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Sample records for advantages include minimal

  1. The advantages of minimally invasive dentistry.

    PubMed

    Christensen, Gordon J

    2005-11-01

    Minimally invasive dentistry, in cases in which it is appropriate, is a concept that preserves dentitions and supporting structures. In this column, I have discussed several examples of minimally invasive dental techniques. This type of dentistry is gratifying for dentists and appreciated by patients. If more dentists would practice it, the dental profession could enhance the public's perception of its honesty and increase its professionalism as well.

  2. Minimally Invasive Suturectomy and Postoperative Helmet Therapy : Advantages and Limitations

    PubMed Central

    Chong, Sangjoon; Wang, Kyu-Chang; Phi, Ji Hoon; Lee, Ji Yeoun

    2016-01-01

    Various operative techniques are available for the treatment of craniosynostosis. The patient's age at presentation is one of the most important factors in the determination of the surgical modality. Minimally invasive suturectomy and postoperative helmet therapy may be performed for relatively young infants, whose age is younger than 6 months. It relies upon the potential for rapid brain growth in this age group. Its minimal invasiveness is also advantageous. In this article, we review the advantages and limitations of minimally invasive suturectomy followed by helmet therapy for the treatment of craniosynostosis. PMID:27226853

  3. [Minimally invasive surgery for knee total arthroplasty - evidence-based advantages?].

    PubMed

    Kirschner, S; Lützner, J; Schmitt, J

    2013-10-01

    The impact of minimally invasive surgical techniques for implantation of a total knee arthroplasty is evaluated according to evidence-based medicine criteria. The patient-relevant clinical question can be formulated as: Is the rehabilitation of osteoarthritis patients with minimally invasive implantation of total knee arthroplasty faster compared to those with the conventional approach. The available literature is sorted and critically appraised with regard to methodological quality and risk of bias. Following the results of the meta-analyses the clinical question can be positively answered. Following the aspect of a structured evolution for surgical techniques, the meaning of a minimally invasive technique for total knee arthroplasty cannot be answered finally. Under the impression of more frequent surgical complications, the rating of the procedure is conservative. A general advantage is not apparent. Further studies investigating surgical learning curves, proper patient selection and the selection of the patient for such techniques are required, before the final judgement on the use of this technique can be formed.

  4. Minimally invasive esthetic therapy: a case report describing the advantages of a multidisciplinary approach.

    PubMed

    Pinto, Rodrigo Carlos; Chambrone, Leandro; Colombini, Bella Luna; Ishikiriama, Sérgio Kiyoshi; Britto, Isabella Maria; Romito, Giuseppe Alexandre

    2013-05-01

    The decision-making process for the treatment of esthetic areas is based on the achievement of a healthy, harmonious, and pleasant smile. These conditions are directly associated with a solid knowledge of tooth anatomy and proportions, as well as the smile line, soft tissue morphology, and osseous architecture. To achieve these objectives, a multidisciplinary approach may be necessary to create long-term harmony between the final restoration and the adjacent teeth, and the health of the surrounding soft and hard tissues. This case report describes the application of a minimally invasive therapy on a 33-year-old woman seeking esthetic treatment. Minimally invasive periodontal plastic surgery associated with porcelain laminate veneers yielded satisfactory esthetics and minimal trauma to dental and periodontal tissues. Such a combined approach may be considered a viable option for the improvement of "white" and "red" esthetics.

  5. Advantage of Minimally Invasive Lateral Approach Relative to Conventional Deltopectoral Approach for Treatment of Proximal Humerus Fractures

    PubMed Central

    Liu, Kuan; Liu, Peng-cheng; Liu, Run; Wu, Xing

    2015-01-01

    Background Despite the wide application of open reduction and internal fixation with locking plates for the treatment of proximal humeral fractures, the surgical invasive approach remains controversial. This study aimed to evaluate the pros and cons of the minimally invasive lateral approach for the treatment of proximal humeral fracture (PHF) in comparison with the deltopectoral approach. Material/Methods All patients who sustained a PHF and received open reduction and internal fixation (ORIF) surgery with locking plate through either minimally invasive subacromial approach or conventional deltopectoral approach between January 2008 and February 2012 were retrospectively analyzed. Patients were divided into the conventional group and min-group according to the surgical incision. Surgery-related information, postoperative radiography, complications, and shoulder functional measurement scores in a 2-year follow-up were collected and evaluated. Results Ninety-one patients meeting the inclusion criteria were included in this study. We observed a significant difference in both surgery time (81.8±18.3 vs. 91.0±18.4) (p=0.021) and blood loss (172±54.2 vs. 205±73.6) (p=0.016) between the min-group and conventional group. Compared to the conventional group, the min-group had significantly better Constant-Murley score and DASH score at early follow-up (p<0.05) and higher patients satisfaction rate (8.1±1.1 vs. 7.6±1.2) (p= 0.019). The multiple linear regression analysis indicated that age, PHF types, surgical groups, surgery time, and blood loss have significant effect on the activity of affected shoulder in both abduction and forward flexion (p<0.05) except for gender factor. While larger range of movement of the affected shoulder, mainly in the 2-part and 3-part fractures, was observed in the min-group, the conventional group obtained better movement in the 4-part fractures. Conclusions The minimally invasive lateral approach is the optimal alternative for the

  6. Metastatic atypical fibroxanthoma: a series of 11 cases including with minimal and no subcutaneous involvement.

    PubMed

    Wang, Wei-Lien; Torres-Cabala, Carlos; Curry, Jonathan L; Ivan, Doina; McLemore, Michael; Tetzlaff, Michael; Zembowicz, Artur; Prieto, Victor G; Lazar, Alexander J

    2015-06-01

    Atypical fibroxanthoma (AFX) is a dermal mesenchymal neoplasm arising in sun-damaged skin, primarily of the head and neck region of older men. Conservative excision cures most. However, varying degrees of subcutaneous involvement can lead to a more aggressive course and rare metastases. Thus, AFX involving the subcutis are termed pleomorphic dermal sarcomas or other monikers by some to recognize the more threatening natural history. We reviewed cases of "metastatic AFX" from our institution and from the files of a consultative dermatopathology practice. Nine of 152 patients with AFX were identified at a single institution (2000-2011). Two additional patients were identified from the files of a consultative practice. Clinical, radiological, and pathological features were reviewed and cases with histologically verified metastases identified. Median age was 67 (range, 45-91) years, all male, and involving the head and neck region. Two cases had no documented involvement of the subcutis, and 2 cases had only superficial subcutis involvement. Median time to metastases was 13 (range, 8-49) months. Three patients developed solitary regional lymph node metastases while 8 had widespread metastases. Five patients developed local recurrence within 8 months, and all 5 developed widespread metastasis. With median follow-up of 26 (range, 10-145) months, 6 died of disease (median, 19 months; range, 10-35 months), 4 were alive and well, and 1 was alive with disease. AFX has very rare metastatic potential, even those without or with minimal subcutis involvement, and can lead to mortality. Most metastasis and local recurrence occurred within 1 year of presentation. Solitary regional metastases were associated with better outcomes than those with multiple distant metastases. Patients with repeated local recurrences portended more aggressive disease including development of distant metastases. PMID:25590287

  7. Minimally nonlocal nucleon-nucleon potentials with chiral two-pion exchange including Δ resonances

    DOE PAGES

    Piarulli, M.; Girlanda, L.; Schiavilla, R.; Pérez, R. Navarro; Amaro, J. E.; Arriola, E. Ruiz

    2015-02-26

    In this study, we construct a coordinate-space chiral potential, including Δ-isobar intermediate states in its two-pion-exchange component up to order Q3 (Q denotes generically the low momentum scale). The contact interactions entering at next-to-leading and next-to-next-to-next-to-leading orders (Q2 and Q4, respectively) are rearranged by Fierz transformations to yield terms at most quadratic in the relative momentum operator of the two nucleons. The low-energy constant multiplying these contact interactions are fitted to the 2013 Granada database, consisting of 2309 pp and 2982 np data (including, respectively, 148 and 218 normalizations) in the laboratory-energy range 0–300 MeV. For the total 5291 $pp$more » and $np$ data in this range, we obtain a Χ2 /datum of roughly 1.3 for a set of three models characterized by long- and short-range cutoffs, RL and RS respectively, ranging from (RL,RS)=(1.2,0.8) fm down to (0.8,0.6) fm. The long-range (short-range) cutoff regularizes the one- and two-pion exchange (contact) part of the potential.« less

  8. Parents' Adoption of Social Communication Intervention Strategies: Families Including Children with Autism Spectrum Disorder Who are Minimally Verbal.

    PubMed

    Shire, Stephanie Y; Goods, Kelly; Shih, Wendy; Distefano, Charlotte; Kaiser, Ann; Wright, Courtney; Mathy, Pamela; Landa, Rebecca; Kasari, Connie

    2015-06-01

    Notably absent from the intervention literature are parent training programs targeting school-aged children with autism who have limited communication skills (Tager-Flusberg and Kasari in Autism Res 6:468-478, 2013). Sixty-one children with autism age 5-8 with minimal spontaneous communication received a 6-month social communication intervention including parent training. Parent-child play interactions were coded for parents' strategy implementation and children's time jointly engaged (Adamson et al. in J Autism Dev Disord 39:84-96, 2009). Parents mastered an average of 70% of the strategies. Further analyses indicated some gains in implementation occurred from mere observation of sessions, while the greatest gains occurred in the first month of active coaching and workshops. Children's joint engagement was associated with parents' implementation success across time demonstrating parents' implementation was relevant to children's social engagement.

  9. Parents' Adoption of Social Communication Intervention Strategies: Families Including Children with Autism Spectrum Disorder Who are Minimally Verbal

    PubMed Central

    Goods, Kelly; Shih, Wendy; Mucchetti, Charlotte; Kaiser, Ann; Wright, Courtney; Mathy, Pamela; Landa, Rebecca; Kasari, Connie

    2015-01-01

    Notably absent from the intervention literature are parent training programs targeting school-aged children with autism who have limited communication skills (Tager-Flusberg and Kasari in Autism Res 6:468–478, 2013). Sixty-one children with autism age 5–8 with minimal spontaneous communication received a 6-month social communication intervention including parent training. Parent–child play interactions were coded for parents' strategy implementation and children's time jointly engaged (Adamson et al. in J Autism Dev Disord 39:84–96, 2009). Parents mastered an average of 70 % of the strategies. Further analyses indicated some gains in implementation occurred from mere observation of sessions, while the greatest gains occurred in the first month of active coaching and workshops. Children's joint engagement was associated with parents' implementation success across time demonstrating parents' implementation was relevant to children's social engagement. PMID:25475363

  10. Parents' Adoption of Social Communication Intervention Strategies: Families Including Children with Autism Spectrum Disorder Who Are Minimally Verbal

    ERIC Educational Resources Information Center

    Shire, Stephanie Y.; Goods, Kelly; Shih, Wendy; Distefano, Charlotte; Kaiser, Ann; Wright, Courtney; Mathy, Pamela; Landa, Rebecca; Kasari, Connie

    2015-01-01

    Notably absent from the intervention literature are parent training programs targeting school-aged children with autism who have limited communication skills (Tager-Flusberg and Kasari in "Autism Res" 6:468-478, 2013). Sixty-one children with autism age 5-8 with minimal spontaneous communication received a 6-month social communication…

  11. Screening a large, ethnically diverse population of human embryonic stem cells identifies a chromosome 20 minimal amplicon that confers a growth advantage

    PubMed Central

    2012-01-01

    The International Stem Cell Initiative analyzed 125 human embryonic stem (ES) cell lines and 11 induced pluripotent stem (iPS) cell lines, from 38 laboratories worldwide, for genetic changes occurring during culture. Most lines were analyzed at an early and late passage. Single-nucleotide polymorphism (SNP) analysis revealed that they included representatives of most major ethnic groups. Most lines remained karyotypically normal, but there was a progressive tendency to acquire changes on prolonged culture, commonly affecting chromosomes 1, 12, 17 and 20. DNA methylation patterns changed haphazardly with no link to time in culture. Structural variants, determined from the SNP arrays, also appeared sporadically. No common variants related to culture were observed on chromosomes 1, 12 and 17, but a minimal amplicon in chromosome 20q11.21, including three genes, ID1, BCL2L1 and HM13, expressed in human ES cells, occurred in >20% of the lines. Of these genes, BCL2L1 is a strong candidate for driving culture adaptation of ES cells. PMID:22119741

  12. Minimally nonlocal nucleon-nucleon potentials with chiral two-pion exchange including Δ resonances

    SciTech Connect

    Piarulli, M.; Girlanda, L.; Schiavilla, R.; Pérez, R. Navarro; Amaro, J. E.; Arriola, E. Ruiz

    2015-02-26

    In this study, we construct a coordinate-space chiral potential, including Δ-isobar intermediate states in its two-pion-exchange component up to order Q3 (Q denotes generically the low momentum scale). The contact interactions entering at next-to-leading and next-to-next-to-next-to-leading orders (Q2 and Q4, respectively) are rearranged by Fierz transformations to yield terms at most quadratic in the relative momentum operator of the two nucleons. The low-energy constant multiplying these contact interactions are fitted to the 2013 Granada database, consisting of 2309 pp and 2982 np data (including, respectively, 148 and 218 normalizations) in the laboratory-energy range 0–300 MeV. For the total 5291 $pp$ and $np$ data in this range, we obtain a Χ2 /datum of roughly 1.3 for a set of three models characterized by long- and short-range cutoffs, RL and RS respectively, ranging from (RL,RS)=(1.2,0.8) fm down to (0.8,0.6) fm. The long-range (short-range) cutoff regularizes the one- and two-pion exchange (contact) part of the potential.

  13. Advantage of Minimal Anterior Knee Pain and Long-term Survivorship of Cemented Single Radius Posterior-Stabilized Total Knee Arthroplasty without Patella Resurfacing

    PubMed Central

    Ji, Hyung-Min; Baek, Ji-Hoon; Ko, Young-Bong

    2015-01-01

    Background The single radius total knee prosthesis was introduced with the advantage of reduced patellar symptoms; however, there is no long-term follow-up study of the same. The purpose of this study was to determine the survival rate of single radius posterior-stabilized total knee arthroplasty and patellofemoral complication rates in a consecutive series. Methods Seventy-one patients (103 knees) who underwent arthroplasty without patellar resurfacing using a single radius posterior-stabilized total knee prosthesis were followed up for a minimum 10 years. Clinical evaluation using Knee Society knee and function scores and radiologic evaluation were performed at regular intervals. Anterior knee pain as well as patellofemoral complications were evaluated with a simple questionnaire. The Kaplan-Meier product-limit method was used to estimate survival. Results Seventeen patients (23 knees) were excluded due to death (12 knees) or lost to follow-up (11 knees). Of the 80 knees enrolled, all femoral components and 78 tibial components were well fixed without loosening at final follow-up. Two revisions were performed because of tibial component loosening and periprosthetic joint infection. One patient with tibial component loosening refused to have revision surgery. No obvious tibial insert polyethylene wear was observed. The survivorships at 132 months were 96.7% using revision or pending revision as end points. Anterior knee pain was present in 6 patients (6 knees, 7.5%) at the latest follow-up. No patellofemoral complication requiring revision was encountered. Conclusions The single radius posterior-stabilized total knee prosthesis demonstrated an excellent minimum 10-year survivorship. The low rates of implant loosening and 7.5% of anterior knee pain as a patellofemoral complication are comparable with those reported for other modern total knee prosthesis. PMID:25729519

  14. Educational advantage.

    PubMed

    2006-06-01

    WHAT SPECIAL ADVANTAGE DOES JERHRE offer to research ethics education? Empirical research employs concepts and methods for understanding and addressing problems; the methods employed can be generalized to related problems in new contexts. Research published in JERHRE uses concepts and methods designed to understand and solve ethical problems in human research. These tools can be reused by JERHRE's readership as part of their learning and problem solving. Instead of telling scientists, students, ethics committee members and others what they ought to do, educators can use curriculum based on the empirical articles contained in JERHRE to enable learners to solve the particular research-related problems they confront. Each issue of JERHRE publishes curriculum based on articles published therein. The lesson plans are deliberately general so that they can be adapted to the particular learners.

  15. Educational advantage.

    PubMed

    2006-06-01

    WHAT SPECIAL ADVANTAGE DOES JERHRE offer to research ethics education? Empirical research employs concepts and methods for understanding and addressing problems; the methods employed can be generalized to related problems in new contexts. Research published in JERHRE uses concepts and methods designed to understand and solve ethical problems in human research. These tools can be reused by JERHRE's readership as part of their learning and problem solving. Instead of telling scientists, students, ethics committee members and others what they ought to do, educators can use curriculum based on the empirical articles contained in JERHRE to enable learners to solve the particular research-related problems they confront. Each issue of JERHRE publishes curriculum based on articles published therein. The lesson plans are deliberately general so that they can be adapted to the particular learners. PMID:19385873

  16. Educational advantage.

    PubMed

    2006-03-01

    What special advantage does JERHRE offer to research ethics education? Empirical research employs concepts and methods for understanding and addressing problems; the methods employed can be generalized to related problems in new contexts. Research published in JERHRE uses concepts and methods designed to understand and solve ethical problems in human research. These tools can be reused by JERHRE's readership as part of their learning and problem solving. Instead of telling scientists, students, ethics committee members and others what they ought to do, educators can use curriculum based on the empirical articles contained in JERHRE to enable learners to solve the particular research-related problems they confront. Each issue of JERHRE publishes curriculum based on articles published therein. The lesson plans are deliberately general so that they can be adapted to the particular learners. PMID:19385863

  17. Minimally invasive pancreatic surgery.

    PubMed

    Yiannakopoulou, E

    2015-12-01

    Minimally invasive pancreatic surgery is feasible and safe. Laparoscopic distal pancreatectomy should be widely adopted for benign lesions of the pancreas. Laparoscopic pancreaticoduodenectomy, although technically demanding, in the setting of pancreatic ductal adenocarcinoma has a number of advantages including shorter hospital stay, faster recovery, allowing patients to recover in a timelier manner and pursue adjuvant treatment options. Furthermore, it seems that progression-free survival is longer in patients undergoing laparoscopic pancreaticoduodenectomy in comparison with those undergoing open pancreaticoduodenectomy. Minimally invasive middle pancreatectomy seems appropriate for benign or borderline tumors of the neck of the pancreas. Technological advances including intraoperative ultrasound and intraoperative fluorescence imaging systems are expected to facilitate the wide adoption of minimally invasive pancreatic surgery. Although, the oncological outcome seems similar with that of open surgery, there are still concerns, as the majority of relevant evidence comes from retrospective studies. Large multicenter randomized studies comparing laparoscopic with open pancreatectomy as well as robotic assisted with both open and laparoscopic approaches are needed. Robotic approach could be possibly shown to be less invasive than conventional laparoscopic approach through the less traumatic intra-abdominal handling of tissues. In addition, robotic approach could enable the wide adoption of the technique by surgeon who is not that trained in advanced laparoscopic surgery. A putative clinical benefit of minimally invasive pancreatic surgery could be the attenuated surgical stress response leading to reduced morbidity and mortality as well as lack of the detrimental immunosuppressive effect especially for the oncological patients. PMID:26530291

  18. Minimally invasive mediastinal surgery

    PubMed Central

    Melfi, Franca M. A.; Mussi, Alfredo

    2016-01-01

    In the past, mediastinal surgery was associated with the necessity of a maximum exposure, which was accomplished through various approaches. In the early 1990s, many surgical fields, including thoracic surgery, observed the development of minimally invasive techniques. These included video-assisted thoracic surgery (VATS), which confers clear advantages over an open approach, such as less trauma, short hospital stay, increased cosmetic results and preservation of lung function. However, VATS is associated with several disadvantages. For this reason, it is not routinely performed for resection of mediastinal mass lesions, especially those located in the anterior mediastinum, a tiny and remote space that contains vital structures at risk of injury. Robotic systems can overcome the limits of VATS, offering three-dimensional (3D) vision and wristed instrumentations, and are being increasingly used. With regards to thymectomy for myasthenia gravis (MG), unilateral and bilateral VATS approaches have demonstrated good long-term neurologic results with low complication rates. Nevertheless, some authors still advocate the necessity of maximum exposure, especially when considering the distribution of normal and ectopic thymic tissue. In recent studies, the robotic approach has shown to provide similar neurological outcomes when compared to transsternal and VATS approaches, and is associated with a low morbidity. Importantly, through a unilateral robotic technique, it is possible to dissect and remove at least the same amount of mediastinal fat tissue. Preliminary results on early-stage thymomatous disease indicated that minimally invasive approaches are safe and feasible, with a low rate of pleural recurrence, underlining the necessity of a “no-touch” technique. However, especially for thymomatous disease characterized by an indolent nature, further studies with long follow-up period are necessary in order to assess oncologic and neurologic results through minimally

  19. Minimally invasive parathyroid surgery

    PubMed Central

    Noureldine, Salem I.; Gooi, Zhen

    2015-01-01

    Traditionally, bilateral cervical exploration for localization of all four parathyroid glands and removal of any that are grossly enlarged has been the standard surgical treatment for primary hyperparathyroidism (PHPT). With the advances in preoperative localization studies and greater public demand for less invasive procedures, novel targeted, minimally invasive techniques to the parathyroid glands have been described and practiced over the past 2 decades. Minimally invasive parathyroidectomy (MIP) can be done either through the standard Kocher incision, a smaller midline incision, with video assistance (purely endoscopic and video-assisted techniques), or through an ectopically placed, extracervical, incision. In current practice, once PHPT is diagnosed, preoperative evaluation using high-resolution radiographic imaging to localize the offending parathyroid gland is essential if MIP is to be considered. The imaging study results suggest where the surgeon should begin the focused procedure and serve as a road map to allow tailoring of an efficient, imaging-guided dissection while eliminating the unnecessary dissection of multiple glands or a bilateral exploration. Intraoperative parathyroid hormone (IOPTH) levels may be measured during the procedure, or a gamma probe used during radioguided parathyroidectomy, to ascertain that the correct gland has been excised and that no other hyperfunctional tissue is present. MIP has many advantages over the traditional bilateral, four-gland exploration. MIP can be performed using local anesthesia, requires less operative time, results in fewer complications, and offers an improved cosmetic result and greater patient satisfaction. Additional advantages of MIP are earlier hospital discharge and decreased overall associated costs. This article aims to address the considerations for accomplishing MIP, including the role of preoperative imaging studies, intraoperative adjuncts, and surgical techniques. PMID:26425454

  20. Minimal Reduplication

    ERIC Educational Resources Information Center

    Kirchner, Jesse Saba

    2010-01-01

    This dissertation introduces Minimal Reduplication, a new theory and framework within generative grammar for analyzing reduplication in human language. I argue that reduplication is an emergent property in multiple components of the grammar. In particular, reduplication occurs independently in the phonology and syntax components, and in both cases…

  1. Minimally Invasive Valve Surgery

    PubMed Central

    Pope, Nicolas H.; Ailawadi, Gorav

    2014-01-01

    Cardiac valve surgery is life saving for many patients. The advent of minimally invasive surgical techniques has historically allowed for improvement in both post-operative convalescence and important clinical outcomes. The development of minimally invasive cardiac valve repair and replacement surgery over the past decade is poised to revolutionize the care of cardiac valve patients. Here, we present a review of the history and current trends in minimally invasive aortic and mitral valve repair and replacement, including the development of sutureless bioprosthetic valves. PMID:24797148

  2. [MINIMALLY INVASIVE AORTIC VALVE REPLACEMENT].

    PubMed

    Tabata, Minoru

    2016-03-01

    Minimally invasive aortic valve replacement (MIAVR) is defined as aortic valve replacement avoiding full sternotomy. Common approaches include a partial sternotomy right thoracotomy, and a parasternal approach. MIAVR has been shown to have advantages over conventional AVR such as shorter length of stay and smaller amount of blood transfusion and better cosmesis. However, it is also known to have disadvantages such as longer cardiopulmonary bypass and aortic cross-clamp times and potential complications related to peripheral cannulation. Appropriate patient selection is very important. Since the procedure is more complex than conventional AVR, more intensive teamwork in the operating room is essential. Additionally, a team approach during postoperative management is critical to maximize the benefits of MIAVR.

  3. Competitive Intelligence and Social Advantage.

    ERIC Educational Resources Information Center

    Davenport, Elisabeth; Cronin, Blaise

    1994-01-01

    Presents an overview of issues concerning civilian competitive intelligence (CI). Topics discussed include competitive advantage in academic and research environments; public domain information and libraries; covert and overt competitive intelligence; data diversity; use of the Internet; cooperative intelligence; and implications for library and…

  4. Minimal cosmography

    NASA Astrophysics Data System (ADS)

    Piazza, Federico; Schücker, Thomas

    2016-04-01

    The minimal requirement for cosmography—a non-dynamical description of the universe—is a prescription for calculating null geodesics, and time-like geodesics as a function of their proper time. In this paper, we consider the most general linear connection compatible with homogeneity and isotropy, but not necessarily with a metric. A light-cone structure is assigned by choosing a set of geodesics representing light rays. This defines a "scale factor" and a local notion of distance, as that travelled by light in a given proper time interval. We find that the velocities and relativistic energies of free-falling bodies decrease in time as a consequence of cosmic expansion, but at a rate that can be different than that dictated by the usual metric framework. By extrapolating this behavior to photons' redshift, we find that the latter is in principle independent of the "scale factor". Interestingly, redshift-distance relations and other standard geometric observables are modified in this extended framework, in a way that could be experimentally tested. An extremely tight constraint on the model, however, is represented by the blackbody-ness of the cosmic microwave background. Finally, as a check, we also consider the effects of a non-metric connection in a different set-up, namely, that of a static, spherically symmetric spacetime.

  5. The Certification Advantage

    ERIC Educational Resources Information Center

    Foster, John C.; Pritz, Sandra G.

    2006-01-01

    Certificates have become an important career credential and can give students an advantage when they enter the workplace. However, many types of certificates exist, and the number of people seeking them and organizations offering them are both growing rapidly. In a time of such growth, the authors review some of the basics about certification--the…

  6. Advantages of Team Teaching

    ERIC Educational Resources Information Center

    Frey, John

    1973-01-01

    Describes a high school biology program which successfully utilizes team teaching. Outlines the advantages of team teaching and how it is used in the large group lecture-discussion situation, with small groups in the laboratory and on field trips. (JR)

  7. [Minimally invasive operations in vascular surgery].

    PubMed

    Stádler, Petr; Sedivý, Petr; Dvorácek, Libor; Slais, Marek; Vitásek, Petr; El Samman, Khaled; Matous, Pavel

    2011-01-01

    Minimally invasive surgery provides an attractive alternative compared with conventional surgical approaches and is popular with patients, particularly because of its favourable cosmetic results. Vascular surgery has taken its inspiration from general surgery and, over the past few years, has also been reducing the invasiveness of its operating methods. In addition to traditional laparoscopic techniques, we most frequently encounter the endovascular treatment of aneurysms of the thoracic and abdominal aorta and, most recently, robot-assisted surgery in the area of the abdominal aorta and pelvic arteries. Minimally invasive surgical interventions also have other advantages, including less operative trauma, a reduction in post-operative pain, shorter periods spent in the intensive care unit and overall hospitalization times, an earlier return to normal life and, finally, a reduction in total treatment costs.

  8. Creating corporate advantage.

    PubMed

    Collis, D J; Montgomery, C A

    1998-01-01

    What differentiates truly great corporate strategies from the merely adequate? How can executives at the corporate level create tangible advantage for their businesses that makes the whole more than the sum of the parts? This article presents a comprehensive framework for value creation in the multibusiness company. It addresses the most fundamental questions of corporate strategy: What businesses should a company be in? How should it coordinate activities across businesses? What role should the corporate office play? How should the corporation measure and control performance? Through detailed case studies of Tyco International, Sharp, the Newell Company, and Saatchi and Saatchi, the authors demonstrate that the answers to all those questions are driven largely by the nature of a company's special resources--its assets, skills, and capabilities. These range along a continuum from the highly specialized at one end to the very general at the other. A corporation's location on the continuum constrains the set of businesses it should compete in and limits its choices about the design of its organization. Applying the framework, the authors point out the common mistakes that result from misaligned corporate strategies. Companies mistakenly enter businesses based on similarities in products rather than the resources that contribute to competitive advantage in each business. Instead of tailoring organizational structures and systems to the needs of a particular strategy, they create plain-vanilla corporate offices and infrastructures. The company examples demonstrate that one size does not fit all. One can find great corporate strategies all along the continuum.

  9. Creating corporate advantage.

    PubMed

    Collis, D J; Montgomery, C A

    1998-01-01

    What differentiates truly great corporate strategies from the merely adequate? How can executives at the corporate level create tangible advantage for their businesses that makes the whole more than the sum of the parts? This article presents a comprehensive framework for value creation in the multibusiness company. It addresses the most fundamental questions of corporate strategy: What businesses should a company be in? How should it coordinate activities across businesses? What role should the corporate office play? How should the corporation measure and control performance? Through detailed case studies of Tyco International, Sharp, the Newell Company, and Saatchi and Saatchi, the authors demonstrate that the answers to all those questions are driven largely by the nature of a company's special resources--its assets, skills, and capabilities. These range along a continuum from the highly specialized at one end to the very general at the other. A corporation's location on the continuum constrains the set of businesses it should compete in and limits its choices about the design of its organization. Applying the framework, the authors point out the common mistakes that result from misaligned corporate strategies. Companies mistakenly enter businesses based on similarities in products rather than the resources that contribute to competitive advantage in each business. Instead of tailoring organizational structures and systems to the needs of a particular strategy, they create plain-vanilla corporate offices and infrastructures. The company examples demonstrate that one size does not fit all. One can find great corporate strategies all along the continuum. PMID:10179655

  10. Binocular advantages in reading.

    PubMed

    Jainta, Stephanie; Blythe, Hazel I; Liversedge, Simon P

    2014-03-01

    Reading, an essential skill for successful function in today's society, is a complex psychological process involving vision, memory, and language comprehension. Variability in fixation durations during reading reflects the ease of text comprehension, and increased word frequency results in reduced fixation times. Critically, readers not only process the fixated foveal word but also preprocess the parafoveal word to its right, thereby facilitating subsequent foveal processing. Typically, text is presented binocularly, and the oculomotor control system precisely coordinates the two frontally positioned eyes online. Binocular, compared to monocular, visual processing typically leads to superior performance, termed the "binocular advantage"; few studies have investigated the binocular advantage in reading. We used saccade-contingent display change methodology to demonstrate the benefit of binocular relative to monocular text presentation for both parafoveal and foveal lexical processing during reading. Our results demonstrate that denial of a unified visual signal derived from binocular inputs provides a cost to the efficiency of reading, particularly in relation to high-frequency words. Our findings fit neatly with current computational models of eye movement control during reading, wherein successful word identification is a primary determinant of saccade initiation.

  11. Minimally invasive procedures

    PubMed Central

    Baltayiannis, Nikolaos; Michail, Chandrinos; Lazaridis, George; Anagnostopoulos, Dimitrios; Baka, Sofia; Mpoukovinas, Ioannis; Karavasilis, Vasilis; Lampaki, Sofia; Papaiwannou, Antonis; Karavergou, Anastasia; Kioumis, Ioannis; Pitsiou, Georgia; Katsikogiannis, Nikolaos; Tsakiridis, Kosmas; Rapti, Aggeliki; Trakada, Georgia; Zissimopoulos, Athanasios; Zarogoulidis, Konstantinos

    2015-01-01

    Minimally invasive procedures, which include laparoscopic surgery, use state-of-the-art technology to reduce the damage to human tissue when performing surgery. Minimally invasive procedures require small “ports” from which the surgeon inserts thin tubes called trocars. Carbon dioxide gas may be used to inflate the area, creating a space between the internal organs and the skin. Then a miniature camera (usually a laparoscope or endoscope) is placed through one of the trocars so the surgical team can view the procedure as a magnified image on video monitors in the operating room. Specialized equipment is inserted through the trocars based on the type of surgery. There are some advanced minimally invasive surgical procedures that can be performed almost exclusively through a single point of entry—meaning only one small incision, like the “uniport” video-assisted thoracoscopic surgery (VATS). Not only do these procedures usually provide equivalent outcomes to traditional “open” surgery (which sometimes require a large incision), but minimally invasive procedures (using small incisions) may offer significant benefits as well: (I) faster recovery; (II) the patient remains for less days hospitalized; (III) less scarring and (IV) less pain. In our current mini review we will present the minimally invasive procedures for thoracic surgery. PMID:25861610

  12. Minimally invasive surgery for gastric cancer.

    PubMed

    Güner, Ali; Hyung, Woo Jin

    2014-01-01

    The interest in minimally invasive surgery (MIS) has rapidly increased in recent decades and surgeons have adopted minimally invasive techniques due to its reduced invasiveness and numerous advantages for patients. With increased surgical experience and newly developed surgical instruments, MIS has become the preferred approach not only for benign disease but also for oncologic surgery. Recently, robotic systems have been developed to overcome difficulties of standard laparoscopic instruments during complex procedures. Its advantages including three-dimensional images, tremor filtering, motion scaling, articulated instruments, and stable retraction have created the opportunity to use robotic technology in many procedures including cancer surgery. Gastric cancer is one of the most common causes of cancer-related deaths worldwide. While its overall incidence has decreased worldwide, the proportion of early gastric cancer has increased mainly in eastern countries following mass screening programs. The shift in the paradigm of gastric cancer treatment is toward less invasive approaches in order to improve the patient's quality of life while adhering to oncological principles. In this review, we aimed to summarize the operative strategy and current literature in laparoscopic and robotic surgery for gastric cancer.

  13. [Minimal invasive implantology].

    PubMed

    Bruck, N; Zagury, A; Nahlieli, O

    2015-07-01

    Endoscopic surgery has changed the philosophy and practice of modern surgery in all aspects of medicine. It gave rise to minimally invasive surgery procedures based on the ability to visualize and to operate via small channels. In maxillofacial surgery, our ability to see clearly the surgical field opened an entirely new world of exploration, as conditions that were once almost impossible to control and whose outcome was uncertain can be now predictably managed. in this article we will descripe the advantage of using the oral endoscope during the dental implantology procedure, and we will describe a unique implant which enable us in combination with the oral endoscope to create a maxillary sinus lift with out the need of the major surgery with all of its risks and complication.

  14. A possible heterozygous advantage in muscular dystrophy.

    PubMed

    Emery, A E H

    2016-01-01

    In certain autosomal recessive disorders there is suggestive evidence that heterozygous carriers may have some selective advantage over normal homozygotes. These include, for example, cystic fibrosis, Tay-Sachs disease and phenylketonuria. The best example so far, however, is that of significant heterozygous advantage in sickle-cell anaemia with increased resistance to falciparum malaria. PMID:27245530

  15. Influenza SIRS with Minimal Pneumonitis

    PubMed Central

    Erramilli, Shruti; Mannam, Praveen; Manthous, Constantine A.

    2016-01-01

    Although systemic inflammatory response syndrome (SIRS) is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca, and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement.

  16. A geometrically exact Cosserat shell-model including size effects, avoiding degeneracy in the thin shell limit. Part I: Formal dimensional reduction for elastic plates and existence of minimizers for positive Cosserat couple modulus

    NASA Astrophysics Data System (ADS)

    Neff, P.

    2004-10-01

    This contribution is concerned with a consistent formal dimensional reduction of a previously introduced finite-strain three-dimensional Cosserat micropolar elasticity model to the two-dimensional situation of thin plates and shells. Contrary to the direct modelling of a shell as a Cosserat surface with additional directors, we obtain the shell model from the Cosserat bulk model which already includes a triad of rigid directors. The reduction is achieved by assumed kinematics, quadratic through the thickness. The three-dimensional transverse boundary conditions can be evaluated analytically in terms of the assumed kinematics and determines exactly two appearing coefficients in the chosen ansatz. Further simplifications with subsequent analytical integration through the thickness determine the reduced model in a variational setting. The resulting membrane energy turns out to be a quadratic, elliptic, first order, non degenerate energy in contrast to classical approaches. The bending contribution is augmented by a curvature term representing an additional stiffness of the Cosserat model and the corresponding system of balance equations remains of second order. The lateral boundary conditions for simple support are non-standard. The model includes size-effects, transverse shear resistance, drilling degrees of freedom and accounts implicitly for thickness extension and asymmetric shift of the midsurface. The formal thin shell “membrane” limit without classical h 3-bending term is non-degenerate due to the additional Cosserat curvature stiffness and control of drill rotations. In our formulation, the drill-rotations are strictly related to the size-effects of the bulk model and not introduced artificially for numerical convenience. Upon linearization with zero Cosserat couple modulus μ_c = 0 we recover the well known infinitesimal-displacement Reissner-Mindlin model without size-effects and without drill-rotations. It is shown that the dimensionally reduced

  17. Blogging to My Advantage

    ERIC Educational Resources Information Center

    Stock, Mark

    2006-01-01

    In this article, the author discusses blogging and its benefits. Blog is shorthand for weblog, which is a series of items posted on the Internet for others to read. It usually includes text, images, and links to other websites. Blogs provide a running commentary or conversation. Although many people use blogs as online journals, detailing the…

  18. An Object-oriented minimization package for HEP

    SciTech Connect

    Mark S Fischler and David Sachs

    2003-07-02

    A portion of the HEP community has perceived the need for a minimization package written in C++ and taking advantage of the Object-Oriented nature of that language. To be acceptable for HEP, such a package must at least encompass all the capabilities of Minuit. Aside from the slight plus of not relying on outside Fortran compilation, the advantages that a C++ package based on O-O design would confer over the multitude of available C++ Minuit-wrappers include: Easier extensibility to different algorithms and forms of constraints; and usage modes which would not be available in the global-common-based Minuit design. An example of the latter is a job pursuing two ongoing minimization problems simultaneously. We discuss the design and implementation of such a package, which extends Minuit only in minor ways but which greatly diminishes the programming effort (if not the algorithm thought) needed to make more significant extensions.

  19. Esophagectomy - minimally invasive

    MedlinePlus

    Minimally invasive esophagectomy; Robotic esophagectomy; Removal of the esophagus - minimally invasive; Achalasia - esophagectomy; Barrett esophagus - esophagectomy; Esophageal cancer - esophagectomy - laparoscopic; Cancer of the ...

  20. Minimal-access median sternotomy for aortic valve replacement

    PubMed Central

    Lucchese, Gianluca

    2013-01-01

    A variety of minimally-invasive approaches for aortic valve replacement (AVR) have been developed and are increasingly being utilized. The different approaches described, such as partial upper sternotomy, right parasternal thoracotomy or transverse sternotomy have the aim to decrease invasiveness and reduce surgical trauma. Whereas port access surgery with remote cannulation has the attendant risks inherent with peripheral cardiopulmonary bypass and limitations in terms of myocardial protection and adequate cardiac dearing, partial sternotomies or thoracotomies may be associated with suboptimal chest wall reconstruction. Here described is a technique of minimal-access aortic valve replacement, which entails limited skin incision and full median sternotomy. Advantages of the present approach include a superior cosmetic result, when compared to standard sternotomy incision, and the safety of the midline access, which may be immediately converted into standard approach, in case of need, and is associated with stable chest wall reconstruction. Selective indications and outcome of minimal-access AVR are discussed. PMID:24251022

  1. Home advantage in professional tennis.

    PubMed

    Koning, Ruud H

    2011-01-01

    Home advantage is a pervasive phenomenon in sport. It has been established in team sports such as basketball, baseball, American football, and European soccer. Attention to home advantage in individual sports has so far been limited. The aim of this study was to examine home advantage in professional tennis. Match-level data are used to measure home advantage. The test used is based on logit models, and consistent specification is addressed explicitly. Depending on the interpretation of home advantage, restrictions on the specification of the model need to be imposed. We find that although significant home advantage exists for men, the performance of women tennis players appears to be unaffected by home advantage.

  2. Influenza SIRS with Minimal Pneumonitis

    PubMed Central

    Erramilli, Shruti; Mannam, Praveen; Manthous, Constantine A.

    2016-01-01

    Although systemic inflammatory response syndrome (SIRS) is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca, and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement. PMID:27630988

  3. Influenza SIRS with Minimal Pneumonitis.

    PubMed

    Erramilli, Shruti; Mannam, Praveen; Manthous, Constantine A

    2016-01-01

    Although systemic inflammatory response syndrome (SIRS) is a known complication of severe influenza pneumonia, it has been reported very rarely in patients with minimal parenchymal lung disease. We here report a case of severe SIRS, anasarca, and marked vascular phenomena with minimal or no pneumonitis. This case highlights that viruses, including influenza, may cause vascular dysregulation causing SIRS, even without substantial visceral organ involvement. PMID:27630988

  4. The Oilheat Manufacturers Associations Oilheat Advantages Project

    SciTech Connect

    Hedden, R.; Bately, J.E.

    1995-04-01

    The Oilheat Advantages Project is the Oilheat Manufacturers Association`s first project. It involves the creation and disseminaiton of the unified, well documented, compellingly packaged oilheat story. The project invovles three steps: the first step is to pull together all the existing data on the advantages of oilheat into a single, well documented engineering report. The second step will be to rewrite and package the technical document into a consumer piece and a scripted presentation supported with overheads, and to disseminate the information throughout the industry. The third step will be to fund new research to update existing information and discover new advantages of oilheat. This step will begin next year. The inforamtion will be packaged in the following formats: The Engineering Document. This will include all the technical information including the creditable third party sources for all the findings on the many advantages of oilheat; the Consumer Booklet. This summarizes all the findings in the Engineering Document in simple language with easy to understand illustrations and graphs; a series of single topic Statement Stuffers on each of the advantages; an Overhead Transparency-Supported Scripted Show that can be used by industry representatives for presentations to the general public, schools, civic groups, and service clubs; and the Periodic publication of updates to the Oilheat Advantages Study.

  5. Transanal Minimally Invasive Surgery

    PubMed Central

    deBeche-Adams, Teresa; Nassif, George

    2015-01-01

    Transanal minimally invasive surgery (TAMIS) was first described in 2010 as a crossover between single-incision laparoscopic surgery and transanal endoscopic microsurgery (TEM) to allow access to the proximal and mid-rectum for resection of benign and early-stage malignant rectal lesions. The TAMIS technique can also be used for noncurative intent surgery of more advanced lesions in patients who are not candidates for radical surgery. Proper workup and staging should be done before surgical decision-making. In addition to the TAMIS port, instrumentation and set up include readily available equipment found in most operating suites. TAMIS has proven its usefulness in a wide range of applications outside of local excision, including repair of rectourethral fistula, removal of rectal foreign body, control of rectal hemorrhage, and as an adjunct in total mesorectal excision for rectal cancer. TAMIS is an easily accessible, technically feasible, and cost-effective alternative to TEM. PMID:26491410

  6. Minimal change disease

    MedlinePlus

    ... seen under a very powerful microscope called an electron microscope. Minimal change disease is the most common ... biopsy and examination of the tissue with an electron microscope can show signs of minimal change disease.

  7. Creating Competitive Advantage through Effective Management Education.

    ERIC Educational Resources Information Center

    Longenecker, Clinton O.; Ariss, Sonny S.

    2002-01-01

    Managers trained in executive education programs (n=203) identified ways in which management education can increase an organization's competitive advantage: exposure to new ideas and practices, skill development, and motivation. Characteristics of effective management education included experience-based learning orientation, credible instructors,…

  8. The Advantages of Using a Network.

    ERIC Educational Resources Information Center

    McCarthy, Robert

    1989-01-01

    Discusses the growth of computer networks in elementary and secondary schools and describes numerous benefits for both instructional and management functions. Topics discussed include ease of use; educational advantages; examples of use in physics, writing, and journalism classes; student records management; cost benefits; and greater efficiency.…

  9. Robustness of the Sequential Lineup Advantage

    ERIC Educational Resources Information Center

    Gronlund, Scott D.; Carlson, Curt A.; Dailey, Sarah B.; Goodsell, Charles A.

    2009-01-01

    A growing movement in the United States and around the world involves promoting the advantages of conducting an eyewitness lineup in a sequential manner. We conducted a large study (N = 2,529) that included 24 comparisons of sequential versus simultaneous lineups. A liberal statistical criterion revealed only 2 significant sequential lineup…

  10. How Successful Is Medicare Advantage?

    PubMed Central

    Newhouse, Joseph P; McGuire, Thomas G

    2014-01-01

    Context Medicare Part C, or Medicare Advantage (MA), now almost 30 years old, has generally been viewed as a policy disappointment. Enrollment has vacillated but has never come close to the penetration of managed care plans in the commercial insurance market or in Medicaid, and because of payment policy decisions and selection, the MA program is viewed as having added to cost rather than saving funds for the Medicare program. Recent changes in Medicare policy, including improved risk adjustment, however, may have changed this picture. Methods This article summarizes findings from our group's work evaluating MA's recent performance and investigating payment options for improving its performance even more. We studied the behavior of both beneficiaries and plans, as well as the effects of Medicare policy. Findings Beneficiaries make “mistakes” in their choice of MA plan options that can be explained by behavioral economics. Few beneficiaries make an active choice after they enroll in Medicare. The high prevalence of “zero-premium” plans signals inefficiency in plan design and in the market's functioning. That is, Medicare premium policies interfere with economically efficient choices. The adverse selection problem, in which healthier, lower-cost beneficiaries tend to join MA, appears much diminished. The available measures, while limited, suggest that, on average, MA plans offer care of equal or higher quality and for less cost than traditional Medicare (TM). In counties, greater MA penetration appears to improve TM's performance. Conclusions Medicare policies regarding lock-in provisions and risk adjustment that were adopted in the mid-2000s have mitigated the adverse selection problem previously plaguing MA. On average, MA plans appear to offer higher value than TM, and positive spillovers from MA into TM imply that reimbursement should not necessarily be neutral. Policy changes in Medicare that reform the way that beneficiaries are charged for MA plan

  11. Did Babe Ruth Have a Comparative Advantage as a Pitcher?

    ERIC Educational Resources Information Center

    Scahill, Edward M.

    1990-01-01

    Advocates using baseball statistics to illustrate the advantages of specialization in production. Using Babe Ruth's record as an analogy, suggests a methodology for determining a player's comparative advantage as a teaching illustration. Includes the team's statistical profile in five tables to explain comparative advantage and profit maximizing.…

  12. Home advantage in Greek football.

    PubMed

    Armatas, Vasilis; Pollard, Richard

    2014-01-01

    Home advantage as it relates to team performance at football was examined in Superleague Greece using nine seasons of game-by-game performance data, a total of 2160 matches. After adjusting for team ability and annual fluctuations in home advantage, there were significant differences between teams. Previous findings regarding the role of territorial protection were strengthened by the fact that home advantage was above average for the team from Xanthi (P =0.015), while lower for teams from the capital city Athens (P =0.008). There were differences between home and away teams in the incidence of most of the 13 within-game match variables, but associated effect sizes were only moderate. In contrast, outcome ratios derived from these variables, and measuring shot success, had negligible effect sizes. This supported a previous finding that home and away teams differed in the incidence of on-the-ball behaviours, but not in their outcomes. By far the most important predictor of home advantage, as measured by goal difference, was the difference between home and away teams in terms of kicked shots from inside the penalty area. Other types of shots had little effect on the final score. The absence of a running track between spectators and the playing field was also a significant predictor of goal difference, worth an average of 0.102 goals per game to the home team. Travel distance did not affect home advantage.

  13. Home advantage in Greek football.

    PubMed

    Armatas, Vasilis; Pollard, Richard

    2014-01-01

    Home advantage as it relates to team performance at football was examined in Superleague Greece using nine seasons of game-by-game performance data, a total of 2160 matches. After adjusting for team ability and annual fluctuations in home advantage, there were significant differences between teams. Previous findings regarding the role of territorial protection were strengthened by the fact that home advantage was above average for the team from Xanthi (P =0.015), while lower for teams from the capital city Athens (P =0.008). There were differences between home and away teams in the incidence of most of the 13 within-game match variables, but associated effect sizes were only moderate. In contrast, outcome ratios derived from these variables, and measuring shot success, had negligible effect sizes. This supported a previous finding that home and away teams differed in the incidence of on-the-ball behaviours, but not in their outcomes. By far the most important predictor of home advantage, as measured by goal difference, was the difference between home and away teams in terms of kicked shots from inside the penalty area. Other types of shots had little effect on the final score. The absence of a running track between spectators and the playing field was also a significant predictor of goal difference, worth an average of 0.102 goals per game to the home team. Travel distance did not affect home advantage. PMID:24533517

  14. Advantages of proteins being disordered

    PubMed Central

    Liu, Zhirong; Huang, Yongqi

    2014-01-01

    The past decade has witnessed great advances in our understanding of protein structure-function relationships in terms of the ubiquitous existence of intrinsically disordered proteins (IDPs) and intrinsically disordered regions (IDRs). The structural disorder of IDPs/IDRs enables them to play essential functions that are complementary to those of ordered proteins. In addition, IDPs/IDRs are persistent in evolution. Therefore, they are expected to possess some advantages over ordered proteins. In this review, we summarize and survey nine possible advantages of IDPs/IDRs: economizing genome/protein resources, overcoming steric restrictions in binding, achieving high specificity with low affinity, increasing binding rate, facilitating posttranslational modifications, enabling flexible linkers, preventing aggregation, providing resistance to non-native conditions, and allowing compatibility with more available sequences. Some potential advantages of IDPs/IDRs are not well understood and require both experimental and theoretical approaches to decipher. The connection with protein design is also briefly discussed. PMID:24532081

  15. Minimally invasive pulmonary surgery for lung cancer, up to date.

    PubMed

    Iwata, Hisashi

    2013-08-01

    Recently, the minimally invasive surgical approach is an important issue in the pulmonary surgery. In this review, we present the current fashion of video-assisted thoracic surgery (VATS) and new approach including robotic lobectomy. There is no clear definition or standard for this surgical procedure regarding VATS lobectomy. Therefore, no randomized controlled trial of VATS and conventional lobectomy can be set up. Although the definition of VATS lobectomy is not straightforward, VATS lobectomy showed the technical feasibility of conventional lobectomy in mortality and postoperative complication as well as lymph node dissection. VATS procedure for advanced lung cancer is unclear whether such observations can be developed into a standardized approach. There are no reports to evaluate the advantages of robotic lobectomy in terms of treatment outcomes for lung cancer compared with VATS lobectomy. However, we believe that robotic lobectomy has clear potential to improve the quality of minimally invasive surgery.

  16. Robotically assisted minimally invasive mitral valve surgery

    PubMed Central

    Alwair, Hazaim; Nifong, Wiley L; Chitwood, W Randolph

    2013-01-01

    Increased recognition of advantages, over the last decade, of minimizing surgical trauma by operating through smaller incisions and its direct impact on reduced postoperative pain, quicker recovery, improved cosmesis and earlier return to work has spurred the minimally invasive cardiac surgical revolution. This transition began in the early 1990s with advancements in endoscopic instruments, video & fiberoptic technology and improvements in perfusion systems for establishing cardiopulmonary bypass (CPB) via peripheral cannulation. Society of Thoracic Surgeons data documents that 20% of all mitral valve surgeries are performed using minimally invasive techniques, with half being robotically assisted. This article reviews the current status of robotically assisted mitral valve surgery, its advantages and technical modifications for optimizing clinical outcomes. PMID:24251030

  17. Energy Advantages for Green Schools

    ERIC Educational Resources Information Center

    Griffin, J. Tim

    2012-01-01

    Because of many advantages associated with central utility systems, school campuses, from large universities to elementary schools, have used district energy for decades. District energy facilities enable thermal and electric utilities to be generated with greater efficiency and higher system reliability, while requiring fewer maintenance and…

  18. Achieving a sustainable service advantage.

    PubMed

    Coyne, K P

    1993-01-01

    Many managers believe that superior service should play little or no role in competitive strategy; they maintain that service innovations are inherently copiable. However, the author states that this view is too narrow. For a company to achieve a lasting service advantage, it must base a new service on a capability gap that competitors cannot or will not copy.

  19. Information Technology: Tomorrow's Advantage Today.

    ERIC Educational Resources Information Center

    Haag, Stephen; Keen, Peter

    This textbook is designed for a one-semester introductory course in which the goal is to give students a foundation in the basics of information technology (IT). It focuses on how the technology works, issues relating to its use and development, how it can lend personal and business advantages, and how it is creating a globally networked society.…

  20. An Experiment in Comparative Advantage.

    ERIC Educational Resources Information Center

    Haupert, Michael J.

    1996-01-01

    Describes an undergraduate economics course experiment designed to teach the concepts of comparative advantage and opportunity costs. Students have a limited number of labor hours and can chose to produce either wheat or steel. As the project progresses, the students trade commodities in an attempt to maximize use of their labor hours. (MJP)

  1. Selective advantage for sexual reproduction

    NASA Astrophysics Data System (ADS)

    Tannenbaum, Emmanuel

    2006-03-01

    We develop a simplified model for sexual replication within the quasispecies formalism. We assume that the genomes of the replicating organisms are two-chromosomed and diploid, and that the fitness is determined by the number of chromosomes that are identical to a given master sequence. We also assume that there is a cost to sexual replication, given by a characteristic time τseek during which haploid cells seek out a mate with which to recombine. If the mating strategy is such that only viable haploids can mate, then when τseek= 0 , it is possible to show that sexual replication will always outcompete asexual replication. However, as τseek increases, sexual replication only becomes advantageous at progressively higher mutation rates. Once the time cost for sex reaches a critical threshold, the selective advantage for sexual replication disappears entirely. The results of this talk suggest that sexual replication is not advantageous in small populations per se, but rather in populations with low replication rates. In this regime, the cost for sex is sufficiently low that the selective advantage obtained through recombination leads to the dominance of the strategy. In fact, at a given replication rate and for a fixed environment volume, sexual replication is selected for in high populations because of the reduced time spent finding a reproductive partner.

  2. Selective advantage for sexual reproduction

    NASA Astrophysics Data System (ADS)

    Tannenbaum, Emmanuel

    2006-06-01

    This paper develops a simplified model for sexual reproduction within the quasispecies formalism. The model assumes a diploid genome consisting of two chromosomes, where the fitness is determined by the number of chromosomes that are identical to a given master sequence. We also assume that there is a cost to sexual reproduction, given by a characteristic time τseek during which haploid cells seek out a mate with which to recombine. If the mating strategy is such that only viable haploids can mate, then when τseek=0 , it is possible to show that sexual reproduction will always out compete asexual reproduction. However, as τseek increases, sexual reproduction only becomes advantageous at progressively higher mutation rates. Once the time cost for sex reaches a critical threshold, the selective advantage for sexual reproduction disappears entirely. The results of this paper suggest that sexual reproduction is not advantageous in small populations per se, but rather in populations with low replication rates. In this regime, the cost for sex is sufficiently low that the selective advantage obtained through recombination leads to the dominance of the strategy. In fact, at a given replication rate and for a fixed environment volume, sexual reproduction is selected for in high populations because of the reduced time spent finding a reproductive partner.

  3. Minimally invasive surgery in neonates and infants

    PubMed Central

    Lin, Tiffany; Pimpalwar, Ashwin

    2010-01-01

    Minimally invasive surgery (MIS) has significantly improved the field of surgery, with benefits including shorter operating time, improved recovery time, minimizing stress and pain due to smaller incisions, and even improving mortality. MIS procedures, including their indications, impact, limitations, and possible future evolution in neonates and infants, are discussed in this article. PMID:21180496

  4. [Psychological aspects of home advantage].

    PubMed

    Renáta, Valach; Dezso, Németh

    2006-01-01

    It has been shown that home teams supported by their audience win over 50% of the games in sports competitions. Researchers have also been paying increased attention to this topic during the last 10-15 years. Their main goal, in addition to verifying the existence of this phenomenon, was to find explanatory factors which can be associated - at least partly - with the development of home advantage. Our study demonstrates the biological basis of this phenomenon through the connection between the hormone system and territoriality, moreover, it discusses in detail the four possible contributing factors: noise of the supporting audience; familiarity; travel and rules. Latest research has emphasized an evolutionary explanation of home advantage, which, beyond the context of sports competitions, tries to give an answer to the differences found between male and female coping strategies.

  5. Faculty practice: advantages and disadvantages.

    PubMed

    Klooster, J

    1978-10-01

    In considering the advantages and disadvantages of full-time dental faculty members involved in private practice, some suggestions for coping with problems represented by the disadvantages have been cited. Faculty members may find a more satisfactory climate for the patient service aspect of their professional activity in a system where several options are made available from which a teacher may select his preferred office environment and practice style.

  6. [Minimal Change Esophagitis].

    PubMed

    Ryu, Han Seung; Choi, Suck Chei

    2016-01-25

    Gastroesophageal reflux disease (GERD) is defined as a condition which develops when the reflux of gastric contents causes troublesome symptoms and long-term complications. GERD can be divided into erosive reflux disease and non-erosive reflux disease based on endoscopic findings defined by the presence of mucosal break. The Los Angeles classification excludes minimal changes as an evidence of reflux esophagitis because of poor interobserver agreement. In the Asian literature, minimal changes are considered as one of the endoscopic findings of reflux esophagitis, but the clinical significance is still controversial. Minimal change esophagitis is recognized quite frequently among patients with GERD and many endoscopists recognize such findings in their clinical practice. This review is intended to clarify the definition of minimal change esophagitis and their histology, interobserver agreement, and symptom association with GERD.

  7. Minimizing Shortness of Breath

    MedlinePlus

    ... Top Doctors in the Nation Departments & Divisions Home Health Insights Stress & Relaxation Breathing and Relaxation Minimizing Shortness of Breath ... Management Assess Your Stress Coping Strategies Identifying ... & Programs Health Insights Doctors & Departments Research & Science Education & Training Make ...

  8. Minimally Invasive Techniques for the Treatment of Benign Salivary Gland Obstruction: A Review

    SciTech Connect

    Brown, Jackie E.

    2002-10-15

    This paper reviews the literature published on minimally invasive techniques developed to treat benign salivary gland obstruction. Techniques reported include extracorporeal and intracorporeal salivary gland lithotripsy, endoscopy and radiologically guided techniques for the extraction of calculi and dilatation of duct strictures. These techniques are described, their advantages and disadvantages discussed and their success rates compared. Recommendations are made on the most appropriate application of each technique.

  9. Minimally invasive techniques for the treatment of benign salivary gland obstruction.

    PubMed

    Brown, Jackie E

    2002-01-01

    This paper reviews the literature published on minimally invasive techniques developed to treat benign salivary gland obstruction. Techniques reported include extracorporeal and intracorporeal salivary gland lithotripsy, endoscopy and radiologically guided techniques for the extraction of calculi and dilatation of duct strictures. These techniques are described, their advantages and disadvantages discussed and their success rates compared. Recommendations are made on the most appropriate application of each technique.

  10. March 2013: Medicare Advantage update.

    PubMed

    Sayavong, Sarah; Kemper, Leah; Barker, Abigail; McBride, Timothy

    2013-09-01

    Key Data Findings. (1) From March 2012 to March 2013, rural enrollment in Medicare Advantage (MA) and other prepaid plans increased by over 200,000 enrollees, to more than 1.9 million. (2) Preferred provider organization (PPO) plan enrollment increased to nearly one million enrollees, accounting for more than 51% of the rural MA market (up from 48% in March 2012). (3) Health maintenance organization (HMO) enrollment continued to grow in 2013, with over 31% of the rural MA market, while private fee-for-service (PFFS) plan enrollment decreased to less than 10% of market share. (4) Despite recent changes to MA payment, rural MA enrollment continues to increase.

  11. Were there evolutionary advantages to premenstrual syndrome?

    PubMed

    Gillings, Michael R

    2014-09-01

    Premenstrual syndrome (PMS) affects up to 80% of women, often leading to significant personal, social and economic costs. When apparently maladaptive states are widespread, they sometimes confer a hidden advantage, or did so in our evolutionary past. We suggest that PMS had a selective advantage because it increased the chance that infertile pair bonds would dissolve, thus improving the reproductive outcomes of women in such partnerships. We confirm predictions arising from the hypothesis: PMS has high heritability; gene variants associated with PMS can be identified; animosity exhibited during PMS is preferentially directed at current partners; and behaviours exhibited during PMS may increase the chance of finding a new partner. Under this view, the prevalence of PMS might result from genes and behaviours that are adaptive in some societies, but are potentially less appropriate in modern cultures. Understanding this evolutionary mismatch might help depathologize PMS, and suggests solutions, including the choice to use cycle-stopping contraception.

