Science.gov

Sample records for disease utilizing satellite

  1. Predicting and Mitigating Outbreaks of Vector-Borne Disease Utilizing Satellite Remote Sensing Technology and Models

    NASA Technical Reports Server (NTRS)

    Estes, Sue; Haynes, John; Kiang, Richard; Brown, Molly; Reisen, William

    2008-01-01

    Satellite earth observations present a unique vantage point of the earth's environment from space which offers a wealth of health applications for the imaginative investigator. The session will present research results of the remote sensing environmental observations of earth and health applications. This session will an overview of many of the NASA public health applications using Remote Sensing Data and will also discuss opportunities to become a research collaborator with NASA.

  2. Predicting and Mitigating Outbreaks of Vector-Borne Disease Utilizing Satellite Remote Sensing Technology and Models

    NASA Technical Reports Server (NTRS)

    Estes, Sue M.

    2009-01-01

    The Public Health application area focuses on Earth science applications to public health and safety, particularly regarding infectious disease, emergency preparedness and response, and environmental health issues. The application explores issues of toxic and pathogenic exposure, as well as natural and man-made hazards and their effects, for risk characterization/mitigation and improvements to health and safety. The program elements of the NASA Applied Sciences Program are: Agricultural Efficiency, Air Quality, Climate, Disaster Management, Ecological Forecasting, Water Resources, Weather, and Public Health.

  3. Eulusmap: An international land resources map utilizing satellite imagery

    NASA Technical Reports Server (NTRS)

    Paludan, T.; Csati, E.

    1978-01-01

    In 1972, the International Geographical Union's Commission on World Land Use Survey adopted a project for a land-use map of Europe. Such a map, under the name Eulusmap was started earlier under sponsorship of several government offices in Hungary. Although there was great response from a number of contributors in many countries, it became evident by mid-1974 that the map would contain gaps and some inaccuracies unless additional data sources were utilized. By then, the satellite Landsat-1 had obtained imagery of most of Europe. Using theme extraction techniques, the map was completed in draft form and portions of it displayed at the 23d International Geographical Congress in Moscow during July 1976. Printing of the completed map was accomplished in May 1978.

  4. Utilizing Satellite-derived Precipitation Products in Hydrometeorological Applications

    NASA Astrophysics Data System (ADS)

    Liu, Z.; Ostrenga, D.; Teng, W. L.; Kempler, S. J.; Huffman, G. J.

    2012-12-01

    Each year droughts and floods happen around the world and can cause severe property damages and human casualties. Accurate measurement and forecast are important for preparedness and mitigation efforts. Through multi-satellite blended techniques, significant progress has been made over the past decade in satellite-based precipitation product development, such as, products' spatial and temporal resolutions as well as timely availability. These new products are widely used in various research and applications. In particular, the TRMM Multi-satellite Precipitation Analysis (TMPA) products archived and distributed by the NASA Goddard Earth Sciences (GES) Data and Information Services Center (DISC) provide 3-hourly, daily and monthly near-global (50° N - 50° S) precipitation datasets for research and applications. Two versions of TMPA products are available, research (3B42, 3B43, rain gauge adjusted) and near-real-time (3B42RT). At GES DISC, we have developed precipitation data services to support hydrometeorological applications in order to maximize the TRMM mission's societal benefits. In this presentation, we will present examples of utilizing TMPA precipitation products in hydrometeorological applications including: 1) monitoring global floods and droughts; 2) providing data services to support the USDA Crop Explorer; 3) support hurricane monitoring activities and research; and 4) retrospective analog year analyses to improve USDA's world agricultural supply and demand estimates. We will also present precipitation data services that can be used to support hydrometeorological applications including: 1) User friendly TRMM Online Visualization and Analysis System (TOVAS; URL: http://disc2.nascom.nasa.gov/Giovanni/tovas/); 2) Mirador (http://mirador.gsfc.nasa.gov/), a simplified interface for searching, browsing, and ordering Earth science data at GES DISC; 3) Simple Subset Wizard (http://disc.sci.gsfc.nasa.gov/SSW/ ) for data subsetting and format conversion; 4) Data

  5. Spectrum/orbit utilization program for geostationary satellites

    NASA Technical Reports Server (NTRS)

    Miller, E. F.

    1984-01-01

    Mutual interferences among geostationary satellite communication systems determine the permitted spacing between satellites and the limits on the capacity of the orbit/spectrum resources available. This paper describes the computer program for analyzing the mutual interferences among communication satellite systems. Capabilities of the program are described. Inputs, models used, program operations, and program outputs are given. To show application of the program, an example scenario is analyzed for fixed satellites providing domestic service to North America.

  6. Utilization of NASA Lewis mobile terminals for the Hermes satellite

    NASA Technical Reports Server (NTRS)

    Edelman, E. A.; Fiala, J. L.; Rizzolla, L.

    1977-01-01

    The paper describes the portable earth terminal (PET) and the transportable earth terminal (TET) which enable two-way television and voice communication. Both terminals were developed by NASA and utilize the high power of the Hermes satellite. PET is a bus-type vehicle which has receiving equipment for full duplex color television and which can transmit programs originating in either the on-board PET studio or in nearby buildings. PET has a collapsible 2.4-m diameter parabolic antenna interfacing with a 500-watt 14-GHz wideband TV transmitter and a 12-GHz wideband TV receiver system. TET uses two parabolic reflector antennas, 3 m and 1.2 m in diameter, mounted on a flat trailer towed by a truck. TET can receive and relay color TV signals, and its narrowband transmitter can serve as a return audio link permitting a question-and-answer format. Also described are uplink and downlink performance characteristics, operation procedures, and field demonstrations which enabled personnel at several hospitals to participate in a distant medical conference.

  7. An initial approach to the utilization of VAS satellite sounding data

    NASA Technical Reports Server (NTRS)

    Shin, Kyung-Sup; Scoggins, James R.

    1984-01-01

    The primary objective is the development of methods to utilize satellite soundings. To achieve that, a more precise understanding of the characteristics of satellite derived soundings is required. The initial approach in the utilization of satellite soundings is to find a way to combine rawinsondes and satellite data into a unified data set. If this can be done in a meaningful way, satellite data could be integrated into existing data and interpretation would be enhanced. In this attempt, both rawinsonde and satellite soundings will be decomposed by the use of the Fourier cosine series. Then, each harmonic will be compared to get a better understanding of the representativeness of the satellite sounding data. Harmonics taken from satellite and rawinsonde soundings will be combined to provide a unified data set that can be used both over data sparse ocean areas as well as over land where rawinsonde data are available.

  8. Geostationary communications satellite orbit utilization strategies for the 1980s

    NASA Astrophysics Data System (ADS)

    Hedinger, R. A.

    Orbital congestion became apparent when the number of applications filed with the Federal Communication Commission (FCC) for 6/4 GHz orbital slots exceeded the number of slots available. In order to overcome this congestion, approaches must be studied for increasing the capacity of the geostationary orbit. In connection with an identification of the factors which affect geostationary orbit capacity, three types of capacity are introduced, including site capacity, service area capacity, and total capacity of the geostationary orbit. Attention is given to approaches for increasing the number of satellites in the geostationary orbit, the phased introduction of new technology, increased interference allocations from other satellites, methods for increasing the spectral efficiency by channel equipment design, the possibility to increase the spectral efficiency by antenna design and frequency reuse, procedures for increasing the available bandwidth, and the development of techniques for optimizing the placement of satellites serving different service areas.

  9. Satellite Orbit Programs Utilizing the Graphics Capabilities of the Microcomputer.

    DTIC Science & Technology

    1986-06-01

    Brahe, Kepler , and Sir Isaac Newton came from simple ideas and meticulous observations of the heavens above. The intent of this thesis is to use the...Satellites," Sky & Telescope , 15 October 1957. 2. Harris, D., Computer Graphics and Applications, Chapman and Hall, 1984. 3. Waite, M. and Morgan, C. L

  10. Passive Micro Vibration Isolator Utilizing Flux Pinning Effect for Satellites

    NASA Astrophysics Data System (ADS)

    Shibata, Takuma; Sakai, Shin-ichiro

    2016-09-01

    Information related to the origin of space and evolution of galaxy can be obtained using the observation satellites. In recent years, high pointing accuracy is demanded for getting more detailed data about distant stars and galaxies. As a result, vibration isolators that consist of a main structure and a TTM (Tip Tilt Mirror) have been adopted for observation satellites. However, cutting the low frequency vibrations off passively with the conventional methods is difficult. A vibration isolator that uses pinning effect is proposed for solving this problem. The pinning effect is acquired by cooling the type-II superconductor below the critical temperature and it generates a pinning force to maintain the relative distance and attitude between a type- II superconductor and a material that generates magnetic flux. The mission part and the bus part of the satellite are equipped with superconductors and permanent magnets and these parts perform short distance formation flight by applying the effect. This method can cut vibrations from low to high frequency bands off passively. In addition, Meissner effect can prevent collision of the mission and bus parts. In order to investigate the performance of this system, experiments and simulations are carried out and the results are discussed.

  11. Utilizing a TDRS satellite for direct broadcast satellite-radio propagation experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    Hollansworth, James E.

    1993-01-01

    The NASA/VOA Direct Broadcast Satellite-Radio (DBS-R) Program will be using a NASA Tracking Data Relay Satellite (TDRS) satellite at 62 deg. West longitude to conduct live satellite S-band propagation experiments and demonstrations of satellite sound broadcasting over the next two years (1993-1994). The NASA/VOA DBS-R program has applied intensive effort to garner domestic and international support for the DBS-R concept. An S-band DBS-R allocation was achieved for Region 2 at WARC-92 held in Spain. With this allocation, the DBS-R program now needs to conduct S-band propagation experiments and systems demonstrations that will assist in the development of planning approaches for the use of Broadcast Satellite Service (Sound) frequency bands prior to the planning conference called for by WARC-92. These activities will also support receiver concept development applied to qualities ranging from AM to Monophonic FM, Stereophonic FM, Monophonic CD, and Stereophonic CD quality.

  12. Utilizing a TDRS satellite for direct broadcast satellite-radio propagation experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    Hollansworth, James E.

    1993-01-01

    The NASA/VOA Direct Broadcast Satellite - Radio (DBS-R) Program will be using a NASA Tracking Data Relay Satellite (TDRS) satellite at 62 deg West longitude to conduct live satellite S-band propagation experiments and demonstrations of satellite sound broadcasting over the next two years (1993-1994). The NASA/VOA DBS-R program has applied intensive effort to garner domestic and international support for the DBS-R concept. An S-band DBS-R allocation was achieved for Region 2 at WARC-92 held in Spain. With this allocation, the DBS-R program now needs to conduct S-band propagation experiments and systems demonstrations that will assist in the development of planning approaches for the use of Broadcast Satellite Service (Sound) frequency bands prior to the planning conference called for by WARC-92. These activities will also support receiver concept development applied to qualities ranging from AM to Monophonic FM, Stereophonic FM, Monophonic CD, and Stereophonic CD quality.

  13. Utilization of NASA Lewis mobile terminals for the Hermes satellite

    NASA Technical Reports Server (NTRS)

    Edelman, E. A.; Fiala, J. L.; Rizzolla, L.

    1977-01-01

    The high power of the Hermes satellite enables two-way television and voice communication with small ground terminals. The Portable Earth Terminal (PET) and the Transportable Earth Terminal (TET) were developed and built by NASA-Lewis to provide communications capability to short-term users. The NASA-Lewis mobile terminals are described in terms of vehicles and onboard equipment, as well as operation aspects, including use in the field. The section on demonstrations divides the uses into categories of medicine, education, technology and government. Applications of special interest within each category are briefly described.

  14. Utilizing a TDRS satellite for direct broadcast satellite-radio propagation experiments and demonstrations

    NASA Technical Reports Server (NTRS)

    Hollansworth, James E.

    1993-01-01

    The NASA/VOA Direct Broadcast Satellite - Radio (DBS-R) Program will be using a NASA Tracking Data Relay Satellite (TDRS) at 62 deg West longitude to conduct live satellite S-band propagation experiments and demonstrations of satellite sound broadcasting over the next two years (1993-1994). The NASA/VOA DBS-R program has applied intensive effort to garner domestic and international support for the DBS-R concept. An S-band DBS-R allocation was achieved for Region 2 at WARC-92 held in Spain. With this allocation, the DBS-R program now needs to conduct S-band propagation experiments and systems demonstrations that will assist in the development of planning approaches for the use of Broadcast Satellite Service (Sound) frequency bands prior to the planning conference called for by WARC-92. These activities will also support receiver concept development applied to qualities ranging from AM to Monophonic FM, Stereophonic FM, Monophonic CD, and Stereophonic CD quality.

  15. Satellite applications to electric-utility communications needs. [land mobile satellite service

    NASA Technical Reports Server (NTRS)

    Horstein, M.; Barnett, R.

    1981-01-01

    Significant changes in the Nation's electric power systems are expected to result from the integration of new technology, possible during the next decade. Digital communications for monitor and control, exclusive of protective relaying, are expected to double or triple current traffic. A nationwide estimate of 13 Mb/s traffic is projected. Of this total, 8 Mb/s is attributed to the bulk-power system as it is now being operated (4 Mb/s). This traffic could be accommodated by current communications satellites using 3- to 4.5-m-diameter ground terminals costing $35,000 to $70,000 each. The remaining 5-Mb/s traffic is attributed to new technology concepts integrated into the distribution system. Such traffic is not compatible with current satellite technology because it requires small, low-cost ground terminals. Therefore, a high effective isotropic radiated power satellite, such as the one being planned by NASA for the Land Mobile Satellite Service, is required.

  16. Utilization of satellite imagery by in-flight aircraft. [for weather information

    NASA Technical Reports Server (NTRS)

    Luers, J. K.

    1976-01-01

    Present and future utilization of satellite weather data by commercial aircraft while in flight was assessed. Weather information of interest to aviation that is available or will become available with future geostationary satellites includes the following: severe weather areas, jet stream location, weather observation at destination airport, fog areas, and vertical temperature profiles. Utilization of this information by in-flight aircraft is especially beneficial for flights over the oceans or over remote land areas where surface-based observations and communications are sparse and inadequate.

  17. The Impact of Ionospheric Delay on the Frequency Transfer Utilizing A LEO Satellite

    NASA Astrophysics Data System (ADS)

    Tian, Shi-Wei; Xu, Rong; Yu, Yong; Chang, Jiang; Li, Guang-Xia

    2015-04-01

    Using the frequency of assisted signals transferred by a LEO (Low Earth Orbit) satellite to extend the coherence time of inexpensive GNSS (Global Navigation Satellite System) receiver clocks is one of the most effective methods to improve the performance of the GNSS receivers that may be in hostile environments or subject to interference. Among the factors affecting the results of frequency transfer, ionospheric delay is the most important one. In this work, the principles for frequency transfer utilizing an LEO satellite and the corresponding error sources are analyzed. Especially, the impact of ionospheric delay is ana- lyzed, and a correction method utilizing the ionospheric delay difference between the neighboring epoches and that between two stations is presented. Simulations are performed to validate the above analysis and correction method. The results show that with the correction proposed in this paper, the requirements for the frequency transfer can be met.

  18. Satellite hemodialysis services for patients with end stage renal disease.

    PubMed

    Organ, Kathy; MacDonald, Sandra

    2014-01-01

    More than 40,000 Canadians are living with end stage renal disease and approximately 22,400 of those are currently being treated with hemodialysis (The Kidney Foundation of Canada, 2013). Long distance travel to access hemodialysis services can be a serious burden for patients, and travelling more than 60 minutes can mean a 20% greater risk for death, as compared with those who travel 15 minutes or less (Moist et al., 2008). Satellite hemodialysis units are seen as one solution to this problem. This study assessed the impact of services provided by one satellite hemodialysis unit on patients' satisfaction, access to care and quality of life using a qualitative interview research design. Seven patients were interviewed and three themes emerged including the burden of long distance travel before satellite services (safety, time and cost), satisfaction with satellite services (pleasant environment and continuity of care), and improved quality of life. This study showed that a satellite hemodialysis unit improved access to services and enhanced the quality of life of those patients who participated in the study.

  19. On attaining lower sidelobes and new antenna envelopes for better orbit spectrum utilization in satellite broadcasting

    NASA Technical Reports Server (NTRS)

    Janky, J. M.; Zaumen, W. T.; Lee, L.-S.

    1979-01-01

    The concept of using beam-shaping techniques to reduce sidelobe levels at the expense of efficiency is introduced and analyzed with respect to the potential for improving orbit-spectrum utilization. Emphasis is placed on a simple method: improving the antenna patterns used in satellite systems, for both the satellite antennas and the ground station antennas. Only broadcasting applications are considered. The discussion includes how the antenna envelope can be improved, how this improvement can be interpreted in terms of orbit spectrum utilization efficiency, and whether this improved envelope is actually realizable and feasible. It is noted that the magnitude of the improvement with a better spacecraft antenna increases rapidly as the coverage area decreases.

  20. Effective Utilization of Satellite Observations for Assessing Transnational Impact of Disasters

    NASA Astrophysics Data System (ADS)

    Alozie, J. E.; Anuforom, A. C.

    2014-12-01

    General meteorological observations sources for the surface, upper air and outer space are conducted using different technological equipment and instruments that meet international standards prescribed and approved by the United Nations organizations such as the International Civil Aviation Organization (ICAO) and the World Meteorological Organization (WMO). Satellite weather observations are critical for effective monitoring of the developments, propagations and disseminations of cold clouds and their expected adverse weather conditions as they move across national and transnational boundaries. The Nigerian Meteorological Agency (NiMet) which is the national weather service provider for Nigeria, utilizes an array of satellite products obtained from mainly the European Meteorological Satellite (EUMETSAT) for its routine weather and climate monitoring and forecasts. Overtime, NiMet has used weather workstations such as MSG, SYNERGIE and now PUMA for accessing satellite products such as RGB, Infra-red, Water vapour and the Multi-sensor Precipitation Estimate (MPE) obtained at near real-time periods. The satellite imageries find extensive applications in the delivery of early warning of raising of severe weather conditions such as dust storm and dust haze during the harmattan season (November - February); and thunderstorm accompanied by severe lightning and destructive strong winds. The paper will showcase some special cases of the tracking of squall lines and issuance of weather alerts through the media. The good result is that there was limited damage to infrastructure and no loss of life from the flash floods caused by the heavy rainfall from the squally thunderstorm.

  1. Satellites

    SciTech Connect

    Burns, J.A.; Matthews, M.S.

    1986-01-01

    The present work is based on a conference: Natural Satellites, Colloquium 77 of the IAU, held at Cornell University from July 5 to 9, 1983. Attention is given to the background and origins of satellites, protosatellite swarms, the tectonics of icy satellites, the physical characteristics of satellite surfaces, and the interactions of planetary magnetospheres with icy satellite surfaces. Other topics include the surface composition of natural satellites, the cratering of planetary satellites, the moon, Io, and Europa. Consideration is also given to Ganymede and Callisto, the satellites of Saturn, small satellites, satellites of Uranus and Neptune, and the Pluto-Charon system.

  2. Utilization of Precipitation and Moisture Products Derived from Satellites to Support NOAA Operational Precipitation Forecasts

    NASA Astrophysics Data System (ADS)

    Ferraro, R.; Zhao, L.; Kuligowski, R. J.; Kusselson, S.; Ma, L.; Kidder, S. Q.; Forsythe, J. M.; Jones, A. S.; Ebert, E. E.; Valenti, E.

    2012-12-01

    NOAA/NESDIS operates a constellation of polar and geostationary orbiting satellites to support weather forecasts and to monitor the climate. Additionally, NOAA utilizes satellite assets from other U.S. agencies like NASA and the Department of Defense, as well as those from other nations with similar weather and climate responsibilities (i.e., EUMETSAT and JMA). Over the past two decades, through joint efforts between U.S. and international government researchers, academic partners, and private sector corporations, a series of "value added" products have been developed to better serve the needs of weather forecasters and to exploit the full potential of precipitation and moisture products generated from these satellites. In this presentation, we will focus on two of these products - Ensemble Tropical Rainfall Potential (eTRaP) and Blended Total Precipitable Water (bTPW) - and provide examples on how they contribute to hydrometeorological forecasts. In terms of passive microwave satellite products, TPW perhaps is most widely used to support real-time forecasting applications, as it accurately depicts tropospheric water vapor and its movement. In particular, it has proven to be extremely useful in determining the location, timing, and duration of "atmospheric rivers" which contribute to and sustain flooding events. A multi-sensor approach has been developed and implemented at NESDIS in which passive microwave estimates from multiple satellites and sensors are merged to create a seamless, bTPW product that is more efficient for forecasters to use. Additionally, this product is being enhanced for utilization for television weather forecasters. Examples will be shown to illustrate the roll of atmospheric rivers and contribution to flooding events, and how the bTPW product was used to improve the forecast of these events. Heavy rains associated with land falling tropical cyclones (TC) frequently trigger floods that cause millions of dollars of damage and tremendous loss

  3. Impacts and Benefits of a Satellite Power System on the Electric Utility Industry

    NASA Technical Reports Server (NTRS)

    Winer, B. M.

    1977-01-01

    The purpose of this limited study was to investigate six specific issues associated with interfacing a Satellite Power System (5 GW) with large (by present standards) terrestrial power pools to a depth sufficient to determine if certain interface problems and/or benefits exist and what future studies of these problems are required. The issues investigated are as follows: (1) Stability of Power Pools Containing a 5 GWe SPS; (2) Extra Reserve Margin Required to Maintain the Reliability of Power Pools Containing a 5 GWe SPS; (3) Use of the SPS in Load Following Service (i.e. in two independent pools whose times of peak demand differ by three hours); (4) Ownership of the SPS and its effect on SPS Usage and Utility Costs; (5) Utility Sharing of SPS related RD and D Costs; (6) Utility Liability for SPS Related Hazards.

  4. The utilization of nonterrestrial materials. [resources for solar power satellite construction

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The development of research and technology programs on the user of nonterrestrial materials for space applications was considered with emphasis on the space power satellite system as a model of large space systems for which the use of nonterrestrial materials may be economically viable. Sample topics discussed include the mining of raw materials and the conversion of raw materials into useful products. These topics were considered against a background of the comparative costs of using terrestrial materials. Exploratory activities involved in the preparation of a nonterrestrial materials utilization program, and the human factors involved were also addressed. Several recommendations from the workshop are now incorporated in NASA activities.

  5. Examining the utility of satellite-based wind sheltering estimates for lake hydrodynamic modeling

    USGS Publications Warehouse

    Van Den Hoek, Jamon; Read, Jordan S.; Winslow, Luke A.; Montesano, Paul; Markfort, Corey D.

    2015-01-01

    Satellite-based measurements of vegetation canopy structure have been in common use for the last decade but have never been used to estimate canopy's impact on wind sheltering of individual lakes. Wind sheltering is caused by slower winds in the wake of topography and shoreline obstacles (e.g. forest canopy) and influences heat loss and the flux of wind-driven mixing energy into lakes, which control lake temperatures and indirectly structure lake ecosystem processes, including carbon cycling and thermal habitat partitioning. Lakeshore wind sheltering has often been parameterized by lake surface area but such empirical relationships are only based on forested lakeshores and overlook the contributions of local land cover and terrain to wind sheltering. This study is the first to examine the utility of satellite imagery-derived broad-scale estimates of wind sheltering across a diversity of land covers. Using 30 m spatial resolution ASTER GDEM2 elevation data, the mean sheltering height, hs, being the combination of local topographic rise and canopy height above the lake surface, is calculated within 100 m-wide buffers surrounding 76,000 lakes in the U.S. state of Wisconsin. Uncertainty of GDEM2-derived hs was compared to SRTM-, high-resolution G-LiHT lidar-, and ICESat-derived estimates of hs, respective influences of land cover type and buffer width on hsare examined; and the effect of including satellite-based hs on the accuracy of a statewide lake hydrodynamic model was discussed. Though GDEM2 hs uncertainty was comparable to or better than other satellite-based measures of hs, its higher spatial resolution and broader spatial coverage allowed more lakes to be included in modeling efforts. GDEM2 was shown to offer superior utility for estimating hs compared to other satellite-derived data, but was limited by its consistent underestimation of hs, inability to detect within-buffer hs variability, and differing accuracy across land cover types. Nonetheless

  6. Analysis on the Utility of Satellite Imagery for Detection of Agricultural Facility

    NASA Astrophysics Data System (ADS)

    Kang, J.-M.; Baek, S.-H.; Jung, K.-Y.

    2012-07-01

    Now that the agricultural facilities are being increase owing to development of technology and diversification of agriculture and the ratio of garden crops that are imported a lot and the crops cultivated in facilities are raised in Korea, the number of vinyl greenhouses is tending upward. So, it is important to grasp the distribution of vinyl greenhouses as much as that of rice fields, dry fields and orchards, but it is difficult to collect the information of wide areas economically and correctly. Remote sensing using satellite imagery is able to obtain data of wide area at the same time, quickly and cost-effectively collect, monitor and analyze information from every object on earth. In this study, in order to analyze the utilization of satellite imagery at detection of agricultural facility, image classification was performed about the agricultural facility, vinyl greenhouse using Formosat-2 satellite imagery. The training set of sea, vegetation, building, bare ground and vinyl greenhouse was set to monitor the agricultural facilities of the object area and the training set for the vinyl greenhouses that are main monitoring object was classified and set again into 3 types according the spectral characteristics. The image classification using 4 kinds of supervise classification methods applied by the same training set were carried out to grasp the image classification method which is effective for monitoring agricultural facilities. And, in order to minimize the misclassification appeared in the classification using the spectral information, the accuracy of classification was intended to be raised by adding texture information. The results of classification were analyzed regarding the accuracy comparing with that of naked-eyed detection. As the results of classification, the method of Mahalanobis distance was shown as more efficient than other methods and the accuracy of classification was higher when adding texture information. Hence the more effective

  7. Earth Observatory Satellite system definition study. Report no. 6: Space shuttle interfaces/utilization

    NASA Technical Reports Server (NTRS)

    1974-01-01

    The impacts of achieving compatibility of the Earth Observatory Satellite (EOS) with the space shuttle and the potential benefits of space shuttle utilization are discussed. Mission requirements and mission suitability, including the effects of multiple spacecraft missions, are addressed for the full spectrum of the missions. Design impact is assessed primarily against Mission B, but unique requirements reflected by Mission A, B, and C are addressed. The preliminary results indicated that the resupply mission had the most pronounced impact on spacecraft design and cost. Program costs are developed for the design changes necessary to achieve EOS-B compatibility with Space Shuttle operations. Non-recurring and recurring unit costs are determined, including development, test, ground support and logistics, and integration efforts. Mission suitability is addressed in terms of performance, volume, and center of gravity compatibility with both space shuttle and conventional launch vehicle capabilities.

  8. A laser communication experiment utilizing the ACT satellite and an airborne laser transceiver

    NASA Technical Reports Server (NTRS)

    Provencher, Charles E., Jr.; Spence, Rodney L.

    1988-01-01

    The launch of a laser communication transmitter package into geosynchronous Earth orbit onboard the Advanced Communications Technology Satellite (ACTS) will present an excellent opportunity for the experimental reception of laser communication signals transmitted from a space orbit. The ACTS laser package includes both a heterodyne transmitter (Lincoln Labs design) and a direct detection transmitter (Goddard Space Flight Center design) with both sharing some common optical components. NASA Lewis Research Center's Space Electronics Division is planning to perform a space communication experiment utilizing the GSFC direct detection laser transceiver. The laser receiver will be installed within an aircraft provided with a glass port for the reception of the signal. This paper describes the experiment and the approach to performing such an experiment. Described are the constraints placed on the NASA Lewis experiment by the performance parameters of the laser transmitter and by the ACTS spacecraft operations. The conceptual design of the receiving terminal is given; also included is the anticipated capability of the detector.

  9. Earth-satellite propagation above GHz: Papers from the 1972 spring URSI session on experiments utilizing the ATS-5 satellite

    NASA Technical Reports Server (NTRS)

    Ippolito, L. J. (Compiler)

    1972-01-01

    Papers are reported from the Special Session on Earth-Satellite Propagation Above 10 GHz, presented at The 1972 Spring Meeting of the United States National Committee, International Union of Radio Science, April 1972, Washington, D. C. This session was devoted to propagation measurements associated with the Applications Technology Satellite (ATS-5), which provided the first operational earth-space links at frequencies above 15 GHz. A comprehensive summary is presented of the major results of the ATS-5 experiment measurements and related radiometric, radar and meteorological studies. The papers are organized around seven selected areas of interest, with the results of the various investigators combined into a single paper presented by a principal author for that area. A comprehensive report is provided on the results of the ATS-5 satellite to earth transmissions. A complete list of published reports and presentations related to the ATS-5 Millimeter Wave Experiment is included.

  10. Utilizing Satellite Precipitation Products to Understand the Link Between Climate Variability and Malaria

    NASA Astrophysics Data System (ADS)

    Maggioni, V.; Mousam, A.; Delamater, P. L.; Cash, B. A.; Quispe, A.

    2015-12-01

    Malaria is a public health threat to people globally leading to 198 million cases and 584,000 deaths annually. Outbreaks of vector borne diseases such as malaria can be significantly impacted by climate variables such as precipitation. For example, an increase in rainfall has the potential to create pools of water that can serve as breeding locations for mosquitos. Peru is a country that is currently controlling malaria, but has not been able to completely eliminate the disease. Despite the various initiatives in order to control malaria - including regional efforts to improve surveillance, early detection, prompt treatment, and vector management - malaria cases in Peru have risen between 2011 and 2014. The purpose of this study is to test the hypothesis that climate variability plays a fundamental role in malaria occurrence over a 12-year period (2003-2014) in Peru. When analyzing climate variability, it is important to obtain high-quality, high-resolution data for a time series long enough to draw conclusion about how climate variables have been and are changing. Remote sensing is a powerful tool for measuring and monitoring climate variables continuously in time and space. A widely used satellite-based precipitation product, the Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA), available globally since 1998, was used to obtain 3-hourly data with a spatial resolution of 0.25° x 0.25°. The precipitation data was linked to weekly (2003-2014) malaria cases collected by health centers and available at a district level all over Peru to investigate the relationship between precipitation and the seasonal and annual variations in malaria incidence. Further studies will incorporate additional climate variables such as temperature, humidity, soil moisture, and surface pressure from remote sensing data products and climate models. Ultimately, this research will help us to understand if climate variability impacts malaria incidence

  11. Development of U.S. Government General Technical Requirements for UAS Flight Safety Systems Utilizing the Iridium Satellite Constellation

    NASA Technical Reports Server (NTRS)

    Murray, Jennifer; Birr, Richard

    2010-01-01

    This slide presentation reviews the development of technical requirements for Unmanned Aircraft Systems (UAS) utilization of the Iridium Satellite Constellation to provide flight safety. The Federal Aviation Authority (FAA) required an over-the-horizon communication standard to guarantee flight safety before permitting widespread UAS flights in the National Air Space (NAS). This is important to ensure reliable control of UASs during loss-link and over-the-horizon scenarios. The core requirement was to utilize a satellite system to send GPS tracking data and other telemetry from a flight vehicle down to the ground. Iridium was chosen as the system because it is one of the only true satellite systems that has world wide coverage, and the service has a highly reliable link margin. The Iridium system, the flight modems, and the test flight are described.

