) among this treatment-seeking population.

  15. A characterization of the quadrilateral meshes of a surface which admit a compatible hexahedral mesh of the enclosed volume

    SciTech Connect

    Mitchell, S.A.

    1995-09-01

    A popular three-dimensional mesh generation scheme is to start with a quadrilateral of the surface of a volume, and then attempt to fill the interior of volume with hexahedra, so that the hexahedra touch the surface in exactly the given quadrilaterals. Folklore has maintained that there are many quadrilateral meshes for which no such compatible hexahedral mesh exists. In this paper we give an existence proof which contradicts this folklore: A quadrilateral mesh need only satisfy some very weak conditions for there to exist a compatible hexahedral mesh. For a volume that is topologically a ball, any quadrilateral mesh composed of an even number of quadrilaterals admits a compatible hexahedral mesh. We extend this to volumes of higher genus: There is a construction to reduce to the ball case if and only if certain cycles of edges are even.

  16. Smartphones and Time Zones

    NASA Astrophysics Data System (ADS)

    Baird, William; Secrest, Jeffery; Padgett, Clifford; Johnson, Wayne; Hagrelius, Claire

    2016-09-01

    Using the Sun to tell time is an ancient idea, but we can take advantage of modern technology to bring it into the 21st century for students in astronomy, physics, or physical science classes. We have employed smartphones, Google Earth, and 3D printing to find the moment of local noon at two widely separated locations. By reviewing GPS time-stamped photos from each place, we are able to illustrate that local noon is longitude-dependent and therefore explain the need for time zones.

  17. Saturated Zone Colloid Transport

    SciTech Connect

    H. S. Viswanathan

    2004-10-07

    This scientific analysis provides retardation factors for colloids transporting in the saturated zone (SZ) and the unsaturated zone (UZ). These retardation factors represent the reversible chemical and physical filtration of colloids in the SZ. The value of the colloid retardation factor, R{sub col} is dependent on several factors, such as colloid size, colloid type, and geochemical conditions (e.g., pH, Eh, and ionic strength). These factors are folded into the distributions of R{sub col} that have been developed from field and experimental data collected under varying geochemical conditions with different colloid types and sizes. Attachment rate constants, k{sub att}, and detachment rate constants, k{sub det}, of colloids to the fracture surface have been measured for the fractured volcanics, and separate R{sub col} uncertainty distributions have been developed for attachment and detachment to clastic material and mineral grains in the alluvium. Radionuclides such as plutonium and americium sorb mostly (90 to 99 percent) irreversibly to colloids (BSC 2004 [DIRS 170025], Section 6.3.3.2). The colloid retardation factors developed in this analysis are needed to simulate the transport of radionuclides that are irreversibly sorbed onto colloids; this transport is discussed in the model report ''Site-Scale Saturated Zone Transport'' (BSC 2004 [DIRS 170036]). Although it is not exclusive to any particular radionuclide release scenario, this scientific analysis especially addresses those scenarios pertaining to evidence from waste-degradation experiments, which indicate that plutonium and americium may be irreversibly attached to colloids for the time scales of interest. A section of this report will also discuss the validity of using microspheres as analogs to colloids in some of the lab and field experiments used to obtain the colloid retardation factors. In addition, a small fraction of colloids travels with the groundwater without any significant retardation

  18. Liquid zone seal

    DOEpatents

    Klebanoff, Leonard E.

    2001-01-01

    A seal assembly that provides a means for establishing multiple pressure zones within a system. The seal assembly combines a plate extending from the inner wall of a housing or inner enclosure that intersects with and is immersed in the fluid contained in a well formed in a tray contained within the enclosure. The fluid is a low vapor pressure oil, chemically inert and oxidation resistant. The use of a fluid as the sealing component provides a seal that is self-healing and mechanically robust not subject to normal mechanical wear, breakage, and formation of cracks or pinholes and decouples external mechanical vibrations from internal structural members.

  19. Mortality over 12 years of follow-up in people admitted to provincial custody in Ontario: a retrospective cohort study

    PubMed Central

    Kouyoumdjian, Fiona G.; Kiefer, Lori; Wobeser, Wendy; Gonzalez, Alejandro; Hwang, Stephen W.

    2016-01-01

    Background: We aimed to define rates and causes of death in custody and after release in people admitted to provincial custody in Ontario, and to compare these data with data for the general population. Methods: We linked data on adults admitted to provincial custody in Ontario in 2000 with data on deaths between 2000 and 2012. We examined rates and causes of death by age, sex, custodial status and period after release, and compared them with data for the general population, using indirect adjustment for age. Results: Between 2000 and 2012, 8.6% (95% confidence interval [CI] 8.3%-8.8%) of those incarcerated died in provincial custody or after release. The crude death rate was 7.1 (95% CI 6.9-7.3) per 1000 person-years. The standardized mortality ratio for those incarcerated in 2000 was 4.0 (95% CI 3.9-4.1) overall and 1.9 (95% CI 1.5-2.4) while in provincial custody. The most common causes of death were injury and poisoning (38.2% of all deaths), including overdose (13.6%) and suicide (8.2%), diseases of the circulatory system (15.8%) and neoplasms (14.5%). In the 2 weeks after release, the standardized mortality ratio was 5.7 overall and 56.0 for overdose. Life expectancy was 72.3 years for women and 73.4 for men who experienced incarceration in 2000. Interpretation: Mortality was high for people who experienced incarceration, and life expectancy was 4.2 years less for men and 10.6 years less for women compared with the general population. Efforts should be made to reduce the gap in mortality between people who experience incarceration and those who do not. Time in custody could serve as an opportunity to intervene to decrease risk. PMID:27398358

  20. Palliative care needs of HIV exposed and infected children admitted to the inpatient paediatric unit in Uganda

    PubMed Central

    Nakawesi, Jane; Kasirye, Ivy; Kavuma, David; Muziru, Benjamin; Businge, Alice; Naluwooza, Jackie; Kabunga, Grace; Karamagi, Yvonne; Akankwasa, Edith; Odiit, Mary; Mukasa, Barbara

    2014-01-01

    Paediatric palliative care is an emerging subspecialty that focuses on achieving the best possible quality of life for children with life-limiting conditions and also for their families. It is a response to the suffering and unique needs of such children. Globally there is limited documented data available on the palliative care needs of children with HIV. A retrospective review of data of all the HIV exposed and positive children who were admitted to the ward from January to December 2012 was done to document their palliative care needs. A total of 243 children were admitted to the ward during the stated period. Of these, 139 (57.2%) were female and 104 (42.8%) were male. Among them 131 (54%) were aged five years and below whereas 112 (46%) were above five years. Some of the identified palliative care needs documented included physical needs: pneumonia 46 (19%), severe acute malnutrition 38 (16%), mild and moderate acute malnutrition 23 (9.6%), and respiratory tract infections 22 (9.3%). Social needs: poor social support 21 (41%), financial instability 16 (31%), and child neglect 4 (8%). Psychological needs: antiretroviral treatment (ART) counselling 127 (36%), HIV counselling and testing for the child and family 63 (18%), adherence support 53 (15%), and others 11 (3%). Spiritual needs: discontinuing ART because of belief in spiritual healing 18 (81%), loss of hope because of severe ill health 1 (5%), and others 3 (14%). These results emphasise the need for palliative care in children with HIV even in the era of ART. The needs identified are in keeping with studies done elsewhere and are similar to the palliative care needs of children with other life-limiting illnesses such as cancer. Conclusion HIV positive and exposed children plus their families have vast palliative care needs and a holistic approach is the key in their management. PMID:25624870

  1. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study.

    PubMed

    Sampson, Elizabeth L; White, Nicola; Lord, Kathryn; Leurent, Baptiste; Vickerstaff, Victoria; Scott, Sharon; Jones, Louise

    2015-04-01

    Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no question and FACES scale) and observed pain (Pain Assessment in Advanced Dementia scale [PAINAD]) at movement and at rest, for agitation (Cohen-Mansfield Agitating Inventory [CMAI]) and BPSD (Behavioural Pathology in Alzheimer Disease Scale [BEHAVE-AD]). On admission, 27% of participants self-reported pain rising to 39% on at least 1 occasion during admission. Half of them were able to complete the FACES scale, this proportion decreasing with more severe dementia. Using the PAINAD, 19% had pain at rest and 57% had pain on movement on at least 1 occasion (in 16%, this was persistent throughout the admission). In controlled analyses, pain was not associated with CMAI scores but was strongly associated with total BEHAVE-AD scores, both when pain was assessed on movement (β = 0.20, 95% confidence interval [CI] = 0.07-0.32, P = 0.002) and at rest (β = 0.41, 95% CI = 0.14-0.69, P = 0.003). The association was the strongest for aggression and anxiety. Pain was common in people with dementia admitted to the acute hospital and associated with BPSD. Improved pain management may reduce distressing behaviours and improve the quality of hospital care for people with dementia. PMID:25790457

  2. The Effect of Trauma Intervention on the Satisfaction of Patients Admitted to the Emergency Department: A Clinical Trial Study

    PubMed Central

    Zakerimoghadam, Masoumeh; Sadeghi, Somayeh; Ghiyasvandian, Shahrzad; Kazemnejad, Anoshirvan

    2016-01-01

    Background Patient satisfaction is a key determinant of the quality of medical care. Moreover, satisfaction can be used as a criterion for examining the adequacy of the care, health, and competency of personnel. Objectives This study was conducted to determine the satisfaction of patients receiving trauma care in the emergency department of a hospital affiliated with Isfahan University of Medical Sciences. Patients and Methods This simple clinical trial was performed on 104 patients admitted for traumatic injury to an emergency department in Iran. Given that patients frequently enter an emergency department for care, the sampling of patients in the department was done on days that were randomly assigned to the study group. The experimental group received trauma intervention in four areas from their admission to the emergency department to their discharge from the hospital, and the control group received routine nursing care. The data were collected through a questionnaire that asked for demographic characteristics and then went on to ask about patient satisfaction. The satisfaction questionnaire was completed after the trauma intervention at the end of patients’ stay in the hospital. The data were analyzed using SPSS 22 software and descriptive statistical tests and analytical tests (independent t and Chi-square). Results The mean score for total satisfaction after trauma intervention in the experimental group (45.6 ± 3.69) was significantly different from that of the control group (32.01 ± 7.78) (P < 0.001). Therefore, the levels of total satisfaction in the experimental and control group were favorable and relatively favorable, respectively. Conclusions In this study, trauma intervention increased satisfaction in patients admitted to the emergency department. Therefore, managers and personnel of hospitals and healthcare training centers are urged to implement trauma intervention in their hospitals or healthcare training centers. PMID:27433350

  3. Pain, agitation, and behavioural problems in people with dementia admitted to general hospital wards: a longitudinal cohort study.