  12. Were there evolutionary advantages to premenstrual syndrome?

    PubMed Central

    Gillings, Michael R

    2014-01-01

    Premenstrual syndrome (PMS) affects up to 80% of women, often leading to significant personal, social and economic costs. When apparently maladaptive states are widespread, they sometimes confer a hidden advantage, or did so in our evolutionary past. We suggest that PMS had a selective advantage because it increased the chance that infertile pair bonds would dissolve, thus improving the reproductive outcomes of women in such partnerships. We confirm predictions arising from the hypothesis: PMS has high heritability; gene variants associated with PMS can be identified; animosity exhibited during PMS is preferentially directed at current partners; and behaviours exhibited during PMS may increase the chance of finding a new partner. Under this view, the prevalence of PMS might result from genes and behaviours that are adaptive in some societies, but are potentially less appropriate in modern cultures. Understanding this evolutionary mismatch might help depathologize PMS, and suggests solutions, including the choice to use cycle-stopping contraception. PMID:25469168

  13. [Internet research methods: advantages and challenges].

    PubMed

    Liu, Yi; Tien, Yueh-Hsuan

    2009-12-01

    Compared to traditional research methods, using the Internet to conduct research offers a number of advantages to the researcher, which include increased access to sensitive issues and vulnerable / hidden populations; decreased data entry time requirements; and enhanced data accuracy. However, Internet research also presents certain challenges to the researcher. In this article, the advantages and challenges of Internet research methods are discussed in four principle issue areas: (a) recruitment, (b) data quality, (c) practicality, and (d) ethics. Nursing researchers can overcome problems related to sampling bias and data truthfulness using creative methods; resolve technical problems through collaboration with other disciplines; and protect participant's privacy, confidentiality and data security by maintaining a high level of vigilance. Once such issues have been satisfactorily addressed, the Internet should open a new window for Taiwan nursing research.

  14. Endoscopic treatment for gastrointestinal stromal tumor: Advantages and hurdles

    PubMed Central

    Kim, Hyung Hun

    2015-01-01

    One of the most prominent characteristics of gastrointestinal stromal tumors (GISTs) is their unpredictable and variable behavior. GISTs are not classified as “benign” or “malignant” but are rather stratified by their associated clinical risk of malignancy as determined by tumor size, location, and number of mitoses identified during surgical histology. The difficulty in assessing the malignant potential and prognoses of GISTs as well as the increasing incidence of “incidental GISTs” presents challenges to gastroenterologists. Recently, endoscopic enucleation has been actively performed as both a diagnostic and therapeutic intervention for GISTs. Endoscopic enucleation has several advantages, including keeping the stomach intact after the removal of GISTs, a relatively short hospital stay, a conscious sedation procedure, relatively low cost, and fewer human resources required compared with surgery. However, a low complete resection rate and the risk of perforation could reduce the overall advantages of this procedure. Endoscopic full-thickness resection appears to achieve a very high R0 resection rate. However, this technique absolutely requires a very skilled operator. Moreover, there is a risk of peritoneal seeding due to large active perforation. Laparoscopy endoscopy collaborations have been applied for more stable and pathologically acceptable management. These collaborative procedures have produced excellent outcomes. Many procedures have been developed and attempted because they were technically possible. However, we should first consider the theoretical basis for each technique. Until the efficacy and safety of sole endoscopic access are proved, the laparoscopy endoscopy collaborative procedure appears to be an appropriate method for minimally destructive GIST surgery. PMID:25789089

  15. Minimizing electrode contamination in an electrochemical cell

    DOEpatents

    Kim, Yu Seung; Zelenay, Piotr; Johnston, Christina

    2014-12-09

    An electrochemical cell assembly that is expected to prevent or at least minimize electrode contamination includes one or more getters that trap a component or components leached from a first electrode and prevents or at least minimizes them from contaminating a second electrode.

  16. Transnasal endoscopy: Technical considerations, advantages and limitations.

    PubMed

    Atar, Mustafa; Kadayifci, Abdurrahman

    2014-02-16

    Transnasal endoscopy (TNE) is an upper endoscopy method which is performed by the nasal route using a thin endoscope less than 6 mm in diameter. The primary goal of this method is to improve patient tolerance and convenience of the procedure. TNE can be performed without sedation and thus eliminates the risks associated with general anesthesia. In this way, TNE decreases the cost and total duration of endoscopic procedures, while maintaining the image quality of standard caliber endoscopes, providing good results for diagnostic purposes. However, the small working channel of the ultra-thin endoscope used for TNE makes it difficult to use for therapeutic procedures except in certain conditions which require a thinner endoscope. Biopsy is possible with special forceps less than 2 mm in diameter. Recently, TNE has been used for screening endoscopy in Far East Asia, including Japan. In most controlled studies, TNE was found to have better patient tolerance when compared to unsedated endoscopy. Nasal pain is the most significant symptom associated with endoscopic procedures but can be reduced with nasal pretreatment. Despite the potential advantage of TNE, it is not common in Western countries, usually due to a lack of training in the technique and a lack of awareness of its potential advantages. This paper briefly reviews the technical considerations as well as the potential advantages and limitations of TNE with ultra-thin scopes.

  17. Ways To Minimize Bullying.

    ERIC Educational Resources Information Center

    Mueller, Mary Ellen; Parisi, Mary Joy

    This report delineates a series of interventions aimed at minimizing incidences of bullying in a suburban elementary school. The social services staff was scheduled to initiate an anti-bullying incentive in fall 2001 due to the increased occurrences of bullying during the prior year. The target population consisted of third- and fourth-grade…

  18. Minimally invasive periodontal therapy.

    PubMed

    Dannan, Aous

    2011-10-01

    Minimally invasive dentistry is a concept that preserves dentition and supporting structures. However, minimally invasive procedures in periodontal treatment are supposed to be limited within periodontal surgery, the aim of which is to represent alternative approaches developed to allow less extensive manipulation of surrounding tissues than conventional procedures, while accomplishing the same objectives. In this review, the concept of minimally invasive periodontal surgery (MIPS) is firstly explained. An electronic search for all studies regarding efficacy and effectiveness of MIPS between 2001 and 2009 was conducted. For this purpose, suitable key words from Medical Subject Headings on PubMed were used to extract the required studies. All studies are demonstrated and important results are concluded. Preliminary data from case cohorts and from many studies reveal that the microsurgical access flap, in terms of MIPS, has a high potential to seal the healing wound from the contaminated oral environment by achieving and maintaining primary closure. Soft tissues are mostly preserved and minimal gingival recession is observed, an important feature to meet the demands of the patient and the clinician in the esthetic zone. However, although the potential efficacy of MIPS in the treatment of deep intrabony defects has been proved, larger studies are required to confirm and extend the reported positive preliminary outcomes.

  19. Minimizing Promotion Trauma.

    ERIC Educational Resources Information Center

    Darling, LuAnn W.; McGrath, Loraine

    1983-01-01

    Nursing administrators can minimize promotion trauma and its unnecessary cost by building awareness of the transition process, clarifying roles and expectations, and attending to the promoted employee's needs. This article will help nursing administrators develop a concept of manager care combined with programs for orientation of new managers,…

  20. Periodic minimal surfaces

    NASA Astrophysics Data System (ADS)

    Mackay, Alan L.

    1985-04-01

    A minimal surface is one for which, like a soap film with the same pressure on each side, the mean curvature is zero and, thus, is one where the two principal curvatures are equal and opposite at every point. For every closed circuit in the surface, the area is a minimum. Schwarz1 and Neovius2 showed that elements of such surfaces could be put together to give surfaces periodic in three dimensions. These periodic minimal surfaces are geometrical invariants, as are the regular polyhedra, but the former are curved. Minimal surfaces are appropriate for the description of various structures where internal surfaces are prominent and seek to adopt a minimum area or a zero mean curvature subject to their topology; thus they merit more complete numerical characterization. There seem to be at least 18 such surfaces3, with various symmetries and topologies, related to the crystallographic space groups. Recently, glyceryl mono-oleate (GMO) was shown by Longley and McIntosh4 to take the shape of the F-surface. The structure postulated is shown here to be in good agreement with an analysis of the fundamental geometry of periodic minimal surfaces.

  1. Minimizing Skin Color Differences Does Not Eliminate the Own-Race Recognition Advantage in Infants

    ERIC Educational Resources Information Center

    Anzures, Gizelle; Pascalis, Olivier; Quinn, Paul C.; Slater, Alan M.; Lee, Kang

    2011-01-01

    An abundance of experience with own-race faces and limited to no experience with other-race faces has been associated with better recognition memory for own-race faces in infants, children, and adults. This study investigated the developmental origins of this other-race effect (ORE) by examining the role of a salient perceptual property of…

  2. Evolutionary advantages of adaptive rewarding

    NASA Astrophysics Data System (ADS)

    Szolnoki, Attila; Perc, Matjaž

    2012-09-01

    Our well-being depends on both our personal success and the success of our society. The realization of this fact makes cooperation an essential trait. Experiments have shown that rewards can elevate our readiness to cooperate, but since giving a reward inevitably entails paying a cost for it, the emergence and stability of such behavior remains elusive. Here we show that allowing for the act of rewarding to self-organize in dependence on the success of cooperation creates several evolutionary advantages that instill new ways through which collaborative efforts are promoted. Ranging from indirect territorial battle to the spontaneous emergence and destruction of coexistence, phase diagrams and the underlying spatial patterns reveal fascinatingly rich social dynamics that explain why this costly behavior has evolved and persevered. Comparisons with adaptive punishment, however, uncover an Achilles heel of adaptive rewarding, coming from over-aggression, which in turn hinders optimal utilization of network reciprocity. This may explain why, despite its success, rewarding is not as firmly embedded into our societal organization as punishment.

  3. Advantages and Uses of AMTEC

    NASA Astrophysics Data System (ADS)

    Lodhi, M. A. K.

    2012-10-01

    Static conversion systems are gaining importance in recent times because of newer applications of electricity like in spacecraft, hybrid-electric vehicles, military uses and domestic purposes. Of the many new static energy conversion systems that are being considered, one is the Alkali Metal Thermal Electric Converter (AMTEC). It is a thermally regenerative, electrochemical device for the direct conversion of heat to electrical power. As the name suggests, this system uses an alkali metal in its process. The electrochemical process involved in the working of AMTEC is ionization of alkali metal atoms at the interface of electrode and electrolyte. The electrons produced as a result flow through the external load thus doing work, and finally recombine with the metal ions at the cathode. AMTECs convert the work done during the nearly isothermal expansion of metal vapor to produce a high current and low voltage electron flow. Due to its principle of working it has many inherent advantages over other conventional generators. These will be discussed briefly.

  4. Home advantage in the Australian Football League.

    PubMed

    Clarke, Stephen R

    2005-04-01

    The results of this study on home advantage in Australian rules football demonstrate that individual clubs have different home advantages. Traditional measures of home advantage as applied to whole competitions such as percentage of games won, and alternative measures such as average margin of victory for the home team, are calculated. Problems with these measures are discussed. Individual home advantages for each team are obtained using a linear model fitted to individual match margins; the resultant home advantages are analysed, and variations and possible causes or groupings of home advantage are proposed. It is shown that some models allowing different home advantages for different clubs are a significant improvement over previous models assuming a common home advantage. The results show a strong isolation effect, with non-Victorian teams having large home advantages, and lend support to the conclusion that crowd effects and ground familiarity are a major determinant of home advantage.

  5. Tailored logistics: the next advantage.

    PubMed

    Fuller, J B; O'Conor, J; Rawlinson, R

    1993-01-01

    How many top executives have ever visited with managers who move materials from the factory to the store? How many still reduce the costs of logistics to the rent of warehouses and the fees charged by common carriers? To judge by hours of senior management attention, logistics problems do not rank high. But logistics have the potential to become the next governing element of strategy. Whether they know it or not, senior managers of every retail store and diversified manufacturing company compete in logistically distinct businesses. Customer needs vary, and companies can tailor their logistics systems to serve their customers better and more profitably. Companies do not create value for customers and sustainable advantage for themselves merely by offering varieties of goods. Rather, they offer goods in distinct ways. A particular can of Coca-Cola, for example, might be a can of Coca-Cola going to a vending machine, or a can of Coca-Cola that comes with billing services. There is a fortune buried in this distinction. The goal of logistics strategy is building distinct approaches to distinct groups of customers. The first step is organizing a cross-functional team to proceed through the following steps: segmenting customers according to purchase criteria, establishing different standards of service for different customer segments, tailoring logistics pipelines to support each segment, and creating economics of scale to determine which assets can be shared among various pipelines. The goal of establishing logistically distinct businesses is familiar: improved knowledge of customers and improved means of satisfying them.

  6. Tailored logistics: the next advantage.

    PubMed

    Fuller, J B; O'Conor, J; Rawlinson, R

    1993-01-01

    How many top executives have ever visited with managers who move materials from the factory to the store? How many still reduce the costs of logistics to the rent of warehouses and the fees charged by common carriers? To judge by hours of senior management attention, logistics problems do not rank high. But logistics have the potential to become the next governing element of strategy. Whether they know it or not, senior managers of every retail store and diversified manufacturing company compete in logistically distinct businesses. Customer needs vary, and companies can tailor their logistics systems to serve their customers better and more profitably. Companies do not create value for customers and sustainable advantage for themselves merely by offering varieties of goods. Rather, they offer goods in distinct ways. A particular can of Coca-Cola, for example, might be a can of Coca-Cola going to a vending machine, or a can of Coca-Cola that comes with billing services. There is a fortune buried in this distinction. The goal of logistics strategy is building distinct approaches to distinct groups of customers. The first step is organizing a cross-functional team to proceed through the following steps: segmenting customers according to purchase criteria, establishing different standards of service for different customer segments, tailoring logistics pipelines to support each segment, and creating economics of scale to determine which assets can be shared among various pipelines. The goal of establishing logistically distinct businesses is familiar: improved knowledge of customers and improved means of satisfying them. PMID:10126157

  7. Discrete Minimal Surface Algebras

    NASA Astrophysics Data System (ADS)

    Arnlind, Joakim; Hoppe, Jens

    2010-05-01

    We consider discrete minimal surface algebras (DMSA) as generalized noncommutative analogues of minimal surfaces in higher dimensional spheres. These algebras appear naturally in membrane theory, where sequences of their representations are used as a regularization. After showing that the defining relations of the algebra are consistent, and that one can compute a basis of the enveloping algebra, we give several explicit examples of DMSAs in terms of subsets of sln (any semi-simple Lie algebra providing a trivial example by itself). A special class of DMSAs are Yang-Mills algebras. The representation graph is introduced to study representations of DMSAs of dimension d ≤ 4, and properties of representations are related to properties of graphs. The representation graph of a tensor product is (generically) the Cartesian product of the corresponding graphs. We provide explicit examples of irreducible representations and, for coinciding eigenvalues, classify all the unitary representations of the corresponding algebras.

  8. Advantage, Absence of Advantage, and Disadvantage Among Scientists and Engineers

    SciTech Connect

    Nancy DiTomaso

    2008-09-23

    DiTomaso talks about survey data on the career experiences of 3,200 scientists and engineers from 24 major companies. Her survey findings indicate that most people who do well in their careers and make significant contributions to their organizations get assistance from others in their workplace in many forms, including offering opportunities such as good projects, providing resources that make good performance more likely, and opening up networking possibilities.

  9. 2015: Rural Medicare Advantage Enrollment Update.

    PubMed

    Finegan, Chance; Ullrich, Fred; Mueller, Keith

    2015-07-01

    Key Findings. (1) Rural enrollment in Medicare Advantage (MA) and other prepaid plans increased by 6.8 percent between March 2014 and March 2015 to 2.1 million members, or 21.2 percent of all rural residents eligible for Medicare. This compares to a national enrollment in MA and other prepaid plans of 31.1 percent (16.7 million) of enrollees. (2) Rural enrollment in Health Maintenance Organization (HMO) plans (including point-of-service, or POS, plans), Preferred Provider Organization (PP0) plans, and other pre-paid plans (including Medicare Cost and Program of All-Inclusive Care for the Elderly Plans) all increased by 5-13 percent. (3) Enrollment in private fee-for-service (PFFS) plans continued to decline (decreasing nationally by 15.8 percent and 12.1 percent in rural counties over the period March 2014-2015). Only eight states showed an increase in PFFS plan enrollment. Five states experienced decreases of 50 percent or more. (4) The five states with the highest percentages of rural beneficiaries enrolled in a Medicare Advantage plan are Minnesota (51.8 percent), Hawaii (39.4 percent), Pennsylvania (36.2 percent), Wisconsin (35.5 percent), and New York (31.5 percent).

  10. 2015: Rural Medicare Advantage Enrollment Update.

    PubMed

    Finegan, Chance; Ullrich, Fred; Mueller, Keith

    2015-07-01

    Key Findings. (1) Rural enrollment in Medicare Advantage (MA) and other prepaid plans increased by 6.8 percent between March 2014 and March 2015 to 2.1 million members, or 21.2 percent of all rural residents eligible for Medicare. This compares to a national enrollment in MA and other prepaid plans of 31.1 percent (16.7 million) of enrollees. (2) Rural enrollment in Health Maintenance Organization (HMO) plans (including point-of-service, or POS, plans), Preferred Provider Organization (PP0) plans, and other pre-paid plans (including Medicare Cost and Program of All-Inclusive Care for the Elderly Plans) all increased by 5-13 percent. (3) Enrollment in private fee-for-service (PFFS) plans continued to decline (decreasing nationally by 15.8 percent and 12.1 percent in rural counties over the period March 2014-2015). Only eight states showed an increase in PFFS plan enrollment. Five states experienced decreases of 50 percent or more. (4) The five states with the highest percentages of rural beneficiaries enrolled in a Medicare Advantage plan are Minnesota (51.8 percent), Hawaii (39.4 percent), Pennsylvania (36.2 percent), Wisconsin (35.5 percent), and New York (31.5 percent). PMID:26793818

  11. Ultra-minimally invasive cardiac surgery: robotic surgery and awake CABG.

    PubMed

    Ishikawa, Norihiko; Watanabe, Go

    2015-01-01

    The recognition of the significant advantages of minimizing surgical trauma has resulted in the development of minimally invasive surgical procedures. Endoscopic surgery confers the benefits of minimally invasive surgery upon patients, and surgical robots have enhanced the ability and precision of surgeons. Consequently, technological advances have facilitated totally endoscopic robotic cardiac surgery, which has allowed surgeons to operate endoscopically, rather than through a median sternotomy, during cardiac surgery. Thus, repairs for structural heart conditions, including mitral valve plasty, atrial septal defect closure, multivessel minimally invasive direct coronary artery bypass grafting and totally endoscopic coronary artery bypass graft surgery (CABG), can be totally endoscopic. On the other hand, general anesthesia remains a risk in patients who have severe carotid artery stenosis before surgery, as well as in those with a history of severe cerebral infarction or respiratory failure. In this study, the potential of a new awake CABG protocol using only epidural anesthesia was investigated for realizing day surgery and was found to be a promising modality for ultra-minimally invasive cardiac surgery. We herein review robot-assisted cardiac surgery and awake off-pump coronary artery bypass grafting as ultra-minimally invasive cardiac surgeries. PMID:25274467

  12. The ZOOM minimization package

    SciTech Connect

    Fischler, Mark S.; Sachs, D.; /Fermilab

    2004-11-01

    A new object-oriented Minimization package is available for distribution in the same manner as CLHEP. This package, designed for use in HEP applications, has all the capabilities of Minuit, but is a re-write from scratch, adhering to modern C++ design principles. A primary goal of this package is extensibility in several directions, so that its capabilities can be kept fresh with as little maintenance effort as possible. This package is distinguished by the priority that was assigned to C++ design issues, and the focus on producing an extensible system that will resist becoming obsolete.

  13. Minimally refined biomass fuel

    DOEpatents

    Pearson, Richard K.; Hirschfeld, Tomas B.

    1984-01-01

    A minimally refined fluid composition, suitable as a fuel mixture and derived from biomass material, is comprised of one or more water-soluble carbohydrates such as sucrose, one or more alcohols having less than four carbons, and water. The carbohydrate provides the fuel source; water solubilizes the carbohydrates; and the alcohol aids in the combustion of the carbohydrate and reduces the vicosity of the carbohydrate/water solution. Because less energy is required to obtain the carbohydrate from the raw biomass than alcohol, an overall energy savings is realized compared to fuels employing alcohol as the primary fuel.

  14. Minimal E6 unification

    NASA Astrophysics Data System (ADS)

    Susič, Vasja

    2016-06-01

    A realistic model in the class of renormalizable supersymmetric E6 Grand Unified Theories is constructed. Its matter sector consists of 3 × 27 representations, while the Higgs sector is 27 +27 ¯+35 1'+35 1' ¯+78 . An analytic solution for a Standard Model vacuum is found and the Yukawa sector analyzed. It is argued that if one considers the increased predictability due to only two symmetric Yukawa matrices in this model, it can be considered a minimal SUSY E6 model with this type of matter sector. This contribution is based on Ref. [1].

  15. 78 FR 69878 - First Advantage Corporation, Including On-Site Leased Workers From Tapfin, Staffworks, Aerotek...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-21

    ... determination was published in the Federal Register on May 30, 2013 (78 FR 32464). At the request of a company... Tapfin, Staffworks, Aerotek Professional Services, Randstad, Insight Global, LLC and RemX Specialty..., Staffworks, Aerotek Professional Services, Randstad, Insight Global, LLC, and RemX Specialty Staffing,...

  16. The manifold advantages of articulatory representations, Including microphone and speaker normalization

    SciTech Connect

    Hogden, J. E.; Valdez, P. F.; Gurvits, L.

    2002-01-01

    I'm going to be making two broad points during my talk. The first is that we should do a transformation from speech acoustics to articulator positions as part of our speech processing. The second point I will try to make is that we can do a transformation from speech sounds to articulator positions.

  17. Minimal movement zoom lens.

    PubMed

    Schwiegerling, Jim; Paleta-Toxqui, Carmen

    2009-04-01

    We make a novel telescope design using a pair of Alvarez lenses. Previous examples using these types of lenses were single elements used just to provide a change in power. Consequently, the location of the object and/or image plane must move. In this effort, we combine two elements to form a telescope. In this manner, we can fix the location of the object and image plane and simply change magnification. We describe the shapes of the Alvarez lenses used, as well as the advantages, the disadvantages, and the differences between a telescope using Alvarez lenses and a traditional telescope. PMID:19340148

  18. Logarithmic superconformal minimal models

    NASA Astrophysics Data System (ADS)

    Pearce, Paul A.; Rasmussen, Jørgen; Tartaglia, Elena

    2014-05-01

    The higher fusion level logarithmic minimal models {\\cal LM}(P,P';n) have recently been constructed as the diagonal GKO cosets {(A_1^{(1)})_k\\oplus (A_1^ {(1)})_n}/ {(A_1^{(1)})_{k+n}} where n ≥ 1 is an integer fusion level and k = nP/(P‧- P) - 2 is a fractional level. For n = 1, these are the well-studied logarithmic minimal models {\\cal LM}(P,P')\\equiv {\\cal LM}(P,P';1). For n ≥ 2, we argue that these critical theories are realized on the lattice by n × n fusion of the n = 1 models. We study the critical fused lattice models {\\cal LM}(p,p')_{n\\times n} within a lattice approach and focus our study on the n = 2 models. We call these logarithmic superconformal minimal models {\\cal LSM}(p,p')\\equiv {\\cal LM}(P,P';2) where P = |2p - p‧|, P‧ = p‧ and p, p‧ are coprime. These models share the central charges c=c^{P,P';2}=\\frac {3}{2}\\big (1-{2(P'-P)^2}/{P P'}\\big ) of the rational superconformal minimal models {\\cal SM}(P,P'). Lattice realizations of these theories are constructed by fusing 2 × 2 blocks of the elementary face operators of the n = 1 logarithmic minimal models {\\cal LM}(p,p'). Algebraically, this entails the fused planar Temperley-Lieb algebra which is a spin-1 Birman-Murakami-Wenzl tangle algebra with loop fugacity β2 = [x]3 = x2 + 1 + x-2 and twist ω = x4 where x = eiλ and λ = (p‧- p)π/p‧. The first two members of this n = 2 series are superconformal dense polymers {\\cal LSM}(2,3) with c=-\\frac {5}{2}, β2 = 0 and superconformal percolation {\\cal LSM}(3,4) with c = 0, β2 = 1. We calculate the bulk and boundary free energies analytically. By numerically studying finite-size conformal spectra on the strip with appropriate boundary conditions, we argue that, in the continuum scaling limit, these lattice models are associated with the logarithmic superconformal models {\\cal LM}(P,P';2). For system size N, we propose finitized Kac character formulae of the form q^{-{c^{P,P';2}}/{24}+\\Delta ^{P,P';2} _{r

  19. 77 FR 67433 - Community Advantage Pilot Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-09

    ... ADMINISTRATION Community Advantage Pilot Program AGENCY: U.S. Small Business Administration. ACTION: Notice of extension of and changes to Community Advantage Pilot Program and request for comments. SUMMARY: The Community Advantage (``CA'') Pilot Program is a pilot program to increase SBA-guaranteed loans to...

  20. 76 FR 56262 - Community Advantage Pilot Program

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-12

    ... Community Advantage Pilot Program (``CA Pilot Program'') (76 FR 9626). Pursuant to the authority provided to... ADMINISTRATION Community Advantage Pilot Program AGENCY: U.S. Small Business Administration (SBA). ACTION: Notice of change to Community Advantage Pilot Program. SUMMARY: On February 18, 2011, SBA published a...

  1. Advantages and Challenges of Superconducting Accelerators

    NASA Astrophysics Data System (ADS)

    Krischel, Detlef

    After a short review of the history toward high-energy superconducting (SC) accelerators for ion beam therapy (IBT), an overview is given on material properties and technical developments enabling to use SC components in a medical accelerator for full body cancer treatment. The design concept and the assembly of a commercially available SC cyclotron for proton therapy (PT) are described and the potential advantages for applying superconductivity are assessed. The discussion includes the first years of operation experience with regard to cryogenic and magnetic performance, automated beam control, and maintenance aspects. An outlook is given on alternative machine concepts for protons-only or for heavier ions. Finally, it is discussed whether the application of superconductivity might be expanded in the future to a broader range of subsystems of clinical IBT accelerators such as SC magnets for transfer beam lines or gantries.

  2. The POP Program: the patient education advantage.

    PubMed

    Claeys, M; Mosher, C; Reesman, D

    1998-01-01

    In 1992, a preoperative education program was developed for total joint replacement patients in a small community hospital. The goals of the program were to increase educational opportunities for the joint replacement patients, prepare patients for hospitalization, plan for discharge needs, and increase efficiency of the orthopaedic program. Since 1992, approximately 600 patients have attended the education program. Outcomes have included positive responses from patients regarding their preparedness for surgery, increased participation in their plan of care, coordinated discharge planning, decreased length of stay, and progression across the continuum of care. A multidisciplinary approach to preparing patients for surgery allows for a comprehensive and efficient education program. Marketing of successful programs can enhance an institution's competitive advantage and help ensure the hospital's viability in the current health care arena.

  3. Nurses’ Creativity: Advantage or Disadvantage

    PubMed Central

    Shahsavari Isfahani, Sara; Hosseini, Mohammad Ali; Fallahi Khoshknab, Masood; Peyrovi, Hamid; Khanke, Hamid Reza

    2015-01-01

    Background Recently, global nursing experts have been aggressively encouraging nurses to pursue creativity and innovation in nursing to improve nursing outcomes. Nurses’ creativity plays a significant role in health and well-being. In most health systems across the world, nurses provide up to 80% of the primary health care; therefore, they are critically positioned to provide creative solutions for current and future global health challenges. Objectives The purpose of this study was to explore Iranian nurses’ perceptions and experiences toward the expression of creativity in clinical settings and the outcomes of their creativity for health care organizations. Patients and Methods A qualitative approach using content analysis was adopted. Data were collected through in-depth semistructured interviews with 14 nurses who were involved in the creative process in educational hospitals affiliated to Jahrom and Tehran Universities of Medical Sciences in Iran. Results Four themes emerged from the data analysis, including a) Improvement in quality of patient care, b) Improvement in nurses’ quality of work, personal and social life, c) Promotion of organization, and d) Unpleasant outcomes. Conclusions The findings indicated that nurses’ creativity in health care organizations can lead to major changes of nursing practice, improvement of care and organizational performance. Therefore, policymakers, nurse educators, nursing and hospital managers should provide a nurturing environment that is conducive to creative thinking, giving the nurses opportunity for flexibility, creativity, support for change, and risk taking. PMID:25793116

  4. Environmental standards provide competitive advantage

    SciTech Connect

    Chynoweth, E.; Kirshner, E.

    1993-04-28

    Quality organizations are breaking new ground with the development of international standards for environmental management. These promise to provide the platform for chemical companies wanting to establish their environmental credibility with a global audience. [open quotes]It will be similar to auditing our customers to ISO 9000[close quote], says the environmental manager for a European chemical firm. [open quote]We will only want to deal with people who have got their environmental act together. And we'll be in a better competitive positions[close quote]. The International Organization for Standardization (ISO;Geneva) has set up a taskforce to develop an environmental management standard, which is expected to be completed by the mid-1990s. Observers think the ISO standard will draw heavily on the British Standard Institute's (BSI;London) environmental management standard, BS7750, which will likely be the first system adopted in the world. Published last year, BS7750 has been extensively piloted in the UK (CW, Sept. 30, 1992, p. 62) and is now set to be revised before being offically adopted by BSI. The UK's Chemical Industries Association (CIA;London) is anxious to prevent a proliferation of standards, and its report on BS7750 pilot projects calls for an approach integrating quality, environment, and health and safety. But standard setters, including ISO, appear to be moving in the opposite direction. In the US, the American national Standards Institute (ANSI;Washington) has started work on an environmental management standard.

  5. The SSRIs: advantages, disadvantages and differences.

    PubMed

    Lane, R; Baldwin, D; Preskorn, S

    1995-01-01

    The highly specific mechanism of action of the selective serotonin re-uptake inhibitors (SSRIs) confers advantages on this group, relative to other classes of antidepressant, and thus represents a significant advance in the pharmacotherapy of depression. Whilst their clinical efficacy is equivalent to that of the tricyclic antidepressants (TCAs), the SSRIs have a greatly reduced risk of toxicity in overdose and have been shown to be significantly better tolerated. Specifically, the SSRIs have a low incidence of anticholinergic effects and are essentially devoid of cardiotoxicity. This tolerability advantage may be of significance in improving compliance and hence cost-effectiveness of treatment, particularly in the long term. Despite a lack of sedative effect, there is evidence that SSRIs are more effective than TCAs in the treatment of depression with anxiety. In addition, the SSRIs have been shown to be effective in obsessive-compulsive disorder, panic disorder and social phobia. Although superior efficacy has not been demonstrated for any one of the SSRIs, the structural diversity of this group is reflected in emerging qualitative and quantitative differences in side effects and drug interaction potential. Many of these differential features reflect important variations in pharmacological and pharmacokinetic profiles, including dosage flexibility, washout times, dose-plasma level proportionality and age-related changes in plasma levels. Fluoxetine, for example, has a considerably longer half-life than other SSRIs and side effects and drug interactions may thus occur for an extended period following discontinuation of treatment. Significant differences in the potential for drug interactions in this group are related to their relative potency for inhibition of important liver drug-metabolising enzymes including CYPIID6, CYPIA2 and CYPIIIA4. Large comparative clinical trials of the different SSRIs have yet to be undertaken; however, the differences that have

  6. Minimizing fan energy costs

    SciTech Connect

    Monroe, R.C.

    1985-05-27

    Minimizing fan energy costs and maximizing fan efficiency is the subject of this paper. Blade design itself can cause poor flow distribution and inefficiency. A basic design criterion is that a blade should produce uniform flow over the entire plane of the fan. Also an inherent problem with the axial fan is swirl -- the tangential deflection of exit-flow caused by the effect of torque. Swirl can be prevented with an inexpensive hub component. Basic efficiency can be checked by means of the fan's performance curve. Generally, fewer blades translate into higher axial-fan efficiency. A crowded inboard area creates hub turbulence which lessens efficiency. Whether the pitch of fan blades is fixed or variable also affects energy consumption. Power savings of 50% per year or more can be realized by replacing fixed-pitch, continuously operating fans with fans whose blade pitch or speed is automatically varied.

  7. [Minimally invasive breast surgery].

    PubMed

    Mátrai, Zoltán; Gulyás, Gusztáv; Kunos, Csaba; Sávolt, Akos; Farkas, Emil; Szollár, András; Kásler, Miklós

    2014-02-01

    Due to the development in medical science and industrial technology, minimally invasive procedures have appeared in the surgery of benign and malignant breast diseases. In general , such interventions result in significantly reduced breast and chest wall scars, shorter hospitalization and less pain, but they require specific, expensive devices, longer surgical time compared to open surgery. Furthermore, indications or oncological safety have not been established yet. It is quite likely, that minimally invasive surgical procedures with high-tech devices - similar to other surgical subspecialties -, will gradually become popular and it may form part of routine breast surgery even. Vacuum-assisted core biopsy with a therapeutic indication is suitable for the removal of benign fibroadenomas leaving behind an almost invisible scar, while endoscopically assisted skin-sparing and nipple-sparing mastectomy, axillary staging and reconstruction with latissimus dorsi muscle flap are all feasible through the same short axillary incision. Endoscopic techniques are also suitable for the diagnostics and treatment of intracapsular complications of implant-based breast reconstructions (intracapsular fluid, implant rupture, capsular contracture) and for the biopsy of intracapsular lesions with uncertain pathology. Perception of the role of radiofrequency ablation of breast tumors requires further hands-on experience, but it is likely that it can serve as a replacement of surgical removal in a portion of primary tumors in the future due to the development in functional imaging and anticancer drugs. With the reduction of the price of ductoscopes routine examination of the ductal branch system, guided microdochectomy and targeted surgical removal of terminal ducto-lobular units or a "sick lobe" as an anatomical unit may become feasible. The paper presents the experience of the authors and provides a literature review, for the first time in Hungarian language on the subject. Orv. Hetil

  8. Next-to-minimal SOFTSUSY

    NASA Astrophysics Data System (ADS)

    Allanach, B. C.; Athron, P.; Tunstall, Lewis C.; Voigt, A.; Williams, A. G.

    2014-09-01

    We describe an extension to the SOFTSUSY program that provides for the calculation of the sparticle spectrum in the Next-to-Minimal Supersymmetric Standard Model (NMSSM), where a chiral superfield that is a singlet of the Standard Model gauge group is added to the Minimal Supersymmetric Standard Model (MSSM) fields. Often, a Z3 symmetry is imposed upon the model. SOFTSUSY can calculate the spectrum in this case as well as the case where general Z3 violating (denoted as =) terms are added to the soft supersymmetry breaking terms and the superpotential. The user provides a theoretical boundary condition for the couplings and mass terms of the singlet. Radiative electroweak symmetry breaking data along with electroweak and CKM matrix data are used as weak-scale boundary conditions. The renormalisation group equations are solved numerically between the weak scale and a high energy scale using a nested iterative algorithm. This paper serves as a manual to the NMSSM mode of the program, detailing the approximations and conventions used. Catalogue identifier: ADPM_v4_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/ADPM_v4_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 154886 No. of bytes in distributed program, including test data, etc.: 1870890 Distribution format: tar.gz Programming language: C++, fortran. Computer: Personal computer. Operating system: Tested on Linux 3.x. Word size: 64 bits Classification: 11.1, 11.6. Does the new version supersede the previous version?: Yes Catalogue identifier of previous version: ADPM_v3_0 Journal reference of previous version: Comput. Phys. Comm. 183 (2012) 785 Nature of problem: Calculating supersymmetric particle spectrum and mixing parameters in the next-to-minimal supersymmetric standard model. The solution to the

  9. Vegetarian diets: what are the advantages?

    PubMed

    Leitzmann, Claus

    2005-01-01

    A growing body of scientific evidence indicates that wholesome vegetarian diets offer distinct advantages compared to diets containing meat and other foods of animal origin. The benefits arise from lower intakes of saturated fat, cholesterol and animal protein as well as higher intakes of complex carbohydrates, dietary fiber, magnesium, folic acid, vitamin C and E, carotenoids and other phytochemicals. Since vegetarians consume widely divergent diets, a differentiation between various types of vegetarian diets is necessary. Indeed, many contradictions and misunderstandings concerning vegetarianism are due to scientific data from studies without this differentiation. In the past, vegetarian diets have been described as being deficient in several nutrients including protein, iron, zinc, calcium, vitamin B12 and A, n-3 fatty acids and iodine. Numerous studies have demonstrated that the observed deficiencies are usually due to poor meal planning. Well-balanced vegetarian diets are appropriate for all stages of the life cycle, including children, adolescents, pregnant and lactating women, the elderly and competitive athletes. In most cases, vegetarian diets are beneficial in the prevention and treatment of certain diseases, such as cardiovascular disease, hypertension, diabetes, cancer, osteoporosis, renal disease and dementia, as well as diverticular disease, gallstones and rheumatoid arthritis. The reasons for choosing a vegetarian diet often go beyond health and well-being and include among others economical, ecological and social concerns. The influences of these aspects of vegetarian diets are the subject of the new field of nutritional ecology that is concerned with sustainable life styles and human development.

  10. 34 CFR 303.15 - Include; including.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 2 2010-07-01 2010-07-01 false Include; including. 303.15 Section 303.15 Education Regulations of the Offices of the Department of Education (Continued) OFFICE OF SPECIAL EDUCATION AND REHABILITATIVE SERVICES, DEPARTMENT OF EDUCATION EARLY INTERVENTION PROGRAM FOR INFANTS AND TODDLERS...

  11. Minimally invasive pancreatic surgery – a review

    PubMed Central

    Damoli, Isacco; Ramera, Marco; Paiella, Salvatore; Marchegiani, Giovanni; Bassi, Claudio

    2015-01-01

    During the past 20 years the application of a minimally invasive approach to pancreatic surgery has progressively increased. Distal pancreatectomy is the most frequently performed procedure, because of the absence of a reconstructive phase. However, middle pancreatectomy and pancreatoduodenectomy have been demonstrated to be safe and feasible as well. Laparoscopic distal pancreatectomy is recognized as the gold standard treatment for small tumors of the pancreatic body-tail, with several advantages over the traditional open approach in terms of patient recovery. The surgical treatment of lesions of the pancreatic head via a minimally invasive approach is still limited to a few highly experienced surgeons, due to the very challenging resection and complex anastomoses. Middle pancreatectomy and enucleation are indicated for small and benign tumors and offer the maximum preservation of the parenchyma. The introduction of a robotic platform more than ten years ago increased the interest of many surgeons in minimally invasive treatment of pancreatic diseases. This new technology overcomes all the limitations of laparoscopic surgery, but actual benefits for the patients are still under investigation. The increased costs associated with robotic surgery are under debate too. This article presents the state of the art of minimally invasive pancreatic surgery. PMID:26240612

  12. Minimal Residual Disease Assessment in the Context of Multiple Myeloma Treatment.

    PubMed

    Nishihori, Taiga; Song, Jinming; Shain, Kenneth H

    2016-04-01

    With contemporary therapeutic strategies in multiple myeloma, heretofore unseen depth and rate of responses are being achieved. These strategies have paralleled improvements in outcome of multiple myeloma patients. The integration of the next generation of proteasome inhibitors and antibody therapeutics promise continued improvements in therapy with the expectation of consistent depth of response not quantifiable by current clinical methods. As such, there is a growing need to develop adequate tools to evaluate deeper disease response after therapy and to refine the response criteria including the minimal residual disease. Several emerging techniques are being evaluated for these purposes including multi-parameter flow cytometry, allele-specific oligonucleotide polymerase chain reaction, next-generation sequencing, and imaging modalities. In this review, we highlight the recent developments and evaluate advantages and limitations of the current technologies to assess minimal residual disease. We also discuss future applications of these methodologies in potentially guiding multiple myeloma treatment decisions.

  13. Sludge minimization technologies--an overview.

    PubMed

    Odegaard, H

    2004-01-01

    The management of wastewater sludge from wastewater treatment plants represents one of the major challenges in wastewater treatment today. The cost of the sludge treatment amounts to more than the cost of the liquid in many cases. Therefore the focus on and interest in sludge minimization is steadily increasing. In this paper an overview is given for sludge minimization (sludge mass reduction) options. It is demonstrated that sludge minimization may be a result of reduced production of sludge and/or disintegration processes that may take place both in the wastewater treatment stage and in the sludge stage. Various sludge disintegration technologies for sludge minimization are discussed, including mechanical methods (focusing on stirred ball-mill, high-pressure homogenizer, ultrasonic disintegrator), chemical methods (focusing on the use of ozone), physical methods (focusing on thermal and thermal/chemical hydrolysis) and biological methods (focusing on enzymatic processes).

  14. A minimal lentivirus Tat.

    PubMed Central

    Derse, D; Carvalho, M; Carroll, R; Peterlin, B M

    1991-01-01

    Transcriptional regulatory mechanisms found in lentiviruses employ RNA enhancer elements called trans-activation responsive (TAR) elements. These nascent RNA stem-loops are cis-acting targets of virally encoded Tat effectors. Interactions between Tat and TAR increase the processivity of transcription complexes and lead to efficient copying of viral genomes. To study essential elements of this trans activation, peptide motifs from Tats of two distantly related lentiviruses, equine infectious anemia virus (EIAV) and human immunodeficiency virus type 1 (HIV-1), were fused to the coat protein of bacteriophage R17 and tested on the long terminal repeat of EIAV, where TAR was replaced by the R17 operator, the target of the coat protein. This independent RNA-tethering mechanism mapped activation domains of Tats from HIV-1 and EIAV to 47 and 15 amino acids and RNA-binding domains to 10 and 26 amino acids, respectively. Thus, a minimal lentivirus Tat consists of 25 amino acids, of which 15 modify viral transcription and 10 bind to the target RNA stem-loop. Images PMID:1658392

  15. Minimal trellises for linear block codes and their duals

    NASA Technical Reports Server (NTRS)

    Kiely, A. B.; Dolinar, S.; Ekroot, L.; Mceliece, R. J.; Lin, W.

    1995-01-01

    We consider the problem of finding a trellis for a linear block code that minimizes one or more measures of trellis complexity for a fixed permutation of the code. We examine constraints on trellises, including relationships between the minimal trellis of a code and that of the dual code. We identify the primitive structures that can appear in a minimal trellis and relate this to those for the minimal trellis of the dual code.

  16. Waste minimization in chrome plating

    SciTech Connect

    Scheuer, J.; Walter, K.; Nastasi, M.

    1996-09-01

    This is the final report of a one year laboratory directed research and development project at the Los Alamos National Laboratory (LANL). Traditional wet chemical electroplating techniques utilize toxic materials and pose environmental hazards in the disposal of primary baths and waste waters. Pollutants include metals and nonmetals, such as oil, grease, phosphates, and toxic and organic compounds. This project is focused on development of plasma source ion implantation (PSII), a novel and cost-effective surface modification technique, to minimize and ultimately eliminate waste generated in chrome plating. We are collaborating with and industrial partner to design material systems, utilize the PSII processes in existing Los Alamos experimental facilities, and analyze both material and performance characteristics.

  17. Zinc recovery and waste sludge minimization from chromium passivation baths.

    PubMed

    Diban, Nazely; Mediavilla, Rosa; Urtiaga, Ane; Ortiz, Inmaculada

    2011-08-30

    This work reports the feasibility of applying emulsion pertraction technology (EPT) aiming at zinc recovery and waste minimization in the zinc electroplating processes that include Cr (III) passivation. The assessment consists of firstly the lifetime extension of the passivation baths by selective removal of the tramp ions zinc and iron, and secondly, the recovery of zinc for further reuse. Spent passivation baths from a local industry were tested, being the major metallic content: Cr(3+) 9000mg L(-1), Zn(2+) 12,000mg L(-1), Fe(3+) 100mg L(-1). Working in a Liqui-Cel hollow fiber membrane contactor and using the extractant bis(2,4,4-trimethylpentyl) phosphinic acid, reduction of zinc and iron concentrations below 60mg L(-1) and 2mg L(-1), respectively were obtained, while trivalent chromium, the active metal that generates the passivation layer, was retained in the baths. Zinc was selectively transferred to an acidic stripping phase that in the experimental time reached a concentration of 157,000mg L(-1). Zinc recovery by electrowinning from the acidic stripping phase without any pretreatment of the electrolyte solution provided a purity of 98.5%, matching the lower commercial zinc grade. As a result of the extension of the life time of the passivation bath, significant environmental advantages are derived such as minimization of the volume of hazardous wastes and savings in the consumption of raw materials. PMID:21704452

  18. Interactive MR image guidance for neurosurgical and minimally invasive procedures

    NASA Astrophysics Data System (ADS)

    Wong, Terence Z.; Schwartz, Richard B.; Pergolizzi, Richard S., Jr.; Black, Peter M.; Kacher, Daniel F.; Morrison, Paul R.; Jolesz, Ferenc A.

    1999-05-01

    Advantages of MR imaging for guidance of minimally invasive procedures include exceptional soft tissue contrast, intrinsic multiplanar imaging capability, and absence of exposure to ionizing radiation. Specialized imaging sequences are available and under development which can further enhance diagnosis and therapy. Flow-sensitive imaging techniques can be used to identify vascular structures. Temperature-sensitive imaging is possible which can provide interactive feedback prior to, during, and following the delivery of thermal energy. Functional MR imaging and dynamic contrast-enhanced MRI sequences can provide additional information for guidance in neurosurgical applications. Functional MR allows mapping of eloquent areas in the brain, so that these areas may be avoided during therapy. Dynamic contrast enhancement techniques can be useful for distinguishing active tumor from tumor necrosis caused by previous radiation therapy. An open-configuration 0.5T MRI system (GE Signa SP) developed at Brigham and Women's Hospital in collaboration with General Electric Medical Systems is described. Interactive navigation systems have been integrated into the MRI system. The imaging system is sited in an operating room environment, and used for image guided neurosurgical procedures (biopsies and tumor excision), as well as minimally invasive thermal therapies. Examples of MR imaging guidance, navigational techniques, and clinical applications are presented.

  19. Minimally invasive cardiac surgery-coronary artery bypass graft.

    PubMed

    Lemma, Massimo; Atanasiou, Thanos; Contino, Monica

    2013-01-01

    Coronary artery bypass graft (CABG) is among the most common operations performed in the world. Different surgical strategies can be used with different invasiveness. This paper describes a recent development of the technique that merges the advantages resulting from both the adoption of an 'off-pump no-touch aorta operation' and a 'complete arterial revascularization through a left minithoracotomy' in a single procedure. This operation is currently known with the acronym MICS (minimally invasive cardiac surgery)-CABG (minimally invasive cardiac surgery). It is an off-pump operation performed through a minithoracotomy in the fourth or fifth left intercostal space across the midclavicular line. The left internal thoracic artery (LITA) is harvested under direct vision using a special rib-retractor with multiple interchangeable thoracotomy blades, including blades to use with lift systems for proximal artery harvesting, while the right radial artery (RA) is harvested endoscopically. A Y-connection is made between the two arteries. The LITA is used to bypass the left anterior descending coronary artery, while the right RA is used on the obtuse marginal branches and/or the posterior descending coronary artery. A special coronary stabilizer and a heart positioner with a shaft for remote thoracic insertion are needed.

  20. Operational-safety advantages of LMFBR's: the EBR-II experience and testing program

    SciTech Connect

    Sackett, J.I.; Lindsay, R.W.; Golden, G.H.

    1982-01-01

    LMFBR's contain many inherent characteristics that simplify control and improve operating safety and reliability. The EBR-II design is such that good advantage was taken of these characteristics, resulting in a vary favorable operating history and allowing for a program of off-normal testing to further demonstrate the safe response of LMFBR's to upsets. The experience already gained, and that expected from the future testing program, will contribute to further development of design and safety criteria for LMFBR's. Inherently safe characteristics are emphasized and include natural convective flow for decay heat removal, minimal need for emergency power and a large negative reactivity feedback coefficient. These characteristics at EBR-II allow for ready application of computer diagnosis and control to demonstrate their effectiveness in response to simulated plant accidents. This latter testing objective is an important part in improvements in the man-machine interface. (MMI)

  1. MINIMIZATION OF CARBON LOSS IN COAL REBURNING

    SciTech Connect

    Vladimir Zamansky; Vitali Lissianski; Pete Maly; Richard Koppang

    2002-09-10

    This project develops Fuel-Flexible Reburning (FFR) technology that is an improved version of conventional reburning. In FFR solid fuel is partially gasified before injection into the reburning zone of a boiler. Partial gasification of the solid fuel improves efficiency of NO{sub x} reduction and decreases LOI by increasing fuel reactivity. Objectives of this project were to develop engineering and scientific information and know-how needed to improve the cost of reburning via increased efficiency and minimized LOI and move the FFR technology to the demonstration and commercialization stage. All project objectives and technical performance goals have been met, and competitive advantages of FFR have been demonstrated. The work included a combination of experimental and modeling studies designed to identify optimum process conditions, confirm the process mechanism and to estimate cost effectiveness of the FFR technology. Experimental results demonstrated that partial gasification of a solid fuel prior to injection into the reburning zone improved the efficiency of NO{sub x} reduction and decreased LOI. Several coals with different volatiles content were tested. Testing suggested that incremental increase in the efficiency of NO{sub x} reduction due to coal gasification was more significant for coals with low volatiles content. Up to 14% increase in the efficiency of NO{sub x} reduction in comparison with basic reburning was achieved with coal gasification. Tests also demonstrated that FFR improved efficiency of NO{sub x} reduction for renewable fuels with high fuel-N content. Modeling efforts focused on the development of the model describing reburning with gaseous gasification products. Modeling predicted that the composition of coal gasification products depended on temperature. Comparison of experimental results and modeling predictions suggested that the heterogeneous NO{sub x} reduction on the surface of char played important role. Economic analysis confirmed

  2. Minimally invasive surgical management of benign breast lesions

    PubMed Central

    Lakoma, Anna

    2014-01-01

    Benign breast disease is common among women, and when symptomatic, definitive surgical management is preferred by both clinicians and patients. Given the nonmalignant nature of these lesions, an important factor in treatment is cosmesis. Novel minimally invasive techniques for breast lesions are rapidly emerging and demonstrate good efficacy, safety and cosmesis. This review will describe minimally invasive techniques of breast lesions via surgical and percutaneous approaches and discuss the outcomes, advantages and limitations for each. Based on promising initial results, the future standard of care for benign breast lesions may focus on one or more of these minimally invasive techniques. PMID:25083508

  3. Minimally invasive surgery for the treatment of ureteral stump syndrome

    PubMed Central

    Alenezi, Husain; Eltiraifi, Abdelmoniem E.; Alomar, Mohammad

    2015-01-01

    Objective: The aim was to highlight the advantages and the feasibility of treating ureteral stump syndrome (USS) by different minimally invasive procedures. Materials and Methods: Four patients with USS who were treated by different minimally invasive surgery approaches depending on their presentation and findings on radiologic investigations. Results: Three patients had complete resolution of their symptoms, whereas the fourth patient had persistence of urinary tract infection. Conclusion: Minimally invasive surgery is a valid treatment option for patients with USS with possible less morbidity than conventional open surgical excision. PMID:26692664

  4. Safeguards and pitfalls in minimally invasive mitral valve surgery.

    PubMed

    Czesla, Markus; Götte, Julia; Weimar, Timo; Ruttkay, Tamas; Doll, Nicolas

    2013-11-01

    Minimally invasive mitral valve surgery has been established in many institutions worldwide. Appropriate indications and patient selection for this procedure must be based on a thorough understanding of its limitations and specific pitfalls. Particular risks can be minimized with careful attention to detail when planning and performing the surgery. The following chapter offers a stepwise description of the procedure; we point out particular advantages, discuss our rationale for certain steps, as well as focus on potential dangers of minimally invasive mitral valve surgery. Several graphics have also been provided to illustrate our approach and demonstrate important structural and anatomical concepts of the mitral valve apparatus.

  5. Minimal, Not Simple.

    ERIC Educational Resources Information Center

    Bennett, Paul

    2000-01-01

    Describes the creative process in designing an elementary school courtyard to be a single, engaging expression of connected spaces organized around a single large object: a rebar dome. Photos and concept drawings are included. (GR)

  6. Advantages and limits of hemorrhoidal dearterialization in the treatment of symptomatic hemorrhoids

    PubMed Central

    Giamundo, Paolo

    2016-01-01

    In the last two decades, hemorrhoidal dearterialization has become universally accepted as a treatment option for symptomatic hemorrhoids. The rationale for this procedure is based on the assumption that arterial blood overflow is mainly responsible for dilatation of the hemorrhoidal plexus due to the absence of capillary interposition between the arterial and venous systems within the anal canal. Dearterialization, with either suture ligation (Doppler-guided hemorrhoid artery ligation/transanal hemorrhoidal dearterialization) or laser (hemorrhoidal laser procedure), may be successfully performed alone or with mucopexy. Although the added value of Doppler-guidance in association with dearterialization has recently been challenged, this imaging method still plays an important role in localizing hemorrhoidal arteries and, therefore, minimizing the effect of anatomic variation among patients. However, it is important to employ the correct Doppler transducer. Some Doppler transducers may not easily detect superficial arteries due to inadequate frequency settings. All techniques of dearterialization have the advantage of preserving the anatomy and physiology of the anal canal, when compared to other surgical treatments for hemorrhoids. This advantage cannot be underestimated as impaired anal function, including fecal incontinence and other defecation disorders, may occur following surgical treatment for hemorrhoids. Furthermore, this potentially devastating problem can occur in patients of all ages, including younger patients. PMID:26843909

  7. Advantages and limits of hemorrhoidal dearterialization in the treatment of symptomatic hemorrhoids.

    PubMed

    Giamundo, Paolo

    2016-01-27

    In the last two decades, hemorrhoidal dearterialization has become universally accepted as a treatment option for symptomatic hemorrhoids. The rationale for this procedure is based on the assumption that arterial blood overflow is mainly responsible for dilatation of the hemorrhoidal plexus due to the absence of capillary interposition between the arterial and venous systems within the anal canal. Dearterialization, with either suture ligation (Doppler-guided hemorrhoid artery ligation/transanal hemorrhoidal dearterialization) or laser (hemorrhoidal laser procedure), may be successfully performed alone or with mucopexy. Although the added value of Doppler-guidance in association with dearterialization has recently been challenged, this imaging method still plays an important role in localizing hemorrhoidal arteries and, therefore, minimizing the effect of anatomic variation among patients. However, it is important to employ the correct Doppler transducer. Some Doppler transducers may not easily detect superficial arteries due to inadequate frequency settings. All techniques of dearterialization have the advantage of preserving the anatomy and physiology of the anal canal, when compared to other surgical treatments for hemorrhoids. This advantage cannot be underestimated as impaired anal function, including fecal incontinence and other defecation disorders, may occur following surgical treatment for hemorrhoids. Furthermore, this potentially devastating problem can occur in patients of all ages, including younger patients.

  8. The Down Syndrome Advantage: Fact or Fiction?

    ERIC Educational Resources Information Center

    Corrice, April M.; Glidden, Laraine Masters

    2009-01-01

    The "Down syndrome advantage" is the popular conception that children with Down syndrome are easier to rear than children with other developmental disabilities. We assessed whether mothers of children with developmental disabilities would demonstrate a consistent Down syndrome advantage as their children aged from 12 to 18 years. Results did not…

  9. Minimally Invasive Surgery in Gynecologic Oncology

    PubMed Central

    Mori, Kristina M.; Neubauer, Nikki L.

    2013-01-01

    Minimally invasive surgery has been utilized in the field of obstetrics and gynecology as far back as the 1940s when culdoscopy was first introduced as a visualization tool. Gynecologists then began to employ minimally invasive surgery for adhesiolysis and obtaining biopsies but then expanded its use to include procedures such as tubal sterilization (Clyman (1963), L. E. Smale and M. L. Smale (1973), Thompson and Wheeless (1971), Peterson and Behrman (1971)). With advances in instrumentation, the first laparoscopic hysterectomy was successfully performed in 1989 by Reich et al. At the same time, minimally invasive surgery in gynecologic oncology was being developed alongside its benign counterpart. In the 1975s, Rosenoff et al. reported using peritoneoscopy for pretreatment evaluation in ovarian cancer, and Spinelli et al. reported on using laparoscopy for the staging of ovarian cancer. In 1993, Nichols used operative laparoscopy to perform pelvic lymphadenectomy in cervical cancer patients. The initial goals of minimally invasive surgery, not dissimilar to those of modern medicine, were to decrease the morbidity and mortality associated with surgery and therefore improve patient outcomes and patient satisfaction. This review will summarize the history and use of minimally invasive surgery in gynecologic oncology and also highlight new minimally invasive surgical approaches currently in development. PMID:23997959

  10. Bilateral Advantages in Subitizing With Visual Masking.

    PubMed

    Pryor, Campbell G; Howe, Piers D L

    2015-01-01

    Performance on a range of visual-processing tasks has been shown to improve when information is split bilaterally across the left and right visual hemifields rather than being restricted to a single visual hemifield. However, a recent study by Delvenne et al. found no such bilateral advantage for subitizing, which is our ability to rapidly and accurately enumerate small quantities of objects. This finding is particularly surprising, as it contradicts the prediction of FINgers of INSTantiation theory that subitizing should benefit from bilateral presentation. Our study investigated the issue by determining if there are any circumstances where a bilateral advantage for subitization occurs. Contrary to Delvenne et al., we found that subitizing could show bilateral advantages, but only when the display was backward-masked. We discuss these findings in relation to how the rate of encoding and the time available for this encoding may affect bilateral advantages in subitizing. A general model is proposed under which bilateral advantages could be explained.

  11. Fourier Transform Infrared Spectroscopy: Part II. Advantages of FT-IR.

    ERIC Educational Resources Information Center

    Perkins, W. D.

    1987-01-01

    This is Part II in a series on Fourier transform infrared spectroscopy (FT-IR). Described are various advantages of FT-IR spectroscopy including energy advantages, wavenumber accuracy, constant resolution, polarization effects, and stepping at grating changes. (RH)

  12. Approximate error conjugation gradient minimization methods

    DOEpatents

    Kallman, Jeffrey S

    2013-05-21

    In one embodiment, a method includes selecting a subset of rays from a set of all rays to use in an error calculation for a constrained conjugate gradient minimization problem, calculating an approximate error using the subset of rays, and calculating a minimum in a conjugate gradient direction based on the approximate error. In another embodiment, a system includes a processor for executing logic, logic for selecting a subset of rays from a set of all rays to use in an error calculation for a constrained conjugate gradient minimization problem, logic for calculating an approximate error using the subset of rays, and logic for calculating a minimum in a conjugate gradient direction based on the approximate error. In other embodiments, computer program products, methods, and systems are described capable of using approximate error in constrained conjugate gradient minimization problems.

  13. Clinical advantages of carbon-ion radiotherapy

    NASA Astrophysics Data System (ADS)

    Tsujii, Hirohiko; Kamada, Tadashi; Baba, Masayuki; Tsuji, Hiroshi; Kato, Hirotoshi; Kato, Shingo; Yamada, Shigeru; Yasuda, Shigeo; Yanagi, Takeshi; Kato, Hiroyuki; Hara, Ryusuke; Yamamoto, Naotaka; Mizoe, Junetsu

    2008-07-01

    Carbon-ion radiotherapy (C-ion RT) possesses physical and biological advantages. It was started at NIRS in 1994 using the Heavy Ion Medical Accelerator in Chiba (HIMAC); since then more than 50 protocol studies have been conducted on almost 4000 patients with a variety of tumors. Clinical experiences have demonstrated that C-ion RT is effective in such regions as the head and neck, skull base, lung, liver, prostate, bone and soft tissues, and pelvic recurrence of rectal cancer, as well as for histological types including adenocarcinoma, adenoid cystic carcinoma, malignant melanoma and various types of sarcomas, against which photon therapy could be less effective. Furthermore, when compared with photon and proton RT, a significant reduction of overall treatment time and fractions has been accomplished without enhancing toxicities. Currently, the number of irradiation sessions per patient averages 13 fractions spread over approximately three weeks. This means that in a carbon therapy facility a larger number of patients than is possible with other modalities can be treated over the same period of time.