  12. Utility of Noninvasive Markers of Fibrosis in Cholestatic Liver Diseases.

    PubMed

    Corpechot, Christophe

    2016-02-01

    Methods of liver fibrosis assessment have changed considerably in the last 20 years, and noninvasive markers now have been recognized as major first-line tools in the management of patients with chronic viral hepatitis infection. But what about the efficiency and utility of these surrogate indices for the more uncommon chronic cholestatic liver diseases, namely primary biliary cirrhosis and primary sclerosing cholangitis? This article provides clinicians with a global overview of what is currently known in the field. Both diagnostic and prognostic aspects of noninvasive markers of fibrosis in cholestatic liver diseases are presented and discussed.

  13. Factors affecting frequency and orbit utilization by high power transmission satellite systems

    NASA Technical Reports Server (NTRS)

    Kuhns, P. W.; Miller, E. F.; Malley, T. A.

    1972-01-01

    The factors affecting the sharing of the geostationary orbit by high power (primarily television) satellite systems having the same or adjacent coverage areas and by satellites occupying the same orbit segment are examined and examples using the results of computer computations are given. The factors considered include: required protection ratio, receiver antenna patterns, relative transmitter power, transmitter antenna patterns, satellite grouping, and coverage pattern overlap. The results presented indicated the limits of system characteristics and orbit deployment which can result from mixing systems.

  14. Detection of regional air pollution episodes utilizing satellite digital data in the visual range

    NASA Technical Reports Server (NTRS)

    Burke, H.-H. K.

    1982-01-01

    Digital analyses of satellite visible data for selected high-sulfate cases over the northeastern U.S., on July 21 and 22, 1978, are compared with ground-based measurements. Quantitative information on total aerosol loading derived from the satellite digitized data using an atmospheric radiative transfer model is found to agree with the ground measurements, and it is shown that the extent and transport of the haze pattern may be monitored from the satellite data over the period of maximum intensity for the episode. Attention is drawn to the potential benefits of satellite monitoring of pollution episodes demonstrated by the model.

  15. Utilization of satellite data and regional scale numerical models in short range weather forecasting

    NASA Technical Reports Server (NTRS)

    Kreitzberg, C. W.

    1985-01-01

    Overwhelming evidence was developed in a number of studies of satellite data impact on numerical weather prediction that it is unrealistic to expect satellite temperature soundings to improve detailed regional numerical weather prediction. It is likely that satellite data over the United States would substantially impact mesoscale dynamical predictions if the effort were made to develop a composite moisture analysis system. The horizontal variability of moisture, most clearly depicited in images from satellite water vapor channels, would not be determined from conventional rawinsondes even if that network were increased by a doubling of both the number of sites and the time frequency.

  16. TRAN*STAR 2 evaluation for NOAA data buoy office, part A. [utilizing the US Navy Navigation Satellite System

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The capability of the TRAN*STAR 2 receiver equipment utilizing the U.S. Navy Navigation Satellite System to provide reliable position locations with reasonable accuracy and frequency was evaluated. Two receivers, an antenna, and a test set were procured, and position fix data collected at NSTL from a fixed known location during the months of May and June. The data were processed through a computer program and analyzed. The results of the evaluation are summarized.

  17. The Impact of Physical Atmosphere on Air Quality and the Utility of Satellite Observations in Air Quality Models

    NASA Astrophysics Data System (ADS)

    Pour Biazar, A.; McNider, R. T.; Park, Y. H.; Doty, K.; Khan, M. N.; Dornblaser, B.

    2012-12-01

    Physical atmosphere significantly impacts air quality as it regulates production, accumulation, and transport of atmospheric pollutants. Consequently, air quality simulations are greatly influenced by the uncertainties that emanates from the simulation of physical atmosphere. Since air quality model predictions are increasingly being used in health studies, regulatory applications, and policy making, reducing such uncertainties in model simulations is of outmost importance. This paper describes some of the critical aspects of physical atmosphere affecting air quality models that can be improved by utilizing satellite observations. Retrievals of skin temperature, surface albedo, surface insolation, cloud top temperature and cloud reflectance obtained from the Geostationary Operational Environmental Satellite (GOES) by NASA/MSFC GOES Product Generation System (GPGS) have been utilized to improve the air quality simulations used in the State Implementation Plan (SIP) attainment demonstrations. Satellite observations of ground temperature are used to recover surface moisture and heat capacity and thereby improving model simulation of air temperature. Observations of clouds are utilized to improve the photochemical reaction rates within the photochemical model and also to assimilate clouds in the meteorological model. These techniques have been implemented and tested in some of the widely used air quality decision modeling systems such as MM5/WRF/CMAQ/CAMx. The results from these activities show significant improvements in air quality simulations.

  18. Application of communications satellites to educational development. [technology utilization/information systems - bibliographies

    NASA Technical Reports Server (NTRS)

    Morgan, R. P.

    1975-01-01

    A summary of research is presented. The broad objectives of this interdisciplinary research effort were: (1) to assess the role of satellite communications as a means of improving education in the United States, as well as in less-developed areas of the world; (2) to generate basic knowledge which will aid in making rational decisions about satellite application in the field of education in the years ahead; (3) to devise systems and strategies for improving education; and (4) to educate individuals who will be knowledgeable about aspects of satellite communications policy which transcend any single discipline.

  19. Military Hydrology. Report 8. Feasibility of Utilizing Satellite and Radar Data in Hydrologic Forecasting.

    DTIC Science & Technology

    1985-09-01

    Martin, D. W., Stout, J., and Sikdar , 1). N. 1976. "Rainfall Estimation from Geo- synchronous Satellite Imagery During Daylight Hours," NOAA...Technical Report ERL 356-WMPO 7, US Department of Commerce. Griffith, C. G., Woodley, W. L., Grube, P. G., Martin, D. W., Stout, J., and Sikdar . D. N. 1978...34 Journal of Applied Meteorology, Vol 5, pp 161-164. Stout, J., Martin, D., and Sikdar , D. N. 1979. "Estimating Rain with Ceosynchronous Satellite Images

  20. Investigation of biomass burning and aerosol loading and transport in South America utilizing geostationary satellites

    NASA Technical Reports Server (NTRS)

    Menzel, Paul; Prins, Elaine

    1995-01-01

    This study attempts to assess the extent of burning and associated aerosol transport regimes in South America and the South Atlantic using geostationary satellite observations, in order to explore the possible roles of biomass burning in climate change and more directly in atmospheric chemistry and radiative transfer processes. Modeling and analysis efforts have suggested that the direct and indirect radiative effects of aerosols from biomass burning may play a major role in the radiative balance of the earth and are an important factor in climate change calculations. One of the most active regions of biomass burning is located in South America, associated with deforestation in the selva (forest), grassland management, and other agricultural practices. As part of the NASA Aerosol Interdisciplinary Program, we are utilizing GOES-7 (1988) and GOES-8 (1995) visible and multispectral infrared data (4, 11, and 12 microns) to document daily biomass burning activity in South America and to distinguish smoke/aerosols from other multi-level clouds and low-level moisture. This study catalogues the areal extent and transport of smoke/aerosols throughout the region and over the Atlantic Ocean for the 1988 (July-September) and 1995 (June-October) biomass burning seasons. The smoke/haze cover estimates are compared to the locations of fires to determine the source and verify the haze is actually associated with biomass burning activities. The temporal resolution of the GOES data (half-hourly in South America) makes it possible to determine the prevailing circulation and transport of aerosols by considering a series of visible and infrared images and tracking the motion of smoke, haze and adjacent clouds. The study area extends from 40 to 70 deg W and 0 to 40 deg S with aerosol coverage extending over the Atlantic Ocean when necessary. Fire activity is estimated with the GOES Automated Biomass Burning Algorithm (ABBA). To date, our efforts have focused on GOES-7 and GOES-8 ABBA

  1. Detection of regional air pollution episodes utilizing satellite data in the visual range

    NASA Technical Reports Server (NTRS)

    Bowley, C. J.; Burke, H. K.; Barnes, J. C.

    1981-01-01

    A comparative analysis of satellite-observed haze patterns and ground-based aerosol measurements is carried out for July 20-23, 1978. During this period, a significant regional air pollution episode existed across the northeastern United States, accompanied by widespread haze, reduced surface visibility, and elevated sulfate levels measured by the Sulfate Regional Experiment (SURE) network. The results show that the satellite-observed haze patterns correlate closely with the area of reported low surface visibility (less than 4 mi) and high sulfate levels. Quantitative information on total aerosol loading derived from the satellite-digitized data, using an atmospheric radiative transfer model, agrees well with the results obtained from the ground-based measurements.

  2. Space-shuttle interfaces/utilization. Earth Observatory Satellite system definition study (EOS)

    NASA Technical Reports Server (NTRS)

    1974-01-01

    The economic aspects of space shuttle application to a representative Earth Observatory Satellite (EOS) operational mission in the various candidate Shuttle modes of launch, retrieval, and resupply are discussed. System maintenance of the same mission capability using a conventional launch vehicle is also considered. The studies are based on application of sophisticated Monte Carlo mission simulation program developed originally for studies of in-space servicing of a military satellite system. The program has been modified to permit evaluation of space shuttle application to low altitude EOS missions in all three modes. The conclusions generated by the EOS system study are developed.

  3. Clinical Utility of Serologic Testing for Celiac Disease in Ontario

    PubMed Central

    2010-01-01

    tests in the diagnosis celiac disease? What is the clinical validity of serologic tests in the diagnosis of celiac disease? The clinical validity was defined as the ability of the test to change diagnosis. What is the clinical utility of serologic tests in the diagnosis of celiac disease? The clinical utility was defined as the impact of the test on decision making. What is the budget impact of serologic tests in the diagnosis of celiac disease? What is the cost-effectiveness of serologic tests in the diagnosis of celiac disease? Methods Literature Search A literature search was performed on November 13th, 2009 using OVID MEDLINE, MEDLINE In-Process and Other Non-Indexed Citations, EMBASE, the Cumulative Index to Nursing & Allied Health Literature (CINAHL), the Cochrane Library, and the International Agency for Health Technology Assessment (INAHTA) for studies published from January 1st 2003 and November 13th 2010. Abstracts were reviewed by a single reviewer and, for those studies meeting the eligibility criteria, full-text articles were obtained. Reference lists were also examined for any additional relevant studies not identified through the search. Articles with unknown eligibility were reviewed with a second clinical epidemiologist, then a group of epidemiologists until consensus was established. The quality of evidence was assessed as high, moderate, low or very low according to GRADE methodology. Inclusion Criteria Inclusion Criteria Exclusion Criteria Studies that evaluated diagnostic accuracy, i.e., both sensitivity and specificity of serology tests in the diagnosis of celiac disease. Study population consisted of untreated patients with symptoms consistent with celiac disease. Studies in which both serologic celiac disease tests and small bowel biopsy (gold standard) were used in all subjects. Systematic reviews, meta-analyses, randomized controlled trials, prospective observational studies, and retrospective cohort studies. At least 20 subjects included in

  4. Instantaneous Shoreline Extraction Utilizing Integrated Spectrum and Shadow Analysis From LiDAR Data and High-resolution Satellite Imagery

    NASA Astrophysics Data System (ADS)

    Lee, I.-Chieh

    manually connected, for its length was less than 3% of the total shoreline length in our dataset. Secondly, the parameters for satellite image classification needed to be manually determined. The need for manpower was significantly less compared to the ground surveying or aerial photogrammetry. The first phase of shoreline extraction was to utilize Normalized Difference Vegetation Index (NDVI), Mean-Shift segmentation on the coordinate (X, Y, Z), and attributes (multispectral bands from satellite images) of the LiDAR points to classify each LiDAR point into land or water surface. Boundary of the land points were then traced to create the shoreline. The second phase of shoreline extraction solely from satellite images utilized spectrum, NDVI, and shadow analysis to classify the satellite images into classes. These classes were then refined by mean-shift segmentation on the panchromatic band. By tracing the boundary of the water surface, the shoreline can be created. Since these two shorelines may represent different shoreline instances in time, evaluating the changes of shoreline was the first to be done. Then an independent scenario analysis and a procedure are performed for the shoreline of each of the three conditions: in the process of erosion, in the process of accession, and remaining the same. With these three conditions, we could analysis the actual terrain type and correct the classification errors to obtain a more accurate shoreline. Meanwhile, methods of evaluating the quality of shorelines had also been discussed. The experiment showed that there were three indicators could best represent the quality of the shoreline. These indicators were: (1) shoreline accuracy, (2) land area difference between extracted shoreline and ground truth shoreline, and (3) bias factor from shoreline quality metrics.

  5. Coping strategies utilized by adolescents with end stage renal disease.

    PubMed

    Snethen, Julia A; Broome, Marion E; Kelber, Sheryl; Warady, Bradley A

    2004-01-01

    Children and adolescents with end stage renal disease (ESRD) require life-long treatment. The purpose of this descriptive investigation was to identify coping strategies that adolescents with ESRD use to manage their chronic illness. Participants for this investigation were 35 adolescents, 13-18 years of age, with ESRD. The A-COPE survey instrument was used in a clinical and camp setting to measure the coping strategies used by adolescents with ESRD. Analyses revealed that adolescents with ESRD utilized a variety of coping strategies to manage the stresses of living with their chronic condition. Personal characteristics of gender, transplant status, age, and religious views were significantly related to the coping strategies the adolescents reported using.

  6. Utilization of Satellite Data in Land Surface Hydrology: Sensitivity and Assimilation

    NASA Technical Reports Server (NTRS)

    Lakshmi, Venkataraman; Susskind, Joel

    1999-01-01

    This paper investigates the sensitivity of potential evapotranspiration to input meteorological variables, viz- surface air temperature and surface vapor pressure. The sensitivity studies have been carried out for a wide range of land surface variables such as wind speed, leaf area index and surface temperatures. Errors in the surface air temperature and surface vapor pressure result in errors of different signs in the computed potential evapotranspiration. This result has implications for use of estimated values from satellite data or analysis of surface air temperature and surface vapor pressure in large scale hydrological modeling. The comparison of cumulative potential evapotranspiration estimates using ground observations and satellite observations over Manhattan, Kansas for a period of several months shows very little difference between the two. The cumulative differences between the ground based and satellite based estimates of potential evapotranspiration amounted to less that 20mm over a 18 month period and a percentage difference of 15%. The use of satellite estimates of surface skin temperature in hydrological modeling to update the soil moisture using a physical adjustment concept is studied in detail including the extent of changes in soil moisture resulting from the assimilation of surface skin temperature. The soil moisture of the surface layer is adjusted by 0.9mm over a 10 day period as a result of a 3K difference between the predicted and the observed surface temperature. This is a considerable amount given the fact that the top layer can hold only 5mm of water.

  7. ERTS-B (Earth Resources Technology Satellite). [spacecraft design remote sensor description, and technology utilization

    NASA Technical Reports Server (NTRS)

    1975-01-01

    Mission plans and objectives of the ERTS 2 Satellite are presented. ERTS 2 follow-on investigations in various scientific disciplines including agriculture, meteorology, land-use, geology, water resources, oceanography, and environment are discussed. Spacecraft design and its sensors are described along with the Delta launch vehicle and launch operations. Applications identified from ERTS 1 investigations are summarized.

  8. Analysis of the proposed utilization of TDRS system by the HEAO-C satellite

    NASA Technical Reports Server (NTRS)

    Weathers, G.

    1974-01-01

    The primary function of the study was to assess the impact upon the HEAO telecommunications system of the proposed relay satellite-to-ground-link configuration. The system is designed to perform the function of most of the NASA ground tracking and communications network at a net cost savings for NASA.

  9. Association of Satellites with a Mastrevirus in Natural Infection: Complexity of Wheat Dwarf India Virus Disease

    PubMed Central

    Kumar, Jitendra; Kumar, Jitesh; Singh, Sudhir P.

    2014-01-01

    Dwarf India Virus (WDIV), isolated from two distant locations in India. This study reports the first identification of the satellites in a monocot plant. The satellites enhanced accumulation of WDIV and severity of disease symptoms. The satellites lowered the concentration of virus-specific small RNAs in wheat plants, indicating their silencing suppressor activity. The involvement of the satellites in symptom severity of the mastrevirus can have implications in the form of economic impact of the virus on crop yield. Understanding the role of the satellites in disease severity is important for developing disease management strategies. PMID:24719407

  10. Accessing and Utilizing Remote Sensing Data for Vectorborne Infectious Diseases Surveillance and Modeling

    NASA Technical Reports Server (NTRS)

    Kiang, Richard; Adimi, Farida; Kempler, Steven

    2008-01-01

    Background: The transmission of vectorborne infectious diseases is often influenced by environmental, meteorological and climatic parameters, because the vector life cycle depends on these factors. For example, the geophysical parameters relevant to malaria transmission include precipitation, surface temperature, humidity, elevation, and vegetation type. Because these parameters are routinely measured by satellites, remote sensing is an important technological tool for predicting, preventing, and containing a number of vectorborne infectious diseases, such as malaria, dengue, West Nile virus, etc. Methods: A variety of NASA remote sensing data can be used for modeling vectorborne infectious disease transmission. We will discuss both the well known and less known remote sensing data, including Landsat, AVHRR (Advanced Very High Resolution Radiometer), MODIS (Moderate Resolution Imaging Spectroradiometer), TRMM (Tropical Rainfall Measuring Mission), ASTER (Advanced Spaceborne Thermal Emission and Reflection Radiometer), EO-1 (Earth Observing One) ALI (Advanced Land Imager), and SIESIP (Seasonal to Interannual Earth Science Information Partner) dataset. Giovanni is a Web-based application developed by the NASA Goddard Earth Sciences Data and Information Services Center. It provides a simple and intuitive way to visualize, analyze, and access vast amounts of Earth science remote sensing data. After remote sensing data is obtained, a variety of techniques, including generalized linear models and artificial intelligence oriented methods, t 3 can be used to model the dependency of disease transmission on these parameters. Results: The processes of accessing, visualizing and utilizing precipitation data using Giovanni, and acquiring other data at additional websites are illustrated. Malaria incidence time series for some parts of Thailand and Indonesia are used to demonstrate that malaria incidences are reasonably well modeled with generalized linear models and artificial

  11. Predicting the risk of coral disease outbreak using satellite SST.

    NASA Astrophysics Data System (ADS)

    Heron, S. F.; Willis, B. L.; Skirving, W. J.; Page, C. A.; Eakin, C. M.; Miller, I. R.; Christensen, T. R.; Gledhill, D. K.; Liu, G.; Morgan, J. A.; Parker, B. A.; Strong, A. E.

    2009-05-01

    Several environmental parameters have been linked to outbreaks of coral disease. Here we describe the influence of remotely-sensed summer and winter temperatures, as well as local observations of coral cover, to predict the risk of White Syndrome disease outbreaks on the Great Barrier Reef, Australia. Coral disease is an emerging risk to coral reef ecosystems that is likely to escalate with ocean warming due to climate change. The aim of this work is to provide reef managers with an expert system for predicting disease risk on coral reefs as far as six months in advance of summer outbreaks.

  12. a Class of Regression-Cum Estimators in Two-Phase Sampling for Utilizing Information from High Resolution Satellite Data

    NASA Astrophysics Data System (ADS)

    Handique, B. K.

    2012-07-01

    Two-phase sampling design offers a variety of possibilities for effective use of auxiliary information such as those from high resolution remote sensing data. Continuous satellite data with large area coverage provide scope for deriving population values of the auxiliary variables, which can effectively be used for estimating the population parameters of the variable of interest. This study has been made to examine the possibilities of different forms of auxiliary information derived from remote sensing data in two-phase sampling design and suggest an appropriate estimator that will be of broad interest and applications. A new class of regression-cum-ratio estimators has been proposed for two-phase sampling using information on two auxiliary variables derived from high resolution satellite data. The bias and the mean square error (MSE) of the proposed estimators have been obtained up to first order approximation. Efficiency comparison of the proposed estimators has been made with some traditional estimators. The proposed estimator is found to be more efficient than the usual regression and ratio estimators. Numerical illustration has been carried out to examine the efficiency of the estimator in case of forest timber volume estimation utilizing tree crown diameter and tree height as auxiliary variables. It is shown that these estimators can be employed in a variety of conditions where there is strong correlation of satellite derived information with sample based ground measurements and when the cost of ground measurements is relatively high.

  13. a Comparative Study on Utilization of Multi-Sensor Satellite Data to Detect Potential Fishing Zone (pfz)

    NASA Astrophysics Data System (ADS)

    Balaguru, B.; Ramakrishnan, S. S.; Vidhya, R.; Thanabalan, T.

    2014-11-01

    The satellite oceanography reveals the rolls on Potential Fishing Zone (PFZ) advisories in India is limited by the availability of the satellite data during the cloudy days and for the cloudy areas, because of the inability of the passive sensors to pass through the clouds. However, there is a huge demand from the fishermen community to provide PFZ advisories on cloudy days / monsoon period also as the period corresponds to the peak fishing season. Keeping in view of the demand and availability of the optimally interpolated merged product from Altimetry, it is proposed to utilize 4 km SST product obtained from the AVHRR. In view of this, a comparative analysis has been carried out on the feasibility of utilization of the Altimetry product for identification of PFZ Advisories. The analysis is carried out the synergize study on existing in AVHRR SST product are really matching with the high resolution EKE and SSHA products derived from Altimetry. From the analysis it was found that the Altimetry product is suitable for identifying cold core generation of waters for PFZ advisories with certain limitations. Also persistence of the ocean color environmental variables is cross-verified with catch weight observed from In-situ observation. The overall analysis derived from ocean color and altimetry products for delineating potential fishing zones enhance flawless information for future research.

  14. Aviation utilization of geostationary satellites for the augmentation to GPS: Ranging and data link

    NASA Astrophysics Data System (ADS)

    Fuller, Richard Andrew, II

    2000-08-01

    The Wide Area Augmentation System (WAAS) is a GPS-based navigation aid currently under development by the Federal Aviation Administration (FAA). WAAS will provide corrections to aviation users for the GPS clock, its ephemeris, and for the delay in its signal as it passes through the ionosphere. These corrections will be broadcast to users throughout the United States via geostationary satellites. A master station that combines data from a continental network of reference GPS receivers will create these messages. The geostationary satellites serve both as wide-area differential GPS data links as well as additional ranging sources. The data message stream of WAAS enhances the accuracy and integrity of the GPS signal for aviation. Simultaneously, the satellite ranging-source increases the percentage of time that the precise signal is available. In this way, WAAS provides needed improvements in four metrics over the standard GPS signal: accuracy, integrity, availability, and continuity. The ranging function, described above, requires an estimate of the position of the geostationary satellite. This dissertation presents a novel technique for generating this position estimate. This technique is designed to provide high integrity performance in the user position domain and operates in real-time. As such, it contrasts classical orbit determination techniques that have no integrity requirement, are not designed to optimize performance in the user position domain, and usually have no real-time requirement. Our estimator is evaluated using real data from the FAA's National Satellite Test Bed (NSTB). The WAAS Signal-In-Space (SIS) has a limited data message bandwidth of 250 bits-per-second. This data bandwidth was chosen to balance two concerns. First, the power of the signal must not be so strong that it jams GPS. Second, the signal must provide the minimum amount of information necessary to ensure adequate accuracy and integrity for aviation users over the entire

  15. Cerebral glucose utilization and blood flow in Huntington's Disease (HD)

    SciTech Connect

    Phelps, M.E.; Mazziotta, J.C.; Wapenski, J.; Riege, W.; Baxter, L.R.

    1985-05-01

    Previous studies in the authors' Laboratory have been carried out on 13 patients symptomatic of HD (SHD) and 15 asymptomatic at-risk for HD (ARHD) with a ECAT II and identification of changes in caudate metabolism using an index technique. The authors report now studies of additional 28 subjects (11 SHD, 17 ARHD) studied drug free and compared to age/sex matched controls using the higher resolution NeuroECAT, FDG for glucose utilization (LCMRGlc) and 0-15 water for cerebral blood flow (CBF). Patients had neurological, psychiatric-tests, x-ray CT and were video taped to determine type, timing and amount of choreathetic movements during study. In SHD (disease duration 4.9 +- 2.7 yrs), significant decreases (30%) in LCMRGlc were found in striatum (SHD=19.3 +- 7.7, controls = 29.9 +- 5.8 ..mu.. moles/min/100g) despite no to moderate caudate atrophy on x-ray CT. Hemisphere and cortical CMRGlc were not significantly decreased. There was a significant correlation between disease duration and ratio of caudate to putamen (Cd/Put). Pattern of LCMRGlc and CBF matched in SHD. The caudate to hemisphere LCMRGlc ratio was not different between ARHD and controls except variance was about 4 times greater for ARHD (ARHD=1.21 +- 0.15, controls = 1.28 +- 0.04) indicating presence of subpopulations in ARHD group. Four ARHD subjects had a ratio of 1 Std. Dev. from mean of SHD (no normals had values in this range). The 2 ARHD subjects with lowest caudate LCMRGlc had Cd/Put ratios > 2 Std. Dev. from controls. Results show 1) LCMRGlc abnormalities in all SHD patients and subpopulations in ARHD, 2) metabolic alterations appear to begin in caudate and spread to putamen and that a Cd/Put value of 0.7 should be found at start of symptoms, and 3) cortex and thalamus are relatively spared in ARHD and early SHD.

  16. Environmental waste site characterization utilizing aerial photographs and satellite imagery: Three sites in New Mexico, USA

    SciTech Connect

    Van Eeckhout, E.; Pope, P.; Becker, N.; Wells, B.; Lewis, A.; David, N.

    1996-04-01

    The proper handling and characterization of past hazardous waste sites is becoming more and more important as world population extends into areas previously deemed undesirable. Historical photographs, past records, current aerial satellite imagery can play an important role in characterizing these sites. These data provide clear insight into defining problem areas which can be surface samples for further detail. Three such areas are discussed in this paper: (1) nuclear wastes buried in trenches at Los Alamos National Laboratory, (2) surface dumping at one site at Los Alamos National Laboratory, and (3) the historical development of a municipal landfill near Las Cruces, New Mexico.

  17. Central electrical utility power for a satellite ring city in low earth orbit space

    NASA Technical Reports Server (NTRS)

    Myers, Ira T.; Faymon, Karl A.; Patton, A. D.

    1989-01-01

    Information is given in viewgraph form on central electrical power for a satellite ring city, defined as a group of large free flyers of 10 to 20 units with perhaps 100 people in each unit, and organized in a circle so that power can be fed from a central location. The free flyers would be located at 300 to 700 miles in altitude, and spaced about a kilometer apart. Potential activities of a ring city are listed as well as the electrical power needs. Information is given on costs and individual and centralized solar arrays and nuclear reactor systems.

  18. Utilization of telemedicine by heart disease patients following hospitalization.

    PubMed

    Morguet, Andreas J; Kühnelt, Paul; Kallel, Antje; Rauch, Ursula; Schultheiss, Heinz-Peter

    2008-01-01

    NYHA class III and IV chronic heart failure has been established as a potential indication for telemedical care and monitoring already. We conducted a prospective study to assess the utilization of telemedical services by cardiac patients in order to identify further indications. A total of 540 patients (mean age 59 years) with various heart diseases participated for at least 30 days in a home-based telemedicine service programme. The two primary outcome measures were the rates of symptom-driven telephone calls (A) and ECG transmissions (B) per patient-year. The total follow-up was 68,649 days, with a median of 93 days. Symptomatic patients placed 713 calls and transmitted 221 ECGs. Poisson regression analysis with subset selection yielded four significant (P < 0.05) independent positive predictors of the use of the telemedicine service: (1) recent repeat (at least one previous) percutaneous coronary intervention (A, P = 0.010; B, P = 0.001); (2) recent cardioversion for atrial fibrillation or flutter (A, P < 0.0001; B, P < 0.0001); (3) ejection fraction (A, P = 0.012; B, P > 0.05); and (4) reciprocal of age (A, P < 0.0001; B, P > 0.05). These data suggest that telemedicine may benefit patients following repeat percutaneous coronary intervention or cardioversion for atrial fibrillation. Since patients availed themselves of telemedicine service less with deteriorating ejection fraction and increasing age, individuals with chronic heart failure will need dedicated programmes, especially when they are older.

  19. Utilizing NASA Satellite Missions to Identify Bark Beetle Infestation in Sequoia National Park

    NASA Astrophysics Data System (ADS)

    Newcomer, M. E.; Bird, J. E.; Sabatine, S. M.; Sady, G. C.; Stalzer, A. M.; Wheeler, T. A.; Skiles, J. W.; Schmidt, C.

    2009-12-01

    Bark beetle-induced tree mortality has increased over the last few decades, exacerbated by below-average precipitation and a loss of soil nutrients, forcing park managers to improve bark beetle monitoring techniques. Bark beetle dynamics were investigated during summer 2009 at 32 sites within Sequoia National Park, California with the aim of correlating field data with satellite imagery to provide forest managers with a more efficient methodology for tracking, monitoring, and forecasting bark beetle outbreaks. Field parameters included visual assessments of the presence and degree of bark beetle-induced mortality and percent canopy cover. Ancillary data such as relative leaf chlorophyll concentration and soil nutrients including sodium [Na+], nitrate [NO3-], and potassium [K+] were collected for each 15 × 15 meter plot. The relationship between bark beetle attacks and potassium [K+] shows higher concentrations in healthy areas. Additionally, algorithms from three satellites were used to identify areas of moisture and vegetation stress; including the Ratio Vegetation Index (RVI) from ASTER, Enhanced Wetness Difference Index (EWDI) from Landsat Thematic Mapper (TM5), Disturbance Index (DI) from MODIS, and four other vegetation indices from Landsat TM5. Vegetation indices show uniform stress across various years.

  20. Assessing Wildlife Habitat And Range Utilization in Arizona Using Satellite Data

    NASA Astrophysics Data System (ADS)

    Hutchinson, C. F.; Marsh, S. E.; Krausman, P. R.; Enns, R. M.; Howery, L. D.; Trobia, E.; Wallace, C. S.; Walker, J. J.; Mauz, K.; Boyd, H.; Salazar, H.

    2001-05-01

    Since their reintroduction in 1914, elk (Cervus elaphus) have grown to be a major issue in the western United States. Most land is controlled by federal or state agencies, but individual ranchers have agreements that permit them to graze cattle on much of this land. Elk often compete with cattle for forage, and damage infrastructure (i.e. fences, watering points, and crops). Conversely, environmentalists and hunters also have an interest in the management of elk populations. As a result, consequence of these conflicting interests, there is little agreement about the size of the elk population or the nature, location, and timing of conflicts that elk might cause. This study was intended to provide information that might help managers understand the distribution of elk in Arizona as a consequence of seasonal variation and in response to extreme climatic events (i.e. El Niño and La Niña). The first task involved modeling elk populations over time. There are no long term or large-scale studies of elk movements through continuous observation (i.e. radiocollars). A technique for modeling elk population has been developed that is based on harvest data, gender ratios, and estimates of male mortality. This provided estimates of elk populations for individual game management units (areas for which harvest is reported and within which elk are managed by the Arizona Game and Fish Department). The second task involved the use of satellite data to characterize vegetation responses to seasonal and interannual climate variation among vegetation associations within game management units. This involved the use of NOAA Advanced Very High Resolution Radiometer (AVHRR) time series data to describe temporal vegetation behavior, Landsat and Ikonos data to describe spatial vegetation distribution in conjunction with U.S. Forest Service vegetation maps. Elk population estimates were correlated with satellite-derived vegetation measures by vegetation association through time. The patterns

  1. Forecasting distributions of large federal-lands fires utilizing satellite and gridded weather information

    USGS Publications Warehouse

    Preisler, H.K.; Burgan, R.E.; Eidenshink, J.C.; Klaver, Jacqueline M.; Klaver, R.W.