    PubMed

    Sampson, Elizabeth L; White, Nicola; Lord, Kathryn; Leurent, Baptiste; Vickerstaff, Victoria; Scott, Sharon; Jones, Louise

    2015-04-01

    Pain is underdetected and undertreated in people with dementia. We aimed to investigate the prevalence of pain in people with dementia admitted to general hospitals and explore the association between pain and behavioural and psychiatric symptoms of dementia (BPSD). We conducted a longitudinal cohort study of 230 people, aged above 70, with dementia and unplanned medical admissions to 2 UK hospitals. Participants were assessed at baseline and every 4 days for self-reported pain (yes/no question and FACES scale) and observed pain (Pain Assessment in Advanced Dementia scale [PAINAD]) at movement and at rest, for agitation (Cohen-Mansfield Agitating Inventory [CMAI]) and BPSD (Behavioural Pathology in Alzheimer Disease Scale [BEHAVE-AD]). On admission, 27% of participants self-reported pain rising to 39% on at least 1 occasion during admission. Half of them were able to complete the FACES scale, this proportion decreasing with more severe dementia. Using the PAINAD, 19% had pain at rest and 57% had pain on movement on at least 1 occasion (in 16%, this was persistent throughout the admission). In controlled analyses, pain was not associated with CMAI scores but was strongly associated with total BEHAVE-AD scores, both when pain was assessed on movement (β = 0.20, 95% confidence interval [CI] = 0.07-0.32, P = 0.002) and at rest (β = 0.41, 95% CI = 0.14-0.69, P = 0.003). The association was the strongest for aggression and anxiety. Pain was common in people with dementia admitted to the acute hospital and associated with BPSD. Improved pain management may reduce distressing behaviours and improve the quality of hospital care for people with dementia.

  4. Clinico-Epidemiological Profile of Snakebite Cases Admitted in a Tertiary Care Centre in South India: A 5 Years Study

    PubMed Central

    Thapar, Rekha; Darshan, B. B.; Unnikrishnan, Bhaskaran; Mithra, Prasanna; Kumar, Nithin; Kulkarni, Vaman; Holla, Ramesh; Kumar, Avinash; Kanchan, Tanuj

    2015-01-01

    Objectives: This study was conducted to assess the clinic-epidemiological profile of snakebite cases admitted at a Tertiary Care Centre in South India. Materials and Methods: A record based retrospective study was carried out at Kasturbha Medical College affiliated hospitals in Mangalore. All the snakebite cases admitted to the hospitals from January 2007 to December 2011 were included in the study. Data were collected using a pretested semi-structured questionnaire and analyzed using Statistical Package for Social Sciences (SPSS version 11.5). The results are expressed as percentages. Results: The study included 198 cases of snakebite victims. The majority of the cases were males (68.2%). The mean age of the study population was 34.8 years. Maximum numbers of snakebite cases were reported during the month of September to December (47.9%). The peak time of snakebite was between 18.01 and 24.00 h which was reported in 40.5% of the cases. Lower extremities were the most common site of bite in more than three-fourth of the cases (80.9%). The most common symptoms were a pain (45.9%) and swelling (44.9%). The case fatality rate was observed to be 3.0%. Conclusion: Snakebite still remains a major public health problem in this part of the world. Knowledge must be imparted regarding the prevention of snakebites through community health programs. Messages regarding prompt reporting of such cases and importance of effective treatment must be disseminated among people through mass media and role plays. PMID:26862263

  5. Does HIV status influence the outcome of patients admitted to a surgical intensive care unit? A prospective double blind study.

    PubMed Central

    Bhagwanjee, S.; Muckart, D. J.; Jeena, P. M.; Moodley, P.

    1997-01-01

    OBJECTIVES: (a) To assess the impact of HIV status (HIV negative, HIV positive, AIDS) on the outcome of patients admitted to intensive care units for diseases unrelated to HIV; (b) to decide whether a positive test result for HIV should be a criterion for excluding patients from intensive care for diseases unrelated to HIV. DESIGN: A prospective double blind study of all admissions over six months. HIV status was determined in all patients by enzyme linked immunosorbent assay (ELISA), immunofluorescence assay, western blotting, and flow cytometry. The ethics committee considered the clinical implications of the study important enough to waive patients' right to informed consent. Staff and patients were blinded to HIV results. On discharge patients could be advised of their HIV status if they wished. SETTING: A 16 bed surgical intensive care unit. SUBJECTS: All 267 men and 135 women admitted to the unit during the study period. INTERVENTIONS: None. MAIN OUTCOME MEASURES: APACHE II score (acute physiological, age, and chronic health evaluation), organ failure, septic shock, durations of intensive care unit and hospital stay, and intensive care unit and hospital mortality. RESULTS: No patient had AIDS. 52 patients were tested positive for HIV and 350 patients were tested negative. The two groups were similar in sex distribution but differed significantly in age, incidence of organ failure (37 (71%) v 171 (49%) patients), and incidence of septic shock (20 (38%) v 54 (15%)). After adjustment for age there were no differences in intensive care unit or hospital mortality or in the durations of stay in the intensive care unit or hospital. CONCLUSIONS: Morbidity was higher in HIV positive patients but there was no difference in mortality. In this patient population a positive HIV test result should not be a criterion for excluding a patient from intensive care. PMID:9133887

  6. Interannual variability versus seasonal variability in the tropical Atlantic

    NASA Technical Reports Server (NTRS)

    Picaut, J.; Servain, J.; Seva, M.; Busalacchi, A. J.

    1984-01-01

    Monthly fields of sea surface temperature and wind stress for the tropical Atlantic are constructed for January 1964 to December 1979. Inside the Gulf of Guinea the amplitude of the seasonal variability of SST ranges between 2.5 and 4 times greater than the interannual variability. In the remainder of the equatorial Atlantic this measure is less than 2. Standard deviations of wind stress anomalies indicate that, except near the Intertropical Convergence Zone, the magnitude of interannual fluctuations is greater than that of seasonal ones. The joint analyses of these SST and wind stress fields indicate the largest positive SST anomaly in the Gulf of Guinea (July, 1968) was immediately preceded by the only reversal of the trade winds west along the equator.

  7. Nonaxisymmetric Variations Deep in the Convection Zone

    NASA Technical Reports Server (NTRS)

    Duvall, Thomas

    2002-01-01

    Using a deep-focusing time-distance technique and the MDI medium-1 data, a preliminary study of nonaxisymmetric variability deep in the convection zone has been performed. The purpose of the present study is to see what signals might be present in raw travel times indicating variation. To this end, noise levels will be examined. Correlations with point separations in the range 40-50 deg. have been measured for the entire medium-1 dataset over a significant fraction of the solar disk. Both flows and mean-time variations have been examined. Separation of near-surface signals from deep signals will also be examined.

  8. Why are some patients admitted to psychiatric hospital while others are not? A study assessing risk during the admission interview and relationship to outcome.

    PubMed

    Hunt, Glenn E; O'Hara-Aarons, Maureen; O'Connor, Nick; Cleary, Michelle

    2012-04-01

    The aim of this study was to determine what patient characteristics are used to decide whether a patient is or is not admitted to a psychiatric hospital, and what happens to those not admitted. A further aim was to determine if high levels of risk on admission predict seclusions, length of stay, or readmission within 28 days. Data were collected prospectively on consecutive presentations to an admission office via case notes and electronic databases. Eighty percent (100/127) of the adults presenting to the admission office over a typical month were admitted to hospital. Patients were more likely to be admitted if they were experiencing psychosis or exacerbation of schizophrenia, referred by other doctors or mental health teams, had a legal reason for referral, or if they were homeless. There was no association between risk for violence or suicide and seclusion rates, length of stay, or being readmitted within 28 days. It was reassuring to find that 85% of those not admitted were referred to other mental health providers, and none required admission over the following month. This study found high rates of seclusion and readmissions within 1 year, which requires further study to find strategies to reduce these rates. PMID:22039923

  9. Magnetically-conformed, Variable Area Discharge Chamber for Hall Thruster, and Method

    NASA Technical Reports Server (NTRS)

    Hofer, Richard R. (Inventor)

    2013-01-01

    The invention is a Hall thruster that incorporates a discharge chamber having a variable area channel including an ionization zone, a transition region, and an acceleration zone. The variable area channel is wider through the acceleration zone than through the ionization zone. An anode is located in a vicinity of the ionization zone and a cathode is located in a vicinity of the acceleration zone. The Hall thruster includes a magnetic circuit which is capable of forming a local magnetic field having a curvature within the transition region of the variable area channel whereby the transition region conforms to the curvature of the local magnetic field. The Hall thruster optimizes the ionization and acceleration efficiencies by the combined effects of the variable area channel and magnetic conformity.

  10. Breathing zone air sampler

    DOEpatents

    Tobin, John

    1989-01-01

    A sampling apparatus is provided which comprises a sampler for sampling air in the breathing zone of a wearer of the apparatus and a support for the sampler preferably in the form of a pair of eyeglasses. The sampler comprises a sampling assembly supported on the frame of the eyeglasses and including a pair of sample transport tubes which are suspended, in use, centrally of the frame so as to be disposed on opposite sides of the nose of the wearer and which each include an inlet therein that, in use, is disposed adjacent to a respective nostril of the nose of the wearer. A filter holder connected to sample transport tubes supports a removable filter for filtering out particulate material in the air sampled by the apparatus. The sample apparatus is connected to a pump for drawing air into the apparatus through the tube inlets so that the air passes through the filter.