  14. Thoracoscopy versus thoracotomy: indications and advantages.

    PubMed

    Weatherford, D A; Stephenson, J E; Taylor, S M; Blackhurst, D

    1995-01-01

    Although the diagnosis and treatment of intrathoracic diseases have been affected by the use of thoracoscopy, the indications and advantages of this procedure are poorly defined. To review the indications and results in a community practice, 52 consecutive cases of thoracoscopy were reviewed and the postoperative courses were compared to a control group of 43 simultaneous thoracotomies. Operative indications for thoracoscopy included investigation or treatment of a lung mass (n = 33), spontaneous pneumothorax (n = 10), mediastinal mass (n = 4), pleural effusion (n = 2), mesothelioma (n = 2), and a ruptured hemidiaphragm (n = 1). General endotracheal anesthesia was used in each case. Overall, thoracoscopy was successful in 40 cases (77%). Conversion to formal thoracotomy was required in 14 cases (27%) secondary to poor visualization or to aid in further dissection. Compared to thoracotomy, complication rates were less (7.6 vs 16.2%), hospital stay shorter (5.5 vs 8 days), ICU stay shorter (0 vs 2 days) and pleural drainage time less (2 vs 5 days) in the thoracoscopy group. In summary, 73% of the patients in this study who formerly would have undergone thoracotomy were successfully managed with thoracoscopy alone, with acceptable morbidity and mortality. These data define the indications, morbidity, and mortality of thoracoscopy and suggest that thoracoscopy may emerge as the procedure of choice in the diagnosis and management of many thoracic diseases.

  15. Self-Advantage in the Online World

    PubMed Central

    Yang, Hongsheng; Wang, Fang; Gu, Nianjun; Zhang, Ying

    2015-01-01

    In the current research, screen name was employed to explore the possible cognitive advantage for self-related online material. The results showed that one’s own screen name and real name were detected faster than famous names in both visual search and discrimination tasks. In comparison, there was no difference in visual search speed for the two kinds of self-related names. These findings extend self-advantage from the physical world to the virtual online environment and confirm its robustness. In addition, the present findings also suggest that familiarity might not be the determining factor for self-advantage. PMID:26461490

  16. The advantage of first mention in Spanish

    PubMed Central

    CARREIRAS, MANUEL; GERNSBACHER, MORTON ANN; VILLA, VICTOR

    2015-01-01

    An advantage of first mention—that is, faster access to participants mentioned first in a sentence—has previously been demonstrated only in English. We report three experiments demonstrating that the advantage of first mention occurs also in Spanish sentences, regardless of whether the first-mentioned participants are syntactic subjects, and regardless, too, of whether they are proper names or inanimate objects. Because greater word-order flexibility is allowed in Spanish than in English (e.g., nonpassive object-verb-subject constructions exist in Spanish), these findings provide additional evidence that the advantage of first mention is a general cognitive phenomenon. PMID:24203596

  17. THE HOME ADVANTAGE IN MAJOR LEAGUE BASEBALL.

    PubMed

    Jones, Marshall B

    2015-12-01

    Home advantage is smaller in baseball than in other major professional sports for men, specifically football, basketball, or soccer. This paper advances an explanation. It begins by reviewing the main observations to support the view that there is little or no home advantage in individual sports. It then presents the case that home advantage originates in impaired teamwork among the away players. The need for teamwork and the extent of it vary from sport to sport. To the extent that a sport requires little teamwork it is more like an individual sport, and the home team would be expected to enjoy only a small advantage. Interactions among players on the same side (teamwork) are much less common in baseball than in the other sports considered.

  18. Women's Memory Advantage Might Skew Alzheimer's Diagnosis

    MedlinePlus

    ... https://medlineplus.gov/news/fullstory_161328.html Women's Memory Advantage Might Skew Alzheimer's Diagnosis Women tend to hold on to better verbal memory skills as they age compared to men, study ...

  19. THE HOME ADVANTAGE IN MAJOR LEAGUE BASEBALL.

    PubMed

    Jones, Marshall B

    2015-12-01

    Home advantage is smaller in baseball than in other major professional sports for men, specifically football, basketball, or soccer. This paper advances an explanation. It begins by reviewing the main observations to support the view that there is little or no home advantage in individual sports. It then presents the case that home advantage originates in impaired teamwork among the away players. The need for teamwork and the extent of it vary from sport to sport. To the extent that a sport requires little teamwork it is more like an individual sport, and the home team would be expected to enjoy only a small advantage. Interactions among players on the same side (teamwork) are much less common in baseball than in the other sports considered. PMID:26654988

  20. Sequential unconstrained minimization algorithms for constrained optimization

    NASA Astrophysics Data System (ADS)

    Byrne, Charles

    2008-02-01

    The problem of minimizing a function f(x):RJ → R, subject to constraints on the vector variable x, occurs frequently in inverse problems. Even without constraints, finding a minimizer of f(x) may require iterative methods. We consider here a general class of iterative algorithms that find a solution to the constrained minimization problem as the limit of a sequence of vectors, each solving an unconstrained minimization problem. Our sequential unconstrained minimization algorithm (SUMMA) is an iterative procedure for constrained minimization. At the kth step we minimize the function G_k(x)=f(x)+g_k(x), to obtain xk. The auxiliary functions gk(x):D ⊆ RJ → R+ are nonnegative on the set D, each xk is assumed to lie within D, and the objective is to minimize the continuous function f:RJ → R over x in the set C=\\overline D , the closure of D. We assume that such minimizers exist, and denote one such by \\hat x . We assume that the functions gk(x) satisfy the inequalities 0\\leq g_k(x)\\leq G_{k-1}(x)-G_{k-1}(x^{k-1}), for k = 2, 3, .... Using this assumption, we show that the sequence {f(xk)} is decreasing and converges to f({\\hat x}) . If the restriction of f(x) to D has bounded level sets, which happens if \\hat x is unique and f(x) is closed, proper and convex, then the sequence {xk} is bounded, and f(x^*)=f({\\hat x}) , for any cluster point x*. Therefore, if \\hat x is unique, x^*={\\hat x} and \\{x^k\\}\\rightarrow {\\hat x} . When \\hat x is not unique, convergence can still be obtained, in particular cases. The SUMMA includes, as particular cases, the well-known barrier- and penalty-function methods, the simultaneous multiplicative algebraic reconstruction technique (SMART), the proximal minimization algorithm of Censor and Zenios, the entropic proximal methods of Teboulle, as well as certain cases of gradient descent and the Newton-Raphson method. The proof techniques used for SUMMA can be extended to obtain related results for the induced proximal

  1. The concept of minimally invasive dentistry.

    PubMed

    Ericson, Dan

    2007-01-01

    This paper reviews Minimally Invasive Dentistry (MID) from a day-to-day dentistry perspective, focusing mostly on cariology and restorative dentistry, even though it embraces many aspects of dentistry. The concept of MID supports a systematic respect for the original tissue, including diagnosis, risk assessment, preventive treatment, and minimal tissue removal upon restoration. The motivation for MID emerges from the fact that fillings are not permanent and that the main reasons for failure are secondary caries and filling fracture. To address these flaws, there is a need for economical re-routing so that practices can survive on maintaining dental health and not only by operative procedures.

  2. Guidelines for mixed waste minimization

    SciTech Connect

    Owens, C.

    1992-02-01

    Currently, there is no commercial mixed waste disposal available in the United States. Storage and treatment for commercial mixed waste is limited. Host States and compacts region officials are encouraging their mixed waste generators to minimize their mixed wastes because of management limitations. This document provides a guide to mixed waste minimization.

  3. Waste minimization handbook, Volume 1

    SciTech Connect

    Boing, L.E.; Coffey, M.J.

    1995-12-01

    This technical guide presents various methods used by industry to minimize low-level radioactive waste (LLW) generated during decommissioning and decontamination (D and D) activities. Such activities generate significant amounts of LLW during their operations. Waste minimization refers to any measure, procedure, or technique that reduces the amount of waste generated during a specific operation or project. Preventive waste minimization techniques implemented when a project is initiated can significantly reduce waste. Techniques implemented during decontamination activities reduce the cost of decommissioning. The application of waste minimization techniques is not limited to D and D activities; it is also useful during any phase of a facility`s life cycle. This compendium will be supplemented with a second volume of abstracts of hundreds of papers related to minimizing low-level nuclear waste. This second volume is expected to be released in late 1996.

  4. Minimally invasive surgery for atrial fibrillation.

    PubMed

    Lancaster, Timothy S; Melby, Spencer J; Damiano, Ralph J

    2016-04-01

    The surgical treatment of atrial fibrillation (AF) has been revolutionized over the past two decades through surgical innovation and improvements in endoscopic imaging, ablation technology, and surgical instrumentation. These advances have prompted the development of the less complex and less morbid Cox-Maze IV procedure, and have allowed its adaptation to a minimally invasive right mini-thoracotomy approach that can be used in stand-alone AF ablation and in patients undergoing concomitant mitral and tricuspid valve surgery. Other minimally invasive ablation techniques have been developed for stand-alone AF ablation, including video-assisted pulmonary vein isolation, extended left atrial lesion sets, and a hybrid approach. This review will discuss the tools, techniques, and outcomes of minimally invasive surgical procedures currently being practiced for AF ablation.

  5. Fiber-optic parametric amplifiers: Their advantages and limitations

    NASA Astrophysics Data System (ADS)

    Yaman, Fatih

    Fiber-optic parametric amplifiers (FOPAs) can be used in lightwave systems for several signal-processing applications including optical amplification, phase conjugation, and wavelength conversion. In principle, FOPAs can provide high gain uniform over a wide wavelength range (> 100 nm). What is more, FOPAs add little noise to the amplified signal. FOPAs can have noise figure as low as 0 dB when operated in the phase-sensitive mode and 3 dB in the phase insensitive mode. However, in practice, these advantages of FOPAs are compromised. In this work, I investigate several factors that limit the performance of FOPAs, and propose practical schemes to minimize those limitations. FOPAs can provide a relatively large gain bandwidth because the gain spectrum of FOPAs is not determined by material resonances but by the phase-matching condition. For the same reason, FOPAs are very sensitive to perturbations stemming from fiber irregularities. One such irregularity is that fiber dispersion varies randomly along the fiber length. My numerical modeling showed that, because of such variations, FOPA gain spectrum cannot maintain its flatness and also that FOPA gain profile changes from one fiber to the other. Using stochastic methods, an analytic theory is developed that can predict an "average gain spectrum." This analytic theory can be used to show that flatness of FOPA gain is recovered at the expense of reducing the gain bandwidth. Another fiber irregularity that affects FOPA gain spectrum is the residual birefringence. During the fiber-drawing process, the cross section of fiber core inevitably deviates from perfect circular symmetry. As a result, all non-polarization maintaining fibers exhibit residual birefringence. Both the magnitude of birefringence and the direction of its principal axis vary along the fiber length as well as in time. Because of residual birefringence, state of polarizations of the propagating fields change randomly also. Since the underlying four

  6. Minimally invasive procedures on the lumbar spine

    PubMed Central

    Skovrlj, Branko; Gilligan, Jeffrey; Cutler, Holt S; Qureshi, Sheeraz A

    2015-01-01

    Degenerative disease of the lumbar spine is a common and increasingly prevalent condition that is often implicated as the primary reason for chronic low back pain and the leading cause of disability in the western world. Surgical management of lumbar degenerative disease has historically been approached by way of open surgical procedures aimed at decompressing and/or stabilizing the lumbar spine. Advances in technology and surgical instrumentation have led to minimally invasive surgical techniques being developed and increasingly used in the treatment of lumbar degenerative disease. Compared to the traditional open spine surgery, minimally invasive techniques require smaller incisions and decrease approach-related morbidity by avoiding muscle crush injury by self-retaining retractors, preventing the disruption of tendon attachment sites of important muscles at the spinous processes, using known anatomic neurovascular and muscle planes, and minimizing collateral soft-tissue injury by limiting the width of the surgical corridor. The theoretical benefits of minimally invasive surgery over traditional open surgery include reduced blood loss, decreased postoperative pain and narcotics use, shorter hospital length of stay, faster recover and quicker return to work and normal activity. This paper describes the different minimally invasive techniques that are currently available for the treatment of degenerative disease of the lumbar spine. PMID:25610845

  7. Cerenkov Counting Technique for Beta Particles: Advantages and Limitations.

    ERIC Educational Resources Information Center

    Rengan, K.

    1983-01-01

    Cerenkov counting is a useful technique for assaying medium/high energy beta emitters in aqueous solutions. Advantages of the technique include: (1) simple sample preparation; (2) being able to handle large volume of aqueous solution for counting; and (3) absence of chemical quenching. Cerenkov counting is also less expensive than other methods.…

  8. Foundations for a Competitive Advantage. ILRDC Special Publication Vol. 1.

    ERIC Educational Resources Information Center

    Illinois Literacy Resource Development Center, Champaign.

    The six articles in this publication provide information on how basic skills education and training can contribute to corporate profitability, using case studies and examples from corporations that promote employee training. The following articles are included: "Laying the Foundations for a Competitive Advantage: Emson's Skills Enhancement…

  9. The 'Adventist advantage'. Glendale Adventist Medical Center distinguishes itself.

    PubMed

    Botvin, Judith D

    2002-01-01

    Glendale Adventist Medical Center, Glendale, Calif., adopted an image-building campaign to differentiate the 450-bed hospital from its neighbors. This included the headline "Adventist Advantage," used in a series of sophisticated ads, printed in gold. In all their efforts, marketers consider the sensibilities of the sizable Armenian, Korean, Hispanic and Chinese populations. PMID:12134406

  10. Competitive advantage of PET/MRI.

    PubMed

    Jadvar, Hossein; Colletti, Patrick M

    2014-01-01

    Multimodality imaging has made great strides in the imaging evaluation of patients with a variety of diseases. Positron emission tomography/computed tomography (PET/CT) is now established as the imaging modality of choice in many clinical conditions, particularly in oncology. While the initial development of combined PET/magnetic resonance imaging (PET/MRI) was in the preclinical arena, hybrid PET/MR scanners are now available for clinical use. PET/MRI combines the unique features of MRI including excellent soft tissue contrast, diffusion-weighted imaging, dynamic contrast-enhanced imaging, fMRI and other specialized sequences as well as MR spectroscopy with the quantitative physiologic information that is provided by PET. Most evidence for the potential clinical utility of PET/MRI is based on studies performed with side-by-side comparison or software-fused MRI and PET images. Data on distinctive utility of hybrid PET/MRI are rapidly emerging. There are potential competitive advantages of PET/MRI over PET/CT. In general, PET/MRI may be preferred over PET/CT where the unique features of MRI provide more robust imaging evaluation in certain clinical settings. The exact role and potential utility of simultaneous data acquisition in specific research and clinical settings will need to be defined. It may be that simultaneous PET/MRI will be best suited for clinical situations that are disease-specific, organ-specific, related to diseases of the children or in those patients undergoing repeated imaging for whom cumulative radiation dose must be kept as low as reasonably achievable. PET/MRI also offers interesting opportunities for use of dual modality probes. Upon clear definition of clinical utility, other important and practical issues related to business operational model, clinical workflow and reimbursement will also be resolved.

  11. LESSons in minimally invasive urology.

    PubMed

    Dev, Harveer; Sooriakumaran, Prasanna; Tewari, Ashutosh; Rane, Abhay

    2011-05-01

    Since the introduction of laparoscopic surgery, the promise of lower postoperative morbidity and improved cosmesis has been achieved. LaparoEndoscopic Single Site (LESS) surgery potentially takes this further. Following the first human urological LESS report in 2007, numerous case series have emerged, as well as comparative studies comparing LESS with standard laparoscopy. Technological developments in instrumentation, access and optics devices are overcoming some of the challenges that are raised when operating through a single site. Further advances in the technique have included the incorporation of robotics (R-LESS), which exploit the ergonomic benefits of ex vivo robotic platforms in an attempt to further improve the implementation of LESS procedures. In the future, urologists may be able to benefit from in vivo micro-robots that will allow the manipulation of tissue from internal repositionable platforms. The use of magnetic anchoring and guidance systems (MAGS) might allow the external manoeuvring of intra-corporeal instruments to reduce clashing and facilitate triangulation. However, the final promise in minimally invasive surgery is natural orifice transluminal endoscopic surgery (NOTES), with its scarless technique. It remains to be seen whether NOTES, LESS, or any of these future developments will prove their clinical utility over standard laparoscopic methods.

  12. Medical waste: a minimal hazard.

    PubMed

    Keene, J H

    1991-11-01

    Medical waste is a subset of municipal waste, and regulated medical waste comprises less than 1% of the total municipal waste volume in the United States. As part of the overall waste stream, medical waste does contribute in a relative way to the aesthetic damage of the environment. Likewise, some small portion of the total release of hazardous chemicals and radioactive materials is derived from medical wastes. These comments can be made about any generated waste, regulated or unregulated. Healthcare professionals, including infection control personnel, microbiologists, public health officials, and others, have unsuccessfully argued that there is no evidence that past methods of treatment and disposal of regulated medical waste constitute any public health hazard. Historically, discovery of environmental contamination by toxic chemical disposal has followed assurances that the material was being disposed of in a safe manner. Therefore, a cynical public and its elected officials have demanded proof that the treatment and disposal of medical waste (i.e., infectious waste) do not constitute a public health hazard. Existent studies on municipal waste provide that proof. In order to argue that the results of these municipal waste studies are demonstrative of the minimal potential infectious environmental impact and lack of public health hazard associated with medical waste, we must accept the following: that the pathogens are the same whether they come from the hospital or the community, and that the municipal waste studied contained waste materials we now define as regulated medical waste.(ABSTRACT TRUNCATED AT 250 WORDS)

  13. Minimally Invasive Surgical Therapies for Atrial Fibrillation

    PubMed Central

    Nakamura, Yoshitsugu; Kiaii, Bob; Chu, Michael W. A.

    2012-01-01

    Atrial fibrillation is the most common sustained arrhythmia and is associated with significant risks of thromboembolism, stroke, congestive heart failure, and death. There have been major advances in the management of atrial fibrillation including pharmacologic therapies, antithrombotic therapies, and ablation techniques. Surgery for atrial fibrillation, including both concomitant and stand-alone interventions, is an effective therapy to restore sinus rhythm. Minimally invasive surgical ablation is an emerging field that aims for the superior results of the traditional Cox-Maze procedure through a less invasive operation with lower morbidity, quicker recovery, and improved patient satisfaction. These novel techniques utilize endoscopic or minithoracotomy approaches with various energy sources to achieve electrical isolation of the pulmonary veins in addition to other ablation lines. We review advancements in minimally invasive techniques for atrial fibrillation surgery, including management of the left atrial appendage. PMID:22666609

  14. Is There an Islamist Political Advantage?

    PubMed Central

    Cammett, Melani; Luong, Pauline Jones

    2014-01-01

    There is a widespread presumption that Islamists have an advantage over their opponents when it comes to generating mass appeal and winning elections. The question remains, however, as to whether these advantages—or, what we refer to collectively as an Islamist political advantage—actually exist. We argue that—to the extent that Islamists have a political advantage—the primary source of this advantage is reputation rather than the provision of social services, organizational capacity, or ideological hegemony. Our purpose is not to dismiss the main sources of the Islamist governance advantage identified in scholarly literature and media accounts, but to suggest a different causal path whereby each of these factors individually and sometimes jointly promotes a reputation for Islamists as competent, trustworthy, and pure. It is this reputation for good governance that enables Islamists to distinguish themselves in the streets and at the ballot box. PMID:25767370

  15. The Advantages and Disadvantages of Using a Centralized In-House Marketing Office.

    ERIC Educational Resources Information Center

    Miller, Ronald H.

    A centralized marketing and promotion office may or may not be a panacea for a continuing education program. Five major advantages to centralization of the marketing and promotion function are minimization of costs, a school-wide marketing strategy, maximization of the school image, enhanced quality control, and building of technical expertise of…

  16. Metabolic engineering of microbial competitive advantage for industrial fermentation processes.

    PubMed

    Shaw, A Joe; Lam, Felix H; Hamilton, Maureen; Consiglio, Andrew; MacEwen, Kyle; Brevnova, Elena E; Greenhagen, Emily; LaTouf, W Greg; South, Colin R; van Dijken, Hans; Stephanopoulos, Gregory

    2016-08-01

    Microbial contamination is an obstacle to widespread production of advanced biofuels and chemicals. Current practices such as process sterilization or antibiotic dosage carry excess costs or encourage the development of antibiotic resistance. We engineered Escherichia coli to assimilate melamine, a xenobiotic compound containing nitrogen. After adaptive laboratory evolution to improve pathway efficiency, the engineered strain rapidly outcompeted a control strain when melamine was supplied as the nitrogen source. We additionally engineered the yeasts Saccharomyces cerevisiae and Yarrowia lipolytica to assimilate nitrogen from cyanamide and phosphorus from potassium phosphite, and they outcompeted contaminating strains in several low-cost feedstocks. Supplying essential growth nutrients through xenobiotic or ecologically rare chemicals provides microbial competitive advantage with minimal external risks, given that engineered biocatalysts only have improved fitness within the customized fermentation environment.

  17. Metabolic engineering of microbial competitive advantage for industrial fermentation processes.

    PubMed

    Shaw, A Joe; Lam, Felix H; Hamilton, Maureen; Consiglio, Andrew; MacEwen, Kyle; Brevnova, Elena E; Greenhagen, Emily; LaTouf, W Greg; South, Colin R; van Dijken, Hans; Stephanopoulos, Gregory

    2016-08-01

    Microbial contamination is an obstacle to widespread production of advanced biofuels and chemicals. Current practices such as process sterilization or antibiotic dosage carry excess costs or encourage the development of antibiotic resistance. We engineered Escherichia coli to assimilate melamine, a xenobiotic compound containing nitrogen. After adaptive laboratory evolution to improve pathway efficiency, the engineered strain rapidly outcompeted a control strain when melamine was supplied as the nitrogen source. We additionally engineered the yeasts Saccharomyces cerevisiae and Yarrowia lipolytica to assimilate nitrogen from cyanamide and phosphorus from potassium phosphite, and they outcompeted contaminating strains in several low-cost feedstocks. Supplying essential growth nutrients through xenobiotic or ecologically rare chemicals provides microbial competitive advantage with minimal external risks, given that engineered biocatalysts only have improved fitness within the customized fermentation environment. PMID:27493184

  18. Minimally invasive surgical techniques in periodontal regeneration.

    PubMed

    Cortellini, Pierpaolo

    2012-09-01

    A review of the current scientific literature was undertaken to evaluate the efficacy of minimally invasive periodontal regenerative surgery in the treatment of periodontal defects. The impact on clinical outcomes, surgical chair-time, side effects and patient morbidity were evaluated. An electronic search of PUBMED database from January 1987 to December 2011 was undertaken on dental journals using the key-word "minimally invasive surgery". Cohort studies, retrospective studies and randomized controlled clinical trials referring to treatment of periodontal defects with at least 6 months of follow-up were selected. Quality assessment of the selected studies was done through the Strength of Recommendation Taxonomy Grading (SORT) System. Ten studies (1 retrospective, 5 cohorts and 4 RCTs) were included. All the studies consistently support the efficacy of minimally invasive surgery in the treatment of periodontal defects in terms of clinical attachment level gain, probing pocket depth reduction and minimal gingival recession. Six studies reporting on side effects and patient morbidity consistently indicate very low levels of pain and discomfort during and after surgery resulting in a reduced intake of pain-killers and very limited interference with daily activities in the post-operative period. Minimally invasive surgery might be considered a true reality in the field of periodontal regeneration. The observed clinical improvements are consistently associated with very limited morbidity to the patient during the surgical procedure as well as in the post-operative period. Minimally invasive surgery, however, cannot be applied at all cases. A stepwise decisional algorithm should support clinicians in choosing the treatment approach.

  19. Pump apparatus including deconsolidator

    SciTech Connect

    Sonwane, Chandrashekhar; Saunders, Timothy; Fitzsimmons, Mark Andrew

    2014-10-07

    A pump apparatus includes a particulate pump that defines a passage that extends from an inlet to an outlet. A duct is in flow communication with the outlet. The duct includes a deconsolidator configured to fragment particle agglomerates received from the passage.

  20. Small fenestra stapedectomy: technique and advantages.

    PubMed

    Pappas, J J; Bailey, H A; Graham, S S

    1984-11-01

    We discuss the rationale and advantages of the small fenestra technique (SFT) of stapedectomy. When results from conventional stapedectomy techniques are compared with those of SFT, the small fenestra technique shows improved hearing in the high frequencies of 2,000, 4,000, and 8,000 Hz, improved speech discrimination, reduced vestibular disturbance, and reduced iatrogenic trauma to the cochlea.

  1. Advantages of Studying Processes in Educational Research

    ERIC Educational Resources Information Center

    Schmitz, Bernhard

    2006-01-01

    It is argued that learning and instruction could be conceptualized from a process-analytic perspective. Important questions from the field of learning and instruction are presented which can be answered using our approach of process analyses. A classification system of process concepts and methods is given. One main advantage of this kind of…

  2. Optical modulator including grapene

    DOEpatents

    Liu, Ming; Yin, Xiaobo; Zhang, Xiang

    2016-06-07

    The present invention provides for a one or more layer graphene optical modulator. In a first exemplary embodiment the optical modulator includes an optical waveguide, a nanoscale oxide spacer adjacent to a working region of the waveguide, and a monolayer graphene sheet adjacent to the spacer. In a second exemplary embodiment, the optical modulator includes at least one pair of active media, where the pair includes an oxide spacer, a first monolayer graphene sheet adjacent to a first side of the spacer, and a second monolayer graphene sheet adjacent to a second side of the spacer, and at least one optical waveguide adjacent to the pair.

  3. [Minimally invasive glaucoma surgery using the trabectome].

    PubMed

    Wecker, T; Jordan, J F

    2015-03-01

    The main barrier reducing outflow of aqueous humor in open angle glaucomas is the juxtacanalicular trabecular meshwork. The trabectome removes this pathophysiologically altered tissue by electroablation, thus allowing for the collector channels draining Schlemm's canal to directly communicate with the anterior chamber. In studies published so far, about 30% decrease of intraocular pressure and a simultaneous 42% reduction of pressure-lowering eyedrops could be achieved in primary and secondary open angle glaucomas. A clear cornea tunnel is used to advance the trabectome to the trabecular meshwork, leaving the conjunctiva unaffected. Hence minimally invasive chamber angle surgery using this device is in particular suitable for patients with an altered ocular surface. Lowering of intraocular pressure and reduction of needed topical medication seems to be distinct in pseudoexfoliative glaucoma. Surgery with the trabectome and phacoemulsification can easily be combined in one procedure. Using a minimally invasive approach, the complication profile of the trabectome is rather advantageous, not exceeding the general risks of globe-opening surgery. Ab-interno trabeculotomy is a safe and effective method for treatment of patients with primary or secondary open angle glaucomas and moderate target pressures.

  4. Commercial radioactive waste minimization program development guidance

    SciTech Connect

    Fischer, D.K.

    1991-01-01

    This document is one of two prepared by the EG&G Idaho, Inc., Waste Management Technical Support Program Group, National Low-Level Waste Management Program Unit. One of several Department of Energy responsibilities stated in the Amendments Act of 1985 is to provide technical assistance to compact regions Host States, and nonmember States (to the extent provided in appropriations acts) in establishing waste minimization program plans. Technical assistance includes, among other things, the development of technical guidelines for volume reduction options. Pursuant to this defined responsibility, the Department of Energy (through EG&G Idaho, Inc.) has prepared this report, which includes guidance on defining a program, State/compact commission participation, and waste minimization program plans.

  5. Commercial radioactive waste minimization program development guidance

    SciTech Connect

    Fischer, D.K.

    1991-01-01

    This document is one of two prepared by the EG G Idaho, Inc., Waste Management Technical Support Program Group, National Low-Level Waste Management Program Unit. One of several Department of Energy responsibilities stated in the Amendments Act of 1985 is to provide technical assistance to compact regions Host States, and nonmember States (to the extent provided in appropriations acts) in establishing waste minimization program plans. Technical assistance includes, among other things, the development of technical guidelines for volume reduction options. Pursuant to this defined responsibility, the Department of Energy (through EG G Idaho, Inc.) has prepared this report, which includes guidance on defining a program, State/compact commission participation, and waste minimization program plans.

  6. Pins and needles: minimally invasive office techniques for facial rejuvenation.

    PubMed

    Maas, Corey S; Bapna, Sumit

    2009-11-01

    The desire for minimally invasive facial rejuvenation has continued to increase from the perspective of both the patients and injectors. For successful rejuvenation, it is important to understand the anatomic changes of the aging face as well as the properties of available neuromodulators and soft tissue fillers. The injector should be knowledgeable of the advantages and disadvantages of each product. Patient selection, perhaps, plays the largest role in success, choosing patients that would truly benefit from and have reasonable expectations for minimally invasive techniques. Unsatisfactory outcomes can be limited by meticulous injection technique and well thought out treatment plans.

  7. Minimally Invasive Spinal Surgery with Intraoperative Image-Guided Navigation.

    PubMed

    Kim, Terrence T; Johnson, J Patrick; Pashman, Robert; Drazin, Doniel

    2016-01-01

    We present our perioperative minimally invasive spine surgery technique using intraoperative computed tomography image-guided navigation for the treatment of various lumbar spine pathologies. We present an illustrative case of a patient undergoing minimally invasive percutaneous posterior spinal fusion assisted by the O-arm system with navigation. We discuss the literature and the advantages of the technique over fluoroscopic imaging methods: lower occupational radiation exposure for operative room personnel, reduced need for postoperative imaging, and decreased revision rates. Most importantly, we demonstrate that use of intraoperative cone beam CT image-guided navigation has been reported to increase accuracy. PMID:27213152

  8. Minimally Invasive Spinal Surgery with Intraoperative Image-Guided Navigation

    PubMed Central

    Kim, Terrence T.; Johnson, J. Patrick; Pashman, Robert; Drazin, Doniel

    2016-01-01

    We present our perioperative minimally invasive spine surgery technique using intraoperative computed tomography image-guided navigation for the treatment of various lumbar spine pathologies. We present an illustrative case of a patient undergoing minimally invasive percutaneous posterior spinal fusion assisted by the O-arm system with navigation. We discuss the literature and the advantages of the technique over fluoroscopic imaging methods: lower occupational radiation exposure for operative room personnel, reduced need for postoperative imaging, and decreased revision rates. Most importantly, we demonstrate that use of intraoperative cone beam CT image-guided navigation has been reported to increase accuracy. PMID:27213152

  9. Energy minimization for self-organized structure formation and actuation

    NASA Astrophysics Data System (ADS)

    Kofod, Guggi; Wirges, Werner; Paajanen, Mika; Bauer, Siegfried

    2007-02-01

    An approach for creating complex structures with embedded actuation in planar manufacturing steps is presented. Self-organization and energy minimization are central to this approach, illustrated with a model based on minimization of the hyperelastic free energy strain function of a stretched elastomer and the bending elastic energy of a plastic frame. A tulip-shaped gripper structure illustrates the technological potential of the approach. Advantages are simplicity of manufacture, complexity of final structures, and the ease with which any electroactive material can be exploited as means of actuation.

  10. Minimal but non-minimal inflation and electroweak symmetry breaking

    NASA Astrophysics Data System (ADS)

    Marzola, Luca; Racioppi, Antonio

    2016-10-01

    We consider the most minimal scale invariant extension of the standard model that allows for successful radiative electroweak symmetry breaking and inflation. The framework involves an extra scalar singlet, that plays the rôle of the inflaton, and is compatibile with current experimental bounds owing to the non-minimal coupling of the latter to gravity. This inflationary scenario predicts a very low tensor-to-scalar ratio r ≈ 10‑3, typical of Higgs-inflation models, but in contrast yields a scalar spectral index ns simeq 0.97 which departs from the Starobinsky limit. We briefly discuss the collider phenomenology of the framework.

  11. Pancreatic cancer: Open or minimally invasive surgery?

    PubMed

    Zhang, Yu-Hua; Zhang, Cheng-Wu; Hu, Zhi-Ming; Hong, De-Fei

    2016-08-28

    Pancreatic duct adenocarcinoma is one of the most fatal malignancies, with R0 resection remaining the most important part of treatment of this malignancy. However, pancreatectomy is believed to be one of the most challenging procedures and R0 resection remains the only chance for patients with pancreatic cancer to have a good prognosis. Some surgeons have tried minimally invasive pancreatic surgery, but the short- and long-term outcomes of pancreatic malignancy remain controversial between open and minimally invasive procedures. We collected comparative data about minimally invasive and open pancreatic surgery. The available evidence suggests that minimally invasive pancreaticoduodenectomy (MIPD) is as safe and feasible as open PD (OPD), and shows some benefit, such as less intraoperative blood loss and shorter postoperative hospital stay. Despite the limited evidence for MIPD in pancreatic cancer, most of the available data show that the short-term oncological adequacy is similar between MIPD and OPD. Some surgical techniques, including superior mesenteric artery-first approach and laparoscopic pancreatoduodenectomy with major vein resection, are believed to improve the rate of R0 resection. Laparoscopic distal pancreatectomy is less technically demanding and is accepted in more pancreatic centers. It is technically safe and feasible and has similar short-term oncological prognosis compared with open distal pancreatectomy. PMID:27621576

  12. Minimally Invasive Surgery for Inflammatory Bowel Disease

    PubMed Central

    Holder-Murray, Jennifer; Marsicovetere, Priscilla

    2015-01-01

    Abstract: Surgical management of inflammatory bowel disease is a challenging endeavor given infectious and inflammatory complications, such as fistula, and abscess, complex often postoperative anatomy, including adhesive disease from previous open operations. Patients with Crohn's disease and ulcerative colitis also bring to the table the burden of their chronic illness with anemia, malnutrition, and immunosuppression, all common and contributing independently as risk factors for increased surgical morbidity in this high-risk population. However, to reduce the physical trauma of surgery, technologic advances and worldwide experience with minimally invasive surgery have allowed laparoscopic management of patients to become standard of care, with significant short- and long-term patient benefits compared with the open approach. In this review, we will describe the current state-of the-art for minimally invasive surgery for inflammatory bowel disease and the caveats inherent with this practice in this complex patient population. Also, we will review the applicability of current and future trends in minimally invasive surgical technique, such as laparoscopic “incisionless,” single-incision laparoscopic surgery (SILS), robotic-assisted, and other techniques for the patient with inflammatory bowel disease. There can be no doubt that minimally invasive surgery has been proven to decrease the short- and long-term burden of surgery of these chronic illnesses and represents high-value care for both patient and society. PMID:25989341

  13. Pancreatic cancer: Open or minimally invasive surgery?

    PubMed Central

    Zhang, Yu-Hua; Zhang, Cheng-Wu; Hu, Zhi-Ming; Hong, De-Fei

    2016-01-01

    Pancreatic duct adenocarcinoma is one of the most fatal malignancies, with R0 resection remaining the most important part of treatment of this malignancy. However, pancreatectomy is believed to be one of the most challenging procedures and R0 resection remains the only chance for patients with pancreatic cancer to have a good prognosis. Some surgeons have tried minimally invasive pancreatic surgery, but the short- and long-term outcomes of pancreatic malignancy remain controversial between open and minimally invasive procedures. We collected comparative data about minimally invasive and open pancreatic surgery. The available evidence suggests that minimally invasive pancreaticoduodenectomy (MIPD) is as safe and feasible as open PD (OPD), and shows some benefit, such as less intraoperative blood loss and shorter postoperative hospital stay. Despite the limited evidence for MIPD in pancreatic cancer, most of the available data show that the short-term oncological adequacy is similar between MIPD and OPD. Some surgical techniques, including superior mesenteric artery-first approach and laparoscopic pancreatoduodenectomy with major vein resection, are believed to improve the rate of R0 resection. Laparoscopic distal pancreatectomy is less technically demanding and is accepted in more pancreatic centers. It is technically safe and feasible and has similar short-term oncological prognosis compared with open distal pancreatectomy. PMID:27621576

  14. Pancreatic cancer: Open or minimally invasive surgery?

    PubMed Central

    Zhang, Yu-Hua; Zhang, Cheng-Wu; Hu, Zhi-Ming; Hong, De-Fei

    2016-01-01

    Pancreatic duct adenocarcinoma is one of the most fatal malignancies, with R0 resection remaining the most important part of treatment of this malignancy. However, pancreatectomy is believed to be one of the most challenging procedures and R0 resection remains the only chance for patients with pancreatic cancer to have a good prognosis. Some surgeons have tried minimally invasive pancreatic surgery, but the short- and long-term outcomes of pancreatic malignancy remain controversial between open and minimally invasive procedures. We collected comparative data about minimally invasive and open pancreatic surgery. The available evidence suggests that minimally invasive pancreaticoduodenectomy (MIPD) is as safe and feasible as open PD (OPD), and shows some benefit, such as less intraoperative blood loss and shorter postoperative hospital stay. Despite the limited evidence for MIPD in pancreatic cancer, most of the available data show that the short-term oncological adequacy is similar between MIPD and OPD. Some surgical techniques, including superior mesenteric artery-first approach and laparoscopic pancreatoduodenectomy with major vein resection, are believed to improve the rate of R0 resection. Laparoscopic distal pancreatectomy is less technically demanding and is accepted in more pancreatic centers. It is technically safe and feasible and has similar short-term oncological prognosis compared with open distal pancreatectomy.

  15. Nonlinear transient analysis via energy minimization

    NASA Technical Reports Server (NTRS)

    Kamat, M. P.; Knight, N. F., Jr.

    1978-01-01

    The formulation basis for nonlinear transient analysis of finite element models of structures using energy minimization is provided. Geometric and material nonlinearities are included. The development is restricted to simple one and two dimensional finite elements which are regarded as being the basic elements for modeling full aircraft-like structures under crash conditions. The results indicate the effectiveness of the technique as a viable tool for this purpose.

  16. Sonic-boom minimization with nose-bluntness relaxation

    NASA Technical Reports Server (NTRS)

    Darden, C. M.

    1979-01-01

    A procedure which provides sonic-boom-minimizing equivalent area distributions for supersonic cruise conditions is described. This work extends previous analyses to permit relaxation of the extreme bluntness required by conventional low-boom shapes and includes propagation in a real atmosphere. The procedure provides area distributions which minimize either shock strength or overpressure.

  17. Sustainable competitive advantage for accountable care organizations.

    PubMed

    Macfarlane, Michael Alex

    2014-01-01

    In the current period of health industry reform, accountable care organizations (ACOs) have emerged as a new model for the delivery of high-quality and cost-effective healthcare. However, few ACOs operate in direct competition with one another, and the accountable care business model has yet to present a means of continually developing new marginal value for patients and network partners. With value-based purchasing and patient consumerism strengthening as market forces, ACOs must build organizational sustainability and competitive advantage to meet the value demands set by customers and competitors. This essay proposes a strategy, adapted from the disciplines of agile software development and Lean product development, through which ACOs can engage internal and external customers in the development of new products that will provide sustainability and competitive advantage to the organization by decreasing waste in development, promoting specialized knowledge, and closely targeting customer value.

  18. Adaptive memory: animacy processing produces mnemonic advantages.

    PubMed

    VanArsdall, Joshua E; Nairne, James S; Pandeirada, Josefa N S; Blunt, Janell R

    2013-01-01

    It is adaptive to remember animates, particularly animate agents, because they play an important role in survival and reproduction. Yet, surprisingly, the role of animacy in mnemonic processing has received little direct attention in the literature. In two experiments, participants were presented with pronounceable nonwords and properties characteristic of either living (animate) or nonliving (inanimate) things. The task was to rate the likelihood that each nonword-property pair represented a living thing or a nonliving object. In Experiment 1, a subsequent recognition memory test for the nonwords revealed a significant advantage for the nonwords paired with properties of living things. To generalize this finding, Experiment 2 replicated the animate advantage using free recall. These data demonstrate a new phenomenon in the memory literature - a possible mnemonic tuning for animacy - and add to growing data supporting adaptive memory theory. PMID:23261948

  19. Sustainable competitive advantage for accountable care organizations.

    PubMed

    Macfarlane, Michael Alex

    2014-01-01

    In the current period of health industry reform, accountable care organizations (ACOs) have emerged as a new model for the delivery of high-quality and cost-effective healthcare. However, few ACOs operate in direct competition with one another, and the accountable care business model has yet to present a means of continually developing new marginal value for patients and network partners. With value-based purchasing and patient consumerism strengthening as market forces, ACOs must build organizational sustainability and competitive advantage to meet the value demands set by customers and competitors. This essay proposes a strategy, adapted from the disciplines of agile software development and Lean product development, through which ACOs can engage internal and external customers in the development of new products that will provide sustainability and competitive advantage to the organization by decreasing waste in development, promoting specialized knowledge, and closely targeting customer value. PMID:25154124

  20. The selective advantage of crypsis in mice.

    PubMed

    Vignieri, Sacha N; Larson, Joanna G; Hoekstra, Hopi E

    2010-07-01

    The light color of mice that inhabit the sandy dunes of Florida's coast have served as a textbook example of adaptation for nearly a century, despite the fact that the selective advantage of crypsis has never been directly tested or quantified in nature. Using plasticine mouse models of light and dark color, we demonstrate a strong selective advantage for mice that match their local background substrate. Further our data suggest that stabilizing selection maintains color matching within a single habitat, as models that are both lighter and darker than their local environment are selected against. These results provide empirical evidence in support of the hypothesis that visual hunting predators shape color patterning in Peromyscus mice and suggest a mechanism by which selection drives the pronounced color variation among populations. PMID:20163447

  1. Women and nurse executives. Finally, some advantages.

    PubMed

    Borman, J S

    1993-10-01

    How do chief nurse executives (CNEs) and chief executive officers (CEOs) compare on selected components of organizational socialization, and do differences exist between genders? To answer these questions, the author compared 127 male CEOs, 127 female CEOs, 232 female CNEs, and 117 male CNEs on their self-reported leadership styles, managerial values, and skills. The differences found between both genders and positions on all measures are largely advantageous to women and nurses in healthcare administration. PMID:8410326

  2. Sinus pericranii: advantages of MR imaging.

    PubMed

    Bigot, J L; Iacona, C; Lepreux, A; Dhellemmes, P; Motte, J; Gomes, H

    2000-10-01

    Sinus pericranii is a rare vascular anomaly involving an abnormal communication between the extracranial and intracranial circulations. A 3-year-old girl presented with a 2 x 2-cm, midline soft-tissue mass at the vertex. Plain skull films and CT using bone windows showed erosion of the parietal bones. MRI confirmed the clinical diagnosis by identifying communication of the vascular mass with the intracranial dural venous sinus. The advantages of MRI are discussed. PMID:11075608

  3. Women and nurse executives. Finally, some advantages.

    PubMed

    Borman, J S

    1993-10-01

    How do chief nurse executives (CNEs) and chief executive officers (CEOs) compare on selected components of organizational socialization, and do differences exist between genders? To answer these questions, the author compared 127 male CEOs, 127 female CEOs, 232 female CNEs, and 117 male CNEs on their self-reported leadership styles, managerial values, and skills. The differences found between both genders and positions on all measures are largely advantageous to women and nurses in healthcare administration.

  4. Listening to Include

    ERIC Educational Resources Information Center

    Veck, Wayne

    2009-01-01

    This paper attempts to make important connections between listening and inclusive education and the refusal to listen and exclusion. Two lines of argument are advanced. First, if educators and learners are to include each other within their educational institutions as unique individuals, then they will need to listen attentively to each other.…

  5. Assessing the binocular advantage in aided vision.

    PubMed

    Harrington, Lawrence K; McIntire, John P; Hopper, Darrel G

    2014-09-01

    Advances in microsensors, microprocessors, and microdisplays are creating new opportunities for improving vision in degraded environments through the use of head-mounted displays. Initially, the cutting-edge technology used in these new displays will be expensive. Inevitably, the cost of providing the additional sensor and processing required to support binocularity brings the value of binocularity into question. Several assessments comparing binocular, binocular, and monocular head-mounted displays for aided vision have concluded that the additional performance, if any, provided by binocular head-mounted displays does not justify the cost. The selection of a biocular [corrected] display for use in the F-35 is a current example of this recurring decision process. It is possible that the human binocularity advantage does not carry over to the aided vision application, but more likely the experimental approaches used in the past have been too coarse to measure its subtle but important benefits. Evaluating the value of binocularity in aided vision applications requires an understanding of the characteristics of both human vision and head-mounted displays. With this understanding, the value of binocularity in aided vision can be estimated and experimental evidence can be collected to confirm or reject the presumed binocular advantage, enabling improved decisions in aided vision system design. This paper describes four computational approaches-geometry of stereopsis, modulation transfer function area for stereopsis, probability summation, and binocular summation-that may be useful in quantifying the advantage of binocularity in aided vision.

  6. Explaining Asian Americans’ academic advantage over whites

    PubMed Central

    Hsin, Amy; Xie, Yu

    2014-01-01

    The superior academic achievement of Asian Americans is a well-documented phenomenon that lacks a widely accepted explanation. Asian Americans’ advantage in this respect has been attributed to three groups of factors: (i) socio-demographic characteristics, (ii) cognitive ability, and (iii) academic effort as measured by characteristics such as attentiveness and work ethic. We combine data from two nationally representative cohort longitudinal surveys to compare Asian-American and white students in their educational trajectories from kindergarten through high school. We find that the Asian-American educational advantage is attributable mainly to Asian students exerting greater academic effort and not to advantages in tested cognitive abilities or socio-demographics. We test explanations for the Asian–white gap in academic effort and find that the gap can be further attributed to (i) cultural differences in beliefs regarding the connection between effort and achievement and (ii) immigration status. Finally, we highlight the potential psychological and social costs associated with Asian-American achievement success. PMID:24799702

  7. Nanomaterials in the application of tumor vaccines: advantages and disadvantages

    PubMed Central

    Li, XD; Gao, JY; Yang, Y; Fang, HY; Han, YJ; Wang, XM; Ge, W

    2013-01-01

    Tumor vaccines are a novel approach to the treatment of malignancy, and are attracting the attention of the medical profession. Nanomaterials have significant advantages in the preparation of a tumor vaccine, including their ability to penetrate and target cancer tissue and their antigenic properties. In this review, we focus on several nanomaterials, ie, carbon nanotubes, nanoemulsions, nanosized aluminum, and nanochitosan. Applications for these nanomaterials in nanovaccines and their biological characteristics, as well as their potential toxicity, are discussed. PMID:23776336

  8. [Chorionic Villus Sampling in cytogenetic analysis--disadvantages and advantages].

    PubMed

    Gnyś-Wiercioch, Agnieszka; Bloch, Renata; Grolik, Barbara; Hadaś, Jolanta; Kania, Agnieszka; Szołtysik-Szot, Mariola; Sodowska, Henryka

    2012-05-01

    Chorionic villus sampling is used in prenatal diagnosis, enabling to detect fetal genetic abnormalities. Its advantages include the possibility of performing the procedure during the first trimester of pregnancy relatively fast result, risk of miscarriage comparable to that in case of amniocentesis. The disadvantages of this method are: difficult cytogenetic analysis, the possibility of contamination with maternal cells and the risk of mosaicism. There should always be a valid indication to perform the CVS procedure.

  9. The survival advantage: Underlying mechanisms and extant limitations.

    PubMed

    Kazanas, Stephanie A; Altarriba, Jeanette

    2015-01-01

    Recently, researchers have begun to investigate the function of memory in our evolutionary history. According to Nairne and colleagues (e.g., Nairne, Pandeirada, and Thompson, 2008; Nairne, Thompson, and Pandeirada, 2007), the best mnemonic strategy for learning lists of unrelated words may be one that addresses the same problems that our Pleistocene ancestors faced: fitness-relevant problems including securing food and water, as well as protecting themselves from predators. Survival processing has been shown to promote better recall and recognition memory than many well-known mnemonic strategies (e.g., pleasantness ratings, imagery, generation, etc.). However, the survival advantage does not extend to all types of stimuli and tasks. The current review presents research that has replicated Nairne et al.'s (2007) original findings, in addition to the research designs that fail to replicate the survival advantage. In other words, there are specific manipulations in which survival processing does not appear to benefit memory any more than other strategies. Potential mechanisms for the survival advantage are described, with an emphasis on those that are the most plausible. These proximate mechanisms outline the memory processes that may contribute to the advantage, although the ultimate mechanism may be the congruity between the survival scenario and Pleistocene problem-solving. PMID:25947360

  10. Advancing the Minimal Residual Disease Concept in Acute Myeloid Leukemia.

    PubMed

    Hokland, Peter; Ommen, Hans B; Mulé, Matthew P; Hourigan, Christopher S

    2015-07-01

    The criteria to evaluate response to treatment in acute myeloid leukemia (AML) have changed little in the past 60 years. It is now possible to use higher sensitivity tools to measure residual disease burden in AML. Such minimal or measurable residual disease (MRD) measurements provide a deeper understanding of current patient status and allow stratification for risk of subsequent clinical relapse. Despite these obvious advantages, and after over a decade of laboratory investigation and preclinical validation, MRD measurements are not currently routinely used for clinical decision-making or drug development in non-acute promyelocytic leukemia (non-APL) AML. We review here some potential constraints that may have delayed adoption, including a natural hesitancy of end users, economic impact concerns, misperceptions regarding the meaning of and need for assay sensitivity, the lack of one single MRD solution for all AML patients, and finally the need to involve patients in decision-making based on such correlates. It is our opinion that none of these issues represent insurmountable barriers and our hope is that by providing potential solutions we can help map a path forward to a future where our patients will be offered personalized treatment plans based on the amount of AML they have left remaining to treat. PMID:26111465

  11. Minimizing DNA recombination during long RT-PCR.

    PubMed

    Fang, G; Zhu, G; Burger, H; Keithly, J S; Weiser, B

    1998-12-01

    Recent developments have made it possible to reverse transcribe RNA and amplify cDNA molecules of > 10 kb in length, including the HIV-1 genome. To use long reverse transcription combined with polymerase chain reaction (RT-PCR) to best advantage, it is necessary to determine the frequency of recombination during the combined procedure and then take steps to reduce it. We investigated the requirements for minimizing DNA recombination during long RT-PCR of HIV-1 by experimenting with three different aspects of the procedure: conditions for RT, conditions for PCR, and the molar ratios of different templates. We used two distinct HIV-1 strains as templates and strain-specific probes to detect recombination. The data showed that strategies aimed at completing DNA strand synthesis and the addition of proofreading function to the PCR were most effective in reducing recombination during the combined procedure. This study demonstrated that by adjusting reaction conditions, the recombination frequency during RT-PCR can be controlled and greatly reduced.

  12. Comparison of minimally invasive transspinous and open approaches for thoracolumbar intradural-extramedullary spinal tumors.

    PubMed

    Raygor, Kunal P; Than, Khoi D; Chou, Dean; Mummaneni, Praveen V

    2015-08-01

    OBJECT Spinal tumor resection has historically been performed via open approaches, although minimally invasive approaches have recently been found to be effective in small cohort series. The authors compare surgical characteristics and clinical outcomes of surgery in patients undergoing mini-open and open approaches for intradural-extramedullary tumor resection. METHODS The authors retrospectively reviewed 65 consecutive intradural-extramedullary tumor resections performed at their institution from 2007 to 2014. Patients with cervical tumors or pathology demonstrating neurofibroma were excluded (n = 14). The nonparametric Mann-Whitney U-test and Pearson chi-square test were used to compare continuous and categorical variables, respectively. Statistical analyses were performed using SPSS, with significance set at p < 0.05. RESULTS Fifty-one thoracolumbar intradural-extramedullary tumor resections were included; 25 were performed via the minimally invasive transspinous approach. There were no statistically significant differences in age, sex, body mass index, preoperative American Spinal Injury Association (ASIA) score, preoperative symptom duration, American Society of Anesthesiologists (ASA) physical status class, tumor size, or tumor location. There was no statistically significant difference between groups with respect to the duration of the operation or extent of resection, but the mean estimated blood loss was significantly lower in the minimally invasive surgery (MIS) cohort (142 vs 320 ml, p < 0.05). In each group, the 2 most common tumor pathologies were schwannoma and meningioma. There were no statistically significant differences in length of hospitalization, ASIA score improvement, complication rate, or recurrence rate. The mean duration of follow-up was 2 years for the MIS group and 1.6 years for the open surgery group. CONCLUSIONS This is one of the largest comparisons of minimally invasive and open approaches to the resection of thoracolumbar

  13. Mating programs including genomic relationships

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Computer mating programs have helped breeders minimize pedigree inbreeding and avoid recessive defects by mating animals with parents that have fewer common ancestors. With genomic selection, breed associations, AI organizations, and on-farm software providers could use new programs to minimize geno...

  14. Esophageal surgery in minimally invasive era

    PubMed Central

    Bencini, Lapo; Moraldi, Luca; Bartolini, Ilenia; Coratti, Andrea

    2016-01-01

    The widespread popularity of new surgical technologies such as laparoscopy, thoracoscopy and robotics has led many surgeons to treat esophageal diseases with these methods. The expected benefits of minimally invasive surgery (MIS) mainly include reductions of postoperative complications, length of hospital stay, and pain and better cosmetic results. All of these benefits could potentially be of great interest when dealing with the esophagus due to the potentially severe complications that can occur after conventional surgery. Moreover, robotic platforms are expected to reduce many of the difficulties encountered during advanced laparoscopic and thoracoscopic procedures such as anastomotic reconstructions, accurate lymphadenectomies, and vascular sutures. Almost all esophageal diseases are approachable in a minimally invasive way, including diverticula, gastro-esophageal reflux disease, achalasia, perforations and cancer. Nevertheless, while the limits of MIS for benign esophageal diseases are mainly technical issues and costs, oncologic outcomes remain the cornerstone of any procedure to cure malignancies, for which the long-term results are critical. Furthermore, many of the minimally invasive esophageal operations should be compared to pharmacologic interventions and advanced pure endoscopic procedures; such a comparison requires a difficult literature analysis and leads to some confounding results of clinical trials. This review aims to examine the evidence for the use of MIS in both malignancies and more common benign disease of the esophagus, with a particular emphasis on future developments and ongoing areas of research. PMID:26843913

  15. LLNL Waste Minimization Program Plan

    SciTech Connect

    Not Available

    1990-02-14

    This document is the February 14, 1990 version of the LLNL Waste Minimization Program Plan (WMPP). The Waste Minimization Policy field has undergone continuous changes since its formal inception in the 1984 HSWA legislation. The first LLNL WMPP, Revision A, is dated March 1985. A series of informal revision were made on approximately a semi-annual basis. This Revision 2 is the third formal issuance of the WMPP document. EPA has issued a proposed new policy statement on source reduction and recycling. This policy reflects a preventative strategy to reduce or eliminate the generation of environmentally-harmful pollutants which may be released to the air, land surface, water, or ground water. In accordance with this new policy new guidance to hazardous waste generators on the elements of a Waste Minimization Program was issued. In response to these policies, DOE has revised and issued implementation guidance for DOE Order 5400.1, Waste Minimization Plan and Waste Reduction reporting of DOE Hazardous, Radioactive, and Radioactive Mixed Wastes, final draft January 1990. This WMPP is formatted to meet the current DOE guidance outlines. The current WMPP will be revised to reflect all of these proposed changes when guidelines are established. Updates, changes and revisions to the overall LLNL WMPP will be made as appropriate to reflect ever-changing regulatory requirements. 3 figs., 4 tabs.

  16. Minimally invasive aortic valve surgery

    PubMed Central

    Castrovinci, Sebastiano; Emmanuel, Sam; Moscarelli, Marco; Murana, Giacomo; Caccamo, Giuseppa; Bertolino, Emanuela Clara; Nasso, Giuseppe; Speziale, Giuseppe; Fattouch, Khalil

    2016-01-01

    Aortic valve disease is a prevalent disorder that affects approximately 2% of the general adult population. Surgical aortic valve replacement is the gold standard treatment for symptomatic patients. This treatment has demonstrably proven to be both safe and effective. Over the last few decades, in an attempt to reduce surgical trauma, different minimally invasive approaches for aortic valve replacement have been developed and are now being increasingly utilized. A narrative review of the literature was carried out to describe the surgical techniques for minimally invasive aortic valve surgery and report the results from different experienced centers. Minimally invasive aortic valve replacement is associated with low perioperative morbidity, mortality and a low conversion rate to full sternotomy. Long-term survival appears to be at least comparable to that reported for conventional full sternotomy. Minimally invasive aortic valve surgery, either with a partial upper sternotomy or a right anterior minithoracotomy provides early- and long-term benefits. Given these benefits, it may be considered the standard of care for isolated aortic valve disease. PMID:27582764

  17. Minimally invasive aortic valve surgery.

    PubMed

    Castrovinci, Sebastiano; Emmanuel, Sam; Moscarelli, Marco; Murana, Giacomo; Caccamo, Giuseppa; Bertolino, Emanuela Clara; Nasso, Giuseppe; Speziale, Giuseppe; Fattouch, Khalil

    2016-09-01

    Aortic valve disease is a prevalent disorder that affects approximately 2% of the general adult population. Surgical aortic valve replacement is the gold standard treatment for symptomatic patients. This treatment has demonstrably proven to be both safe and effective. Over the last few decades, in an attempt to reduce surgical trauma, different minimally invasive approaches for aortic valve replacement have been developed and are now being increasingly utilized. A narrative review of the literature was carried out to describe the surgical techniques for minimally invasive aortic valve surgery and report the results from different experienced centers. Minimally invasive aortic valve replacement is associated with low perioperative morbidity, mortality and a low conversion rate to full sternotomy. Long-term survival appears to be at least comparable to that reported for conventional full sternotomy. Minimally invasive aortic valve surgery, either with a partial upper sternotomy or a right anterior minithoracotomy provides early- and long-term benefits. Given these benefits, it may be considered the standard of care for isolated aortic valve disease. PMID:27582764

  18. What is minimally invasive dentistry?

    PubMed

    Ericson, Dan

    2004-01-01

    Minimally Invasive Dentistry is the application of "a systematic respect for the original tissue." This implies that the dental profession recognizes that an artifact is of less biological value than the original healthy tissue. Minimally invasive dentistry is a concept that can embrace all aspects of the profession. The common delineator is tissue preservation, preferably by preventing disease from occurring and intercepting its progress, but also removing and replacing with as little tissue loss as possible. It does not suggest that we make small fillings to restore incipient lesions or surgically remove impacted third molars without symptoms as routine procedures. The introduction of predictable adhesive technologies has led to a giant leap in interest in minimally invasive dentistry. The concept bridges the traditional gap between prevention and surgical procedures, which is just what dentistry needs today. The evidence-base for survival of restorations clearly indicates that restoring teeth is a temporary palliative measure that is doomed to fail if the disease that caused the condition is not addressed properly. Today, the means, motives and opportunities for minimally invasive dentistry are at hand, but incentives are definitely lacking. Patients and third parties seem to be convinced that the only things that count are replacements. Namely, they are prepared to pay for a filling but not for a procedure that can help avoid having one.

  19. A Defense of Semantic Minimalism

    ERIC Educational Resources Information Center

    Kim, Su

    2012-01-01

    Semantic Minimalism is a position about the semantic content of declarative sentences, i.e., the content that is determined entirely by syntax. It is defined by the following two points: "Point 1": The semantic content is a complete/truth-conditional proposition. "Point 2": The semantic content is useful to a theory of…

  20. Assembly of a minimal protocell

    NASA Astrophysics Data System (ADS)

    Rasmussen, Steen

    2007-03-01

    What is minimal life, how can we make it, and how can it be useful? We present experimental and computational results towards bridging nonliving and living matter, which results in life that is different and much simpler than contemporary life. A simple yet tightly coupled catalytic cooperation between genes, metabolism, and container forms the design underpinnings of our protocell, which is a minimal self-replicating molecular machine. Experimentally, we have recently demonstrated this coupling by having an informational molecule (8-oxoguanine) catalytically control the light driven metabolic (Ru-bpy based) production of container materials (fatty acids). This is a significant milestone towards assembling a minimal self-replicating molecular machine. Recent theoretical investigations indicate that coordinated exponential component growth should naturally emerge as a result from such a catalytic coupling between the main protocellular components. A 3-D dissipative particle simulation (DPD) study of the full protocell life-cycle exposes a number of anticipated systemic issues associated with the remaining experimental challenges for the implementation of the minimal protocell. Finally we outline how more general self-replicating materials could be useful.