    2009-01-01

    The current study presents a statistical model for assessing the skill of fire danger indices and for forecasting the distribution of the expected numbers of large fires over a given region and for the upcoming week. The procedure permits development of daily maps that forecast, for the forthcoming week and within federal lands, percentiles of the distributions of (i) number of ignitions; (ii) number of fires above a given size; (iii) conditional probabilities of fires greater than a specified size, given ignition. As an illustration, we used the methods to study the skill of the Fire Potential Index an index that incorporates satellite and surface observations to map fire potential at a national scale in forecasting distributions of large fires. ?? 2009 IAWF.

  2. A gradient model of vegetation and climate utilizing NOAA satellite imagery. Phase 1: Texas transect

    NASA Technical Reports Server (NTRS)

    Greegor, D. H.; Norwine, J.

    1981-01-01

    A new experimental climatological model/variable termed the sponge, a measure of moisture availability based on daily temperature maxima and minima and precipitation, is tested for potential biogeographic, ecological, and agro-climatological applications. Results, depicted in tabular and graphic from, suggest that, as a generalized climatic index, sponge's simplicity and sensitivity make particularly appropriate for trans-regional biogeographic studies (e.g., large-area and global vegetation monitoring). The feasibility of utilizing NOAA/AVHRR data for vegetation classification was investigated and a vegetation gradient model that utilizes sponge, and AVHRR pixel data (channels 1 and 2) were obtained for 12 locations. The normalized difference values for the AVHRR data when plotted against vegetation characteristics (biomass, net productivity, leaf area) and sponge values suggest that a multivariate gradient model incorporating AVHRR and sponge data may indeed be useful in global vegetation stratification and monitoring.

  3. Direct Spectrum Division Transmission for Highly Efficient Frequency Utilization in Satellite Communications

    NASA Astrophysics Data System (ADS)

    Abe, Jun-Ichi; Yamashita, Fumihiro; Nakahira, Katsuya; Kobayashi, Kiyoshi

    This paper proposes Direct Spectrum Division Transmission with spectrum editing technique. The transmitter divides the single carrier modulated signal into multiple “sub-spectra” in the frequency domain and arranges each sub-spectrum so as to more fully utilize the unused frequency resources. In the receiver, the divided sub-spectra are combined in the frequency domain and demodulated. By editing the divided spectrum in the frequency domain, the total bandwidth occupied by the multiple “sub-spectra” is less than that of the modulated signal. The proposed technique allows the unused frequency resources scattered across the bands to be better utilized. Simulations show that the proposed technique makes the bit error rate negligible.

  4. A gradient model of vegetation and climate utilizing NOAA satellite imagery. Phase 1: Texas transect

    NASA Technical Reports Server (NTRS)

    Greegor, D.; Norwine, J. (Principal Investigator)

    1981-01-01

    A climatological model/variable termed the sponge (a measure of moisture availability based on daily temperature maxima and minima, and precipitation) was tested for potential biogeograhic, ecological, and agro-climatological applications. Results, depicted in tabular and graphic form, suggest that, as generalized climatic index, sponge is particularly appropriate for large-area and global vegetation monitoring. The feasibility of utilizing NOAA/AVHRR data for vegetation classification was investigated and a vegetation gradient model that utilizes sponge and AVHRR data was initiated. Along an east-west Texas gradient, vegetation, sponge, and AVHRR pixel data (channels 1 and 2) were obtained for 12 locations. The normalized difference values for the AVHRR data when plotted against vegetation characteristics (biomass, net productivity, leaf area) and sponge values along the Texas gradient suggest that a multivariate gradient model incorporating AVHRR and sponge data may indeed be useful in global vegetation stratification and monitoring.

  5. Molecular diversity of the DNA-beta satellites associated with tomato leaf curl disease in India.

    PubMed

    Sivalingam, P N; Malathi, V G; Varma, A

    2010-05-01

    DNA-beta satellites, referred to here as betasatellites, were found associated with tomato leaf curl disease (ToLCD) in India. The size of eight betasatellites isolated from different geographical locations in India varied from 1353 to 1424 nt; these molecules had an ORF beta C1, an adenine-rich region, and a satellite conserved region. Their nucleotide sequence identity varied from 45 to 93%. In phylogenetic analysis, these betasatellites grouped according to their geographic locations rather than the host species. Two new betasatellites, tomato leaf curl Bangalore betasatellite and tomato leaf curl Maharashtra betasatellite, were identified.

  6. Utility of Satellite Data to monitor drought and floods in India

    NASA Astrophysics Data System (ADS)

    Mishra, V.

    2015-12-01

    Extreme hydrologic events such as droughts and floods pose tremendous pressure on society. The damage due to extreme events has increased during the recent decades and it may increase even further under the projected future climate. Real time monitoring of hydrologic extremes is essential to minimize losses to society and infrastructure. However, in many areas, where gauge based observations are not available in timely manner, real-time monitoring of droughts and floods has been challenging. In the absence of in-situ gauge based observations, satellite data from the various platform may provide an useful information for the real-time monitoring. Using the precipitation data from the Tropical Rainfall Measurement Mission (TRMM) a real-time monitor that updates on daily basis was developed for India. The hydrologic variables (soil moisture, runoff, and Evapotranspiration) were simulated using the Variable Infiltration Capacity (VIC) model. The real-time monitor was successfully evaluated for the drought and flood monitoring in India. The monitor provides soil moisture and total runoff conditions at a high resolution. Moreover, the monitor can provide a valuable information on daily streamflow monitoring at the selected gauge stations in India.

  7. Utilization of VAS satellite data in the initialization of an oceanic-cyclogenesis simulation

    NASA Technical Reports Server (NTRS)

    Douglas, Sharon G.; Warner, Thomas T.

    1986-01-01

    A series of experiments was performed to test various method of incorporating Visible Infrared Spin Scan Radiometer Atmospheric Sounder (VAS)-sounding data into the initial conditions of the Penn State University/National Center for Atmospheric mesoscale model. The VAS data for this ocean-cyclogenesis case consist of 110 irregularly distributed temperature and humidity soundings located over the North Pacific Ocean and apply at approximately 1200 GMT 10 November 1981. Various methods of utilizing VAS data in the initial condition of a mesoscale model were evaluated.

  8. Objective Operational Utilization of Satellite Microwave Scatterometer Observations of Tropical Cyclones

    NASA Technical Reports Server (NTRS)

    Cardone, Vincent J.; Cox, Andrew T.

    2000-01-01

    This study has demonstrated that high-resolution scatterometer measurements in tropical cyclones and other high-marine surface wind regimes may be retrieved accurately for wind speeds up to about 35 mls (1-hour average at 10 m) when the scatterometer data are processed through a revised geophysical model function, and a spatial adaptive algorithm is applied which utilizes the fact that wind direction is so tightly constrained in tile inner core of severe marine storms that wind direction may be prescribed from conventional data. This potential is demonstrated through case studies with NSCAT data in a severe West Pacific Typhoon (Violet, 1996) and an intense North Atlantic hurricane (Lili, 1996). However, operational scatterometer winds from NSCAT and QuickScat in hurricanes and severe winter storms are biased low in winds above 25 m/s. We have developed an inverse model to specify the entire surface wind field about a tropical cyclone from operational QuickScat scatterometer measurements within 150 nm of a storm center with the restriction that only wind speeds up to 20 m/s are used until improved model function are introduced. The inverse model is used to specify the wind field over the entire life-cycle of Hurricane Floyd (1999) for use to drive an ocean wave model. The wind field compares very favorably with wind fields developed from the copious aircraft flight level winds obtained in this storm.

  9. The Implications of Healthcare Utilization of Diabetes Disease Management

    DTIC Science & Technology

    2008-06-24

    regression indicate that the overall model significantly predicts of outpatient utilization, R:=.048. R2«j«s.045, F= 19.047. P<.000. This study demonstrates... Regression results indicate that the overall model significantly predicts of outpatient utilization, R2=048, R2adJ=.045, F=19.047, P<.00(f, see...manage patients with diabetes’.’" Standard regression was conducted to determine the accuracy of the independent (HbAlc Testing 2005. 2006 and 2007

  10. Utilization of Satellite Dish Technology and its Application in Taping PeachStar Programming: A Survey of Library Media Specialists.

    ERIC Educational Resources Information Center

    Razza, Betsy L.

    Through lottery funding, all public schools in Georgia received satellite dish equipment. This study is an assessment of the use of the satellite dish equipment by library media specialists in the DeKalb County School System for taping PeachStar (the satellite channel of Georgia Public Broadcasting) programming. The purpose was four-fold: (1) to…

  11. Global Monitoring of Precipitation on Monthly and Shorter Time Scales Utilizing Low-Orbit and Geosynchronous Satellite Observations

    NASA Technical Reports Server (NTRS)

    Adler, Robert; Curtis, Scott; Huffman, George; Bolvin, David; Nelkin, Eric

    1999-01-01

    A satellite-based system to monitor global precipitation on monthly and shorter time scales is described. The monitoring system is based primarily on the Global Precipitation Climatology Project (GPCP) global, monthly, 2.5 degree by 2.5 degree latitude-longitude product which utilizes precipitation estimates from low-orbit microwave sensors (SSM/I) and geosynchronous IR sensors and raingauge information over land. The low-orbit microwave estimates are used to adjust or correct the geosynchronous IR estimates, thereby maximizing the utility of the more physically-based microwave estimates and the finer time sampling of the geosynchronous observations. Information from raingauges is blended into the analyses over land. This globally complete, monthly product is available from January 1986 to the present, with an extension back to January 1979 underway using non-SSM/I data. The monthly GPCP merged data product described in the previous paragraph is available a few (2-4) months after the end of the month. An analysis based solely on low-orbit microwave (SSM/1) data and the Goddard Profiling (GPROF) algorithm is used to bring the global monitoring up to real time. Anomalies from climatological means are produced from both the GPCP and GPROF fields to monitor the evolution of global precipitation, including the calculation of ENSO precipitation indices for real-time (five- day running means) climate monitoring and comparison with previous ENSO anomalies. The long-term climatology of the global precipitation field and the time and space variations thereof will be discussed, including the variations associated with the 1997- 1998 ENSO. The GPCP fields will also be compared to analyses based on the recently launched Tropical Rain Measuring Mission (TRMM). On an even shorter time scale, a new daily, 1 degree x 1 degree latitude-longitude global analysis has been developed starting in January 1997 utilizing low-orbit microwave and geosynchronous IR information using a similar

  12. Shifting the emphasis: From cost models to satellite utility or revenue models. The case for a value-centric mindset in space system design

    NASA Astrophysics Data System (ADS)

    Saleh, Joseph H.; Jordan, Nicole C.; Newman, Dava J.

    2007-11-01

    Cost models are pervasive throughout the aerospace industry. Almost every engineer or program manager in this industry is familiar with cost models or cost estimate relationships (CER), and has at some point in his or her career performed cost analyses for a system or a subsystem. This situation is the laudable result of the emphasis over the last two decades on financial discipline in the design of complex engineering systems. Unfortunately, while cost models are pervasive throughout the aerospace industry, revenue models or utility models on the other hand are quasi-inexistent. In this paper, we argue that while the proliferation of spacecraft cost models is laudable, the absence of interest in satellite utility or revenue models is deplorable. We contend that this situation carries a number of drawbacks. For example, the situation perhaps conveys the false impression that satellites are either cost sinks, or expensive artifacts whose value or utility profile over their design lifetime is difficult to quantify and does not warrant efforts to do so. More importantly, we argue that the absence of quantitative revenue models (in the case of commercial systems) or utility models (in the case of scientific or military systems) makes it difficult to build the case for such systems to policy-makers or decision-makers, especially in the light in their exorbitant costs. Furthermore, we show that the specification and selection of a system design lifetime will always have weak arguments fraught with subjectivity in the absence of quantitative revenue or utility models. We make the case that satellites, like other complex engineering systems, should be viewed as "value-delivery artifacts." Finally, we propose a roadmap for developing a spacecraft utility model in the case of a GEO communications satellite.

  13. Monitoring Disease Trends using Hospital Traffic Data from High Resolution Satellite Imagery: A Feasibility Study

    PubMed Central

    Nsoesie, Elaine O.; Butler, Patrick; Ramakrishnan, Naren; Mekaru, Sumiko R.; Brownstein, John S.

    2015-01-01

    Challenges with alternative data sources for disease surveillance include differentiating the signal from the noise, and obtaining information from data constrained settings. For the latter, events such as increases in hospital traffic could serve as early indicators of social disruption resulting from disease. In this study, we evaluate the feasibility of using hospital parking lot traffic data extracted from high-resolution satellite imagery to augment public health disease surveillance in Chile, Argentina and Mexico. We used archived satellite imagery collected from January 2010 to May 2013 and data on the incidence of respiratory virus illnesses from the Pan American Health Organization as a reference. We developed dynamical Elastic Net multivariable linear regression models to estimate the incidence of respiratory virus illnesses using hospital traffic and assessed how to minimize the effects of noise on the models. We noted that predictions based on models fitted using a sample of observations were better. The results were consistent across countries with selected models having reasonably low normalized root-mean-squared errors and high correlations for both the fits and predictions. The observations from this study suggest that if properly procured and combined with other information, this data source could be useful for monitoring disease trends. PMID:25765943

  14. Statistical assessment and hydrological utility of the latest multi-satellite precipitation analysis IMERG in Ganjiang River basin

    NASA Astrophysics Data System (ADS)

    Li, Na; Tang, Guoqiang; Zhao, Ping; Hong, Yang; Gou, Yabin; Yang, Kai

    2017-01-01

    This study aims to statistically and hydrologically assess the hydrological utility of the latest Integrated Multi-satellitE Retrievals from Global Precipitation Measurement (IMERG) multi-satellite constellation over the mid-latitude Ganjiang River basin in China. The investigations are conducted at hourly and 0.1° resolutions throughout the rainy season from March 12 to September 30, 2014. Two high-quality quantitative precipitation estimation (QPE) datasets, i.e., a gauge-corrected radar mosaic QPE product (RQPE) and a highly dense network of 1200 rain gauges, are used as the reference. For the implementation of the study, first, we compare IMERG product and RQPE with rain gauge-interpolated data, respectively. The results indicate that both remote sensing products can estimate precipitation fairly well over the basin, while RQPE significantly outperforms IMERG product in almost all the studied cases. The correlation coefficients of RQPE (CC = 0.98 and CC = 0.67) are much higher than those of IMERG product (CC = 0.80 and CC = 0.33) at basin and grid scales, respectively. Then, the hydrological assessment is conducted with the Coupled Routing and Excess Storage (CREST) model under multiple parameterization scenarios, in which the model is calibrated using the rain gauge-interpolated data, RQPE, and IMERG products respectively. During the calibration period (from March 12 to May 31), the simulated streamflow based on rain gauge-interpolated data shows the highest Nash-Sutcliffe coefficient efficiency (NSCE) value (0.92), closely followed by the RQPE (NSCE = 0.84), while IMERG product performs barely acceptable (NSCE = 0.56). During the validation period (from June 1 to September 30), the three rainfall datasets are used to force the CREST model based on all the three calibrated parameter sets (i.e., nine combinations in total). RQPE outperforms rain gauge-interpolated data and IMERG product in all validation scenarios, possibly due to its advantageous capability

  15. Diagnostic Utility of Auto-Antibodies in Inflammatory Muscle Diseases.

    PubMed

    Allenbach, Y; Benveniste, O

    2015-01-01

    To date, there are four main groups of idiopathic inflammatory myopathies (IIM): polymyositis (PM), dermatomyositis (DM), immune-mediated necrotizing myopathy (IMNM) and sporadic inclusion body myositis; based on clinical presentation and muscle pathology. Nevertheless, important phenotypical differences (either muscular and/or extra-muscular manifestations) within a group persist. In recent years, the titration of different myositis-specific (or associated) auto-antibodies as a diagnostic tool has increased. This is an important step forward since it may facilitate, at a viable cost, the differential diagnosis between IIM and other myopathies. We have now routine access to assays for the detection of different antibodies. For example, IMNM are related to the presence of anti-SRP or anti-HMGCR. PM is associated with anti-synthetase antibodies (anti-Jo-1, PL-7, PL-12, OJ, and EJ) and DM with anti-Mi-2, anti-SAE, anti-TIF-1-γ and anti-NXP2 (both associated with cancer) or anti-MDA5 antibodies (associated with interstitial lung disease). Today, over 30 myositis specific and associated antibodies have been characterised, and all groups of myositis may present one of those auto-antibodies. Most of them allow identification of homogenous patient groups, more precisely than the classical international classifications of myositis. This implies that classification criteria could be modified accordingly, since these auto-antibodies delineate groups of patients suffering from myositis with consistent clinical phenotype (muscular and extra-muscular manifestations), common prognostic (cancer association, presence of interstitial lung disease, mortality and risk of relapse) and treatment responses. Nevertheless, since numerous auto-antibodies have been recently characterised, the exact prevalence of myositis specific antibodies remains to be documented, and research of new auto-antibodies in the remaining seronegative group is still needed.

  16. Simultaneous precision positioning and vibration suppression of an intelligent composite satellite structure utilizing piezoelectric sensors and actuators

    NASA Astrophysics Data System (ADS)

    Doherty, Kathleen Marie

    Adaptive or intelligent structures which have the capability for sensing and responding to their environment promise a novel approach to satisfying the stringent performance requirements of future space missions. This research effort focuses on the development of a smart thruster mount truss structure with precision positioning and active vibration suppression capability for use in a space satellite. The smart thruster mount would utilize piezoelectric sensors and actuators for precision positioning to provide fine tuning of position tolerance for thruster alignment. The same structure may be used for suppressing the vibration that resonates throughout the spacecraft during thruster firing. This vibration renders sensitive optical or measurement equipment non-operational until the disturbance has dissipated. This smart system approach would greatly enhance mission performance by fine tuning attitude control, potentially eliminating the nonoperational period as well as minimizing fuel consumption utilized for position correction. The configuration of the smart thruster mount truss system is that of a modified Stewart platform. Precision positioning of the truss structure is achieved using active members which extend or contract to tilt the upper platform where the thruster is mounted. An inverse kinematic analysis of a modified Stewart platform has been developed and is used to determine the required axial displacement of the active struts for the desired angular tilt of the smart platform. Experimental data is used to verify the precision positioning capabilities of the active struts. This information demonstrates the ability of the active strut to tilt the top of the smart platform by the required angular displacement. Analytical verification of the vibration suppression capabilities of the active struts in the smart composite platform using finite element analysis is presented. A model of an active strut with surface mounted sensors/actuators was used to develop

  17. Health Care Utilization among Migrant Latino Farmworkers: The Case of Skin Disease

    ERIC Educational Resources Information Center

    Feldman, Steven R.; Vallejos, Quirina M.; Quandt, Sara A.; Fleischer, Alan B., Jr.; Schulz, Mark R.; Verma, Amit; Arcury, Thomas A.

    2009-01-01

    Context: Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing health care resources. Purpose: Framed by the Health Behavior Model, the purpose of this study was to assess health care utilization for skin disease by migrant Latino farmworkers. Methods: Three hundred and four migrant…

  18. Utilization of LAPAN Satellite (TUBSAT, A2, and A3) in supporting Indonesia’s potential as maritime center of the world

    NASA Astrophysics Data System (ADS)

    Julzarika, A.

    2017-01-01

    Indonesia has archipelago area of 2.8 million km2, territorial sea area of 0.4 km2. Indonesia have number of 13.466 islands. Coastline length of Indonesia reached 99.093 km2. Large areas can be monitored using remote sensing technology. Currently, Indonesia have research remote sensing satellites, namely LAPAN TUBSAT, LAPAN A2, LISAT (A3). All of these satellites could be used to monitor Indonesia. These satellites can be used to make the DSM using videogrammetry and depth cue perceptive methods. They also can be used for identification of geobiophysic parameter. Indonesian maritime territory which has sea highway planning can also be monitored using this satellites combination. AIS sensor on LAPAN A2 can be used to identify ships that pass in the territorial waters of Indonesia. It diagonally across the Indonesian region of west to east as much as 14 times a day. At this point it will have detection radius of over 100 km and has the ability to receive signals from maximum of 2000 vessels in the coverage area. Utilization of this satellites is expected to be helpful in supporting the ships cruise monitoring and their support sea highway also in making Indonesia as maritime center of the world.

  19. Techniques for analyzing and utilizing the rain gauges at the NASA White Sands Test Facility. [Tracking and Data Relay Satellite System ground station

    NASA Technical Reports Server (NTRS)

    Kalagher, R. J.

    1973-01-01

    Ten tipping bucket rain gauges have been installed at the NASA WSTF for the purpose of determining rainfall characteristics in this area which may affect the performance of the NASA Tracking and Data Relay Satellite System. A plan is presented for analyzing and utilizing the data which will be obtained during the course of this experiment. Also included is a description of a computer program which has been written to aid in the analysis.

  20. Pathways of Polyunsaturated Fatty Acid Utilization: Implications for Brain Function in Neuropsychiatric Health and Disease

    PubMed Central

    Liu, Joanne J.; Green, Pnina; Mann, J. John; Rapoport, Stanley I.; Sublette, M. Elizabeth

    2014-01-01

    Essential polyunsaturated fatty acids (PUFAs) have profound effects on brain development and function. Abnormalities of PUFA status have been implicated in neuropsychiatric diseases such as major depression, bipolar disorder, schizophrenia, Alzheimer’s disease, and attention deficit hyperactivity disorder. Pathophysiologic mechanisms could involve not only suboptimal PUFA intake, but also metabolic and genetic abnormalities, defective hepatic metabolism, and problems with diffusion and transport. This article provides an overview of physiologic factors regulating PUFA utilization, highlighting their relevance to neuropsychiatric disease. PMID:25498862

  1. From scientific understanding to operational utility: New concepts and tools for monitoring space weather effects on satellites

    NASA Astrophysics Data System (ADS)

    Green, J. C.; Rodriguez, J. V.; Denig, W. F.; Redmon, R. J.; Blake, J. B.; Mazur, J. E.; Fennell, J. F.; O'Brien, T. P.; Guild, T. B.; Claudepierre, S. G.; Singer, H. J.; Onsager, T. G.; Wilkinson, D. C.

    2013-12-01

    NOAA space weather sensors have monitored the near Earth space radiation environment for more than three decades providing one of the only long-term records of these energetic particles that can disable satellites and pose a threat to astronauts. These data have demonstrated their value for operations for decades, but they are also invaluable for scientific discovery. Here we describe the development of new NOAA tools for assessing radiation impacts to satellites and astronauts working in space. In particular, we discuss the new system implemented for processing and delivering near real time particle radiation data from the POES/MetOp satellites. We also describe the development of new radiation belt indices from the POES/MetOp data that capture significant global changes in the environment needed for operational decision making. Lastly, we investigate the physical processes responsible for dramatic changes of the inner proton belt region and the potential consequences these new belts may have for satellite operations.

  2. Using Satellite Images of Environmental Changes to Predict Infectious Disease Outbreaks

    PubMed Central

    Colwell, Rita R.; Rose, Joan B.; Morse, Stephen S.; Rogers, David J.; Yates, Terry L.

    2009-01-01

    Recent events clearly illustrate a continued vulnerability of large populations to infectious diseases, which is related to our changing human-constructed and natural environments. A single person with multidrug-resistant tuberculosis in 2007 provided a wake-up call to the United States and global public health infrastructure, as the health professionals and the public realized that today’s ease of airline travel can potentially expose hundreds of persons to an untreatable disease associated with an infectious agent. Ease of travel, population increase, population displacement, pollution, agricultural activity, changing socioeconomic structures, and international conflicts worldwide have each contributed to infectious disease events. Today, however, nothing is larger in scale, has more potential for long-term effects, and is more uncertain than the effects of climate change on infectious disease outbreaks, epidemics, and pandemics. We discuss advances in our ability to predict these events and, in particular, the critical role that satellite imaging could play in mounting an effective response. PMID:19788799

  3. Health Care Costs, Utilization and Patterns of Care following Lyme Disease

    PubMed Central

    Adrion, Emily R.; Aucott, John; Lemke, Klaus W.; Weiner, Jonathan P.

    2015-01-01

    Background Lyme disease is the most frequently reported vector borne infection in the United States. The Centers for Disease Control have estimated that approximately 10% to 20% of individuals may experience Post-Treatment Lyme Disease Syndrome – a set of symptoms including fatigue, musculoskeletal pain, and neurocognitive complaints that persist after initial antibiotic treatment of Lyme disease. Little is known about the impact of Lyme disease or post-treatment Lyme disease symptoms (PTLDS) on health care costs and utilization in the United States. Objectives 1) to examine the impact of Lyme disease on health care costs and utilization, 2) to understand the relationship between Lyme disease and the probability of developing PTLDS, 3) to understand how PTLDS may impact health care costs and utilization. Methods This study utilizes retrospective data on medical claims and member enrollment for persons aged 0-64 years who were enrolled in commercial health insurance plans in the United States between 2006-2010. 52,795 individuals treated for Lyme disease were compared to 263,975 matched controls with no evidence of Lyme disease exposure. Results Lyme disease is associated with $2,968 higher total health care costs (95% CI: 2,807-3,128, p<.001) and 87% more outpatient visits (95% CI: 86%-89%, p<.001) over a 12-month period, and is associated with 4.77 times greater odds of having any PTLDS-related diagnosis, as compared to controls (95% CI: 4.67-4.87, p<.001). Among those with Lyme disease, having one or more PTLDS-related diagnosis is associated with $3,798 higher total health care costs (95% CI: 3,542-4,055, p<.001) and 66% more outpatient visits (95% CI: 64%-69%, p<.001) over a 12-month period, relative to those with no PTLDS-related diagnoses. Conclusions Lyme disease is associated with increased costs above what would be expected for an easy to treat infection. The presence of PTLDS-related diagnoses after treatment is associated with significant health care

  4. Molecular characterization of begomoviruses and DNA satellites associated with okra leaf curl disease in Cameroon.

    PubMed

    Leke, Walter N; Sattar, Muhammad N; Ngane, Emilia B; Ngeve, Jacob M; Kvarnheden, Anders; Brown, Judith K

    2013-06-01

    Okra leaf curl disease (OLCD) is the most important viral disease of okra in West Africa. In this study, a complex of begomoviruses and associated DNA satellites were identified in symptomatic okra plants from southwestern Cameroon. Sequence analyses showed that two of the plants (Lik1 and Njo5) were infected with a begomovirus being a recombinant of cotton leaf curl Gezira virus (CLCuGeV) and okra yellow crinkle virus (OYCrV). The recombinant genome shared highest nucleotide identity with isolates of CLCuGeV at 87.8% and is therefore considered to be member of a new begomovirus species, Okra leaf curl Cameroon virus (OLCuCMV). One plant (Mue5) was infected by a begomovirus with 95.8% nucleotide identy to CLCuGeV, while in the plants Lik1, Mue1 and Njo5, a begomovirus was identified showing highest nucleotide identity at 93.7% with OYCrV. The nucleotide comparisons and phylogenetic analyses suggest that these isolates represent new Cameroonian strains of CLCuGeV and OYCrV (CLCuGeV-CM and OYCrV-CM). Mixed infection of OLCuCMV and OYCrV-CM was found in two of the plants. A betasatellite and two divergent alphasatellites were also associated with the begomoviruses. The betasatellite was identified as cotton leaf curl Gezira betasatellite (CLCuGeB) with the highest nucleotide identity at 93.3% to other African isolates of CLCuGeB. The alphasatellites, herein named Alpha-1 and Alpha-2, shared 97.3% and 95.2% identity, respectively, with cotton leaf curl Gezira alphasatellite (CLCuGeA) and okra leaf curl Burkina Faso alphasatellite (OLCuBFA). These collective results emphasize the extent of diversity among okra-infecting begomovirus-satellite complexes in western Africa.

  5. The utility of mosquito-borne disease as an environmental monitoring tool in tropical ecosystems.

    PubMed

    Jardine, Andrew; Cook, Angus; Weinstein, Philip

    2008-12-01

    The intrinsic link between ecosystem health and human health has been firmly established in the literature and has given rise to the development of new multidisciplinary fields of research such as medical geology. An important practical implication of the ecosystem health approach is the utility of human disease outbreaks as indicators of underlying ecosystem disruption. The use of such a bioindicator is particularly relevant in developing countries where monitoring of traditional environmental and ecological indicators is not routinely undertaken. Mosquito-borne diseases appear to have good potential as bioindicators in tropical regions because the burden of disease is high, the disease ecology has a strong environmental component and intensive surveillance systems are well established. Evidence is reviewed regarding the utility of mosquito-borne disease to detect a range of ecosystem insults including: hydro-geological disruption in soil-water systems (e.g. secondary soil salinisation and waterlogging); escalating agricultural intensification; deforestation; and urbanisation. The evidence suggests that overall, mosquito-borne disease is a specific but insensitive indicator, because human modification of natural ecosystems does not always result in increases in disease incidence and can, in some cases, lead to reductions. Nevertheless, mosquito-borne disease remain useful as bioindicators if utilised as a complement to traditional environmental variables in identifying ecological disturbances; they can then assist in directing interventions that are concurrently beneficial to both human health and ecosystem health.

  6. The Physician's Assistant in a Rural Satellite Clinic: Report on an Evaluative Case Study of Utilization, Acceptance and Economics.