  11. Yield response to variable rate irrigation in corn

    Technology Transfer Automated Retrieval System (TEKTRAN)

    To investigate the impact of variable rate irrigation on corn yield, twenty plots of corn were laid out under a center pivot variable rate irrigation (VRI) system in an experimental field near Stoneville, MS. The VRI system is equipped with five VRI zone control units, a global positioning system (G...

  12. Comparison of Routine Health Management Information System Versus Enhanced Inpatient Malaria Surveillance for Estimating the Burden of Malaria Among Children Admitted to Four Hospitals in Uganda

    PubMed Central

    Mpimbaza, Arthur; Miles, Melody; Sserwanga, Asadu; Kigozi, Ruth; Wanzira, Humphrey; Rubahika, Denis; Nasr, Sussann; Kapella, Bryan K.; Yoon, Steven S.; Chang, Michelle; Yeka, Adoke; Staedke, Sarah G.; Kamya, Moses R.; Dorsey, Grant

    2015-01-01

    The primary source of malaria surveillance data in Uganda is the Health Management Information System (HMIS), which does not require laboratory confirmation of reported malaria cases. To improve data quality, an enhanced inpatient malaria surveillance system (EIMSS) was implemented with emphasis on malaria testing of all children admitted in select hospitals. Data were compared between the HMIS and the EIMSS at four hospitals over a period of 12 months. After the implementation of the EIMSS, over 96% of admitted children under 5 years of age underwent laboratory testing for malaria. The HMIS significantly overreported the proportion of children under 5 years of age admitted with malaria (average absolute difference = 19%, range = 8–27% across the four hospitals) compared with the EIMSS. To improve the quality of the HMIS data for malaria surveillance, the National Malaria Control Program should, in addition to increasing malaria testing rates, focus on linking laboratory test results to reported malaria cases. PMID:25422396

  13. Multi-Scale Imaging of the Fault Zone Velocity Structure: Double-difference Tomography, Inversion of Fault Zone Headwaves, and Fault Zone Sensitivity Kernels

    NASA Astrophysics Data System (ADS)

    Allam, Amir A.

    In spite of the close relationship between fault zone structure and earthquake mechanics, fault zone structure at seismogenic depths remains poorly understood. How does localization of the primary slip zone vary with depth? Is there a signature of broad persistent damage zones at seismogenic depths? How does fault zone structure merge with regional structure? To answer these questions, we utilize multiple imaging techniques. We apply high-resolution double-difference tomography to the San Jacinto fault zone, invert for velocity structure along the Hayward fault using fault zone head waves, and use analytical results for idealized geometries to validate sensitivity kernels of fault zone phases for use in adjoint tomographic inversions. Double-difference tomography uses the arrival times of P and S waves to invert simultaneously for compressional velocity, shear wave velocity, and source location in three dimensions. We present results in the southern California plate-boundary area, with a focus on the San Jacinto fault zone, which incorporate arrival times of 247,472 P- and 105,448 S-wave picks for 5493 earthquakes recorded at 139 stations. Starting with a layered 1D model, and continuing in later iterations with various updated initial models, we invert the data for Vp and Vs in a 270 km long, 105 km wide and 35 km deep volume using a spatially variable grid with higher density around the San Jacinto. Our final velocity results show zones of low-velocity and high Vp/Vs ratios associated with various fault strands and sedimentary basins, along with clear velocity contrasts across the San Jacinto. While both features are limited to the upper 10km, the low velocity zones generally have higher amplitude and broader distribution in geometrically complex areas, while the velocity contrasts are more pronounced for Vp than Vs. Along the Hayward fault in the San Francisco Bay region, we identify fault zone head waves at eight stations on the northeastern side of the fault

  14. Investigating Grounding Zones by RAGEing WISSARDs

    NASA Astrophysics Data System (ADS)

    Powell, R. D.; Anandakrishnan, S.; Holland, D. M.; Horgan, H. J.; Jacobel, R. W.; Scherer, R. P.; Tulaczyk, S. M.; Vogel, S. W.

    2009-12-01

    The latest IPCC report recognized that the greatest uncertainties in assessing future global sea-level change stem from a poor understanding of ice sheet dynamics and vulnerability to oceanic and atmospheric warming. Ice stream grounding zones (GZs) of West Antarctic Ice Sheet (WAIS) are seen as high priority targets to investigate as they may be perturbed by internal ice stream dynamics, increased thermal ocean forcing, subglacial sediment flux, and/or filling/draining cycles of subglacial lakes. A new interdisciplinary study to assess the stability of WAIS and Ross Ice Shelf (RIS), RAGES (Robotic Access to Grounding-zones for Exploration and Science) has been initiated as part of a larger project, WISSARD (Whillans Ice Stream Subglacial Access Research Drilling). Three main science goals for RAGES are to assess: (a) WAIS stability, (b) the degree to which grounding-zone sedimentary systems house important records of past WAIS dynamics, and (c) the importance of microbial activity and subglacial geochemical weathering in supplying nutrients to WAIS grounding zone, RIS cavity and Southern Ocean to influence global biogeochemical cycles. The proposed field plan integrates surface geophysical surveys; samples of subglacial water, sediments, and basal ice for biological, geochemical, glaciological, sedimentological, and micropaleontological analyses; measurements of subglacial and sub-ice-shelf cavity physical and chemical conditions and their spatial variability; and data on sediment types and character, state and change of subglacial water discharge, oceanography and basal ice at the grounding line and within the nearby sub-ice-shelf cavity using a multi-sensor Sub-Ice ROVer (SIR) and long-term, sub-ice oceanographic moorings.

  15. Microbial Etiology of Community-Acquired Pneumonia Among Infants and Children Admitted to the Pediatric Hospital, Ain Shams University

    PubMed Central

    El Seify, Magda Yehia; Fouda, Eman Mahmoud; Ibrahim, Hanan Mohamed; Fathy, Maha Muhammad; Husseiny Ahmed, Asmaa Al; Khater, Walaa Shawky; El Deen, Noha Nagi Mohammed Salah; Abouzeid, Heba Galal Mohamed; Hegazy, Nancy Riyad Ahmed; Elbanna, Heba Salah Sayed

    2016-01-01

    Background While recognizing the etiology of community-acquired pneumonia is necessary for formulating local antimicrobial guidelines, limited data is published about this etiology in Egyptian pediatric patients. Objectives To determine the frequency of bacterial and viral pathogens causing community-acquired pneumonia (CAP) among immunocompetent Egyptian infants and preschool children. Methods Ninety infants and preschool-age children admitted to our hospital with CAP were prospectively included in the study. Etiological agents were identified using conventional bacteriological identification methods and IgM antibodies detection against common atypical respiratory bacteria and viruses. Results An etiology was identified in 59 patients (65.5%). Bacterial pathogens were detected in 43 (47.8%) of the cases while viral pathogens were detected in 23 (25.5%). Coinfection with more than one etiologic agent was evident in seven patients (7.8%). The most common typical bacterial cause of pneumonia was Staphylococcus aureus (n = 12, 13.3%), followed by Streptococcus pneumoniae and Klebsiella pneumoniae (n = 7, 7.8%, each). The commonest atypical bacterium was Mycoplasma pneumoniae (n = 10, 11.1%), whereas the commonest viral etiology was influenza viruses (n = 11, 12.2%). Conclusion Although we could not determine the causative agent in some studied cases, this study provides preliminary data regarding the spectrum and frequency of microorganisms causing CAP in Egyptian infants and preschool children. PMID:27766169

  16. Novel relapsing fever Borrelia detected in African penguins (Spheniscus demersus) admitted to two rehabilitation centers in South Africa.

    PubMed

    Yabsley, Michael J; Parsons, Nola J; Horne, Elizabeth C; Shock, Barbara C; Purdee, Michaelle

    2012-03-01

    The African penguin, Spheniscus demersus, the only penguin species that breeds in Africa, is endangered, and several diseases including avian malaria, babesiosis, and aspergillosis are common in some populations. From 2002 to 2010, spirochetes morphologically consistent with Borrelia were observed on thin blood smears from 115 of 8,343 (1.4%) African penguins admitted to rehabilitation centers in the Western Cape and Eastern Cape provinces of South Africa. Prevalence rates were significantly higher among chicks and juveniles compared with adults and for birds sampled during the summer months of October to February compared with winter months. The majority of infected birds were ultimately released, despite lack of antibiotic treatment; however, at least one bird is believed to have died of borreliosis based on characteristic gross and microscopic lesions. Analysis of partial flaB gene sequences indicated this was a relapsing fever Borrelia most similar to a Borrelia sp. detected in soft ticks from a seabird colony in Japan. This represents the fourth report of a relapsing fever Borrelia sp. in an avian species and highlights the need for additional studies of potentially pathogenic organisms infecting the African penguin in South Africa. PMID:21870246

  17. Cardiac risk factors and metabolic syndrome in patients with schizophrenia admitted to a general hospital psychiatric unit

    PubMed Central

    Grover, Sandeep; Nebhinani, Naresh; Chakrabarti, Subho; Avasthi, Ajit; Basu, Debasish; Kulhara, Parmanand; Mattoo, Surendra Kumar; Malhotra, Savita

    2014-01-01

    Objective: The study aimed to evaluate the prevalence of cardiovascular risk (CVR) factors and metabolic syndrome (MS) in patients with schizophrenia. Materials and Methods: By consecutive sampling, 143 patients (of age ≥ 20 years), out of total 159 patients with schizophrenia admitted to the inpatient unit were evaluated for the coronary heart disease (CHD) risk as per Framingham (10-year all CHD events) function/risk equation and systematic coronary risk evaluation (SCORE) - 10-year cardiovascular mortality risk (CMR). Prevalence of MS was estimated by using the consensus definition. Results: Fifty-two (36.4%) patients fulfilled the criteria for MS. 10-year CHD risk was 1.65%, and 10-year CMR was 1.39%. Compared to females, males had higher Framingham score (1.96 ± 2.74 vs. 1.09 ± 0.41, U value 1987.5*, P < 0.05). Conclusion: Patients of schizophrenia have a high prevalence of MS and CVR factors. Hence, there is a need to screen the patient of schizophrenia for the same and manage the same as early as possible during the course of illness. PMID:25568478

  18. The Influence of Mining and Human Immunodeficiency Virus Infection Among Patients Admitted for Retreatment of Tuberculosis in Northern Tanzania.