  1. Home advantage in sport: an overview of studies on the advantage of playing at home.

    PubMed

    Nevill, A M; Holder, R L

    1999-10-01

    This review identifies the most likely causes of home advantage. The results of previous studies have identified 4 factors thought to be responsible for the home advantage. These can be categorised under the general headings of crowd, learning, travel and rule factors. From the accumulated evidence, rule factors were found to play only a minor role (in a limited number of sports) in contributing to home advantage. Studies investigating the effect of learning factors found that little benefit was to be gained from being familiar with the local conditions when playing at home. There was evidence to suggest that travel factors were responsible for part of the home advantage, provided the journey involved crossing a number of time zones. However, since high levels of home advantage are observed within countries where travel distances are not great. travel factors were not thought to be a major cause of home advantage. The evidence from studies investigating crowd factors appeared to provide the most dominant causes of home advantage. A number of studies provide strong evidence that home advantage increases with crowd size, until the crowd reaches a certain size or consistency (a more balanced number of home and away supporters), after which a peak in home advantage is observed. Two possible mechanisms were proposed to explain these observations: either (i) the crowd is able to raise the performance of the home competitors relative to the away competitors; or (ii) the crowd is able to influence the officials to subconsciously favour the home team. The literature supports the latter to be the most important and dominant explanation. Clearly, it only takes 2 or 3 crucial decisions to go against the away team or in favour of the home team to give the side playing at home the 'edge'.

  2. [Advantage of facial rehabilitation after facial palsy].

    PubMed

    Gatignol, Peggy; Lannadère, Elodie; Bernat, Isabelle; Tankéré, Frédéric; Lamas, Georges

    2011-10-01

    Visible and immediate trauma, facial palsy (FP) covers functional but also psychological damage and it is essential to evaluate before a comprehensive therapeutic care tailored. Few patients, however, are emerging with a prescription for rehabilitation after a consultation. Why? This rehabilitation is it ignored? Is it absolutely necessary? It is evident in the extension of medical care to minimize the effects. Yet the foundation of rehabilitation is sadly little known and often poorly enforced. In addition to its specificity, this therapy preceded by a report called "pretreatments offers a prognosis for recovery to patient" regardless of the origin and degree of involvement of the PF.

  3. Enforced Clonality Confers a Fitness Advantage

    PubMed Central

    Martínková, Jana; Klimešová, Jitka

    2016-01-01

    In largely clonal plants, splitting of a maternal plant into potentially independent plants (ramets) is usually spontaneous; however, such fragmentation also occurs in otherwise non-clonal species due to application of external force. This process might play an important yet largely overlooked role for otherwise non-clonal plants by providing a mechanism to regenerate after disturbance. Here, in a 5-year garden experiment on two short-lived, otherwise non-clonal species, Barbarea vulgaris and Barbarea stricta, we compared the fitness of plants fragmented by simulated disturbance (“enforced ramets”) both with plants that contemporaneously originate in seed and with individuals unscathed by the disturbance event. Because the ability to regrow from fragments is related to plant age and stored reserves, we compared the effects of disturbance applied during three different ontogenetic stages of the plants. In B. vulgaris, enforced ramet fitness was higher than the measured fitness values of both uninjured plants and plants established from seed after the disturbance. This advantage decreased with increasing plant age at the time of fragmentation. In B. stricta, enforced ramet fitness was lower than or similar to fitness of uninjured plants and plants grown from seed. Our results likely reflect the habitat preferences of the study species, as B. vulgaris occurs in anthropogenic, disturbed habitats where body fragmentation is more probable and enforced clonality thus more advantageous than in the more natural habitats preferred by B. stricta. Generalizing from our results, we see that increased fitness yielded by enforced clonality would confer an evolutionary advantage in the face of disturbance, especially in habitats where a seed bank has not been formed, e.g., during invasion or colonization. Our results thus imply that enforced clonality should be taken into account when studying population dynamics and life strategies of otherwise non-clonal species in disturbed

  4. Establishing a competitive advantage through quality management.

    PubMed

    George, R J

    1996-06-01

    The successful dentist of the future will establish a sustainable competitive advantage in the marketplace by recognising that patients undergoing dental treatment cannot see the result before purchase, and that they therefore look for signs of service quality to reduce uncertainty. Thus the successful dentist will implement a quality programme that recognises not only that quality is defined by meeting patients' needs and expectations, but also that quality service is fundamental to successful business strategy. Finally, the successful dentist of the future will realise that the pursuit of quality is a never-ending process which requires leadership by example.

  5. Using information networks for competitive advantage.

    PubMed

    Rothenberg, R L

    1995-01-01

    Although the healthcare "information superhighway" has received considerable attention, the use of information technology to create a sustainable competitive advantage is not new to other industries. Economic survival in the new world of managed care may depend on a healthcare delivery system's ability to use network-based communications technologies to differentiate itself in the market, especially through cost savings and demonstration of desirable outcomes. The adaptability of these technologies can help position healthcare organizations to break the paradigms of the past and thrive in a market environment that stresses coordination, efficiency, and quality in various settings.

  6. WASTE MINIMIZATION PRACTICES AT TWO CCA WOOD TREATMENT PLANTS

    EPA Science Inventory

    Two chromated copper arsenate (CCA) wood-treatment plants were assessed for their waste minimization practices. These practices have been reflected in several areas, including facility designs, process controls, and management practices. he objectives were to estimate the amount...

  7. Minimizing Errors in Numerical Analysis of Chemical Data.

    ERIC Educational Resources Information Center

    Rusling, James F.

    1988-01-01

    Investigates minimizing errors in computational methods commonly used in chemistry. Provides a series of examples illustrating the propagation of errors, finite difference methods, and nonlinear regression analysis. Includes illustrations to explain these concepts. (MVL)

  8. Advantages of microsphere-assisted super-resolution imaging technique over solid immersion lens and confocal microscopies

    NASA Astrophysics Data System (ADS)

    Darafsheh, Arash; Limberopoulos, Nicholaos I.; Derov, John S.; Walker, Dennis E.; Astratov, Vasily N.

    2014-02-01

    We demonstrate a series of advantages of microsphere-assisted imaging over confocal and solid immersion lens microscopies including intrinsic flexibility, better resolution, higher magnification, and longer working distances. We discerned minimal feature sizes of ˜50-60 nm in nanoplasmonic arrays at the illumination wavelength λ = 405 nm. It is demonstrated that liquid-immersed, high-index (n ˜ 1.9-2.1) spheres provide a superior image quality compared to that obtained by spheres with the same index contrast in an air environment. We estimate that using transparent microspheres at deep UV wavelengths of ˜200 nm might make possible imaging of various nanostructures with extraordinary high ˜30 nm resolution.

  9. Rural Medicare Advantage Plan Payment in 2015.

    PubMed

    Kemper, Leah; Barker, Abigail R; McBride, Timothy D; Mueller, Keith

    2015-12-01

    Payment to Medicare Advantage (MA) plans was fundamentally altered in the Patient Protection and Affordable Care Act of 2010 (ACA). MA plans now operate under a new formula for county-level payment area benchmarks, and in 2012 began receiving quality-based bonus payments. The Medicare Advantage Quality Bonus Payment Demonstration expanded the bonus payments to most MA plans through 2014; however, with the end of the demonstration bonus payments has been reduced for intermediate quality MA plans. This brief examines the impact that these changes in MA baseline payment are having on MA plans and beneficiaries in rural and urban areas. Key Data Findings. (1) Payments to plans in rural areas were 3.9 percent smaller under ACA payment policies in 2015 than they would have been in the absence of the ACA. For plans in urban areas, the payments were 8.8 percent smaller than they would have been. These figures were determined using hypothetical pre-ACA and actual ACA-mandated benchmarks for 2015. (2) MA plans in rural areas received an average annual bonus payment of $326.77 per enrollee in 2014, but only $63.76 per enrollee in 2015, with the conclusion of the demonstration. (3) In 2014, 92 percent of rural MA beneficiaries were in a plan that received quality-based bonus payments under the demonstration, while in March 2015, 56 percent of rural MA beneficiaries were in a plan that was eligible for quality-based bonus payments.

  10. Testosterone, territoriality, and the 'home advantage'.

    PubMed

    Neave, Nick; Wolfson, Sandy

    2003-02-01

    The consistently better performance seen by teams in various sporting contexts when playing at home is referred to as the 'home advantage'. Various explanations have been put forward to account for this robust phenomenon, though none has yet focussed on possible hormonal factors. In an initial study, we showed that salivary testosterone levels in soccer players were significantly higher before a home game than an away game.In a second study involving a different group of soccer players, this finding was replicated over two home games, two away games, and three training sessions. Perceived rivalry of the opposing team was important as testosterone levels were higher before playing an 'extreme' rival than a 'moderate' rival. Self-reported measures of mood in both studies were not linked to testosterone level. The present results corroborate and extend earlier findings on the relationships between testosterone, territoriality, and dominance in human competitive encounters and further suggest an important role for testosterone in the home advantage seen in various team sports.

  11. Relatively fast! Efficiency advantages of comparative thinking.

    PubMed

    Mussweiler, Thomas; Epstude, Kai

    2009-02-01

    Comparisons are a ubiquitous process in information processing. Seven studies examine whether, how, and when comparative thinking increases the efficiency of judgment and choice. Studies 1-4 demonstrate that procedurally priming participants to engage in more vs. less comparison influences how they process information about a target. Specifically, they retrieve less information about the target (Studies 1A, 1B), think more about an information-rich standard (Study 2) about which they activate judgment-relevant information (Study 3), and use this information to compensate for missing target information (Study 4). Studies 2-5 demonstrate the ensuing efficiency advantages. Participants who are primed on comparative thinking are faster in making a target judgment (Studies 2A, 2B, 4, 5) and have more residual processing capacities for a secondary task (Study 5). Studies 6 and 7 establish two boundary conditions by demonstrating that comparative thinking holds efficiency advantages only if target and standard are partly characterized by alignable features (Study 6) that are difficult to evaluate in isolation (Study 7). These findings indicate that comparative thinking may often constitute a useful mechanism to simplify information processing. (PsycINFO Database Record (c) 2009 APA, all rights reserved).

  12. Anaesthesia for minimally invasive surgery

    PubMed Central

    Dec, Marta

    2015-01-01

    Minimally invasive surgery (MIS) is rising in popularity. It offers well-known benefits to the patient. However, restricted access to the surgical site and gas insufflation into the body cavities may result in severe complications. From the anaesthetic point of view MIS poses unique challenges associated with creation of pneumoperitoneum, carbon dioxide absorption, specific positioning and monitoring a patient to whom the anaesthetist has often restricted access, in a poorly lit environment. Moreover, with refinement of surgical procedures and growing experience the anaesthetist is presented with patients from high-risk groups (obese, elderly, with advanced cardiac and respiratory disease) who once were deemed unsuitable for the laparoscopic technique. Anaesthetic management is aimed at getting the patient safely through the procedure, minimizing the specific risks arising from laparoscopy and the patient's coexisting medical problems, ensuring quick recovery and a relatively pain-free postoperative course with early return to normal function. PMID:26865885

  13. Minimal universal quantum heat machine.

    PubMed

    Gelbwaser-Klimovsky, D; Alicki, R; Kurizki, G

    2013-01-01

    In traditional thermodynamics the Carnot cycle yields the ideal performance bound of heat engines and refrigerators. We propose and analyze a minimal model of a heat machine that can play a similar role in quantum regimes. The minimal model consists of a single two-level system with periodically modulated energy splitting that is permanently, weakly, coupled to two spectrally separated heat baths at different temperatures. The equation of motion allows us to compute the stationary power and heat currents in the machine consistent with the second law of thermodynamics. This dual-purpose machine can act as either an engine or a refrigerator (heat pump) depending on the modulation rate. In both modes of operation, the maximal Carnot efficiency is reached at zero power. We study the conditions for finite-time optimal performance for several variants of the model. Possible realizations of the model are discussed.

  14. The advantages of a swept source optical coherence tomography system in the evaluation of occlusal disorders

    NASA Astrophysics Data System (ADS)

    Marcauteanu, Corina; Bradu, Adrian; Sinescu, Cosmin; Topala, Florin Ionel; Negrutiu, Meda Lavinia; Duma, Virgil Florin; Podoleanu, Adrian Gh.

    2014-01-01

    Occlusal disorders are characterized by multiple dental and periodontal signs. Some of these are reversible (such as excessive tooth mobility, fremitus, tooth pain, migration of teeth in the absence of periodontitis), some are not (pathological occlusal/incisal wear, abfractions, enamel cracks, tooth fractures, gingival recessions). In this paper we prove the advantages of a fast swept source OCT system in the diagnosis of pathological incisal wear, a key sign of the occlusal disorders. On 15 extracted frontal teeth four levels of pathological incisal wear facets were artificially created. After every level of induced defect, OCT scanning was performed. B scans were acquired and 3D reconstructions were generated. A swept source OCT instrument is used in this study. The swept source is has a central wavelength of 1050 nm and a sweeping rate of 100 kHz. A depth resolution determined by the swept source of 12 μm in air was experimentally measured. The pathological incisal wear is qualitatively observed on the B-scans as 2D images and 3D reconstructions (volumes). For quantitative evaluations of volumes, we used the Image J software. Our swept source OCT system has several advantages, including the ability to measure (in air) a minimal volume of 2352 μm3 and to collect high resolution volumetric images in 2.5 s. By calculating the areas of the amount of lost tissue corresponding to each difference of B-scans, the final volumes of incisal wear were obtained. This swept source OCT method is very useful for the dynamic evaluation of pathological incisal wear.

  15. Principle of minimal work fluctuations

    NASA Astrophysics Data System (ADS)

    Xiao, Gaoyang; Gong, Jiangbin

    2015-08-01

    Understanding and manipulating work fluctuations in microscale and nanoscale systems are of both fundamental and practical interest. For example, in considering the Jarzynski equality =e-β Δ F , a change in the fluctuations of e-β W may impact how rapidly the statistical average of e-β W converges towards the theoretical value e-β Δ F, where W is the work, β is the inverse temperature, and Δ F is the free energy difference between two equilibrium states. Motivated by our previous study aiming at the suppression of work fluctuations, here we obtain a principle of minimal work fluctuations. In brief, adiabatic processes as treated in quantum and classical adiabatic theorems yield the minimal fluctuations in e-β W. In the quantum domain, if a system initially prepared at thermal equilibrium is subjected to a work protocol but isolated from a bath during the time evolution, then a quantum adiabatic process without energy level crossing (or an assisted adiabatic process reaching the same final states as in a conventional adiabatic process) yields the minimal fluctuations in e-β W, where W is the quantum work defined by two energy measurements at the beginning and at the end of the process. In the classical domain where the classical work protocol is realizable by an adiabatic process, then the classical adiabatic process also yields the minimal fluctuations in e-β W. Numerical experiments based on a Landau-Zener process confirm our theory in the quantum domain, and our theory in the classical domain explains our previous numerical findings regarding the suppression of classical work fluctuations [G. Y. Xiao and J. B. Gong, Phys. Rev. E 90, 052132 (2014), 10.1103/PhysRevE.90.052132].

  16. Principle of minimal work fluctuations.

    PubMed

    Xiao, Gaoyang; Gong, Jiangbin

    2015-08-01

    Understanding and manipulating work fluctuations in microscale and nanoscale systems are of both fundamental and practical interest. For example, in considering the Jarzynski equality 〈e-βW〉=e-βΔF, a change in the fluctuations of e-βW may impact how rapidly the statistical average of e-βW converges towards the theoretical value e-βΔF, where W is the work, β is the inverse temperature, and ΔF is the free energy difference between two equilibrium states. Motivated by our previous study aiming at the suppression of work fluctuations, here we obtain a principle of minimal work fluctuations. In brief, adiabatic processes as treated in quantum and classical adiabatic theorems yield the minimal fluctuations in e-βW. In the quantum domain, if a system initially prepared at thermal equilibrium is subjected to a work protocol but isolated from a bath during the time evolution, then a quantum adiabatic process without energy level crossing (or an assisted adiabatic process reaching the same final states as in a conventional adiabatic process) yields the minimal fluctuations in e-βW, where W is the quantum work defined by two energy measurements at the beginning and at the end of the process. In the classical domain where the classical work protocol is realizable by an adiabatic process, then the classical adiabatic process also yields the minimal fluctuations in e-βW. Numerical experiments based on a Landau-Zener process confirm our theory in the quantum domain, and our theory in the classical domain explains our previous numerical findings regarding the suppression of classical work fluctuations [G. Y. Xiao and J. B. Gong, Phys. Rev. E 90, 052132 (2014)].

  17. Minimally invasive surgical approach to pancreatic malignancies.

    PubMed

    Bencini, Lapo; Annecchiarico, Mario; Farsi, Marco; Bartolini, Ilenia; Mirasolo, Vita; Guerra, Francesco; Coratti, Andrea

    2015-12-15

    Pancreatic surgery for malignancy is recognized as challenging for the surgeons and risky for the patients due to consistent perioperative morbidity and mortality. Furthermore, the oncological long-term results are largely disappointing, even for those patients who experience an uneventfully hospital stay. Nevertheless, surgery still remains the cornerstone of a multidisciplinary treatment for pancreatic cancer. In order to maximize the benefits of surgery, the advent of both laparoscopy and robotics has led many surgeons to treat pancreatic cancers with these new methodologies. The reduction of postoperative complications, length of hospital stay and pain, together with a shorter interval between surgery and the beginning of adjuvant chemotherapy, represent the potential advantages over conventional surgery. Lastly, a better cosmetic result, although not crucial in any cancerous patient, could also play a role by improving overall well-being and patient self-perception. The laparoscopic approach to pancreatic surgery is, however, difficult in inexperienced hands and requires a dedicated training in both advanced laparoscopy and pancreatic surgery. The recent large diffusion of the da Vinci(®) robotic platform seems to facilitate many of the technical maneuvers, such as anastomotic biliary and pancreatic reconstructions, accurate lymphadenectomy, and vascular sutures. The two main pancreatic operations, distal pancreatectomy and pancreaticoduodenectomy, are approachable by a minimally invasive path, but more limited interventions such as enucleation are also feasible. Nevertheless, a word of caution should be taken into account when considering the increasing costs of these newest technologies because the main concerns regarding these are the maintenance of all oncological standards and the lack of long-term follow-up. The purpose of this review is to examine the evidence for the use of minimally invasive surgery in pancreatic cancer (and less aggressive tumors

  18. Waste minimization in an autobody repair shop

    SciTech Connect

    Baria, D.N.; Dorland, D.; Bergeron, J.T.

    1994-12-31

    This work was done to document the waste minimization incorporated in a new autobody repair facility in Hermantown, Minnesota. Humes Collision Center incorporated new waste reduction techniques when it expanded its old facilities in 1992 and it was able to achieve the benefits of cost reduction and waste reduction. Humes Collision Center repairs an average of 500 cars annually and is a very small quantity generator (VSQG) of hazardous waste, as defined by the Minnesota Pollution Control Agency (MPCA). The hazardous waste consists of antifreeze, batteries, paint sludge, refrigerants, and used oil, while the nonhazardous waste consists of cardboard, glass, paint filters, plastic, sanding dust, scrap metal, and wastewater. The hazardous and nonhazardous waste output were decreased by 72%. In addition, there was a 63% reduction in the operating costs. The waste minimization includes antifreeze recovery and recycling, reduction in unused waste paint, reduction, recovery and recycle of waste lacquer thinner for cleaning spray guns and paint cups, elimination of used plastic car bags, recovery and recycle of refrigerant, reduction in waste sandpaper and elimination of sanding dust, and elimination of waste paint filters. The rate of return on the investment in waste minimization equipment is estimated from 37% per year for the distillation unit, 80% for vacuum sanding, 146% for computerized paint mixing, 211% for the refrigerant recycler, to 588% per year for the gun washer. The corresponding payback time varies from 3 years to 2 months.

  19. Minimally invasive local therapies for liver cancer

    PubMed Central

    Li, David; Kang, Josephine; Golas, Benjamin J.; Yeung, Vincent W.; Madoff, David C.

    2014-01-01

    Primary and metastatic liver tumors are an increasing global health problem, with hepatocellular carcinoma (HCC) now being the third leading cause of cancer-related mortality worldwide. Systemic treatment options for HCC remain limited, with Sorafenib as the only prospectively validated agent shown to increase overall survival. Surgical resection and/or transplantation, locally ablative therapies and regional or locoregional therapies have filled the gap in liver tumor treatments, providing improved survival outcomes for both primary and metastatic tumors. Minimally invasive local therapies have an increasing role in the treatment of both primary and metastatic liver tumors. For patients with low volume disease, these therapies have now been established into consensus practice guidelines. This review highlights technical aspects and outcomes of commonly utilized, minimally invasive local therapies including laparoscopic liver resection (LLR), radiofrequency ablation (RFA), microwave ablation (MWA), high-intensity focused ultrasound (HIFU), irreversible electroporation (IRE), and stereotactic body radiation therapy (SBRT). In addition, the role of combination treatment strategies utilizing these minimally invasive techniques is reviewed. PMID:25610708

  20. Robotic Pancreatic Resections: Feasibility and Advantages.

    PubMed

    Croner, Roland S

    2015-10-01

    The robot is an innovative tool to perform complex pancreatic resections. It upgrades conventional laparoscopy by adding specific ergonomic technical details (e.g., EndoWrist). Robotic complex pancreatic operations such as pancreaticoduodenectomy can be carried out safe with equal oncological results, morbidity, and mortality compared to open procedures. The patients benefit from less blood loss, decreased hospitalization, and all other benefits of minimally invasive surgery. Nevertheless, the robot has some limitations like missing haptic feedback and the high costs. It has to find its indications beneath conventional laparoscopic procedures, which is currently extensively discussed. But the available technology is certainly convincing, and a further improvement can be expected which will increase its widespread in the future. PMID:26722208

  1. Minimally invasive surgery. Future developments.

    PubMed

    Wickham, J E

    1994-01-15

    The rapid development of minimally invasive surgery means that there will be fundamental changes in interventional treatment. Technological advances will allow new minimally invasive procedures to be developed. Application of robotics will allow some procedures to be done automatically, and coupling of slave robotic instruments with virtual reality images will allow surgeons to perform operations by remote control. Miniature motors and instruments designed by microengineering could be introduced into body cavities to perform operations that are currently impossible. New materials will allow changes in instrument construction, such as use of memory metals to make heat activated scissors or forceps. With the reduced trauma associated with minimally invasive surgery, fewer operations will require long hospital stays. Traditional surgical wards will become largely redundant, and hospitals will need to cope with increased through-put of patients. Operating theatres will have to be equipped with complex high technology equipment, and hospital staff will need to be trained to manage it. Conventional nursing care will be carried out more in the community. Many traditional specialties will be merged, and surgical training will need fundamental revision to ensure that surgeons are competent to carry out the new procedures. PMID:8312776

  2. Concomitant vs. Comparative Advantages: Sufficient vs. Necessary Conditions.

    ERIC Educational Resources Information Center

    Flaningam, Carl D.

    1981-01-01

    Discusses the concomitant advantages case in academic debate. Examines the distinction between concomitant and comparative advantages and the implications of this distinction for concomitant advantages as a form of argument. (PD)

  3. Public health advantages of biological insect controls.

    PubMed Central

    Bosch, R

    1976-01-01

    Biological control is not new, it is simply newly appreciated. This renewed appreciation stems from the widespread insecticide treadmill which is largely a product of insecticide disruption of the balance of insect communities. Biological control is a natural phenomenon; the regulation of plant and animal numbers by natural enemies. In this broad sense, biological control is vital to public health because it keeps the myriad insect species from out-competing us. It also has direct public health advantages as where natural enemies are manipulated to control disease vectoring insects. Insecticide distruption of biological control by insecticides and the resulting pesticide treadmill have serious public health implications. One is the increased pesticide load in the environment. The other is the acceleration of pesticide resistance in disease vectoring insects. The treadmill and its associated hazards will not abate so long as chemical control dominates our pest management strategy. PMID:976223

  4. Home advantage in Turkish professional soccer.

    PubMed

    Seçkin, Aylin; Pollard, Richard

    2008-08-01

    Home advantage is known to play an important role in the outcome of professional soccer games and to vary considerably worldwide. In the Turkish Super League over the last 12 years, 61.5% of the total points gained have been won by the home team, a figure similar to the worldwide average and to the Premier League in England. It is lower (57.7%) for games played between teams from Istanbul and especially high for games involving teams from cities in the more remote and ethnically distinct parts of Turkey (Van and Diyarbakir). Match performance data show that although home teams in Turkey take 26% more shots at goal than away teams, the success rates for shots do not differ. For fouls and disciplinary cards, home and away teams do not differ significantly in Turkey, a finding that differs from games in England, perhaps due to less referee bias.

  5. The kinematic advantage of electric cars

    NASA Astrophysics Data System (ADS)

    Meyn, Jan-Peter

    2015-11-01

    Acceleration of a common car with with a turbocharged diesel engine is compared to the same type with an electric motor in terms of kinematics. Starting from a state of rest, the electric car reaches a distant spot earlier than the diesel car, even though the latter has a better specification for engine power and average acceleration from 0 to 100 km h-1. A three phase model of acceleration as a function of time fits the data of the electric car accurately. The first phase is a quadratic growth of acceleration in time. It is shown that the tenfold higher coefficient for the first phase accounts for most of the kinematic advantage of the electric car.

  6. The academic advantage: gender disparities in patenting.

    PubMed

    Sugimoto, Cassidy R; Ni, Chaoqun; West, Jevin D; Larivière, Vincent

    2015-01-01

    We analyzed gender disparities in patenting by country, technological area, and type of assignee using the 4.6 million utility patents issued between 1976 and 2013 by the United States Patent and Trade Office (USPTO). Our analyses of fractionalized inventorships demonstrate that women's rate of patenting has increased from 2.7% of total patenting activity to 10.8% over the nearly 40-year period. Our results show that, in every technological area, female patenting is proportionally more likely to occur in academic institutions than in corporate or government environments. However, women's patents have a lower technological impact than that of men, and that gap is wider in the case of academic patents. We also provide evidence that patents to which women--and in particular academic women--contributed are associated with a higher number of International Patent Classification (IPC) codes and co-inventors than men. The policy implications of these disparities and academic setting advantages are discussed.

  7. Simulating granular materials by energy minimization

    NASA Astrophysics Data System (ADS)

    Krijgsman, D.; Luding, S.

    2016-03-01

    Discrete element methods are extremely helpful in understanding the complex behaviors of granular media, as they give valuable insight into all internal variables of the system. In this paper, a novel discrete element method for performing simulations of granular media is presented, based on the minimization of the potential energy in the system. Contrary to most discrete element methods (i.e., soft-particle method, event-driven method, and non-smooth contact dynamics), the system does not evolve by (approximately) integrating Newtons equations of motion in time, but rather by searching for mechanical equilibrium solutions for the positions of all particles in the system, which is mathematically equivalent to locally minimizing the potential energy. The new method allows for the rapid creation of jammed initial conditions (to be used for further studies) and for the simulation of quasi-static deformation problems. The major advantage of the new method is that it allows for truly static deformations. The system does not evolve with time, but rather with the externally applied strain or load, so that there is no kinetic energy in the system, in contrast to other quasi-static methods. The performance of the algorithm for both types of applications of the method is tested. Therefore we look at the required number of iterations, for the system to converge to a stable solution. For each single iteration, the required computational effort scales linearly with the number of particles. During the process of creating initial conditions, the required number of iterations for two-dimensional systems scales with the square root of the number of particles in the system. The required number of iterations increases for systems closer to the jamming packing fraction. For a quasi-static pure shear deformation simulation, the results of the new method are validated by regular soft-particle dynamics simulations. The energy minimization algorithm is able to capture the evolution of the

  8. Simulating granular materials by energy minimization

    NASA Astrophysics Data System (ADS)

    Krijgsman, D.; Luding, S.

    2016-11-01

    Discrete element methods are extremely helpful in understanding the complex behaviors of granular media, as they give valuable insight into all internal variables of the system. In this paper, a novel discrete element method for performing simulations of granular media is presented, based on the minimization of the potential energy in the system. Contrary to most discrete element methods (i.e., soft-particle method, event-driven method, and non-smooth contact dynamics), the system does not evolve by (approximately) integrating Newtons equations of motion in time, but rather by searching for mechanical equilibrium solutions for the positions of all particles in the system, which is mathematically equivalent to locally minimizing the potential energy. The new method allows for the rapid creation of jammed initial conditions (to be used for further studies) and for the simulation of quasi-static deformation problems. The major advantage of the new method is that it allows for truly static deformations. The system does not evolve with time, but rather with the externally applied strain or load, so that there is no kinetic energy in the system, in contrast to other quasi-static methods. The performance of the algorithm for both types of applications of the method is tested. Therefore we look at the required number of iterations, for the system to converge to a stable solution. For each single iteration, the required computational effort scales linearly with the number of particles. During the process of creating initial conditions, the required number of iterations for two-dimensional systems scales with the square root of the number of particles in the system. The required number of iterations increases for systems closer to the jamming packing fraction. For a quasi-static pure shear deformation simulation, the results of the new method are validated by regular soft-particle dynamics simulations. The energy minimization algorithm is able to capture the evolution of the

  9. Resin composites in minimally invasive dentistry.

    PubMed

    Jacobsen, Thomas

    2004-01-01

    The concept of minimally invasive dentistry will provide favorable conditions for the use of composite resin. However, a number of factors must be considered when placing composite resins in conservatively prepared cavities, including: aspects on the adaptation of the composite resin to the cavity walls; the use of adhesives; and techniques for obtaining adequate proximal contacts. The clinician must also adopt an equally conservative approach when treating failed restorations. The quality of the composite resin restoration will not only be affected by the outline form of the preparation but also by the clinician's technique and understanding of the materials.

  10. [Minimal-invasive surgery for lung cancer - strategies and limits].

    PubMed

    Schneiter, D; Weder, W

    2012-07-01

    Minimal invasive surgical procedures, also known as keyhole surgery, have gained in importance in the last years and have become the standard of care in experienced hands for most surgical procedures. Despite initial concerns with respect to the radicalness of the approach it is nowadays also established in oncologic surgery. Minimal invasive procedures aim at minimizing the operative trauma and associated inflammatory reactions to achieve faster convalescence after surgery. In addition to obvious cosmetic advantages minimal invasive surgery has been shown to be associated with fewer postoperative pain and shorter postoperative rehabilitation and faster reintegration into everyday as well as working life. With 15% of all cancer diagnoses and 29% of all cancer-associated causes of death, lung cancer is the most frequent malignancy in the general public and hence the treatment of lung cancer is a main focus of thoracic surgery. Within the scope of modern multimodal treatment concepts radical surgical resection of lung cancer is essential and the main pillar of curative treatment. In early stage lung cancer the current standard of care is a thoracoscopic lobectomy with mediastinal lymphadenectomy. The expertise of specialized centers allows for curative minimal-invasive treatment in a large number of patients, particularly of patients of advanced age or with limited pulmonary function.

  11. Advantages of a Lowe-Andersen thermostat in molecular dynamics simulations.

    PubMed

    Koopman, E A; Lowe, C P

    2006-05-28

    The Lowe-Andersen thermostat is a momentum conserving and Galilean invariant analog of the Andersen thermostat. Like the Andersen thermostat it has the advantage of being local. We show that by using a minimal thermostat interaction radius in a molecular dynamics simulation, it perturbs the system dynamics to a far lesser extent than the Andersen method. This alleviates a well known drawback of the Andersen thermostat by allowing high thermostatting rates without the penalty of significantly suppressed diffusion in the system.

  12. Principles and advantages of robotics in urologic surgery.

    PubMed

    Renda, Antonio; Vallancien, Guy

    2003-04-01

    Although the available minimally invasive surgical techniques (ie, laparoscopy) have clear advantages, these procedures continue to cause problems for patients. Surgical tools are limited by set axes of movement, restricting the degree of freedom available to the surgeon. In addition, depth perception is lost with the use of two-dimensional viewing systems. As surgeons view a "virtual" target on a television screen, they are hampered by decreased sensory input and a concurrent loss of dexterity. The development of robotic assistance systems in recent years could be the key to overcoming these difficulties. Using robotic systems, surgeons can experience a more natural and ergonomic surgical "feel." Surgical assistance, dexterity and precision enhancement, systems networking, and image-guided therapy are among the benefits offered by surgical robots. In return, the surgeon gains a shorter learning curve, reduced fatigue, and the opportunity to perform complex procedures that would be difficult using conventional laparoscopy. With the development of image-guided technology, robotic systems will become useful tools for surgical training and simulation. Remote surgery is not a routine procedure, but several teams are working on this and experiencing good results. However, economic concerns are the major drawbacks of these systems; before remote surgery becomes routinely feasible, the clinical benefits must be balanced with high investment and running costs.

  13. Mission and System Advantages of Iodine Hall Thrusters

    NASA Technical Reports Server (NTRS)

    Dankanich, John W.; Szabo, James; Pote, Bruce; Oleson, Steve; Kamhawi, Hani

    2014-01-01

    The exploration of alternative propellants for Hall thrusters continues to be of interest to the community. Investments have been made and continue for the maturation of iodine based Hall thrusters. Iodine testing has shown comparable performance to xenon. However, iodine has a higher storage density and resulting higher ?V capability for volume constrained systems. Iodine's vapor pressure is low enough to permit low-pressure storage, but high enough to minimize potential adverse spacecraft-thruster interactions. The low vapor pressure also means that iodine does not condense inside the thruster at ordinary operating temperatures. Iodine is safe, it stores at sub-atmospheric pressure, and can be stored unregulated for years on end; whether on the ground or on orbit. Iodine fills a niche for both low power (<1kW) and high power (>10kW) electric propulsion regimes. A range of missions have been evaluated for direct comparison of Iodine and Xenon options. The results show advantages of iodine Hall systems for both small and microsatellite application and for very large exploration class missions.

  14. Women's Heart Advantage Program: the impact 3 years later.

    PubMed

    Gombeski, William R; Kramer, R Kyle; Freed, Lisa; Foody, JoAnne; Parkosewich, Janet; Wilson, Tammi; Wack, Jeffery T; D'Onofrio, Gail

    2005-01-01

    Yale-New Haven Hospital, in partnership with Voluntary Hospital Association (VHA Inc), launched the Women's Heart Advantage program in March 2001. Major program components implemented include (1) a comprehensive initial and ongoing internal communication program; (2) a health promotion initiative including a 24-hour, 7-days-a-week women's heart line staffed by nurses and an Internet health question-and-answer forum; (3) significant ongoing communication with nurses and physicians; (4) a community outreach effort to educate poor and minority women; and (5) an aggressive effort to secure financial partners to underwrite the cost of the program. Before launching the program, a telephone survey of 300 randomly selected New Haven County women ages 40 to 70 years was initiated in January 2001 and repeated in January 2002, 2003, and 2004. Findings include (1) the percentage of women who recognize heart disease as the number-one killer of women their age increased from 26% in 2001 to 59% in 2004, (2) the percentage of women who would call 9-1-1 or go directly to a hospital emergency department increased from 63% in 2002 to 83% in 2004, and (3) the percentage of women aware of recent Women's Heart Advantage program promotion grew from 33% in 2002 to 50% in 2004. Perhaps most importantly, the number of women with heart problems admitted through the hospital's emergency department increased from 1528 per year in 2001 to 1870 per year in 2004 (7.5% annual increase), whereas the number of men with heart problems admitted through the emergency department during the same time period has been relatively low (0.8% annual increase). By linking clinical, public health, and marketing expertise along with finding ways to partner with other organizations, the Women's Heart Advantage program has contributed to remarkable changes in women's awareness, knowledge, and behaviors, suggesting a model for approaching similar health-related problems. PMID:16521611

  15. Minimal model for Brownian vortexes.

    PubMed

    Sun, Bo; Grier, David G; Grosberg, Alexander Y

    2010-08-01

    A Brownian vortex is a noise-driven machine that uses thermal fluctuations to extract a steady-state flow of work from a static force field. Its operation is characterized by loops in a probability current whose topology and direction can change with changes in temperature. We present discrete three- and four-state minimal models for Brownian vortexes that can be solved exactly with a master-equation formalism. These models elucidate conditions required for flux reversal in Brownian vortexes and provide insights into their thermodynamic efficiency through the rate of entropy production. PMID:20866791

  16. [Minimally invasive iridocorneal angle surgery].

    PubMed

    Jordan, J F

    2012-07-01

    The classical filtration surgery with trabeculectomy or drainage of chamber fluid with episcleral implants is the most effective method for permanent reduction of intraocular pressure to lower and normal levels. Even though both operative procedures are well-established the high efficiency of the method causes potentially dangerous intraoperative as well as interoperative complications with a frequency which cannot be ignored. In the past this led to a search for low complication alternatives with non-penetrating glaucoma surgery (NPGS) and the search is still continuing. Trabecular meshwork surgery in particular with continuous development of new operation techniques steered the focus to a complication-poor and minimally invasive, gonioscopic glaucoma surgery.

  17. The minimal scenario of leptogenesis

    NASA Astrophysics Data System (ADS)

    Blanchet, Steve; Di Bari, Pasquale

    2012-12-01

    We review the main features and results of thermal leptogenesis within the type I seesaw mechanism, the minimal extension of the Standard Model explaining neutrino masses and mixing. After presenting the simplest approach, the vanilla scenario, we discuss various important developments of recent years, such as the inclusion of lepton and heavy neutrino flavour effects, a description beyond a hierarchical heavy neutrino mass spectrum and an improved kinetic description within the density matrix and the closed-time-path formalisms. We also discuss how leptogenesis can ultimately represent an important phenomenological tool to test the seesaw mechanism and the underlying model of new physics.

  18. Radiometric calibration by rank minimization.

    PubMed

    Lee, Joon-Young; Matsushita, Yasuyuki; Shi, Boxin; Kweon, In So; Ikeuchi, Katsushi

    2013-01-01

    We present a robust radiometric calibration framework that capitalizes on the transform invariant low-rank structure in the various types of observations, such as sensor irradiances recorded from a static scene with different exposure times, or linear structure of irradiance color mixtures around edges. We show that various radiometric calibration problems can be treated in a principled framework that uses a rank minimization approach. This framework provides a principled way of solving radiometric calibration problems in various settings. The proposed approach is evaluated using both simulation and real-world datasets and shows superior performance to previous approaches.

  19. Minimizing medical litigation, part 2.

    PubMed

    Harold, Tan Keng Boon

    2006-01-01

    Provider-patient disputes are inevitable in the healthcare sector. Healthcare providers and regulators should recognize this and plan opportunities to enforce alternative dispute resolution (ADR) a early as possible in the care delivery process. Negotiation is often the main dispute resolution method used by local healthcare providers, failing which litigation would usually follow. The role of mediation in resolving malpractice disputes has been minimal. Healthcare providers, administrators, and regulators should therefore look toward a post-event communication-cum-mediation framework as the key national strategy to resolving malpractice disputes. PMID:16711089

  20. Medicare advantage plans at a crossroads--yet again.

    PubMed

    Berenson, Robert A; Dowd, Bryan E

    2009-01-01

    Since risk-taking, private health insurance plans were introduced into Medicare twenty-five years ago, policymakers have disagreed on these plans' fundamental purposes. Articulated objectives, which include improving quality, reducing government spending, providing additional benefits (without expanding the entitlement), increasing choices for beneficiaries, and providing benchmark competition for traditional Medicare, are plausible but sometimes conflicting. The program's history demonstrates continuous shifts in emphasis on these objectives. We enumerate the differing advantages of public and private plans in Medicare and argue that policymakers should focus their efforts on leveling the public-private playing field, thereby dealing forthrightly with the reality of growing fiscal problems.

  1. Advantages and disadvantages of pinless external fixation.

    PubMed

    Thomas, S R; Giele, H; Simpson, A H

    2000-12-01

    The AO pinless external fixator (PEF) uses trocar tipped clamps to grip the outer tibial cortex rather than pins to transfix it. Its main advantage is to avoid further contamination of the medullary canal in open tibial fractures where a nail may subsequently be used. We tested the anatomical safety of this device and its effect on plastic surgical procedures compared with a standard unilateral external fixator (UEF).The PEF and UEF were placed on two amputated limbs which were then dissected. Structures at risk were traced on ten cadaver limbs. We found that important anatomical structures were endangered by the PEF and that safe zones could not always be defined. The UEF avoided these structures. Plastic surgical approaches were made more difficult by the PEF which imposed limitations on local flap design and endangered the arterial perforators which supply them. We conclude that safety is compromised by the PEF because margins for error are small. It poses additional problems in soft tissue reconstruction and highlights the need for co-operation between plastic surgical and orthopaedic teams in choice of fixation device.

  2. [Coronary revascularization by arterial bypasses: advantages, disadvantages].

    PubMed

    Bical, O; Deleuze, P; Sousa Uva, M

    1997-01-01

    Coronary vein grafts are frequently become occluded or develop atherosclerotic lesions in the long-term. In contrast, the internal mammary artery has a very satisfactory long-term patency rate. The use of an internal mammary artery on the LAD consequently increases the benefit of coronary surgery. The benefit of using 2 internal mammary arteries or other arterial grafts for coronary artery bypass surgery is more controversial. The advantages and disadvantages of the various coronary artery grafts are reported together with the clinical experience of several teams in this area. Coronary artery surgery should be reserved to patients with a good general condition, who are likely to benefit from this type of revascularization. The right internal mammary artery is unsuitable for revascularization of the right coronary network and the two internal mammary arteries must be used to revascularize the left coronary network, in order to obtain a good result. However, surgeons must be aware of the limitations of coronary artery surgery and these techniques should be used cautiously.

  3. Quantifying the Magnetic Advantage in Magnetotaxis

    PubMed Central

    Smith, M. J.; Sheehan, P. E.; Perry, L. L.; O'Connor, K.; Csonka, L. N.; Applegate, B. M.; Whitman, L. J.

    2006-01-01

    Magnetotactic bacteria are characterized by the production of magnetosomes, nanoscale particles of lipid bilayer encapsulated magnetite, that act to orient the bacteria in magnetic fields. These magnetosomes allow magneto-aerotaxis, which is the motion of the bacteria along a magnetic field and toward preferred concentrations of oxygen. Magneto-aerotaxis has been shown to direct the motion of these bacteria downward toward sediments and microaerobic environments favorable for growth. Herein, we compare the magneto-aerotaxis of wild-type, magnetic Magnetospirillum magneticum AMB-1 with a nonmagnetic mutant we have engineered. Using an applied magnetic field and an advancing oxygen gradient, we have quantified the magnetic advantage in magneto-aerotaxis as a more rapid migration to preferred oxygen levels. Magnetic, wild-type cells swimming in an applied magnetic field more quickly migrate away from the advancing oxygen than either wild-type cells in a zero field or the nonmagnetic cells in any field. We find that the responses of the magnetic and mutant strains are well described by a relatively simple analytical model, an analysis of which indicates that the key benefit of magnetotaxis is an enhancement of a bacterium's ability to detect oxygen, not an increase in its average speed moving away from high oxygen concentrations. PMID:16714352

  4. Advantageous grain boundaries in iron pnictide superconductors

    PubMed Central

    Katase, Takayoshi; Ishimaru, Yoshihiro; Tsukamoto, Akira; Hiramatsu, Hidenori; Kamiya, Toshio; Tanabe, Keiichi; Hosono, Hideo

    2011-01-01

    High critical temperature superconductors have zero power consumption and could be used to produce ideal electric power lines. The principal obstacle in fabricating superconducting wires and tapes is grain boundaries—the misalignment of crystalline orientations at grain boundaries, which is unavoidable for polycrystals, largely deteriorates critical current density. Here we report that high critical temperature iron pnictide superconductors have advantages over cuprates with respect to these grain boundary issues. The transport properties through well-defined bicrystal grain boundary junctions with various misorientation angles (θGB) were systematically investigated for cobalt-doped BaFe2As2 (BaFe2As2:Co) epitaxial films fabricated on bicrystal substrates. The critical current density through bicrystal grain boundary (JcBGB) remained high (>1 MA cm−2) and nearly constant up to a critical angle θc of ∼9°, which is substantially larger than the θc of ∼5° for YBa2Cu3O7–δ. Even at θGB>θc, the decay of JcBGB was much slower than that of YBa2Cu3O7–δ. PMID:21811238

  5. Competitive advantages of Caedibacter-infected Paramecia.

    PubMed

    Kusch, Jürgen; Czubatinski, Lars; Wegmann, Silke; Hubner, Markus; Alter, Margret; Albrecht, Petra

    2002-03-01

    Intracellular bacteria of the genus Caedibacter limit the reproduction of their host, the freshwater ciliate Paramecium. Reproduction rates of infected strains of paramecia were significantly lower than those of genetically identical strains that had lost their parasites after treatment with an antibiotic. Interference competition occurs when infected paramecia release a toxic form of the parasitic bacterium that kills uninfected paramecia. In mixed cultures of infected and uninfected strains of either P tetraurelia or of P novaurelia, the infected strains outcompeted the uninfected strains. Infection of new host paramecia seems to be rare. Infection of new hosts was not observed in either mixtures of infected with uninfected strains, or after incubation of paramecia with isolated parasites. The competitive advantages of the host paramecia, in combination with their vegetative reproduction, makes infection of new hosts by the bacterial parasites unnecessary, and could be responsible for the continued existence of "killer paramecia" in nature. Caedibacter parasites are not a defensive adaptation. Feeding rates and reproduction of the predators Didinium nasutum (Ciliophora) and Amoeba proteus (Amoebozoa, Gymnamoebia) were not influenced by whether or not their paramecia prey were infected. Infection of the predators frequently occurred when they preyed on infected paramecia. Caedibacter-infected predators may influence competition between Paramecium strains by release of toxic parasites into the environment that are harmful to uninfected strains.

  6. The Academic Advantage: Gender Disparities in Patenting

    PubMed Central

    Sugimoto, Cassidy R.; Ni, Chaoqun; West, Jevin D.; Larivière, Vincent

    2015-01-01

    We analyzed gender disparities in patenting by country, technological area, and type of assignee using the 4.6 million utility patents issued between 1976 and 2013 by the United States Patent and Trade Office (USPTO). Our analyses of fractionalized inventorships demonstrate that women’s rate of patenting has increased from 2.7% of total patenting activity to 10.8% over the nearly 40-year period. Our results show that, in every technological area, female patenting is proportionally more likely to occur in academic institutions than in corporate or government environments. However, women’s patents have a lower technological impact than that of men, and that gap is wider in the case of academic patents. We also provide evidence that patents to which women—and in particular academic women—contributed are associated with a higher number of International Patent Classification (IPC) codes and co-inventors than men. The policy implications of these disparities and academic setting advantages are discussed. PMID:26017626

  7. Azelastine and fluticasone nasal spray: any advantage?

    PubMed

    2014-02-01

    Allergic rhinitis affects over 20% of the UK population. It can have a significant impact on quality of life and interferes with both attendance and performance at school and at work.1 Intranasal corticosteroids are widely recognised as the most effective symptomatic treatment available, but oral or intranasal new generation antihistamines are usually offered as first-line treatment for intermittent symptoms.1,2 Patients with moderate to severe allergic rhinitis may require a combination of drugs, and many patients only achieve limited control of their symptoms.3 Dymista is described as a novel intranasal formulation combining the antihistamine azelastine hydrochloride with the corticosteroid fluticasone propionate.3 It is licensed for the relief of symptoms of moderate to severe seasonal and perennial allergic rhinitis in adults and adolescents if monotherapy with either intranasal antihistamine or glucocorticoid is not considered sufficient.4 The manufacturer claims that compared with fluticasone or azelastine alone, Dymista is twice as effective (when placebo effect is excluded) in providing relief from both nasal and ocular symptoms, and leads to greater overall relief from nasal symptoms. It also claims that Dymista controls nasal symptoms up to 6 days faster than fluticasone.5 Here we consider the evidence for Dymista and whether it represents a significant advantage in the management of patients with allergic rhinitis.

  8. Advantages of a leveled commitment contracting protocol

    SciTech Connect

    Sandholm, T.W.; Lesser, V.R.

    1996-12-31

    In automated negotiation systems consisting of self-interested agents, contracts have traditionally been binding. Such contracts do not allow agents to efficiently accommodate future events. Game theory has proposed contingency contracts to solve this problem. Among computational agents, contingency contracts are often impractical due to large numbers of interdependent and unanticipated future events to be conditioned on, and because some events are not mutually observable. This paper proposes a leveled commitment contracting protocol that allows self-interested agents to efficiently accommodate future events by having the possibility of unilaterally decommitting from a contract based on local reasoning. A decommitment penalty is assigned to both agents in a contract: to be freed from the contract, an agent only pays this penalty to the other party. It is shown through formal analysis of several contracting settings that this leveled commitment feature in a contracting protocol increases Pareto efficiency of deals and can make contracts individually rational when no full commitment contract can. This advantage holds even if the agents decommit manipulatively.

  9. Azelastine and fluticasone nasal spray: any advantage?

    PubMed

    2014-02-01

    Allergic rhinitis affects over 20% of the UK population. It can have a significant impact on quality of life and interferes with both attendance and performance at school and at work.1 Intranasal corticosteroids are widely recognised as the most effective symptomatic treatment available, but oral or intranasal new generation antihistamines are usually offered as first-line treatment for intermittent symptoms.1,2 Patients with moderate to severe allergic rhinitis may require a combination of drugs, and many patients only achieve limited control of their symptoms.3 Dymista is described as a novel intranasal formulation combining the antihistamine azelastine hydrochloride with the corticosteroid fluticasone propionate.3 It is licensed for the relief of symptoms of moderate to severe seasonal and perennial allergic rhinitis in adults and adolescents if monotherapy with either intranasal antihistamine or glucocorticoid is not considered sufficient.4 The manufacturer claims that compared with fluticasone or azelastine alone, Dymista is twice as effective (when placebo effect is excluded) in providing relief from both nasal and ocular symptoms, and leads to greater overall relief from nasal symptoms. It also claims that Dymista controls nasal symptoms up to 6 days faster than fluticasone.5 Here we consider the evidence for Dymista and whether it represents a significant advantage in the management of patients with allergic rhinitis. PMID:24504481

  10. Competitive advantages of Caedibacter-infected Paramecia.

    PubMed

    Kusch, Jürgen; Czubatinski, Lars; Wegmann, Silke; Hubner, Markus; Alter, Margret; Albrecht, Petra

    2002-03-01

    Intracellular bacteria of the genus Caedibacter limit the reproduction of their host, the freshwater ciliate Paramecium. Reproduction rates of infected strains of paramecia were significantly lower than those of genetically identical strains that had lost their parasites after treatment with an antibiotic. Interference competition occurs when infected paramecia release a toxic form of the parasitic bacterium that kills uninfected paramecia. In mixed cultures of infected and uninfected strains of either P tetraurelia or of P novaurelia, the infected strains outcompeted the uninfected strains. Infection of new host paramecia seems to be rare. Infection of new hosts was not observed in either mixtures of infected with uninfected strains, or after incubation of paramecia with isolated parasites. The competitive advantages of the host paramecia, in combination with their vegetative reproduction, makes infection of new hosts by the bacterial parasites unnecessary, and could be responsible for the continued existence of "killer paramecia" in nature. Caedibacter parasites are not a defensive adaptation. Feeding rates and reproduction of the predators Didinium nasutum (Ciliophora) and Amoeba proteus (Amoebozoa, Gymnamoebia) were not influenced by whether or not their paramecia prey were infected. Infection of the predators frequently occurred when they preyed on infected paramecia. Caedibacter-infected predators may influence competition between Paramecium strains by release of toxic parasites into the environment that are harmful to uninfected strains. PMID:12022275

  11. Pharyngeal Packing during Rhinoplasty: Advantages and Disadvantages

    PubMed Central

    Razavi, Majid; Taghavi Gilani, Mehryar; Bameshki, Ali Reza; Behdani, Reza; Khadivi, Ehsan; Bakhshaee, Mahdi

    2015-01-01

    Introduction: Controversy remains as to the advantages and disadvantages of pharyngeal packing during septorhinoplasty. Our study investigated the effect of pharyngeal packing on postoperative nausea and vomiting and sore throat following this type of surgery or septorhinoplasty. Materials and Methods: This clinical trial was performed on 90 American Society of Anesthesiologists (ASA) I or II patients who were candidates for septorhinoplasty. They were randomly divided into two groups. Patients in the study group had received pharyngeal packing while those in the control group had not. The incidence of nausea and vomiting and sore throat based on the visual analog scale (VAS) was evaluated postoperatively in the recovery room as well as at 2, 6 and 24 hours. Results: The incidence of postoperative nausea and vomiting (PONV) was 12.3%, with no significant difference between the study and control groups. Sore throat was reported in 50.5% of cases overall (56.8% on pack group and 44.4% on control). Although the severity of pain was higher in the study group at all times, the incidence in the two groups did not differ significantly. Conclusion: The use of pharyngeal packing has no effect in reducing the incidence of nausea and vomiting and sore throat after surgery. Given that induced hypotension is used as the routine method of anesthesia in septorhinoplasty surgery, with a low incidence of hemorrhage and a high risk of unintended retention of pharyngeal packing, its routine use is not recommended for this procedure. PMID:26788486

  12. Minimizing travel claims cost with minimal-spanning tree model

    NASA Astrophysics Data System (ADS)

    Jamalluddin, Mohd Helmi; Jaafar, Mohd Azrul; Amran, Mohd Iskandar; Ainul, Mohd Sharizal; Hamid, Aqmar; Mansor, Zafirah Mohd; Nopiah, Zulkifli Mohd

    2014-06-01

    Travel demand necessitates a big expenditure in spending, as has been proven by the National Audit Department (NAD). Every year the auditing process is carried out throughout the country involving official travel claims. This study focuses on the use of the Spanning Tree model to determine the shortest path to minimize the cost of the NAD's official travel claims. The objective is to study the possibility of running a network based in the Kluang District Health Office to eight Rural Clinics in Johor state using the Spanning Tree model applications for optimizing travelling distances and make recommendations to the senior management of the Audit Department to analyze travelling details before an audit is conducted. Result of this study reveals that there were claims of savings of up to 47.4% of the original claims, over the course of the travel distance.

  13. Annual Waste Minimization Summary Report

    SciTech Connect

    Alfred J. Karns

    2007-01-01

    This report summarizes the waste minimization efforts undertaken by National Security Technologies, LLC (NSTec), for the U. S. Department of Energy (DOE) National Nuclear Security Administration Nevada Site Office (NNSA/NSO), during CY06. This report was developed in accordance with the requirements of the Nevada Test Site (NTS) Resource Conservation and Recovery Act (RCRA) Permit (No. NEV HW0021) and as clarified in a letter dated April 21, 1995, from Paul Liebendorfer of the Nevada Division of Environmental Protection to Donald Elle of the DOE, Nevada Operations Office. The NNSA/NSO Pollution Prevention (P2) Program establishes a process to reduce the volume and toxicity of waste generated by the NNSA/NSO and ensures that proposed methods of treatment, storage, and/or disposal of waste minimize potential threats to human health and the environment. The following information provides an overview of the P2 Program, major P2 accomplishments during the reporting year, a comparison of the current year waste generation to prior years, and a description of efforts undertaken during the year to reduce the volume and toxicity of waste generated by the NNSA/NSO.

  14. Less minimal supersymmetric standard model

    SciTech Connect

    de Gouvea, Andre; Friedland, Alexander; Murayama, Hitoshi

    1998-03-28

    Most of the phenomenological studies of supersymmetry have been carried out using the so-called minimal supergravity scenario, where one assumes a universal scalar mass, gaugino mass, and trilinear coupling at M{sub GUT}. Even though this is a useful simplifying assumption for phenomenological analyses, it is rather too restrictive to accommodate a large variety of phenomenological possibilities. It predicts, among other things, that the lightest supersymmetric particle (LSP) is an almost pure B-ino, and that the {mu}-parameter is larger than the masses of the SU(2){sub L} and U(1){sub Y} gauginos. We extend the minimal supergravity framework by introducing one extra parameter: the Fayet'Iliopoulos D-term for the hypercharge U(1), D{sub Y}. Allowing for this extra parameter, we find a much more diverse phenomenology, where the LSP is {tilde {nu}}{sub {tau}}, {tilde {tau}} or a neutralino with a large higgsino content. We discuss the relevance of the different possibilities to collider signatures. The same type of extension can be done to models with the gauge mediation of supersymmetry breaking. We argue that it is not wise to impose cosmological constraints on the parameter space.

  15. Venous thromboembolic events in minimally invasive gynecologic surgery.

    PubMed

    Ramirez, Pedro T; Nick, Alpa M; Frumovitz, Michael; Schmeler, Kathleen M

    2013-01-01

    The rate of venous thromboembolic events (VTEs) including deep venous thrombosis and pulmonary embolism among women undergoing gynecologic surgery is high, particularly for women with a gynecologic malignancy. Current guidelines recommend VTE thrombopropylaxis in the immediate postoperative period for patients undergoing open surgery. However, the VTE prophylaxis recommendations for women undergoing minimally invasive gynecologic surgery are not as well established. The risk of VTEs in patients undergoing minimally invasive surgery appears to be low based on retrospective analyses. To date, there are no established guidelines that specifically provide a standard of care for patients undergoing minimally invasive gynecologic surgery for benign or malignant disease.

  16. Crystal growth and annealing for minimized residual stress

    DOEpatents

    Gianoulakis, Steven E.

    2002-01-01

    A method and apparatus for producing crystals that minimizes birefringence even at large crystal sizes, and is suitable for production of CaF.sub.2 crystals. The method of the present invention comprises annealing a crystal by maintaining a minimal temperature gradient in the crystal while slowly reducing the bulk temperature of the crystal. An apparatus according to the present invention includes a thermal control system added to a crystal growth and annealing apparatus, wherein the thermal control system allows a temperature gradient during crystal growth but minimizes the temperature gradient during crystal annealing.

  17. Is Concentrated Advantage the Cause? The Relative Contributions of Neighborhood Advantage and Disadvantage to Educational Inequality

    ERIC Educational Resources Information Center

    Johnson, Odis, Jr.

    2013-01-01

    Supported by persistent educational inequality and growth of the field of neighborhood effects research, this meta-analysis investigates the relative association of neighborhood advantage and disadvantage to educational outcomes; the consistency of associations across different educational indicators; and the moderating influence of model…

  18. A Majorize-Minimize Framework for Rician and Non-Central Chi MR Images

    PubMed Central

    Varadarajan, Divya; Haldar, Justin P.

    2015-01-01

    The statistics of many MR magnitude images are described by the non-central chi (NCC) family of probability distributions, which includes the Rician distribution as a special case. These distributions have complicated negative log-likelihoods that are nontrivial to optimize. This paper describes a novel majorize-minimize framework for NCC data that allows penalized maximum likelihood estimates to be obtained by solving a series of much simpler regularized least-squares surrogate problems. The proposed framework is general and can be useful in a range of applications. We illustrate the potential advantages of the framework with real and simulated data in two contexts: 1) MR image denoising and 2) diffusion profile estimation in high angular resolution diffusion MRI. The proposed approach is shown to yield improved results compared to methods that model the noise statistics inaccurately and faster computation relative to commonly-used nonlinear optimization techniques. PMID:25935028

  19. Navy Shipboard Hazardous Material Minimization Program

    SciTech Connect

    Bieberich, M.J.; Robinson, P.; Chastain, B.