    ERIC Educational Resources Information Center

    Hill, Robert; And Others

    In an effort to mitigate the maldistribution of U.S. physicians, a rural satellite clinic was established in 1973 to serve the 1,239 citizens of Yale, Oklahoma. The clinic was manned by a graduate of the two year Physician's Associate program at the University of Oklahoma who was under the supervision and employ of a pediatrician located 20 miles…

  7. Horizontal inequity in public health care service utilization for non-communicable diseases in urban Vietnam

    PubMed Central

    Kien, Vu Duy; Van Minh, Hoang; Giang, Kim Bao; Weinehall, Lars; Ng, Nawi

    2014-01-01

    Background A health system that provides equitable health care is a principal goal in many countries. Measuring horizontal inequity (HI) in health care utilization is important to develop appropriate and equitable public policies, especially policies related to non-communicable diseases (NCDs). Design A cross-sectional survey of 1,211 randomly selected households in slum and non-slum areas was carried out in four urban districts of Hanoi city in 2013. This study utilized data from 3,736 individuals aged 15 years and older. Respondents were asked about health care use during the previous 12 months; information included sex, age, and self-reported NCDs. We assessed the extent of inequity in utilization of public health care services. Concentration indexes for health care utilization and health care needs were constructed via probit regression of individual utilization of public health care services, controlling for age, sex, and NCDs. In addition, concentration indexes were decomposed to identify factors contributing to inequalities in health care utilization. Results The proportion of healthcare utilization in the slum and non-slum areas was 21.4 and 26.9%, respectively. HI in health care utilization in favor of the rich was observed in the slum areas, whereas horizontal equity was achieved among the non-slum areas. In the slum areas, we identified some key factors that affect the utilization of public health care services. Conclusion Our results suggest that to achieve horizontal equity in utilization of public health care services, policy should target preventive interventions for NCDs, focusing more on the poor in slum areas. PMID:25095780

  8. Utilization of Meteorological Satellite Imagery for World-Wide Environmental Monitoring the Lower Mississippi River Flood of 1979 - Case 1. [St. Louis, Missouri

    NASA Technical Reports Server (NTRS)

    Helfert, M. R.; Mccrary, D. G.; Gray, T. I. (Principal Investigator)

    1981-01-01

    The 1979 Lower Mississippi River flood was selected as a test case of environmental disaster monitoring utilizing NOAA-n imagery. A small scale study of the St. Louis Missouri area comparing ERTS-1 (LANDSAT) and NOAA-2 imagery and flood studies using only LANDSAT imagery for mapping the Rad River of the North, and Nimbus-5 imagery for East Australia show the nonmeteorological applications of NOAA satellites. While the level of NOAA-n imagery detail is not that of a LANDSAT image, for operational environmental monitoring users the NOAA-n imagery may provide acceptable linear resolution and spectral isolation.

  9. A review of health utilities using the EQ-5D in studies of cardiovascular disease

    PubMed Central

    2010-01-01

    Background The EQ-5D has been extensively used to assess patient utility in trials of new treatments within the cardiovascular field. The aims of this study were to review evidence of the validity and reliability of the EQ-5D, and to summarise utility scores based on the use of the EQ-5D in clinical trials and in studies of patients with cardiovascular disease. Methods A structured literature search was conducted using keywords related to cardiovascular disease and EQ-5D. Original research studies of patients with cardiovascular disease that reported EQ-5D results and its measurement properties were included. Results Of 147 identified papers, 66 met the selection criteria, with 10 studies reporting evidence on validity or reliability and 60 reporting EQ-5D responses (VAS or self-classification). Mean EQ-5D index-based scores ranged from 0.24 (SD 0.39) to 0.90 (SD 0.16), while VAS scores ranged from 37 (SD 21) to 89 (no SD reported). Stratification of EQ-5D index scores by disease severity revealed that scores decreased from a mean of 0.78 (SD 0.18) to 0.51 (SD 0.21) for mild to severe disease in heart failure patients and from 0.80 (SD 0.05) to 0.45 (SD 0.22) for mild to severe disease in angina patients. Conclusions The published evidence generally supports the validity and reliability of the EQ-5D as an outcome measure within the cardiovascular area. This review provides utility estimates across a range of cardiovascular subgroups and treatments that may be useful for future modelling of utilities and QALYs in economic evaluations within the cardiovascular area. PMID:20109189

  10. Health Care Utilization among Migrant Latino Farmworkers: The Case of Skin Disease

    PubMed Central

    Feldman, Steven R.; Vallejos, Quirina M.; Quandt, Sara A.; Fleischer, Alan B.; Schulz, Mark R.; Verma, Amit; Arcury, Thomas A.

    2009-01-01

    Context Skin diseases are common occupational illnesses for migrant farmworkers. Farmworkers face many barriers in accessing healthcare resources. Purpose Framed by the Health Behavior Model, the purpose of this study was to assess health care utilization for skin disease by migrant Latino farmworkers. Methods 304 migrant and seasonal Latino farmworkers in North Carolina were enrolled in a longitudinal study of skin disease and healthcare utilization over a single agricultural season. Self-reported and dermatologist-diagnosed skin condition data were collected at baseline and at up to four follow-up assessments. Medical visit rates were compared to national norms. Findings Self-reported skin problems and diagnosed skin disease were common among farmworkers. However, only 34 health care visits were reported across the entire agricultural season, and none of the visits were for skin diseases. Nevertheless, self-treatment for skin conditions was common, including use of non-prescription preparations (63%), prescription products (9%), and home remedies (6%). General medical office visits were reported in 3.2% of the assessments, corresponding to 1.6 office visits per person year. Conclusions The migrant farmworker population consists largely of young men who make little use of clinic services. Skin conditions are very common among these workers, but use of medical services for these conditions is not common. Instead, farmworkers rely primarily on self-treatment. Clinic-based studies of farmworker skin conditions will not account for most injury or disease in this population and have the potential for biased estimates. PMID:19166568

  11. Analysis of lake level changes in Nam Co in central Tibet utilizing synergistic satellite altimetry and optical imagery

    NASA Astrophysics Data System (ADS)

    Kropáček, Jan; Braun, Andreas; Kang, Shichang; Feng, Chen; Ye, Qinghua; Hochschild, Volker

    2012-07-01

    The fluctuations of closed basin lakes on the Tibetan Plateau are a valuable record of climate change induced water balance alterations within the catchments. Since these basins are remote and hard to access, multisensoral remote sensing is a valuable method to gather the necessary water budget components with appropriate spatial coverage and with high temporal resolutions. Thus the lake level elevation changes of the central Tibetan lake Nam Co were examined in example by a comparison of satellite altimetry (RA-2/ENVISAT, GFO radar altimeters and GLAS/ICESat laser altimeter for the period 2000-2009) and the evaluation of a time series of optical satellite data dating back to 1976 (Landsat) and 1965 (Corona) in order to validate hydrological water budget modelling results. The combination of all three altimeters revealed a rising trend of lake level on average by 0.31 m/year in the period 2000-2009 which corresponds to a total volume change of 6.2 km3. This is in a good agreement with simulated average lake level rise of 0.35 m/year obtained from distributed hydrological modelling (Krause et al., 2010). The movements of lakeshore measured on the satellite imagery confirm the trend revealed by the altimetry data and they also indicate the rising trend since 1965. While GFO provides a dense time series of data the more accurate ENVISAT/RA-2 data unfortunately feature large data gaps over Tibet. The measurements from time limited campaigns of ICESat validate the results of radar altimetry and they provide unlike radar altimeters a valid height over lake ice during winter and spring period. The results show that the presented approach is a valuable contribution to understand the impact of changing climate on the hydrology of Tibetan lakes.

  12. The Utility of Cerebral Blood Flow as a Biomarker of Preclinical Alzheimer’s Disease

    PubMed Central

    Hays, Chelsea C.; Zlatar, Zvinka Z.; Wierenga, Christina E.

    2017-01-01

    There is accumulating evidence suggesting that changes in brain perfusion are present long before the clinical symptoms of Alzheimer’s disease (AD), perhaps even before amyloid-β accumulation or brain atrophy. This evidence, consistent with the vascular hypothesis of AD, implicates cerebral blood flow (CBF) in the pathogenesis of AD and suggests its utility as a biomarker of preclinical AD. The extended preclinical phase of AD holds particular significance for disease-modification, as treatment would likely be most effective in this early asymptomatic stage of disease. This highlights the importance of identifying reliable and accurate biomarkers of AD that can differentiate normal aging from preclinical AD prior to clinical symptom manifestation. Cerebral perfusion, as measured by arterial spin labeling magnetic resonance imaging (ASL-MRI), has been shown to distinguish between normal controls and adults with AD. In addition to demonstrating diagnostic utility, CBF has shown usefulness as a tool for identifying those who are at risk for AD and for predicting subtle cognitive decline and conversion to mild cognitive impairment (MCI) and AD. Taken together, this evidence not only implicates CBF as a useful biomarker for tracking disease severity and progression, but also suggests that ASL-measured CBF may be useful for identifying candidates for future AD treatment trials, especially in the preclinical, asymptomatic phases of the disease. PMID:26898552

  13. Gene-based vaccines and immunotherapeutic strategies against neurodegenerative diseases: Potential utility and limitations.

    PubMed

    Kudrna, Jeremy J; Ugen, Kenneth E

    2015-01-01

    There has been a recent expansion of vaccination and immunotherapeutic strategies from controlling infectious diseases to the targeting of non-infectious conditions including neurodegenerative disorders. In addition to conventional vaccine and immunotherapeutic modalities, gene-based methods that express antigens for presentation to the immune system by either live viral vectors or non-viral naked DNA plasmids have been developed and evaluated. This mini-review/commentary summarizes the advantages and disadvantages, as well as the research findings to date, of both of these gene-based vaccination approaches in terms of how they can be targeted against appropriate antigens within the Alzheimer and Parkinson disease pathogenesis processes as well as potentially against targets in other neurodegenerative diseases. Most recently, the novel utilization of these viral vector and naked DNA gene-based technologies includes the delivery of immunoglobulin genes from established biologically active monoclonal antibodies. This modified passive immunotherapeutic strategy has recently been applied to deliver passive antibody immunotherapy against the pathologically relevant amyloid β protein in Alzheimer disease. The advantages and disadvantages of this technological application of gene-based immune interventions, as well as research findings to date are also summarized. In sum, it is suggested that further evaluation of gene based vaccines and immunotherapies against neurodegenerative diseases are warranted to determine their potential clinical utility.

  14. Perceived Health Status and Utilization of Specialty Care: Racial and Ethnic Disparities in Patients with Chronic Diseases

    ERIC Educational Resources Information Center

    Glover, Saundra; Bellinger, Jessica D.; Bae, Sejong; Rivers, Patrick A.; Singh, Karan P.

    2010-01-01

    Objective: The objective of this study is to determine racial and ethnic variations in specialty care utilization based on (a) perceived health status and (b) chronic disease status. Methods: Variations in specialty care utilization, by perceived health and chronic disease status, were examined using the Commonwealth Fund Health Care Quality…

  15. Utilizing low-cost 3U single-sensor satellites for intelligence, surveillance, and reconnaissance mission capabilities

    NASA Astrophysics Data System (ADS)

    Huang, Philip M.; Knuth, Andrew A.; Garrison-Darrin, Margaret A.

    2012-06-01

    Leveraging low cost launch carriers for small satellites with the functionality required for DoD and intelligence missions realizes a hidden potential capability. The Multi-Mission Bus Demonstration (MBD) is a Johns Hopkins University Applied Physics Laboratory (JHU/APL) program to demonstrate military operational relevance in a 3U CubeSat form factor. The MBD spacecraft caters to mission versatility and responsive launch capabilities with a standardized bus and interchangeable payload interface design. MBD embraced the challenge of building two space vehicles on an extremely aggressive timeline and demanding budget, causing the development team to evaluate every step of the process to maximize efforts with minimal manpower and cost. MBD is providing a classified DoD payload capability that is truly operationally relevant and may revolutionize the mission area. As a single instrument or payload satellite, also called a SensorSat, MBD is a spacecraft of realizable ISR benefits including effective remote sensing, simplified engineering design and program requirements, and reduced time to launch, all yielding an appealing cost per unit. The SensorSat has potential to detect sufficient information that will act as a complementary component to tactical commanders in heightening battlefield awareness. Recent advancements in technology has put capabilities such as precision navigation, communication intelligence, signal intelligence, tactical warning, environmental intelligence, and a wide variety of ground imaging, at the tip of culmination in a small, economical package. This paper reviews the high functionality of the MBD spacecraft in the miniaturized footprint of 10 cm by 10 cm by 30cm which allows the mission to leverage inexpensive launch opportunities.

  16. Clinical utility of (18)F-fluoride PET/CT in benign and malignant bone diseases.

    PubMed

    Li, Yuxin; Schiepers, Christiaan; Lake, Ralph; Dadparvar, Simin; Berenji, Gholam R

    2012-01-01

    (18)F labeled sodium fluoride is a positron-emitting, bone seeking agent with more favorable skeletal kinetics than conventional phosphate and diphosphonate compounds. With the expanding clinical usage of PET/CT, there is renewed interest in using (18)F-fluoride PET/CT for imaging bone diseases. Growing evidence indicates that (18)F fluoride PET/CT offers increased sensitivity, specificity, and diagnostic accuracy in evaluating metastatic bone disease compared to (99m)Tc based bone scintigraphy. National Oncologic PET Registry (NOPR) has expanded coverage for (18)F sodium fluoride PET scans since February 2011 for the evaluation of osseous metastatic disease. In this article, we reviewed the pharmacological characteristics of sodium fluoride, as well as the clinical utility of PET/CT using (18)F-fluoride in both benign and malignant bone disorders.

  17. Patterns of cerebral glucose utilization in depression, multiple infarct dementia, and Alzheimer's disease

    SciTech Connect

    Kuhl, D.E.; Metter, E.J.; Riege, W.H.

    1983-01-01

    Patterns of local cerebral glucose utilization were determined in moderately to severely disabled patients with depression (n=7), multiple infarct dementia (n=6), and Alzheimer's disease (n=6), and in normal controls (n=6), using positron emission tomography with the /sup 18/F-fluorodeoxyglucose method. Average global metabolic rate was decreased 30% in patients with Alzheimer's disease, but overlap among the other groups reduced the discriminant value of this measure. In depressed patients, the cerebral metabolic pattern was normal, except for evidence of hypometabolic zone in the posterior-inferior frontal cortex which was of marginal statistical significance. In multiple infarct dementia, focal metabolic defects were scattered throughout the brain and exceeded the extent of infarction. In Alzheimer's disease, metabolism was markedly reduced in cortex, especially parietal cortex, but relatively preserved in caudate, thalamus, anterior cingulate gyrus, pre and post central gyrus, and calcarine occipital cortex, a pattern duplicating the degree and location of pathological and neurochemical alterations characteristic of this disorder.

  18. Dose-response effects for disease management programs on hospital utilization in Illinois Medicaid.

    PubMed

    Berg, Gregory D; Donnelly, Shawn; Miller, Mary; Medina, Wendie; Warnick, Kathleen

    2012-12-01

    The objective of this study is to estimate a dose-response impact of disease management contacts on inpatient admissions. Multivariate regression analysis of panel data was used to test the hypothesis that increased disease management contacts lower the odds of an inpatient admission. Subjects were 40,452 members of Illinois' noninstitutionalized Medicaid-only aged, blind, or disabled population diagnosed with asthma, coronary artery disease, chronic obstructive pulmonary disease, diabetes, and/or heart failure. All members are also in the state's Illinois Health Connect program, a medical home strategy in place for most of the 2.4 million Illinois Medicaid beneficiaries. The statistical measure is the odds ratio, which is a measure of association between the monthly inpatient admission indicator and the number of contacts (doses) a member has had for each particular disease management intervention. Statistically significant contacts are between 8 and 12 for heart failure, between 4 and 12 contacts for diabetes, and between 8 and 13 contacts for asthma. Total inpatient savings during the study period is estimated to be $12.4 million. This study shows the dose-response pattern of inpatient utilization improvements through the number of disease management contacts.

  19. Distributed land surface modeling with utilization of multi-sensor satellite data: application for the vast agricultural terrain in cold region

    NASA Astrophysics Data System (ADS)

    Muzylev, E.; Uspensky, A.; Gelfan, A.; Startseva, Z.; Volkova, E.; Kukharsky, A.; Romanov, P.; Alexandrovich, M.

    2012-04-01

    A technique for satellite-data-based modeling water and heat regimes of a large scale area has been developed and applied for the 227,300 km2 agricultural region in the European Russia. The core component of the technique is the physically based distributed Remote Sensing Based Land Surface Model (RSBLSM) intended for simulating transpiration by vegetation and evaporation from bare soil, vertical transfer of water and heat within soil and vegetation covers during a vegetation season as well as hydrothermal processes in soil and snow covers during a cold season, including snow accumulation and melt, dynamics of soil moisture and temperature during soil freezing and thawing, infiltration into frozen soil. Processes in the "atmosphere-snow-frozen soil" system are critical for cold region agriculture, as they control crop development in early spring before the vegetation season beginning. For assigning the model parameters as well as for preliminary calibrating and validating the model, available multi-year data sets of soil moisture/temperature profiles, evaporation, snow and soil freezing depth measured at the meteorological stations located within the study region have been utilized. To provide an appropriate parametrization of the model for the areas where ground-based measurements are unavailable, estimates have been utilized for vegetation, meteorological and snow characteristics derived from the multispectral measurements of AVHRR/NOAA (1999-2010), MODIS/EOS Terra & Aqua (2002-2010), AMSR-E/Aqua (2003-2004; 2008-2010), and SEVIRI/Meteosat-9 (2009-2010). The technologies of thematic processing the listed satellite data have been developed and applied to estimate the land surface and snow cover characteristics for the study area. The developed technologies of AVHRR data processing have been adapted to retrieve land surface temperature (LST) and emissivity (E), surface-air temperature at a level of vegetation cover (TA), normalized vegetation index (NDVI), leaf

  20. Screening Utility of the King-Devick Test in Mild Cognitive Impairment and Alzheimer Disease Dementia.

    PubMed

    Galetta, Kristin M; Chapman, Kimberly R; Essis, Maritza D; Alosco, Michael L; Gillard, Danielle; Steinberg, Eric; Dixon, Diane; Martin, Brett; Chaisson, Christine E; Kowall, Neil W; Tripodis, Yorghos; Balcer, Laura J; Stern, Robert A

    2016-06-13

    The King-Devick (K-D) test is a 1 to 2 minute, rapid number naming test, often used to assist with detection of concussion, but also has clinical utility in other neurological conditions (eg, Parkinson disease). The K-D involves saccadic eye and other eye movements, and abnormalities thereof may be an early indicator of Alzheimer disease (AD)-associated cognitive impairment. No study has tested the utility of the K-D in AD and we sought to do so. The sample included 206 [135 controls, 39 mild cognitive impairment (MCI), and 32 AD dementia] consecutive subjects from the Boston University Alzheimer's Disease Center registry undergoing their initial annual evaluation between March 2013 and July 2015. The K-D was administered during this period. Areas under the receiver operating characteristic curves generated from logistic regression models revealed the K-D test distinguished controls from subjects with cognitive impairment (MCI and AD dementia) [area under the curve (AUC)=0.72], MCI (AUC=0.71) and AD dementia (AUC=0.74). K-D time scores between 48 and 52 seconds were associated with high sensitivity (>90.0%) and negative predictive values (>85.0%) for each diagnostic group. The K-D correlated strongly with validated attention, processing speed, and visual scanning tests. The K-D test may be a rapid and simple effective screening tool to detect cognitive impairment associated with AD.

  1. Utilizing health ambassadors to improve type 2 diabetes and cardiovascular disease outcomes in Gadsden County, Florida.

    PubMed

    Suther, Sandra; Battle, Arrie M; Battle-Jones, Felecia; Seaborn, Cynthia

    2016-04-01

    Minority racial and ethnic groups are at higher risk for developing type 2 diabetes. These groups also experience more severe complications from diabetes and have higher mortality rates as a result of the disease, such as cardiovascular disease, amputation and kidney failure. Underserved rural ethnically disparate populations benefit from health education outreach efforts that are conveyed and translated by specially-trained community health ambassadors. Project H.I.G.H. (Helping Individuals Get Healthy) was developed to target the priority areas of type 2 diabetes and cardiovascular disease. Utilizing trained community health ambassadors, CDC's The Road to Health Toolkit as well as New Beginnings: A Discussion Guide for Living Well with Diabetes was used as a model for a community-based educational program. The overall goal of Project H.I.G.H was to implement and evaluate: (1) a coordinated, behavior-focused, family-centered, community-based educational program and; (2) a client service coordination effort resulting in improved health outcomes (BMI, Glucose Levels, BP) for individuals with type 2 diabetes and cardiovascular disease in Gadsden County, Florida. Overall, Project H.I.G.H. was very successful in its first year at motivating participants to delay or prevent diabetes and/or cardiovascular disease or at the very least to start taking better care of their health.

  2. Computers and small satellites: How FORTE is utilizing the WWW as a {open_quotes}paperless{close_quotes} information resource and the development of a unique resource management planning tool

    SciTech Connect

    Roussel-Dupre, D.; Carter, M.; Franz, R.

    1997-10-01

    The Fast-On-orbit Recording of Transient Events (FORTE) satellite is the second satellite to be developed and flown by Los Alamos National Laboratory and is scheduled to be launched August, 1997 by a Pegasus XL rocket. FORTE follows in the footsteps of the ALEXIS satellite in utilizing a very small operations crew for mission operations. Partially based upon the ALEXIS automation and World Wide Web (WWW) usage for data dissemination, FORTE began at an early stage of ground processing to use the web as a repository of information about all aspects of the satellite. Detailed descriptions of the various satellite and experiment components, cable diagrams, integration photographs as well as extensive test data have all been compiled into a single site as a means of archiving the data at a single location. In this manner, it is readily available during times of ground testing, ground station operation training as well as anomaly resolution. Small satellites usually require extensive effort to optimize operation under minimal resources. For the FORTE satellite, a unique planning tool has been developed over the past 2 years which balances the various resources of the satellite (power, memory, downlink, on board command buffer, etc.) to provide the maximum data acquisition. This paper will concentrate on a description of both the extensive web interface and the planning tool. 6 refs.

  3. Satellite Capabilities Mapping - Utilizing Small Satellites

    DTIC Science & Technology

    2010-09-01

    Related to the CubeSat Size……………………..24 Table 5. Solar Radiation Particle Types and Effects …………………………………….26 Table 6. SESS Sensor Descriptions...acquisitions can be done” [3]. A smallsat may be defined by different characteristics such as size, weight, power, and cost are the most common. These...Reconnaissance (ISR). [4]” For example, solar energetic particles accelerated by a coronal mass ejection (CME) or solar flare can damage electronics

  4. The potential utilizations of hydrogen as a promising therapeutic strategy against ocular diseases

    PubMed Central

    Tao, Ye; Geng, Lei; Xu, Wei-Wei; Qin, Li-Min; Peng, Guang-Hua; Huang, Yi-Fei

    2016-01-01

    Hydrogen, one of the most well-known natural molecules, has been used in numerous medical applications owing to its ability to selectively neutralize cytotoxic reactive oxygen species and ameliorate hazardous inflammations. Hydrogen can exert protective effects on various reactive oxygen species-related diseases, including the transplantation-induced intestinal graft injury, chronic inflammation, ischemia–reperfusion injuries, and so on. Especially in the eye, hydrogen has been used to counteract multiple ocular pathologies in the ophthalmological models. Herein, the ophthalmological utilizations of hydrogen are systematically reviewed and the underlying mechanisms of hydrogen-induced beneficial effects are discussed. It is our hope that the protective effects of hydrogen, as evidenced by these pioneering studies, would enrich our pharmacological knowledge about this natural element and cast light into the discovery of a novel therapeutic strategy against ocular diseases. PMID:27279745

  5. Utilizing satellite-derived estimates of land surface temperature and vegetation characteristics in modeling the vertical water and heat fluxes for a river basin

    NASA Astrophysics Data System (ADS)

    Muzylev, E. L.; Uspensky, A. B.; Startseva, Z. P.; Volkova, E. V.; Kukharsky, A. V.

    2009-04-01

    New version of the model of vertical water and heat transfer in the "soil-vegetation-atmosphere" system (SVAT) has been developed, accounting for land surface heterogeneities in river basin. The model is specially designed to assimilate satellite data and is intended for calculation of evapotranspiration Ev, soil water content W, sensible and latent heat fluxes and other water and heat balance components as well as vertical soil moisture and temperature profiles and vegetation cover and soil surface temperatures for any time interval within vegetation season. The river basin landscape patchiness is represented in the model with soil constants, leaf area index LAI, vegetation cover fraction B, land surface albedo A, and other vegetation characteristics that were treated as model parameters. The Seim River basin was chosen for investigation, situated in forest-steppe zone of the Central Russia (Kursk region) with watershed area equal to 7460 km2. Satellite-derived estimates of land surface characteristics have been extracted from AVHRR/NOAA (1999-2006 vegetation seasons) and MODIS/EOS Terra and Aqua (2003-2005 vegetation seasons) cloud-free data. The developed technique of AVHRR data processing provides the cloud detection and the retrieval of soil temperature Тsg and emissivity E, surface-air temperature at a level of vegetation cover Ta, effective radiative temperature Ts.eff (weighted linear combination of Ta and Tsg), as well as the derivation of normalized vegetation index NDVI, LAI and B. The updated multi-threshold technique of cloud detection in the AVHRR field of view has been applied to increase the reliability of cloud-free fragments selection. The algorithms of Ta, Ts.eff, Tg derivation utilize linear regression estimators similar to well-known "local" split window technique. The values of E for these regression formulas have been specified using empirical relationships between E and B, E and NDVI as well as the emissivity models for various surface

  6. Evaluating the utility of satellite soil moisture retrievals over irrigated areas and the ability of land data assimilation methods to correct for unmodeled processes

    NASA Astrophysics Data System (ADS)

    Kumar, S. V.; Peters-Lidard, C. D.; Santanello, J. A.; Reichle, R. H.; Draper, C. S.; Koster, R. D.; Nearing, G.; Jasinski, M. F.

    2015-11-01

    Earth's land surface is characterized by tremendous natural heterogeneity and human-engineered modifications, both of which are challenging to represent in land surface models. Satellite remote sensing is often the most practical and effective method to observe the land surface over large geographical areas. Agricultural irrigation is an important human-induced modification to natural land surface processes, as it is pervasive across the world and because of its significant influence on the regional and global water budgets. In this article, irrigation is used as an example of a human-engineered, often unmodeled land surface process, and the utility of satellite soil moisture retrievals over irrigated areas in the continental US is examined. Such retrievals are based on passive or active microwave observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), the Advanced Microwave Scanning Radiometer 2 (AMSR2), the Soil Moisture Ocean Salinity (SMOS) mission, WindSat and the Advanced Scatterometer (ASCAT). The analysis suggests that the skill of these retrievals for representing irrigation effects is mixed, with ASCAT-based products somewhat more skillful than SMOS and AMSR2 products. The article then examines the suitability of typical bias correction strategies in current land data assimilation systems when unmodeled processes dominate the bias between the model and the observations. Using a suite of synthetic experiments that includes bias correction strategies such as quantile mapping and trained forward modeling, it is demonstrated that the bias correction practices lead to the exclusion of the signals from unmodeled processes, if these processes are the major source of the biases. It is further shown that new methods are needed to preserve the observational information about unmodeled processes during data assimilation.

  7. Evaluating the utility of satellite soil moisture retrievals over irrigated areas and the ability of land data assimilation methods to correct for unmodeled processes

    NASA Astrophysics Data System (ADS)

    Kumar, S. V.; Peters-Lidard, C. D.; Santanello, J. A.; Reichle, R. H.; Draper, C. S.; Koster, R. D.; Nearing, G.; Jasinski, M. F.

    2015-06-01

    The Earth's land surface is characterized by tremendous natural heterogeneity and human engineered modifications, both of which are challenging to represent in land surface models. Satellite remote sensing is often the most practical and effective method to observe the land surface over large geographical areas. Agricultural irrigation is an important human induced modifications to natural land surface processes, as it is pervasive across the world and because of its significant influence on the regional and global water budgets. In this article, irrigation is used as an example of a human engineered, unmodeled land surface process, and the utility of satellite soil moisture retrievals over irrigated areas in the continental US is examined. Such retrievals are based on passive or active microwave observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), the Advanced Microwave Scanning Radiometer 2 (AMSR2), the Soil Moisture Ocean Salinity (SMOS) mission, WindSat and the Advanced Scatterometer (ASCAT). The analysis suggests that the skill of these retrievals for representing irrigation artifacts is mixed, with ASCAT based products somewhat more skillful than SMOS and AMSR2 products. The article then examines the suitability of typical bias correction strategies in current land data assimilation systems when unmodeled processes dominate the bias between the model and the observations. Using a suite of synthetic experiments that includes bias correction strategies such as quantile mapping and trained forward modeling, it is demonstrated that the bias correction practices lead to the exclusion of the signals from unmodeled processes, if these processes are the major source of the biases. It is further shown that new methods are needed to preserve the observational information about unmodeled processes during data assimilation.

  8. Evaluating the Utility of Satellite Soil Moisture Retrievals over Irrigated Areas and the Ability of Land Data Assimilation Methods to Correct for Unmodeled Processes

    NASA Technical Reports Server (NTRS)

    Kumar, S. V.; Peters-Lidard, C. D.; Santanello, J. A.; Reichle, R. H.; Draper, C. S.; Koster, R. D.; Nearing, G.; Jasinski, M. F.

    2015-01-01

    Earth's land surface is characterized by tremendous natural heterogeneity and human-engineered modifications, both of which are challenging to represent in land surface models. Satellite remote sensing is often the most practical and effective method to observe the land surface over large geographical areas. Agricultural irrigation is an important human-induced modification to natural land surface processes, as it is pervasive across the world and because of its significant influence on the regional and global water budgets. In this article, irrigation is used as an example of a human-engineered, often unmodeled land surface process, and the utility of satellite soil moisture retrievals over irrigated areas in the continental US is examined. Such retrievals are based on passive or active microwave observations from the Advanced Microwave Scanning Radiometer for the Earth Observing System (AMSR-E), the Advanced Microwave Scanning Radiometer 2 (AMSR2), the Soil Moisture Ocean Salinity (SMOS) mission, WindSat and the Advanced Scatterometer (ASCAT). The analysis suggests that the skill of these retrievals for representing irrigation effects is mixed, with ASCAT-based products somewhat more skillful than SMOS and AMSR2 products. The article then examines the suitability of typical bias correction strategies in current land data assimilation systems when unmodeled processes dominate the bias between the model and the observations. Using a suite of synthetic experiments that includes bias correction strategies such as quantile mapping and trained forward modeling, it is demonstrated that the bias correction practices lead to the exclusion of the signals from unmodeled processes, if these processes are the major source of the biases. It is further shown that new methods are needed to preserve the observational information about unmodeled processes during data assimilation.