    PubMed

    Mpagama, Stellah G; Lekule, Isaack A; Mbuya, Alexander W; Kisonga, Riziki M; Heysell, Scott K

    2015-08-01

    In tuberculosis (TB)-prevalent settings, patients admitted for retreatment of TB may account for a high burden of poor treatment outcome. We performed a retrospective cohort study to characterize retreatment patients and outcomes at a TB referral hospital in northern Tanzania. From 2009 to 2013, 185 patients began a retreatment regimen, the majority for relapse after prior treatment completion. Men accounted for an unexpected majority (88%), 36 (20%) were human immunodeficiency virus (HIV) infected and for 45 (24%) mining was their primary occupation. A poor outcome (death, default, or persistent smear positivity after 7 months of treatment) was found in 37 (23%). HIV infection was the only significant predictor of poor outcome (adjusted odds ratio [aOR] = 2.50, 95% confidence interval [CI] = 1.07-5.83, P = 0.034). Interventions to minimize need for retreatment or improve retreatment success may be regionally specific. In our setting, community-based diagnosis and management among at-risk subpopulations such as miners and those HIV infected appear of highest yield.

  19. The incidence of human herpesvirus 6 infection in children with febrile convulsion admitted to the University Hospital, Kuala Lumpur.

    PubMed

    Chua, K B; Lam, S K; AbuBakar, S; Koh, M T; Lee, W S

    1997-12-01

    From October 1996 to March 1997, 31 children with febrile convulsions were admitted to the University Hospital, Kuala Lumpur. Human Herpesvirus 6 (HHV 6) was virologically and/or serologically confirmed to be the cause of the febrile episode in 5 of these children (16.1%). Age, sex and other associated clinical features (diarrhoea, cough, running nose and type of seizure) were not useful in differentiating cases of febrile convulsion due to HHV 6 from those of other aetiology. However, uvulo-palatoglossal junctional ulcers were noted in children in whom the cause of the seizure could be attributed to HHV 6 but not in the remaining cases in the study group. HHV 6 DNA was detected in peripheral blood mononuclear cells from all patients with febrile convulsions attributed to HHV6, and in patients shown serologically to have already been exposed to the virus by nested polymerase chain reaction amplification. Only genotype HHV 6B was detected from patients with seizure due to HHV 6 but both genotype 6A and 6B were detected in the remaining cases studied.

  20. Postnatal demoralisation among women admitted to a hospital mother-baby unit: validation of a psychometric measure.

    PubMed

    Bobevski, I; Rowe, H; Clarke, D M; McKenzie, D P; Fisher, J

    2015-12-01

    Demoralisation is a psychological state characterised by experiences of distress and sadness, helplessness, subjective incompetence and hopelessness, in the context of a stressful situation. Experiences of demoralisation may be particularly relevant to women who have recently given birth, who can feel incompetent, isolated and helpless. The psychometric properties of the Demoralisation Scale among women in the postnatal period participating in a clinical program were examined. Women admitted with their infants to a hospital mother-baby unit in Australia for five nights were recruited consecutively (N = 209) and assessed at admission and discharge. The Demoralisation Scale was perceived as relevant and exhibited high reliability, acceptable construct validity and good sensitivity to change. The mean demoralisation score was high (M = 30.9, SD = 15.5) and associated with negative experiences of motherhood and functional impairment, independent of depression and anxiety symptoms. Mean demoralisation decreased significantly after program completion (M = 18.4, SD = 12.4). More participants showed a significant improvement in demoralisation (57.5 %) than in depression (34.8 %) and anxiety (9.8 %) symptoms. Demoralisation can provide a useful framework for understanding and measuring the experiences of women participating in postnatal clinical programs and in directing treatment towards helping women to acquire the necessary caregiving skills and increasing parental efficacy. The Demoralisation Scale is a useful clinical tool for assessing intervention effects. PMID:25520260

  1. EMPADE Study: Evaluation of Medical Prescriptions and Adverse Drug Events in COPD Patients Admitted to Intensive Care Unit

    PubMed Central

    Khan, M. Amer; Khan, M. Nematullah; Sultan, Ihtisham; Khan, M. Aamer; Ali, S. Amir; Farooqui, Afroze

    2015-01-01

    Introduction Inappropriate drug usage may preclude ideal benefit due to increased medical cost, antimicrobial resistance, adverse effects and mortality. Therefore drug utilization studies have become a plausible means in evaluating the healthcare systems. COPD management usually involves more than one drug which may escalate the risk of ADEs (adverse drug events). Aim The present study was aimed at assessing the current drug practice and ADEs in COPD management in ICU. Materials and Methods A total of 1,044 patients admitted for the treatment of COPD were included in the study. Their prescriptions were recorded for evaluation of drug utilization and patients were counseled for assessing ADEs. Results were evaluated by Chi-square test and percentages. Result All-embracing 15,360 drugs were prescribed at an average of 14.71 drugs per patient, wherein β2-agonists were extensively prescribed agents followed by inhaled-corticosteroids and anti-cholinergics. 372 ADEs were reported in 252 patients, wherein restlessness was the most frequent ADE and theophylline was found to be associated with highest cases of ADEs. Conclusion Practitioners should prescribe least number of drugs to mitigate the likelihood of adverse outcomes in patients due to numerous drugs usage, which may be achieved by following GOLD guidelines. The present work may help in improving the current management of COPD by rectifying the flaws delineated in this article. PMID:26675667

  2. Admitting offenders with antisocial personality disorder to a medium secure unit: a qualitative examination of multidisciplinary team decision-making

    PubMed Central

    McRae, Leon

    2012-01-01

    This paper reports on the results of a qualitative study funded by the Economic and Social Research Council (ESRC) looking at multidisciplinary team decisions to admit sentenced offenders with antisocial personality disorder to a medium secure unit. The aim of the study was to examine admission decision-making from a multidisciplinary perspective, and to explore the interprofessional dynamics and contextual pressures informing those decisions. The primary method of data collection was 12 semi-structured interviews with a convenience sample of various multidisciplinary staff involved in pre-admission assessment and post-assessment decision-making. Data was then coded according to the dialectic of competitive and cooperative goal seeking within groups. The findings suggest that, whilst both forms of goal seeking inform admission decisions, the presence of significant resource pressures will lead to decisional solidarity among the multidisciplinary team. When minor professional disagreements arise, they are resolved by the group leader, the Responsible Clinician, in order to maximise group productivity. It is argued that the discursive-limiting effect of resource pressures on group decision-making may weaken the morale of certain front line staff, if not undermine institutional purpose. PMID:24009472

  3. Etiology and Viral Genotype in Patients with End-Stage Liver Diseases admitted to a Hepatology Unit in Colombia

    PubMed Central

    Cortes-Mancera, Fabian; Loureiro, Carmen Luisa; Hoyos, Sergio; Restrepo, Juan-Carlos; Correa, Gonzalo; Jaramillo, Sergio; Norder, Helene; Pujol, Flor Helene; Navas, Maria-Cristina

    2011-01-01

    Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections are the principal risk factor associated to end-stage liver diseases in the world. A study was carried out on end-stage liver disease cases admitted to an important hepatology unit in Medellin, the second largest city in Colombia. From 131 patients recruited in this prospective study, 71% of cases were diagnosed as cirrhosis, 12.2% as HCC, and 16.8% as cirrhosis and HCC. Regarding the risk factors of these patients, alcohol consumption was the most frequent (37.4%), followed by viral etiology (17.6%). Blood and/or hepatic tissue samples from patients with serological markers for HCV or HBV infection were characterized; on the basis of the phylogenetic analysis of HCV 5′ UTR and HBV S gene, isolates belonged to HCV/1 and HBV/F3, respectively. These results confirm the presence of strains associated with poor clinical outcome, in patients with liver disease in Colombia; additionally, HBV basal core promoter double mutant was identified in HCC cases. Here we show the first study of cirrhosis and/or HCC in Colombian and HBV and HCV molecular characterization of these patients. Viral aetiology was not the main risk factor in this cohort but alcohol consumption. PMID:21941645

  4. Novel relapsing fever Borrelia detected in African penguins (Spheniscus demersus) admitted to two rehabilitation centers in South Africa.

    PubMed

    Yabsley, Michael J; Parsons, Nola J; Horne, Elizabeth C; Shock, Barbara C; Purdee, Michaelle

    2012-03-01

    The African penguin, Spheniscus demersus, the only penguin species that breeds in Africa, is endangered, and several diseases including avian malaria, babesiosis, and aspergillosis are common in some populations. From 2002 to 2010, spirochetes morphologically consistent with Borrelia were observed on thin blood smears from 115 of 8,343 (1.4%) African penguins admitted to rehabilitation centers in the Western Cape and Eastern Cape provinces of South Africa. Prevalence rates were significantly higher among chicks and juveniles compared with adults and for birds sampled during the summer months of October to February compared with winter months. The majority of infected birds were ultimately released, despite lack of antibiotic treatment; however, at least one bird is believed to have died of borreliosis based on characteristic gross and microscopic lesions. Analysis of partial flaB gene sequences indicated this was a relapsing fever Borrelia most similar to a Borrelia sp. detected in soft ticks from a seabird colony in Japan. This represents the fourth report of a relapsing fever Borrelia sp. in an avian species and highlights the need for additional studies of potentially pathogenic organisms infecting the African penguin in South Africa.