    1994-12-31

    The use of hazardous (and potentially hazardous) materials in shipboard cleaning applications has proliferated as new systems and equipments have entered the fleet to reside alongside existing equipments. With the growing environmental awareness (and additional, more restrictive regulations) at all levels/echelon commands of the DoD, the Navy has initiated a proactive program to undertake the minimization/elimination of these hazardous materials in order to eliminate HMs at the source. This paper will focus on the current Shipboard Hazardous Materials Minimization Program initiatives including the identification of authorized HM currently used onboard, identification of potential substitute materials for HM replacement, identification of new cleaning technologies and processes/procedures, and identification of technical documents which will require revision to eliminate the procurement of HMs into the federal supply system. Also discussed will be the anticipated path required to implement the changes into the fleet and automated decision processes (substitution algorithm) currently employed. The paper will also present the most recent technologies identified for approval or additional testing and analysis including: supercritical CO{sub 2} cleaning, high pressure blasting (H{sub 2}O + baking soda), aqueous and semi-aqueous cleaning materials and processes, solvent replacements and dedicated parts washing systems with internal filtering capabilities, automated software for solvent/cleaning process substitute selection. Along with these technological advances, data availability (from on-line databases and CDROM Database libraries) will be identified and discussed.

  20. Noninvasive and minimally invasive techniques in body contouring.

    PubMed

    Afrooz, Paul N; Pozner, Jason N; DiBernardo, Barry E

    2014-10-01

    Major surgical body contouring procedures have several inherent drawbacks, including hospitalization, anesthetic use, pain, swelling, and prolonged recovery. It is for these reasons that body contouring through noninvasive and minimally invasive methods has become one of the most alluring areas in aesthetic surgery. Patient expectations and demands have driven the field toward safer, less-invasive procedures with less discomfort, fewer complications, and a shorter recovery. In this article, the current minimally invasive and noninvasive modalities for body contouring are reviewed.

  1. [The precautionary principle: advantages and risks].

    PubMed

    Tubiana, M

    2001-04-01

    The extension of the precautionary principle to the field of healthcare is the social response to two demands of the population: improved health safety and the inclusion of an informed public in the decision-making process. The necessary balance between cost (treatment-induced risk) and benefit (therapeutic effect) underlies all healthcare decisions. An underestimation or an overestimation of cost, i.e. risk, is equally harmful in public healthcare. A vaccination should be prescribed when its beneficial effect outweighs its inevitable risk. Mandatory vaccination, such as in the case of the Hepatitis B virus, is a health policy requiring some courage because those who benefit will never be aware of its positive effect while those who are victims of the risk could resort to litigation. Defense against such accusations requires an accurate assessment of risk and benefit, which underlines the importance of expertise. Even within the framework of the precautionary principle, it is impossible to act without knowledge, or at least a plausible estimation, of expected effects. Recent affairs (blood contamination, transmissible spongiform encephalitis by growth hormone, and new variant of Creutzfeldt-Jacob disease) illustrate that in such cases the precautionary principle would have had limited impact and it is only when enough knowledge was available that effective action could be taken. Likewise, in current debates concerning the possible risks of electromagnetic fields, cellular phones and radon, research efforts must be given priority. The general public understands intuitively the concept of cost and benefit. For example, the possible health risks of oral contraceptives and hormone replacement therapy were not ignored, but the public has judged that their advantages justify the risk. Estimating risk and benefit and finding a balance between risk and preventive measures could help avoid the main drawbacks of the precautionary principle, i.e. inaction and refusal of

  2. Competitive advantage on a warming planet.

    PubMed

    Lash, Jonathan; Wellington, Fred

    2007-03-01

    Whether you're in a traditional smokestack industry or a "clean" business like investment banking, your company will increasingly feel the effects of climate change. Even people skeptical about global warming's dangers are recognizing that, simply because so many others are concerned, the phenomenon has wide-ranging implications. Investors already are discounting share prices of companies poorly positioned to compete in a warming world. Many businesses face higher raw material and energy costs as more and more governments enact policies placing a cost on emissions. Consumers are taking into account a company's environmental record when making purchasing decisions. There's also a burgeoning market in greenhouse gas emission allowances (the carbon market), with annual trading in these assets valued at tens of billions of dollars. Companies that manage and mitigate their exposure to the risks associated with climate change while seeking new opportunities for profit will generate a competitive advantage over rivals in a carbon-constrained future. This article offers a systematic approach to mapping and responding to climate change risks. According to Jonathan Lash and Fred Wellington of the World Resources Institute, an environmental think tank, the risks can be divided into six categories: regulatory (policies such as new emissions standards), products and technology (the development and marketing of climate-friendly products and services), litigation (lawsuits alleging environmental harm), reputational (how a company's environmental policies affect its brand), supply chain (potentially higher raw material and energy costs), and physical (such as an increase in the incidence of hurricanes). The authors propose a four-step process for responding to climate change risk: Quantify your company's carbon footprint; identify the risks and opportunities you face; adapt your business in response; and do it better than your competitors. PMID:17348173

  3. Competitive advantage on a warming planet.

    PubMed

    Lash, Jonathan; Wellington, Fred

    2007-03-01

    Whether you're in a traditional smokestack industry or a "clean" business like investment banking, your company will increasingly feel the effects of climate change. Even people skeptical about global warming's dangers are recognizing that, simply because so many others are concerned, the phenomenon has wide-ranging implications. Investors already are discounting share prices of companies poorly positioned to compete in a warming world. Many businesses face higher raw material and energy costs as more and more governments enact policies placing a cost on emissions. Consumers are taking into account a company's environmental record when making purchasing decisions. There's also a burgeoning market in greenhouse gas emission allowances (the carbon market), with annual trading in these assets valued at tens of billions of dollars. Companies that manage and mitigate their exposure to the risks associated with climate change while seeking new opportunities for profit will generate a competitive advantage over rivals in a carbon-constrained future. This article offers a systematic approach to mapping and responding to climate change risks. According to Jonathan Lash and Fred Wellington of the World Resources Institute, an environmental think tank, the risks can be divided into six categories: regulatory (policies such as new emissions standards), products and technology (the development and marketing of climate-friendly products and services), litigation (lawsuits alleging environmental harm), reputational (how a company's environmental policies affect its brand), supply chain (potentially higher raw material and energy costs), and physical (such as an increase in the incidence of hurricanes). The authors propose a four-step process for responding to climate change risk: Quantify your company's carbon footprint; identify the risks and opportunities you face; adapt your business in response; and do it better than your competitors.

  4. Fluorescence advantages with microscopic spatiotemporal control

    NASA Astrophysics Data System (ADS)

    Goswami, Debabrata; Roy, Debjit; De, Arijit K.

    2013-03-01

    We present a clever design concept of using femtosecond laser pulses in microscopy by selective excitation or de-excitation of one fluorophore over the other overlapping one. Using either a simple pair of femtosecond pulses with variable delay or using a train of laser pulses at 20-50 Giga-Hertz excitation, we show controlled fluorescence excitation or suppression of one of the fluorophores with respect to the other through wave-packet interference, an effect that prevails even after the fluorophore coherence timescale. Such an approach can be used both under the single-photon excitation as well as in the multi-photon excitation conditions resulting in effective higher spatial resolution. Such high spatial resolution advantage with broadband-pulsed excitation is of immense benefit to multi-photon microscopy and can also be an effective detection scheme for trapped nanoparticles with near-infrared light. Such sub-diffraction limit trapping of nanoparticles is challenging and a two-photon fluorescence diagnostics allows a direct observation of a single nanoparticle in a femtosecond high-repetition rate laser trap, which promises new directions to spectroscopy at the single molecule level in solution. The gigantic peak power of femtosecond laser pulses at high repetition rate, even at low average powers, provide huge instantaneous gradient force that most effectively result in a stable optical trap for spatial control at sub-diffraction limit. Such studies have also enabled us to explore simultaneous control of internal and external degrees of freedom that require coupling of various control parameters to result in spatiotemporal control, which promises to be a versatile tool for the microscopic world.

  5. Design and Demonstration of Minimal Lunar Base

    NASA Astrophysics Data System (ADS)

    Boche-Sauvan, L.; Foing, B. H.; Exohab Team

    2009-04-01

    (Integrated Exploration Study, ESA ESTEC [1,2]). We will focus on the easiest and the soonest way in settling a minimal base immediately operational in scientific experimentation, but not immediately autonomous. It will prepare the next permanent lunar base by assessing its technologies, and give scientific results about the environment. The autonomy will be gained in the evolution of the base, and added equipment. A lunar outpost in a polar region would allow missions longer than 14 days, and a frequent addition of equipments. Moreover, a polar outpost will get both advantages of far-side for simulating direct or indirect communications to Earth and dark-side for observations. The low solar rays incidence may permit having ice in deep craters, which will be beneficial for the evolution of the outpost into a autonomous base. The South Pole, by its position on the edge of the South Pole Aitken (SPA) Basin, will allow different fast new data in analysis mantle samples, easily reachable due to the crater morphology. These samples will constrain the putative Late Heavy Bombarment (LHB). After a robotic sample return mission, a human presence will allow deeper research through well chosen geological samples [6]. In this modular concept, we consider various infrastructure elements: core habitat, EVA, crew mobility, energy supply, recycling module, communication, green house and food production, operations. Many of these elements have already been studied in space agencies' architecture proposals, with the tech-nological possibilities of industrial partners (lunar landers, lunar orbiter, rovers …). A deeper reflection will be therefore done about the core habitat and the laboratory equipment, proposing scientific priority experiments. Each element will be added in a range considering their priority to life support in duration [7]. Considering surface operations, protocols will be specified in the use of certain elements. After a reflexion on the different dependancies and

  6. Minimally invasive procedures for neuropathic pain.

    PubMed

    Sdrulla, Andrei; Chen, Grace

    2016-04-01

    Neuropathic pain is "pain arising as a direct consequence of a lesion or disease affecting the somatosensory system". The prevalence of neuropathic pain ranges from 7 to 11% of the population and minimally invasive procedures have been used to both diagnose and treat neuropathic pain. Diagnostic procedures consist of nerve blocks aimed to isolate the peripheral nerve implicated, whereas therapeutic interventions either modify or destroy nerve function. Procedures that modify how nerves function include epidural steroid injections, peripheral nerve blocks and sympathetic nerve blocks. Neuroablative procedures include radiofrequency ablation, cryoanalgesia and neurectomies. Currently, neuromodulation with peripheral nerve stimulators and spinal cord stimulators are the most evidence-based treatments of neuropathic pain. PMID:26988024

  7. From the ground up: building a minimally invasive aortic valve surgery program

    PubMed Central

    Lamelas, Joseph

    2015-01-01

    Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a “virtual lobby” for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority. PMID:25870815

  8. From the ground up: building a minimally invasive aortic valve surgery program.

    PubMed

    Nguyen, Tom C; Lamelas, Joseph

    2015-03-01

    Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a "virtual lobby" for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority. PMID:25870815

  9. From the ground up: building a minimally invasive aortic valve surgery program.

    PubMed

    Nguyen, Tom C; Lamelas, Joseph

    2015-03-01

    Minimally invasive aortic valve replacement (MIAVR) is associated with numerous advantages including improved patient satisfaction, cosmesis, decreased transfusion requirements, and cost-effectiveness. Despite these advantages, little information exists on how to build a MIAVR program from the ground up. The steps to build a MIAVR program include compiling a multi-disciplinary team composed of surgeons, cardiologists, anesthesiologists, perfusionists, operating room (OR) technicians, and nurses. Once assembled, this team can then approach hospital administrators to present a cost-benefit analysis of MIAVR, emphasizing the importance of reduced resource utilization in the long-term to offset the initial financial investment that will be required. With hospital approval, training can commence to provide surgeons and other staff with the necessary knowledge and skills in MIAVR procedures and outcomes. Marketing and advertising of the program through the use of social media, educational conferences, grand rounds, and printed media will attract the initial patients. A dedicated website for the program can function as a "virtual lobby" for patients wanting to learn more. Initially, conservative selection criteria of cases that qualify for MIAVR will set the program up for success by avoiding complex co-morbidities and surgical techniques. During the learning curve phase of the program, patient safety should be a priority.

  10. Minimal unitary (covariant) scattering theory

    SciTech Connect

    Lindesay, J.V.; Markevich, A.

    1983-06-01

    In the minimal three particle equations developed by Lindesay the two body input amplitude was an on shell relativistic generalization of the non-relativistic scattering model characterized by a single mass parameter ..mu.. which in the two body (m + m) system looks like an s-channel bound state (..mu.. < 2m) or virtual state (..mu.. > 2m). Using this driving term in covariant Faddeev equations generates a rich covariant and unitary three particle dynamics. However, the simplest way of writing the relativisitic generalization of the Faddeev equations can take the on shell Mandelstam parameter s = 4(q/sup 2/ + m/sup 2/), in terms of which the two particle input is expressed, to negative values in the range of integration required by the dynamics. This problem was met in the original treatment by multiplying the two particle input amplitude by THETA(s). This paper provides what we hope to be a more direct way of meeting the problem.

  11. A minimally invasive smile enhancement.

    PubMed

    Peck, Fred H

    2014-01-01

    Minimally invasive dentistry refers to a wide variety of dental treatments. On the restorative aspect of dental procedures, direct resin bonding can be a very conservative treatment option for the patient. When tooth structure does not need to be removed, the patient benefits. Proper treatment planning is essential to determine how conservative the restorative treatment will be. This article describes the diagnosis, treatment options, and procedural techniques in the restoration of 4 maxillary anterior teeth with direct composite resin. The procedural steps are reviewed with regard to placing the composite and the variety of colors needed to ensure a natural result. Finishing and polishing of the composite are critical to ending with a natural looking dentition that the patient will be pleased with for many years.

  12. Strategies to Minimize Antibiotic Resistance

    PubMed Central

    Lee, Chang-Ro; Cho, Ill Hwan; Jeong, Byeong Chul; Lee, Sang Hee

    2013-01-01

    Antibiotic resistance can be reduced by using antibiotics prudently based on guidelines of antimicrobial stewardship programs (ASPs) and various data such as pharmacokinetic (PK) and pharmacodynamic (PD) properties of antibiotics, diagnostic testing, antimicrobial susceptibility testing (AST), clinical response, and effects on the microbiota, as well as by new antibiotic developments. The controlled use of antibiotics in food animals is another cornerstone among efforts to reduce antibiotic resistance. All major resistance-control strategies recommend education for patients, children (e.g., through schools and day care), the public, and relevant healthcare professionals (e.g., primary-care physicians, pharmacists, and medical students) regarding unique features of bacterial infections and antibiotics, prudent antibiotic prescribing as a positive construct, and personal hygiene (e.g., handwashing). The problem of antibiotic resistance can be minimized only by concerted efforts of all members of society for ensuring the continued efficiency of antibiotics. PMID:24036486

  13. Minimally packed phases in holography

    NASA Astrophysics Data System (ADS)

    Donos, Aristomenis; Gauntlett, Jerome P.

    2016-03-01

    We numerically construct asymptotically AdS black brane solutions of D = 4 Einstein-Maxwell theory coupled to a pseudoscalar. The solutions are holographically dual to d = 3 CFTs at finite chemical potential and in a constant magnetic field, which spontaneously break translation invariance leading to the spontaneous formation of abelian and momentum magnetisation currents flowing around the plaquettes of a periodic Bravais lattice. We analyse the three-dimensional moduli space of lattice solutions, which are generically oblique, and show, for a specific value of the magnetic field, that the free energy is minimised by the triangular lattice, associated with minimal packing of circles in the plane. We show that the average stress tensor for the thermodynamically preferred phase is that of a perfect fluid and that this result applies more generally to spontaneously generated periodic phases. The triangular structure persists at low temperatures indicating the existence of novel crystalline ground states.

  14. Non-minimal Inflationary Attractors

    SciTech Connect

    Kallosh, Renata; Linde, Andrei E-mail: alinde@stanford.edu

    2013-10-01

    Recently we identified a new class of (super)conformally invariant theories which allow inflation even if the scalar potential is very steep in terms of the original conformal variables. Observational predictions of a broad class of such theories are nearly model-independent. In this paper we consider generalized versions of these models where the inflaton has a non-minimal coupling to gravity with a negative parameter ξ different from its conformal value -1/6. We show that these models exhibit attractor behavior. With even a slight increase of |ξ| from |ξ| = 0, predictions of these models for n{sub s} and r rapidly converge to their universal model-independent values corresponding to conformal coupling ξ = −1/6. These values of n{sub s} and r practically coincide with the corresponding values in the limit ξ → −∞.

  15. Waste minimization in analytical methods

    SciTech Connect

    Green, D.W.; Smith, L.L.; Crain, J.S.; Boparai, A.S.; Kiely, J.T.; Yaeger, J.S. Schilling, J.B.

    1995-05-01

    The US Department of Energy (DOE) will require a large number of waste characterizations over a multi-year period to accomplish the Department`s goals in environmental restoration and waste management. Estimates vary, but two million analyses annually are expected. The waste generated by the analytical procedures used for characterizations is a significant source of new DOE waste. Success in reducing the volume of secondary waste and the costs of handling this waste would significantly decrease the overall cost of this DOE program. Selection of appropriate analytical methods depends on the intended use of the resultant data. It is not always necessary to use a high-powered analytical method, typically at higher cost, to obtain data needed to make decisions about waste management. Indeed, for samples taken from some heterogeneous systems, the meaning of high accuracy becomes clouded if the data generated are intended to measure a property of this system. Among the factors to be considered in selecting the analytical method are the lower limit of detection, accuracy, turnaround time, cost, reproducibility (precision), interferences, and simplicity. Occasionally, there must be tradeoffs among these factors to achieve the multiple goals of a characterization program. The purpose of the work described here is to add waste minimization to the list of characteristics to be considered. In this paper the authors present results of modifying analytical methods for waste characterization to reduce both the cost of analysis and volume of secondary wastes. Although tradeoffs may be required to minimize waste while still generating data of acceptable quality for the decision-making process, they have data demonstrating that wastes can be reduced in some cases without sacrificing accuracy or precision.

  16. Red Dirt Thinking on Remote Educational Advantage

    ERIC Educational Resources Information Center

    Guenther, John; Bat, Melodie; Osborne, Sam

    2014-01-01

    The discourse of remote education is often characterised by a rhetoric of disadvantage. This is reflected in statistics that on the surface seem unambiguous in their demonstration of poor outcomes for remote Aboriginal and Torres Strait Islander students. A range of data support this view, including National Assessment Program-Literacy and…

  17. BIOREACTOR LANDFILLS, THEORETICAL ADVANTAGES AND RESEARCH CHALLENGES

    EPA Science Inventory

    Bioreactor landfills are municipal solid waste landfills that utilize bulk liquids in an effort to accelerate solid waste degradation. There are few potential benefits for operating a MSW landfill as a bioreactor. These include leachate treatment and management, increase in the s...

  18. The Arts: A Competitive Advantage for California.

    ERIC Educational Resources Information Center

    KPMG Peat Marwick, Washington, DC. Policy Economic Group.

    This 1993 study attempts to define the size and scope of state-wide economic activity generated by the arts in California. The analysis is based on data from surveys of nonprofit arts organization and five case studies. The case studies, which provided context for the core research, include examinations of: (1) artists in Los Angeles County; (2)…

  19. Advantages of Being Disadvantaged: A Paradox.

    ERIC Educational Resources Information Center

    Moses, E. Gnanaraj

    1985-01-01

    Explores factors that can enable children reared in impoverished environments to use their conditions of adversity to succeed. Discusses essential components to development of achievement motivation, including innate potential; family ties and roots; creative manipulation of the environment; expectations; and the roles of religion, parents, and…

  20. Taking Full Advantage of Children's Literature

    ERIC Educational Resources Information Center

    Serafini, Frank

    2012-01-01

    Teachers need a deeper understanding of the texts being discussed, in particular the various textual and visual aspects of picturebooks themselves, including the images, written text and design elements, to support how readers made sense of these texts. As teachers become familiar with aspects of literary criticism, art history, visual grammar,…

  1. Minimal genome: Worthwhile or worthless efforts toward being smaller?

    PubMed

    Choe, Donghui; Cho, Suhyung; Kim, Sun Chang; Cho, Byung-Kwan

    2016-02-01

    Microbial cells are versatile hosts for the production of value-added products due to the well-established background knowledge, various genetic tools, and ease of manipulation. Despite those advantages, efficiency of newly incorporated synthetic pathways in microbial cells is frequently limited by innate metabolism, product toxicity, and growth-mediated genetic instability. To overcome those obstacles, a minimal genome harboring only the essential set of genes was proposed, which is a fascinating concept with potential for use as a platform strain. Here, we review the currently available artificial reduced genomes and discuss the prospects for extending use of the genome-reduced strains as programmable chasses. The genome-reduced strains generally showed comparable growth to and higher productivity than their ancestral strains. In Escherichia coli, about 300 genes are estimated as the minimal number of genes under laboratory conditions. However, recent advances revealed that there are non-essential components in essential genes, suggesting that the design principle of minimal genomes should be reconstructed. Current technology is not efficient enough to reduce large amount of interspaced genomic regions or to synthesize the genome. Furthermore, construction of minimal genome frequently has failed due to lack of genomic information. Technological breakthroughs and intense systematic studies on genomes remain tasks.

  2. A geometric approach to direct minimization

    NASA Astrophysics Data System (ADS)

    van Voorhis, Troy; Head-Gordon, Martin

    The approach presented, geometric direct minimization (GDM), is derived from purely geometrical arguments, and is designed to minimize a function of a set of orthonormal orbitals. The optimization steps consist of sequential unitary transformations of the orbitals, and convergence is accelerated using the Broyden-Fletcher-Goldfarb-Shanno (BFGS) approach in the iterative subspace, together with a diagonal approximation to the Hessian for the remaining degrees of freedom. The approach is tested by implementing the solution of the self-consistent field (SCF) equations and comparing results with the standard direct inversion in the iterative subspace (DIIS) method. It is found that GDM is very robust and converges in every system studied, including several cases in which DIIS fails to find a solution. For main group compounds, GDM convergence is nearly as rapid as DIIS, whereas for transition metalcontaining systems we find that GDM is significantly slower than DIIS. A hybrid procedure where DIIS is used for the first several iterations and GDM is used thereafter is found to provide a robust solution for transition metal-containing systems.

  3. Minimal model for aeolian sand dunes.

    PubMed

    Kroy, Klaus; Sauermann, Gerd; Herrmann, Hans J

    2002-09-01

    We present a minimal model for the formation and migration of aeolian sand dunes in unidirectional winds. It combines a perturbative description of the turbulent wind velocity field above the dune with a continuum saltation model that allows for saturation transients in the sand flux. The latter are shown to provide a characteristic length scale, called saturation length, which is distinct from the saltation length of the grains. The model admits two different classes of solutions for the steady-state profile along the wind direction: smooth heaps and dunes with slip face. We clarify the origin of the characteristic properties of these solutions and analyze their scaling behavior. We also investigate in some detail the dynamic evolution of heaps and dunes, including the steady-state migration velocity and transient shape relaxation. Although the minimal model employs nonlocal expressions for the wind shear stress as well as for the sand flux, it is simple enough to serve as a very efficient tool for analytical and numerical investigations and opens up the way to simulations of large scale desert topographies. PMID:12366107

  4. The minimal curvaton-higgs model

    SciTech Connect

    Enqvist, Kari; Lerner, Rose N.; Takahashi, Tomo E-mail: rose.lerner@desy.de

    2014-01-01

    We present the first full study of the minimal curvaton-higgs (MCH) model, which is a minimal interpretation of the curvaton scenario with one real scalar coupled to the standard model Higgs boson. The standard model coupling allows the dynamics of the model to be determined in detail, including effects from the thermal background and from radiative corrections to the potential. The relevant mechanisms for curvaton decay are incomplete non-perturbative decay (delayed by thermal blocking), followed by decay via a dimension-5 non-renormalisable operator. To avoid spoiling the predictions of big bang nucleosynthesis, we find the ''bare'' curvaton mass to be m{sub σ} ≥ 8 × 10{sup 4}GeV. To match observational data from Planck there is an upper limit on the curvaton-higgs coupling g, between 10{sup −3} and 10{sup −2}, depending on the mass. This is due to interactions with the thermal background. We find that typically non-Gaussianities are small but that if f{sub NL} is observed in the near future then m{sub σ}∼<5 × 10{sup 9}GeV, depending on Hubble scale during inflation. In a thermal dark matter model, the lower bound on m{sub σ} can increase substantially. The parameter space may also be affected once the baryogenesis mechanism is specified.

  5. An Aristotelian Account of Minimal Chemical Life

    NASA Astrophysics Data System (ADS)

    Bedau, Mark A.

    2010-12-01

    This paper addresses the open philosophical and scientific problem of explaining and defining life. This problem is controversial, and there is nothing approaching a consensus about what life is. This raises a philosophical meta-question: Why is life so controversial and so difficult to define? This paper proposes that we can attribute a significant part of the controversy over life to use of a Cartesian approach to explaining life, which seeks necessary and sufficient conditions for being an individual living organism, out of the context of other organisms and the abiotic environment. The Cartesian approach contrasts with an Aristotelian approach to explaining life, which considers life only in the whole context in which it actually exists, looks at the characteristic phenomena involving actual life, and seeks the deepest and most unified explanation for those phenomena. The phenomena of life might be difficult to delimit precisely, but it certainly includes life's characteristic hallmarks, borderline cases, and puzzles. The Program-Metabolism-Container (PMC) model construes minimal chemical life as a functionally integrated triad of chemical systems, which are identified as the Program, Metabolism, and Container. Rasmussen diagrams precisely depict the functional definition of minimal chemical life. The PMC model illustrates the Aristotelian approach to life, because it explains eight of life's hallmarks, one of life's borderline cases (the virus), and two of life's puzzles.

  6. An Aristotelian account of minimal chemical life.

    PubMed

    Bedau, Mark A

    2010-12-01

    This paper addresses the open philosophical and scientific problem of explaining and defining life. This problem is controversial, and there is nothing approaching a consensus about what life is. This raises a philosophical meta-question: Why is life so controversial and so difficult to define? This paper proposes that we can attribute a significant part of the controversy over life to use of a Cartesian approach to explaining life, which seeks necessary and sufficient conditions for being an individual living organism, out of the context of other organisms and the abiotic environment. The Cartesian approach contrasts with an Aristotelian approach to explaining life, which considers life only in the whole context in which it actually exists, looks at the characteristic phenomena involving actual life, and seeks the deepest and most unified explanation for those phenomena. The phenomena of life might be difficult to delimit precisely, but it certainly includes life's characteristic hallmarks, borderline cases, and puzzles. The Program-Metabolism-Container (PMC) model construes minimal chemical life as a functionally integrated triad of chemical systems, which are identified as the Program, Metabolism, and Container. Rasmussen diagrams precisely depict the functional definition of minimal chemical life. The PMC model illustrates the Aristotelian approach to life, because it explains eight of life's hallmarks, one of life's borderline cases (the virus), and two of life's puzzles.

  7. MR imaging guidance for minimally invasive procedures

    NASA Astrophysics Data System (ADS)

    Wong, Terence Z.; Kettenbach, Joachim; Silverman, Stuart G.; Schwartz, Richard B.; Morrison, Paul R.; Kacher, Daniel F.; Jolesz, Ferenc A.

    1998-04-01

    Image guidance is one of the major challenges common to all minimally invasive procedures including biopsy, thermal ablation, endoscopy, and laparoscopy. This is essential for (1) identifying the target lesion, (2) planning the minimally invasive approach, and (3) monitoring the therapy as it progresses. MRI is an ideal imaging modality for this purpose, providing high soft tissue contrast and multiplanar imaging, capability with no ionizing radiation. An interventional/surgical MRI suite has been developed at Brigham and Women's Hospital which provides multiplanar imaging guidance during surgery, biopsy, and thermal ablation procedures. The 0.5T MRI system (General Electric Signa SP) features open vertical access, allowing intraoperative imaging to be performed. An integrated navigational system permits near real-time control of imaging planes, and provides interactive guidance for positioning various diagnostic and therapeutic probes. MR imaging can also be used to monitor cryotherapy as well as high temperature thermal ablation procedures sing RF, laser, microwave, or focused ultrasound. Design features of the interventional MRI system will be discussed, and techniques will be described for interactive image acquisition and tracking of interventional instruments. Applications for interactive and near-real-time imaging will be presented as well as examples of specific procedures performed using MRI guidance.

  8. Utilization of biocatalysts in cellulose waste minimization

    SciTech Connect

    Woodward, J.; Evans, B.R.

    1996-09-01

    Cellulose, a polymer of glucose, is the principal component of biomass and, therefore, a major source of waste that is either buried or burned. Examples of biomass waste include agricultural crop residues, forestry products, and municipal wastes. Recycling of this waste is important for energy conservation as well as waste minimization and there is some probability that in the future biomass could become a major energy source and replace fossil fuels that are currently used for fuels and chemicals production. It has been estimated that in the United States, between 100-450 million dry tons of agricultural waste are produced annually, approximately 6 million dry tons of animal waste, and of the 190 million tons of municipal solid waste (MSW) generated annually, approximately two-thirds is cellulosic in nature and over one-third is paper waste. Interestingly, more than 70% of MSW is landfilled or burned, however landfill space is becoming increasingly scarce. On a smaller scale, important cellulosic products such as cellulose acetate also present waste problems; an estimated 43 thousand tons of cellulose ester waste are generated annually in the United States. Biocatalysts could be used in cellulose waste minimization and this chapter describes their characteristics and potential in bioconversion and bioremediation processes.

  9. Flavored dark matter beyond Minimal Flavor Violation

    DOE PAGES

    Agrawal, Prateek; Blanke, Monika; Gemmler, Katrin

    2014-10-13

    We study the interplay of flavor and dark matter phenomenology for models of flavored dark matter interacting with quarks. We allow an arbitrary flavor structure in the coupling of dark matter with quarks. This coupling is assumed to be the only new source of violation of the Standard Model flavor symmetry extended by a U(3) χ associated with the dark matter. We call this ansatz Dark Minimal Flavor Violation (DMFV) and highlight its various implications, including an unbroken discrete symmetry that can stabilize the dark matter. As an illustration we study a Dirac fermionic dark matter χ which transforms asmore » triplet under U(3) χ , and is a singlet under the Standard Model. The dark matter couples to right-handed down-type quarks via a colored scalar mediator Φ with a coupling λ. We identify a number of “flavor-safe” scenarios for the structure of λ which are beyond Minimal Flavor Violation. Also, for dark matter and collider phenomenology we focus on the well-motivated case of b-flavored dark matter. Furthermore, the combined flavor and dark matter constraints on the parameter space of λ turn out to be interesting intersections of the individual ones. LHC constraints on simplified models of squarks and sbottoms can be adapted to our case, and monojet searches can be relevant if the spectrum is compressed.« less

  10. Flavored dark matter beyond Minimal Flavor Violation

    SciTech Connect

    Agrawal, Prateek; Blanke, Monika; Gemmler, Katrin

    2014-10-13

    We study the interplay of flavor and dark matter phenomenology for models of flavored dark matter interacting with quarks. We allow an arbitrary flavor structure in the coupling of dark matter with quarks. This coupling is assumed to be the only new source of violation of the Standard Model flavor symmetry extended by a U(3) χ associated with the dark matter. We call this ansatz Dark Minimal Flavor Violation (DMFV) and highlight its various implications, including an unbroken discrete symmetry that can stabilize the dark matter. As an illustration we study a Dirac fermionic dark matter χ which transforms as triplet under U(3) χ , and is a singlet under the Standard Model. The dark matter couples to right-handed down-type quarks via a colored scalar mediator Φ with a coupling λ. We identify a number of “flavor-safe” scenarios for the structure of λ which are beyond Minimal Flavor Violation. Also, for dark matter and collider phenomenology we focus on the well-motivated case of b-flavored dark matter. Furthermore, the combined flavor and dark matter constraints on the parameter space of λ turn out to be interesting intersections of the individual ones. LHC constraints on simplified models of squarks and sbottoms can be adapted to our case, and monojet searches can be relevant if the spectrum is compressed.

  11. [History and development trend of minimally invasive surgery for colorectal cancer in China].

    PubMed

    Zheng, Minhua; Ma, Junjun

    2016-08-25

    With the development in past 20 years, the utilization of the laparoscopic surgery, which is the main trend in minimally invasive surgery for colorectal cancer, has tremendously changed. Minimally invasive surgery for colorectal cancer is now at a high level platform after going through the exploration at the very beginning and rapid development in the period of standardizing and promoting the regulations. Nowadays, the unique advantage that the laparoscopy owns is high definition and enlargement of the image, along with the establishment of the key note in series of laparoscopic complete mesocolic excision and the improvement of surgical instruments and methods make the operation skills accurate and normative in exploration of correct plane, high ligation of vessels and protection of nerve during the lymph node dissection of colorectal surgery. Currently, the most common procedure widely used in reconstruction of gastrointestinal(GI) tract is still laparoscopy-assisted approach. The frequent reconstruction of GI tract in rectal cancer surgery is double stapling technique, coloanal anastomosis by hand-sewn technique and the laparoscopic reconstruction of GI tract based on NOSE. At present, the most reconstructions of GI tract, including reconstruction by instrument and by hand-sewn are operated extracorporeally by pulling out the colon through the small incision, which is used to extract specimen. Although compared with the traditional reconstruction of GI tract, the complete laparoscopic excision has the advantage that the incision is smaller, it is more expensive. The preference approach of laparoscopic surgery is mainly medial approach, but with further understanding of CME, TME and the basic of medial approach, the new approaches like total medial approach, hybrid medial approach and caudal approach applied in right hemicolectomy and cephalad medial approach applied in rectal cancer have derived. As the introduction of NOTES, transanal TME and transanal

  12. Managing sediment to minimize environmental impacts

    SciTech Connect

    Sherman, K.

    1995-12-31

    When considering licensing of a hydroelectric project, FERC must give equal consideration to power and nonpower values such as environmental resources. A case study is the existing Rock-Creek Cresta Project, located on the North Fork of the Feather River in northern California, which is in the process of relicensing by the Commission. This project includes two reservoirs - Rock Creek and Cresta Reservoirs, each formed by a dam that diverts water from the river into a tunnel and to a powerhouse. The watershed includes large natural and man-made sediment sources. Rock Creek Reservoir has accumulated 3.9 million cubic yards of sediments since the dam was built in 1950; Cresta Reservoir has accumulated 2.9 million cy of sediments since 1949. Operational problems began in the 1980s. As part of the relicensing process, Pacific Gas & Electric Company (PG&E) initially proposed a combination of dredging 500,000 cy of sediment from each reservoir, land disposal of dredged sediments, followed by sediment pass-through to achieve a long term net balance of sediment inflow and outflow. This proposal had substantial economic costs and environmental impact. Potential environmental effects included impacts to water quality and aquatic organisms and to terrestrial habitat from disposal of a million cy of dredged sediments. PG&E used physical and mathematical models to develop an innovative approach that minimized the amount of sediment needed to be dredged by limiting dredging to the area immediately adjacent to the intake structures. This would also tend to minimize impacts to water quality and aquatic habitat by reducing the area of disturbance within the reservoirs. PG&E proposes to keep the intake areas open and provide for long-term sediment pass-through by providing additional low-level outlet capacity. This would permit reservoir drawdown, which would increase velocities and sediment movement out of the reservoirs.

  13. Mini-Med School Planning Guide

    ERIC Educational Resources Information Center

    National Institutes of Health, Office of Science Education, 2008

    2008-01-01

    Mini-Med Schools are public education programs now offered by more than 70 medical schools, universities, research institutions, and hospitals across the nation. There are even Mini-Med Schools in Ireland, Malta, and Canada! The program is typically a lecture series that meets once a week and provides "mini-med students" information on some of the…

  14. Closed locally minimal nets on tetrahedra

    SciTech Connect

    Strelkova, Nataliya P

    2011-01-31

    Closed locally minimal networks are in a sense a generalization of closed geodesics. A complete classification is known of closed locally minimal networks on regular (and generally any equihedral) tetrahedra. In the present paper certain necessary and certain sufficient conditions are given for at least one closed locally minimal network to exist on a given non-equihedral tetrahedron. Bibliography: 6 titles.

  15. Minimally Invasive Mitral Valve Surgery II

    PubMed Central

    Wolfe, J. Alan; Malaisrie, S. Chris; Farivar, R. Saeid; Khan, Junaid H.; Hargrove, W. Clark; Moront, Michael G.; Ryan, William H.; Ailawadi, Gorav; Agnihotri, Arvind K.; Hummel, Brian W.; Fayers, Trevor M.; Grossi, Eugene A.; Guy, T. Sloane; Lehr, Eric J.; Mehall, John R.; Murphy, Douglas A.; Rodriguez, Evelio; Salemi, Arash; Segurola, Romualdo J.; Shemin, Richard J.; Smith, J. Michael; Smith, Robert L.; Weldner, Paul W.; Lewis, Clifton T. P.; Barnhart, Glenn R.; Goldman, Scott M.

    2016-01-01

    Abstract Techniques for minimally invasive mitral valve repair and replacement continue to evolve. This expert opinion, the second of a 3-part series, outlines current best practices for nonrobotic, minimally invasive mitral valve procedures, and for postoperative care after minimally invasive mitral valve surgery. PMID:27654406

  16. Haptics in minimally invasive surgery--a review.

    PubMed

    Westebring-van der Putten, E P; Goossens, R H M; Jakimowicz, J J; Dankelman, J

    2008-01-01

    This article gives an overview of research performed in the field of haptic information feedback during minimally invasive surgery (MIS). Literature has been consulted from 1985 to present. The studies show that currently, haptic information feedback is rare, but promising, in MIS. Surgeons benefit from additional feedback about force information. When it comes to grasping forces and perceiving slip, little is known about the advantages additional haptic information can give to prevent tissue trauma during manipulation. Improvement of haptic perception through augmented haptic information feedback in MIS might be promising.

  17. Adoption of waste minimization technology to benefit electroplaters

    SciTech Connect

    Ching, E.M.K.; Li, C.P.H.; Yu, C.M.K.

    1996-12-31

    Because of increasingly stringent environmental legislation and enhanced environmental awareness, electroplaters in Hong Kong are paying more heed to protect the environment. To comply with the array of environmental controls, electroplaters can no longer rely solely on the end-of-pipe approach as a means for abating their pollution problems under the particular local industrial environment. The preferred approach is to adopt waste minimization measures that yield both economic and environmental benefits. This paper gives an overview of electroplating activities in Hong Kong, highlights their characteristics, and describes the pollution problems associated with conventional electroplating operations. The constraints of using pollution control measures to achieve regulatory compliance are also discussed. Examples and case studies are given on some low-cost waste minimization techniques readily available to electroplaters, including dragout minimization and water conservation techniques. Recommendations are given as to how electroplaters can adopt and exercise waste minimization techniques in their operations. 1 tab.

  18. Recursively minimally-deformed oscillators

    NASA Astrophysics Data System (ADS)

    Katriel, J.; Quesne, C.

    1996-04-01

    A recursive deformation of the boson commutation relation is introduced. Each step consists of a minimal deformation of a commutator [a,a°]=fk(... ;n̂) into [a,a°]qk+1=fk(... ;n̂), where ... stands for the set of deformation parameters that fk depends on, followed by a transformation into the commutator [a,a°]=fk+1(...,qk+1;n̂) to which the deformed commutator is equivalent within the Fock space. Starting from the harmonic oscillator commutation relation [a,a°]=1 we obtain the Arik-Coon and Macfarlane-Biedenharn oscillators at the first and second steps, respectively, followed by a sequence of multiparameter generalizations. Several other types of deformed commutation relations related to the treatment of integrable models and to parastatistics are also obtained. The ``generic'' form consists of a linear combination of exponentials of the number operator, and the various recursive families can be classified according to the number of free linear parameters involved, that depends on the form of the initial commutator.

  19. Differentially Private Empirical Risk Minimization

    PubMed Central

    Chaudhuri, Kamalika; Monteleoni, Claire; Sarwate, Anand D.

    2011-01-01

    Privacy-preserving machine learning algorithms are crucial for the increasingly common setting in which personal data, such as medical or financial records, are analyzed. We provide general techniques to produce privacy-preserving approximations of classifiers learned via (regularized) empirical risk minimization (ERM). These algorithms are private under the ε-differential privacy definition due to Dwork et al. (2006). First we apply the output perturbation ideas of Dwork et al. (2006), to ERM classification. Then we propose a new method, objective perturbation, for privacy-preserving machine learning algorithm design. This method entails perturbing the objective function before optimizing over classifiers. If the loss and regularizer satisfy certain convexity and differentiability criteria, we prove theoretical results showing that our algorithms preserve privacy, and provide generalization bounds for linear and nonlinear kernels. We further present a privacy-preserving technique for tuning the parameters in general machine learning algorithms, thereby providing end-to-end privacy guarantees for the training process. We apply these results to produce privacy-preserving analogues of regularized logistic regression and support vector machines. We obtain encouraging results from evaluating their performance on real demographic and benchmark data sets. Our results show that both theoretically and empirically, objective perturbation is superior to the previous state-of-the-art, output perturbation, in managing the inherent tradeoff between privacy and learning performance. PMID:21892342

  20. Against Explanatory Minimalism in Psychiatry.

    PubMed

    Thornton, Tim

    2015-01-01

    The idea that psychiatry contains, in principle, a series of levels of explanation has been criticized not only as empirically false but also, by Campbell, as unintelligible because it presupposes a discredited pre-Humean view of causation. Campbell's criticism is based on an interventionist-inspired denial that mechanisms and rational connections underpin physical and mental causation, respectively, and hence underpin levels of explanation. These claims echo some superficially similar remarks in Wittgenstein's Zettel. But attention to the context of Wittgenstein's remarks suggests a reason to reject explanatory minimalism in psychiatry and reinstate a Wittgensteinian notion of levels of explanation. Only in a context broader than the one provided by interventionism is that the ascription of propositional attitudes, even in the puzzling case of delusions, justified. Such a view, informed by Wittgenstein, can reconcile the idea that the ascription mental phenomena presupposes a particular level of explanation with the rejection of an a priori claim about its connection to a neurological level of explanation.

  1. Against Explanatory Minimalism in Psychiatry

    PubMed Central

    Thornton, Tim

    2015-01-01

    The idea that psychiatry contains, in principle, a series of levels of explanation has been criticized not only as empirically false but also, by Campbell, as unintelligible because it presupposes a discredited pre-Humean view of causation. Campbell’s criticism is based on an interventionist-inspired denial that mechanisms and rational connections underpin physical and mental causation, respectively, and hence underpin levels of explanation. These claims echo some superficially similar remarks in Wittgenstein’s Zettel. But attention to the context of Wittgenstein’s remarks suggests a reason to reject explanatory minimalism in psychiatry and reinstate a Wittgensteinian notion of levels of explanation. Only in a context broader than the one provided by interventionism is that the ascription of propositional attitudes, even in the puzzling case of delusions, justified. Such a view, informed by Wittgenstein, can reconcile the idea that the ascription mental phenomena presupposes a particular level of explanation with the rejection of an a priori claim about its connection to a neurological level of explanation. PMID:26696908

  2. Home advantage in retractable-roof baseball stadia.

    PubMed

    Romanowich, Paul

    2012-10-01

    This study examined whether the home advantage varies for open-air, domed, or retractable-roof baseball stadia, and whether having the roof open or closed affects the home advantage in retractable-roof baseball stadia. Data from Major League Baseball (MLB) games played between 2001 and 2009 were analyzed for whether or not the presence of a home-advantage was dependent on the type of home stadium used. Home advantage was robust for all three types of stadia. A significant effect of stadium type on home advantage was found, with a greater home advantage for teams playing home games in domed stadia relative to open-air stadia, replicating a previous study. There was a greater home advantage for teams playing home games in domed stadia relative to retractable-roof stadia. No other differences in the home advantage were found; results are discussed in terms of familiarity with the facility.

  3. On the evolutionary advantage of fitness-associated recombination.

    PubMed Central

    Hadany, Lilach; Beker, Tuvik

    2003-01-01

    The adaptive value of recombination remains something of a puzzle. One of the basic problems is that recombination not only creates new and advantageous genetic combinations, but also breaks down existing good ones. A negative correlation between the fitness of an individual and its recombination rate would result in prolonged integrity of fitter genetic combinations while enabling less fit ones to produce new combinations. Such a correlation could be mediated by various factors, including stress responses, age, or direct DNA damage. For haploid population models, we show that an allele for such fitness-associated recombination (FAR) can spread both in asexual populations and in populations reproducing sexually at any uniform recombination rate. FAR also carries an advantage for the population as a whole, resulting in a higher average fitness at mutation-selection balance. These results are demonstrated in populations adapting to new environments as well as in well-adapted populations coping with deleterious mutations. Current experimental results providing evidence for the existence of FAR in nature are discussed. PMID:14704195

  4. Child center closures: Does nonprofit status provide a comparative advantage?

    PubMed Central

    Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E.

    2013-01-01

    Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy. PMID:23543882

  5. Child center closures: Does nonprofit status provide a comparative advantage?

    PubMed

    Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E

    2013-03-01

    Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy.

  6. Systems neuroscience in Drosophila: Conceptual and technical advantages.

    PubMed

    Kazama, H

    2015-06-18

    The fruit fly Drosophila melanogaster is ideally suited for investigating the neural circuit basis of behavior. Due to the simplicity and genetic tractability of the fly brain, neurons and circuits are identifiable across animals. Additionally, a large set of transgenic lines has been developed with the aim of specifically labeling small subsets of neurons and manipulating them in sophisticated ways. Electrophysiology and imaging can be applied in behaving individuals to examine the computations performed by each neuron, and even the entire population of relevant neurons in a particular region, because of the small size of the brain. Moreover, a rich repertoire of behaviors that can be studied is expanding to include those requiring cognitive abilities. Thus, the fly brain is an attractive system in which to explore both computations and mechanisms underlying behavior at levels spanning from genes through neurons to circuits. This review summarizes the advantages Drosophila offers in achieving this objective. A recent neurophysiology study on olfactory behavior is also introduced to demonstrate the effectiveness of these advantages.

  7. Child center closures: Does nonprofit status provide a comparative advantage?

    PubMed

    Lam, Marcus; Klein, Sacha; Freisthler, Bridget; Weiss, Robert E

    2013-03-01

    Reliable access to dependable, high quality childcare services is a vital concern for large numbers of American families. The childcare industry consists of private nonprofit, private for-profit, and governmental providers that differ along many dimensions, including quality, clientele served, and organizational stability. Nonprofit providers are theorized to provide higher quality services given comparative tax advantages, higher levels of consumer trust, and management by mission driven entrepreneurs. This study examines the influence of ownership structure, defined as nonprofit, for-profit sole proprietors, for-profit companies, and governmental centers, on organizational instability, defined as childcare center closures. Using a cross sectional data set of 15724 childcare licenses in California for 2007, we model the predicted closures of childcare centers as a function of ownership structure as well as center age and capacity. Findings indicate that for small centers (capacity of 30 or less) nonprofits are more likely to close, but for larger centers (capacity 30+) nonprofits are less likely to close. This suggests that the comparative advantages available for nonprofit organizations may be better utilized by larger centers than by small centers. We consider the implications of our findings for parents, practitioners, and social policy. PMID:23543882

  8. Advantages of polymer transducers in high frequency inspections

    SciTech Connect

    Samari, S.; Stanton, M.

    1993-12-31

    Since the discovery of piezoelectricity in PVDF in 1969 the polymer transducers have now emerged as a significant tool in many ultrasonic inspections that otherwise would have been very difficult or impossible for conventional ceramic transducers. The major advantage, of Polymer transducers is in their inherent broadband characteristics in immersion applications which leads to their superior resolution and improved signal to noise ration over conventional ceramic transducers. This paper will show empirical results of high frequency polymer transducer in inspection of different materials including engineering materials such as ceramics. Other advantages of the polymer transducers are their low acoustic impedance as well as the compliance of the plastic material during construction. The compliance of the plastic PVDF film allows the manufacture of the high frequency polymer transducers without the use of permanent delays which can interfere with ultrasonic measurements. This paper will also give experimental results that will show how polymer transducers are instrument dependent, and how an operator can achieve optimum results by using an impedance matching network between the instrument and the polymer transducer.

  9. [The advantages and limitations of observational studies].

    PubMed

    Onder, Graziano

    2013-03-01

    Randomized clinical trials are considered the gold standard for establishing treatment efficacy and generate evidence-based medicine. Nonetheless, because of the stringent exclusion criteria used in selecting study populations, concerns are raised about the limited generalizability of evidence they provide. Indeed, randomized clinical trials assess treatment efficacy for an "average" patient, quite often far from older adults characterized by chronic comorbidities of different severity, or by functional and/or cognitive impairment. Observational studies have been proposed as alternative means of testing intervention effectiveness in older populations with multifaceted problems. Unlike randomized clinical trials, they assess outcomes in regular clinical practice, thereby reflecting real adherence to treatment/intervention. The availability of huge, high quality databases offers the potential to bring research closer to practice and audit. Databases provide fertile grounds for observational studies, and can generate hypotheses and provide ready access to trialists as well, setting new possibilities for epidemiological research. They must include complete data on all consecutive patients, use standard definitions of conditions and outcomes, and include all clinical characteristics likely to affect outcomes. In addition, their potential for research and audit is greatly enhanced by linking to other databases, like the census ones, which allow evaluation of geographical and contextual information.

  10. Hamiltonian formalism of minimal massive gravity

    NASA Astrophysics Data System (ADS)

    Mahdavian Yekta, Davood

    2015-09-01

    In this paper, we study the three-dimensional minimal massive gravity (MMG) in the Hamiltonian formalism. At first, we define the canonical gauge generators as building blocks in this formalism and then derive the canonical expressions for the asymptotic conserved charges. The construction of a consistent asymptotic structure of MMG requires introducing suitable boundary conditions. In the second step, we show that the Poisson bracket algebra of the improved canonical gauge generators produces an asymptotic gauge group, which includes two separable versions of the Virasoro algebras. For instance, we study the Banados-Teitelboim-Zanelli (BTZ) black hole as a solution of the MMG field equations, and the conserved charges give the energy and angular momentum of the BTZ black hole. Finally, we compute the black hole entropy from the Cardy formula in the dual conformal field theory and show our result is consistent with the value obtained by using the Smarr formula from the holographic principle.

  11. MINIMIZATION OF CARBON LOSS IN COAL REBURNING

    SciTech Connect

    Vladimir M. Zamansky; Vitali V. Lissianski

    2001-02-10

    This project develops Fuel-Flexible Reburning (FFR), which combines conventional reburning and Advanced Reburning (AR) technologies with an innovative method of delivering coal as the reburning fuel. The overall objective of this project is to develop engineering and scientific information and know-how needed to improve the cost of reburning via increased efficiency and minimized carbon-in-ash and move the FFR technology to the demonstration and commercialization stage. The first reporting period (August 11, 2000-February 10, 2001) included experimental activities with the primary objective to characterize the impacts of reburning process parameters on NO{sub x} reduction at conditions typical of the full-scale boilers. Tests were conducted in GE EER's Boiler Simulator Facility (BSF). Tests showed that NO{sub x} reduction in basic coal reburning depends on process conditions, initial NO{sub x} and coal type. Up to 60% NO{sub x} reduction was achieved at optimized conditions.

  12. Minimally disruptive schedule repair for MCM missions

    NASA Astrophysics Data System (ADS)

    Molineaux, Matthew; Auslander, Bryan; Moore, Philip G.; Gupta, Kalyan M.

    2015-05-01

    Mine countermeasures (MCM) missions entail planning and operations in very dynamic and uncertain operating environments, which pose considerable risk to personnel and equipment. Frequent schedule repairs are needed that consider the latest operating conditions to keep mission on target. Presently no decision support tools are available for the challenging task of MCM mission rescheduling. To address this capability gap, we have developed the CARPE system to assist operation planners. CARPE constantly monitors the operational environment for changes and recommends alternative repaired schedules in response. It includes a novel schedule repair algorithm called Case-Based Local Schedule Repair (CLOSR) that automatically repairs broken schedules while satisfying the requirement of minimal operational disruption. It uses a case-based approach to represent repair strategies and apply them to new situations. Evaluation of CLOSR on simulated MCM operations demonstrates the effectiveness of case-based strategy. Schedule repairs are generated rapidly, ensure the elimination of all mines, and achieve required levels of clearance.

  13. Radiation oncology: physics advances that minimize morbidity.

    PubMed

    Allison, Ron R; Patel, Rajen M; McLawhorn, Robert A

    2014-12-01

    Radiation therapy has become an ever more successful treatment for many cancer patients. This is due in large part from advances in physics including the expanded use of imaging protocols combined with ever more precise therapy devices such as linear and particle beam accelerators, all contributing to treatments with far fewer side effects. This paper will review current state-of-the-art physics maneuvers that minimize morbidity, such as intensity-modulated radiation therapy, volummetric arc therapy, image-guided radiation, radiosurgery and particle beam treatment. We will also highlight future physics enhancements on the horizon such as MRI during treatment and intensity-modulated hadron therapy, all with the continued goal of improved clinical outcomes.

  14. Temperature and pressure fiber-optic sensors applied to minimally invasive diagnostics and therapies

    NASA Astrophysics Data System (ADS)

    Hamel, Caroline; Pinet, Éric

    2006-02-01

    We present how fiber-optic temperature or pressure sensors could be applied to minimally invasive diagnostics and therapies. For instance a miniature pressure sensor based on micro-optical mechanical systems (MOMS) could solve most of the problems associated with fluidic pressure transduction presently used for triggering purposes. These include intra-aortic balloon pumping (IABP) therapy and other applications requiring detection of fast and/or subtle fluid pressure variations such as for intracranial pressure monitoring or for urology diagnostics. As well, miniature temperature sensors permit minimally invasive direct temperature measurement in diagnostics or therapies requiring energy transfer to living tissues. The extremely small size of fiber-optic sensors that we have developed allows quick and precise in situ measurements exactly where the physical parameters need to be known. Furthermore, their intrinsic immunity to electromagnetic interference (EMI) allows for the safe use of EMI-generating therapeutic or diagnostic equipments without compromising the signal quality. With the trend of ambulatory health care and the increasing EMI noise found in modern hospitals, the use of multi-parameter fiber-optic sensors will improve constant patient monitoring without any concern about the effects of EMI disturbances. The advantages of miniature fiberoptic sensors will offer clinicians new monitoring tools that open the way for improved diagnostic accuracy and new therapeutic technologies.

  15. Minimizing Launch Mass for ISRU Processes

    NASA Technical Reports Server (NTRS)

    England, C.; Hallinan, K. P.

    2004-01-01

    The University of Dayton and the Jet Propulsion Laboratory are developing a methodology for estimating the Earth launch mass (ELM) of processes for In-Situ Resource Utilization (ISRU) with a focus on lunar resource recovery. ISRU may be enabling for both an extended presence on the Moon, and for large sample return missions and for a human presence on Mars. To accomplish these exploration goals, the resources recovered by ISRU must offset the ELM for the recovery process. An appropriate figure of merit is the cost of the exploration mission, which is closely related to ELM. For a given production rate and resource concentration, the lowest ELM - and the best ISRU process - is achieved by minimizing capital equipment for both the ISRU process and energy production. ISRU processes incur Carnot limitations and second law losses (irreversibilities) that ultimately determine production rate, material utilization and energy efficiencies. Heat transfer, chemical reaction, and mechanical operations affect the ELM in ways that are best understood by examining the process's detailed energetics. Schemes for chemical and thermal processing that do not incorporate an understanding of second law losses will be incompletely understood. Our team is developing a methodology that will aid design and selection of ISRU processes by identifying the impact of thermodynamic losses on ELM. The methodology includes mechanical, thermal and chemical operations, and, when completed, will provide a procedure and rationale for optimizing their design and minimizing their cost. The technique for optimizing ISRU with respect to ELM draws from work of England and Funk that relates the cost of endothermic processes to their second law efficiencies. Our team joins their approach for recovering resources by chemical processing with analysis of thermal and mechanical operations in space. Commercial firms provide cost inputs for ELM and planetary landing. Additional information is included in the

  16. Back to Basics: A Bilingual Advantage in Infant Visual Habituation

    ERIC Educational Resources Information Center

    Singh, Leher; Fu, Charlene S. L.; Rahman, Aishah A.; Hameed, Waseem B.; Sanmugam, Shamini; Agarwal, Pratibha; Jiang, Binyan; Chong, Yap Seng; Meaney, Michael J.; Rifkin-Graboi, Anne

    2015-01-01

    Comparisons of cognitive processing in monolinguals and bilinguals have revealed a bilingual advantage in inhibitory control. Recent studies have demonstrated advantages associated with exposure to two languages in infancy. However, the domain specificity and scope of the infant bilingual advantage in infancy remains unclear. In the present study,…

  17. Cost reduction advantages of CAD/CAM

    NASA Astrophysics Data System (ADS)

    Parsons, G. T.

    1983-05-01

    Features of the CAD/CAM system implemented at the General Dynamics Convair division are summarized. CAD/CAM was initiated in 1976 to enhance engineering, manufacturing and quality assurance and thereby the company's competitive bidding position. Numerical models are substituted for hardware models wherever possible and numerical criteria are defined in design for guiding computer-controlled parts manufacturing machines. The system comprises multiple terminals, a data base, digitizer, printers, disk and tape drives, and graphics displays. The applications include the design and manufacture of parts and components for avionics, structures, scientific investigations, and aircraft structural components. Interfaces with other computers allow structural analyses by finite element codes. Although time savings have not been gained compared to manual drafting, components of greater complexity than could have been designed by hand have been designed and manufactured.

  18. Advantages of diabetic tractional retinal detachment repair

    PubMed Central

    Sternfeld, Amir; Axer-Siegel, Ruth; Stiebel-Kalish, Hadas; Weinberger, Dov; Ehrlich, Rita

    2015-01-01

    Purpose To evaluate the outcomes and complications of patients with diabetic tractional retinal detachment (TRD) treated with pars plana vitrectomy (PPV). Patients and methods We retrospectively studied a case series of 24 eyes of 21 patients at a single tertiary, university-affiliated medical center. A review was carried out on patients who underwent PPV for the management of TRD due to proliferative diabetic retinopathy from October 2011 to November 2013. Preoperative and final visual outcomes, intraoperative and postoperative complications, and medical background were evaluated. Results A 23 G instrumentation was used in 23 eyes (95.8%), and a 25 G instrumentation in one (4.2%). Mean postoperative follow-up time was 13.3 months (4–30 months). Visual acuity significantly improved from logarithm of the minimum angle of resolution (LogMAR) 1.48 to LogMAR 1.05 (P<0.05). Visual acuity improved by ≥3 lines in 75% of patients. Intraoperative complications included iatrogenic retinal breaks in seven eyes (22.9%) and vitreal hemorrhage in nine eyes (37.5%). In two eyes, one sclerotomy was enlarged to 20 G (8.3%). Postoperative complications included reoperation in five eyes (20.8%) due to persistent subretinal fluid (n=3), vitreous hemorrhage (n=1), and dislocated intraocular lens (n=1). Thirteen patients (54.2%) had postoperative vitreous hemorrhage that cleared spontaneously, five patients (20.8%) required antiglaucoma medications for increased intraocular pressure, seven patients (29.2%) developed an epiretinal membrane, and two patients (8.3%) developed a macular hole. Conclusion Patients with diabetic TRD can benefit from PPV surgery. Intraoperative and postoperative complications can be attributed to the complexity of this disease. PMID:26604667

  19. [Minimally invasive percutaneous nephrolitholapaxy (MIP)].