  9. Detection and analysis of morphotectonic features utilizing satellite remote sensing and GIS: An example in SW Jordan

    NASA Astrophysics Data System (ADS)

    Radaideh, Omar M. A.; Grasemann, Bernhard; Melichar, Rostislav; Mosar, Jon

    2016-12-01

    This study investigates the dominant orientations of morphological features and the relationship between these trends and the spatial orientation of tectonic structures in SW Jordan. Landsat 8 and hill-shaded images, constructed from 30 m-resolution ASTER-GDEM data, were used for automatically extracting and mapping geological lineaments. The ASTER-GDEM was further utilized to automatically identify and extract drainage network. Morphological features were analyzed by means of azimuth frequency and length density distributions. Tectonic controls on the land surface were evaluated using longitudinal profiles of many westerly flowing streams. The profiles were taken directly across the northerly trending faults within a strong topographic transition between the low-gradient uplands and the deeply incised mountain front on the east side of the Dead Sea Fault Zone. Streams of the area are widely divergent, and show numerous anomalies along their profiles when they transect faults and lineaments. Five types of drainage patterns were identified: dendritic, parallel, rectangular, trellis, and modified dendritic/trellis. Interpretation and analysis of the lineaments indicate the presence of four main lineament populations that trend E-W, N-S, NE-SW, and NW-SE. Azimuthal distribution analysis of both the measured structures and drainage channels shows similar trends, except for very few differences in the prevailing directions. The similarity in orientation of lineaments, drainage system, and subsurface structural trends highlights the degree of control exerted by underlying structure on the surface geomorphological features. Faults and lineaments serve as a preferential conduit for surface running waters. The extracted lineaments were divided into five populations based on the main age of host rocks outcropping in the study area to obtain information about the temporal evolution of the lineament trends through geologic time. A general consistency in lineament trends over

  10. A haemophilia disease management programme targeting cost and utilization of specialty pharmaceuticals.

    PubMed

    Duncan, N; Roberson, C; Lail, A; Donfield, S; Shapiro, A

    2014-07-01

    The high cost of clotting factor concentrate (CFC) used to treat haemophilia and von Willebrand disease (VWD) attracts health plans' attention for cost management strategies such as disease management programmes (DMPs). In 2004, Indiana's high risk insurance health plan, the Indiana Comprehensive Health Insurance Association, in partnership with the Indiana Hemophilia and Thrombosis Center developed and implemented a DMP for beneficiaries with bleeding disorders. This report evaluates the effectiveness of the DMP 5 years post implementation, with specific emphasis on the cost of CFC and other medical expenditures by severity of disease. A pre/post analysis was used. The main evaluation measures were total cost, total outpatient CFC IU dispensed and adjusted total outpatient CFC cost. Summary statistics and mean and median plots were calculated. Overall, 1000 non-parametric bootstrap replicates were created and percentile confidence limits for 95% confidence intervals (CI) are reported. Mean emergency department (ED) visits and mean and median duration of hospitalizations are also reported. The DMP was associated with a significant decrease in mean annualized total cost including decreased CFC utilization and cost in most years in the overall group, and specifically in patients with severe haemophilia. Patients with mild and moderate haemophilia contributed little to overall programme expenditures. This specialty health care provider-administered DMP exemplifies the success of targeted interventions developed and implemented through a health care facility expert in the disease state to curb the cost of specialty pharmaceuticals in conditions when their expenditures represent a significant portion of total annual costs of care.

  11. Roles and interactions of begomoviruses and satellite DNAs associated with okra leaf curl disease in Mali, West Africa.

    PubMed

    Kon, Tatsuya; Rojas, Maria R; Abdourhamane, Issoufou K; Gilbertson, Robert L

    2009-04-01

    Okra leaf curl disease (OLCD) is a major constraint on okra (Abelmoschus esculentus) production in West Africa. Two monopartite begomoviruses (okra virus-1 and okra virus-2), a betasatellite and a DNA1 satellite are associated with OLCD in Mali. Okra virus-1 is an isolate of okra yellow crinkle virus (OYCrV), okra virus-2 is a recombinant isolate of cotton leaf curl Gezira virus (CLCuGV) and the betasatellite is a variant of cotton leaf curl Gezira betasatellite (CLCuGB). Cloned DNA of OYCrV and CLCuGV were infectious and induced leaf curl symptoms in Nicotiana benthamiana plants, but did not induce OLCD in okra. However, when these clones were individually co-inoculated with the cloned CLCuGB DNA, symptom severity and viral DNA levels were increased in N. benthamiana plants and typical OLCD symptoms were induced in okra. The CLCuGB was also replicated by, and increased symptom severity of, three monopartite tomato-infecting begomoviruses, including two from West Africa. The sequence of the DNA1 satellite was highly divergent, indicating that it represents a distinct West African lineage. DNA1 replicated autonomously, and replication required the DNA1-encoded Rep protein. Although DNA1 reduced helper begomovirus DNA levels, symptoms were not attenuated. In the presence of CLCuGB, DNA levels of the helper begomoviruses and DNA1 were substantially increased. Together, these findings establish that OLCD in Mali is caused by a complex of monopartite begomoviruses and a promiscuous betasatellite with an associated parasitic DNA1 satellite. These findings are discussed in terms of the aetiology of OLCD and the evolution of new begomovirus/satellite DNA complexes.

  12. Clinical utility of the 6-min walk test for patients with moderate Parkinson's disease.

    PubMed

    Kobayashi, Eiji; Himuro, Nobuaki; Takahashi, Mitsuhiko

    2017-03-01

    The aim of this study was to test the clinical utility of the 6-min walk test (6MWT) for patients with moderate Parkinson's disease (PD) through a determination of factors related to this test. This was a descriptive, observational study carried out at a General Hospital, in-patients. Twenty-four patients with moderate PD were studied. We used Hoehn and Yahr stage ratings (HY stage), Unified Parkinson Disease Rating Scales (UPDRS) motor examination score, 6MWT, Berg Balance scale, Timed 'Up & Go' test (TUG), 10-m walk test (10-m walk speed, 10-m walk steps and cadence), and the energy cost of walking (Ec). The average HY stage was 3.1±0.5 and 6MWT was 340.8±110.9 m. TUG (r=-0.68, P<0.01) and Ec (r=-0.65, P<0.01) were correlated significantly with 6MWT. Multiple regression analysis with age, HY stage, TUG, cadence, and Ec as variables indicated a significant degree of variability in the 6MWT results (R=0.77, P<0.001). The TUG (β=-0.47, P<0.01) and Ec (β=-0.4, P<0.01) were correlated independently with the 6MWT results. In contrast, age, HY stage, and cadence were not independently correlated. The 6MWT is a simple tool for assessing walking capacity for patients with PD. In this study, we confirmed the convergent validity and clinical utility of the 6MWT for patients with moderate PD. The 6MWT is useful for clinical assessment to guide the planning of rehabilitation treatment for patients with moderate PD.

  13. Caregiver burden, health utilities and institutional service costs among community-dwelling paients with Alzheimer's disease

    PubMed Central

    Miller, Edward Alan; Rosenheck, Robert A.; Schneider, Lon S.

    2014-01-01

    This study examined the moderating effect of caregiver burden on the relationship between patients’ health status and institutional costs in Alzheimer's disease (AD). Data were obtained on whether 421 community-dwelling patients with AD in the CATIE-AD trial received institutional services in the month preceding baseline and at 3-, 6-, and 9-months follow-up. All participants had a caregiver who lived with or visited them regularly. Outcome variables include hospital, nursing home, residential, and combined institutional costs. Mixed models were employed to estimate the interaction of Health Utility Index (HUI)-III scores (a health status measure) and five measures of caregiver burden. Wherever significant, results indicate that greater caregiver burden weakens the inverse relationship between health utilities and institutional costs, leading to greater costs than would be expected at a given level of health. Altogether 45.0% of the models (9/20) showed this effect (positive coefficient on the burden-HUI interaction term). Interventions should be based on caregiver burden, regardless of care recipient health status, for even seemingly manageable patients may be at heightened risk for institutionalization if caregivers experience sufficiently high levels of burden. PMID:20625266

  14. Satellite imaging and vector-borne diseases: the approach of the French National Space Agency (CNES).

    PubMed

    Marechal, Fabienne; Ribeiro, Nathalie; Lafaye, Murielle; Güell, Antonio

    2008-11-01

    Tele-epidemiology consists in studying human and animal epidemic, the spread of which is closely tied to environmental factors, using data from earth-orbiting satellites. By combining various data originated from satellites such as SPOT (vegetation indexes), Meteosat (winds and cloud masses) and other Earth observation data from Topex/Poseidon and Envisat (wave height, ocean temperature and colour) with hydrology data (number and distribution of lakes, water levels in rivers and reservoirs) and clinical data from humans and animals (clinical cases and serum use), predictive mathematical models can be constructed. A number of such approaches have been tested in the last three years. In Senegal, for example, Rift Valley fever epidemics are being monitored using a predictive model based on the rate at which water holes dry out after the rainy season, which affects the number of mosquito eggs which carry the virus.

  15. Coronary Artery Calcium Assessment in CKD: Utility in Cardiovascular Disease Risk Assessment and Treatment?

    PubMed

    Bashir, Ahmed; Moody, William E; Edwards, Nicola C; Ferro, Charles J; Townend, Jonathan N; Steeds, Richard P

    2015-06-01

    Coronary artery calcification (CAC) is a strong predictor of cardiovascular event rates in the general population, and scoring with multislice computed tomography commonly is used to improve risk stratification beyond clinical variables. CAC is accelerated in chronic kidney disease, but this occurs as a result of 2 distinct pathologic processes that result in medial (arteriosclerosis) and intimal (atherosclerosis) deposition. Although there are data that indicate that very high CAC scores may be associated with increased risk of death in hemodialysis, average CAC scores in most patients are elevated at a level at which discriminatory power may be reduced. There is a lack of data to guide management strategies in these patients based on CAC scores. There are even fewer data available for nondialysis patients, and it is uncertain whether CAC score confers an elevated risk of premature cardiovascular morbidity and mortality in such patients. In this article, we review the evidence regarding the utility of CAC score for noninvasive cardiovascular risk assessment in individuals with chronic kidney disease, using a clinical vignette that highlights some of the limitations in using CAC score and considerations in risk stratification.

  16. Utilizing Chemical Genomics to Identify Cytochrome b as a Novel Drug Target for Chagas Disease

    PubMed Central

    Khare, Shilpi; Roach, Steven L.; Barnes, S. Whitney; Hoepfner, Dominic; Walker, John R.; Chatterjee, Arnab K.; Neitz, R. Jeffrey; Arkin, Michelle R.; McNamara, Case W.; Ballard, Jaime; Lai, Yin; Fu, Yue; Molteni, Valentina; Yeh, Vince; McKerrow, James H.; Glynne, Richard J.; Supek, Frantisek

    2015-01-01

    Unbiased phenotypic screens enable identification of small molecules that inhibit pathogen growth by unanticipated mechanisms. These small molecules can be used as starting points for drug discovery programs that target such mechanisms. A major challenge of the approach is the identification of the cellular targets. Here we report GNF7686, a small molecule inhibitor of Trypanosoma cruzi, the causative agent of Chagas disease, and identification of cytochrome b as its target. Following discovery of GNF7686 in a parasite growth inhibition high throughput screen, we were able to evolve a GNF7686-resistant culture of T. cruzi epimastigotes. Clones from this culture bore a mutation coding for a substitution of leucine by phenylalanine at amino acid position 197 in cytochrome b. Cytochrome b is a component of complex III (cytochrome bc1) in the mitochondrial electron transport chain and catalyzes the transfer of electrons from ubiquinol to cytochrome c by a mechanism that utilizes two distinct catalytic sites, QN and QP. The L197F mutation is located in the QN site and confers resistance to GNF7686 in both parasite cell growth and biochemical cytochrome b assays. Additionally, the mutant cytochrome b confers resistance to antimycin A, another QN site inhibitor, but not to strobilurin or myxothiazol, which target the QP site. GNF7686 represents a promising starting point for Chagas disease drug discovery as it potently inhibits growth of intracellular T. cruzi amastigotes with a half maximal effective concentration (EC50) of 0.15 µM, and is highly specific for T. cruzi cytochrome b. No effect on the mammalian respiratory chain or mammalian cell proliferation was observed with up to 25 µM of GNF7686. Our approach, which combines T. cruzi chemical genetics with biochemical target validation, can be broadly applied to the discovery of additional novel drug targets and drug leads for Chagas disease. PMID:26186534

  17. Utility of endoscopic retrograde cholangiopancreatography on biliopancreatic diseases in patients with Billroth II-reconstructed stomach

    PubMed Central

    Sakai, Yuji; Tsuyuguchi, Toshio; Mikata, Rintaro; Sugiyama, Harutoshi; Yasui, Shin; Miyazaki, Masaru; Yokosuka, Osamu

    2017-01-01

    AIM To examine the utility of endoscopic retrograde cholangiopancreatography (ERCP) on biliopancreatic diseases in the patients with Billroth II-reconstructed stomach. METHODS For 26 cases of biliopancreatic diseases in patients with Billroth II-reconstructed stomach, ERCP was conducted using a straight-view scope or a retrograde oblique-viewing endoscope. All the cases were patients aiming at selective insertion into the bile duct. One patient aimed at diagnosis, and 25 patients aimed at treatment. The cases in which the endoscope reached the duodenal papilla and anastomosis, and insertion into the bile duct became possible, were considered successful. RESULTS The rate of reaching the duodenal papilla and anastomosis was 84.7% (22/26 patients). Among the cases without reaching the duodenal papilla and anastomosis, there were 2 in which the endoscope did not pass due to tumor-induced duodenal infiltration. In 1 case, the fiber did not reach the duodenal papilla due to long afferent loop. The success rate of insertion into the bile duct in patients in which the endoscope reached the duodenal papilla and anastomosis was 90.9% (20/22 patients), and the success rate of procedures including treatment was 86.3% (19/22 patients). After treatment, mild cholangitis was observed in 1 patient (4.5%, 1/22 patients) but relieved conservatively. No other accidental symptom was observed. CONCLUSION It was considered that the ERCP for biliopancreatic diseases in patients with Billroth II-reconstructed stomach will become a less invasive, safe and useful examination and treatment approach. PMID:28360974

  18. Hodgkin disease and non-Hodgkin lymphomas in children: utilization of radiological modalities

    SciTech Connect

    Cohen, M.D.; Siddiqui, A.; Weetman, R.; Provisor, A.; Coates, T.

    1986-02-01

    If costs of medical care are to be reduced, the choice of which imaging modality to use must be made as carefully as possible. This study was done to show how radiological modalities were used to evaluate patients with Hodgkin disease and non-Hodgkin lymphoma. We kept a record of every radiological study performed on 66 children with both diseases seen in the past 6 1/3 years. The results of these studies were analyzed to see which areas of the body were studied, which imaging modality was used, how frequently the studies were repeated, and how frequently the studies gave abnormal results. Our findings disclosed that radiological studies have been appropriately performed in anatomic regions of the body in which disease is present. New imaging modalities have been introduced, and the use of some of the older modalities has been decreased. With some modalities, such as skeletal survey, liver/spleen scan, whole-lung tomography, contrast studies of the bowel, and excretory urography, utilization is higher than it ought to be in view of the fact that the yield of positive results is low and the information is obtainable in many cases from other more sensitive procedures. These studies should not be performed as a routine on initial evaluation or follow-up of all patients with Hodgkin or non-Hodgkin lymphomas. On initial presentation all patients should undergo chest radiography and CT scanning of both chest and abdomen. A problem area is that the timing of follow-up studies has been somewhat erratic, with some inappropriate studies particularly 3 or 4 years after diagnosis. Too many imaging procedures have probably been done in follow-up of our patients.

  19. Utility of meibography in the evaluation of meibomian glands morphology in normal and diseased eyelids☆

    PubMed Central

    Alsuhaibani, Adel H.; Carter, Keith D.; Abràmoff, Michael D.; Nerad, Jeffrey A.

    2010-01-01

    Purpose To study the utility of meibography for the morphology of meibomian glands in normal eyelids and in various eyelid diseases. Design A cross-sectional study. Methods A newly designed transilluminator, fitting both the upper along with lower eyelids, and an infrared camera were used to obtain video clips of the meibomian glands for 60 asymptomatic subjects with normal eyelid margin. Parameters studied included, ocular surface, Schirmer test, and tear breakup time (TBUT). The meibomian glands of patients with meibomian glands’ abnormality secondary to infectious, inflammatory, malignant, congenital, or post-radiation therapy disease related etiologies were compared with normal patients. Still pictures were extracted from the video clips to evaluate the meibomian glands for gland dropout and gross morphological changes. Results In normal subjects, meibomian glands appeared to be thinner and longer in the upper eye lids than in the lower eye lids. Gland dropout occured with increased age, more in the lower eye lid and in females. Excessive gland drop out (> 75%) was seen in patients with history of trachoma, Stevens Johnson syndrome, severe blepharitis, and post-radiation for orbital tumors. Variable gland drop out was noticed in patients with floppy eyelid syndrome, and blepharitis. In patients with congenital distichiasis, partial or complete gland drop out at the part of the eyelid margins affected by distichiasis was noticed. Conclusions The newly designed transilluminator permitted the examination of both upper and lower eye lid meibomian glands with minimal discomfort. Evaluating the anatomical changes involving meibomian glands with meibography may help increase our understanding of the meibomian gland-related diseases, monitor the effects of treatment, and provide helpful information for patient education. PMID:23960903

  20. Development and Utilization of InDel Markers to Identify Peanut (Arachis hypogaea) Disease Resistance

    PubMed Central

    Liu, Lifeng; Dang, Phat M.; Chen, Charles Y.

    2015-01-01

    Peanut diseases, such as leaf spot and spotted wilt caused by Tomato Spotted Wilt Virus, can significantly reduce yield and quality. Application of marker assisted plant breeding requires the development and validation of different types of DNA molecular markers. Nearly 10,000 SSR-based molecular markers have been identified by various research groups around the world, but less than 14.5% showed polymorphism in peanut and only 6.4% have been mapped. Low levels of polymorphism limit the application of marker assisted selection (MAS) in peanut breeding programs. Insertion/deletion (InDel) markers have been reported to be more polymorphic than SSRs in some crops. The goals of this study were to identify novel InDel markers and to evaluate the potential use in peanut breeding. Forty-eight InDel markers were developed from conserved sequences of functional genes and tested in a diverse panel of 118 accessions covering six botanical types of cultivated peanut, of which 104 were from the U.S. mini-core. Results showed that 16 InDel markers were polymorphic with polymorphic information content (PIC) among InDels ranged from 0.017 to 0.660. With respect to botanical types, PICs varied from 0.176 for fastigiata var., 0.181 for hypogaea var., 0.306 for vulgaris var., 0.534 for aequatoriana var., 0.556 for peruviana var., to 0.660 for hirsuta var., implying that aequatoriana var., peruviana var., and hirsuta var. have higher genetic diversity than the other types and provide a basis for gene functional studies. Single marker analysis was conducted to associate specific marker to disease resistant traits. Five InDels from functional genes were identified to be significantly correlated to tomato spotted wilt virus (TSWV) infection and leaf spot, and these novel markers will be utilized to identify disease resistant genotype in breeding populations. PMID:26617627

  1. Simulation of the water regime for a vast agricultural region territory utilizing measurements from polar-orbital and geostationary meteorological satellites

    NASA Astrophysics Data System (ADS)

    Muzylev, Eugene; Uspensky, Alexander; Startseva, Zoya; Volkova, Elena; Kukharsky, Alexander; Uspensky, Sergey

    2013-04-01

    The model of land surface-atmosphere interaction has been developed to calculate the water and heat balance components for vast vegetation covered areas during the growing season. The model is adjusted to utilize estimates of the land surface and meteorological characteristics derived from satellite-based measurements of radiometers AVHRR/NOAA, MODIS/EOS Terra, Aqua, and SEVIRI/Meteosat-9. The studies have been conducted for the territory of the European Russia Central Black Earth Region (CCR) with area of 227,300 km2 comprising seven regions of the Russian Federation for years 2009-2012 vegetation seasons. The technologies of AVHRR and MODIS data thematic processing have been refined and adapted to the study region providing the retrieval of land surface temperature Tls and emissivity E, land-air temperature (temperature at vegetation cover level) Ta, normalized difference vegetation index NDVI, vegetation cover fraction B, as well as the leaf area index LAI. The updated linear regression estimators for Tls, Ta and LAI have been built using more representative training samples compiled for the above vegetation seasons. The updated software package has been applied for AVHRR data processing to generate named remote sensing products for various dates of the mentioned vegetation periods. On the base of special technology and Internet resources the remote sounding products (Tls, E, NDVI, LAI), derived from MODIS data and covering the CCR, have been downloaded from LP DAAC web-site for the same vegetation seasons. The new method and technology have been developed and adopted for the retrieval of Tls and E from SEVIRI data. The retrievals cover the region of interest and are produced at daylight and nighttime. Method provides the derivation of Tls and E from SEVIRI measurements carried out at three successive times (for example, at 11.00, 12.00, 13.00 UTC), classified as 100% cloud-free for the study region without accurate a priori knowledge of E. The validation of

  2. Caregiver burden, health utilities, and institutional service use in Alzheimer’s Disease

    PubMed Central

    Miller, Edward Alan; Rosenheck, Robert A.; Schneider, Lon S.

    2011-01-01

    Objective This study examined the moderating effect of caregiver burden on the relationship between the health status of Alzheimer’s disease (AD) patients and their use of institutional services (i.e., hospitalization, nursing home, and residential care). Methods Data were obtained at baseline and 3-, 6-, and 9-months following study entry on 421 community-dwelling patients with AD in the CATIE-AD trial. The outcome variable includes use of any institutional services. Logistic regression was employed to estimate the interaction of Health Utility Index (HUI)-III score (a general health status measure) at outcome and four concurrent caregiver burden measures. Marginal effects were calculated and plotted using random effects models for observations at multiple time points per individual. Average effects were calculated across all observations using models without random effects. Results Random effects results suggest that caregiver burden weakens the inverse relationship between health utilities and institutional service use, leading to greater likelihood of institutional use than would be expected at a given level of health. This is indicated by positive, significant signs on the HUI-III*caregiver burden interaction when burden is measured using the Caregiver Distress Scale, Beck Depression Inventory (BDI), and Caregiver Assessment Survey (all p<.05). It is reinforced by positive, significant average effects deriving from Caregiver Distress and BDI models without random effects (both p<.10). Results deriving from the Burden Interview Scale, though positive, were non-significant and weak by comparison. Conclusion Caregiver support interventions should be offered to individuals caring for less advanced AD patients. Otherwise healthy patients may be at increased risk for institutionalization when caregivers experience high levels of burden. PMID:21560160

  3. Dynamic posturography in Parkinson's disease: diagnostic utility of the "first trial effect".

    PubMed

    Visser, J E; Oude Nijhuis, L B; Janssen, L; Bastiaanse, C M; Borm, G F; Duysens, J; Bloem, B R

    2010-06-30

    Previous dynamic posturography studies demonstrated clear abnormalities in balance responses in Parkinson's disease (PD) patients compared to controls at the group level, but its clinical value in the diagnostic process and fall risk estimation in individual patients leaves for improvement. Therefore, we investigated whether a new approach, focusing on the balance responses to the very first and fully unpractised trial rather than a pooled mean response to a series of balance perturbations, could further improve the diagnostic utility of dynamic posturography. Following the first trial, subjects were exposed to repeated balance perturbations, which also permitted us to investigate the training responses. Fourteen patients with PD and 18 age-matched controls were enrolled, who received a series of multidirectional postural perturbations, induced by support surface rotations. We measured trunk and upper arm kinematics and electromyographic responses, and evaluated group differences at three levels: the postural response to the very first backward perturbation; pooled first and habituated postural responses; and habituation rates. Analysis of the first trial responses yielded similar results as evaluation of the mean response over trials: forward flexion of the trunk induced by backward perturbations was decreased in patients, accompanied by increased muscle responses present. Moreover, trunk movement and muscle activity were equally present in both groups-suggesting a preserved training response in PD patients. Early masseter activity in both groups might be indicative of a startle-like component to the balance response. In terms of diagnostic utility, focusing on the first trial response or habituation rate is no better than analysis of pooled responses to a series of perturbations. The apparently preserved training response in PD patients suggests that balance reactions in PD can be improved by repeated exposure, and this may have implications for future exercise

  4. Clinical Predictors of Diagnostic Testing Utility in the Initial Evaluation of Chronic Kidney Disease

    PubMed Central

    Mendu, Mallika L.; Lundquist, Andrew; Aizer, Ayal A.; Leaf, David E.; Robinson, Emily; Steele, David J.R.; Waikar, Sushrut S.

    2016-01-01

    Aim No evidence-based approach to the evaluation of CKD has been established. We sought to identify clinical criteria to guide a rational diagnostic approach for the initial evaluation of CKD. Methods We conducted a retrospective cohort study of 1,487 patients presenting for initial evaluation of CKD over three years (1/2010–1/2013) to academic nephrology clinics. We utilized the electronic medical record to determine tests ordered, abnormal results, and testing that affected diagnosis and/or management. Diagnostic and management yield of testing was defined as the percentage of tests that affected diagnosis and/or management. High yield for a given test was defined as an increased likelihood of the test affecting diagnosis and/or management. Results We identified clinical criteria predictive of high yield for paraprotein-related testing (one of the following: history of monoclonal disease, high risk of CKD progression, hypercalcemia or hemoglobin <10.6), and clinical criteria predictive of high yield for glomerulonephritis testing (one of the following: abnormal urine sediment, 3+ or greater hematuria or proteinuria >500mg/gm). A prior history of hydronephrosis and renal artery stenosis was predictive of high yield of abnormal renal ultrasound. Higher yield of testing was associated with higher risk progression categories for ANA, SPEP, urine sediment, calcium, PTH, hemoglobin, iron, and ferritin. We estimate that initial CKD evaluation costs range from $28 to $109 million/year in US-Medicare expenditure. Conclusion Numerous tests without significant clinical utility are obtained in initial CKD evaluation. Identifying criteria that can guide diagnostic testing may lead to a more informed and cost-effective approach to evaluation. PMID:26610178

  5. Discovery of temporal and disease association patterns in condition-specific hospital utilization rates

    PubMed Central

    Haimovich, Julian S.; Venkatesh, Arjun K.; Coppi, Andreas; Li, Shu-Xia; Krumholz, Harlan M.

    2017-01-01

    Identifying temporal variation in hospitalization rates may provide insights about disease patterns and thereby inform research, policy, and clinical care. However, the majority of medical conditions have not been studied for their potential seasonal variation. The objective of this study was to apply a data-driven approach to characterize temporal variation in condition-specific hospitalizations. Using a dataset of 34 million inpatient discharges gathered from hospitals in New York State from 2008–2011, we grouped all discharges into 263 clinical conditions based on the principal discharge diagnosis using Clinical Classification Software in order to mitigate the limitation that administrative claims data reflect clinical conditions to varying specificity. After applying Seasonal-Trend Decomposition by LOESS, we estimated the periodicity of the seasonal component using spectral analysis and applied harmonic regression to calculate the amplitude and phase of the condition’s seasonal utilization pattern. We also introduced four new indices of temporal variation: mean oscillation width, seasonal coefficient, trend coefficient, and linearity of the trend. Finally, K-means clustering was used to group conditions across these four indices to identify common temporal variation patterns. Of all 263 clinical conditions considered, 164 demonstrated statistically significant seasonality. Notably, we identified conditions for which seasonal variation has not been previously described such as ovarian cancer, tuberculosis, and schizophrenia. Clustering analysis yielded three distinct groups of conditions based on multiple measures of seasonal variation. Our study was limited to New York State and results may not directly apply to other regions with distinct climates and health burden. A substantial proportion of medical conditions, larger than previously described, exhibit seasonal variation in hospital utilization. Moreover, the application of clustering tools yields groups

  6. Costs and health care resource utilization among chronic obstructive pulmonary disease patients with newly acquired pneumonia

    PubMed Central

    Lin, Junji; Li, Yunfeng; Tian, Haijun; Goodman, Michael J; Gabriel, Susan; Nazareth, Tara; Turner, Stuart J; Arcona, Stephen; Kahler, Kristijan H

    2014-01-01

    Background Patients with chronic obstructive pulmonary disease (COPD) are at increased risk for lung infections and other pathologies (eg, pneumonia); however, few studies have evaluated the impact of pneumonia on health care resource utilization and costs in this population. The purpose of this study was to estimate health care resource utilization and costs among COPD patients with newly acquired pneumonia compared to those without pneumonia. Methods A retrospective claims analysis using Truven MarketScan® Commercial and Medicare databases was conducted. COPD patients with and without newly acquired pneumonia diagnosed between January 1, 2004 and September 30, 2011 were identified. Propensity score matching was used to create a 1:1 matched cohort. Patient demographics, comorbidities (measured by Charlson Comorbidity Index), and medication use were evaluated before and after matching. Health care resource utilization (ie, hospitalizations, emergency room [ER] and outpatient visits), and associated health care costs were assessed during the 12-month follow-up. Logistic regression was conducted to evaluate the risk of hospitalization and ER visits, and gamma regression models and two-part models compared health care costs between groups after matching. Results In the baseline cohort (N=467,578), patients with newly acquired pneumonia were older (mean age: 70 versus [vs] 63 years) and had higher Charlson Comorbidity Index scores (3.3 vs 2.6) than patients without pneumonia. After propensity score matching, the pneumonia cohort was nine times more likely to have a hospitalization (odds ratio; 95% confidence intervals [CI] =9.2; 8.9, 9.4) and four times more likely to have an ER visit (odds ratio; 95% CI =4.4; 4.3, 4.5) over the 12-month follow-up period compared to the control cohort. The estimated 12-month mean hospitalization costs ($14,353 [95% CI: $14,037–$14,690]), outpatient costs ($6,891 [95% CI: $6,706–$7,070]), and prescription drug costs ($1,104 [95% CI

  7. Inert gas washout: theoretical background and clinical utility in respiratory disease.

    PubMed

    Robinson, Paul D; Goldman, Michael D; Gustafsson, Per M

    2009-01-01

    Inert gas washout was first described more than 60 years ago and 2 principal tests have been developed from it: the single breath and multiple breath washout (MBW) techniques. The invention of fast responding gas analysers almost 60 years ago and small computers 30 years later have facilitated breath-by-breath analysis and the development of sophisticated analysis techniques. It is now possible to detect not only the degree of pulmonary ventilation inhomogeneity, but also to gain important insight into the location of the underlying disease process. While single breath washout requires a full vital capacity effort, tidal breathing during the multiple breath test requires minimal co-operation and co-ordination, and is feasible in subjects of all ages. Available MBW normative data from parameters, such as the lung clearance index, appears to vary minimally with age, making MBW particularly useful to follow children longitudinally. Multiple breath inert gas washout has demonstrated improved sensitivity, in comparison to spirometry, in the early detection of a number of important disease processes, including cystic fibrosis. Despite this, these important techniques remain under-utilised in the clinical setting and there is a lack of commercially available devices currently available. The recent resurgence of research in this area has produced a large number of important studies and a pronounced international interest has developed in these techniques. This review article will provide an overview of the theoretical background of inert gas washout and analysis indices, review important physiological and clinical insights gained from research to date (as well as from our own experience) to illustrate its utility, and outline the challenges that lie ahead in incorporating these techniques into the mainstream clinical setting.