  5. The Psychosocial Characteristics Associated with NSSI and Suicide Attempt of Youth Admitted to an In-patient Psychiatric Unit

    PubMed Central

    Preyde, Michèle; Vanderkooy, John; Chevalier, Pat; Heintzman, John; Warne, Amanda; Barrick, Kendra

    2014-01-01

    Introduction: The purpose of this study was to explore the prevalence of self-harm and the psychosocial factors associated with self-harming behaviours in youth admitted to an in-patient psychiatric unit. Methods: Cross-sectional surveys of standardized measures were administered to youth and a separate survey to their caregivers while the youth were in hospital. Results: The mean age of the 123 youth who participated was 15.74 (SD 1.51) years, and 90 of 121 (74.38%) reported being female. Of the 115 who completed this question, 101 (87.83%) indicated that they thought of injuring themselves and 89 (77.39%) did engage in NSSI within the past month, and 78 of 116 (67%) reported that they had made an attempt to take their life. Youth who reported that they had attempted suicide (lifetime) reported significantly less difficulty with emotion regulation than youth who engaged in NSSI only, or both NSSI and suicide attempts. Conclusions: These youth reported a very high prevalence of self-harm, and in general substantial difficulty with regulating their emotions, and difficulty with their interpersonal relationships. The psychosocial distinctions evident between groups may have practical utility. PMID:24872825

  6. Morbidity and Mortality of Reptiles Admitted to the Australian Wildlife Health Centre, Healesville Sanctuary, Australia, 2000-13.

    PubMed

    Scheelings, T Franciscus

    2015-07-01

    Medical records of 931 reptiles admitted to the Australian Wildlife Health Centre, Healesville Sanctuary, Healesville, Victoria, Australia, from 2000 to 2013 were reviewed to determine the causes of morbidity and mortality. Thirty-nine species were presented; the most common were the common long-neck turtle (Chelodina longicollis; n = 311, 33.4%), the eastern bluetongue lizard (Tiliqua scincoides; n = 224, 4.1%), the blotched bluetongue lizard (Tiliqua nigrolutea; n = 136, 14.6%), and the lowland copperhead (Austrelaps superbus; n = 55, 5.9%). Trauma was the most significant reason for admissions, accounting for 73.0% of cases. This was followed by not injured (11.7%), displacement (6.4%), snake removal (4.2%), human interference (3.1%), introduced species (1.1%), sick/diseased (0.2%), and illegal pet (0.2%). Within the category of trauma, impact with motor vehicle (41.0% of trauma cases) and domestic animal attack (33.2% of trauma cases) were the most common subcategories. Our results indicate that indirect anthropogenic factors are a significant cause of morbidity and mortality in Australian reptiles.

  7. Concentration Polarization and Nonequilibrium Electro-osmotic Instability at an Ion-Selective Surface Admitting Normal Flow

    NASA Astrophysics Data System (ADS)

    Khair, Aditya

    2011-11-01

    We revisit and build upon on the prototypical problem of ion transport across a flat ideal ion-selective surface. Specifically, we examine the influence of imposed fluid flows on concentration polarization (CP) and electrokinetic instability at over-limiting currents. We consider an ion-selective surface, or membrane, that admits a uniform flow across itself. The membrane contacts an electrolyte, whose concentration is uniform in a well-mixed region at a prescribed distance from the membrane. A voltage across the system drives an ionic current, leading to CP in the ``unstirred layer'' between the membrane and well-mixed bulk. The CP reflects a balance between advection of ions with the ``normal flow'' and diffusion. A Peclet number, Pe, parameterizes their relative importance; note, Pe is signed, as the flow can be toward or away from the membrane. An asymptotic analysis for thin Debye layers reveals a nonlinear CP profile, in contrast to the familiar linear profile at Pe=0. Next, we consider over-limiting currents, wherein a non-equilibrium space-charge layer emerges near the membrane surface. Finally, we examine the instability of the quiescent concentration polarization due to second-kind electro-osmosis in the space-charge layer. A stability analysis shows that the imposed normal flow can enhance or retard the instability, depending on its direction.

  8. Detection and characterization of carbapenemase-producing Enterobacteriaceae in wounded Syrian patients admitted to hospitals in northern Israel.

    PubMed

    Lerner, A; Solter, E; Rachi, E; Adler, A; Rechnitzer, H; Miron, D; Krupnick, L; Sela, S; Aga, E; Ziv, Y; Peretz, A; Labay, K; Rahav, G; Geffen, Y; Hussein, K; Eluk, O; Carmeli, Y; Schwaber, M J

    2016-01-01

    Since 2013, four hospitals in northern Israel have been providing care for Syrian nationals, primarily those wounded in the ongoing civil war. We analyzed carbapenemase-producing Enterobacteriaceae (CPE) isolates obtained from these patients. Isolate identification was performed using the VITEK 2 system. Polymerase chain reaction (PCR) was performed for the presence of bla KPC, bla NDM, and bla OXA-48. Susceptibility testing and genotyping were performed on selected isolates. During the study period, 595 Syrian patients were hospitalized, most of them young men. Thirty-two confirmed CPE isolates were grown from cultures taken from 30 patients. All but five isolates were identified as Klebsiella pneumoniae and Escherichia coli. Nineteen isolates produced NDM and 13 produced OXA-48. Among a further 29 isolates tested, multilocus sequence typing (MLST) showed that ST278 and ST38 were the major sequence types among the NDM-producing K. pneumoniae and OXA-48-producing E. coli isolates, respectively. Most were resistant to all three carbapenems in use in Israel and to gentamicin, but susceptible to colistin and fosfomycin. The source for bacterial acquisition could not be determined; however, some patients admitted to different medical centers were found to carry the same sequence type. CPE containing bla NDM and bla OXA-48 were prevalent among Syrian wounded hospitalized patients in northern Israel. The finding of the same sequence type among patients at different medical centers implies a common, prehospital source for these patients. These findings have implications for public health throughout the region. PMID:26581423

  9. Quality of care in African-American patients admitted for congestive heart failure at a university teaching hospital.

    PubMed

    Ilksoy, Nurcan; Moore, Renee H; Easley, Kirk; Jacobson, Terry A

    2006-03-01

    Previous studies have shown that the quality of congestive heart failure (CHF) treatment for hospitalized patients varies. The goal of this study was to evaluate the compliance of physicians at a large, inner-city teaching hospital with current evidence-based guidelines. A retrospective review of the medical records of 104 patients admitted with CHF was conducted. Quality-of-care indicators were assessed, including the use of echocardiograms, the administration of angiotensin-converting enzyme (ACE) inhibitors and beta blockers to appropriate patients, and lifestyle and medication counseling at discharge. The assessment of left ventricular (LV) function was documented in 96.1% of patients (n = 100). A total of 65 patients (92.8%) with systolic dysfunction were considered to be ideal candidates for ACE inhibitor therapy. Of these 65 patients, 58 (89.2%) were discharged on ACE inhibitors. Of 41 patients with LV systolic dysfunction who were considered to be ideal candidates for beta-blocker therapy, only 10 (24.4%) were discharged on beta-blocker therapy. Of all patients with CHF, 50% received discharge counseling on medication compliance, 48% received counseling on a low-salt diet, and only 9% were told to monitor daily weight. This study shows that in a major academic teaching hospital, there is a need for improvement in the use of beta-blocker therapy as well as greater emphasis on patient education strategies regarding diet, medication adherence, and monitoring daily weight. PMID:16490439

  10. Chest physiotherapy on intracranial pressure of critically ill patients admitted to the intensive care unit: a systematic review

    PubMed Central

    Ferreira, Lucas Lima; Valenti, Vitor Engrácia; Vanderlei, Luiz Carlos Marques

    2013-01-01

    Objective To analyze the outcomes of increased or decreased intracranial pressure and/or the decrease in cerebral perfusion pressure resulting from respiratory physiotherapy on critically ill patients admitted to the intensive care unit. Methods Through a systematic review of the literature, clinical trials published between 2002 and 2012 were selected. The search involved the LILACS, SciELO, MedLine and PEDro databases using the keywords "physical therapy", "physiotherapy", "respiratory therapy" and "randomized controlled trials" combined with the keyword "intracranial pressure". Results In total, five studies, including a total of 164 patients between 25 and 65 years of age, reporting that respiratory physiotherapy maneuvers significantly increased intracranial pressure without changing the cerebral perfusion pressure were included. The articles addressed several techniques including vibration, vibrocompression, tapping, postural drainage, and the endotracheal aspiration maneuver. All patients required invasive mechanical ventilation. Conclusion Respiratory physiotherapy leads to increased intracranial pressure. Studies suggest that there are no short-term hemodynamic or respiratory repercussions or changes in the cerebral perfusion pressure. However, none of the studies evaluated the clinical outcomes or ensured the safety of the maneuvers. PMID:24553515

  11. Morbidity and Mortality of Reptiles Admitted to the Australian Wildlife Health Centre, Healesville Sanctuary, Australia, 2000-13.

    PubMed

    Scheelings, T Franciscus

    2015-07-01

    Medical records of 931 reptiles admitted to the Australian Wildlife Health Centre, Healesville Sanctuary, Healesville, Victoria, Australia, from 2000 to 2013 were reviewed to determine the causes of morbidity and mortality. Thirty-nine species were presented; the most common were the common long-neck turtle (Chelodina longicollis; n = 311, 33.4%), the eastern bluetongue lizard (Tiliqua scincoides; n = 224, 4.1%), the blotched bluetongue lizard (Tiliqua nigrolutea; n = 136, 14.6%), and the lowland copperhead (Austrelaps superbus; n = 55, 5.9%). Trauma was the most significant reason for admissions, accounting for 73.0% of cases. This was followed by not injured (11.7%), displacement (6.4%), snake removal (4.2%), human interference (3.1%), introduced species (1.1%), sick/diseased (0.2%), and illegal pet (0.2%). Within the category of trauma, impact with motor vehicle (41.0% of trauma cases) and domestic animal attack (33.2% of trauma cases) were the most common subcategories. Our results indicate that indirect anthropogenic factors are a significant cause of morbidity and mortality in Australian reptiles. PMID:26161722

  12. The Influence of Mining and Human Immunodeficiency Virus Infection among Patients Admitted for Retreatment of Tuberculosis in Northern Tanzania

    PubMed Central

    Mpagama, Stellah G.; Lekule, Isaack A.; Mbuya, Alexander W.; Kisonga, Riziki M.; Heysell, Scott K.