    PubMed

    Nagele, U; Schilling, D; Anastasiadis, A G; Walcher, U; Sievert, K D; Merseburger, A S; Kuczyk, M; Stenzl, A

    2008-09-01

    Minimally invasive percutaneous nephrolithopaxy (MIP) was developed to combine the excellent stone-free rates of the conventional percutaneous nephrolithopaxy (PCNL) technique with the low morbidity of the miniaturized PCNL (Mini-Perc) and, at the same time, achieve a high level of patient comfort. The procedure is characterized not only by the diameter of the miniaturized 18-Fr Amplatz sheath that was adopted from the Mini-Perc but also by the following features: ultrasound-guided puncture of the kidney; single-step dilatation of the access tract; ballistic lithotripsy; a low-pressure irrigation system together with stone retraction by irrigation with a specially designed nephroscope sheath, for the so-called vacuum cleaner effect; and a sealed and tubeless access tract with primary closure of the channel independent of hemorrhage and without a second-look procedure.The results of the first 57 patients demonstrate primary stone-free rates of 92.9% with operating times averaging 62 (25-123) min. Severe complications, such as sepsis or bleeding requiring blood transfusion, did not occur. The high and predictable stone-free rate and a low morbidity comparable to that of ureteroscopy and extracorporeal shock-wave lithotripsy make MIP an attractive option for patients and urologists. The "vacuum cleaner effect" with quick removal of stone fragments reduces operating time and prevents new stone formation by avoiding residual fragments. The direct and primary closure of the access tract increases patient comfort and is justified by the reintervention rate of less than 8% in the presented cohort.The lack of a need for second-look nephroscopies, the vacuum cleaner effect, improved patient comfort without nephrostomy tubes, as well as surgery times comparable to that of traditional PCNL demonstrate a consequent evolution of the Mini-Perc. MIP therefore represents a promising and future-oriented module in modern stone therapy.

  20. Minimal flavor violation in the minimal U(1)B-L model and resonant leptogenesis

    NASA Astrophysics Data System (ADS)

    Okada, Nobuchika; Orikasa, Yuta; Yamada, Toshifumi

    2012-10-01

    We investigate the resonant leptogenesis scenario in the minimally U(1)B-L extended standard model with minimal flavor violation. In our model, the U(1)B-L gauge symmetry is broken at the TeV scale and standard model singlet neutrinos gain Majorana masses of order TeV. In addition, we introduce a flavor symmetry on the singlet neutrinos at a scale higher than TeV. The flavor symmetry is explicitly broken by the neutrino Dirac Yukawa coupling, which induces splittings in the singlet neutrino Majorana masses at lower scales through renormalization group evolutions. We call this setup minimal flavor violation. The mass splittings are proportional to the tiny Dirac Yukawa coupling, and hence they automatically enhance the CP asymmetry parameter necessary for the resonant leptogenesis mechanism. In this paper, we calculate the baryon number yield by solving the Boltzmann equations, including the effects of U(1)B-L gauge boson that also has TeV scale mass and causes washing-out of the singlet neutrinos in the course of thermal leptogenesis. The Dirac Yukawa coupling for neutrinos is fixed in terms of neutrino oscillation data and an arbitrary 3×3 complex-valued orthogonal matrix. We show that the right amount of baryon number asymmetry can be achieved through thermal leptogenesis in the context of the minimal flavor violation with singlet neutrinos and U(1)B-L gauge boson at the TeV scale. These particles can be discovered at the LHC in the near future.

  1. Problem-based learning: description, advantages, disadvantages, scenarios and facilitation.

    PubMed

    Jones, R W

    2006-08-01

    Problem-based learning arose out of educational initiatives in the 1960s and is often one of the most contentious issues within medical education. McMaster University in Canada was the first to implement problem-based learning on a large scale within medicine and this was soon followed by universities in Europe and Australia. In modern times, few western medical schools do not include at least some aspect of problem-based learning within their instructional itinerary, and many build their entire curriculum and instructional procedures around problem-based learning. This article provides an overview of problem-based learning within medical education, pertinent background, describes the characteristics of problem-based learning, its advantages and disadvantages, problem-based learning scenarios and facilitation.

  2. Advantages and limitations of genomics in prokaryotic taxonomy.

    PubMed

    Sentausa, E; Fournier, P-E

    2013-09-01

    Taxonomic classification is an important field of microbiology, as it enables scientists to identify prokaryotes worldwide. Although the current classification system is still based on the one designed by Carolus Linnaeus, the currently available genomic content of several thousands of sequenced prokaryotic genomes represents a unique source of taxonomic information that should not be ignored. In addition, the development of faster, cheaper and improved sequencing methods has made genomics a tool that has a place in the workflow of a routine microbiology laboratory. Thus, genomics has reached a stage where it may be used in prokaryotic taxonomic classification, with criteria such as the genome index of average nucleotide identity being an alternative to DNA-DNA hybridization. However, several hurdles remain, including the lack of genomic sequences of many prokaryotic taxonomic representatives, and consensus procedures to describe new prokaryotic taxa that do not, as yet, accommodate genomic data. We herein review the advantages and disadvantages of using genomics in prokaryotic taxonomy.

  3. Advantages of catalytically de-waxed lubricant base oils

    SciTech Connect

    Schoonmaker, J.P.; Stiponavic, A.J.

    1996-10-01

    The production of base oils used in the formulation of lubricants involves the vacuum distillation of crude oil followed by a series of processing steps that improve physical and chemical properties including viscosity index and oxidative stability. An important stage in this process is the removal of linear parafins (wax) from the base oil which can crystalize causing poor flow properties at low temperatures. {open_quotes}De-waxing{close_quotes} may be accomplished using a solvent precipitation batch process (solvent de-waxing: SDW) or through a more modern continuous catalytic process (catalytic de-waxing: CDW) which offers many advantages. In general, catalytically de-waxed base oils exhibit improved low temperature fluidity which provides enhanced performance for transmission fluids and other lubricants required to operate efficiently at temperature reaching -40{degrees}C. A discussion of the molecular mechanisms involved in CDW and results of viscometric testing at low temperatures will be presented.

  4. Diagnostic and analytical mutation scanning of Cryptosporidium: utility and advantages.

    PubMed

    Jex, Aaron R; Gasser, Robin B

    2009-03-01

    Cryptosporidiosis is predominantly a disease of the alimentary tract of humans and other vertebrates, caused by parasitic protists of the genus Cryptosporidium. This disease, transmitted mainly via the fecal-oral route (in water or food), is of major socioeconomic importance globally. The diagnosis of cryptosporidiosis, including the genetic characterization of the different species, genotypes and subgenotypes (population variants) of Cryptosporidium, is crucial to prevention and control, particularly as there is no cost-effective treatment against this disease. Although traditional phenetic techniques have had major deficiencies for the specific diagnosis of cryptosporidiosis, there has been substantial progress in the establishment of molecular tools. In this article, we review key genetic markers used for the specific identification of Cryptosporidium, diagnosis of cryptosporidiosis and analysis of genetic variation in Cryptosporidium populations. We also discuss the advantages and disadvantages of selected techniques, and emphasize the benefits of utilizing rapid mutation scanning in achieving improved insights into the population genetics and epidemiology of Cryptosporidium.

  5. Advantages and limitations of genomics in prokaryotic taxonomy.

    PubMed

    Sentausa, E; Fournier, P-E

    2013-09-01

    Taxonomic classification is an important field of microbiology, as it enables scientists to identify prokaryotes worldwide. Although the current classification system is still based on the one designed by Carolus Linnaeus, the currently available genomic content of several thousands of sequenced prokaryotic genomes represents a unique source of taxonomic information that should not be ignored. In addition, the development of faster, cheaper and improved sequencing methods has made genomics a tool that has a place in the workflow of a routine microbiology laboratory. Thus, genomics has reached a stage where it may be used in prokaryotic taxonomic classification, with criteria such as the genome index of average nucleotide identity being an alternative to DNA-DNA hybridization. However, several hurdles remain, including the lack of genomic sequences of many prokaryotic taxonomic representatives, and consensus procedures to describe new prokaryotic taxa that do not, as yet, accommodate genomic data. We herein review the advantages and disadvantages of using genomics in prokaryotic taxonomy. PMID:23490121

  6. Bioinspired minimal machine multiaperture apposition vision system.

    PubMed

    Davis, John D; Barrett, Steven F; Wright, Cameron H G; Wilcox, Michael

    2008-01-01

    Traditional machine vision systems have an inherent data bottleneck that arises because data collected in parallel must be serialized for transfer from the sensor to the processor. Furthermore, much of this data is not useful for information extraction. This project takes inspiration from the visual system of the house fly, Musca domestica, to reduce this bottleneck by employing early (up front) analog preprocessing to limit the data transfer. This is a first step toward an all analog, parallel vision system. While the current implementation has serial stages, nothing would prevent it from being fully parallel. A one-dimensional photo sensor array with analog pre-processing is used as the sole sensory input to a mobile robot. The robot's task is to chase a target car while avoiding obstacles in a constrained environment. Key advantages of this approach include passivity and the potential for very high effective "frame rates."

  7. [Hepatic puncture biopsy in ambulatory care. Advantages and disadvantages].

    PubMed

    Nouel, O

    1997-03-01

    There is a clear trend towards favoring outpatient care in an attempt to control health care costs. Despite widespread acceptance in some countries, many teams in France still prefer to hospitalize patients requiring percutaneous liver biopsy because the outpatient setting has not been encouraged in French text books on hepatology, many gastroenterologists do not have access to outpatient facilities, and the lack of French references which has raised questions as to the legal responsibilities involved. The series of 231 outpatient percutaneous liver biopsies reported by Bourgaux in this issue of La Presse Médicale will remove the doubt in many minds. There are many advantages for the generally young population with early stage liver disease, frequently hepatitis C, requiring percutaneous liver biopsy. Lower cost is probably the primary advantage, but improved patient comfort, especially if repeated procedures are needed, is also greatly appreciated. The outpatient procedure is safe when all the selection criteria are met including: normal coagulation, ultrasonographically homogeneous liver, patient compliance and availability of a structured outpatient clinic, and absence of a severe concomitent disease. These apparently restrictive criteria actually include the majority of the indications for liver biopsy. There is another debate on whether echo-guided biopsy would be even safer but as emphasized by Bourgaux et al. this would require a reorganization of most of the hepatogastroenterology departments. One other point cannot be overlooked. Some operators (and patients) may also feel that the impressive nature of the procedure merits a more impressive setting, i.e. full hospitalization. Consequently, while it is quite reasonable to propose outpatient liver biopsy as a classical procedure, there are situations when personal preference may still dictate hospitalization.

  8. Minimization of curative surgery for treatment of early cervical cancer: a review.

    PubMed

    Arimoto, Takahide; Kawana, Kei; Adachi, Katsuyuki; Ikeda, Yuji; Nagasaka, Kazunori; Tsuruga, Tetsushi; Yamashita, Aki; Oda, Katsutoshi; Ishikawa, Mitsuya; Kasamatsu, Takahiro; Onda, Takashi; Konishi, Ikuo; Yoshikawa, Hiroyuki; Yaegashi, Nobuo

    2015-07-01

    Surgery is effective and useful for curative treatment of patients with early invasive cervical cancer, yet minimization of surgical procedures provides many additional advantages for patients. Because the mean age of patients diagnosed with cervical precancer and invasive cancer has been decreasing, the need for minimization of surgery to reduce disruption of fertility is increasing. Trachelectomy is an innovative procedure for young patients with invasive cancer. Minimally invasive procedures are increasingly implemented in the treatment of patients with early cervical cancer, such as laparoscopic/robotic surgery and sentinel lymph node navigation. The use of modified radical hysterectomy may not only be curative but also minimally invasive for Stage IA2-IB1 patients with a tumor size <2 cm in diameter. Here, we have summarized and discussed the minimally invasive procedures for the treatment of patients with early cervical cancer. PMID:25888708

  9. Total minimally invasive esophagectomy for esophageal cancer: approaches and outcomes.

    PubMed

    Giugliano, Danica N; Berger, Adam C; Rosato, Ernest L; Palazzo, Francesco

    2016-09-01

    Since the introduction of minimally invasive esophagectomy 25 years ago, its use has been reported in several high volume centers. With only one published randomized control trial and five meta-analyses comparing its outcomes to open esophagectomy, available level I evidence is very limited. Available technical approaches include total minimally invasive transthoracic (Ivor Lewis or McKeown) or transhiatal esophagectomy; several hybrid options are available with one portion of the procedure completed via an open approach. A review of available level I evidence with focus on total minimally invasive esophagectomy is presented. The old debate regarding the superiority of a transthoracic versus transhiatal approach to esophagectomy may have been settled by minimally invasive esophagectomy as only few centers are reporting on the latter being utilized. The studies with the highest level of evidence available currently show that minimally invasive techniques via a transthoracic approach are associated with less overall morbidity, fewer pulmonary complications, and shorter hospital stays than open esophagectomy. There appears to be no detrimental effect on oncologic outcomes and possibly an added benefit derived by improved lymph node retrieval. Quality of life improvements may also translate into improved survival, but no conclusive evidence exists to support this claim. Robotic and hybrid techniques have also been implemented, but there currently is no evidence showing that these are superior to other minimally invasive techniques. PMID:27401326

  10. The metabolic advantage of tumor cells

    PubMed Central

    2011-01-01

    1- Oncogenes express proteins of "Tyrosine kinase receptor pathways", a receptor family including insulin or IGF-Growth Hormone receptors. Other oncogenes alter the PP2A phosphatase brake over these kinases. 2- Experiments on pancreatectomized animals; treated with pure insulin or total pancreatic extracts, showed that choline in the extract, preserved them from hepatomas. Since choline is a methyle donor, and since methylation regulates PP2A, the choline protection may result from PP2A methylation, which then attenuates kinases. 3- Moreover, kinases activated by the boosted signaling pathway inactivate pyruvate kinase and pyruvate dehydrogenase. In addition, demethylated PP2A would no longer dephosphorylate these enzymes. A "bottleneck" between glycolysis and the oxidative-citrate cycle interrupts the glycolytic pyruvate supply now provided via proteolysis and alanine transamination. This pyruvate forms lactate (Warburg effect) and NAD+ for glycolysis. Lipolysis and fatty acids provide acetyl CoA; the citrate condensation increases, unusual oxaloacetate sources are available. ATP citrate lyase follows, supporting aberrant transaminations with glutaminolysis and tumor lipogenesis. Truncated urea cycles, increased polyamine synthesis, consume the methyl donor SAM favoring carcinogenesis. 4- The decrease of butyrate, a histone deacetylase inhibitor, elicits epigenic changes (PETEN, P53, IGFBP decrease; hexokinase, fetal-genes-M2, increase) 5- IGFBP stops binding the IGF - IGFR complex, it is perhaps no longer inherited by a single mitotic daughter cell; leading to two daughter cells with a mitotic capability. 6- An excess of IGF induces a decrease of the major histocompatibility complex MHC1, Natural killer lymphocytes should eliminate such cells that start the tumor, unless the fever prostaglandin PGE2 or inflammation, inhibit them... PMID:21649891

  11. Home advantage in speed skating: evidence from individual data.

    PubMed

    Koning, Ruud H

    2005-04-01

    Home advantage is a well-documented phenomenon in many sports. Home advantage has been shown to exist for team sports (soccer, hockey, football, baseball, basketball) and for countries organizing sports tournaments like the Olympics and World Cup Soccer. There is also some evidence for home advantage in some individual sports, but there is a much more limited literature. This paper addresses the issue of home advantage in speed skating. From a methodological point of view, it is difficult to identify home advantage, because skaters vary in their abilities and the conditions of tournaments vary. There is a small but significant home advantage using a generalized linear mixed model, with random effects for skaters and fixed effects for skating rinks and seasons. Even though the home advantage effect exists, it is very small when compared to variation in skating times due to differences of rinks and individual abilities.

  12. Minimizing the probable maximum flood

    SciTech Connect

    Woodbury, M.S.; Pansic, N. ); Eberlein, D.T. )

    1994-06-01

    This article examines Wisconsin Electric Power Company's efforts to determine an economical way to comply with Federal Energy Regulatory Commission requirements at two hydroelectric developments on the Michigamme River. Their efforts included refinement of the area's probable maximum flood model based, in part, on a newly developed probable maximum precipitation estimate.

  13. Towards a Minimal System for Cell Division

    NASA Astrophysics Data System (ADS)

    Schwille, Petra

    We have entered the "omics" era of the life sciences, meaning that our general knowledge about biological systems has become vast, complex, and almost impossible to fully comprehend. Consequently, the challenge for quantitative biology and biophysics is to identify appropriate procedures and protocols that allow the researcher to strip down the complexity of a biological system to a level that can be reliably modeled but still retains the essential features of its "real" counterpart. The virtue of physics has always been the reductionist approach, which allowed scientists to identify the underlying basic principles of seemingly complex phenomena, and subject them to rigorous mathematical treatment. Biological systems are obviously among the most complex phenomena we can think of, and it is fair to state that our rapidly increasing knowledge does not make it easier to identify a small set of fundamental principles of the big concept of "life" that can be defined and quantitatively understood. Nevertheless, it is becoming evident that only by tight cooperation and interdisciplinary exchange between the life sciences and quantitative sciences, and by applying intelligent reductionist approaches also to biology, will we be able to meet the intellectual challenges of the twenty-first century. These include not only the collection and proper categorization of the data, but also their true understanding and harnessing such that we can solve important practical problems imposed by medicine or the worldwide need for new energy sources. Many of these approaches are reflected by the modern buzz word "synthetic biology", therefore I briefly discuss this term in the first section. Further, I outline some endeavors of our and other groups to model minimal biological systems, with particular focus on the possibility of generating a minimal system for cell division.

  14. Disconnects between popular discourse and home advantage research: what can fans and media tell us about the home advantage phenomenon?

    PubMed

    Smith, D Randall

    2005-04-01

    Many of the factors identified as influencing the home advantage have an underlying social basis, presumably through the influence exerted by the home crowd. Beliefs in the home advantage and the causes of that advantage also have a social basis: sports coverage and fan discourse focus on some aspects of the phenomenon at the expense of others. This paper compares home advantage research with the use of the concept in media narratives and fan Intemet postings. While there are many similarities across sources, the findings suggest three major differences. Fans, and to a lesser extent the media, (1) focus almost exclusively on winning as the evidence for a home advantage, (2) see crowd noise as the main factor for the home advantage, and (3) treat the phenomenon as much more transient than is suggested by academic studies. I identify several features of the phenomenon that facilitate popular views of the home advantage and suggest how future research may benefit from incorporating those views.

  15. Advantages of using flat-panel LCD for projection displays

    NASA Astrophysics Data System (ADS)

    Wu, Dean C.

    1995-04-01

    The advantages of applying flat panel Liquid CRystal Displays (LCD) for Projection Displays will be extensively discussed. The selection and fabrication of flat panel LCD in order to meet the specific requirements of projection displays through various technologies will be suggested and explored in detail. The compact, flexible size and easy portability of flat panel LCDs are well known. For practical reasons, it is desirable to take advantages some of these useful properties in Projection Displays. With the recent popularity of large format display sizes, high information content and practicality all increases the demand of projection enlargement for high level performance and comfortable viewing. As a result, Projection Displays are becoming the chosen technological option for effective presentation of visual information. In general, the Liquid Crystal Light Valves (LCLV) used in Projection Displays are simply transmissive flat panel liquid crystal displays. For example at the low end, the monochromatic LCD projection panels are simply transmissive LCDs to be used in combination with laptops or PCs and light sources such as overhead projectors. These projection panels are getting popular for their portability, readability and low cost. However, due to the passive nature of the LCD used in these projector panels, the response time, contrast ratio and color gamut are relatively limited. Whether the newly developed Active Addressing technology will be able to improve the response time, contrast ratio and color gamut of these passive matrix LCDs remain to be proven. In the middle range of projection displays, Liquid Crystal Light Valves using color Active Matrix LCDs are rapidly replacing the dominant CRT based projectors. LCLVs have a number of advantages including portability, easy set-up and data readability. There are several new developments using single crystal, polysilicon as active matrix for LCDs with improved performance. Since single crystal active matrix

  16. Design and Demonstration of Minimal Lunar Base

    NASA Astrophysics Data System (ADS)

    Boche-Sauvan, L.; Foing, B. H.; Exohab Team

    2009-04-01

    (Integrated Exploration Study, ESA ESTEC [1,2]). We will focus on the easiest and the soonest way in settling a minimal base immediately operational in scientific experimentation, but not immediately autonomous. It will prepare the next permanent lunar base by assessing its technologies, and give scientific results about the environment. The autonomy will be gained in the evolution of the base, and added equipment. A lunar outpost in a polar region would allow missions longer than 14 days, and a frequent addition of equipments. Moreover, a polar outpost will get both advantages of far-side for simulating direct or indirect communications to Earth and dark-side for observations. The low solar rays incidence may permit having ice in deep craters, which will be beneficial for the evolution of the outpost into a autonomous base. The South Pole, by its position on the edge of the South Pole Aitken (SPA) Basin, will allow different fast new data in analysis mantle samples, easily reachable due to the crater morphology. These samples will constrain the putative Late Heavy Bombarment (LHB). After a robotic sample return mission, a human presence will allow deeper research through well chosen geological samples [6]. In this modular concept, we consider various infrastructure elements: core habitat, EVA, crew mobility, energy supply, recycling module, communication, green house and food production, operations. Many of these elements have already been studied in space agencies' architecture proposals, with the tech-nological possibilities of industrial partners (lunar landers, lunar orbiter, rovers …). A deeper reflection will be therefore done about the core habitat and the laboratory equipment, proposing scientific priority experiments. Each element will be added in a range considering their priority to life support in duration [7]. Considering surface operations, protocols will be specified in the use of certain elements. After a reflexion on the different dependancies and

  17. Minimizing radiation exposure during percutaneous nephrolithotomy.

    PubMed

    Chen, T T; Preminger, G M; Lipkin, M E

    2015-12-01

    Given the recent trends in growing per capita radiation dose from medical sources, there have been increasing concerns over patient radiation exposure. Patients with kidney stones undergoing percutaneous nephrolithotomy (PNL) are at particular risk for high radiation exposure. There exist several risk factors for increased radiation exposure during PNL which include high Body Mass Index, multiple access tracts, and increased stone burden. We herein review recent trends in radiation exposure, radiation exposure during PNL to both patients and urologists, and various approaches to reduce radiation exposure. We discuss incorporating the principles of As Low As reasonably Achievable (ALARA) into clinical practice and review imaging techniques such as ultrasound and air contrast to guide PNL access. Alternative surgical techniques and approaches to reducing radiation exposure, including retrograde intra-renal surgery, retrograde nephrostomy, endoscopic-guided PNL, and minimally invasive PNL, are also highlighted. It is important for urologists to be aware of these concepts and techniques when treating stone patients with PNL. The discussions outlined will assist urologists in providing patient counseling and high quality of care.

  18. Minimizing radiation exposure during percutaneous nephrolithotomy.

    PubMed

    Chen, T T; Preminger, G M; Lipkin, M E

    2015-12-01

    Given the recent trends in growing per capita radiation dose from medical sources, there have been increasing concerns over patient radiation exposure. Patients with kidney stones undergoing percutaneous nephrolithotomy (PNL) are at particular risk for high radiation exposure. There exist several risk factors for increased radiation exposure during PNL which include high Body Mass Index, multiple access tracts, and increased stone burden. We herein review recent trends in radiation exposure, radiation exposure during PNL to both patients and urologists, and various approaches to reduce radiation exposure. We discuss incorporating the principles of As Low As reasonably Achievable (ALARA) into clinical practice and review imaging techniques such as ultrasound and air contrast to guide PNL access. Alternative surgical techniques and approaches to reducing radiation exposure, including retrograde intra-renal surgery, retrograde nephrostomy, endoscopic-guided PNL, and minimally invasive PNL, are also highlighted. It is important for urologists to be aware of these concepts and techniques when treating stone patients with PNL. The discussions outlined will assist urologists in providing patient counseling and high quality of care. PMID:26354615

  19. Selenium utilization in thioredoxin and catalytic advantage provided by selenocysteine

    SciTech Connect

    Kim, Moon-Jung; Lee, Byung Cheon; Hwang, Kwang Yeon; Gladyshev, Vadim N.; Kim, Hwa-Young

    2015-06-12

    Thioredoxin (Trx) is a major thiol-disulfide reductase that plays a role in many biological processes, including DNA replication and redox signaling. Although selenocysteine (Sec)-containing Trxs have been identified in certain bacteria, their enzymatic properties have not been characterized. In this study, we expressed a selenoprotein Trx from Treponema denticola, an oral spirochete, in Escherichia coli and characterized this selenoenzyme and its natural cysteine (Cys) homologue using E. coli Trx1 as a positive control. {sup 75}Se metabolic labeling and mutation analyses showed that the SECIS (Sec insertion sequence) of T. denticola selenoprotein Trx is functional in the E. coli Sec insertion system with specific selenium incorporation into the Sec residue. The selenoprotein Trx exhibited approximately 10-fold higher catalytic activity than the Sec-to-Cys version and natural Cys homologue and E. coli Trx1, suggesting that Sec confers higher catalytic activity on this thiol-disulfide reductase. Kinetic analysis also showed that the selenoprotein Trx had a 30-fold higher K{sub m} than Cys-containing homologues, suggesting that this selenoenzyme is adapted to work efficiently with high concentrations of substrate. Collectively, the results of this study support the hypothesis that selenium utilization in oxidoreductase systems is primarily due to the catalytic advantage provided by the rare amino acid, Sec. - Highlights: • The first characterization of a selenoprotein Trx is presented. • The selenoenzyme Trx exhibits 10-fold higher catalytic activity than Cys homologues. • Se utilization in Trx is primarily due to the catalytic advantage provided by Sec residue.

  20. Gene-environment studies: any advantage over environmental studies?

    PubMed

    Bermejo, Justo Lorenzo; Hemminki, Kari

    2007-07-01

    Gene-environment studies have been motivated by the likely existence of prevalent low-risk genes that interact with common environmental exposures. The present study assessed the statistical advantage of the simultaneous consideration of genes and environment to investigate the effect of environmental risk factors on disease. In particular, we contemplated the possibility that several genes modulate the environmental effect. Environmental exposures, genotypes and phenotypes were simulated according to a wide range of parameter settings. Different models of gene-gene-environment interaction were considered. For each parameter combination, we estimated the probability of detecting the main environmental effect, the power to identify the gene-environment interaction and the frequency of environmentally affected individuals at which environmental and gene-environment studies show the same statistical power. The proportion of cases in the population attributable to the modeled risk factors was also calculated. Our data indicate that environmental exposures with weak effects may account for a significant proportion of the population prevalence of the disease. A general result was that, if the environmental effect was restricted to rare genotypes, the power to detect the gene-environment interaction was higher than the power to identify the main environmental effect. In other words, when few individuals contribute to the overall environmental effect, individual contributions are large and result in easily identifiable gene-environment interactions. Moreover, when multiple genes interacted with the environment, the statistical benefit of gene-environment studies was limited to those studies that included major contributors to the gene-environment interaction. The advantage of gene-environment over plain environmental studies also depends on the inheritance mode of the involved genes, on the study design and, to some extend, on the disease prevalence.

  1. Memory and Mystery: The Cultural Selection of Minimally Counterintuitive Narratives

    ERIC Educational Resources Information Center

    Norenzayan, Ara; Atran, Scott; Faulkner, Jason; Schaller, Mark

    2006-01-01

    We hypothesize that cultural narratives such as myths and folktales are more likely to achieve cultural stability if they correspond to a minimally counterintuitive (MCI) cognitive template that includes mostly intuitive concepts combined with a minority of counterintuitive ones. Two studies tested this hypothesis, examining whether this template…

  2. New risk-adjustment system was associated with reduced favorable selection in medicare advantage.

    PubMed

    McWilliams, J Michael; Hsu, John; Newhouse, Joseph P

    2012-12-01

    Health plans participating in the Medicare managed care program, called Medicare Advantage since 2003, have historically attracted healthier enrollees than has the traditional fee-for-service program. Medicare Advantage plans have gained financially from this favorable risk selection since their payments have traditionally been adjusted only minimally for clinical characteristics of enrollees, causing overpayment for healthier enrollees and underpayment for sicker ones. As a result, a new risk-adjustment system was phased in from 2004 to 2007, and a lock-in provision instituted to limit midyear disenrollment by enrollees experiencing health declines whose exodus could benefit plans financially. To determine whether these reforms were associated with intended reductions in risk selection, we compared differences in self-reported health care use and health between Medicare Advantage and traditional Medicare beneficiaries before versus after these reforms were implemented. We similarly compared differences between those who switched into or out of Medicare Advantage and nonswitchers. Most differences in 2001-03 were substantially narrowed by 2006-07, suggesting reduced selection. Similar risk-adjustment methods may help reduce incentives for plans competing in health insurance exchanges and accountable care organizations to select patients with favorable clinical risks.

  3. A procedure and program to calculate shuttle mask advantage

    NASA Astrophysics Data System (ADS)

    Balasinski, A.; Cetin, J.; Kahng, A.; Xu, X.

    2006-10-01

    A well-known recipe for reducing mask cost component in product development is to place non-redundant elements of layout databases related to multiple products on one reticle plate [1,2]. Such reticles are known as multi-product, multi-layer, or, in general, multi-IP masks. The composition of the mask set should minimize not only the layout placement cost, but also the cost of the manufacturing process, design flow setup, and product design and introduction to market. An important factor is the quality check which should be expeditious and enable thorough visual verification to avoid costly modifications once the data is transferred to the mask shop. In this work, in order to enable the layer placement and quality check procedure, we proposed an algorithm where mask layers are first lined up according to the price and field tone [3]. Then, depending on the product die size, expected fab throughput, and scribeline requirements, the subsequent product layers are placed on the masks with different grades. The actual reduction of this concept to practice allowed us to understand the tradeoffs between the automation of layer placement and setup related constraints. For example, the limited options of the numbers of layer per plate dictated by the die size and other design feedback, made us consider layer pairing based not only on the final price of the mask set, but also on the cost of mask design and fab-friendliness. We showed that it may be advantageous to introduce manual layer pairing to ensure that, e.g., all interconnect layers would be placed on the same plate, allowing for easy and simultaneous design fixes. Another enhancement was to allow some flexibility in mixing and matching of the layers such that non-critical ones requiring low mask grade would be placed in a less restrictive way, to reduce the count of orphan layers. In summary, we created a program to automatically propose and visualize shuttle mask architecture for design verification, with

  4. Minimal access aortic valve replacement via limited skin incision and complete median sternotomy

    PubMed Central

    Benedetto, Umberto

    2013-01-01

    Surgical aortic valve replacement (AVR) via complete median sternotomy is a safe and time-tested technique associated with excellent short- and long-term outcome. Over the last two decades, different minimally-invasive approaches for AVR have been developed and are increasingly being utilized. All these approaches have been developed with the main objective of decreased invasiveness and less surgical trauma. Advantages of minimal invasive AVR have been shown as better cosmesis, shorter ventilation time, decreased blood loss, shorter intensive care unit and hospital length of stay, and less postoperative pain with mortality and morbidity comparable to conventional complete median sternotomy. One well-recognized but less practiced surgical technique for surgical AVR is the complete median sternotomy via limited skin incision. This review article provides a detailed insight into the technical aspects, outcomes, advantages and disadvantages associated with minimal access AVR via limited skin incision and complete median sternotomy. PMID:24251023

  5. From four-parathyroid gland exploration to a minimally invasive technique. Minimally invasive parathyroidectomy as a current approach in surgery for primary hyperparathyroidism.

    PubMed

    Kobiela, Jarek; Łaski, Dariusz; Stróżyk, Aneta; Proczko-Markuszewska, Monika; Stefaniak, Tomasz; Sworczak, Krzysztof; Łachiński, Andrzej J; Śledziński, Zbigniew

    2014-01-01

    Complete surgical resection of hyperfunctioning parathyriod tissue is essential for the treatment of primary hyperparathyroidism. During recent years, minimally invasive surgery has been successfully applied in neck exploration, because of significant developments of guidance by intraoperative scans, the use of quick, intraoperative PTH assay, and also preoperative imaging procedures such as high resolution ultrasonography and sestamibi scintigraphy. The results of operations which are performed with minimally invasive techniques are comparable to those of conventional surgery, and provide advantages with regard to cosmetic result, length of hospitalisation, and reduced post-operative pain.

  6. The Advantages of Fixed Facilities in Characterizing TRU Wastes

    SciTech Connect

    FRENCH, M.S.

    2000-02-08

    In May 1998 the Hanford Site started developing a program for characterization of transuranic (TRU) waste for shipment to the Waste Isolation Pilot Plant (WIPP) in New Mexico. After less than two years, Hanford will have a program certified by the Carlsbad Area Office (CAO). By picking a simple waste stream, taking advantage of lessons learned at the other sites, as well as communicating effectively with the CAO, Hanford was able to achieve certification in record time. This effort was further simplified by having a centralized program centered on the Waste Receiving and Processing (WRAP) Facility that contains most of the equipment required to characterize TRU waste. The use of fixed facilities for the characterization of TRU waste at sites with a long-term clean-up mission can be cost effective for several reasons. These include the ability to control the environment in which sensitive instrumentation is required to operate and ensuring that calibrations and maintenance activities are scheduled and performed as an operating routine. Other factors contributing to cost effectiveness include providing approved procedures and facilities for handling hazardous materials and anticipated contingencies and performing essential evolutions, and regulating and smoothing the work load and environmental conditions to provide maximal efficiency and productivity. Another advantage is the ability to efficiently provide characterization services to other sites in the Department of Energy (DOE) Complex that do not have the same capabilities. The Waste Receiving and Processing (WRAP) Facility is a state-of-the-art facility designed to consolidate the operations necessary to inspect, process and ship waste to facilitate verification of contents for certification to established waste acceptance criteria. The WRAP facility inspects, characterizes, treats, and certifies transuranic (TRU), low-level and mixed waste at the Hanford Site in Washington state. Fluor Hanford operates the $89

  7. Plant circadian clocks increase photosynthesis, growth, survival, and competitive advantage.

    PubMed

    Dodd, Antony N; Salathia, Neeraj; Hall, Anthony; Kévei, Eva; Tóth, Réka; Nagy, Ferenc; Hibberd, Julian M; Millar, Andrew J; Webb, Alex A R

    2005-07-22

    Circadian clocks are believed to confer an advantage to plants, but the nature of that advantage has been unknown. We show that a substantial photosynthetic advantage is conferred by correct matching of the circadian clock period with that of the external light-dark cycle. In wild type and in long- and short-circadian period mutants of Arabidopsis thaliana, plants with a clock period matched to the environment contain more chlorophyll, fix more carbon, grow faster, and survive better than plants with circadian periods differing from their environment. This explains why plants gain advantage from circadian control.

  8. Minimally invasive approaches for gastric cancer-Korean experience.

    PubMed

    Yang, Han-Kwang; Suh, Yun-Suhk; Lee, Hyuk-Joon

    2013-03-01

    Laparoscopic surgery in Korea increased rapidly because of the early detection of gastric cancer by the development of diagnostic tools and nationwide screening. The Korean Laparoscopic Gastrointestinal Surgery Study Group (KLASS group) played a leading role in various projects related with minimally invasive surgery. The justification of minimally invasive procedures including robotic surgery, sentinel-node biopsy, or single-port surgery/Natural Orifice Transluminal Endoscopic Surgery (NOTES) must be predetermined by the clinical trial before a wide application, and the medical industry as well as surgeons should have great responsibility. PMID:22806494

  9. Minimally invasive approaches for gastric cancer-Korean experience.

    PubMed

    Yang, Han-Kwang; Suh, Yun-Suhk; Lee, Hyuk-Joon

    2013-03-01

    Laparoscopic surgery in Korea increased rapidly because of the early detection of gastric cancer by the development of diagnostic tools and nationwide screening. The Korean Laparoscopic Gastrointestinal Surgery Study Group (KLASS group) played a leading role in various projects related with minimally invasive surgery. The justification of minimally invasive procedures including robotic surgery, sentinel-node biopsy, or single-port surgery/Natural Orifice Transluminal Endoscopic Surgery (NOTES) must be predetermined by the clinical trial before a wide application, and the medical industry as well as surgeons should have great responsibility.

  10. Minimally invasive management of anastomotic leaks in colorectal surgery

    PubMed Central

    Sevim, Yusuf; Celik, Suleyman Utku; Yavarifar, Hana; Akyol, Cihangir

    2016-01-01

    Anastomotic leakage is an unfortunate complication of colorectal surgery. This distressing situation can cause severe morbidity and significantly affects the patient’s quality of life. Additional interventions may cause further morbidity and mortality. Parenteral nutrition and temporary diverting ostomy are the standard treatments of anastomotic leaks. However, technological developments in minimally invasive treatment modalities for anastomotic dehiscence have caused them to be used widely. These modalities include laparoscopic repair, endoscopic self-expandable metallic stents, endoscopic clips, over the scope clips, endoanal repair and endoanal sponges. The review aimed to provide an overview of the current knowledge on the minimally invasive management of anastomotic leaks. PMID:27721925

  11. Is goal ascription possible in minimal mindreading?

    PubMed

    Butterfill, Stephen A; Apperly, Ian A

    2016-03-01

    In this response to the commentary by Michael and Christensen, we first explain how minimal mindreading is compatible with the development of increasingly sophisticated mindreading behaviors that involve both executive functions and general knowledge and then sketch 1 approach to a minimal account of goal ascription. PMID:26901746

  12. Minimally Invasive Mitral Valve Surgery I

    PubMed Central

    Ailawadi, Gorav; Agnihotri, Arvind K.; Mehall, John R.; Wolfe, J. Alan; Hummel, Brian W.; Fayers, Trevor M.; Farivar, R. Saeid; Grossi, Eugene A.; Guy, T. Sloane; Hargrove, W. Clark; Khan, Junaid H.; Lehr, Eric J.; Malaisrie, S. Chris; Murphy, Douglas A.; Rodriguez, Evelio; Ryan, William H.; Salemi, Arash; Segurola, Romualdo J.; Shemin, Richard J.; Smith, J. Michael; Smith, Robert L.; Weldner, Paul W.; Goldman, Scott M.; Lewis, Clifton T. P.; Barnhart, Glenn R.

    2016-01-01

    Abstract Widespread adoption of minimally invasive mitral valve repair and replacement may be fostered by practice consensus and standardization. This expert opinion, first of a 3-part series, outlines current best practices in patient evaluation and selection for minimally invasive mitral valve procedures, and discusses preoperative planning for cannulation and myocardial protection. PMID:27654407

  13. The Minimal Cost of Life in Space

    NASA Astrophysics Data System (ADS)

    Drysdale, A.; Rutkze, C.; Albright, L.; Ladue, R.

    Life in space requires protection from the external environment, provision of a suitable internal environment, provision of consumables to maintain life, and removal of wastes. Protection from the external environment will mainly require shielding from radiation and meteoroids. Provision of a suitable environment inside the spacecraft will require provision of suitable air pressure and composition, temperature, and protection from environmental toxins (trace contaminants) and pathogenic micro-organisms. Gravity may be needed for longer missions to avoid excessive changes such as decalcification and muscle degeneration. Similarly, the volume required per crewmember will increase as the mission duration increases. Consumables required include oxygen, food, and water. Nitrogen might be required, depending on the total pressure and non-metabolic losses. We normally provide these consumables from the Earth, with a greater or lesser degree of regeneration. In principle, all consumables can be regenerated. Water and air are easiest to regenerate. At the present time, food can only be regenerated by using plants, and higher plants at that. Waste must be removed, including carbon dioxide and other metabolic waste as well as trash such as food packaging, filters, and expended spare parts. This can be done by dumping or regeneration. The minimal cost of life in space would be to use a synthesis process or system to regenerate all consumables from wastes. As the efficiency of the various processes rises, the minimal cost of life support will fall. However, real world regeneration requires significant equipment, power, and crew time. Make-up will be required for those items that cannot be economically regenerated. For very inefficient processes, it might be cheaper to ship all or part of the consumables. We are currently far down the development curve, and for short missions it is cheaper to ship consumables. For longer duration missions, greater closure is cost effective

  14. Minimalism context-aware displays.

    PubMed

    Cai, Yang

    2004-12-01

    Despite the rapid development of cyber technologies, today we still have very limited attention and communication bandwidth to process the increasing information flow. The goal of the study is to develop a context-aware filter to match the information load with particular needs and capacities. The functions include bandwidth-resolution trade-off and user context modeling. From the empirical lab studies, it is found that the resolution of images can be reduced in order of magnitude if the viewer knows that he/she is looking for particular features. The adaptive display queue is optimized with real-time operational conditions and user's inquiry history. Instead of measuring operator's behavior directly, ubiquitous computing models are developed to anticipate user's behavior from the operational environment data. A case study of the video stream monitoring for transit security is discussed in the paper. In addition, the author addresses the future direction of coherent human-machine vision systems. PMID:15687797

  15. Hazardous-waste minimization assessment: Fort Campbell, Kentucky. Final report

    SciTech Connect

    Dharmavaram, S.; Knowlton, D.A.; Heflin, C.; Donahue, B.A.

    1991-03-01

    Waste minimization is the process of reducing the net outflow of hazardous materials that may be solid, liquid, or gaseous effluents from a given source or generating process. It involves reducing air pollution emissions, contamination of surface and ground water, and land disposal by means of source reduction, waste recycling processes, and treatment leading to complete destruction. Among Federal regulations is a requirement that every generator of hazardous wastes producing in excess of 2205 pounds per month certify that a hazardous waste minimization program is in operation. Generators are required to submit biennial reports to the USEPA that describe efforts taken to reduce the volume and toxicity of waste generated during the year. The objective of this research was to develop a hazardous waste minimization plan for Fort Campbell, Kentucky, to include actions necessary to reduce the generation of hazardous wastes. Reduction should be in both volume and toxicity.

  16. Plateau inflation from random non-minimal coupling

    NASA Astrophysics Data System (ADS)

    Broy, Benedict J.; Coone, Dries; Roest, Diederik

    2016-06-01

    A generic non-minimal coupling can push any higher-order terms of the scalar potential sufficiently far out in field space to yield observationally viable plateau inflation. We provide analytic and numerical evidence that this generically happens for a non-minimal coupling strength ξ of the order N2e. In this regime, the non-minimally coupled field is sub-Planckian during inflation and is thus protected from most higher-order terms. For larger values of ξ, the inflationary predictions converge towards the sweet spot of PLANCK. The latter includes ξ simeq 104 obtained from CMB normalization arguments, thus providing a natural explanation for the inflationary observables measured.

  17. Prognostic relevance of minimal residual disease in colorectal cancer.

    PubMed

    Bork, Ulrich; Grützmann, Robert; Rahbari, Nuh N; Schölch, Sebastian; Distler, Marius; Reissfelder, Christoph; Koch, Moritz; Weitz, Jürgen

    2014-08-14

    Presence of occult minimal residual disease in patients with colorectal cancer (CRC) has a strong prognostic impact on survival. Minimal residual disease plays a major role in disease relapse and formation of metastases in CRC. Analysis of circulating tumor cells (CTC) in the blood is increasingly used in clinical practice for disease monitoring of CRC patients. In this review article the role of CTC, disseminated tumor cells (DTC) in the bone marrow and micrometastases and isolated tumor cells (ITC) in the lymph nodes will be discussed, including literature published until September 2013. Occult disease is a strong prognostic marker for patient survival in CRC and defined by the presence of CTC in the blood, DTC in the bone marrow and/or micrometastases and ITC in the lymph nodes. Minimal residual disease could be used in the future to identify patient groups at risk, who might benefit from individualized treatment options.

  18. 40 CFR 60.1125 - What must I include in my siting analysis?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... waste combustion unit affects four areas: (1) Ambient air quality. (2) Visibility. (3) Soils. (4) Vegetation. (b) Include an analysis of alternatives for controlling air pollution that minimize...

  19. 40 CFR 60.1125 - What must I include in my siting analysis?

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... waste combustion unit affects four areas: (1) Ambient air quality. (2) Visibility. (3) Soils. (4) Vegetation. (b) Include an analysis of alternatives for controlling air pollution that minimize...

  20. 40 CFR 60.1125 - What must I include in my siting analysis?

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... waste combustion unit affects four areas: (1) Ambient air quality. (2) Visibility. (3) Soils. (4) Vegetation. (b) Include an analysis of alternatives for controlling air pollution that minimize...

  1. 40 CFR 60.1125 - What must I include in my siting analysis?

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... waste combustion unit affects four areas: (1) Ambient air quality. (2) Visibility. (3) Soils. (4) Vegetation. (b) Include an analysis of alternatives for controlling air pollution that minimize...

  2. 40 CFR 60.1125 - What must I include in my siting analysis?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... waste combustion unit affects four areas: (1) Ambient air quality. (2) Visibility. (3) Soils. (4) Vegetation. (b) Include an analysis of alternatives for controlling air pollution that minimize...

  3. Microdiskectomy and translaminar approach: minimal invasiveness and flavum ligament preservation.

    PubMed

    Vanni, Daniele; Sirabella, Francesco S; Guelfi, Matteo; Pantalone, Andrea; Galzio, Renato; Salini, Vincenzo; Magliani, Vincenzo

    2015-04-01

    was performed. Conclusion The translaminar approach is the only tissue-sparing technique viable in case of cranially migrated LDH encroaching on the exiting nerve root in the preforaminal zones, for the levels above L2-L3, and in the preforaminal and foraminal zones, for the levels below L3-L4 (L5-S1 included, if a total microdiskectomy is not necessary). The possibility to spare the flavum ligament is one of the main advantages of this technique. According to our experience, the translaminar approach is an effective and safe alternative minimally invasive surgical option. PMID:25844280

  4. Onychomycosis: Strategies to Minimize Recurrence.

    PubMed

    Gupta, Aditya K; Elewski, Boni E; Rosen, Ted; Caldwell, Bryan; Pariser, David M; Kircik, Leon H; Bhatia, Neal; Tosti, Antonella

    2016-03-01

    Recurrence (relapse or re-infection) in onychomycosis is common, occurring in 10% to 53% of patients. However, data on prevalence is limited as few clinical studies follow patients beyond 12 months. It has been suggested that recurrence after continuous terbinafine treatment may be less common than with intermittent or continuous itraconazole therapy, probably due to the fungicidal activity of terbinafine, although these differences tended not to be significant. Relapse rates also increase with time, peaking at month 36. Although a number of factors have been suggested to play a role in recurrence, only the co-existence of diabetes has been shown to have a significant impact. Data with topical therapy is sparse; a small study showed amorolfine prophylaxis may delay recurrence. High concentrations of efinaconazole have been reported in the nail two weeks' post-treatment suggesting twice monthly prophylaxis with topical treatments may be a realistic option, and may be an important consideration in diabetic patients with onychomycosis. Data suggest that prophylaxis may need to be continued for up to three years for optimal effect. Treating tinea pedis and any immediate family members is also critical. Other preventative strategies include avoiding communal areas where infection can spread (such as swimming pools), and decontaminating footwear. PMID:26954312

  5. Waste minimization in the oil and gas industries

    SciTech Connect

    Smith, K.P.

    1992-09-01

    Recent legislative actions place an emphasis on waste minimization as opposed to traditional end-of-pipe waste management. This new philosophy, coupled with increasing waste disposal costs and associated liabilities, sets the stage for investigating waste minimization opportunities in all industries wastes generated by oil and gas exploration and production (E&P) and refuting activities are regulated as non-hazardous under the Resource Conservation and Recovery Act (RCRA). Potential reclassification of these wastes as hazardous would make minimization of these waste streams even more desirable. Oil and gas E&P activities generate a wide variety of wastes, although the bulk of the wastes (98%) consists of a single waste stream: produced water. Opportunities to minimize E&P wastes through point source reduction activities are limited by the extractive nature of the industry. Significant waste minimization is possible, however, through recycling. Recycling activities include underground injection of produced water, use of closed-loop drilling systems, reuse of produced water and drilling fluids in other oilfield activities, use of solid debris as construction fill, use of oily wastes as substitutes for road mix and asphalt, landspreading of produced sand for soil enhancement, and roadspreading of suitable aqueous wastes for dust suppression or deicing. Like the E&P wastes, wastes generated by oil and gas treatment and refining activities cannot be reduced substantially at the point source but can be reduced through recycling. For the most part, extensive recycling and reprocessing of many waste streams already occurs at most petroleum refineries. A variety of innovative waste treatment activities have been developed to minimize the toxicity or volume of oily wastes generated by both E&P and refining activities. These treatments include bioremediation, oxidation, biooxidation, incineration, and separation. Application of these treatment processes is still limited.

  6. Waste minimization in the oil and gas industries

    SciTech Connect

    Smith, K.P.

    1992-01-01

    Recent legislative actions place an emphasis on waste minimization as opposed to traditional end-of-pipe waste management. This new philosophy, coupled with increasing waste disposal costs and associated liabilities, sets the stage for investigating waste minimization opportunities in all industries wastes generated by oil and gas exploration and production (E P) and refuting activities are regulated as non-hazardous under the Resource Conservation and Recovery Act (RCRA). Potential reclassification of these wastes as hazardous would make minimization of these waste streams even more desirable. Oil and gas E P activities generate a wide variety of wastes, although the bulk of the wastes (98%) consists of a single waste stream: produced water. Opportunities to minimize E P wastes through point source reduction activities are limited by the extractive nature of the industry. Significant waste minimization is possible, however, through recycling. Recycling activities include underground injection of produced water, use of closed-loop drilling systems, reuse of produced water and drilling fluids in other oilfield activities, use of solid debris as construction fill, use of oily wastes as substitutes for road mix and asphalt, landspreading of produced sand for soil enhancement, and roadspreading of suitable aqueous wastes for dust suppression or deicing. Like the E P wastes, wastes generated by oil and gas treatment and refining activities cannot be reduced substantially at the point source but can be reduced through recycling. For the most part, extensive recycling and reprocessing of many waste streams already occurs at most petroleum refineries. A variety of innovative waste treatment activities have been developed to minimize the toxicity or volume of oily wastes generated by both E P and refining activities. These treatments include bioremediation, oxidation, biooxidation, incineration, and separation. Application of these treatment processes is still limited.

  7. Referee bias contributes to home advantage in English Premiership football.

    PubMed

    Boyko, Ryan H; Boyko, Adam R; Boyko, Mark G

    2007-09-01

    Officiating bias is thought to contribute to home advantage. Recent research has shown that sports with subjective officiating tend to experience greater home advantage and that referees' decisions can be influenced by crowd noise, but little work has been done to examine whether individual referees vary in their home bias or whether biased decisions contribute to overall home advantage. We develop an ordinal regression model to determine whether various measures of home advantage are affected by the official for the match and by crowd size while controlling for team ability. We examine 5244 English Premier League (EPL) match results involving 50 referees and find that home bias differs between referees. Individual referees give significantly different levels of home advantage, measured as goal differential between the home and away teams, although the significance of this result depends on one referee with a particularly high home advantage (an outlier). Referees vary significantly and robustly in their yellow card and penalty differentials even excluding the outlier. These results confirm that referees are responsible for some of the observed home advantage in the EPL and suggest that home advantage is dependent on the subjective decisions of referees that vary between individuals. We hypothesize that individual referees respond differently to factors such as crowd noise and suggest further research looking at referees' psychological and behavioural responses to biased crowds.

  8. The Female Educational Advantage among Adolescent Children of Immigrants

    ERIC Educational Resources Information Center

    Feliciano, Cynthia

    2012-01-01

    The female advantage in educational achievement is especially puzzling in the case of children of immigrants because it departs from the pattern in most immigrants' home countries. Using data from the Children of Immigrants Longitudinal Study (CILS), this study explores the female advantage in grades and expectations among adolescents and finds…

  9. Information Technology, Core Competencies, and Sustained Competitive Advantage.

    ERIC Educational Resources Information Center

    Byrd, Terry Anthony

    2001-01-01

    Presents a model that depicts a possible connection between competitive advantage and information technology. Focuses on flexibility of the information technology infrastructure as an enabler of core competencies, especially mass customization and time-to-market, that have a relationship to sustained competitive advantage. (Contains 82…

  10. Comparative Advantage, Relative Wages, and the Accumulation of Human Capital.

    ERIC Educational Resources Information Center

    Teulings, Coen N.

    2005-01-01

    I apply Ricardo's principle of comparative advantage to a theory of factor substitutability in a model with a continuum of worker and job types. Highly skilled workers have a comparative advantage in complex jobs. The model satisfies the distance-dependent elasticity of substitution (DIDES) characteristic: substitutability between types declines…

  11. Polysemy Advantage with Abstract but Not Concrete Words

    ERIC Educational Resources Information Center

    Jager, Bernadet; Cleland, Alexandra A.

    2016-01-01

    It is a robust finding that ambiguous words are recognized faster than unambiguous words. More recent studies (e.g., Rodd et al. in "J Mem Lang" 46:245-266, 2002) now indicate that this "ambiguity advantage" may in reality be a "polysemy advantage": caused by related senses (polysemy) rather than unrelated meanings…

  12. Home advantage in the Winter Olympics (1908-1998).

    PubMed

    Balmer, N J; Nevill, A M; Williams, A M

    2001-02-01

    We obtained indices of home advantage, based on the medals won by competing nations, for each event held at the Winter Olympics from 1908 to 1998. These indices were designed to assess home advantage while controlling for nation strength, changes in the number of medals on offer and the performance of 'non-hosting' nations. Some evidence of home advantage was found in figure skating, freestyle skiing, ski jumping, alpine skiing and short track speed skating. In contrast, little or no home advantage was observed in ice hockey, Nordic combined, Nordic skiing, bobsled, luge, biathlon or speed skating. When all events were combined, a significant home advantage was observed (P = 0.029), although no significant differences in the extent of home advantage were found between events (P > 0.05). When events were grouped according to whether they were subjectively assessed by judges, significantly greater home advantage was observed in the subjectively assessed events (P = 0.037). This was a reflection of better home performances, suggesting that judges were scoring home competitors disproportionately higher than away competitors. Familiarity with local conditions was shown to have some effect, particularly in alpine skiing, although the bobsled and luge showed little or no advantage over other events. Regression analysis showed that the number of time zones and direction of travel produced no discernible trends or differences in performance.

  13. The Advantages of Using Planned Comparisons over Post Hoc Tests.

    ERIC Educational Resources Information Center

    Kuehne, Carolyn C.

    There are advantages to using a priori or planned comparisons rather than omnibus multivariate analysis of variance (MANOVA) tests followed by post hoc or a posteriori testing. A small heuristic data set is used to illustrate these advantages. An omnibus MANOVA test was performed on the data followed by a post hoc test (discriminant analysis). A…

  14. Reasoning about Other People's Beliefs: Bilinguals Have an Advantage

    ERIC Educational Resources Information Center

    Rubio-Fernandez, Paula; Glucksberg, Sam

    2012-01-01

    Bilingualism can have widespread cognitive effects. In this article we investigate whether bilingualism might have an effect on adults' abilities to reason about other people's beliefs. In particular, we tested whether bilingual adults might have an advantage over monolingual adults in false-belief reasoning analogous to the advantage that has…

  15. Aging and Text Comprehension: Interpretation and Domain Knowledge Advantage

    ERIC Educational Resources Information Center

    Jeong, Heisawn; Kim, Hyo Sik

    2009-01-01

    In this study, young, middle-aged, and elderly adults read two different history texts. In the "knowledge advantage" condition, readers read a history text about an event that was well-known to readers of all ages but most familiar to elderly adults. In the "no advantage" condition, readers read a history text about a political situation of a…

  16. Development of the FUMILI minimization package

    NASA Astrophysics Data System (ADS)

    Sitnik, I. M.

    2014-02-01

    The suggested FUMILI package development has the following advantages: a more convenient and friendly user interface; no limit on the number of parameters and experimental points; speed advantage when the number of parameters is high enough; there are options to ignore wrong experimental points and correct experimental errors. The preliminary scan is envisaged for complicated tasks.

  17. Zebrafish models of human motor neuron diseases: advantages and limitations.

    PubMed

    Babin, Patrick J; Goizet, Cyril; Raldúa, Demetrio

    2014-07-01

    Motor neuron diseases (MNDs) are an etiologically heterogeneous group of disorders of neurodegenerative origin, which result in degeneration of lower (LMNs) and/or upper motor neurons (UMNs). Neurodegenerative MNDs include pure hereditary spastic paraplegia (HSP), which involves specific degeneration of UMNs, leading to progressive spasticity of the lower limbs. In contrast, spinal muscular atrophy (SMA) involves the specific degeneration of LMNs, with symmetrical muscle weakness and atrophy. Amyotrophic lateral sclerosis (ALS), the most common adult-onset MND, is characterized by the degeneration of both UMNs and LMNs, leading to progressive muscle weakness, atrophy, and spasticity. A review of the comparative neuroanatomy of the human and zebrafish motor systems showed that, while the zebrafish was a homologous model for LMN disorders, such as SMA, it was only partially relevant in the case of UMN disorders, due to the absence of corticospinal and rubrospinal tracts in its central nervous system. Even considering the limitation of this model to fully reproduce the human UMN disorders, zebrafish offer an excellent alternative vertebrate model for the molecular and genetic dissection of MND mechanisms. Its advantages include the conservation of genome and physiological processes and applicable in vivo tools, including easy imaging, loss or gain of function methods, behavioral tests to examine changes in motor activity, and the ease of simultaneous chemical/drug testing on large numbers of animals. This facilitates the assessment of the environmental origin of MNDs, alone or in combination with genetic traits and putative modifier genes. Positive hits obtained by phenotype-based small-molecule screening using zebrafish may potentially be effective drugs for treatment of human MNDs.

  18. Zebrafish models of human motor neuron diseases: advantages and limitations.

    PubMed

    Babin, Patrick J; Goizet, Cyril; Raldúa, Demetrio

    2014-07-01

    Motor neuron diseases (MNDs) are an etiologically heterogeneous group of disorders of neurodegenerative origin, which result in degeneration of lower (LMNs) and/or upper motor neurons (UMNs). Neurodegenerative MNDs include pure hereditary spastic paraplegia (HSP), which involves specific degeneration of UMNs, leading to progressive spasticity of the lower limbs. In contrast, spinal muscular atrophy (SMA) involves the specific degeneration of LMNs, with symmetrical muscle weakness and atrophy. Amyotrophic lateral sclerosis (ALS), the most common adult-onset MND, is characterized by the degeneration of both UMNs and LMNs, leading to progressive muscle weakness, atrophy, and spasticity. A review of the comparative neuroanatomy of the human and zebrafish motor systems showed that, while the zebrafish was a homologous model for LMN disorders, such as SMA, it was only partially relevant in the case of UMN disorders, due to the absence of corticospinal and rubrospinal tracts in its central nervous system. Even considering the limitation of this model to fully reproduce the human UMN disorders, zebrafish offer an excellent alternative vertebrate model for the molecular and genetic dissection of MND mechanisms. Its advantages include the conservation of genome and physiological processes and applicable in vivo tools, including easy imaging, loss or gain of function methods, behavioral tests to examine changes in motor activity, and the ease of simultaneous chemical/drug testing on large numbers of animals. This facilitates the assessment of the environmental origin of MNDs, alone or in combination with genetic traits and putative modifier genes. Positive hits obtained by phenotype-based small-molecule screening using zebrafish may potentially be effective drugs for treatment of human MNDs. PMID:24705136

  19. Advantages of environmental scanning electron microscopy in studies of microorganisms.

    PubMed

    Collins, S P; Pope, R K; Scheetz, R W; Ray, R I; Wagner, P A; Little, B J

    1993-08-01

    Microorganisms, including bacteria, fungi, protozoa, and microalgae, are composed predominantly of water which prohibits direct observation in a traditional scanning electron microscope (SEM). Preparation for SEM requires that microorganisms be fixed, frozen or dehydrated, and coated with a conductive film before observation in a high vacuum environment. Sample preparation may mechanically disturb delicate samples, compromise morphological information, and introduce other artifacts. The environmental scanning electron microscope (ESEM) provides a technology for imaging hydrated or dehydrated biological samples with minimal manipulation and without the need for conductive coatings. Sporulating cultures of three fungi, Aspergillus sp., Cunninghamella sp., and Mucor sp., were imaged in the ESEM to assess usefulness of the instrument in the direct observation of delicate, uncoated, biological specimens. Asexual sporophores showed no evidence of conidial displacement or disruption of sporangia. Uncoated algal cells of Euglena gracilis and Spirogyra sp. were examined using the backscatter electron detector (BSE) and the environmental secondary electron detector (ESD) of the ESEM. BSE images had more clearly defined intracellular structures, whereas ESD gave a clearer view of the surface E. gracilis cells fixed with potassium permanganate, Spirogyra sp. stained with Lugol's solution, and Saprolegnia sp. fixed with osmium tetroxide were compared using BSE and ESD to demonstrate that cellular details could be enhanced by the introduction of heavy metals. The effect of cellular water on signal quality was evaluated by comparing hydrated to critical point dried specimens.