  8. FOCUS: Future of fecal calprotectin utility study in inflammatory bowel disease

    PubMed Central

    Rosenfeld, Greg; Greenup, Astrid-Jane; Round, Andrew; Takach, Oliver; Halparin, Lawrence; Saadeddin, Abid; Ho, Jin Kee; Lee, Terry; Enns, Robert; Bressler, Brian

    2016-01-01

    AIM To evaluate the perspective of gastroenterologists regarding the impact of fecal calprotectin (FC) on the management of patients with inflammatory bowel disease (IBD). METHODS Patients with known IBD or symptoms suggestive of IBD for whom the physician identified that FC would be clinically useful were recruited. Physicians completed an online “pre survey” outlining their rationale for the test. After receipt of the test results, the physicians completed an online “post survey” to portray their perceived impact of the test result on patient management. Clinical outcomes for a subset of patients with follow-up data available beyond the completion of the “post survey” were collected and analyzed. RESULTS Of 373 test kits distributed, 290 were returned, resulting in 279 fully completed surveys. One hundred and ninety patients were known to have IBD; 147 (77%) with Crohn’s Disease, 43 (21%) Ulcerative Colitis and 5 (2%) IBD unclassified. Indications for FC testing included: 90 (32.2%) to differentiate a new diagnosis of IBD from Irritable Bowel Syndrome (IBS), 85 (30.5%) to distinguish symptoms of IBS from IBD in those known to have IBD and 104 (37.2%) as an objective measure of inflammation. FC levels resulted in a change in management 51.3% (143/279) of the time which included a significant reduction in the number of colonoscopies (118) performed (P < 0.001). Overall, 97.5% (272/279) of the time, the physicians found the test sufficiently useful that they would order it again in similar situations. Follow-up data was available for 172 patients with further support for the clinical utility of FC provided. CONCLUSION The FC test effected a change in management 51.3% of the time and receipt of the result was associated with a reduction in the number of colonoscopies performed. PMID:27688663

  9. Obesity in the Workplace: Impact on Cardiovascular Disease, Cost, and Utilization of Care

    PubMed Central

    Colombi, Alberto M.; Wood, G. Craig

    2011-01-01

    Background In forecasting the future of cardiovascular disease (CVD), the American Heart Association calls for preventive strategies with particular attention to obesity. The association between obesity and CVD, including coronary artery disease (CAD) and diabetes, is well established. The rising prevalence of obesity in the workforce may have additional implications for employers and employees besides the demonstrated effects on absenteeism and workers' compensation. Objective This study was undertaken to determine the impact of population obesity on care utilization and cost of cardiovascular conditions such as hypertension, CAD, and cerebrovascular disease (or stroke) in a large US population of employees engaged in a major corporate wellness program. Study sample Using data from a single large industrial employer across 29 geographically distinct worksites in the United States, 179,708 episodes of care from 2004 to 2007 for 10,853 employees were included. Methods The population-based economic impact of obesity was calculated on the basis of the frequency of episodes of care per 1000 employees and on the amount eligible for payment per episode of care in US dollars. Data were obtained from a wellness program databases, episode of illness inventories, and pharmacy and medical claims. High and low prevalence rates of obesity, by obesity quartile, were used to create linear mixed models to examine associations with disease outcomes, while controlling for correlation within each worksite. Results Worksites with a high rate of obesity (ie, in the fourth quartile) had 348.4 more episodes of care of any kind per 1000 employees (P <.001), 38.6 more hypertension episodes of care per 1000 employees (P <.001), and 2.5 more cerebrovascular disease episodes of care per 1000 employees (P = .017) compared with worksites in the lower 3 quartiles. A worksite in the fourth obesity rate quartile had $223 greater cost per any kind of episode (P <.001), $169 greater cost per

  10. Utilizing Field Campaign, Flux Tower, and Satellite Data To Improve Simulated Carbon Fluxes and Pools in The Simple Biosphere Model (SiB4)

    NASA Astrophysics Data System (ADS)

    Haynes, K. D.; Baker, I. T.; Denning, S.; Stockli, R.; Schaefer, K. M.; Lokupitiya, E.

    2012-12-01

    Since terrestrial carbon fluxes and pools cannot be measured directly on regional and global scales, land surface models are an important tool in improving estimates of carbon sources and sinks. A variety of data sets now exist to evaluate land surface models against, which can help isolate shortcomings in the model and identify processes not being properly simulated. A variety of ecological properties are measured and hence can be investigated: above and below ground biomass and carbon pools from field campaigns; carbon fluxes from chambers and flux towers; and remotely sensed tree height, wood pools and leaf area index (LAI). In order to compare against these metrics, the Simple Biosphere Model (SiB4) has been restructured to include land cover heterogeneity, prognostic phenology, and carbon pools. This study presents results from SiB4, focusing on boreal North America and tropical South America. By utilizing data collected from field campaigns (the Boreal Ecosystem-Atmosphere Study, BOREAS, and the Large Scale Biosphere-Atmosphere Experiment in Amazonia, LBA), satellite data (remotely sensed LAI and IceSAT LIDAR measurements), and flux tower measurements, we analyze SiB4 results to help identify and resolve shortcomings and missing processes in the model. Land cover heterogeneity, prognostic phenology, and carbon pools have recently been combined in SiB4; and this study will investigate not only the impacts of these features, but also the overall performance of SiB4 in an effort to help improve terrestrial biogeochemical models and to advance our knowledge of the carbon cycle.

  11. The clinical utility of basophil activation testing in diagnosis and monitoring of allergic disease.

    PubMed

    Hoffmann, H J; Santos, A F; Mayorga, C; Nopp, A; Eberlein, B; Ferrer, M; Rouzaire, P; Ebo, D G; Sabato, V; Sanz, M L; Pecaric-Petkovic, T; Patil, S U; Hausmann, O V; Shreffler, W G; Korosec, P; Knol, E F

    2015-11-01

    The basophil activation test (BAT) has become a pervasive test for allergic response through the development of flow cytometry, discovery of activation markers such as CD63 and unique markers identifying basophil granulocytes. Basophil activation test measures basophil response to allergen cross-linking IgE on between 150 and 2000 basophil granulocytes in <0.1 ml fresh blood. Dichotomous activation is assessed as the fraction of reacting basophils. In addition to clinical history, skin prick test, and specific IgE determination, BAT can be a part of the diagnostic evaluation of patients with food-, insect venom-, and drug allergy and chronic urticaria. It may be helpful in determining the clinically relevant allergen. Basophil sensitivity may be used to monitor patients on allergen immunotherapy, anti-IgE treatment or in the natural resolution of allergy. Basophil activation test may use fewer resources and be more reproducible than challenge testing. As it is less stressful for the patient and avoids severe allergic reactions, BAT ought to precede challenge testing. An important next step is to standardize BAT and make it available in diagnostic laboratories. The nature of basophil activation as an ex vivo challenge makes it a multifaceted and promising tool for the allergist. In this EAACI task force position paper, we provide an overview of the practical and technical details as well as the clinical utility of BAT in diagnosis and management of allergic diseases.

  12. Utility of expanded polystyrene (EPS) beads in the control of vector-borne diseases.

    PubMed

    Sivagnaname, N; Amalraj, D Dominic; Mariappan, T

    2005-10-01

    The use of chemicals or bio-larvicides for the control of Culex quinquefasciatus and Anopheles stephensi breeding in pit latrines and overhead tanks (OHT) respectively is discouraged owing to many undesirable impacts in the environment. Due to faecal contamination and poor survival, use of predatory fish in OHTs is not feasible. The use of expanded polystyrene (EPS) beads is a potential alternative in these habitats. EPS beads not only prevent oviposition but also kill the immature by forming a thick blanket on the water surface. A thick layer of 2 cm with beads of 2 mm is sufficient to suppress and prevent mosquito breeding. These are cheap, environmentally safe and do not need frequent application since they remain on the surface for quiet a long time. Successful trials against C. quinquefasciatus breeding in pit latrines, soakage pits, septic tanks, etc., have been carried out in Kenya, Zimbabwe and Tanzania. Certain trials with EPS indicated reduction in microfilaria (mf) rate besides decline in biting density. In India, EPS beads have also been used on small scale for the control of A. stephensi and A. culicifacies breeding in OHTs and unused wells respectively. The polystyrene beads have also been reported to be effective in the control of mosquito breeding in biogas plants and other industrial situations. The practical utility of EPS beads in the control of vector-borne diseases has been discussed in the present review.

  13. Health Care Utilization and Attitudes Survey: Understanding Diarrheal Disease in Rural Gambia

    PubMed Central

    Saha, Debasish; Akinsola, Adebayo; Sharples, Katrina; Adeyemi, Mitchell O.; Antonio, Martin; Imran, Sayeed; Jasseh, Momodou; Hossain, Mohammad J.; Nasrin, Dilruba; Kotloff, Karen L.; Levine, Myron M.; Hill, Philip C.

    2013-01-01

    Diarrheal disease causes ∼1.34 million deaths per year among children under 5 years of age globally. We conducted a Health Care Utilization and Attitudes Survey of 1,012 primary caregivers of children aged 0–11, 12–23, and 24–59 months randomly selected from a Demographic Surveillance population in rural Gambia. Point prevalence of diarrhea was 7.7% (95% confidence interval [CI] = 6.1–9.8); 23.3% had diarrhea within the previous 2 weeks. Caregivers of 81.5% of children with diarrhea sought healthcare outside their home, but only 48.4% of them visited a health center. Only 17.0% (95% CI = 12.1–23.2) of children with diarrhea received oral rehydration solution (ORS) at home. Abbreviated surveys conducted on six occasions over the subsequent 2 years showed no change in prevalence or treatment-seeking behavior. Diarrhea remains a significant problem in rural young Gambian children. Encouraging care-seeking behavior at health centers and promoting ORS use can reduce mortality and morbidity in this population. PMID:23629926

  14. Health Care Utilization and Attitudes Survey: understanding diarrheal disease in rural Gambia.

    PubMed

    Saha, Debasish; Akinsola, Adebayo; Sharples, Katrina; Adeyemi, Mitchell O; Antonio, Martin; Imran, Sayeed; Jasseh, Momodou; Hossain, Mohammad J; Nasrin, Dilruba; Kotloff, Karen L; Levine, Myron M; Hill, Philip C

    2013-07-01

    Diarrheal disease causes ∼1.34 million deaths per year among children under 5 years of age globally. We conducted a Health Care Utilization and Attitudes Survey of 1,012 primary caregivers of children aged 0-11, 12-23, and 24-59 months randomly selected from a Demographic Surveillance population in rural Gambia. Point prevalence of diarrhea was 7.7% (95% confidence interval [CI] = 6.1-9.8); 23.3% had diarrhea within the previous 2 weeks. Caregivers of 81.5% of children with diarrhea sought healthcare outside their home, but only 48.4% of them visited a health center. Only 17.0% (95% CI = 12.1-23.2) of children with diarrhea received oral rehydration solution (ORS) at home. Abbreviated surveys conducted on six occasions over the subsequent 2 years showed no change in prevalence or treatment-seeking behavior. Diarrhea remains a significant problem in rural young Gambian children. Encouraging care-seeking behavior at health centers and promoting ORS use can reduce mortality and morbidity in this population.

  15. Utility of the advanced chronic kidney disease patient management tools: case studies.

    PubMed

    Patwardhan, Meenal B; Matchar, David B; Samsa, Gregory P; Haley, William E

    2008-01-01

    Appropriate management of advanced chronic kidney disease (CKD) delays or limits its progression. The Advanced CKD Patient Management Toolkit was developed using a process-improvement technique to assist patient management and address CKD-specific management issues. We pilot tested the toolkit in 2 community nephrology practices, assessed the utility of individual tools, and evaluated the impact on conformance to an advanced CKD guideline through patient chart abstraction. Tool use was distinct in the 2 sites and depended on the site champion's involvement, the extent of process reconfiguration demanded by a tool, and its perceived value. Baseline conformance varied across guideline recommendations (averaged 54%). Posttrial conformance increased in all clinical areas (averaged 59%). Valuable features of the toolkit in real-world settings were its ability to: facilitate tool selection, direct implementation efforts in response to a baseline performance audit, and allow selection of tool versions and customizing them. Our results suggest that systematically created, multifaceted, and customizable tools can promote guideline conformance.

  16. Flavonoids, cognition, and dementia: actions, mechanisms, and potential therapeutic utility for Alzheimer disease.

    PubMed

    Williams, Robert J; Spencer, Jeremy P E

    2012-01-01

    There is increasing evidence that the consumption of flavonoid-rich foods can beneficially influence normal cognitive function. In addition, a growing number of flavonoids have been shown to inhibit the development of Alzheimer disease (AD)-like pathology and to reverse deficits in cognition in rodent models, suggestive of potential therapeutic utility in dementia. The actions of flavonoid-rich foods (e.g., green tea, blueberry, and cocoa) seem to be mediated by the direct interactions of absorbed flavonoids and their metabolites with a number of cellular and molecular targets. For example, their specific interactions within the ERK and PI3-kinase/Akt signaling pathways, at the level of receptors or kinases, have been shown to increase the expression of neuroprotective and neuromodulatory proteins and increase the number of, and strength of, connections between neurons. Concurrently, their effects on the vascular system may also lead to enhancements in cognitive performance through increased brain blood flow and an ability to initiate neurogenesis in the hippocampus. Additional mechanisms have been suggested for the ability of flavonoids to delay the initiation of and/or slow the progression of AD-like pathology and related neurodegenerative disorders, including a potential to inhibit neuronal apoptosis triggered by neurotoxic species (e.g., oxidative stress and neuroinflammation) or disrupt amyloid β aggregation and effects on amyloid precursor protein processing through the inhibition of β-secretase (BACE-1) and/or activation of α-secretase (ADAM10). Together, these processes act to maintain the number and quality of synaptic connections in key brain regions and thus flavonoids have the potential to prevent the progression of neurodegenerative pathologies and to promote cognitive performance.

  17. High-resolution shipboard measurements of phytoplankton: a way forward for enhancing the utility of satellite SST and chlorophyll for mapping microscale features and frontal zones in coastal waters

    NASA Astrophysics Data System (ADS)

    Jenkins, Christy A.; Goes, Joaquim I.; McKee, Kali; Gomes, Helga do R.; Arnone, Robert; Wang, Menghua; Ondrusek, Michael; Nagamani, P. V.; Preethi Latha, T.; Rao, K. H.; Dadhwal, V. K.

    2016-05-01

    Coastal eddies, frontal zones and microscale oceanographic features are now easily observable from satellite measurements of SST and Chl a. Enhancing the utility of these space-borne measurements for biological productivity, biogeochemical cycling and fisheries investigations will require novel bio-optical methods capable of providing information on the community structure, biomass and photo-physiology of phytoplankton associated on spatial scales that match these features. This study showcases high-resolution in-situ measurements of sea water hydrography (SeaBird CTD®), CDOM (WetLabs ALF®), phytoplankton functional types (PFTs, FlowCAM®), biomass (bbe Moldaenke AlgaeOnlineAnalyzer® and WetLabs ALF®) and phytoplankton photosynthetic competency (mini-FIRe) across microscale features encountered during a recent (Nov. 2014) cruise in support of NOAA's VIIRS ocean color satellite calibration and validation activities. When mapped against binned daily, Level 2 satellite images of Chl a, Kd490 and SST over the cruise period, these high-resolution in-situ data showed great correspondence with the satellite data, but more importantly allowed for identification of PFTs and water types associated with microscale features. Large assemblages of phytoplankton communities comprising of diatoms and diatom-diazotroph associations (DDAs), were found in mesohaline frontal zones. Despite their high biomass, these populations were characterized by low photosynthetic competency, indicative of a bloom at the end of its active growth possibly due to nitrogen depletion in the water. Other prominent PFTs such as Trichodesmium spp., Synechococcus spp. and cryptophytes, were also associated with specific water masses offering the promise and potential that ocean remote sensing reflectance bands when examined in the context of water types also measurable from space, could greatly enhance the utility of satellite measurements for biological oceanographic, carbon cycling and fisheries

  18. Synergistic Utilization of Microwave Satellite Data and GRACE-Total Water Storage Anomaly for Improving Available Water Capacity Prediction in Lower Mekong Basin

    NASA Astrophysics Data System (ADS)

    Gupta, M.; Bolten, J. D.; Lakshmi, V.

    2015-12-01

    The Mekong River is the longest river in Southeast Asia and the world's eighth largest in discharge with draining an area of 795,000 km² from the eastern watershed of the Tibetan Plateau to the Mekong Delta including three provinces of China, Myanmar, Lao PDR, Thailand, Cambodia and Viet Nam. This makes the life of people highly vulnerable to availability of the water resources as soil moisture is one of the major fundamental variables in global hydrological cycles. The day-to-day variability in soil moisture on field to global scales is an important quantity for early warning systems for events like flooding and drought. In addition to the extreme situations the accurate soil moisture retrieval are important for agricultural irrigation scheduling and water resource management. The present study proposes a method to determine the effective soil hydraulic parameters directly from information available for the soil moisture state from the recently launched SMAP (L-band) microwave remote sensing observations. Since the optimized parameters are based on the near surface soil moisture information, further constraints are applied during the numerical simulation through the assimilation of GRACE Total Water Storage (TWS) within the physically based land surface model. This work addresses the improvement of available water capacity as the soil hydraulic parameters are optimized through the utilization of satellite-retrieved near surface soil moisture. The initial ranges of soil hydraulic parameters are taken in correspondence with the values available from the literature based on FAO. The optimization process is divided into two steps: the state variable are optimized and the optimal parameter values are then transferred for retrieving soil moisture and streamflow. A homogeneous soil system is considered as the soil moisture from sensors such as AMSR-E/SMAP can only be retrieved for the top few centimeters of soil. To evaluate the performance of the system in helping

  19. Utilization of ERTS data to detect plant diseases and nutrient deficiencies, soil types and moisture levels

    NASA Technical Reports Server (NTRS)

    Parks, W. L. (Principal Investigator); Sewell, J. I.; Hilty, J. W.; Rennie, J. C.

    1973-01-01

    The author has identified the following significant results. Findings demonstrate the feasibility of delineating major terrain features, land uses, and crop species through computerized analyses. Channel 6 appears to give the most information for making separations of this type. By enlarging satellite imagery and visually comparing this with high altitude aerial photographs, locating small terrain features and cropland areas on satellite imagery is greatly facilitated. Forest types are discernable on the 2402 imagery with a #25 filter: pine stands have dark tones, hardwood stands have light tones, and pine-hardwood have intermediate tones. No textural differences are evident on this type of imagery. However, on the 2424 imagery with #89B filter, textural differences are evident but tonal differences are absent. Areas of considerable texture are interpreted as stands of high volume while areas of suppressed texture are of low volume. The 2402 imagery with a #57 filter appears to have little information of importance in timber inventory.

  20. Linking Satellite Remote Sensing Based Environmental Predictors to Disease: AN Application to the Spatiotemporal Modelling of Schistosomiasis in Ghana

    NASA Astrophysics Data System (ADS)

    Wrable, M.; Liss, A.; Kulinkina, A.; Koch, M.; Biritwum, N. K.; Ofosu, A.; Kosinski, K. C.; Gute, D. M.; Naumova, E. N.

    2016-06-01

    90% of the worldwide schistosomiasis burden falls on sub-Saharan Africa. Control efforts are often based on infrequent, small-scale health surveys, which are expensive and logistically difficult to conduct. Use of satellite imagery to predictively model infectious disease transmission has great potential for public health applications. Transmission of schistosomiasis requires specific environmental conditions to sustain freshwater snails, however has unknown seasonality, and is difficult to study due to a long lag between infection and clinical symptoms. To overcome this, we employed a comprehensive 8-year time-series built from remote sensing feeds. The purely environmental predictor variables: accumulated precipitation, land surface temperature, vegetative growth indices, and climate zones created from a novel climate regionalization technique, were regressed against 8 years of national surveillance data in Ghana. All data were aggregated temporally into monthly observations, and spatially at the level of administrative districts. The result of an initial mixed effects model had 41% explained variance overall. Stratification by climate zone brought the R2 as high as 50% for major zones and as high as 59% for minor zones. This can lead to a predictive risk model used to develop a decision support framework to design treatment schemes and direct scarce resources to areas with the highest risk of infection. This framework can be applied to diseases sensitive to climate or to locations where remote sensing would be better suited than health surveys.

  1. Psychosocial and nonclinical factors predicting hospital utilization in patients of a chronic disease management program: a prospective observational study.

    PubMed

    Tran, Mark W; Weiland, Tracey J; Phillips, Georgina A

    2015-01-01

    Psychosocial factors such as marital status (odds ratio, 3.52; 95% confidence interval, 1.43-8.69; P = .006) and nonclinical factors such as outpatient nonattendances (odds ratio, 2.52; 95% confidence interval, 1.22-5.23; P = .013) and referrals made (odds ratio, 1.20; 95% confidence interval, 1.06-1.35; P = .003) predict hospital utilization for patients in a chronic disease management program. Along with optimizing patients' clinical condition by prescribed medical guidelines and supporting patient self-management, addressing psychosocial and nonclinical issues are important in attempting to avoid hospital utilization for people with chronic illnesses.

  2. Drug-induced Parkinsonism versus Idiopathic Parkinson Disease: Utility of Nigrosome 1 with 3-T Imaging.

    PubMed

    Sung, Young Hee; Noh, Young; Lee, Jongho; Kim, Eung Yeop

    2016-06-01

    Purpose To explore the utility of nigrosome 1 with 3-T magnetic resonance (MR) imaging to differentiate idiopathic Parkinson disease (IPD) from drug-induced parkinsonism (DIP). Materials and Methods The institutional review board approved this study, and participants gave informed consent. This study enrolled patients with DIP (n = 20) and IPD (n = 29) who underwent N-3-fluoropropyl-2-β-carbomethoxy-3-β-(4-iodophenyl)nortropane ((18)F-FP-CIT) positron emission tomography (PET) and healthy participants (n = 20). All participants underwent 0.5 × 0.5 × 1.0 mm(3) oblique axial three-dimensional multiecho-data image combination imaging to view the nigrosome 1 with 3-T imaging. Two reviewers independently assessed the nigrosome 1 without clinical information. DIP was diagnosed when no abnormality was seen at (18)F-FP-CIT PET. Diagnostic sensitivity, specificity, and accuracy of the nigrosome 1 imaging were evaluated between the IPD and DIP patients and between the IPD patients and healthy participants. Interrater agreement was assessed with Cohen κ. Results Both reviewers agreed in 63 of 69 participants (91.3%) for the presence of any abnormality on either side of the nigrosome 1 (κ = 0.825). Findings in all 29 IPD patients (100%) and three of 20 DIP patients (15%) were rated as abnormal and in 17 of 20 DIP patients (85%) they were interpreted as normal on the basis of imaging of the nitgrosome 1 (sensitivity, 100% (29 of 29); specificity, 85.0% (17 of 20); accuracy, 93.9% (46 of 49) between IPD and DIP patients). Findings in 3 of 20 healthy participants (15.0%) were interpreted as abnormal on the basis of imaging the nigrosome 1 while in the other 17 of 20 healthy participants (85.0%) they were rated as normal (sensitivity, 100% [29 of 29]; specificity, 85.0% [17 of 20]; accuracy, 93.9% [46 of 49] between IPD patients and healthy participants [κ = 0.831]). Conclusion The imaging of nigrosome 1 with 3-T imaging can differentiate DIP from IPD with high accuracy and

  3. Satellite Tracking System

    NASA Technical Reports Server (NTRS)

    1991-01-01

    Researchers at the Center for Aerospace Sciences of the University of North Dakota (UND), Grand Forks, used three NASA Computer programs (SANDTRACKS, ODG, NORAD) to develop a Satellite Tracking System for real time utilization of TIROS weather/environment satellite information. SANDTRACKS computes the satellite's position relative to the Earth. ODG allows plotting a view of Earth as seen by the satellite. NORAD computes sight direction, visibility times and maximum elevation angle during each orbit. With the system, UND's Earth System Science Institute will be able to routinely monitor agricultural and environmental conditions of the Northern Plains.

  4. Study designs for identification of rare disease variants in complex diseases: the utility of family-based designs.

    PubMed

    Ionita-Laza, Iuliana; Ottman, Ruth

    2011-11-01

    The recent progress in sequencing technologies makes possible large-scale medical sequencing efforts to assess the importance of rare variants in complex diseases. The results of such efforts depend heavily on the use of efficient study designs and analytical methods. We introduce here a unified framework for association testing of rare variants in family-based designs or designs based on unselected affected individuals. This framework allows us to quantify the enrichment in rare disease variants in families containing multiple affected individuals and to investigate the optimal design of studies aiming to identify rare disease variants in complex traits. We show that for many complex diseases with small values for the overall sibling recurrence risk ratio, such as Alzheimer's disease and most cancers, sequencing affected individuals with a positive family history of the disease can be extremely advantageous for identifying rare disease variants. In contrast, for complex diseases with large values of the sibling recurrence risk ratio, sequencing unselected affected individuals may be preferable.

  5. Utilizing NASA EOS, European Remote Sensing Satellites (ERS-1 & 2), and ENVISAT (Environmental Satellite) to Create a Methodology for Monitoring Marine Debris Dispersal to Coastal Areas by Examining the Gulf of Mexico Loop Current

    NASA Astrophysics Data System (ADS)

    Reahard, R. R.; Albin, A.; Barrett, S.; Brooks, C.; Lee, L.; Mallett, C.; Pezold, B.

    2011-12-01

    The goal of this project is to apply satellite data to model surface circulation in the Gulf of Mexico as a means to aid in the monitoring of marine debris dispersal and the regulation of marine debris practices. Marine debris is a persistent problem for coastal areas throughout the world. In the Gulf of Mexico, the Loop Current flows north through the Yucatan Channel, loops east, then south, exiting through the Florida Straits. Clockwise-rotating areas of warm water, known as eddies, periodically separate from the Loop Current. These eddies have the potential to trap and transport debris onto shores, such as the Padre Island National Seashore. The latter is a 68 mile long barrier island beach in southeastern Texas, and is the longest undeveloped beach in the world. This naturally formed beach can accumulate up to one ton of marine debris per linear mile. This project used sea surface height and height anomaly data based on NASA RADAR altimeter satellites TOPEX/Poseidon, Jason 1, and Jason 2; as well as European RADAR altimeters onboard ERS-1, ERS-2 (European Remote Sensing Satellite), and ENVISAT (Environmental Satellite). This project also employed MODIS sea surface temperature (SST) data to aid in monitoring and visualizing the Loop Current. The sea surface height and height anomaly data were processed to calculate geostrophic flow velocities and predict particle paths. This research provided NOAA's Marine Debris Program and the Padre Island National Seashore with a better understanding of how the Loop Current and surface circulation patterns disperse marine debris to the region. A methodology to monitor Gulf of Mexico surface circulation and predict particle paths by using RADAR altimeter data were provided to partnering agencies. The project provided maps of debris trajectories and geostrophic currents that demonstrate the usefulness of satellite altimetry data to monitor oceanographic processes which in turn affect the distribution of marine debris.

  6. Landscape characterization of peridomestic risk for Lyme disease using satellite imagery

    NASA Technical Reports Server (NTRS)

    Dister, S. W.; Fish, D.; Bros, S. M.; Frank, D. H.; Wood, B. L.

    1997-01-01

    Remotely sensed characterizations of landscape composition were evaluated for Lyme disease exposure risk on 337 residential properties in two communities of suburban Westchester County, New York. Properties were categorized as no, low, or high risk based on seasonally adjusted densities of Ixodes scapularis nymphs, determined by drag sampling during June and July 1990. Spectral indices based on Landsat Thematic Mapper data provided relative measures of vegetation structure and moisture (wetness), as well as vegetation abundance (greenness). A geographic information system (GIS) was used to spatially quantify and relate the remotely sensed landscape variables to risk category. A comparison of the two communities showed that Chappaqua, which had more high-risk properties (P < 0.001), was significantly greener and wetter than Armonk (P < 0.001). Furthermore, within Chappaqua, high-risk properties were significantly greener and wetter than lower-risk properties in this community (P < 0.01). The high-risk properties appeared to contain a greater proportion of broadleaf trees, while lower-risk properties were interpreted as having a greater proportion of nonvegetative cover and/or open lawn. The ability to distinguish these fine scale differences among communities and individual properties illustrates the efficiency of a remote sensing/GIS-based approach for identifying peridomestic risk of Lyme disease over large geographic areas.

  7. The role and utility of faecal markers in inflammatory bowel disease

    PubMed Central

    Lehmann, Frank S.; Burri, Emanuel

    2015-01-01

    Crohn’s disease and ulcerative colitis are characterized by periods of symptomatic relapse and remission. Diagnosis and assessment of inflammatory bowel disease has so far been based on clinical evaluation, serum parameters, radiology and endoscopy. Faecal markers such as calprotectin or lactoferrin have emerged as new diagnostic tools to detect and monitor intestinal inflammation. This review focuses on their potential clinical applications and limitations in the management of inflammatory bowel disease. PMID:25553077

  8. Utility of infectious disease coding sheets for surveillance in a state medical examiner's office.

    PubMed

    Lathrop, Sarah L; Paul, Ian D; Schwartz, Michael H; Nolte, Kurt B

    2008-07-01

    Medical examiners are often first to recognize unusual occurrences of fatal infectious diseases. Recognition of these deaths allows public health officials to institute appropriate public health measures. Therefore, we developed a simple method of identifying and tracking infectious disease deaths in a statewide medical examiner's office. One-page infectious disease forms were completed for 1566/1949 autopsies (80%) performed at the New Mexico Office of the Medical Investigator in 2004. In 241 cases one infectious disease was identified at autopsy and 58 cases had two infectious diseases. Fourteen of the infectious-diseases caused deaths involved diseases that are notifiable conditions in New Mexico. Pneumonia was the most commonly reported infectious process (47 deaths) followed by sepsis (25 deaths). Tracking infectious disease deaths highlighted the importance of recognizing these deaths, although hand-written entries were unstandardized. Preferably, a tracking system would be built into electronic databases at medical examiner and coroner's offices, expediting the identification of these diseases and contact of public health agencies.