    2015-01-01

    In tuberculosis (TB)–prevalent settings, patients admitted for retreatment of TB may account for a high burden of poor treatment outcome. We performed a retrospective cohort study to characterize retreatment patients and outcomes at a TB referral hospital in northern Tanzania. From 2009 to 2013, 185 patients began a retreatment regimen, the majority for relapse after prior treatment completion. Men accounted for an unexpected majority (88%), 36 (20%) were human immunodeficiency virus (HIV) infected and for 45 (24%) mining was their primary occupation. A poor outcome (death, default, or persistent smear positivity after 7 months of treatment) was found in 37 (23%). HIV infection was the only significant predictor of poor outcome (adjusted odds ratio [aOR] = 2.50, 95% confidence interval [CI] = 1.07–5.83, P = 0.034). Interventions to minimize need for retreatment or improve retreatment success may be regionally specific. In our setting, community-based diagnosis and management among at-risk subpopulations such as miners and those HIV infected appear of highest yield. PMID:26013368

  13. Detecting livestock production zones.

    PubMed

    Grisi-Filho, J H H; Amaku, M; Ferreira, F; Dias, R A; Neto, J S Ferreira; Negreiros, R L; Ossada, R

    2013-07-01

    Communities are sets of nodes that are related in an important way, most likely sharing common properties and/or playing similar roles within a network. Unraveling a network structure, and hence the trade preferences and pathways, could be useful to a researcher or a decision maker. We implemented a community detection algorithm to find livestock communities, which is consistent with the definition of a livestock production zone, assuming that a community is a group of farm premises in which an animal is more likely to stay during its lifetime than expected by chance. We applied this algorithm to the network of animal movements within the state of Mato Grosso for 2007. This database holds information concerning 87,899 premises and 521,431 movements throughout the year, totaling 15,844,779 animals moved. The community detection algorithm achieved a network partition that shows a clear geographical and commercial pattern, two crucial features for preventive veterinary medicine applications; this algorithm provides also a meaningful interpretation to trade networks where links emerge based on trader node choices.

  14. Capillary zone electrophoresis

    SciTech Connect

    Jorgenson, J.W.; Lukacs, K.D.

    1983-10-21

    Zone electrophoresis in capillaries is a technique complementary to electrophoresis in supporting media, and each approach has its own particular advantages. Efficient heat transfer from small-diameter capillaries permits use of unusually high voltages, resulting in both high resolution and rapid analysis. Capillaries also seem well suited for automation. Our present electromigration injection technique is relatively straightforward and should be simple to automate. Capillaries are reusable, which is an advantage over gels. On-line electronic detection permits good quantification, further enhancing possibilities for fully automatic operation. The greatest obstacle to further development and utilization of capillaries is the requirement of extremely sensitive detectors, and more types of detectors with higher sensitivity are greatly needed. A better understanding of capillary surface modification will also be important, both for improved capillary surface deactivation and for better control over electroosmotic flow. Capillaries should provide an ideal system in which to explore nonaqueous separation media. The prospects for nonaqueous media in electrophoresis are similar to those in electrochemistry, and capillaries should prove an excellent system in which to begin their study. 18 refs., 8 figs.

  15. Classification of red variables

    NASA Technical Reports Server (NTRS)

    Mattei, Janet A.; Foster, Grant; Hurwitz, Leora A.; Malatesta, Kerriann H.; Willson, Lee Anne; Mennessier, Marie-Odile

    1997-01-01

    Red variables are traditionally classified into Mira, semiregular (SR), and slow irregular (L) variables. The Mira variables are the best defined subgroup, whereas SR and L stars are more numerous. The SR subgroup is additionally subdivided into: SRa variables, which feature regular variability with smaller pulsation amplitudes than Miras; SRb variables, which are less regular; SRc variables, which are more luminous; and SRd variables, which are warmer. Relationships within each group are not clear. An analysis of long-term American Association of Variable Star Observers (AAVSP) light curves is reported on. It is found that Mira-type variables are clearly different and distinguishable from SR variables. Similarly, M-type Miras and C-type Miras feature different light curve properties. The M-Miras form a homogeneous group. The pulsations of SR variables are unstable.

  16. A Profile of BC College Transfer Students Admitted to the University of British Columbia: 2000/01 to 2004/05

    ERIC Educational Resources Information Center

    Lambert-Maberly, Ashley

    2005-01-01

    This report examines the demographics, performance, and success of students who were admitted to the University of British Columbia on the basis of transfer credits earned at a BC college during the five year period comprising the 2000/01 through 2004/05 academic years. Data are provided that indicates the number of transfer students, where they…

  17. Age and Gender Differences in the Use of Various Poisoning Methods for Deliberate Parasuicide Cases Admitted to Loghman Hospital in Tehran (2000-2004)

    ERIC Educational Resources Information Center

    Ghazinour, Mehdi; Emami, Habib; Richter, Jorg; Abdollahi, Mohammad; Pazhumand, Abdolkarim

    2009-01-01

    Different methods of poisoning used by individuals with the diagnosis of parasuicide admitted to the Loghman Hospital, Tehran, from 2000 to 2004 were investigated, with particular focus on gender and age differences. Drugs, pesticides, and other agricultural chemicals (women: 12.7%, men: 9%) were the most commonly used methods. In males, the…

  18. Enrollment, Persistence and Graduation of Undergraduates Admitted to UC Davis by Special Action: 1975-1989. Research Synopsis: Student Affairs Research and Information No. 40.

    ERIC Educational Resources Information Center

    Hunziker, Celeste M.

    A study was done to determine enrollment, persistence and graduation patterns of domestic special action students at the University of California Davis. Special action students are the small portion who are admitted despite not meeting undergraduate eligibility requirements (specific course work, grade point average and standardized test scores)…

  19. Pandemic Influenza A H1N1 in Oman: Epidemiology, Clinical Features, and Outcome of Patients Admitted to Sultan Qaboos University Hospital in 2009

    PubMed Central

    Al-Busaidi, Mujahid; Al Maamari, Khuloud; Al’Adawi, Badriya; Alawi, Fatma Ba; Al-Wahaibi, Adil; Belkhair, Abdullah

    2016-01-01

    Objectives Oman experienced the H1N1 pandemic in 2009 that initially started in Mexico and the United States. We present the epidemiology, clinical features, and outcome of cases admitted to Sultan Qaboos University Hospital. Methods We retrospectively reviewed all patients admitted with confirmed influenza A H1N1 infection from August to December 2009. The study included adults and pediatric patients. We looked at the clinical and laboratory factors associated with increased length of hospital stay. Results There were 68 patients admitted with influenza A H1N1 infection, and their median age was 23 years. The most common symptoms were fever (100%) and cough (79.4%). The most common reason for admission was the severity of illness (69.1%). Lymphopenia was the most common hematological abnormality (41.8%). All patients received treatment with oseltamivir. One patient died secondary to multi-organ failure. On multivariate analysis, severity of illness, use of steroids, anemia, lymphopenia, and abnormal alanine amino transferase levels were associated with increased length of stay. Conclusions The H1N1 pandemic in Oman followed the international trends in terms of clinical presentation and laboratory values for patients admitted to the hospital. PMID:27403242

  20. Substance Abuse, Coping Strategies, Adaptive Skills and Behavioral and Emotional Problems in Clients with Mild to Borderline Intellectual Disability Admitted to a Treatment Facility: A Pilot Study

    ERIC Educational Resources Information Center

    Didden, Robert; Embregts, Petri; van der Toorn, Mirjam; Laarhoven, Nina

    2009-01-01

    Many clients with mild to borderline intellectual disability (ID) who are admitted to a treatment facility show serious problems in alcohol and/or drugs use. In the present case file study, we explored differences in coping strategies, adaptive skills and emotional and behavioral problems between clients who showed substance abuse and clients who…

  1. Profile of BC College Transfer Students Admitted to the University of Northern British Columbia: 2003/04 to 2007/08

    ERIC Educational Resources Information Center

    Kupp, Linda; Zajac, David

    2009-01-01

    This report provides a profile of undergraduate transfer students admitted to the University of Northern British Columbia from British Columbia colleges over the five-year fiscal period, 2003-04 to 2007-08 (Summer 2003 to Winter 2008). It includes a general profile of BC college transfer students, their academic performance while at UNBC, and a…

  2. Analytics For Distracted Driver Behavior Modeling in Dilemma Zone

    SciTech Connect

    Li, Jan-Mou; Malikopoulos, Andreas; Thakur, Gautam; Vatsavai, Raju

    2014-01-01

    In this paper, we present the results obtained and insights gained through the analysis of TRB contest data. We used exploratory analysis, regression, and clustering models for gaining insights into the driver behavior in a dilemma zone while driving under distraction. While simple exploratory analysis showed the distinguishing driver behavior patterns among different popu- lation groups in the dilemma zone, regression analysis showed statically signification relationships between groups of variables. In addition to analyzing the contest data, we have also looked into the possible impact of distracted driving on the fuel economy.