  20. Advantages of environmental scanning electron microscopy in studies of microorganisms.

    PubMed

    Collins, S P; Pope, R K; Scheetz, R W; Ray, R I; Wagner, P A; Little, B J

    1993-08-01

    Microorganisms, including bacteria, fungi, protozoa, and microalgae, are composed predominantly of water which prohibits direct observation in a traditional scanning electron microscope (SEM). Preparation for SEM requires that microorganisms be fixed, frozen or dehydrated, and coated with a conductive film before observation in a high vacuum environment. Sample preparation may mechanically disturb delicate samples, compromise morphological information, and introduce other artifacts. The environmental scanning electron microscope (ESEM) provides a technology for imaging hydrated or dehydrated biological samples with minimal manipulation and without the need for conductive coatings. Sporulating cultures of three fungi, Aspergillus sp., Cunninghamella sp., and Mucor sp., were imaged in the ESEM to assess usefulness of the instrument in the direct observation of delicate, uncoated, biological specimens. Asexual sporophores showed no evidence of conidial displacement or disruption of sporangia. Uncoated algal cells of Euglena gracilis and Spirogyra sp. were examined using the backscatter electron detector (BSE) and the environmental secondary electron detector (ESD) of the ESEM. BSE images had more clearly defined intracellular structures, whereas ESD gave a clearer view of the surface E. gracilis cells fixed with potassium permanganate, Spirogyra sp. stained with Lugol's solution, and Saprolegnia sp. fixed with osmium tetroxide were compared using BSE and ESD to demonstrate that cellular details could be enhanced by the introduction of heavy metals. The effect of cellular water on signal quality was evaluated by comparing hydrated to critical point dried specimens. PMID:8400431

  1. [Minimally Invasive Thoracoscopic Surgery for Mediastinal Lesions].

    PubMed

    Maeda, Sumiko

    2016-07-01

    This review article describes minimally invasive thoracoscopic surgery for anterior mediastinal lesions. The operative procedures for anterior mediastinal lesions have been changed in a couple of decades from open surgery under median sternotomy to complete thoracoscopic mediastinal surgery with sternal lifting or carbon dioxide insufflation. Carbon dioxide insufflation of the thoracic cavity or the mediastinum is now prevailing to improve the surgical field and facilitate the operative procedures. Surgical indications for complete thoracoscopic mediastinal surgery include benign cystic lesions generally regardless of their size and non-invasive anterior mediastinal tumors usually less than 50~60 mm in the greatest dimension. There are currently three surgical approaches in the complete thoracoscopic surgery for the anterior mediastinal lesions. One is the unilateral or bilateral transthoracic approach. The second is the combination of the subxiphoid and the transthoracic approach. The last is the subxiphoid approach. The selection of the surgical approach depends on the surgeon's preference and experiences. When carbon dioxide insufflation is applied during the operation, following complications may occur;hypercapnia, gas embolism, subcutaneous emphysema, endotracheal tube dislocation due to the mediastinal sift, and hypotention. Special safety considerations are necessary during the complete thoracoscopic mediastinal surgery with carbon dioxide insufflation. PMID:27440034

  2. Process optimized minimally invasive total hip replacement

    PubMed Central

    Gebel, Philipp; Oszwald, Markus; Ishaque, Bernd; Ahmed, Gaffar; Blessing, Recha; Thorey, Fritz; Ottersbach, Andreas

    2012-01-01

    The purpose of this study was to analyse a new concept of using the the minimally invasive direct anterior approach (DAA) in total hip replacement (THR) in combination with the leg positioner (Rotex- Table) and a modified retractor system (Condor). We evaluated retrospectively the first 100 primary THR operated with the new concept between 2009 and 2010, regarding operation data, radiological and clinical outcome (HOOS). All surgeries were perfomed in a standardized operation technique including navigation. The average age of the patients was 68 years (37 to 92 years), with a mean BMI of 26.5 (17 to 43). The mean time of surgery was 80 min. (55 to 130 min). The blood loss showed an average of 511.5 mL (200 to 1000 mL). No intra-operative complications occurred. The postoperative complication rate was 6%. The HOOS increased from 43 points pre-operatively to 90 (max 100 points) 3 months after surgery. The radiological analysis showed an average cup inclination of 43° and a leg length discrepancy in a range of +/− 5 mm in 99%. The presented technique led to excellent clinic results, showed low complication rates and allowed correct implant positions although manpower was saved. PMID:22577504

  3. Minimally invasive dentistry and the dental enterprise.

    PubMed

    Rossomando, Edward F

    2007-03-01

    Improvements in understanding the process of remineralization have resulted in a reappraisal of repair of damaged tooth structure and call into question the principles of cavity preparation of GV Black and his principle of "extension for prevention." From this reappraisal has emerged the idea of minimally invasive dentistry (MID). The goal of MID is to remove as little of the sound tooth structure during the restoration phase as possible. This goal is in our reach in part because of availability of products that promote mineralization and of dental excavation instruments, like the dental laser, that can be managed to remove only damaged tooth structure. It is critical that the leaders of the dental enterprise endorse MID. Delay could allow new products to move from the dental profession to other health care providers. For example, a caries vaccine will soon enter the market place. Will dentists expand the scope of their practices to include the application of this vaccine, or will they ignore this new product and allow the new technology to enter the scope of practice of other health providers?

  4. The minimal power spectrum: Higher order contributions

    NASA Technical Reports Server (NTRS)

    Fry, J. N.

    1994-01-01

    It has been an accepted belief for some time that gravity induces a minimal tail P(k) approximately k(exp 4) in the power spectrum as k approaches 0 for distributions with no initial power on large scales. In a recent numerical experiment with initial power confined to a restricted range in k, Shandarin and Melott (1990) found a k approaches 0 tail that at early stages of evolution behaves as k(exp 4) and grows with time as a(exp 4)(t), where a(t) is the cosmological expansion factor, and at late times depends on scale as k(exp 3) and grows with time as a(exp 2)(t). I compute analytically several contributions to the power spectrum of higher order than those included in earlier work, and I apply the results to the particular case of initial power restricted to a finite range of k. As expected, in the perturbative regime P(k) approximately a(exp 4)k(exp 4) from the first correction to linear perturbation theory is the dominant term as k approaches 0. Numerical investigations show that the higher order contributions go as k(exp 4) also. However, perturbation theory alone cannot tell whether the P approximately a(exp 2)k(exp 3) result is 'nonperturbative' or a numerical artifact.

  5. Multiple myeloma, immunotherapy and minimal residual disease.

    PubMed

    Kusenda, J; Kovarikova, A

    2016-01-01

    Multiple myeloma (MM) is an incurable heterogeneous hematological malignancy in which relapse is characterized by re-growth of residual tumor and immune suppression with a complex biology that affects many aspects of the disease and its response to treatment. The bone marrow microenvironment, including immune cells, plays a central role in MM pathogenesis, survival, and drug resistance. The advances in basic and translational research, introduction of novel agents, particularly combination therapies, improved indicators of quality of life and survival. Minimal residual disease (MRD) detection by multiparameter flow cytometry (MFC) has revolutionized monitoring of treatment response in MM. The importance of MFC methodology will be further strengthened by the ongoing international standardization efforts. Results of MRD testing provide unique and clinically important information and demonstrated the prognostic significance of MRD in patients, leading to regulate treatment intensity in many contemporary protocols. In this review, we will summarize the principal approaches in MM immunotherapy, focusing how new agents have potential in the treatment of MM and application of MRD detection by MFC as a surrogate endpoint would allow quicker evaluation of treatment outcomes and rapid identification of effective new therapies.

  6. Minimally invasive mitral surgery: dangerous to dabble.

    PubMed

    Edwards, James; Mazzone, Annette; Crouch, Gareth

    2012-03-01

    The introduction of any new surgical technique is fraught with dangers and difficulties, and in cardiac surgery, these potential negative outcomes are magnified by inherent small margins for error. Buxton's law states that it is always too early for rigorous evaluation (of a new technique) until, unfortunately, it is suddenly too late (1). This insightful statement was used to describe the phenomenon to often seen in the introduction of new technologies or procedures in medicine. There is a natural reluctance to subject new techniques to standardized assessment too early in the introductory phase in an attempt to avoid negatively biased results while operator learning is still occurring (2). Over the last two or three decades, this phenomenon has been described as the learning curve and has most often been applied to minimally invasive surgery of all specialties, including general surgery, gynecology, and cardiothoracic surgery. Buxton's concern was justified, because by the time the procedure has become well practiced, there is a reluctance to subject it to rigorous trials on the argument that this will deny the latest, and perhaps greatest, treatment to patients. Whereas each argument, pre-emptive assessment, or delaying access is valid in isolation, the combination is a dangerous system to follow because it prevents rigorous evaluation and denies best practice.

  7. Bacterial Stressors in Minimally Processed Food

    PubMed Central

    Capozzi, Vittorio; Fiocco, Daniela; Amodio, Maria Luisa; Gallone, Anna; Spano, Giuseppe

    2009-01-01

    Stress responses are of particular importance to microorganisms, because their habitats are subjected to continual changes in temperature, osmotic pressure, and nutrients availability. Stressors (and stress factors), may be of chemical, physical, or biological nature. While stress to microorganisms is frequently caused by the surrounding environment, the growth of microbial cells on its own may also result in induction of some kinds of stress such as starvation and acidity. During production of fresh-cut produce, cumulative mild processing steps are employed, to control the growth of microorganisms. Pathogens on plant surfaces are already stressed and stress may be increased during the multiple mild processing steps, potentially leading to very hardy bacteria geared towards enhanced survival. Cross-protection can occur because the overlapping stress responses enable bacteria exposed to one stress to become resistant to another stress. A number of stresses have been shown to induce cross protection, including heat, cold, acid and osmotic stress. Among other factors, adaptation to heat stress appears to provide bacterial cells with more pronounced cross protection against several other stresses. Understanding how pathogens sense and respond to mild stresses is essential in order to design safe and effective minimal processing regimes. PMID:19742126

  8. MINIMAL RESIDUAL DISEASE IN ACUTE LYMPHOBLASTIC LEUKEMIA

    PubMed Central

    Campana, Dario

    2009-01-01

    In patients with acute lymphoblastic leukemia (ALL), monitoring of minimal residual disease (MRD) offers a way to precisely assess early treatment response and detect relapse. Established methods to study MRD are flow cytometric detection of abnormal immunophenotypes, polymerase chain reaction (PCR) amplification of antigen-receptor genes, and PCR amplification of fusion transcripts. The strong correlation between MRD levels and risk of relapse in childhood ALL is well established; studies in adult patients also support its prognostic value. Hence, results of MRD studies can be used to select treatment intensity and duration, and estimate the optimal timing for hematopoietic stem cell transplantation. Practical issues in the implementation of MRD assays in clinical studies include determining the most informative time point to study MRD, the levels of MRD that will trigger changes in treatment intensity, as well as the relative cost and informative power of different methodologies. The identification of new markers of leukemia and the use of increasingly refined assays should further facilitate routine monitoring of MRD and help clarifying the cellular and biologic features of leukemic cells that resist chemotherapy in vivo. PMID:19100372

  9. Process optimized minimally invasive total hip replacement.

    PubMed

    Gebel, Philipp; Oszwald, Markus; Ishaque, Bernd; Ahmed, Gaffar; Blessing, Recha; Thorey, Fritz; Ottersbach, Andreas

    2012-01-01

    The purpose of this study was to analyse a new concept of using the the minimally invasive direct anterior approach (DAA) in total hip replacement (THR) in combination with the leg positioner (Rotex- Table) and a modified retractor system (Condor). We evaluated retrospectively the first 100 primary THR operated with the new concept between 2009 and 2010, regarding operation data, radiological and clinical outcome (HOOS). All surgeries were perfomed in a standardized operation technique including navigation. The average age of the patients was 68 years (37 to 92 years), with a mean BMI of 26.5 (17 to 43). The mean time of surgery was 80 min. (55 to 130 min). The blood loss showed an average of 511.5 mL (200 to 1000 mL). No intra-operative complications occurred. The postoperative complication rate was 6%. The HOOS increased from 43 points pre-operatively to 90 (max 100 points) 3 months after surgery. The radiological analysis showed an average cup inclination of 43° and a leg length discrepancy in a range of +/- 5 mm in 99%. The presented technique led to excellent clinic results, showed low complication rates and allowed correct implant positions although manpower was saved. PMID:22577504

  10. Emerging robotic platforms for minimally invasive surgery.

    PubMed

    Vitiello, Valentina; Lee, Su-Lin; Cundy, Thomas P; Yang, Guang-Zhong

    2013-01-01

    Recent technological advances in surgery have resulted in the development of a range of new techniques that have reduced patient trauma, shortened hospitalization, and improved diagnostic accuracy and therapeutic outcome. Despite the many appreciated benefits of minimally invasive surgery (MIS) compared to traditional approaches, there are still significant drawbacks associated with conventional MIS including poor instrument control and ergonomics caused by rigid instrumentation and its associated fulcrum effect. The use of robot assistance has helped to realize the full potential of MIS with improved consistency, safety and accuracy. The development of articulated, precision tools to enhance the surgeon's dexterity has evolved in parallel with advances in imaging and human-robot interaction. This has improved hand-eye coordination and manual precision down to micron scales, with the capability of navigating through complex anatomical pathways. In this review paper, clinical requirements and technical challenges related to the design of robotic platforms for flexible access surgery are discussed. Allied technical approaches and engineering challenges related to instrument design, intraoperative guidance, and intelligent human-robot interaction are reviewed. We also highlight emerging designs and research opportunities in the field by assessing the current limitations and open technical challenges for the wider clinical uptake of robotic platforms in MIS.

  11. Home advantage in the Six Nations Rugby Union tournament.

    PubMed

    Thomas, Sion; Reeves, Colin; Bell, Andrew

    2008-02-01

    This study examined whether home advantage occurred in the Six Nations Rugby Union tournament. Data were gathered using the final championship standings from the tournament's inception in 2000 to the recently completed 2007 season. Home advantage for each championship season was defined as the number of points won by teams playing at home, expressed as a percentage of all points gained either at home or away. An analysis of home advantage for each of eight seasons of competition ranged from 53% (2005) to 70% (2006). There was an overall statistically significant home advantage of 61% for 120 matches played in the Six Nations tournament between 2000 and 2007. Also analysed were the percentage of points won at home by each country. Again, evidence supported home advantage amongst all competing nations regardless of the team's quality.

  12. Social network analysis: foundations and frontiers on advantage.

    PubMed

    Burt, Ronald S; Kilduff, Martin; Tasselli, Stefano

    2013-01-01

    We provide an overview of social network analysis focusing on network advantage as a lens that touches on much of the area. For reasons of good data and abundant research, we draw heavily on studies of people in organizations. Advantage is traced to network structure as a proxy for the distribution of variably sticky information in a population. The network around a person indicates the person's access and control in the distribution. Advantage is a function of information breadth, timing, and arbitrage. Advantage is manifest in higher odds of proposing good ideas, more positive evaluations and recognition, higher compensation, and faster promotions. We discuss frontiers of advantage contingent on personality, cognition, embeddedness, and dynamics.

  13. Minimal change disease: a CD80 podocytopathy?

    PubMed

    Ishimoto, Takuji; Shimada, Michiko; Araya, Carlos E; Huskey, Janna; Garin, Eduardo H; Johnson, Richard J

    2011-07-01

    Minimal change disease is the most common nephrotic syndrome in children. Although the etiology of minimal change disease remains to be elucidated, it has been postulated that it is the result of a circulating T-cell factor that causes podocyte cytoskeleton disorganization leading to increased glomerular capillary permeability and/or changes in glomerular basement membrane heparan sulfate glycosaminoglycans resulting in proteinuria. Minimal change disease has been associated with allergies and Hodgkin disease. Consistent with these associations, a role for interleukin-13 with minimal change disease has been proposed. Furthermore, studies evaluating podocytes also have evolved. Recently, increased expression of CD80 (also termed B7-1) on podocytes was identified as a mechanism for proteinuria. CD80 is inhibited by binding to CTLA-4, which is expressed on regulatory T cells. Recently, we showed that urinary CD80 is increased in minimal change disease patients and limited studies have suggested that it is not commonly present in the urine of patients with other glomerular diseases. Interleukin-13 or microbial products via Toll-like receptors could be factors that induce CD80 expression on podocytes. CTLA-4 appears to regulate CD80 expression in podocytes, and to be altered in minimal change disease patients. These findings lead us to suggest that proteinuria in minimal change disease is caused by persistent CD80 expression in podocytes, possibly initiated by stimulation of these cells by antigens or cytokines.

  14. Minimizing Glovebox Glove Breaches: PART II.

    SciTech Connect

    Cournoyer, M. E.; Andrade, R.M.; Taylor, D. J.; Stimmel, J. J.; Zaelke, R. L.; Balkey, J. J.

    2005-01-01

    As a matter of good business practices, a team of glovebox experts from Los Alamos National Laboratory (LANL) has been assembled to proactively investigate processes and procedures that minimize unplanned breaches in the glovebox, e.g., glove failures. A major part of this effort involves the review of glovebox glove failures that have occurred at the Plutonium Facility and at the Chemical and Metallurgy Research Facility. Information dating back to 1993 has been compiled from formal records. This data has been combined with information obtained from a baseline inventory of about 9,000 glovebox gloves. The key attributes tracked include those related to location, the glovebox glove, type and location of breaches, the worker, and the consequences resulting from breaches. This glovebox glove failure analysis yielded results in the areas of the ease of collecting this type of data, the causes of most glove failures that have occurred, the effectiveness of current controls, and recommendations to improve hazard control systems. As expected, a significant number of breaches involve high-risk operations such as grinding, hammering, using sharps (especially screwdrivers), and assembling equipment. Surprisingly, tasks such as the movement of equipment and material between gloveboxes and the opening of cans are also major contributions of breaches. Almost half the gloves fail within a year of their install date. The greatest consequence for over 90% of glovebox glove failures is alpha contamination of protective clothing. Personnel self-monitoring at the gloveboxes continues to be the most effective way of detecting glovebox glove failures. Glove failures from these tasks can be reduced through changes in procedures and the design of remote-handling apparatus. The Nuclear Materials Technology Division management uses this information to improve hazard control systems to reduce the number of unplanned breaches in the glovebox further. As a result, excursions of contaminants

  15. Adopting a new philosophy: minimal invasion.

    PubMed

    Whitehouse, Joseph A

    2006-06-01

    Dentistry is a dynamic profession with new trends evolving. Minimally invasive dentistry is becoming not just a concept but a way of practicing. Creative people are finding ways, materials, and technology that enable patients to experience less hard-tissue or soft-tissue removal, improved prevention and maintenance, and increased attention to a philosophy of "less is more." The World Congress of Minimally Invasive Dentistry was formed to facilitate the sharing of these new concepts. The members embrace change, and dentistry offers the constant opportunity for such. As the standard of care moves toward minimally invasive dentistry, patients will benefit. PMID:16792118

  16. Technology applications for radioactive waste minimization

    SciTech Connect

    Devgun, J.S.

    1994-07-01

    The nuclear power industry has achieved one of the most successful examples of waste minimization. The annual volume of low-level radioactive waste shipped for disposal per reactor has decreased to approximately one-fifth the volume about a decade ago. In addition, the curie content of the total waste shipped for disposal has decreased. This paper will discuss the regulatory drivers and economic factors for waste minimization and describe the application of technologies for achieving waste minimization for low-level radioactive waste with examples from the nuclear power industry.

  17. Minimally Invasive Cardiovascular Surgery: Incisions and Approaches

    PubMed Central

    Langer, Nathaniel B.; Argenziano, Michael

    2016-01-01

    Throughout the modern era of cardiac surgery, most operations have been performed via median sternotomy with cardiopulmonary bypass. This paradigm is changing, however, as cardiovascular surgery is increasingly adopting minimally invasive techniques. Advances in patient evaluation, instrumentation, and operative technique have allowed surgeons to perform a wide variety of complex operations through smaller incisions and, in some cases, without cardiopulmonary bypass. With patients desiring less invasive operations and the literature supporting decreased blood loss, shorter hospital length of stay, improved postoperative pain, and better cosmesis, minimally invasive cardiac surgery should be widely practiced. Here, we review the incisions and approaches currently used in minimally invasive cardiovascular surgery. PMID:27127555

  18. Advantages of High vs. Low Earth Orbit for SIRTF

    NASA Technical Reports Server (NTRS)

    Eisenhardt, Peter; Werner, Michael W.

    1989-01-01

    While the subject of this workshop, which we will refer to as ET (for Enlightenment Telescope), is a dazzling successor to the Hubble Space Telescope, its location is unlikely to be the Low Earth Orbit (LEO) used by HST. Locations suggested for ET include High Earth Orbit (HEO) and the moon. The first space telescope to occupy HEO will be the liquid helium cooled Space Infrared Telescope Facility (SIRTF). The selection of HEO for SIRTF was the outcome of a recent study led by the Ames Research Center which showed significant advantages for SIRTF in HEO vs. LEO. This article summarizes the main results of that study. We begin with a review of SIRTF's rationale and requirements, in part because the IR capabilities and low temperature proposed for ET make it something of a successor to SIRTF as well as to HST. We conclude with some comments about another possible location for both SIRTF and ET, the Earth-Sun L2 Lagrangian point.

  19. Home advantage and referee bias in European football.

    PubMed

    Goumas, Chris

    2014-01-01

    Home advantage is well documented in a wide range of team sports including association football (soccer). Home team crowd support has been shown to be a likely causal factor and its influence on referee decision-making appears to play a significant role. Match data from the 2009/2010 and 2010/2011 seasons of the Union of European Football Associations (UEFA) Champions League and Europa League were used to investigate referee bias in terms of the association between match location (home vs. away) and disciplinary sanctions used by football referees. The adjusted mean number of yellow cards received by home and away teams and the ratios of these means were estimated from Poisson regression models. After controlling for within-match measures of attacking dominance referees in the Champions League and Europa League issued 25% (p<0.001) and 10% (p=0.002) more yellow cards, respectively, to away teams than to home teams. The higher level of home team bias in the Champions League appeared to be mainly due to higher crowd densities. In a combined analysis of both UEFA leagues the magnitude of referee bias increased with increasing crowd density (p<0.001). Crowd size and crowd proximity were not associated with referee bias after controlling for crowd density. These results provide further evidence that crowd support influences referee decisions. Failure to control for within-match team performance may over-estimate the extent of referee bias in terms of the number of disciplinary sanctions used.

  20. Advantages and limitations of common testing methods for antioxidants.

    PubMed

    Amorati, R; Valgimigli, L

    2015-05-01

    Owing to the importance of antioxidants in the protection of both natural and man-made materials, a large variety of testing methods have been proposed and applied. These include methods based on inhibited autoxidation studies, which are better followed by monitoring the kinetics of oxygen consumption or of the formation of hydroperoxides, the primary oxidation products. Analytical determination of secondary oxidation products (e.g. carbonyl compounds) has also been used. The majority of testing methods, however, do not involve substrate autoxidation. They are based on the competitive bleaching of a probe (e.g. ORAC assay, β-carotene, crocin bleaching assays, and luminol assay), on reaction with a different probe (e.g. spin-trapping and TOSC assay), or they are indirect methods based on the reduction of persistent radicals (e.g. galvinoxyl, DPPH and TEAC assays), or of inorganic oxidizing species (e.g. FRAP, CUPRAC and Folin-Ciocalteu assays). Yet other methods are specific for preventive antioxidants. The relevance, advantages, and limitations of these methods are critically discussed, with respect to their chemistry and the mechanisms of antioxidant activity. A variety of cell-based assays have also been proposed, to investigate the biological activity of antioxidants. Their importance and critical aspects are discussed, along with arguments for the selection of the appropriate testing methods according to the different needs.

  1. Preclinical modeling of hematopoietic stem cell transplantation - advantages and limitations.

    PubMed

    Stolfi, Jessica L; Pai, Chien-Chun S; Murphy, William J

    2016-05-01

    Hematopoietic stem cell transplantation, which was first successfully performed in the 1950s, remains a critical therapeutic modality for treatment of a diverse array of diseases, including a multitude of hematological malignancies, autoimmune disorders, amyloidosis and inherited genetic hematological disorders. Although great advances have been made in understanding and application of this therapy, significant complications still exist, warranting further investigation. Of critical importance, graft-versus-host disease (GVHD), in both acute and chronic forms, remains a major complication of hematopoietic stem cell transplantation, responsible for both the development of chronic illness and morbidity, as well as mortality. Use of an appropriate preclinical model may provide significant insight into the mechanistic pathways leading to the development and progression of graft-versus-host disease, as well as cancer in general. However, existing preclinical modeling systems exhibit significant limitations, and development of models that recapitulate the complex and comprehensive clinical scenario and provide a tool by which therapeutic intervention may be developed and assessed is of utmost importance. Here, we review the present status of the field of graft-versus-host disease research. We discuss and summarize the preclinical models currently in use, as well as their advantages and limitations.

  2. The Star Rating System and Medicare Advantage Plans.

    PubMed

    Sprague, Lisa

    2015-05-01

    With nearly 30 percent of Medicare beneficiaries opting to enroll in Medicare Advantage (MA) plans instead of fee-for-service Medicare, it's safe to say the MA program is quite popular. The Centers for Medicare & Medicaid Services (CMS) administers a Star Ratings program for MA plans, which offers measures of quality and service among the plans that are used not only to help beneficiaries choose plans but also to award additional payments to plans that meet high standards. These additional payments, in turn, are used by plans to provide additional benefits to beneficiaries or to reduce cost sharing--added features that are likely to factor into beneficiaries' choice of MA plans. The Star Ratings program is also meant to drive improvements in the quality of plans, and this secondary effort seems to have been successful. Despite this success, issues with the Star Ratings system remain, including: how performance metrics are developed, chosen, and maintained; how differences among beneficiary populations (particularly with regard to the dually eligible and those receiving low-income subsidies) should be recognized; and the extent to which health plans can control the variables on which they are being measured. Because the Star Ratings approach has been extended to providers of health care as well--hospitals, nursing homes, and dialysis facilities--these issues are worth exploring as CMS fine-tunes its methods of measurement. PMID:26072530

  3. Unexpected advantages of a temporary fluid-loss control pill

    SciTech Connect

    Hardy, M.

    1996-09-01

    Economics often dictate research; however, serendipity can benefit the results of research and simultaneously soften the rigidity of economic demands. Such as the case with a recently developed fluid-loss control pill. Economic reasons compelled researchers to find a replacement for an existing field product, the characteristics of which had to be duplicated. Initially, researchers sought to develop a pill that blocked fluid flow into and out of the wellbore and was mixable in brines from 8.35 to 19 lb/gal. The degradation of the replacement crosslinkable hydroxyethyl cellulose fluid (RXHEC) involves uncrosslinking and unzipping of backbone, which simplifies the disposal of returns. In addition to being environmentally acceptable, RXHEC is capable of breaking with weak acids, allowing the use of external breakers in acid-sensitive wells. Additional advantages include the ease with which tubulars can pass through the RXHEC pill and leave it in place, making a remedial pill unnecessary. The RXHEC uses a liquid gel concentrate (LGC) system and is stable beyond 125 C.

  4. Advantages of time reversal acoustic focusing system in biomedical applications

    NASA Astrophysics Data System (ADS)

    Sutin, Alexander; Sarvazyan, Armen

    2005-09-01

    The development and biomedical applications of time reversal acoustics (TRA) systems for focusing and manipulating ultrasound beams are reviewed. The TRA focusing system (TRA FS) is capable to deliver ultrasound energy to the chosen region in highly inhomogeneous medium (including soft tissues and bones) with focusing efficacy hardly achievable using conventional phased array transmitters. TRA FS is able to focus and stir ultrasound beams in a 3-D volume using just a few piezoceramic transducers glued to the facets an aluminum block. Another advantage of TRA FS is its ability to produce pulses with arbitrary waveforms in a wide frequency band. A custom-designed compact multichannel TRA system operating in a wide frequency range from 0.01 to 10 MHz has been developed. Measurements of TRA field structure were conducted in a large variety of inhomogeneous tissue phantoms and ex vivo bones and soft tissues. Principles of TRA focusing optimization based on acoustical properties of the resonator material, parameters of the sonicated medium, and the coupling of the TRA resonator with the medium were developed and applied in the tested TRA systems. [Work was supported by NIH.

  5. The Star Rating System and Medicare Advantage Plans.

    PubMed

    Sprague, Lisa

    2015-05-01

    With nearly 30 percent of Medicare beneficiaries opting to enroll in Medicare Advantage (MA) plans instead of fee-for-service Medicare, it's safe to say the MA program is quite popular. The Centers for Medicare & Medicaid Services (CMS) administers a Star Ratings program for MA plans, which offers measures of quality and service among the plans that are used not only to help beneficiaries choose plans but also to award additional payments to plans that meet high standards. These additional payments, in turn, are used by plans to provide additional benefits to beneficiaries or to reduce cost sharing--added features that are likely to factor into beneficiaries' choice of MA plans. The Star Ratings program is also meant to drive improvements in the quality of plans, and this secondary effort seems to have been successful. Despite this success, issues with the Star Ratings system remain, including: how performance metrics are developed, chosen, and maintained; how differences among beneficiary populations (particularly with regard to the dually eligible and those receiving low-income subsidies) should be recognized; and the extent to which health plans can control the variables on which they are being measured. Because the Star Ratings approach has been extended to providers of health care as well--hospitals, nursing homes, and dialysis facilities--these issues are worth exploring as CMS fine-tunes its methods of measurement.

  6. Medicare Advantage update: benefits, enrollment, and payments after the ACA.

    PubMed

    Linehan, Kathryn

    2013-07-19

    In 2012, the Medicare program paid private health plans $136 billion to cover about 13 million beneficiaries who received Part A and B benefits through the Medicare Advantage (MA) program rather than traditional fee-for-service (FFS) Medicare. Private plans have been a part of the program since the 1970s. Debate about the policy goals--Should they cost less per beneficiary than FFS Medicare? Should they be available to all beneficiaries? Should they be able to offer additional benefits?--has long accompanied Medicare's private plan option.This debate is reflected in the history of Medicare payment policy,and policy decisions over the years have affected plans' willingness to participate and beneficiaries' enrollment at different periods of the program. Recently, evidence that the Medicare program was paying more per beneficiary in MA relative to what would have been spent under FFS Medicare prompted policymakers to reduce MA payments in the Patient Protection and Affordable Care Act of 2010 (ACA). So far, plans continue to participate in MA and enrollment continues to grow, but payment reductions in 2012 through 2014 have been partially offset by payments made to plans through the quality bonus payment demonstration.This brief contains recent data on plan enrollment, availability, and benefits and discusses MA plan payment policy, including changes to MA payment made in the ACA and their actual and projected effects.

  7. Selenium utilization in thioredoxin and catalytic advantage provided by selenocysteine

    PubMed Central

    Kim, Moon-Jung; Lee, Byung Cheon; Hwang, Kwang Yeon; Gladyshev, Vadim N.; Kim, Hwa-Young

    2016-01-01

    Thioredoxin (Trx) is a major thiol-disulfide reductase that plays a role in many biological processes, including DNA replication and redox signaling. Although selenocysteine (Sec)-containing Trxs have been identified in certain bacteria, their enzymatic properties have not been characterized. In this study, we expressed a selenoprotein Trx from Treponema denticola, an oral spirochete, in Escherichia coli and characterized this selenoenzyme and its natural cysteine (Cys) homologue using E. coli Trx1 as a positive control. 75Se metabolic labeling and mutation analyses showed that the SECIS (Sec insertion sequence) of T. denticola selenoprotein Trx is functional in the E. coli Sec insertion system with specific selenium incorporation into the Sec residue. The selenoprotein Trx exhibited approximately 10-fold higher catalytic activity than the Sec-to-Cys version and natural Cys homologue and E. coli Trx1, suggesting that Sec confers higher catalytic activity on this thiol-disulfide reductase. Kinetic analysis also showed that the selenoprotein Trx had a 10-fold higher Km than Cys-containing homologues, suggesting that this selenoenzyme is adapted to work efficiently with high concentrations of substrate. Collectively, the results of this study support the hypothesis that selenium utilization in oxidoreductase systems is primarily due to the catalytic advantage provided by the rare amino acid, Sec. PMID:25912135

  8. Forty-five-degree two-stage venous cannula: advantages over standard two-stage venous cannulation.

    PubMed

    Lawrence, D R; Desai, J B

    1997-01-01

    We present a 45-degree two-stage venous cannula that confers advantage to the surgeon using cardiopulmonary bypass. This cannula exits the mediastinum under the transverse bar of the sternal retractor, leaving the rostral end of the sternal incision free of apparatus. It allows for lifting of the heart with minimal effect on venous return and does not interfere with the radially laid out sutures of an aortic valve replacement using an interrupted suture technique.

  9. Home advantage in southern hemisphere rugby union: national and international.

    PubMed

    Morton R, Hugh

    2006-05-01

    This study evaluates home advantages both for national (Super 12) and international (Tri-nations) rugby union teams from South Africa, Australia and New Zealand, over the five-year period 2000 - 2004 using linear modelling. These home advantages are examined for statistical and practical significance, for variability between teams, for stability over time and for inter-correlation. These data reveal that the overall home advantage in elite rugby union has a mean of +6.7 points, and that this changes little from year to year. Closer scrutiny nevertheless reveals a high degree of variability. Different teams can and do have different home advantages, which ranges from a low of -0.7 to a high of +28.3 points in any one year. Furthermore, some team home advantages change up or down from one year to the next, by as much as -36.5 to +31.4 points at the extremes. There is no evidence that the stronger teams have the higher home advantages, or that a high home advantage leads to a superior finishing position in the competition.

  10. Academic Achievement and Minimal Brain Dysfunction

    ERIC Educational Resources Information Center

    Edwards, R. Philip; And Others

    1971-01-01

    The investigation provided no evidence that a diagnosis of minimal brain dysfunction based on a pediatric neurological evaluation and/or visual-motor impairment as measured by the Bender-Gestalt, is a useful predictor of academic achievement. (Author)

  11. Minimally Invasive Treatments for Breast Cancer

    MedlinePlus

    ... SIR login) Interventional Radiology Minimally Invasive Treatments for Breast Cancer Interventional Radiology Treatments Offer New Options and Hope ... have in the fight against breast cancer. About Breast Cancer When breast tissue divides and grows at an ...

  12. Waste minimization and pollution prevention awareness plan

    SciTech Connect

    Not Available

    1991-05-31

    The purpose of this plan is to document the Lawrence Livermore National Laboratory (LLNL) Waste Minimization and Pollution Prevention Awareness Program. The plan specifies those activities and methods that are or will be employed to reduce the quantity and toxicity of wastes generated at the site. The intent of this plan is to respond to and comply with (DOE's) policy and guidelines concerning the need for pollution prevention. The Plan is composed of a LLNL Waste Minimization and Pollution Prevention Awareness Program Plan and, as attachments, Program- and Department-specific waste minimization plans. This format reflects the fact that waste minimization is considered a line management responsibility and is to be addressed by each of the Programs and Departments. 14 refs.

  13. Genetic algorithms for minimal source reconstructions

    SciTech Connect

    Lewis, P.S.; Mosher, J.C.

    1993-12-01

    Under-determined linear inverse problems arise in applications in which signals must be estimated from insufficient data. In these problems the number of potentially active sources is greater than the number of observations. In many situations, it is desirable to find a minimal source solution. This can be accomplished by minimizing a cost function that accounts from both the compatibility of the solution with the observations and for its ``sparseness``. Minimizing functions of this form can be a difficult optimization problem. Genetic algorithms are a relatively new and robust approach to the solution of difficult optimization problems, providing a global framework that is not dependent on local continuity or on explicit starting values. In this paper, the authors describe the use of genetic algorithms to find minimal source solutions, using as an example a simulation inspired by the reconstruction of neural currents in the human brain from magnetoencephalographic (MEG) measurements.

  14. Controlling molecular transport in minimal emulsions

    PubMed Central

    Gruner, Philipp; Riechers, Birte; Semin, Benoît; Lim, Jiseok; Johnston, Abigail; Short, Kathleen; Baret, Jean-Christophe

    2016-01-01

    Emulsions are metastable dispersions in which molecular transport is a major mechanism driving the system towards its state of minimal energy. Determining the underlying mechanisms of molecular transport between droplets is challenging due to the complexity of a typical emulsion system. Here we introduce the concept of ‘minimal emulsions', which are controlled emulsions produced using microfluidic tools, simplifying an emulsion down to its minimal set of relevant parameters. We use these minimal emulsions to unravel the fundamentals of transport of small organic molecules in water-in-fluorinated-oil emulsions, a system of great interest for biotechnological applications. Our results are of practical relevance to guarantee a sustainable compartmentalization of compounds in droplet microreactors and to design new strategies for the dynamic control of droplet compositions. PMID:26797564

  15. Heart bypass surgery - minimally invasive - discharge

    MedlinePlus

    ... coronary artery bypass - discharge; RACAB - discharge; Keyhole heart surgery - discharge ... You had minimally invasive coronary artery bypass surgery on one ... an artery from your chest to create a detour, or bypass, around ...

  16. Controlling molecular transport in minimal emulsions

    NASA Astrophysics Data System (ADS)

    Gruner, Philipp; Riechers, Birte; Semin, Benoît; Lim, Jiseok; Johnston, Abigail; Short, Kathleen; Baret, Jean-Christophe

    2016-01-01

    Emulsions are metastable dispersions in which molecular transport is a major mechanism driving the system towards its state of minimal energy. Determining the underlying mechanisms of molecular transport between droplets is challenging due to the complexity of a typical emulsion system. Here we introduce the concept of `minimal emulsions', which are controlled emulsions produced using microfluidic tools, simplifying an emulsion down to its minimal set of relevant parameters. We use these minimal emulsions to unravel the fundamentals of transport of small organic molecules in water-in-fluorinated-oil emulsions, a system of great interest for biotechnological applications. Our results are of practical relevance to guarantee a sustainable compartmentalization of compounds in droplet microreactors and to design new strategies for the dynamic control of droplet compositions.

  17. Analysis of lipid flow on minimal surfaces

    NASA Astrophysics Data System (ADS)

    Bahmani, Fatemeh; Christenson, Joel; Rangamani, Padmini

    2016-03-01

    Interaction between the bilayer shape and surface flow is important for capturing the flow of lipids in many biological membranes. Recent microscopy evidence has shown that minimal surfaces (planes, catenoids, and helicoids) occur often in cellular membranes. In this study, we explore lipid flow in these geometries using a `stream function' formulation for viscoelastic lipid bilayers. Using this formulation, we derive two-dimensional lipid flow equations for the commonly occurring minimal surfaces in lipid bilayers. We show that for three minimal surfaces (planes, catenoids, and helicoids), the surface flow equations satisfy Stokes flow equations. In helicoids and catenoids, we show that the tangential velocity field is a Killing vector field. Thus, our analysis provides fundamental insight into the flow patterns of lipids on intracellular organelle membranes that are characterized by fixed shapes reminiscent of minimal surfaces.

  18. Scrap metal recycling for waste minimization at Rocky Mountain Arsenal

    SciTech Connect

    Rondinella, M.A.; Harris, V.; Anderson, G.

    1994-12-31

    The US Army Rocky Mountain Arsenal is a former munitions and pesticide production, storage and demilitarization facility. Two large manufacturing complexes remain at the facility. All production activities ceased in 1982, and the Arsenal is now a National Priorities List (NPL) site undergoing environmental restoration. The US Army is now removing tanks, piping and equipment from the manufacturing areas. This paper addresses the Army`s use of recycling to minimize wastes that would otherwise be land disposed during these removal operations. The advantages of recycling and the problems and pitfalls will be addressed. This paper will focus primarily on scrap metal from areas that did not produce or store chemical warfare agents. The special case of recycling of containers and equipment associated with chemical warfare agents will also be briefly addressed.

  19. Minimal anomalous U(1){sup '} extension of the MSSM

    SciTech Connect

    Anastasopoulos, Pascal; Fucito, Francesco; Lionetto, Andrea; Pradisi, Gianfranco; Racioppi, Antonio; Stanev, Yassen S.

    2008-10-15

    We study an extension of the minimal supersymmetric standard model by an anomalous Abelian vector multiplet and a Stueckelberg multiplet. The anomalies are cancelled by the Green-Schwarz mechanism and the addition of Chern-Simons terms. The advantage of this choice over the standard one is that it allows for arbitrary values of the quantum numbers of the extra U(1). As a first step toward the study of hadron annihilations producing four leptons in the final state (a clean signal which might be studied at LHC), we then compute the decays Z{sup '}{yields}Z{sub 0}{gamma} and Z{sup '}{yields}Z{sub 0}Z{sub 0}. We find that the largest values of the decay rate are {approx}10{sup -4} GeV, while the expected number of events per year at LHC is at most of the order of 10.

  20. The environmental cost of subsistence: Optimizing diets to minimize footprints.

    PubMed

    Gephart, Jessica A; Davis, Kyle F; Emery, Kyle A; Leach, Allison M; Galloway, James N; Pace, Michael L

    2016-05-15

    The question of how to minimize monetary cost while meeting basic nutrient requirements (a subsistence diet) was posed by George Stigler in 1945. The problem, known as Stigler's diet problem, was famously solved using the simplex algorithm. Today, we are not only concerned with the monetary cost of food, but also the environmental cost. Efforts to quantify environmental impacts led to the development of footprint (FP) indicators. The environmental footprints of food production span multiple dimensions, including greenhouse gas emissions (carbon footprint), nitrogen release (nitrogen footprint), water use (blue and green water footprint) and land use (land footprint), and a diet minimizing one of these impacts could result in higher impacts in another dimension. In this study based on nutritional and population data for the United States, we identify diets that minimize each of these four footprints subject to nutrient constraints. We then calculate tradeoffs by taking the composition of each footprint's minimum diet and calculating the other three footprints. We find that diets for the minimized footprints tend to be similar for the four footprints, suggesting there are generally synergies, rather than tradeoffs, among low footprint diets. Plant-based food and seafood (fish and other aquatic foods) commonly appear in minimized diets and tend to most efficiently supply macronutrients and micronutrients, respectively. Livestock products rarely appear in minimized diets, suggesting these foods tend to be less efficient from an environmental perspective, even when nutrient content is considered. The results' emphasis on seafood is complicated by the environmental impacts of aquaculture versus capture fisheries, increasing in aquaculture, and shifting compositions of aquaculture feeds. While this analysis does not make specific diet recommendations, our approach demonstrates potential environmental synergies of plant- and seafood-based diets. As a result, this study

  1. The environmental cost of subsistence: Optimizing diets to minimize footprints.

    PubMed

    Gephart, Jessica A; Davis, Kyle F; Emery, Kyle A; Leach, Allison M; Galloway, James N; Pace, Michael L

    2016-05-15

    The question of how to minimize monetary cost while meeting basic nutrient requirements (a subsistence diet) was posed by George Stigler in 1945. The problem, known as Stigler's diet problem, was famously solved using the simplex algorithm. Today, we are not only concerned with the monetary cost of food, but also the environmental cost. Efforts to quantify environmental impacts led to the development of footprint (FP) indicators. The environmental footprints of food production span multiple dimensions, including greenhouse gas emissions (carbon footprint), nitrogen release (nitrogen footprint), water use (blue and green water footprint) and land use (land footprint), and a diet minimizing one of these impacts could result in higher impacts in another dimension. In this study based on nutritional and population data for the United States, we identify diets that minimize each of these four footprints subject to nutrient constraints. We then calculate tradeoffs by taking the composition of each footprint's minimum diet and calculating the other three footprints. We find that diets for the minimized footprints tend to be similar for the four footprints, suggesting there are generally synergies, rather than tradeoffs, among low footprint diets. Plant-based food and seafood (fish and other aquatic foods) commonly appear in minimized diets and tend to most efficiently supply macronutrients and micronutrients, respectively. Livestock products rarely appear in minimized diets, suggesting these foods tend to be less efficient from an environmental perspective, even when nutrient content is considered. The results' emphasis on seafood is complicated by the environmental impacts of aquaculture versus capture fisheries, increasing in aquaculture, and shifting compositions of aquaculture feeds. While this analysis does not make specific diet recommendations, our approach demonstrates potential environmental synergies of plant- and seafood-based diets. As a result, this study

  2. Minimally Invasive Forefoot Surgery in France.

    PubMed

    Meusnier, Tristan; Mukish, Prikesht

    2016-06-01

    Study groups have been formed in France to advance the use of minimally invasive surgery. These techniques are becoming more frequently used and the technique nuances are continuing to evolve. The objective of this article was to advance the awareness of the current trends in minimally invasive surgery for common diseases of the forefoot. The percutaneous surgery at the forefoot is less developed at this time, but also will be discussed.

  3. Current research in sonic-boom minimization

    NASA Technical Reports Server (NTRS)

    Darden, C. M.; Mack, R. J.

    1976-01-01

    A review is given of several questions as yet unanswered in the area of sonic-boom research. Efforts, both here at Langley and elsewhere, in the area of minimization, human response, design techniques and in developing higher order propagation methods are discussed. In addition, a wind-tunnel test program being conducted to assess the validity of minimization methods based on a forward spike in the F-function is described.

  4. Minimally invasive treatment of infected pancreatic necrosis

    PubMed Central

    Cebulski, Włodzimierz; Słodkowski, Maciej; Krasnodębski, Ireneusz W.

    2014-01-01

    Infected pancreatic necrosis is a challenging complication that worsens prognosis in acute pancreatitis. For years, open necrosectomy has been the mainstay treatment option in infected pancreatic necrosis, although surgical debridement still results in high morbidity and mortality rates. Recently, many reports on minimally invasive treatment in infected pancreatic necrosis have been published. This paper presents a review of minimally invasive techniques and attempts to define their role in the management of infected pancreatic necrosis. PMID:25653725

  5. Aortic Valve Surgery: Minimally Invasive Options

    PubMed Central

    Ramlawi, Basel; Bedeir, Kareem; Lamelas, Joseph

    2016-01-01

    Minimally invasive aortic valve surgery has not been adopted by a significant proportion of cardiac surgeons despite proven benefits. This may be related to a high learning curve and technical issues requiring retraining. In this review, we discuss the data for minimally invasive aortic valve surgery and describe our operative technique for both ministernotomy and anterior thoracotomy approaches. We also discuss the advent of novel sutureless valves and how these techniques compare to available transcatheter aortic valve procedures. PMID:27127559

  6. Minimally Invasive Osteotomies of the Calcaneus.

    PubMed

    Guyton, Gregory P

    2016-09-01

    Osteotomies of the calcaneus are powerful surgical tools, representing a critical component of the surgical reconstruction of pes planus and pes cavus deformity. Modern minimally invasive calcaneal osteotomies can be performed safely with a burr through a lateral incision. Although greater kerf is generated with the burr, the effect is modest, can be minimized, and is compatible with many fixation techniques. A hinged jig renders the procedure more reproducible and accessible.

  7. Future of Minimally Invasive Colorectal Surgery.

    PubMed

    Whealon, Matthew; Vinci, Alessio; Pigazzi, Alessio

    2016-09-01

    Minimally invasive surgery is slowly taking over as the preferred operative approach for colorectal diseases. However, many of the procedures remain technically difficult. This article will give an overview of the state of minimally invasive surgery and the many advances that have been made over the last two decades. Specifically, we discuss the introduction of the robotic platform and some of its benefits and limitations. We also describe some newer techniques related to robotics. PMID:27582647

  8. Advantageous use of slush and gelled slush in space vehicles

    NASA Technical Reports Server (NTRS)

    Adamson, J. Z.

    1971-01-01

    The advantages of combining both slush and gel have been recognized. These advantages are: (1) a reduction in the gelling agent necessary; (2) the achievement of active positioning; and (3) a potential increase in impulse density. The need for extended mission capability as indicated by present mission planning is outlined and the expected schedules are presented. A condensed version of analytical and testing conclusions as related to storage systems and slush is given. The significant results of slush flow testing and its possible influence on vehicle propulsion systems are presented, and the characterization and preparation of gels are discussed in relation to future applications, advantages, and disadvantages.

  9. Is There a Cosmetic Advantage to Single-Incision Laparoscopic Surgical Techniques Over Standard Laparoscopic Surgery? A Systematic Review and Meta-analysis.

    PubMed

    Evans, Luke; Manley, Kate

    2016-06-01

    Single-incision laparoscopic surgery represents an evolution of minimally invasive techniques, but has been a controversial development. A cosmetic advantage is stated by many authors, but has not been found to be universally present or even of considerable importance by patients. This systematic review and meta-analysis demonstrates that there is a cosmetic advantage of the technique regardless of the operation type. The treatment effect in terms of cosmetic improvement is of the order of 0.63.

  10. Comparison of home advantage in men's and women's football leagues in Europe.

    PubMed

    Pollard, Richard; Gómez, Miguel A

    2014-01-01

    Most research into home advantage is based on men's sports. This article analyses home advantage in the women's domestic football leagues of Europe and makes a comparison with the corresponding men's football leagues. A total of 47,042 games were included. From 2004 to 2010, home advantage existed in the domestic women's soccer leagues of all 26 European countries analysed, ranging from 51.0% to 58.8% and averaging 54.2%. In every country, this was less than the corresponding men's home advantage which averaged 60.0%. Crowd effects, both on players and referees, and different gender perceptions of territorial protection are plausible reasons for the differences found. Using a regression model that controlled for the competitive balance of each league, as well as for crowd size, the Gender Gap Index, which quantifies the status of women in each country, was a significant predictor of the difference between men's and women's home advantage. As the status of women becomes closer to that of men within a country, the difference in home advantage is less between the men's and women's football leagues.

  11. Economic impact of minimally invasive lumbar surgery

    PubMed Central

    Hofstetter, Christoph P; Hofer, Anna S; Wang, Michael Y

    2015-01-01

    Cost effectiveness has been demonstrated for traditional lumbar discectomy, lumbar laminectomy as well as for instrumented and noninstrumented arthrodesis. While emerging evidence suggests that minimally invasive spine surgery reduces morbidity, duration of hospitalization, and accelerates return to activites of daily living, data regarding cost effectiveness of these novel techniques is limited. The current study analyzes all available data on minimally invasive techniques for lumbar discectomy, decompression, short-segment fusion and deformity surgery. In general, minimally invasive spine procedures appear to hold promise in quicker patient recovery times and earlier return to work. Thus, minimally invasive lumbar spine surgery appears to have the potential to be a cost-effective intervention. Moreover, novel less invasive procedures are less destabilizing and may therefore be utilized in certain indications that traditionally required arthrodesis procedures. However, there is a lack of studies analyzing the economic impact of minimally invasive spine surgery. Future studies are necessary to confirm the durability and further define indications for minimally invasive lumbar spine procedures. PMID:25793159

  12. Multifunction minimization for programmable logic arrays

    SciTech Connect

    Campbell, J.A.

    1984-01-01

    The problem of minimizing two-level AND/OR Boolean algebraic functions of n inputs and m outputs for implementation on programmable logic arrays (PLA) is examined. The theory of multiple-output functions as well as the historically alternative approaches to reckoning the cost of an equation implementation are reviewed. The PLA is shown to be a realization of the least product gate equation cost criterion. The multi-function minimization is dealt with in the context of a directed tree search algorithm developed in previous research. The PLA oriented minimization is shown to alter the nature of each of the basic tenets of multiple-output minimization used in earlier work. The concept of a non-prime but selectable implicant is introduced. A new cost criterion, the quantum cost, is discussed, and an approximation algorithm utilizing this criterion is developed. A timing analysis of a cyclic resolution algorithm for PLA based functions is presented. Lastly, the question of efficiency in automated minimization algorithms is examined. The application of the PLA cost criterion is shown to exhibit intrinsic increases in computational efficiency. A minterm classification algorithm is suggested and a PLA minimization algorithm is implemented in the FORTRAN language.

  13. Own-race and own-species advantages in face perception: a computational view.

    PubMed

    Dahl, Christoph D; Chen, Chien-Chung; Rasch, Malte J

    2014-10-17

    The frequency to which an organism is exposed to a particular type of face influences recognition performance. For example, Asians are better in individuating Asian than Caucasian faces, known as the own-race advantage. Similarly, humans in general are better in individuating human than monkey faces, known as the own-species advantage. It is an open question whether the underlying mechanisms causing these effects are similar. We hypothesize that these processes are governed by neural plasticity of the face discrimination system to retain optimal discrimination performance in its environment. Using common face features derived from a set of images from various face classes, we show that maximizing the feature variance between different individuals while ensuring minimal variance within individuals achieved good discrimination performances on own-class faces when selecting a subset of feature dimensions. Further, the selected subset of features does not necessarily lead to an optimal performance on the other class of faces. Thus, the face discrimination system continuously re-optimizes its space constraint face representation to optimize recognition performance on the current distribution of faces in its environment. This model can account for both, the own-race and own-species advantages. We name this approach Space Constraint Optimized Representational Embedding (SCORE).

  14. Review of ADHD Pharmacotherapies: Advantages, Disadvantages, and Clinical Pearls

    ERIC Educational Resources Information Center

    Daughton, Joan M.; Kratochvil, Christopher J.

    2009-01-01

    The advantages, disadvantages, as well as helpful hints on when to use several drug therapies against attention deficit hyperactivity disorder are discussed. The drugs discussed are methylphenidate, atomoxetine, clonidine, and bupropion.

  15. Cognitive advantage in bilingualism: an example of publication bias?

    PubMed

    de Bruin, Angela; Treccani, Barbara; Della Sala, Sergio

    2015-01-01

    It is a widely held belief that bilinguals have an advantage over monolinguals in executive-control tasks, but is this what all studies actually demonstrate? The idea of a bilingual advantage may result from a publication bias favoring studies with positive results over studies with null or negative effects. To test this hypothesis, we looked at conference abstracts from 1999 to 2012 on the topic of bilingualism and executive control. We then determined which of the studies they reported were subsequently published. Studies with results fully supporting the bilingual-advantage theory were most likely to be published, followed by studies with mixed results. Studies challenging the bilingual advantage were published the least. This discrepancy was not due to differences in sample size, tests used, or statistical power. A test for funnel-plot asymmetry provided further evidence for the existence of a publication bias. PMID:25475825

  16. Cognitive advantage in bilingualism: an example of publication bias?

    PubMed

    de Bruin, Angela; Treccani, Barbara; Della Sala, Sergio

    2015-01-01

    It is a widely held belief that bilinguals have an advantage over monolinguals in executive-control tasks, but is this what all studies actually demonstrate? The idea of a bilingual advantage may result from a publication bias favoring studies with positive results over studies with null or negative effects. To test this hypothesis, we looked at conference abstracts from 1999 to 2012 on the topic of bilingualism and executive control. We then determined which of the studies they reported were subsequently published. Studies with results fully supporting the bilingual-advantage theory were most likely to be published, followed by studies with mixed results. Studies challenging the bilingual advantage were published the least. This discrepancy was not due to differences in sample size, tests used, or statistical power. A test for funnel-plot asymmetry provided further evidence for the existence of a publication bias.

  17. Laparoscopic Transcystic Common Bile Duct Exploration: Advantages over Laparoscopic Choledochotomy

    PubMed Central

    Wang, Kai; Yuan, Rongfa; Xiong, Xiaoli; Wu, Linquan

    2016-01-01

    Purpose The ideal treatment for choledocholithiasis should be simple, readily available, reliable, minimally invasive and cost-effective for patients. We performed this study to compare the benefits and drawbacks of different laparoscopic approaches (transcystic and choledochotomy) for removal of common bile duct stones. Methods A systematic search was implemented for relevant literature using Cochrane, PubMed, Ovid Medline, EMBASE and Wanfang databases. Both the fixed-effects and random-effects models were used to calculate the odds ratio (OR) or the mean difference (MD) with 95% confidence interval (CI) for this study. Results The meta-analysis included 18 trials involving 2,782 patients. There were no statistically significant differences between laparoscopic choledochotomy for common bile duct exploration (LCCBDE) (n = 1,222) and laparoscopic transcystic common bile duct exploration (LTCBDE) (n = 1,560) regarding stone clearance (OR 0.73, 95% CI 0.50–1.07; P = 0.11), conversion to other procedures (OR 0.62, 95% CI 0.21–1.79; P = 0.38), total morbidity (OR 1.65, 95% CI 0.92–2.96; P = 0.09), operative time (MD 12.34, 95% CI −0.10–24.78; P = 0.05), and blood loss (MD 1.95, 95% CI −9.56–13.46; P = 0.74). However, the LTCBDE group showed significantly better results for biliary morbidity (OR 4.25, 95% CI 2.30–7.85; P<0.001), hospital stay (MD 2.52, 95% CI 1.29–3.75; P<0.001), and hospital expenses (MD 0.30, 95% CI 0.23–0.37; P<0.001) than the LCCBDE group. Conclusions LTCBDE is safer than LCCBDE, and is the ideal treatment for common bile duct stones. PMID:27668730

  18. Minimally invasive surgery for live kidney donors: techniques and challenges.

    PubMed

    Brook, Nicholas R; Nicholson, Michael L

    2005-09-01

    Live kidney donation is assuming an increasingly prominent role in kidney transplantation programs. The traditional operative approach has been through an incision in the upper quadrant of the abdomen or in the loin, with the attendant potential postoperative complications associated with a large surgical wound. These problems may act as disincentives to prospective donors. The introduction of laparoscopic donor surgery in 1995 heralded a new era offering reduced post-operative pain and improved cosmetic result. It is hoped that these benefits may counter some disincentives and thereby increase donation rates. Three minimal-access approaches and their advantages and disadvantages are described: classical laparoscopic, hand-assisted laparoscopic, and retroperitoneoscopic surgery. Published reports indicate extensive experience with the first 2 of these approaches and less experience with the latter. All 3 approaches present technical, physiological, and anatomical challenges in the context of retrieving an organ that is fit for transplantation. For minimal-access surgery to be accepted as the procedure of choice for live kidney donors, it must be demonstrated that morbidity is not transferred from donor to recipient when these techniques are used. Some concerns about these procedures are addressed. High-level evidence in the form of randomized controlled trials is generally lacking, but experiences of surgeons and patients suggest that, with appropriate modifications, these techniques are safe for both donors and allografts and also benefit donors' recovery. PMID:16252632

  19. Emerging Techniques in Minimally Invasive Surgery. Pros and Cons.

    PubMed

    Fisichella, P Marco; DeMeester, Steven R; Hungness, Eric; Perretta, Silvana; Soper, Nathaniel J; Rosemurgy, Alexander; Torquati, Alfonso; Sachdeva, Ajit K; Patti, Marco G

    2015-07-01

    New trends have emerged regarding the best minimally invasive access approaches to perform gastrointestinal surgery. However, these newer approaches are seen critically by those who demand a more strict assessment of outcomes and safety. An international panel of expert gathered at the 2014 American College of Surgeons Meeting with the goal of providing an evidence-based understanding of the real value of these approaches in gastrointestinal surgery. The panel has compared the efficacy and safety of most established approaches to gastrointestinal diseases to those of new treatment modalities: peroral esophageal myotomy vs. laparoscopic myotomy for achalasia, transgastric vs. transvaginal approach, and single-incision vs. multi-port access minimally invasive surgery. The panel found that (1) the outcome of these new approaches was not superior to that of established surgical procedures; (2) the new approaches are generally performed in few highly specialized centers; and (3) transgastric and transvaginal approaches might be safe and feasible in very experienced hands, but cost, training, operative time, and tools seem to limit their application for the treatment of common procedures such as cholecystectomy and appendectomy. Because the expected advantages of new approaches have yet to be proven in controlled trials, new approaches should be considered for adoption into practice only after thorough analyses of their efficacy and effectiveness and appropriate training.

  20. Mitral Valve Surgery: Current Minimally Invasive and Transcatheter Options

    PubMed Central

    Ramlawi, Basel; Gammie, James S.