  9. Variables Associated With Inpatient and Outpatient Resource Utilization Among Medicare Beneficiaries With Nonalcoholic Fatty Liver Disease With or Without Cirrhosis

    PubMed Central

    Sayiner, Mehmet; Otgonsuren, Munkhzul; Cable, Rebecca; Younossi, Issah; Afendy, Mariam; Golabi, Pegah; Henry, Linda

    2017-01-01

    Background: Nonalcoholic fatty liver disease (NAFLD) is one of the leading causes of chronic liver disease worldwide with tremendous clinical burden. The economic burden of NAFLD is not well studied. Goal: To assess the economic burden of NAFLD. Study: Medicare beneficiaries (January 1, 2010 to December 31, 2010) with NAFLD diagnosis by International Classification of Diseases, Ninth Revision codes in the absence of other liver diseases were selected. Inpatient and outpatient resource utilization parameters were total charges and total provider payments. NAFLD patients with compensated cirrhosis (CC) were compared with decompensated cirrhosis (DC). Results: A total of 976 inpatients and 4742 outpatients with NAFLD were included—87% were white, 36% male, 30% had cardiovascular disease (CVD) or metabolic syndrome conditions, and 12% had cirrhosis. For inpatients, median total hospital charge was $36,289. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($61,151 vs. $33,863 and $18,804 vs. $10,146, P<0.001). Compared with CC, NAFLD patients with DC had higher charges and payments (P<0.02). For outpatients, median total charge was $9,011. NAFLD patients with cirrhosis had higher charges and payments than noncirrhotic NAFLD patients ($12,049 vs. $8,830 and $2,586 vs. $1,734, P<0.001). Compared with CC, DC patients had higher total charges ($15,187 vs. $10,379, P=0.04). In multivariate analysis, variables associated with increased inpatient resource utilization were inpatient mortality, DC, and CVD; for outpatients, having CVD, obesity, and hypertension (all P<0.001). Conclusions: NAFLD is associated with significant economic burden to Medicare. Presence of cirrhosis and CVD are associated with increased resource utilization. PMID:27332747

  10. Study of Drug Utilization Pattern for Skin Diseases in Dermatology OPD of an Indian Tertiary Care Hospital - A Prescription Survey

    PubMed Central

    Pathak, Anuj Kumar; Kumar, Subodh; Kumar, Manish; Dikshit, Harihar

    2016-01-01

    Introduction Skin diseases are the major contributors of disease burden in society. It affects individuals of all ages, neonates to elderly. Owing to its chronic nature, it causes serious impact on quality of life and financial status of the sufferer and his family. The problem gets compounded with the inappropriate and irrational use of medicines. Periodic prescription audit in form of drug utilization study is a way to improve the quality of prescription and curb the menace of irrational prescribing which has become a global phenomenon. Aim This study aims to determine the drug utilization pattern and assess the economic burden of the patient with skin disease. Materials and Methods It was a prospective, cross-sectional study conducted over a period of three months from January to March 2015 in newly diagnosed cases attending outpatient department of Skin and VD, IGIMS, Patna. The prescriptions were analysed with the help of descriptive statistics and results were expressed in percentage. Results Total 752 prescriptions were analysed during the study. Male patients were lesser as compared to female as male to female ratio was 0.88. Over 50% of patients were in adolescent age group i.e. 21-40 years. Acne (17.95%) was most common disease in the study population followed by eczema and Dermatophytosis. Among the drugs, antihistaminics (24.13%) were prescribed most frequently followed by antifungals and antibiotics. Topical agents constituted almost 60% of the total prescription and average number of drugs per prescription was 5.13, irrespective of the dosage forms prescribed. Conclusion This drug utilization study provides an insight to the prescriber regarding various issues related to polypharmacy, cost analysis and prevalent disease pattern in the region. This study also suggests periodic evaluation of prescription pattern to monitor and improve quality of prescription in other departments of the hospital. PMID:27042479

  11. Satellite Communication.

    ERIC Educational Resources Information Center

    Technology Teacher, 1985

    1985-01-01

    Presents a discussion of communication satellites: explains the principles of satellite communication, describes examples of how governments and industries are currently applying communication satellites, analyzes issues confronting satellite communication, links mathematics and science to the study of satellite communication, and applies…

  12. Prescribe by risk: the utility of a biomarker-based risk calculation in disease management to prevent heart disease.

    PubMed

    Root, Martin; Smith, Timothy

    2005-04-01

    Preventive treatment for those most at risk of heart disease rather than those with the highest blood pressure or cholesterol values may be a more efficacious strategy for disease management. This depends on accurate biomarker-based risk assessment tools. An evidence-based model of heart disease risk was developed using the Framingham model with an additional five risk factors, including three of the newer blood biomarkers. This was applied to the adult population of the 3rd National Health and Nutrition Examination Survey cohort. Additionally, the selection criteria for therapeutic intervention from the Adult Treatment Panel III guidelines (for hyperlipidemia) and the 7th Report of the Joint National Committee (for hypertension) were applied to the same subjects. Of this cohort 54% qualified for at least one of these medications while 18% qualified for both. Using this 18% cutoff, the 18% of the subjects with the highest calculated heart disease risk were also identified using the developed risk model. We applied established therapeutic reductions in heart disease probability to those identified by guidelines and to those identified by risk. Applying both drugs to the high-risk group (one third the size of the guidelines group) achieved the same reduction in population risk (about one fourth) as applying the drugs to the guideline groups and required only half as many prescriptions. Intermediate results were found when an intervention group was identified by a combination of both high risk and high levels of risk factors. In this simulation, identifying patients by heart disease risk level resulted in substantially fewer people being treated with fewer drugs and achieving a similar reduction in disease risk.

  13. Utilizing Dental Electronic Health Records Data to Predict Risk for Periodontal Disease.

    PubMed

    Thyvalikakath, Thankam P; Padman, Rema; Vyawahare, Karnali; Darade, Pratiksha; Paranjape, Rhucha

    2015-01-01

    Periodontal disease is a major cause for tooth loss and adversely affects individuals' oral health and quality of life. Research shows its potential association with systemic diseases like diabetes and cardiovascular disease, and social habits such as smoking. This study explores mining potential risk factors from dental electronic health records to predict and display patients' contextualized risk for periodontal disease. We retrieved relevant risk factors from structured and unstructured data on 2,370 patients who underwent comprehensive oral examinations at the Indiana University School of Dentistry, Indianapolis, IN, USA. Predicting overall risk and displaying relationships between risk factors and their influence on the patient's oral and general health can be a powerful educational and disease management tool for patients and clinicians at the point of care.

  14. Utility of high-resolution MR imaging in demonstrating transmural pathologic changes in Crohn disease.

    PubMed

    Sinha, Rakesh; Rajiah, Prabhakar; Murphy, Paul; Hawker, Peter; Sanders, Scott

    2009-10-01

    Magnetic resonance (MR) imaging has emerged as an imaging modality that can be used to help diagnose and evaluate Crohn disease of the small and large bowel. MR imaging has high diagnostic accuracy in the detection of Crohn disease, and high-resolution thin-section MR images can demonstrate transmural pathologic changes of Crohn disease from the level of the mucosa to that of the mesentery. High-resolution MR image data also may be used to construct high-quality multiplanar and endoluminal views that may provide additional diagnostic information. Knowledge of the MR imaging findings of Crohn disease and how they correlate with the pathologic features of the disease is important to facilitate accurate diagnosis and detect complications.

  15. A Global Information Utility.

    ERIC Educational Resources Information Center

    Block, Robert S.

    1984-01-01

    High-powered satellites, along with other existing technologies, make possible a world information utility that could distribute virtually limitless information to every point on earth. The utility could distribute information for business, government, education, and entertainment. How the utility would work is discussed. (RM)

  16. Utility of MR enterography and ultrasound for the investigation of small bowel Crohn's disease.

    PubMed

    Bhatnagar, Gauraang; Von Stempel, Conrad; Halligan, Steve; Taylor, Stuart A

    2016-12-09

    Cross sectional Imaging plays an increasingly important role the diagnosis and management of Crohn's disease. Particular emphasis is placed on MRI and Ultrasound as they do not impart ionising radiation. Both modalities have reported high sensitivity for disease detection, activity assessment and evaluation of extra-luminal complications, and have positive effects on clinical decision making. International Guidelines now recommend MRI and Ultrasound in the routine management of Crohn's disease patients. This article reviews the current evidence base supporting both modalities with an emphasis on the key clinical questions. We describe current protocols, basic imaging findings and highlight areas in need of further research.

  17. Tryptase haplotype in mastocytosis: Relationship to disease variant and diagnostic utility of total tryptase levels

    PubMed Central

    Akin, Cem; Soto, Darya; Brittain, Erica; Chhabra, Adhuna; Schwartz, Lawrence B.; Caughey, George H.; Metcalfe, Dean D.

    2007-01-01

    Serum mast cell tryptase levels are used as a diagnostic criterion and surrogate marker of disease severity in mastocytosis. Approximately 29% of the healthy population lacks α tryptase genes; however, it is not known whether lack of α tryptase genes leads to variability in tryptase levels or impacts on disease severity in mastocytosis. We have thus analyzed tryptase haplotype in patients with mastocytosis, computing correlations between haplotype and plasma total and mature tryptase levels; and disease category. We found: (1) the distribution of tryptase haplotype in patients with mastocytosis appeared consistent with Harvey-Weinberg equilibrium and the distribution in the general population;(2) the disease severity and plasma tryptase levels were not affected by the number of α or β tryptase alleles in this study; and (3) information about the tryptase haplotype did not provide any prognostic value about the severity of disease. Total and mature tryptase levels positively correlated with disease severity, as well as prothrombin time and partial thromboplastin time, and negatively correlated with the hemoglobin concentration. PMID:17449330

  18. Disparities in utilization of coronary artery disease treatment by gender, race, and ethnicity: opportunities for prevention.

    PubMed

    Bhalotra, Sarita; Ruwe, Mathilda B M; Strickler, Gail K; Ryan, Andrew M; Hurley, Clare L

    2007-07-01

    Racial, ethnic, (R/E) and gender disparities in access to health services in the United States and their relationship to adverse health outcomes are well established. Despite an increase in evidence-based cardiovascular treatment, gender, racial, and ethnic disparities in coronary artery disease (CAD) treatment persist. There is neither currently a comprehensive framework for understanding why disparities occur in cardiovascular disease care, nor viable solutions for intervention. This article synthesizes the literature on disparities in coronary artery disease with a conceptual model for understanding chronic disease disparities. This article follows the natural history of disease to observe where differences arise, beginning with health risk management, screening, diagnosis, treatment, and rehabilitation. Racial, ethnic, and gender differences were found at every step of this continuum, including a higher burden of risk factors and a less likelihood of receiving needed lifesaving cardiac procedures. Unfortunately, there is a dearth of intervention strategies to reduce racial, ethnic, and gender disparities in coronary artery disease. Comprehensive solutions will require addressing the barriers at the system, the provider, and the patient level. An early intervention approach that addresses multiple risk factors should be a high priority.

  19. Utility of R0 as a predictor of disease invasion in structured populations

    USGS Publications Warehouse

    Cross, P.C.; Johnson, P.L.F.; Lloyd-Smith, J. O.; Getz, W.M.

    2007-01-01

    Early theoretical work on disease invasion typically assumed large and well-mixed host populations. Many human and wildlife systems, however, have small groups with limited movement among groups. In these situations, the basic reproductive number, R0, is likely to be a poor predictor of a disease pandemic because it typically does not account for group structure and movement of individuals among groups. We extend recent work by combining the movement of hosts, transmission within groups, recovery from infection and the recruitment of new susceptibles into a stochastic model of disease in a host metapopulation. We focus on how recruitment of susceptibles affects disease invasion and how population structure can affect the frequency of superspreading events (SSEs). We show that the frequency of SSEs may decrease with the reduced movement and the group sizes due to the limited number of susceptible individuals available. Classification tree analysis of the model results illustrates the hierarchical nature of disease invasion in host metapopulations. First, the pathogen must effectively transmit within a group (R0 > 1), and then the pathogen must persist within a group long enough to allow for movement among the groups. Therefore, the factors affecting disease persistence - such as infectious period, group size and recruitment of new susceptibles - are as important as the local transmission rates in predicting the spread of pathogens across a metapopulation. ?? 2006 The Royal Society.

  20. A correlative study of simultaneously measured He(++) fluxes in the solar wind and in the magnetosphere utilizing Imp-1 and 1971-089A satellite data

    NASA Technical Reports Server (NTRS)

    Shelley, E. G.

    1975-01-01

    Simultaneously measured He(++) fluxes in the solar wind and in the magnetosphere were studied using data from the plasma spectrometer on the Imp I satellite and the energetic ion mass spectrometer on the low altitude polar orbiting satellite 1971-89A. A detailed comparison of the He(++) energy spectra measured simultaneously in the solar wind and in the low altitude dayside polar cusp on March 7, 1972 was made. The energy-per-unit-charge range of the energetic ion mass spectrometer on board the polar orbiting satellite was 700 eV to 12 keV. Within this range there was a clear maximum in the He(++) energy spectrum at approximately 1.5 keV/nucleon. There was not a clearly defined maximum in the H(+) spectrum, but the data were consistent with a peak between 0.7 and 1.0 keV/nucleon. Both spectra could be reasonably well fit with a convecting Maxwellian plus a high energy tail; however, the mean velocity for He(++) distribution was significantly greater than that for the H(+) distribution. The simultaneous solar wind measurements showed the mean velocities for both ion species to be approximately 600 km/sec. The discrepancies between the relative velocity distributions in the low altitude cusp and those in the solar wind are consistent with a potential difference of approximately 1.4 kV along their flow direction between the two points of observation.

  1. Utilization of satellite-derived estimates of meteorological and land surface characteristics in the Land Surface Model for vast agricultural region territory

    NASA Astrophysics Data System (ADS)

    Muzylev, Eugene; Startseva, Zoya; Uspensky, Alexander; Volkova, Elena

    2015-04-01

    The method has been elaborated to evaluate the water and heat regime characteristics of the territory on a regional scale for the vegetation season based on a physical-mathematical model of water and heat exchange between vegetation covered land surface and atmosphere (LSM, Land Surface Model) appropriate for using satellite information on land surface and meteorological conditions. The developed model is intended for calculating soil water content, evapotranspiration (evaporation from bare soil and transpiration by vegetation), vertical water and heat fluxes as well as land surface and vegetation cover temperatures and vertical distributions of temperature and moisture in the active soil layer. Parameters of the model are soil and vegetation characteristics and input variables are meteorological characteristics. Their values have been obtained from ground-based observations at agricultural meteorological stations and satellite-based measurements by scanning radiometers AVHRR/NOAA, MODIS/EOS Terra and Aqua and SEVIRI (geostationary satellites Meteosat-9, -10). The AVHRR data have been used to build the estimates of three types of land surface temperature (LST): land skin temperature Tsg, air temperature at a level of vegetation cover Ta and efficient radiation temperature Tseff, emissivity E, normalized vegetation index NDVI, vegetation cover fraction B, leaf area index LAI, and precipitation. The set of estimates derived from MODIS data has comprised values of LST Tls, E, NDVI and LAI. The SEVIRI-based retrievals have included Tls, Ta, Е at daylight and nighttime, LAI (daily) and precipitation. The case study has been carried out for agricultural Central Black Earth region of the European Russia of 227,300 sq.km containing 7 regions of the Russian Federation for years 2009-2013 vegetation seasons. Estimates of described characteristics have been built with the help of the developed original and improved pre-existing methods and technologies of thematic processing

  2. Creutzfeldt-Jakob disease: updated diagnostic criteria, treatment algorithm, and the utility of brain biopsy.

    PubMed

    Manix, Marc; Kalakoti, Piyush; Henry, Miriam; Thakur, Jai; Menger, Richard; Guthikonda, Bharat; Nanda, Anil

    2015-11-01

    Creutzfeldt-Jakob disease (CJD) is a rare neurodegenerative condition with a rapid disease course and a mortality rate of 100%. Several forms of the disease have been described, and the most common is the sporadic type. The most challenging aspect of this disease is its diagnosis-the gold standard for definitive diagnosis is considered to be histopathological confirmation-but newer tests are providing means for an antemortem diagnosis in ways less invasive than brain biopsy. Imaging studies, electroencephalography, and biomarkers are used in conjunction with the clinical picture to try to make the diagnosis of CJD without brain tissue samples, and all of these are reviewed in this article. The current diagnostic criteria are limited; test sensitivity and specificity varies with the genetics of the disease as well as the clinical stage. Physicians may be unsure of all diagnostic testing available, and may order outdated tests or prematurely request a brain biopsy when the diagnostic workup is incomplete. The authors review CJD, discuss the role of brain biopsy in this patient population, provide a diagnostic pathway for the patient presenting with rapidly progressive dementia, and propose newer diagnostic criteria.

  3. The clinical utility of QSM: disease diagnosis, medical management, and surgical planning.

    PubMed

    Eskreis-Winkler, Sarah; Zhang, Yan; Zhang, Jingwei; Liu, Zhe; Dimov, Alexey; Gupta, Ajay; Wang, Yi

    2017-04-01

    Quantitative susceptibility mapping (QSM) is an MR technique that depicts and quantifies magnetic susceptibility sources. Mapping iron, the dominant susceptibility source in the brain, has many important clinical applications. Herein, we review QSM applications in the diagnosis, medical management, and surgical treatment of disease. To assist in early disease diagnosis, QSM can identify elevated iron levels in the motor cortex of amyotrophic lateral sclerosis patients, in the substantia nigra of Parkinson's disease (PD) patients, in the globus pallidus, putamen, and caudate of Huntington's disease patients, and in the basal ganglia of Wilson's disease patients. Additionally, QSM can distinguish between hemorrhage and calcification, which could prove useful in tumor subclassification, and can measure microbleeds in traumatic brain injury patients. In guiding medical management, QSM can be used to monitor iron chelation therapy in PD patients, to monitor smoldering inflammation of multiple sclerosis (MS) lesions after the blood-brain barrier (BBB) seals, to monitor active inflammation of MS lesions before the BBB seals without using gadolinium, and to monitor hematoma volume in intracerebral hemorrhage. QSM can also guide neurosurgical treatment. Neurosurgeons require accurate depiction of the subthalamic nucleus, a tiny deep gray matter nucleus, prior to inserting deep brain stimulation electrodes into the brains of PD patients. QSM is arguably the best imaging tool for depiction of the subthalamic nucleus. Finally, we discuss future directions, including bone QSM, cardiac QSM, and using QSM to map cerebral metabolic rate of oxygen. Copyright © 2016 John Wiley & Sons, Ltd.

  4. Utility of quantitative ultrasound for tracking the progression of polycystic kidney disease

    NASA Astrophysics Data System (ADS)

    Hall, Timothy J.; Khant, Htet A.; Insana, Michael F.; Wood, John G.; Zhu, Yanning; Preston, David; Cowley, Benjamin D.

    2000-04-01

    We are combining techniques of quantitative ultrasonic imaging to study polycystic kidney disease (PKD) as the disease progresses to renal failure. Our goal is to use ultrasound noninvasively to detect morphological changes early in the disease process when interventions are most likely to be successful and prior to a significant loss in renal function. We are examining the kidneys of normal rats and those with PKD at various ages with several techniques to obtain comprehensive knowledge of the disease progression. The Han:SPRD rat inherits PKD as an autosomal dominant trait (ADPKD) that closely mimics ADPKD in humans. Changes in renal function are assessed using tracer kinetics (DTPA) and IOH clearance). Ultrasonic techniques, based on measurements of acoustic backscatter coefficients and parameters derived from these measurements, are sensitive to microscopic changes in the tissue morphology. Elasticity imaging is used to study the changes in the tissue macrostructure. All acoustic measurements are made using a state-of-the-art clinical imaging system (Siemens Elegra). Our results show that ultrasonic techniques are very sensitive to early changes in renal microstructure and macrostructure. Ultrasound can be used to detect changes in the renal cortex long before there is a measurable loss of renal function. These techniques are also useful for monitoring the progression of the disease. Most importantly, these techniques are noninvasive and directly applicable to humans.

  5. The clinical utility of FibroScan® as a noninvasive diagnostic test for liver disease

    PubMed Central

    Wilder, Julius; Patel, Keyur

    2014-01-01

    An important aspect of managing chronic liver disease is assessing for evidence of fibrosis. Historically, this has been accomplished using liver biopsy, which is an invasive procedure associated with risk for complications and significant sampling and observer error, limiting the accuracy for determination of fibrosis stage. Hence, several serum biomarkers and imaging methods for noninvasive assessment of liver fibrosis have been developed. In this article, we review the current literature on an important noninvasive imaging modality to measure tissue elastography (FibroScan®). This ultrasound-based technique is now increasingly available in many countries and has been shown to be a reliable and safe noninvasive means of assessing disease severity in chronic liver disease of varying etiology. PMID:24833926

  6. Proximity to Disease and Perception of Utility: Physicians’ vs Patients’ Assessment of Treatment Options for Ulcerative Colitis

    PubMed Central

    Brown, Lindsay Kennedy; Waljee, Akbar K.; Higgins, Peter D. R.; Waljee, Jennifer F.; Morris, Arden M.

    2017-01-01

    BACKGROUND Physician values regarding the benefit of continued medical therapy vs colectomy for moderate ulcerative colitis have not been defined. If physicians perceive these states differently than patients, their therapeutic recommendations may not align with patient values. OBJECTIVE This study aimed to compare physician and patient willingness to trade life years with moderately active ulcerative colitis vs undergoing colectomy. DESIGN This survey of physicians’ and patients’ utility values used standardized scenarios for moderately active ulcerative colitis and colectomy. SETTING The investigation was conducted at a tertiary academic medical center. METHODS Gastroenterologists, colorectal surgeons, and patients with ulcerative colitis who were either living with moderate disease or were postcolectomy completed the survey. MAIN OUTCOME MEASURES Utility values were measured by the use of the time trade-off method. RESULTS We surveyed 17 physicians, 150 postcolectomy patients, and 69 patients with moderate ulcerative colitis. Utility values for ulcerative colitis and colectomy states were (0.87, 0.95), (0.86, 0.92), and (0.91, 0.91). On average, physicians and postcolectomy patients assessed the utility of life with ulcerative colitis more poorly than the postcolectomy state. Patients with moderately active ulcerative colitis who had not undergone colectomy viewed both health states equally. LIMITATIONS This study was limited by the physician subject sample size. CONCLUSIONS Patients living with moderate ulcerative colitis value the pre- and postcolectomy states differently than physicians and postcolectomy patients. Recognizing the differences between their own and patients’ values may help physicians to better counsel patients preoperatively. In addition, exposure to postcolectomy patients may help those with moderate disease who are weighing the comparative benefits of colectomy. PMID:22067181

  7. Alberta's systems approach to chronic disease management and prevention utilizing the expanded chronic care model.

    PubMed

    Delon, Sandra; Mackinnon, Blair

    2009-01-01

    Alberta's integrated approach to chronic disease management programming embraces client-centred care, supports self-management and facilitates care across the continuum. This paper presents strategies implemented through collaboration with primary care to improve care of individuals with chronic conditions, evaluation evidence supporting success and lessons learned from the Alberta perspective.

  8. Reduced carbon utilization, competitive colonization of the spermosphere, and disease suppression by Enterobacter cloacae

    Technology Transfer Automated Retrieval System (TEKTRAN)

    De Wit Replacement series and disease suppression experiments with a collection of nutritional mutants of E. cloacae 501R3 are being used to determine the role of reduced carbon compounds found in seed exudate during beneficial activities by this bacterium. Mutants A-11, M2, and M43 contain single ...

  9. The experimental autoimmune encephalomyelitis (EAE) model of MS: utility for understanding disease pathophysiology and treatment.

    PubMed

    Robinson, Andrew P; Harp, Christopher T; Noronha, Avertano; Miller, Stephen D

    2014-01-01

    While no single model can exactly recapitulate all aspects of multiple sclerosis (MS), animal models are essential in understanding the induction and pathogenesis of the disease and to develop therapeutic strategies that limit disease progression and eventually lead to effective treatments for the human disease. Several different models of MS exist, but by far the best understood and most commonly used is the rodent model of experimental autoimmune encephalomyelitis (EAE). This model is typically induced by either active immunization with myelin-derived proteins or peptides in adjuvant or by passive transfer of activated myelin-specific CD4+ T lymphocytes. Mouse models are most frequently used because of the inbred genotype of laboratory mice, their rapid breeding capacity, the ease of genetic manipulation, and availability of transgenic and knockout mice to facilitate mechanistic studies. Although not all therapeutic strategies for MS have been developed in EAE, all of the current US Food and Drug Administration (FDA)-approved immunomodulatory drugs are effective to some degree in treating EAE, a strong indicator that EAE is an extremely useful model to study potential treatments for MS. Several therapies, such as glatiramer acetate (GA: Copaxone), and natalizumab (Tysabri), were tested first in the mouse model of EAE and then went on to clinical trials. Here we discuss the usefulness of the EAE model in understanding basic disease pathophysiology and developing treatments for MS as well as the potential drawbacks of this model.

  10. Design and utilization of macrophage and vascular smooth muscle cell co-culture systems in atherosclerotic cardiovascular disease investigation.

    PubMed

    Zuniga, Mary C; White, Sharla L Powell; Zhou, Wei

    2014-10-01

    Atherosclerotic cardiovascular disease has been acknowledged as a chronic inflammatory condition. Monocytes and macrophages lead the inflammatory pathology of atherosclerosis whereas changes in atheromatous plaque thickness and matrix composition are attributed to vascular smooth muscle cells. Because these cell types are key players in atherosclerosis progression, it is crucial to utilize a reliable system to investigate their interaction. In vitro co-culture systems are useful platforms to study specific molecular mechanisms between cells. This review aims to summarize the various co-culture models that have been developed to investigate vascular smooth muscle cell and monocyte/macrophage interactions, focusing on the monocyte/macrophage effects on vascular smooth muscle cell function.

  11. The potential utility of tight junction regulation in celiac disease: focus on larazotide acetate.

    PubMed

    Khaleghi, Shahryar; Ju, Josephine M; Lamba, Abhinav; Murray, Joseph A

    2016-01-01

    Celiac disease (CD) is a common chronic immune disease triggered by gluten. Gliadin peptides pass through the epithelial layers, either paracellularly or transcellularly, to launch a potent adaptive immune response in the lamina propria. This aberrant immune response leads to diverse gastrointestinal and extra-gastrointestinal symptoms. Currently, the only treatment for CD is a strict lifelong adherence to a gluten-free diet (GFD), which can be challenging. An early effect of gluten in CD is an increase in gut permeability. Larazotide acetate, also known as AT-1001, is a synthetic peptide developed as a permeability regulator primarily targeting CD. In vitro studies indicate that larazotide acetate is capable of inhibiting the actin rearrangement caused by gliadin and clinical studies have been conducted using this peptide as a therapy for CD.

  12. Bayesian analysis versus discriminant function analysis: their relative utility in the diagnosis of coronary disease.

    PubMed

    Detrano, R; Leatherman, J; Salcedo, E E; Yiannikas, J; Williams, G

    1986-05-01

    Both Bayesian analysis assuming independence and discriminant function analysis have been used to estimate probabilities of coronary disease. To compare their relative accuracy, we submitted 303 subjects referred for coronary angiography to stress electrocardiography, thallium scintigraphy, and cine fluoroscopy. Severe angiographic disease was defined as at least one greater than 50% occlusion of a major vessel. Four calculations were done: (1) Bayesian analysis using literature estimates of pretest probabilities, sensitivities, and specificities was applied to the clinical and test data of a randomly selected subgroup (group I, 151 patients) to calculate posttest probabilities. (2) Bayesian analysis using literature estimates of pretest probabilities (but with sensitivities and specificities derived from the remaining 152 subjects [group II]) was applied to group I data to estimate posttest probabilities. (3) A discriminant function with logistic regression coefficients derived from the clinical and test variables of group II was used to calculate posttest probabilities of group I. (4) A discriminant function derived with the use of test results from group II and pretest probabilities from the literature was used to calculate posttest probabilities of group I. Receiver operating characteristic curve analysis showed that all four calculations could equivalently rank the disease probabilities for our patients. A goodness-of-fit analysis suggested the following relationship between the accuracies of the four calculations: (1) less than (2) approximately equal to (4) less than (3). Our results suggest that data-based discriminant functions are more accurate than literature-based Bayesian analysis assuming independence in predicting severe coronary disease based on clinical and noninvasive test results.

  13. Utilization of Telehealth Technology to Develop and Implement a Comprehensive Management Initiative for Chronic Diseases

    DTIC Science & Technology

    2011-10-01

    Diabetic eye disease is the leading cause of blindness among working-age adults, yet it is largely preventable with timely diagnosis and treatment ... Diabetic Retinopathy Study Research Group, 1981; Early Treatment Diabetic Retinopathy Research Group, 1991). Diabetes -related vision loss is often...with mydriatic seven-standard field Early Treatment Diabetic Retinopathy Study (ETDRS) protocol photography (Bursell et al., 2001) and with dilated

  14. Utilization of Telehealth Technology to Develop and Implement a Comprehensive Management Initiative for Chronic Diseases

    DTIC Science & Technology

    2012-10-01

    significantly different from zero for both treatment groups after controlling for A1c level at the time of enrollment, age, gender, and type of diabetes [(a...disease is the leading cause of blindness among working-age adults, yet it is largely preventable with timely diagnosis and treatment ( Diabetic ...Retinopathy Study Research Group, 1981; Early Treatment Diabetic Retinopathy Research Group, 1991). Diabetes -related vision loss is often caused by a

  15. Zotarolimus-eluting stent utilization in small-vessel coronary artery disease (ZEUS).

    PubMed

    Jim, Man-Hong; Yiu, Kai-Hang; Fung, Raymond Chi-Yan; Ho, Hee-Hwa; Ng, Andrew Kei-Yan; Siu, Chung-Wah; Chow, Wing-Hing

    2014-01-01

    The role of the second-generation zotarolimus-eluting stent RESOLUTE in small-vessel coronary artery disease is unclear. The aim of this study was examine the angiographic results of RESOLUTE in de novo coronary lesions of ≥50 % diameter stenosis in target vessels ≤2.5 mm. From August 2008 to April 2010, 142 symptomatic patients with 159 lesions who fitted the inclusion criteria were treated with RESOLUTE. The mean age of patients was 66 ± 10 years, with male predominance (66 %). Diabetes mellitus was found in 62 (43.7 %) patients, whereas multivessel disease was observed in 105 (73.9 %). The mean stent size and length used were 2.33 ± 0.13 and 22 ± 8 mm, respectively. Follow-up angiography was performed on 143 (89.9 %) lesions in 127 (89.4 %) patients at a mean of 10.3 ± 3.6 months. Angiographic restenosis was found in 9 (6.3 %) lesions; the late loss was 0.26 ± 0.34 mm. At 1-year follow-up there were four cardiovascular deaths, two nonfatal myocardial infarctions, and six repeated revascularizations. The resultant major adverse cardiac event rate was 8.5 %. The use of RESOLUTE to treat small-vessel disease is associated with good clinical and angiographic outcomes at 1 year.

  16. Utilization of sialic acid as a coreceptor is required for reovirus-induced biliary disease

    PubMed Central

    Barton, Erik S.; Youree, Bryan E.; Ebert, Daniel H.; Forrest, J. Craig; Connolly, Jodi L.; Valyi-Nagy, Tibor; Washington, Kay; Wetzel, J. Denise; Dermody, Terence S.

    2003-01-01

    Infection of neonatal mice with some reovirus strains produces a disease similar to infantile biliary atresia, but previous attempts to correlate reovirus infection with this disease have yielded conflicting results. We used isogenic reovirus strains T3SA– and T3SA+, which differ solely in the capacity to bind sialic acid as a coreceptor, to define the role of sialic acid in reovirus encephalitis and biliary tract infection in mice. Growth in the intestine was equivalent for both strains following peroral inoculation. However, T3SA+ spread more rapidly from the intestine to distant sites and replicated to higher titers in spleen, liver, and brain. Strikingly, mice infected with T3SA+ but not T3SA– developed steatorrhea and bilirubinemia. Liver tissue from mice infected with T3SA+ demonstrated intense inflammation focused at intrahepatic bile ducts, pathology analogous to that found in biliary atresia in humans, and high levels of T3SA+ antigen in bile duct epithelial cells. T3SA+ bound 100-fold more efficiently than T3SA– to human cholangiocarcinoma cells. These observations suggest that the carbohydrate-binding specificity of a virus can dramatically alter disease in the host and highlight the need for epidemiologic studies focusing on infection by sialic acid–binding reovirus strains as a possible contributor to the pathogenesis of neonatal biliary atresia. PMID:12813018

  17. Immunofluorescence Patterns in Selected Dermatoses, Including Blistering Skin Diseases Utilizing Multiple Fluorochromes

    PubMed Central

    Abreu-Velez, Ana Maria; Calle-Isaza, Juliana; Howard, Michael S.