  3. Nutritional status and its relationship with bone mass density in postmenopausal women admitted in osteodensitometry center, Isfahan-Iran

    PubMed Central

    Paknahad, Zamzam; Mohammadifard, Noushin; Bonakdar, Zahra; Hasanzadeh, Akbar

    2014-01-01

    Introduction: Osteoporosis is a multifactorial disease and one of the most important modifiable factors in the development and maintenance of bone mass are nutrition nutritional status and its relationship with Bone Mass Density (BMD) in postmenopausal women admitted in osteodensitometry Center, Isfahan, Iran. Materials and Methods: Seventy-two postmenopausal osteoporotic women were studied. BMD of the lumbar spine and total hip were measured using dual-energy X-ray absorptiometry. Demographic and dietary intakes were collected by interview and using a validated food frequency questionnaires. T-scores, Pearson correlation and one way analysis of variance tests were conducted to analyze the data. Results: Mean of age and duration of menopause was nearly 57.5 ± 7.2 and 10.6 ± 7.1 years, respectively. The mean t-scores for BMD of spine and hip were 0.877 ± 0.179 and 0.997 ± 0.21, respectively. The mean of calcium (Ca), phosphorous (P), fluoride (F), Vitamin D, K and Zn were less than DRI and Na more than it (all P value less than 0.0001). BMD of hip was significantly correlated with dietary Ca, animal protein, Zn (P < 0.05), but BMD of spine did not show any significant correlation with nutrients (P > 0.05). Conclusion: Most of the postmenopausal osteoporotic women in this study had a considerable deficiency in terms of micronutrients such as Ca, vitamin D and P, which can be deleterious for bone health. PMID:25013841

  4. Clinical Characteristics and Short-Term Outcomes of HIV Patients Admitted to an African Intensive Care Unit

    PubMed Central

    Nabukenya, Mary; Semogerere, Lameck; Nantume, Cecilia; Clarke, Ian

    2016-01-01

    Purpose. In high-income countries, improved survival has been documented among intensive care unit (ICU) patients infected with human immune deficiency virus (HIV). There are no data from low-income country ICUs. We sought to identify clinical characteristics and survival outcomes among HIV patients in a low-income country ICU. Materials and Methods. A retrospective cohort study of HIV infected patients admitted to a university teaching hospital ICU in Uganda. Medical records were reviewed. Primary outcome was survival to hospital discharge. Statistical significance was predetermined in reference to P < 0.05. Results. There were 101 HIV patients. Average length of ICU stay was 4 days and ICU mortality was 57%. Mortality in non-HIV patients was 28%. Commonest admission diagnoses were Acute Respiratory Distress Syndrome (ARDS) (58.4%), multiorgan failure (20.8%), and sepsis (20.8%). The mean Acute Physiologic and Chronic Health Evaluation (APACHE II) score was 24. At multivariate analysis, APACHE II (OR 1.24 (95% CI: 1.1–1.4, P = 0.01)), mechanical ventilation (OR 1.14 (95% CI: 0.09–0.76, P = 0.01)), and ARDS (OR 4.5 (95% CI: 1.07–16.7, P = 0.04)) had a statistically significant association with mortality. Conclusion. ICU mortality of HIV patients is higher than in higher income settings and the non-HIV population. ARDS, APACHE II, and need for mechanical ventilation are significantly associated with mortality. PMID:27800179

  5. Assessing the Epidemiological Data and Management Methods of Body Packers Admitted to a Referral Center in Iran

    PubMed Central

    Alipour-faz, Athena; Shadnia, Shahin; Mirhashemi, Seyyed Hadi; Peyvandi, Maryam; Oroei, Mahbobeh; Shafagh, Omid; Peyvandi, Hassan; Peyvandi, Ali Asghar

    2016-01-01

    Abstract The incidence of smuggling and transporting illegal substances by internal concealment, also known as body packing, is on the rise. The clinical approach to such patients has been changed significantly over the past 2 decades. However, despite a recorded increase in body packing in general, there are controversies in the management of these patients. We aimed to gather data regarding the demographic characteristics, treatment, and outcome of body packers, which were that referred to Loghman Hakim Hospital, Tehran, Iran. The data of all body packers admitted to Loghman Hakim Hospital during 2010 to 2014 were evaluated retrospectively. Data regarding the demographic characteristics of the patients, findings of clinical imaging, treatment, and outcome were recorded. In this study, 175 individuals with a mean age of 31 ± 10 years were assessed. The most common concealed substances were crack (37%), crystal (17%), opium (13%), and heroin (6%). According to the results of surgery and imaging (abdominal radiography or computed tomography), the most common place for concealment was stomach in 33.3% and 12% of cases, respectively. Imaging findings were normal in 18% of the individuals. Forty-eight (27%) patients underwent surgery. The main indications for surgery were clinical manifestations of toxicity (79%) and obstruction of the gastro-intestinal tract (17%). The most common surgical techniques were laparotomy and gastrotomy (50%). The mean duration of hospitalization was 3.8 ± 4 days. The mortality rate was 3%. Conservative treatment of body packers seems to be the best treatment method. Careful monitoring of the patients for possible signs and symptoms of intoxication and gastro-intestinal obstruction is strongly recommended. PMID:27175693

  6. Pathogenesis and prognosis of neutropenia in infants and children admitted in a university children hospital in Egypt.

    PubMed

    Tantawy, Azza Abdel Gawad; Sallam, Tarif Hamza; Ibrahim, Dalia Mohamed; Sallam, Mohamed Tarif; Ragab, Iman Ahmed

    2013-02-01

    This study aimed to assess the prevalence, severity, and etiology of neutropenia in infants and children admitted to a children's hospital in Egypt. A total of 200 patients with neutropenia were recruited from April 1, 2010 to September 30, 2010. Patients with a known hematological or immunological disease were excluded. Patients were followed till recovery or an underlying cause was uncovered. Viral serological analysis was done for patients with moderate/severe neutropenia, including cytomegalovirus (CMV); Epstein-Barr virus (EBV); hepatitis A, B, and C viruses; and HIV. Antineutrophil cytoplasmic antibody (ANCA) tested by enzyme immunoassay and bone marrow aspirate were done for prolonged neutropenia. The results revealed that neutropenia was mild in 90 (45%), moderate in 56 (28%), and severe in 54 (27%). Clinical diagnosis at admission was bronchopneumonia (38%), pyrexia of undetermined etiology (17%), bronchiolitis (13%), urinary tract infection (9%), acute gastroenteritis (8%), hepatitis (6.5%), and septicemia (5%). Patients with mild neutropenia recovered within 1 week. Among 110 patients with moderate/severe neutropenia, 80 (73%) recovered in <3 weeks. Predictors of prolonged neutropenia were age younger than 18 months (P < .01), absolute neutrophils count (ANC) < 500/mm(3) (P < .05), hemoglobin < 10 gm/dL (P < .05), and positive CMV serology (P < .01). CMV and EBV serology were positive in 34.5% and 7.3% of patients, respectively. ANCA was positive in 42.8% of patients with prolonged severe neutropenia. In conclusion, neutropenia is a frequent finding in Egyptian infants and children, usually mild and transient, and mainly associated with infection. CMV and EBV are associated with prolonged neutropenia. Immune neutropenia is a common cause of moderate/severe neutropenia in the first two years of life. PMID:23190007

  7. Psychological distress in mothers of children admitted to a nutritional rehabilitation unit in Malawi - a comparison with other paediatric wards.

    PubMed

    Colman, Sarah; Stewart, Robert C; MacArthur, Christine; Kennedy, Neil; Tomenson, Barbara; Creed, Francis

    2015-10-01

    In a previous study we found a very high prevalence of psychological distress in mothers of children admitted to a nutritional rehabilitation unit (NRU) in Malawi, Africa. The objective of this study was to compare the prevalence and severity of maternal distress within the NRU with that in other paediatric wards. Given the known association between poor maternal psychological well-being and child undernutrition in low- and middle-income countries, we hypothesised that distress would be higher among NRU mothers. Mothers of consecutive paediatric inpatients in a NRU, a high-dependency (and research) unit and an oncology ward were assessed for psychological distress using the Self-Reporting Questionnaire (SRQ). Two hundred sixty-eight mothers were interviewed (90.3% of eligible). The prevalence of SRQ score ≥8 was 35/150 {23.3% [95% confidence interval (CI) 16.8- 30.9%]} on the NRU, 13/84 [15.5% (95% CI 8.5-25.0%)] on the high-dependency unit and 7/34 [20.6% (95% CI 8.7-37.9%)] on the oncology ward (χ(2)  = 2.04, P = 0.36). In linear regression analysis, the correlates of higher SRQ score were child diarrhoea on admission, child diagnosed with tuberculosis, and maternal experience of abuse by partner; child height-for-age z-score fell only just outside significance (P = 0.05). In summary, we found no evidence of greater maternal distress among the mothers of severely malnourished children within the NRU compared with mothers of paediatric inpatients with other severe illnesses. However, in support of previous research findings, we found some evidence that poor maternal psychological well-being is associated with child stunting and diarrhoea.