    2016-01-01

    The mitral valve is a highly complex structure, the competency and function of which relies on the harmonious action of its component parts. Minimally invasive cardiac surgery (MICS) for mitral valve repair or replacement (MVR/r) has been performed successfully with incremental improvements in techniques over the past decade. These minimally invasive procedures, while attractive to patients and referring physicians, should meet the same high bar for optimal clinical outcomes and long-term durability of valve repair as traditional sternotomy procedures. The majority of MICS MVR/r procedures are performed via a right minithoracotomy approach with direct or camera-assisted visualization, with a minority of centers performing robotic MVR/r. Outcomes with MICS MVR/r have been shown to have similar morbidity and mortality rates as traditional sternotomy MV procedures but with the advantage of reduced transfusions, postoperative atrial fibrillation, and time to recovery. More recently, transcatheter mitral valve repair and replacement (TMVR/r) has become a reality. Percutaneous MV repair technology is currently FDA approved for patients with nonsurgical high-risk degenerative mitral regurgitation. Other TMVR/r technology is at various levels of preclinical and clinical investigation, although these devices are proving to be more challenging compared to transcatheter aortic valve replacement (TAVR) due to the significantly more complex mitral anatomy and the greater heterogeneity of mitral disease requiring treatment. In this article, we review current techniques for MICS MVR/r and upcoming catheter-based therapies for the mitral valve. PMID:27127558

  1. Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays.

    PubMed

    Baker, Laurence C; Bundorf, M Kate; Devlin, Aileen M; Kessler, Daniel P

    2016-08-01

    There is ongoing debate about how prices paid to providers by Medicare Advantage plans compare to prices paid by fee-for-service Medicare. We used data from Medicare and the Health Care Cost Institute to identify the prices paid for hospital services by fee-for-service (FFS) Medicare, Medicare Advantage plans, and commercial insurers in 2009 and 2012. We calculated the average price per admission, and its trend over time, in each of the three types of insurance for fixed baskets of hospital admissions across metropolitan areas. After accounting for differences in hospital networks, geographic areas, and case-mix between Medicare Advantage and FFS Medicare, we found that Medicare Advantage plans paid 5.6 percent less for hospital services than FFS Medicare did. Without taking into account the narrower networks of Medicare Advantage, the program paid 8.0 percent less than FFS Medicare. We also found that the rates paid by commercial plans were much higher than those of either Medicare Advantage or FFS Medicare, and growing. At least some of this difference comes from the much higher prices that commercial plans pay for profitable service lines.

  2. HOW MUCH FAVORABLE SELECTION IS LEFT IN MEDICARE ADVANTAGE?

    PubMed Central

    PRICE, MARY; MCWILLIAMS, J. MICHAEL; HSU, JOHN; MCGUIRE, THOMAS G.

    2015-01-01

    The health economics literature contains two models of selection, one with endogenous plan characteristics to attract good risks and one with fixed plan characteristics; neither model contains a regulator. Medicare Advantage, a principal example of selection in the literature, is, however, subject to anti-selection regulations. Because selection causes economic inefficiency and because the historically favorable selection into Medicare Advantage plans increased government cost, the effectiveness of the anti-selection regulations is an important policy question, especially since the Medicare Advantage program has grown to comprise 30 percent of Medicare beneficiaries. Moreover, similar anti-selection regulations are being used in health insurance exchanges for those under 65. Contrary to earlier work, we show that the strengthened anti-selection regulations that Medicare introduced starting in 2004 markedly reduced government overpayment attributable to favorable selection in Medicare Advantage. At least some of the remaining selection is plausibly related to fixed plan characteristics of Traditional Medicare versus Medicare Advantage rather than changed selection strategies by Medicare Advantage plans. PMID:26389127

  3. Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays.

    PubMed

    Baker, Laurence C; Bundorf, M Kate; Devlin, Aileen M; Kessler, Daniel P

    2016-08-01

    There is ongoing debate about how prices paid to providers by Medicare Advantage plans compare to prices paid by fee-for-service Medicare. We used data from Medicare and the Health Care Cost Institute to identify the prices paid for hospital services by fee-for-service (FFS) Medicare, Medicare Advantage plans, and commercial insurers in 2009 and 2012. We calculated the average price per admission, and its trend over time, in each of the three types of insurance for fixed baskets of hospital admissions across metropolitan areas. After accounting for differences in hospital networks, geographic areas, and case-mix between Medicare Advantage and FFS Medicare, we found that Medicare Advantage plans paid 5.6 percent less for hospital services than FFS Medicare did. Without taking into account the narrower networks of Medicare Advantage, the program paid 8.0 percent less than FFS Medicare. We also found that the rates paid by commercial plans were much higher than those of either Medicare Advantage or FFS Medicare, and growing. At least some of this difference comes from the much higher prices that commercial plans pay for profitable service lines. PMID:27503970

  4. An H-infinity norm minimization approach

    NASA Astrophysics Data System (ADS)

    Muse, Jonathan A.

    This dissertation seeks to merge the ideas from robust control theory such as Hinfinity control design and the Small Gain Theorem, L stability theory and Lyapunov stability from nonlinear control, and recent theoretical achievements in adaptive control. The fusion of frequency domain and linear time domain ideas allows the derivation of an H infinity Norm Minimization Approach (H infinity-NMA) for adaptive control architecture that permits a control designer to simplify the adaptive tuning process and tune the uncertainty compensation characteristics via linear control design techniques, band limit the adaptive control signal, efficiently handle redundant actuators, and handle unmatched uncertainty and matched uncertainty in a single design framework. The two stage design framework is similar to that used in robust control, but without sacrificing performance. The first stage of the design considers an ideal system with the system uncertainty completely known. For this system, a control law is designed using linear Hinfinity theory. Then in the second stage, an adaptive process is implemented that emulates the behavior of the ideal system. If the linear Hinfinity design is applied to control the emulated system, it then guarantees closed loop system stability of the actual system. All of this is accomplished while providing notions of transient performance bounds between the ideal system and the true system. Extensions to the theory include architectures for a class of output feedback systems, limiting the authority of an adaptive control system, and a method for improving the performance of an adaptive system with slow dynamics without any modification terms. Applications focus on using aerodynamic flow control for aircraft flight control and the Crew Launch Vehicle.

  5. [Minimally invasive approach in the pleural fluids].

    PubMed

    Sen, Serdar; Sentürk, Ekrem; Pabuşcu, Engin; Cokpinar, Salih; Yaman, Ertan

    2010-01-01

    The excess production or depleted absorbtion of pleural fluid is the major mechanism of pleural effusion formation. Primary lung pathologies or pathologies that originated from the other organs can be cause of pleural effusion. The search for suitable, practical and ideal treatment is continued at the present day. We have reviewed 94 patients with pleural effusion that have been treated by 10F catheter with local anesthesia in 2007-2008. The patient with dispenea, massive effusion or reoccurrent pleural effusion have been administrated pleural catheter through 7th or 8th intercostal interspace with local anesthesia. The mean age of patients (58 male, 36 female) was 57.2 (26-94). The most common etiologic causes were primary broncho carcinoma (34 cases 36.1%), cardiac failure (11 cases 11.1%) and empyema (eight cases 9.5%). Fifty three (56.3%) have been administrated pleurodesis because of treatment failure or reoccurrence. In 19 of these cases (20.2%), pleurodesis was successful. Pleurodesis agent was talc or tetracycline according to patients pain threshold. The treatment methods of pleural effusion include thoracentesis, thoracoscopy, tube thoracostomy and catheters with permanent tunnel. The simple and small-diameter catheters are administrated easily with minimal morbidity and no mortality. It's not only used in malign effusion but also used in benign effusion. Finally, simple catheter can be first treatment choice in short-term therapy and alternative choice in long-term therapy because of it's administrating facility, effectiveness in pleurodesis and cost-effectiveness. PMID:20517732

  6. Comparison of the home advantage in nine different professional team sports in Spain.

    PubMed

    Gómez, Miguel A; Pollard, Richard; Luis-Pascual, Juan-Carlos

    2011-08-01

    Home advantage is a well-established phenomenon in many sports. The present study is unique in that it includes different sports analysed in the same country, at the same level of competition, and over the same time period. Nine team sports from Spain were included: baseball, basketball, handball, indoor soccer, roller hockey, rugby, soccer, volleyball, and water polo. Data for five seasons (2005-2006 to 2009-2010) were obtained, totaling 9,472 games. The results confirmed the existence of home advantage in all nine sports. There was a statistically significant difference between the sports; home advantage was highest in rugby (67.0%), and lowest in volleyball (55.7%), water polo (56.2%), and roller hockey (58.3%). The design of the study controlled for some of the likely causes of home advantage, and the results suggested that the high home advantage for rugby was likely a reflection of the continuous, aggressive, and intense nature of the sport. PMID:21987916

  7. Comparison of the home advantage in nine different professional team sports in Spain.

    PubMed

    Gómez, Miguel A; Pollard, Richard; Luis-Pascual, Juan-Carlos

    2011-08-01

    Home advantage is a well-established phenomenon in many sports. The present study is unique in that it includes different sports analysed in the same country, at the same level of competition, and over the same time period. Nine team sports from Spain were included: baseball, basketball, handball, indoor soccer, roller hockey, rugby, soccer, volleyball, and water polo. Data for five seasons (2005-2006 to 2009-2010) were obtained, totaling 9,472 games. The results confirmed the existence of home advantage in all nine sports. There was a statistically significant difference between the sports; home advantage was highest in rugby (67.0%), and lowest in volleyball (55.7%), water polo (56.2%), and roller hockey (58.3%). The design of the study controlled for some of the likely causes of home advantage, and the results suggested that the high home advantage for rugby was likely a reflection of the continuous, aggressive, and intense nature of the sport.

  8. Session: Avoiding, minimizing, and mitigating avian and bat impacts

    SciTech Connect

    Thelander, Carl; Kerlinger, Paul

    2004-09-01

    This session at the Wind Energy and Birds/Bats workshop consisted of two presentations followed by a discussion/question answer period. The session addressed a variety of questions related to avoiding, minimizing, and mitigating the avian and bat impacts of wind power development including: what has been learned from operating turbines and mitigating impacts where they are unavoidable, such as at Altamont Pass WRA, and should there be mitigation measures such as habitat creation or land conservation where impacts occur. Other impact minimization and mitigation approaches discussed included: location and siting evaluations; options for construction and operation of wind facilities; turbine lighting; and the physical alignment/orientation. Titles and authors of the presentations were: 'Bird Fatalities in the Altamont Pass Wind Resource Area: A Case Study, Part II' by Carl Thelander and 'Prevention and Mitigation of Avian Impacts at Wind Power Facilities' by Paul Kerlinger.

  9. Minimal disease activity in Gaucher disease: criteria for definition.

    PubMed

    Di Rocco, Maja; Andria, Generoso; Bembi, Bruno; Carubbi, Francesca; Giona, Fiorina; Giuffrida, Gaetano; Linari, Silvia; Sibilio, Michelina; Spina, Vincenzo; Cappellini, Maria Domenica

    2012-11-01

    Gaucher disease type I is a metabolic disorder caused by a genetic deficiency of lysosomal β-glucocerebrosidase that leads to accumulation of glucocerebroside in macrophages, thus causing damage in different organ systems. Enzyme replacement therapy with imiglucerase improves organ impairment and clinical manifestations, but patients differ in response to treatment. While clinical remission is the most desirable therapeutic outcome, a more realistic goal in patients with high disease burden is reasonably good clinical status despite persistence of residual biochemical or imaging abnormalities. Therefore, the concept of minimal disease activity--used in certain haematological or rheumatologic conditions--needs to be introduced in Gaucher disease, with a level of disease activity that patients and physicians consider a useful treatment target. In this paper, we propose specific parameters and criteria for defining minimal disease activity in Gaucher disease and its stability over time, based on three major systemic domains typically involved: haematological, visceral, and skeletal. Biomarker parameters were not included as criteria, because currently they do not adequately reflect disease evolution in individual patients. Neurological and respiratory domains were also excluded, as their involvement per se indicates severe disease unlikely to respond to enzyme replacement therapy and achieve minimal disease status. Our goal in defining minimal disease activity and stability is to identify a tool to facilitate treatment decisions in clinical practice. PMID:22954583

  10. Improved Tet-responsive promoters with minimized background expression

    PubMed Central

    2010-01-01

    Background The performance of the tetracycline controlled transcriptional activation system (Tet system) depends critically on the choice of minimal promoters. They are indispensable to warrant low expression levels with the system turned "off". On the other hand, they must support high level of gene expression in the "on"-state. Results In this study, we systematically modified the widely used Cytomegalovirus (CMV) minimal promoter to further minimize background expression, resulting in an improved dynamic expression range. Using both plasmid-based and retroviral gene delivery, our analysis revealed that especially background expression levels could be significantly reduced when compared to previously established "standard" promoter designs. Our results also demonstrate the possibility to fine-tune expression levels in non-clonal cell populations. They also imply differences regarding the requirements for tight regulation and high level induction between transient and stable gene transfer systems. Conclusions Until now, our understanding of mammalian transcriptional regulation including promoter architecture is limited. Nevertheless, the partly empirical modification of cis-elements as shown in this study can lead to the specific improvement of the performance of minimal promoters. The novel composite Ptet promoters introduced here will further expand the utility of the Tet system. PMID:21106052

  11. Minimizing sludge handling and energy requirements for AWT

    SciTech Connect

    Turnipseed, G.B.; Rivinus, R.P.; Brown, J.

    1980-02-01

    Upgrading of local stream use classification has required Cobb County, Georgia, which includes much of northwestern metropolitan Atlanta, to provide nitrification, phosphorus removal, and effluent filtration at the new 30-ML/d Noonday Creek Water Pollution Control Plant. The design study at the Noonday Plant is described, and means by which energy requirements are being minimized are discussed. Use of anaerobically produced methane will be maximized to enable the plant to be self-sufficient during electric utility peak demand periods.

  12. Minimal model for complex dynamics in cellular processes.

    PubMed

    Suguna, C; Chowdhury, K K; Sinha, S

    1999-11-01

    Cellular functions are controlled and coordinated by the complex circuitry of biochemical pathways regulated by genetic and metabolic feedback processes. This paper aims to show, with the help of a minimal model of a regulated biochemical pathway, that the common nonlinearities and control structures present in biomolecular interactions are capable of eliciting a variety of functional dynamics, such as homeostasis, periodic, complex, and chaotic oscillations, including transients, that are observed in various cellular processes.

  13. Contracting with Medicare Advantage plans: a brief for critical access hospital administrators.

    PubMed

    Mason, Michelle; Fraser-Maginn, Roslyn; Mueller, Keith; King, Jennifer; Radford, Andrea; Slifkin, Rebecca; Lenardson, Jennifer; Silver, Lauren; Mueller, Curt

    2005-12-01

    This document summarizes the experience of CAH administrators with contracts offered by Medicare Advantage (MA) plans. Telephone surveys were conducted with CAH administrators across the country to learn about their experiences with MA plans. This brief includes information about the contract terms administrators have been offered, their experiences negotiating with MA plans, and their advice for others dealing with this issue. PMID:16397967

  14. 75 FR 32858 - Medicare Program; Policy and Technical Changes to the Medicare Advantage and the Medicare...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-10

    ...; Policy and Technical Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit... Prescription Drug Benefit Programs'' which appeared in the April 15, 2010 Federal Register (FR Doc. 2010-7966... all covered Part D drugs must be included in Part D formularies (75 FR 19767), we indicated that...

  15. Including Conflict in Creative Writing.

    ERIC Educational Resources Information Center

    Litvin, Martin

    Conflict is the basis of all stories and thus should appear in some form in the first sentence. There are three kinds of conflict: people vs. people; people vs. nature; and people vs. themselves. Conflict must be repeated in all the various elements of the story's structure, including the plot, which is the plan of action telling what happens to…

  16. Family Living, Including Sex Education.

    ERIC Educational Resources Information Center

    Forlano, George

    This volume describes and evaluates 21 selected New York City Board of Education Umbrella Programs for the 1974-1975 school year. The programs include: (1) the parent resource center, (2) the teacher self-help program, (3) the East Harlem pre-kindergarten center, (4) the Brooklyn College volunteer tutoring program, (5) the parent education for…

  17. Belowground advantages in construction cost facilitate a cryptic plant invasion.

    PubMed

    Caplan, Joshua S; Wheaton, Christine N; Mozdzer, Thomas J

    2014-04-30

    The energetic cost of plant organ construction is a functional trait that is useful for understanding carbon investment during growth (e.g. the resource acquisition vs. tissue longevity tradeoff), as well as in response to global change factors like elevated CO2 and N. Despite the enormous importance of roots and rhizomes in acquiring soil resources and responding to global change, construction costs have been studied almost exclusively in leaves. We sought to determine how construction costs of aboveground and belowground organs differed between native and introduced lineages of a geographically widely dispersed wetland plant species (Phragmites australis) under varying levels of CO2 and N. We grew plants under ambient and elevated atmospheric CO2, as well as under two levels of soil nitrogen. We determined construction costs for leaves, stems, rhizomes and roots, as well as for whole plants. Across all treatment conditions, the introduced lineage of Phragmites had a 4.3 % lower mean rhizome construction cost than the native. Whole-plant construction costs were also smaller for the introduced lineage, with the largest difference in sample means (3.3 %) occurring under ambient conditions. In having lower rhizome and plant-scale construction costs, the introduced lineage can recoup its investment in tissue construction more quickly, enabling it to generate additional biomass with the same energetic investment. Our results suggest that introduced Phragmites has had an advantageous tissue investment strategy under historic CO2 and N levels, which has facilitated key rhizome processes, such as clonal spread. We recommend that construction costs for multiple organ types be included in future studies of plant carbon economy, especially those investigating global change.

  18. The advantages of a rolling foot in human walking.

    PubMed

    Adamczyk, Peter G; Collins, Steven H; Kuo, Arthur D

    2006-10-01

    The plantigrade human foot rolls over the ground during each walking step, roughly analogous to a wheel. The center of pressure progresses on the ground like a wheel of radius 0.3 L (leg length). We examined the effect of varying foot curvature on the mechanics and energetics of walking. We controlled curvature by attaching rigid arc shapes of various radii to the bottoms of rigid boots restricting ankle motion. We measured mechanical work performed on the center of mass (COM), and net metabolic rate, in human subjects (N=10) walking with seven arc radii from 0.02-0.40 m. Simple models of dynamic walking predict that redirection of COM velocity requires step-to-step transition work, decreasing quadratically with arc radius. Metabolic cost would be expected to change in proportion to mechanical work. We measured the average rate of negative work performed on the COM, and found that it followed the trend well (r2=0.95), with 2.37 times as much work for small radii as for large. Net metabolic rate (subtracting quiet standing) also decreased with increasing arc radius to a minimum at 0.3 L, with a slight increase thereafter. Maximum net metabolic rate was 6.25 W kg(-1) (for small-radius arc feet), about 59% greater than the minimum rate of 3.93 W kg(-1), which in turn was about 45% greater than the rate in normal walking. Metabolic rate was fit reasonably well (r2=0.86) by a quadratic curve, but exceeded that expected from COM work for extreme arc sizes. Other factors appear to increase metabolic cost for walking on very small and very large arc feet. These factors may include effort expended to stabilize the joints (especially the knee) or to maintain balance. Rolling feet with curvature 0.3 L appear energetically advantageous for plantigrade walking, partially due to decreased work for step-to-step transitions.

  19. Blackfolds, plane waves and minimal surfaces

    NASA Astrophysics Data System (ADS)

    Armas, Jay; Blau, Matthias

    2015-07-01

    Minimal surfaces in Euclidean space provide examples of possible non-compact horizon geometries and topologies in asymptotically flat space-time. On the other hand, the existence of limiting surfaces in the space-time provides a simple mechanism for making these configurations compact. Limiting surfaces appear naturally in a given space-time by making minimal surfaces rotate but they are also inherent to plane wave or de Sitter space-times in which case minimal surfaces can be static and compact. We use the blackfold approach in order to scan for possible black hole horizon geometries and topologies in asymptotically flat, plane wave and de Sitter space-times. In the process we uncover several new configurations, such as black helicoids and catenoids, some of which have an asymptotically flat counterpart. In particular, we find that the ultraspinning regime of singly-spinning Myers-Perry black holes, described in terms of the simplest minimal surface (the plane), can be obtained as a limit of a black helicoid, suggesting that these two families of black holes are connected. We also show that minimal surfaces embedded in spheres rather than Euclidean space can be used to construct static compact horizons in asymptotically de Sitter space-times.

  20. Minimal control power of the controlled teleportation

    NASA Astrophysics Data System (ADS)

    Jeong, Kabgyun; Kim, Jaewan; Lee, Soojoon

    2016-03-01

    We generalize the control power of a perfect controlled teleportation of an entangled three-qubit pure state, suggested by Li and Ghose [Phys. Rev. A 90, 052305 (2014), 10.1103/PhysRevA.90.052305], to the control power of a general controlled teleportation of a multiqubit pure state. Thus, we define the minimal control power, and calculate the values of the minimal control power for a class of general three-qubit Greenberger-Horne-Zeilinger (GHZ) states and the three-qubit W class whose states have zero three-tangles. Moreover, we show that the standard three-qubit GHZ state and the standard three-qubit W state have the maximal values of the minimal control power for the two classes, respectively. This means that the minimal control power can be interpreted as not only an operational quantity of a three-qubit quantum communication but also a degree of three-qubit entanglement. In addition, we calculate the values of the minimal control power for general n -qubit GHZ states and the n -qubit W -type states.

  1. MINIMIZATION OF CARBON LOSS IN COAL REBURNING

    SciTech Connect

    Vladimir M. Zamansky; Vitali V. Lissianski

    2001-09-07

    This project develops Fuel-Flexible Reburning (FFR), which combines conventional reburning and Advanced Reburning (AR) technologies with an innovative method of delivering coal as the reburning fuel. The overall objective of this project is to develop engineering and scientific information and know-how needed to improve the cost of reburning via increased efficiency and minimized carbon in ash and move the FFR technology to the demonstration and commercialization stage. Specifically, the project entails: (1) optimizing FFR with injection of gasified and partially gasified fuels with respect to NO{sub x} and carbon in ash reduction; (2) characterizing flue gas emissions; (3) developing a process model to predict FFR performance; (4) completing an engineering and economic analysis of FFR as compared to conventional reburning and other commercial NO{sub x} control technologies, and (5) developing a full-scale FFR design methodology. The project started in August 2000 and will be conducted over a two-year period. The work includes a combination of analytical and experimental studies to identify optimum process configurations and develop a design methodology for full-scale applications. The first year of the program included pilot-scale tests to evaluate performances of two bituminous coals in basic reburning and modeling studies designed to identify parameters that affect the FFR performance and to evaluate efficiency of coal pyrolysis products as a reburning fuel. Tests were performed in a 300 kW Boiler Simulator Facility to characterize bituminous coals as reburning fuels. Tests showed that NO{sub x} reduction in basic coal reburning depends on process conditions, initial NO{sub x} and coal type. Up to 60% NO{sub x} reduction was achieved at optimized conditions. Modeling activities during first year concentrated on the development of coal reburning model and on the prediction of NO{sub x} reduction in reburning by coal gasification products. Modeling predicted that

  2. Genetic research on biospecimens poses minimal risk.

    PubMed

    Wendler, David S; Rid, Annette

    2015-01-01

    Genetic research on human biospecimens is increasingly common. However, debate continues over the level of risk that this research poses to sample donors. Some argue that genetic research on biospecimens poses minimal risk; others argue that it poses greater than minimal risk and therefore needs additional requirements and limitations. This debate raises concern that some donors are not receiving appropriate protection or, conversely, that valuable research is being subject to unnecessary requirements and limitations. The present paper attempts to resolve this debate using the widely-endorsed 'risks of daily life' standard. The three extant versions of this standard all suggest that, with proper measures in place to protect confidentiality, most genetic research on human biospecimens poses minimal risk to donors.

  3. Advanced pyrochemical technologies for minimizing nuclear waste

    SciTech Connect

    Bronson, M.C.; Dodson, K.E.; Riley, D.C.

    1994-06-01

    The Department of Energy (DOE) is seeking to reduce the size of the current nuclear weapons complex and consequently minimize operating costs. To meet this DOE objective, the national laboratories have been asked to develop advanced technologies that take uranium and plutonium, from retired weapons and prepare it for new weapons, long-term storage, and/or final disposition. Current pyrochemical processes generate residue salts and ceramic wastes that require aqueous processing to remove and recover the actinides. However, the aqueous treatment of these residues generates an estimated 100 liters of acidic transuranic (TRU) waste per kilogram of plutonium in the residue. Lawrence Livermore National Laboratory (LLNL) is developing pyrochemical techniques to eliminate, minimize, or more efficiently treat these residue streams. This paper will present technologies being developed at LLNL on advanced materials for actinide containment, reactors that minimize residues, and pyrochemical processes that remove actinides from waste salts.

  4. [EVOLUTION OF MINIMALLY INVASIVE CARDIAC SURGERY].

    PubMed

    Fujita, Tomoyuki; Kobayashi, Junjiro

    2016-03-01

    Minimally invasive surgery is an attractive choice for patients undergoing major cardiac surgery. We review the history of minimally invasive valve surgery in this article. Due to many innovations in surgical tools, cardiopulmonary bypass systems, visualization systems, and robotic systems as well as surgical techniques, minimally invasive cardiac surgery has become standard care for valve lesion repair. In particular, aortic cross-clamp techniques and methods for cardioplegia using the Chitwood clamp and root cannula or endoballoon catheter in combination with femoro-femoral bypass systems have made such procedures safer and more practical. On the other hand, robotically assisted surgery has not become standard due to the cost and slow learning curve. However, along with the development of robotics, this less-invasive technique may provide another choice for patients in the near future. PMID:27295770

  5. Minimal perceptrons for memorizing complex patterns

    NASA Astrophysics Data System (ADS)

    Pastor, Marissa; Song, Juyong; Hoang, Danh-Tai; Jo, Junghyo

    2016-11-01

    Feedforward neural networks have been investigated to understand learning and memory, as well as applied to numerous practical problems in pattern classification. It is a rule of thumb that more complex tasks require larger networks. However, the design of optimal network architectures for specific tasks is still an unsolved fundamental problem. In this study, we consider three-layered neural networks for memorizing binary patterns. We developed a new complexity measure of binary patterns, and estimated the minimal network size for memorizing them as a function of their complexity. We formulated the minimal network size for regular, random, and complex patterns. In particular, the minimal size for complex patterns, which are neither ordered nor disordered, was predicted by measuring their Hamming distances from known ordered patterns. Our predictions agree with simulations based on the back-propagation algorithm.

  6. Inverse Modeling Via Linearized Functional Minimization

    NASA Astrophysics Data System (ADS)

    Barajas-Solano, D. A.; Wohlberg, B.; Vesselinov, V. V.; Tartakovsky, D. M.

    2014-12-01

    We present a novel parameter estimation methodology for transient models of geophysical systems with uncertain, spatially distributed, heterogeneous and piece-wise continuous parameters.The methodology employs a bayesian approach to propose an inverse modeling problem for the spatial configuration of the model parameters.The likelihood of the configuration is formulated using sparse measurements of both model parameters and transient states.We propose using total variation regularization (TV) as the prior reflecting the heterogeneous, piece-wise continuity assumption on the parameter distribution.The maximum a posteriori (MAP) estimator of the parameter configuration is then computed by minimizing the negative bayesian log-posterior using a linearized functional minimization approach. The computation of the MAP estimator is a large-dimensional nonlinear minimization problem with two sources of nonlinearity: (1) the TV operator, and (2) the nonlinear relation between states and parameters provided by the model's governing equations.We propose a a hybrid linearized functional minimization (LFM) algorithm in two stages to efficiently treat both sources of nonlinearity.The relation between states and parameters is linearized, resulting in a linear minimization sub-problem equipped with the TV operator; this sub-problem is then minimized using the Alternating Direction Method of Multipliers (ADMM). The methodology is illustrated with a transient saturated groundwater flow application in a synthetic domain, stimulated by external point-wise loadings representing aquifer pumping, together with an array of discrete measurements of hydraulic conductivity and transient measurements of hydraulic head.We show that our inversion strategy is able to recover the overall large-scale features of the parameter configuration, and that the reconstruction is improved by the addition of transient information of the state variable.

  7. Exposure-Based Cat Modeling, Available data, Advantages, & Limitations

    NASA Astrophysics Data System (ADS)

    Michel, Gero; Hosoe, Taro; Schrah, Mike; Saito, Keiko

    2010-05-01

    This paper discusses the advantages and disadvantages of exposure data for cat-modeling and considers concepts of scale as well as the completeness of data and data scoring using field/model examples. Catastrophe modeling based on exposure data has been considered the panacea for insurance-related cat modeling since the late 1980's. Reasons for this include: • The ability to extend risk modeling to consider data beyond historical losses, • Usability across many relevant scales, • Flexibility in addressing complex structures and policy conditions, and • Ability to assess dependence of risk results on exposure-attributes and exposure-modifiers, such as lines of business, occupancy types, and mitigation features, at any given scale. In order to calculate related risk, monetary exposure is correlated to vulnerabilities that have been calibrated with historical results, plausibility concepts, and/or physical modeling. While exposure based modeling is widely adopted, we also need to be aware of its limitations which include: • Boundaries in our understanding of the distribution of exposure, • Spatial interdependence of exposure patterns and the time-dependence of exposure, • Incomplete availability of loss information to calibrate relevant exposure attributes/structure with related vulnerabilities and losses, • The scale-dependence of vulnerability, • Potential for missing or incomplete communication of assumptions made during model calibration, • Inefficiencies in the aggregation or disaggregation of vulnerabilities, and • Factors which can influence losses other than exposure, vulnerability, and hazard. Although we might assume that the higher the resolution the better, regional model calibration is often limited to lower than street level resolution with higher resolution being achieved by disaggregating results using topographic/roughness features with often loosely constrained and/or varying effects on losses. This suggests that higher accuracy

  8. Competitive Advantage and its Sources in an Evolving Market

    NASA Astrophysics Data System (ADS)

    Zaridis, Apostolos D.

    2009-08-01

    In a continuously altered and evolving Market, as is the food manufacturing market, the main and long-lasting objective of firm that is the maximization of its wealth and consequently the continuous remaining in profit regions, appears that it is possible to be achieved via the obtainment and maintenance of diachronically long-term competitive advantage, which it will render the firm unique or leader force in a inexorable competition that is continuously extended in a globalized market. Various definitions and different regards are developed in regard to the competitive advantage and the way with which a firm it is possible, acquiring it, to star in the market in which it is activated. As result of sustainable competitive advantage in a firm comes the above the average performance. Abundance of resources and competences that are proposed as sources of competitive advantage in the resource-based view literature exists, while they are added continuously new based on empiric studies. In any case, it appears to suffer hierarchy of sources of competitive advantage, with regard to sustainability of these.

  9. Minimally invasive transforaminal lumbosacral interbody fusion.

    PubMed

    Chang, Peng-Yuan; Wang, Michael Y

    2016-07-01

    In minimally invasive spinal fusion surgery, transforaminal lumbar (sacral) interbody fusion (TLIF) is one of the most common procedures that provides both anterior and posterior column support without retraction or violation to the neural structure. Direct and indirect decompression can be done through this single approach. Preoperative plain radiographs and MR scan should be carefully evaluated. This video demonstrates a standard approach for how to perform a minimally invasive transforaminal lumbosacral interbody fusion. The video can be found here: https://youtu.be/bhEeafKJ370 . PMID:27364426

  10. The Parisi Formula has a Unique Minimizer

    NASA Astrophysics Data System (ADS)

    Auffinger, Antonio; Chen, Wei-Kuo

    2015-05-01

    In 1979, Parisi (Phys Rev Lett 43:1754-1756, 1979) predicted a variational formula for the thermodynamic limit of the free energy in the Sherrington-Kirkpatrick model, and described the role played by its minimizer. This formula was verified in the seminal work of Talagrand (Ann Math 163(1):221-263, 2006) and later generalized to the mixed p-spin models by Panchenko (Ann Probab 42(3):946-958, 2014). In this paper, we prove that the minimizer in Parisi's formula is unique at any temperature and external field by establishing the strict convexity of the Parisi functional.

  11. Instabilities and Solitons in Minimal Strips

    NASA Astrophysics Data System (ADS)

    Machon, Thomas; Alexander, Gareth P.; Goldstein, Raymond E.; Pesci, Adriana I.

    2016-07-01

    We show that highly twisted minimal strips can undergo a nonsingular transition, unlike the singular transitions seen in the Möbius strip and the catenoid. If the strip is nonorientable, this transition is topologically frustrated, and the resulting surface contains a helicoidal defect. Through a controlled analytic approximation, the system can be mapped onto a scalar ϕ4 theory on a nonorientable line bundle over the circle, where the defect becomes a topologically protected kink soliton or domain wall, thus establishing their existence in minimal surfaces. Demonstrations with soap films confirm these results and show how the position of the defect can be controlled through boundary deformation.

  12. Minimally invasive restorative dentistry: a biomimetic approach.

    PubMed

    Malterud, Mark I

    2006-08-01

    When providing dental treatment for a given patient, the practitioner should use a minimally invasive technique that conserves sound tooth structure as a clinical imperative. Biomimetics is a tenet that guides the author's practice and is generally described as the mimicking of natural life. This can be accomplished in many cases using contemporary composite resins and adhesive dental procedures. Both provide clinical benefits and support the biomimetic philosophy for treatment. This article illustrates a minimally invasive approach for the restoration of carious cervical defects created by poor hygiene exacerbated by the presence of orthodontic brackets.

  13. Minimally invasive repair of meta-bones.

    PubMed

    Piras, Alessandro; Guerrero, Tomás G

    2012-09-01

    Metacarpal and metatarsal fractures are common injuries in small animals and, in most of the cases, can be treated by minimally invasive techniques. Bone plates applied through epi-periosteal tunnels can stabilize meta-bones. Meta-bones III and IV are stabilized by dorsally applied plates. Meta-bones II and V are stabilized using plates applied medially and laterally. The scarcity of soft tissue coverage and the simple anatomy of meta-bones make these fractures amenable to fixation by using minimally invasive techniques. This practice should reduce morbidity and enhance healing time.

  14. Instabilities and Solitons in Minimal Strips.

    PubMed

    Machon, Thomas; Alexander, Gareth P; Goldstein, Raymond E; Pesci, Adriana I

    2016-07-01

    We show that highly twisted minimal strips can undergo a nonsingular transition, unlike the singular transitions seen in the Möbius strip and the catenoid. If the strip is nonorientable, this transition is topologically frustrated, and the resulting surface contains a helicoidal defect. Through a controlled analytic approximation, the system can be mapped onto a scalar ϕ^{4} theory on a nonorientable line bundle over the circle, where the defect becomes a topologically protected kink soliton or domain wall, thus establishing their existence in minimal surfaces. Demonstrations with soap films confirm these results and show how the position of the defect can be controlled through boundary deformation. PMID:27419593

  15. Minimal mass design of tensegrity structures

    NASA Astrophysics Data System (ADS)

    Nagase, Kenji; Skelton, R. E.

    2014-03-01

    This paper provides a unified framework for minimal mass design of tensegrity systems. For any given configuration and any given set of external forces, we design force density (member force divided by length) and cross-section area to minimize the structural mass subject to an equilibrium condition and a maximum stress constraint. The answer is provided by a linear program. Stability is assured by a positive definite stiffness matrix. This condition is described by a linear matrix inequality. Numerical examples are shown to illustrate the proposed method.

  16. Minimizing radiation damage in nonlinear optical crystals

    DOEpatents

    Cooke, D.W.; Bennett, B.L.; Cockroft, N.J.

    1998-09-08

    Methods are disclosed for minimizing laser induced damage to nonlinear crystals, such as KTP crystals, involving various means for electrically grounding the crystals in order to diffuse electrical discharges within the crystals caused by the incident laser beam. In certain embodiments, electrically conductive material is deposited onto or into surfaces of the nonlinear crystals and the electrically conductive surfaces are connected to an electrical ground. To minimize electrical discharges on crystal surfaces that are not covered by the grounded electrically conductive material, a vacuum may be created around the nonlinear crystal. 5 figs.

  17. Minimizing radiation damage in nonlinear optical crystals

    DOEpatents

    Cooke, D. Wayne; Bennett, Bryan L.; Cockroft, Nigel J.

    1998-01-01

    Methods are disclosed for minimizing laser induced damage to nonlinear crystals, such as KTP crystals, involving various means for electrically grounding the crystals in order to diffuse electrical discharges within the crystals caused by the incident laser beam. In certain embodiments, electrically conductive material is deposited onto or into surfaces of the nonlinear crystals and the electrically conductive surfaces are connected to an electrical ground. To minimize electrical discharges on crystal surfaces that are not covered by the grounded electrically conductive material, a vacuum may be created around the nonlinear crystal.

  18. Minimal scales from an extended Hilbert space

    NASA Astrophysics Data System (ADS)

    Kober, Martin; Nicolini, Piero

    2010-12-01

    We consider an extension of the conventional quantum Heisenberg algebra, assuming that coordinates as well as momenta fulfil nontrivial commutation relations. As a consequence, a minimal length and a minimal mass scale are implemented. Our commutators do not depend on positions and momenta and we provide an extension of the coordinate coherent state approach to noncommutative geometry. We explore, as a toy model, the corresponding quantum field theory in a (2+1)-dimensional spacetime. Then we investigate the more realistic case of a (3+1)-dimensional spacetime, foliated into noncommutative planes. As a result, we obtain propagators, which are finite in the ultraviolet as well as the infrared regime.

  19. Pattern Search Methods for Linearly Constrained Minimization

    NASA Technical Reports Server (NTRS)

    Lewis, Robert Michael; Torczon, Virginia

    1998-01-01

    We extend pattern search methods to linearly constrained minimization. We develop a general class of feasible point pattern search algorithms and prove global convergence to a Karush-Kuhn-Tucker point. As in the case of unconstrained minimization, pattern search methods for linearly constrained problems accomplish this without explicit recourse to the gradient or the directional derivative. Key to the analysis of the algorithms is the way in which the local search patterns conform to the geometry of the boundary of the feasible region.

  20. From Jack polynomials to minimal model spectra

    NASA Astrophysics Data System (ADS)

    Ridout, David; Wood, Simon

    2015-01-01

    In this note, a deep connection between free field realizations of conformal field theories and symmetric polynomials is presented. We give a brief introduction into the necessary prerequisites of both free field realizations and symmetric polynomials, in particular Jack symmetric polynomials. Then we combine these two fields to classify the irreducible representations of the minimal model vertex operator algebras as an illuminating example of the power of these methods. While these results on the representation theory of the minimal models are all known, this note exploits the full power of Jack polynomials to present significant simplifications of the original proofs in the literature.

  1. Non-minimal inflation and SUSY GUTs

    SciTech Connect

    Okada, Nobuchika

    2012-07-27

    The Standard Model Higgs boson with the nonminimal coupling to the gravitational curvature can drive cosmological inflation. We study this type of inflationary scenario in the context of supergravity. We first point out that it is naturally implemented in the minimal supersymmetric SU(5) model, and hence virtually in any GUT models. Next we propose another scenario based on the Minimal Supersymmetric Standard Model supplemented by the right-handed neutrinos. These models can be tested by new observational data from the Planck satellite experiments within a few years.

  2. Versatile minimized system--a step towards safe perfusion.

    PubMed

    Ganushchak, Y M; Körver, E P J; Yamamoto, Y; Weerwind, P W

    2016-05-01

    A growing body of evidence indicates the superiority of minimized cardiopulmonary bypass (CPB) systems compared to conventional systems in terms of inflammatory reactions and transfusion requirements. Evident benefits of minimized CPB systems, however, do not come without consequences. Kinetic-assisted drainage, as used in these circuits, can result in severe fluctuations of venous line pressures and, consequently, fluctuation of the blood flow delivered to the patient. Furthermore, subatmospheric venous line pressures can cause gaseous microemboli. Another limitation is the absence of cardiotomy suction, which can lead to excessive blood loss via a cell saver. The most serious limitation of minimized circuits is that these circuits are very constrained in the case of complications or changing of the surgery plan. We developed a versatile minimized system (VMS) with a priming volume of about 600 ml. A compliance chamber in the venous line decreases peaks of pressure fluctuations. This chamber also acts as a bubble trap. Additionally, the open venous reservoir is connected parallel to the venous line and excluded from the circulation during an uncomplicated CPB. This reservoir can be included in the circulation via a roller pump and be used as a cardiotomy reservoir. The amount and rate of returned blood in the circulation is regulated by a movable level detector. Further, the circuit can easily be converted to an open system with vacuum-assisted venous drainage in the case of unexpected complications. The VMS combines the benefits of minimized circuits with the versatility and safety of a conventional CPB system. Perfusionists familiar with this system can secure an adequate and timely response at expected and unexpected intraoperative complications. PMID:26354746

  3. Walking at the preferred stride frequency minimizes muscle activity.

    PubMed

    Russell, Daniel M; Apatoczky, Dylan T

    2016-03-01

    This study determined whether walking at the preferred stride frequency minimizes muscle activity compared with other cadences at the same speed. Anthropometric measurements were recorded from 10 subjects and used to estimate their predicted resonant stride frequency. The preferred walking speed and stride frequency were determined from freely adopted walking on a treadmill. For the experimental trials the treadmill was set at each individual's preferred walking speed. Participants walked for 6 min at eight cadences prescribed by an auditory metronome: preferred stride frequency and -35, -25, -15, 0, +15, +25, +35% of predicted resonant stride frequency. Oxygen consumption was measured via gas analysis. Muscle activity of the right leg gastrocnemius (GA), tibialis anterior (TA), biceps femoris (BF) and rectus femoris (RF) muscles was recorded via electromyography (EMG). On average, participants preferred to walk with a stride frequency .07 Hz lower than their predicted resonant stride frequency, however a strong positive correlation was observed between these variables. Stride frequency had a significant and large quadratic effect on VO2 (RLR(2)=.76), and activity of the GA (RLR(2)=.66), TA (RLR(2)=.83), BF (RLR(2)=.70) and RF (RLR(2)=.78) muscles. VO2, GA and TA activity were all minimal at the preferred stride frequency and increased for faster or slower cadences. BF and RF activity were minimal across a broad range of slow frequencies including the preferred stride frequency and increased for faster frequencies. The preferred stride frequency that humans readily adopt during walking minimizes the activation of the GA, TA, BF and RF muscles, which in turn minimizes the overall metabolic cost. PMID:26979903

  4. Minimally Invasive Scoliosis Surgery: A Novel Technique in Patients with Neuromuscular Scoliosis

    PubMed Central

    Sarwahi, Vishal; Amaral, Terry; Wendolowski, Stephen; Gecelter, Rachel; Gambassi, Melanie; Plakas, Christos; Liao, Benita; Kalantre, Sarika; Katyal, Chhavi

    2015-01-01

    Minimally invasive surgery (MIS) has been described in the treatment of adolescent idiopathic scoliosis (AIS) and adult scoliosis. The advantages of this approach include less blood loss, shorter hospital stay, earlier mobilization, less tissue disruption, and relatively less pain. However, despite these significant benefits, MIS approach has not been reported in neuromuscular scoliosis patients. This is possibly due to concerns with longer surgery time, which is further increased due to more levels fused and instrumented, challenges of pelvic fixation, size and number of incisions, and prolonged anesthesia. We modified the MIS approach utilized in our AIS patients to be implemented in our neuromuscular patients. Our technique allows easy passage of contoured rods, placement of pedicle screws without image guidance, partial/complete facet resection, and all standard reduction maneuvers. Operative time needed to complete this surgery is comparable to the standard procedure and the majority of our patients have been extubated at the end of procedure, spending 1 day in the PICU and 5-6 days in the hospital. We feel that MIS is not only a feasible but also a superior option in patients with neuromuscular scoliosis. Long-term results are unavailable; however, short-term results have shown multiple benefits of this approach and fewer limitations. PMID:26649305

  5. Choosing Subsamples for Sequencing Studies by Minimizing the Average Distance to the Closest Leaf

    PubMed Central

    Kang, Jonathan T. L.; Zhang, Peng; Zöllner, Sebastian; Rosenberg, Noah A.

    2015-01-01

    Imputation of genotypes in a study sample can make use of sequenced or densely genotyped external reference panels consisting of individuals that are not from the study sample. It also can employ internal reference panels, incorporating a subset of individuals from the study sample itself. Internal panels offer an advantage over external panels because they can reduce imputation errors arising from genetic dissimilarity between a population of interest and a second, distinct population from which the external reference panel has been constructed. As the cost of next-generation sequencing decreases, internal reference panel selection is becoming increasingly feasible. However, it is not clear how best to select individuals to include in such panels. We introduce a new method for selecting an internal reference panel—minimizing the average distance to the closest leaf (ADCL)—and compare its performance relative to an earlier algorithm: maximizing phylogenetic diversity (PD). Employing both simulated data and sequences from the 1000 Genomes Project, we show that ADCL provides a significant improvement in imputation accuracy, especially for imputation of sites with low-frequency alleles. This improvement in imputation accuracy is robust to changes in reference panel size, marker density, and length of the imputation target region. PMID:26307072

  6. Minimally invasive approach to colorectal cancer: an evidence-based analysis.

    PubMed

    Bissolati, Massimiliano; Orsenigo, Elena; Staudacher, Carlo

    2016-03-01

    Minimally invasive surgery (MIS) was initially used for the treatment of colorectal benign disease. However, the indications for MIS techniques have progressively been expanded to include cancers. Nowadays, the indications for MIS are almost the same as those for open surgery. The scientific validation of MIS for colorectal cancer has favorably evolved. The advantages awaited for the short-term outcome were confirmed, although at the cost of longer operating time and higher costs. In parallel, tangible evidence of oncologic safety was demonstrated, and long-term results of MIS have been found comparable to those of open surgery. In the current state of MIS short-term superiority and log-term equality, less surgical injury, lower immune function depression and better postoperative outcome make MIS particularly suitable for delicate and difficult patients, such as elderly or obese; on the contrary, the lower costs have led to still consider open surgery as a valid alternative for low-impact resections (such as right colectomy). The continuous development in the field of MIS has recently led to the introduction of the single-port (SILS) and natural-orifice (NOTES) techniques, which allow better esthetic results, even if the their validation has not yet reached scientific evidence.

  7. Laparoscopic endoscopic cooperative surgery as a minimally invasive treatment for gastric submucosal tumor

    PubMed Central

    Namikawa, Tsutomu; Hanazaki, Kazuhiro

    2015-01-01

    Laparoscopic wedge resection is a useful procedure for treating patients with submucosal tumor (SMT) including gastrointestinal stromal tumor (GIST) of the stomach. However, resection of intragastric-type SMTs can be problematic due to the difficulty in accurately judging the location of endoluminal tumor growth, and often excessive amounts of healthy mucosa are removed; thus, full-thickness local excision using laparoscopic and endoscopic cooperative surgery (LECS) is a promising procedure for these cases. Our experience with LECS has confirmed this procedure to be a safe, feasible, and minimally invasive treatment method for gastric GISTs less than 5 cm in diameter, with outcomes similar to conventional laparoscopic wedge resection. The important advantage of LECS is the reduction in the resected area of the gastric wall compared to that in conventional laparoscopic wedge resection using a linear stapler. Early gastric cancer fits the criteria for endoscopic resection; however, if performing endoscopic submucosal dissection is difficult, the LECS procedure might be a good alternative. In the future, LECS is also likely to be indicated for duodenal tumors, as well as gastric tumors. Furthermore, developments in endoscopic and laparoscopic technology have generated various modified LECS techniques, leading to even less invasive surgery. PMID:26468339

  8. Waste minimization and pollution prevention techniques for equipment decontamination during refinery shutdowns

    SciTech Connect

    Vella, P.A.

    1995-12-31

    Pyrophoric iron is a concern for most refineries. It is formed when sulfide laden hydrocarbon streams come in contact with any source of iron. During normal plant operations, pyrophoric iron does not cause a problem. However, when specific units are opened for inspection and maintenance, the potential for a pyrophoric iron fire is significant. Previous methods for decontamination have included the use of steam, caustic soda and in some cases sodium hypochlorite or hydrogen peroxide. Each of these methods has drawbacks. The use of steam is time consuming and generates a significant amount of wastewater contaminated with organics. Sodium hypochlorite has the potential to generate toxic gases in addition to chlorinated organics in the wastewater. Hydrogen peroxide, although an environmentally friendly chemical, can violently decompose if not applied properly resulting in a potential explosive situation. The full paper will describe the successful use of potassium permanganate for the elimination of pyrophoric iron and odors (e.g. sulfides, mercaptans) in a refinery environment. A case study on the application of potassium permanganate for a crude unit and coker will be presented. Advantages of this decontamination process in terms of waste minimization (less wastewater generated), safer and non toxic by-products (direct discharge to a POTW possible), shorter downtimes and cost savings will also be discussed.

  9. The relation between proactive environmental strategies and competitive advantage

    NASA Astrophysics Data System (ADS)

    Butnariu, A.; Avasilcăi, S.

    2015-11-01

    There are two distinct orientations of the environmental management that companies may adopt: the model of compliance and the strategic model. The strategic model treats environmental expenses as investments that will lead to competitive advantage for the company. Nevertheless, there are few scientific works that prove the relation between corporate environmental investments and competitive advantage. Thereby, in order to bring clarifications about the profound implications of environmental investments, in the first stage of our research we have proposed the hypothesis that the environmental investments would probably lead to competitive advantage by creating capabilities that are mediators of this relation. In the second stage we have tested this hypothesis, using the research method of survey. A questionnaire was sent to managers in textile Romanian industry, and 109 answers were received. The data was analysed using the linear multiple regression method and the results confirm our hypothesis.

  10. The bilateral advantage for famous faces: interhemispheric communication or competition?

    PubMed

    Baird, Lyndsay M; Burton, A Mike

    2008-04-01

    The bilateral advantage for the perception of famous faces was investigated using a redundant target procedure. In experiment 1 we compared simultaneous presentation of stimuli (a) bilaterally and (b) one above the other in the central field. Results showed a redundancy advantage, but only when faces were presented bilaterally. This result lends support to the notion of interhemispheric communication using cross-hemisphere representations. Experiment 2 examined the nature of such communication by comparing bilateral presentation of identical face images, with bilateral presentation of different images of the same person. When asked to make a familiar/unfamiliar face judgement, participants showed evidence for a redundancy advantage under both bilateral conditions. This suggests that the nature of the information shared in interhemispheric communication is abstract, rather than being tied to superficial stimulus properties.

  11. Advantage of rare HLA supertype in HIV disease progression.

    PubMed

    Trachtenberg, Elizabeth; Korber, Bette; Sollars, Cristina; Kepler, Thomas B; Hraber, Peter T; Hayes, Elizabeth; Funkhouser, Robert; Fugate, Michael; Theiler, James; Hsu, Yen S; Kunstman, Kevin; Wu, Samuel; Phair, John; Erlich, Henry; Wolinsky, Steven

    2003-07-01

    The highly polymorphic human leukocyte antigen (HLA) class I molecules help to determine the specificity and repertoire of the immune response. The great diversity of these antigen-binding molecules confers differential advantages in responding to pathogens, but presents a major obstacle to distinguishing HLA allele-specific effects. HLA class I supertypes provide a functional classification for the many different HLA alleles that overlap in their peptide-binding specificities. We analyzed the association of these discrete HLA supertypes with HIV disease progression rates in a population of HIV-infected men. We found that HLA supertypes alone and in combination conferred a strong differential advantage in responding to HIV infection, independent of the contribution of single HLA alleles that associate with progression of the disease. The correlation of the frequency of the HLA supertypes with viral load suggests that HIV adapts to the most frequent alleles in the population, providing a selective advantage for those individuals who express rare alleles.

  12. Evaluation of three-dimensional printing for internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach: a preliminary report

    PubMed Central

    Zeng, Canjun; Xiao, Jidong; Wu, Zhanglin; Huang, Wenhua

    2015-01-01

    Objective: The aim of this study is to evaluate the efficacy and feasibility of three-dimensional printing (3D printing) assisted internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach. Methods: A total of 38 patients with unstable pelvic fractures were analyzed retrospectively from August 2012 to February 2014. All cases were treated operatively with internal fixation assisted by three-dimensional printing from minimal invasive para-rectus abdominis approach. Both preoperative CT and three-dimensional reconstruction were performed. Pelvic model was created by 3D printing. Data including the best entry points, plate position and direction and length of screw were obtained from simulated operation based on 3D printing pelvic model. The diaplasis and internal fixation were performed by minimal invasive para-rectus abdominis approach according to the optimized dada in real surgical procedure. Matta and Majeed score were used to evaluate currative effects after operation. Results: According to the Matta standard, the outcome of the diaplasis achieved 97.37% with excellent and good. Majeed assessment showed 94.4% with excellent and good. The imageological examination showed consistency of internal fixation and simulated operation. The mean operation time was 110 minutes, mean intraoperative blood loss 320 ml, and mean incision length 6.5 cm. All patients have achieved clinical healing, with mean healing time of 8 weeks. Conclusion: Three-dimensional printing assisted internal fixation of unstable pelvic fracture from minimal invasive para-rectus abdominis approach is feasible and effective. This method has the advantages of trauma minimally, bleeding less, healing rapidly and satisfactory reduction, and worthwhile for spreading in clinical practice. PMID:26550226

  13. Transgenic male mating advantage provides opportunity for Trojan gene effect in a fish

    PubMed Central

    Howard, Richard D.; DeWoody, J. Andrew; Muir, William M.

    2004-01-01

    Genetically modified (GM) strains now exist for many organisms, producing significant promise for agricultural production. However, if these organisms have some fitness advantage, they may also pose an environmental harm when released. High mating success of GM males relative to WT males provides such an important fitness advantage. Here, we provide documentation that GM male medaka fish modified with salmon growth hormone possess an overwhelming mating advantage. GM medaka offspring possess a survival disadvantage relative to WT, however. When both of these fitness components are included in our model, the transgene is predicted to spread if GM individuals enter wild populations (because of the mating advantage) and ultimately lead to population extinction (because of the viability disadvantage). Mating trials indicate that WT males use alternative mating tactics in an effort to counter the mating advantage of GM males, and we use genetic markers to ascertain the success of these alternative strategies. Finally, we model the impact of alternative mating tactics by WT males on transgene spread. Such tactics may reduce the rate of transgene spread, but not the outcome. PMID:14976259

  14. Comparison of Home Advantage in College and Professional Team Sports in the United States.

    PubMed

    Pollard, Richard; Gómez, Miguel A

    2015-09-01

    Home advantage in seven American college team sports (baseball, basketball, football, hockey, lacrosse, soccer and women's basketball) was compared with professional leagues in the United States for the same sports and for the same time period. A total of 81,063 college games and 22,477 professional games were analyzed for the four seasons 2006-07 to 2009-10. There was a significant home advantage, as measured by home winning percentage, in all sports, both college and professional. The overall home advantage in college sports was significantly greater than in professional sports (p<0.015). The mean difference was 3.73 home winning percentage points, being greatest for baseball, basketball, and hockey (all p<0.001). Plausible explanations for these results include differences in college and professional competition in terms of familiarity with local conditions, referee bias, territoriality and psychological factors. However, the influence of travel fatigue was inconclusive. Only for soccer was the home advantage greater for professionals. This was the only sport where crowd size appeared to be having an effect. In addition the rules of college soccer allow more substitution and hence greater coach intervention than in professional soccer, a factor that could also be reducing home advantage.

  15. Comparison of Home Advantage in College and Professional Team Sports in the United States.

    PubMed

    Pollard, Richard; Gómez, Miguel A

    2015-09-01

    Home advantage in seven American college team sports (baseball, basketball, football, hockey, lacrosse, soccer and women's basketball) was compared with professional leagues in the United States for the same sports and for the same time period. A total of 81,063 college games and 22,477 professional games were analyzed for the four seasons 2006-07 to 2009-10. There was a significant home advantage, as measured by home winning percentage, in all sports, both college and professional. The overall home advantage in college sports was significantly greater than in professional sports (p<0.015). The mean difference was 3.73 home winning percentage points, being greatest for baseball, basketball, and hockey (all p<0.001). Plausible explanations for these results include differences in college and professional competition in terms of familiarity with local conditions, referee bias, territoriality and psychological factors. However, the influence of travel fatigue was inconclusive. Only for soccer was the home advantage greater for professionals. This was the only sport where crowd size appeared to be having an effect. In addition the rules of college soccer allow more substitution and hence greater coach intervention than in professional soccer, a factor that could also be reducing home advantage. PMID:26898053

  16. Minimally invasive intervention in a case of a noncarious lesion and severe loss of tooth structure.

    PubMed

    Reston, Eduardo G; Corba, Vanessa D; Broliato, Gustavo; Saldini, Bruno P; Stefanello Busato, Adair L

    2012-01-01

    The present article describes a minimally invasive technique used for the restoration of loss of tooth structure caused by erosion of intrinsic etiology. First, the cause of erosion was treated and controlled. Subsequently, taking into consideration patient characteristics, especially a young age, a more conservative technique was chosen for dental rehabilitation with the use of composite resin. The advantages and disadvantages of the technique employed are discussed.

  17. Optimal design of active and semi-active suspensions including time delays and preview

    NASA Astrophysics Data System (ADS)

    Hac', A.; Youn, I.

    1993-10-01

    Several control laws for active and semi-active suspension based on a linear half car model are derived and investigated. The strategies proposed take full advantage of the fact that the road input to the rear wheels is a delayed version of that to the front wheels, which in turn can be obtained either from the measurements of the front wheels and body motions or by direct preview of road irregularities if preview sensors are available. The suspension systems are optimized with respect to ride comfort, road holding and suspension rattle space as expressed by the mean-square-values of body acceleration (including effects of heave and pitch), tire deflections and front and rear suspension travels. The optimal control laws that minimize the given performance index and include passivity constraints in the semi-active case are derived using calculus of variation. The optimal semi-active suspension becomes piecewise linear, varying between passive and fully active systems and combinations of them. The performances of active and semi-active systems with and without preview were evaluated by numerical simulation in the time and frequency domains. The results show that incorporation of time delay between the front and rear axles in controller design improves the dynamic behavior of the rear axle and control of body pitch motion, while additional preview improves front wheel dynamics and body heave.

  18. Quantum communication complexity advantage implies violation of a Bell inequality.

    PubMed

    Buhrman, Harry; Czekaj, Łukasz; Grudka, Andrzej; Horodecki, Michał; Horodecki, Paweł; Markiewicz, Marcin; Speelman, Florian; Strelchuk, Sergii

    2016-03-22

    We obtain a general connection between a large quantum advantage in communication complexity and Bell nonlocality. We show that given any protocol offering a sufficiently large quantum advantage in communication complexity, there exists a way of obtaining measurement statistics that violate some Bell inequality. Our main tool is port-based teleportation. If the gap between quantum and classical communication complexity can grow arbitrarily large, the ratio of the quantum value to the classical value of the Bell quantity becomes unbounded with the increase in the number of inputs and outputs. PMID:26957600

  19. Quantum communication complexity advantage implies violation of a Bell inequality

    PubMed Central

    Buhrman, Harry; Czekaj, Łukasz; Grudka, Andrzej; Horodecki, Michał; Horodecki, Paweł; Markiewicz, Marcin; Speelman, Florian; Strelchuk, Sergii

    2016-01-01

    We obtain a general connection between a large quantum advantage in communication complexity and Bell nonlocality. We show that given any protocol offering a sufficiently large quantum advantage in communication complexity, there exists a way of obtaining measurement statistics that violate some Bell inequality. Our main tool is port-based teleportation. If the gap between quantum and classical communication complexity can grow arbitrarily large, the ratio of the quantum value to the classical value of the Bell quantity becomes unbounded with the increase in the number of inputs and outputs. PMID:26957600

  20. Spatial Ability Explains the Male Advantage in Approximate Arithmetic

    PubMed Central

    Wei, Wei; Chen, Chuansheng; Zhou, Xinlin

    2016-01-01

    Previous research has shown that females consistently outperform males in exact arithmetic, perhaps due to the former’s advantage in language processing. Much less is known about gender difference in approximate arithmetic. Given that approximate arithmetic is closely associated with visuospatial processing, which shows a male advantage we hypothesized that males would perform better than females in approximate arithmetic. In two experiments (496 children in Experiment 1 and 554 college students in Experiment 2), we found that males showed better performance in approximate arithmetic, which was accounted for by gender differences in spatial ability. PMID:27014124