  8. Management of Chronic Obstructive Pulmonary Disease in Patients Admitted to a Tertiary Care Centre for Exacerbation of Their Disease

    PubMed Central

    Dault, Roxanne; Dubé, Anne-Isabelle; Blais, Lucie; Boileau, Robert; Larrivée, Pierre; Dumas, Mario-Eddy; Beauchesne, Marie-France

    2012-01-01

    Background: Acute exacerbation of chronic obstructive pulmonary disease (COPD) is associated with an accelerated decline in lung function and a significant decrease in health status. Maintenance therapy with respiratory medications can reduce the risk of such exacerbations. Objective: To determine whether respiratory maintenance medications were being prescribed in accordance with the 2007 COPD guidelines of the Canadian Thoracic Society for patients admitted to hospital for acute exacerbation of COPD. Methods: A chart review was conducted for admissions to the Centre hospitalier universitaire de Sherbrooke, in Sherbrooke, Quebec, for acute exacerbation of COPD (according to diagnostic codes in the International Statistical Classification of Diseases and Related Health Problems, 10th revision) between January 1, 2008, and January 31, 2011. Data were extracted from patients’ medical charts concerning respiratory medications prescribed before the admission, during the hospital stay, and at discharge. Results: A total of 846 hospital admissions involving 561 patients were reviewed. In almost 70% of admissions for which data were available on respiratory medications prescribed before the admission, during the hospital stay, and at discharge (238/341 [69.8%]), a combination of 3 medications was prescribed at discharge: tiotropium, a long-acting ß2 agonist, and an inhaled corticosteroid. For more than 80% of the admissions, a prescription for at least one inhaled long-acting bronchodilator was documented both on admission and at discharge. Few patients had a prescription for inhaled corticosteroid without long-acting ß2 agonist, but the number of admissions with a prescription for regular use of systemic corticosteroids increased at discharge. Conclusions: Respiratory medications were generally prescribed in accordance with Canadian COPD guidelines, but improvements could be made regarding use of the combination of tiotropium, long-acting ß2agonist, and inhaled

  9. Relationship between Cognitive Function, Depression/Anxiety and Functional Parameters in Patients Admitted for Congestive Heart Failure

    PubMed Central

    Feola, Mauro; Garnero, Sonia; Vallauri, Paola; Salvatico, Luigi; Vado, Antonello; Leto, Laura; Testa, Marzia

    2013-01-01

    Cognitive impairment, anxiety and depression have been described in patients with congestive heart failure (CHF). We analyzed in-hospital CHF patients before discharge with neuropsychological tests attempting to correlate with prognostic parameters. Methods: All subjects underwent a mini mental state examination (MMSE), geriatric depression scale (GDS), anxiety and depression scale test (HADS). We evaluated NYHA class, brain natriuretic peptide (BNP), left ventricular ejection fraction (LVEF) and non-invasive cardiac output (CO). Results: Three-hundred and three CHF patients (age 71.6 ys) were analysed. The mean NYHA class was 2.9±0.8, LVEF was 43.4±15.8%; BNP plasma level and CO were calculated as 579.8±688.4 pg/ml and 3.9±1.1 l/min, respectively. In 9.6% a pathological MMSE score emerged; a depression of mood in 18.2% and anxiety in 23.4% of patients were observed. A significant correlation between MMSE and age (r=0.11 p=0.001), BNP (r=0.64 p=0.03) but not between MMSE and NYHA class and LVEF was observed. GDS and HADS were inversely correlated with NYHA class (r=0.38 p=0.04) and six-minute walking test (r=0.18 p=0.01) without an association with objective parameters in CHF (BNP, LVEF and cardiac output). At multivariate analysis only MMSE and BNP are inversely correlated significantly (p=0.019 OR=-0.64, CI=-042-0.86). Conclusions: in-hospital CHF patients may manifest a reduction of MMSE and important anxiety/depression disorders. The results of the study suggest that the presence of cognitive impairment in older CHF patients with higher BNP plasma level should be considered. In admitted CHF patients anxiety and depression of mood are commonly reported and influenced the perception of the severity of illness. PMID:24044027

  10. Illicit substance use among persons admitted to probation polyclinic of a regional mental hospital in the Eastern Anatolia, Turkey

    PubMed Central

    Telo, Selda; Kaman, Dilara; Korkmaz, Sevda

    2016-01-01

    Objectives: To investigate the illicit substance use trends by gender and year in Eastern Turkey, Elazığ. Methods: This is a retrospective study designed to assess the drug use prevalence in persons who admitted to the Probation Policlinic of Elazig Mental Health Hospital between January 2011 and December 2014 in Eastern Turkey, Elazığ. Laboratory screening tests for drugs were studied using the cloned enzyme donor immunoassay technique in urine. Results: The study consisted of 10267 males (95.3%) and 510 females (4.7%), with a mean age of 30.42±10.83 years. Overall prevalence was 32.1% for cannabis, 3.8% for opiate, 0.35% for cocaine and 1.2% for polydrug usage. The prevalence of cannabis was significantly higher in males (32.7%, p=0.000). The prevalence of cannabis use was the lowest in the age group of 50-59 while it was significantly higher in the age groups of 20-29 and 30-39 (p=0.000). The prevalence of opiate use showed a significant difference among the years (p=0.000). There was a significant difference in the prevalence of cocaine use among the years (p=0.02). The prevalence of polysubstance use showed a significant difference among years (p=0.000). Conclusion: Cannabis was the most common illicit drug in the east of the Turkey. Further studies are required for comparing the results of various regions of the country and developing early interventions and treatment facilities. PMID:27381538

  11. Assessing the Epidemiological Data and Management Methods of Body Packers Admitted to a Referral Center in Iran.

    PubMed

    Alipour-Faz, Athena; Shadnia, Shahin; Mirhashemi, Seyyed Hadi; Peyvandi, Maryam; Oroei, Mahbobeh; Shafagh, Omid; Peyvandi, Hassan; Peyvandi, Ali Asghar

    2016-05-01

    The incidence of smuggling and transporting illegal substances by internal concealment, also known as body packing, is on the rise. The clinical approach to such patients has been changed significantly over the past 2 decades. However, despite a recorded increase in body packing in general, there are controversies in the management of these patients. We aimed to gather data regarding the demographic characteristics, treatment, and outcome of body packers, which were that referred to Loghman Hakim Hospital, Tehran, Iran.The data of all body packers admitted to Loghman Hakim Hospital during 2010 to 2014 were evaluated retrospectively. Data regarding the demographic characteristics of the patients, findings of clinical imaging, treatment, and outcome were recorded.In this study, 175 individuals with a mean age of 31 ± 10 years were assessed. The most common concealed substances were crack (37%), crystal (17%), opium (13%), and heroin (6%). According to the results of surgery and imaging (abdominal radiography or computed tomography), the most common place for concealment was stomach in 33.3% and 12% of cases, respectively. Imaging findings were normal in 18% of the individuals. Forty-eight (27%) patients underwent surgery. The main indications for surgery were clinical manifestations of toxicity (79%) and obstruction of the gastro-intestinal tract (17%). The most common surgical techniques were laparotomy and gastrotomy (50%). The mean duration of hospitalization was 3.8 ± 4 days. The mortality rate was 3%.Conservative treatment of body packers seems to be the best treatment method. Careful monitoring of the patients for possible signs and symptoms of intoxication and gastro-intestinal obstruction is strongly recommended. PMID:27175693

  12. 49 CFR 71.8 - Mountain zone.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 49 Transportation 1 2013-10-01 2013-10-01 false Mountain zone. 71.8 Section 71.8 Transportation Office of the Secretary of Transportation STANDARD TIME ZONE BOUNDARIES § 71.8 Mountain zone. The fourth zone, the mountain standard time zone, includes that part of the United States that is west of...

  13. 49 CFR 71.8 - Mountain zone.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 49 Transportation 1 2011-10-01 2011-10-01 false Mountain zone. 71.8 Section 71.8 Transportation Office of the Secretary of Transportation STANDARD TIME ZONE BOUNDARIES § 71.8 Mountain zone. The fourth zone, the mountain standard time zone, includes that part of the United States that is west of...

  14. 49 CFR 71.8 - Mountain zone.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 1 2010-10-01 2010-10-01 false Mountain zone. 71.8 Section 71.8 Transportation Office of the Secretary of Transportation STANDARD TIME ZONE BOUNDARIES § 71.8 Mountain zone. The fourth zone, the mountain standard time zone, includes that part of the United States that is west of...

  15. 49 CFR 71.8 - Mountain zone.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 49 Transportation 1 2012-10-01 2012-10-01 false Mountain zone. 71.8 Section 71.8 Transportation Office of the Secretary of Transportation STANDARD TIME ZONE BOUNDARIES § 71.8 Mountain zone. The fourth zone, the mountain standard time zone, includes that part of the United States that is west of...

  16. 49 CFR 71.8 - Mountain zone.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 49 Transportation 1 2014-10-01 2014-10-01 false Mountain zone. 71.8 Section 71.8 Transportation Office of the Secretary of Transportation STANDARD TIME ZONE BOUNDARIES § 71.8 Mountain zone. The fourth zone, the mountain standard time zone, includes that part of the United States that is west of...

  17. Capture zones for simple aquifers

    USGS Publications Warehouse

    McElwee, Carl D.

    1991-01-01

    Capture zones showing the area influenced by a well within a certain time are useful for both aquifer protection and cleanup. If hydrodynamic dispersion is neglected, a deterministic curve defines the capture zone. Analytical expressions for the capture zones can be derived for simple aquifers. However, the capture zone equations are transcendental and cannot be explicitly solved for the coordinates of the capture zone boundary. Fortunately, an iterative scheme allows the solution to proceed quickly and efficiently even on a modest personal computer. Three forms of the analytical solution must be used in an iterative scheme to cover the entire region of interest, after the extreme values of the x coordinate are determined by an iterative solution. The resulting solution is a discrete one, and usually 100-1000 intervals along the x-axis are necessary for a smooth definition of the capture zone. The presented program is written in FORTRAN and has been used in a variety of computing environments. No graphics capability is included with the program; it is assumed the user has access to a commercial package. The superposition of capture zones for multiple wells is expected to be satisfactory if the spacing is not too close. Because this program deals with simple aquifers, the results rarely will be the final word in a real application.

  18. Global root zone storage capacity from satellite-based evaporation

    NASA Astrophysics Data System (ADS)

    Wang-Erlandsson, Lan; Bastiaanssen, Wim G. M.; Gao, Hongkai; Jägermeyr, Jonas; Senay, Gabriel B.; van Dijk, Albert I. J. M.; Guerschman, Juan P.; Keys, Patrick W.; Gordon, Line J.; Savenije, Hubert H. G.

    2016-04-01

    This study presents an "Earth observation-based" method for estimating root zone storage capacity - a critical, yet uncertain parameter in hydrological and land surface modelling. By assuming that vegetation optimises its root zone storage capacity to bridge critical dry periods, we were able to use state-of-the-art satellite-based evaporation data computed with independent energy balance equations to derive gridded root zone storage capacity at global scale. This approach does not require soil or vegetation information, is model independent, and is in principle scale independent. In con