    2015-01-01

    Background: Autoimmune vesiculobullous disorders represent a heterogeneous group of dermatoses whose diagnosis is made based on clinical history, histologic features, and immunopathologic features. The most commonly used techniques for the diagnosis of these diseases are direct and indirect immunofluorescence (DIF and IIF), including salt-split processing. NaCl split skin is used to determine the level of blister formation, and the localization of autoantibodies relative to the split. Classically, immunofluorescence has been performed with one fluorochrome in the diagnosis of autoimmune bullous skin diseases. Aims: To compare DIF and IIF of the skin, using a single fluorochrome versus multiple fluorochromes. Materials and Methods: We studied 20 autoimmune skin disease cases using fluorescein isothiocyanate (FITC) alone, in comparison to multiple fluorochromes (with or without DNA counterstaining). Results: The use of multiple fluorochromes helped to simultaneously visualize reactivity in multiple skin areas, in contrast to using FITC alone. Conclusions: Using multiple fluorochromes allows simultaneous labeling of two or more antigens within the same cell/or tissue section, assists in colocalization of unknown antigens with known molecules, and helps in ruling out “background” staining. PMID:26605203

  18. Utility of Circulating MicroRNAs as Clinical Biomarkers for Cardiovascular Diseases

    PubMed Central

    Kondkar, Altaf A.; Abu-Amero, Khaled K.

    2015-01-01

    MicroRNAs (miRNAs) are small noncoding RNA molecules that regulate gene and protein expression by translational repression and/or mRNA degradation. miRNAs are implicated in the pathogenesis of various cardiovascular diseases and have become potential targets for therapeutic intervention. Their stability and presence in variety of readily accessible cell types including whole blood, serum, plasma, and other body fluids render them as potential source of a clinical biomarker. This review provides a brief overview of miRNA biogenesis and function, the diagnostic potential of circulating extracellular miRNA and their specific role in vivo in various cardiovascular settings, and their future perspective as clinical biomarkers. It is clearly evident from experimental studies that miRNAs are responsible for the regulation of several biological functions and alterations in cardiovascular diseases. Current data supports the concept of using circulating miRNAs as a biomarker in cardiovascular disease. It remains to be seen, however, whether circulating miRNAs can fulfil this role to improve risk and severity prediction. PMID:25710029

  19. Utility of cardiac biomarkers during adulticide treatment of heartworm disease (Dirofilaria immitis) in dogs.

    PubMed

    Carretón, E; Morchón, R; González-Miguel, J; Juste, M C; Simón, F; Montoya-Alonso, J A

    2013-10-18

    Heartworm disease (Dirofilaria immitis) is a parasitic disease of dogs and other carnivores, characterized by the presence of adult worms in the pulmonary arteries and right ventricle, leading to pulmonary hypertension which may progress to congestive heart failure. Cardiac biomarkers are biological parameters that can be objectively measured as indicators of pathological processes, or to assess the response to therapeutic interventions. To evaluate the myocardial damage during the adulticide treatment in 15 heartworm-infected dogs with ivermectin, doxycycline and melarsomine, measurements of cardiac troponin I (cTnI), myoglobin, MB isoenzyme of creatine kinase (CK-MB) and aspartate aminotransferase (AST) were carried out on days 0, 60 and afterwards weekly on days 67, 75, 82, 91, 106, 113 and 120. Dogs were divided by low parasite burden (n=9) and high parasite burden (n=6). On day 0, dogs with high worm burden showed increased cTnI concentrations (3.62 ± 4.78 ng/ml) while dogs with low worm burden had concentrations similar to those of healthy dogs (0.78 ± 0.22 ng/ml), CK-MB concentrations were increased only in dogs with high parasite burden as well (54.4 ± 54.2U/l) and 26.6% (4/15) of the dogs showed pathological concentrations of myoglobin. On day 91, most dogs showed pathological concentrations of myoglobin, CK-MB and AST, probably due to the myositis associated to the intramuscular injection of melarsomine. The rest of the measurements made in the study, the biomarkers concentrations were within normal values, except for cTnI in dogs with high parasite burden, which remained above reference concentrations for healthy dogs during all the study. The evaluation of cardiac biomarkers seems to be a helpful test in the assessment of the myocardium in dogs with heartworm disease during the adulticide treatment.

  20. Does response inhibition have pre- and postdiagnostic utility in Parkinson's disease?

    PubMed

    MacDonald, Hayley J; Byblow, Winston D

    2015-01-01

    Parkinson's disease (Pd) is the second most prevalent degenerative neurological condition worldwide. Improving and sustaining quality of life is an important goal for Parkinson's patients. Key areas of focus to achieve this goal include earlier diagnosis and individualized treatment. In this review the authors discuss impulse control in Pd and examine how measures of impulse control from a response inhibition task may provide clinically useful information (a) within an objective test battery to aid earlier diagnosis of Pd and (b) in postdiagnostic Pd, to better identify individuals at risk of developing impulse control disorders with dopaminergic medication.

  1. Utilization of Feeding Tubes in the Management of Feline Chronic Kidney Disease.

    PubMed

    Ross, Sheri

    2016-11-01

    Esophagostomy feeding tubes are useful, and in many cases essential, for the comprehensive management of cats with moderate to advanced chronic kidney disease (CKD). They should be considered a lifelong therapeutic appliance to facilitate the global management of cats with CKD thus providing improved therapeutic efficacy and quality-of-life. Esophagostomy tubes facilitate the maintenance of adequate hydration and increase owner compliance by facilitating the administration of medications. Finally, feeding tubes provide a means to deliver a stage-appropriate dietary prescription for cats with CKD and maintain an adequate nutritional plane in a patient that otherwise would be subject to chronic wasting.

  2. Utilization of satellite remote sensing data on land surface characteristics in water and heat balance component modeling for vegetation covered territories

    NASA Astrophysics Data System (ADS)

    Muzylev, Eugene; Uspensky, Alexander; Startseva, Zoya; Volkova, Elena; Kukharsky, Alexander; Uspensky, Sergey

    2010-05-01

    The model of vertical water and heat transfer in the "soil-vegetation-atmosphere" system (SVAT) for vegetation covered territory has been developed, allowing assimilating satellite remote sensing data on land surface condition as well as accounting for heterogeneities of vegetation and meteorological characteristics. The model provides the calculation of water and heat balance components (such as evapotranspiration Ev, soil water content W, sensible and latent heat fluxes and others ) as well as vertical soil moisture and temperature distributions, temperatures of soil surface and foliage, land surface brightness temperature for any time interval within vegetation season. To describe the landscape diversity soil constants and leaf area index LAI, vegetation cover fraction B, and other vegetation characteristics are used. All these values are considered to be the model parameters. Territory of Kursk region with square about 15 thousands km2 situated in the Black Earth zone of Central Russia was chosen for investigation. Satellite-derived estimates of land surface characteristics have been constructed under cloud-free condition basing AVHRR/NOAA, MODIS/EOS Terra and EOS Aqua, SEVIRI/Meteosat-8, -9 data. The developed technologies of AVHRR data thematic processing have been refined providing the retrieval of surface skin brightness temperature Tsg, air foliage temperature Ta, efficient surface temperature Ts.eff and emissivity E, as well as derivation of vegetation index NDVI, B, and LAI. The linear regression estimators for Tsg, Ta and LAI have been built using representative training samples for 2003-2009 vegetation seasons. The updated software package has been applied for AVHRR data thematic processing to generate named remote sensing products for various dates of the above vegetation seasons. The error statistics of Ta, Ts.eff and Тsg derivation has been investigated for various samples using comparison with in-situ measurements that has given RMS errors in the

  3. Anterior-posterior and lateral hemispheric alterations in cortical glucose utilization in Alzheimer's disease

    SciTech Connect

    Friedland, T.F.; Budinger, T.F.; Jaqust, W.J.; Yano, Y.; Huesman, R.H.; Knittel, B.; Koss, E.; Ober, B.A.

    1984-01-01

    The anatomical and chemical features of Alzheimer's disease (AD) are not distributed evenly throughout the brain. However, the nature of this focality has not been well established in vivo. Dynamic studies using the Donner 280-Crystal Positron Tomograph with (F-18)2-fluorodeoxyglucose were performed in 17 subjects meeting current research criteria for AD, and in 7 healthy age-matched control subjects. Glucose metabolic rates in the temporal-parietal cortex are 27% lower in AD than in controls. Ratios of activity density reveal consistently lower metabolic rates in temporal-parietal than frontal cortex in the AD group, while healthy aged subjects have equal metabolic rates in the two areas. Similar findings have been reported by other laboratories. A major finding is a striking lateral asymmetry of cortical metabolism in AD which does not favor either hemisphere. (The asymmetry is 13% in the AD group, 3% in controls, p<.005.) This has not been previously reported in AD. The consistency with which anterior-posterior metabolic differences are found in AD suggests that the focality of the metabolic changes may be used to develop a noninvasive diagnostic test for the disorder. The metabolic asymmetry in AD may be compared to the clinical and pathological asymmetry found in Creutzfeldt-Jakob disease, and may represent an additional link between AD and the subacute spongiform encephalopathies.

  4. Evaluation of ventricular geometry and performance in congenital heart disease utilizing magnetic resonance imaging

    NASA Astrophysics Data System (ADS)

    Fogel, Mark A.

    1994-05-01

    We have recently embarked on a systematic evaluation of the regional and global mechanical processes of the systemic, morphologic right ventricle (RV) which is in either a single or dual chambered circulation as well as single left ventricles (LV). An MRI tagging technique which lays down 2 sets of parallel stripes perpendicular to each other on the myocardium as well as standard cine MRI were utilized. Finite strain analysis was applied to the grid lines to derive principle strains and the motion of the intersection points were tracked through systole to determine regional radial shortening and twist. Cine sequences were used to derive the various parameters of ventricular geometry and performance as well as visualizing flow profiles in the aorta. We noted a marked decrease in vol, EF, and CO in the Fontan group of patients when compared to other surgical subgroups. It is hypothesized that atrial stiffening by surgical placement of baffles may contribute to the observed changes in ventricular mechanics. Aortic flow profiles in the reconstructed aorta were noted to be heterogenous across the aortic diameter.

  5. Utility of Consumer Physical Activity Trackers as an Intervention Tool in Cardiovascular Disease Prevention and Treatment.

    PubMed

    Hickey, Amanda M; Freedson, Patty S

    2016-01-01

    Consumer activity trackers have grown in popularity over the last few years. These devices are typically worn on the hip or wrist and provide the user with information about physical activity measures such as steps taken, energy expenditure, and time spent in moderate to vigorous physical activity. The consumer may also use the computer interface (e.g. device websites, smartphone applications) to monitor and track achievement of PA goals and compete with other users. This review will describe some of the most popular consumer devices and discuss the user feedback tools. We will also present the limited evidence available about the accuracy of these devices and highlight how they have been used in cardiovascular disease management. We conclude with some recommendations for future research, focusing on how consumer devices might be used to assess effectiveness of various cardiovascular treatments.

  6. α2-Heremans-schmid glycoprotein (fetuin A) downregulation and its utility in inflammatory bowel disease

    PubMed Central

    Manolakis, Anastassios C; Christodoulidis, Gregory; Kapsoritakis, Andreas N; Georgoulias, Panagiotis; Tiaka, Elisavet K; Oikonomou, Kostas; Valotassiou, Varvara J; Potamianos, Spyros P

    2017-01-01

    AIM To investigate the impact of inflammatory bowel disease (IBD) on α2-Heremans-Schmid Glycoprotein (AHSG/fetuin A) and potential associations with disease and patient characteristics. METHODS AHSG serum levels were determined in treatment-naïve newly-diagnosed patients, 96 with ulcerative colitis (UC), 84 with Crohn's disease (CD), 62 with diarrhea-predominant or mixed irritable bowel syndrome (IBS, D- and M- types) and 180 healthy controls (HC), by an enzyme linked immunosorbent assay (ELISA). All patients were followed for a minimum period of 3 years at the Gastroenterology Department of the University Hospital of Larissa, Greece. C-reactive protein (CRP), anti-glycan antibodies, anti-Saccharomyces cerevisiae mannan antibodies IgG, anti-mannobioside carbohydrate antibodies IgG, anti-laminariobioside carbohydrate antibodies IgG and anti-chitobioside carbohydrate antibodies IgA were also determined via immunonephelometry and ELISA, respectively. RESULTS The mean ± SE of serum AHSG, following adjustment for confounders, was 0.32 ± 0.02 g/L in IBD, 0.32 ± 0.03 g/L in CD and 0.34 ± 0.03 g/L in UC patients, significantly lower than in IBS patients (0.7 ± 0.018 g/L) and HC (0.71 ± 0.02 g/L) (P < 0.0001, in all cases). AHSG levels were comparable between the CD and UC groups. Based on AHSG levels IBD patients could be distinguished from HC with about 90% sensitivity and specificity. Further adjusted analysis verified the inverse association between AHSG and penetrating, as well as stricturing CD (partial correlation coefficient: -0.45 and -0.33, respectively) (P < 0.05). After adjusting for confounding factors, inverse correlations between AHSG and CRP and the need for anti-TNFα therapy or surgery, were found (partial correlation coefficients: -0.31, -0.33, -0.41, respectively, P < 0.05, in all cases). Finally, IBD individuals who were seropositive, for at least one marker, had AHSG levels falling within the two lower quartiles (OR = 2.86, 95%CI: 1.5-5.44, P

  7. Differentiating cardiomyopathy of coronary artery disease from nonischemic dilated cardiomyopathy utilizing positron emission tomography

    SciTech Connect

    Mody, F.V.; Brunken, R.C.; Stevenson, L.W.; Nienaber, C.A.; Phelps, M.E.; Schelbert, H.R. )

    1991-02-01

    To determine if imaging of blood flow (using N-13 ammonia) and glucose metabolism (using F-18 2-deoxyglucose) with positron emission tomography can distinguish cardiomyopathy of coronary artery disease from nonischemic dilated cardiomyopathy, 21 patients with severe left ventricular dysfunction who were evaluated for cardiac transplantation were studied. The origin of left ventricular dysfunction had been previously determined by coronary angiography to be ischemic (11 patients) or nonischemic (10 patients). Images were visually analyzed by three observers on a graded scale in seven left ventricular segments and revealed fewer defects in dilated cardiomyopathy compared with ischemic cardiomyopathy for N-13 ammonia (2.7 +/- 1.6 versus 5 +/- 0.6; p less than 0.03) and F-18 deoxyglucose (2.8 +/- 2.1 versus 4.6 +/- 1.1; p less than 0.03). An index incorporating extent and severity of defects revealed more homogeneity with fewer and less severe defects in subjects with nonischemic than in those with ischemic cardiomyopathy as assessed by imaging of flow (2.8 +/- 1.8 versus 9.2 +/- 3; p less than 0.001) and metabolism (3.8 +/- 3.3 versus 8.5 +/- 3.6; p less than 0.005). Diagnostic accuracy for distinguishing the two subgroups by visual image analysis was 85%. Using previously published circumferential count profile criteria, patients with dilated cardiomyopathy had fewer ischemic segments (0.4 +/- 0.8 versus 2.5 +/- 2 per patient; p less than 0.01) and infarcted segments (0.1 +/- 0.3 versus 2.4 +/- 1.4 per patient; p less than 0.001) than did patients with cardiomyopathy of coronary artery disease. The sensitivity for differentiating the two clinical subgroups using circumferential profile analysis was 100% and the specificity 80%.

  8. Utility of genetic and non-genetic risk factors in predicting coronary heart disease in Singaporean Chinese.

    PubMed

    Chang, Xuling; Salim, Agus; Dorajoo, Rajkumar; Han, Yi; Khor, Chiea-Chuen; van Dam, Rob M; Yuan, Jian-Min; Koh, Woon-Puay; Liu, Jianjun; Goh, Daniel Yt; Wang, Xu; Teo, Yik-Ying; Friedlander, Yechiel; Heng, Chew-Kiat

    2017-01-01

    Background Although numerous phenotype based equations for predicting risk of 'hard' coronary heart disease are available, data on the utility of genetic information for such risk prediction is lacking in Chinese populations. Design Case-control study nested within the Singapore Chinese Health Study. Methods A total of 1306 subjects comprising 836 men (267 incident cases and 569 controls) and 470 women (128 incident cases and 342 controls) were included. A Genetic Risk Score comprising 156 single nucleotide polymorphisms that have been robustly associated with coronary heart disease or its risk factors ( p < 5 × 10(-8)) in at least two independent cohorts of genome-wide association studies was built. For each gender, three base models were used: recalibrated Adult Treatment Panel III (ATPIII) Model (M1); ATP III model fitted using Singapore Chinese Health Study data (M2) and M3: M2 + C-reactive protein + creatinine. Results The Genetic Risk Score was significantly associated with incident 'hard' coronary heart disease ( p for men: 1.70 × 10(-10)-1.73 × 10(-9); p for women: 0.001). The inclusion of the Genetic Risk Score in the prediction models improved discrimination in both genders (c-statistics: 0.706-0.722 vs. 0.663-0.695 from base models for men; 0.788-0.790 vs. 0.765-0.773 for women). In addition, the inclusion of the Genetic Risk Score also improved risk classification with a net gain of cases being reclassified to higher risk categories (men: 12.4%-16.5%; women: 10.2% (M3)), while not significantly reducing the classification accuracy in controls. Conclusions The Genetic Risk Score is an independent predictor for incident 'hard' coronary heart disease in our ethnic Chinese population. Inclusion of genetic factors into coronary heart disease prediction models could significantly improve risk prediction performance.

  9. On the definition and utilization of heritable variation among hosts in reproduction ratio R0 for infectious diseases.

    PubMed

    Anche, M T; de Jong, M C M; Bijma, P

    2014-10-01

    Infectious diseases have a major role in evolution by natural selection and pose a worldwide concern in livestock. Understanding quantitative genetics of infectious diseases, therefore, is essential both for understanding the consequences of natural selection and for designing artificial selection schemes in agriculture. The basic reproduction ratio, R0, is the key parameter determining risk and severity of infectious diseases. Genetic improvement for control of infectious diseases in host populations should therefore aim at reducing R0. This requires definitions of breeding value and heritable variation for R0, and understanding of mechanisms determining response to selection. This is challenging, as R0 is an emergent trait arising from interactions among individuals in the population. Here we show how to define breeding value and heritable variation for R0 for genetically heterogeneous host populations. Furthermore, we identify mechanisms determining utilization of heritable variation for R0. Using indirect genetic effects, next-generation matrices and a SIR (Susceptible, Infected and Recovered) model, we show that an individual's breeding value for R0 is a function of its own allele frequencies for susceptibility and infectivity and of population average susceptibility and infectivity. When interacting individuals are unrelated, selection for individual disease status captures heritable variation in susceptibility only, yielding limited response in R0. With related individuals, however, there is a secondary selection process, which also captures heritable variation in infectivity and additional variation in susceptibility, yielding substantially greater response. This shows that genetic variation in susceptibility represents an indirect genetic effect. As a consequence, response in R0 increased substantially when interacting individuals were genetically related.

  10. Mobile satellite service communications tests using a NASA satellite

    NASA Technical Reports Server (NTRS)

    Chambers, Katherine H.; Koschmeder, Louis A.; Hollansworth, James E.; ONeill, Jack; Jones, Robert E.; Gibbons, Richard C.

    1995-01-01

    Emerging applications of commercial mobile satellite communications include satellite delivery of compact disc (CD) quality radio to car drivers who can select their favorite programming as they drive any distance; transmission of current air traffic data to aircraft; and handheld communication of data and images from any remote corner of the world. Experiments with the enabling technologies and tests and demonstrations of these concepts are being conducted before the first satellite is launched by utilizing an existing NASA spacecraft.

  11. Brain uptake and utilization of fatty acids: applications to peroxisomal biogenesis diseases.

    PubMed

    Watkins, P A; Hamilton, J A; Leaf, A; Spector, A A; Moore, S A; Anderson, R E; Moser, H W; Noetzel, M J; Katz, R

    2001-01-01

    The brain is rich in diverse fatty acids saturated, monounsaturated and polyunsaturated fatty acids with chain lengths ranging from less than 16 to more than 24 carbons that make up the complex lipids present in this organ. While some fatty acids are derived from endogenous synthesis, others must come from exogenous sources. The mechanism(s) by which fatty acids enter cells has been the subject of much debate. While some investigators argue for a protein-mediated process, others suggest that simple diffusion is sufficient. In the brain, uptake is further complicated by the presence of the blood-brain barrier. Brain fatty acid homeostasis is disturbed in many human disorders, as typified by the peroxisomal biogenesis diseases. A workshop designed to bring together researchers from varied backgrounds to discuss these issues in an open forum was held in March, 2000. In addition to assessing the current state of knowledge, areas requiring additional investigation were identified and recommendations for future research were made. A brief overview of the invited talks is presented here.

  12. The G-765C promoter polymorphism in cyclooxygenase-2 (PTGS2), aspirin utilization and cardiovascular disease risk: the Atherosclerosis Risk in Communities (ARIC) study

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Cyclooxygenase-2 derived prostaglandins modulate cardiovascular disease risk. We sought to determine if the reduced function G-765C promoter polymorphism in PTGS2 was associated with incident coronary heart disease (CHD) or ischemic stroke risk, and if this was modified by aspirin utilization. Usin...

  13. The effects of synoptic weather on influenza infection incidences: a retrospective study utilizing digital disease surveillance.

    PubMed

    Zhao, Naizhuo; Cao, Guofeng; Vanos, Jennifer K; Vecellio, Daniel J

    2017-02-11

    The environmental drivers and mechanisms of influenza dynamics remain unclear. The recent development of influenza surveillance--particularly the emergence of digital epidemiology--provides an opportunity to further understand this puzzle as an area within applied human biometeorology. This paper investigates the short-term weather effects on human influenza activity at a synoptic scale during cold seasons. Using 10 years (2005-2014) of municipal level influenza surveillance data (an adjustment of the Google Flu Trends estimation from the Centers for Disease Control's virologic surveillance data) and daily spatial synoptic classification weather types, we explore and compare the effects of weather exposure on the influenza infection incidences in 79 cities across the USA. We find that during the cold seasons the presence of the polar [i.e., dry polar (DP) and moist polar (MP)] weather types is significantly associated with increasing influenza likelihood in 62 and 68% of the studied cities, respectively, while the presence of tropical [i.e., dry tropical (DT) and moist tropical (MT)] weather types is associated with a significantly decreasing occurrence of influenza in 56 and 43% of the cities, respectively. The MP and the DP weather types exhibit similar close positive correlations with influenza infection incidences, indicating that both cold-dry and cold-moist air provide favorable conditions for the occurrence of influenza in the cold seasons. Additionally, when tropical weather types are present, the humid (MT) and the dry (DT) weather types have similar strong impacts to inhibit the occurrence of influenza. These findings suggest that temperature is a more dominating atmospheric factor than moisture that impacts the occurrences of influenza in cold seasons.

  14. The effects of synoptic weather on influenza infection incidences: a retrospective study utilizing digital disease surveillance

    NASA Astrophysics Data System (ADS)

    Zhao, Naizhuo; Cao, Guofeng; Vanos, Jennifer K.; Vecellio, Daniel J.

    2017-02-01

    The environmental drivers and mechanisms of influenza dynamics remain unclear. The recent development of influenza surveillance-particularly the emergence of digital epidemiology-provides an opportunity to further understand this puzzle as an area within applied human biometeorology. This paper investigates the short-term weather effects on human influenza activity at a synoptic scale during cold seasons. Using 10 years (2005-2014) of municipal level influenza surveillance data (an adjustment of the Google Flu Trends estimation from the Centers for Disease Control's virologic surveillance data) and daily spatial synoptic classification weather types, we explore and compare the effects of weather exposure on the influenza infection incidences in 79 cities across the USA. We find that during the cold seasons the presence of the polar [i.e., dry polar (DP) and moist polar (MP)] weather types is significantly associated with increasing influenza likelihood in 62 and 68% of the studied cities, respectively, while the presence of tropical [i.e., dry tropical (DT) and moist tropical (MT)] weather types is associated with a significantly decreasing occurrence of influenza in 56 and 43% of the cities, respectively. The MP and the DP weather types exhibit similar close positive correlations with influenza infection incidences, indicating that both cold-dry and cold-moist air provide favorable conditions for the occurrence of influenza in the cold seasons. Additionally, when tropical weather types are present, the humid (MT) and the dry (DT) weather types have similar strong impacts to inhibit the occurrence of influenza. These findings suggest that temperature is a more dominating atmospheric factor than moisture that impacts the occurrences of influenza in cold seasons.

  15. Towards an integrated understanding of the therapeutic utility of exclusive enteral nutrition in the treatment of Crohn's disease.

    PubMed

    Cuív, Páraic Ó; Begun, Jakob; Keely, Simon; Lewindon, Peter J; Morrison, Mark

    2016-04-01

    Crohn's disease (CD) is a chronic disease characterized by episodic and disabling inflammation of the gastrointestinal tract in genetically susceptible individuals. The incidence and prevalence of CD is rising rapidly across the world emphasising that disease risk is also influenced by environmental and lifestyle factors, as well as the microbial community resident in the gut. Childhood-onset CD is associated with an aggressive disease course that can adversely impact patient growth and development. There is no cure for CD however new onset and recurrent cases of paediatric CD are often responsive to exclusive enteral nutrition (EEN) treatment. EEN treatment involves the exclusive consumption of an elemental or polymeric formula for several weeks and it is well established as a primary intervention strategy. EEN treatments typically achieve remission rates of over 80% and importantly they are associated with a high rate of mucosal healing, far superior to steroids, which is prognostic of improved long-term health outcomes. Furthermore, they are safe, have few side effects, and improve nutritional status and linear growth. Surprisingly, despite the utility of EEN our understanding of the host-microbe-diet interactions that underpin clinical remission and mucosal healing are limited. Here, we review the current state of knowledge and propose that the induction of autophagy, in addition to modulation of the microbiota and coordinated effects on inflammation and epithelial cell biology, may be critical for the therapeutic effects associated with EEN. A better understanding of EEN treatment will provide new opportunities to restore gut homeostasis and prolong periods of remission, as well as provide new insights into the factors that trigger and perhaps prevent CD.

  16. Update on the pathological processes, molecular biology, and clinical utility of N-acetylcysteine in chronic obstructive pulmonary disease

    PubMed Central

    Tse, Hoi Nam; Tseng, Cee Zhung Steven

    2014-01-01

    Chronic obstructive pulmonary disease (COPD) is a common and morbid disease characterized by high oxidative stress. Its pathogenesis is complex, and involves excessive oxidative stress (redox imbalance), protease/antiprotease imbalance, inflammation, apoptosis, and autoimmunity. Among these, oxidative stress has a pivotal role in the pathogenesis of COPD by initiating and mediating various redox-sensitive signal transduction pathways and gene expression. The protective physiological mechanisms of the redox balance in the human body, their role in the pathogenesis of COPD, and the clinical correlation between oxidative stress and COPD are reviewed in this paper. N-acetylcysteine (NAC) is a mucolytic agent with both antioxidant and anti-inflammatory properties. This paper also reviews the use of NAC in patients with COPD, especially the dose-dependent properties of NAC, eg, its effects on lung function and the exacerbation rate in patients with the disease. Earlier data from BRONCUS (the Bronchitis Randomized on NAC Cost-Utility Study) did not suggest that NAC was beneficial in patients with COPD, only indicating that it reduced exacerbation in an “inhaled steroid-naïve” subgroup. With regard to the dose-dependent properties of NAC, two recent randomized controlled Chinese trials suggested that high-dose NAC (1,200 mg daily) can reduce exacerbations in patients with COPD, especially in those with an earlier (moderately severe) stage of disease, and also in those who are at high risk of exacerbations. However, there was no significant effect on symptoms or quality of life in patients receiving NAC. Further studies are warranted to investigate the effect of NAC at higher doses in non-Chinese patients with COPD. PMID:25125976

  17. Factors Associated With Resource Utilization and Coronary Artery Dilation in Refractory Kawasaki Disease (from the Pediatric Health Information System Database).

    PubMed

    Lo, Jennifer Y; Minich, L LuAnn; Tani, Lloyd Y; Wilkes, Jacob; Ding, Qian; Menon, Shaji C

    2016-12-01

    Management guidelines for refractory Kawasaki disease (KD) are vague. We sought to assess practice variation and identify factors associated with large/complex coronary artery aneurysms (LCAA) and resource utilization in refractory KD. This retrospective cohort study identified patients aged ≤18 years with KD (2004 to 2014) using the Pediatric Health Information System. Refractory KD was defined as receiving >1 dose of intravenous immunoglobulin. Demographics, medications, concomitant infections, length of stay (LOS), and charges were collected. Antithrombotic therapy was a surrogate for LCAA. LOS and hospital charges assessed resource utilization. Multivariate regression identified factors associated with LOS, charges, and LCAA. Of 14,194 patients with KD, 2,974 (21%) had refractory KD and 203 of those 2,974 (7%) had LCAA. Additional intravenous immunoglobulin was the sole medication in 77%. Other medications added were steroids (18%), infliximab (2%), and both (3%). Warfarin, low-molecular-weight heparin, tissue plasminogen activator, and clopidogrel were prescribed with equal frequency (2%). Male gender (adjusted relative risk 1.52, 95% confidence interval [CI] 1.08 to 2.16, p <0.01), admission to an intensive care unit (4.79, 95% CI 3.40 to 6.74, p <0.001), arrhythmia (3.00, 95% CI 1.94 to 4.65, p <0.001), and concomitant viral infection (2.29, 95% CI 1.49 to 3.52, p <0.001) were associated with LCAA. Severe illness, race, region, and payer were independently associated with increased charges (p <0.05 for all). In conclusion, treatment for refractory KD varies widely. Concomitant viral infection was associated with a greater risk of LCAA in refractory KD. Better understanding of optimal management may improve outcomes and decrease both variability in management and resource utilization for refractory KD.

  18. Effects of the West Africa Ebola Virus Disease on Health-Care Utilization – A Systematic Review

    PubMed Central

    Brolin Ribacke, Kim J.; Saulnier, Dell D.; Eriksson, Anneli; von Schreeb, Johan

    2016-01-01

    Significant efforts were invested in halting the recent Ebola virus disease outbreak in West Africa. Now, studies are emerging on the magnitude of the indirect health effects of the outbreak in the affected countries, and the aim of this study is to systematically assess the results of these publications. The methodology for this review adhered to the Prisma guidelines for systematic reviews. A total of 3354 articles were identified for screening, and while 117 articles were read in full, 22 studies were included in the final review. Utilization of maternal health services decreased during the outbreak. The number of cesarean sections and facility-based deliveries declined and followed a similar pattern in Guinea, Liberia, and Sierra Leone. A change in the utilization of antenatal and postnatal care and family planning services was also seen, as well as a drop in utilization of children’s health services, especially in terms of vaccination coverage. In addition, the uptake of HIV/AIDS and malaria services, general hospital admissions, and major surgeries decreased as well. Interestingly, it was the uptake of health service provision by the population that decreased, rather than the volume of health service provision. Estimates from the various studies suggest that non-Ebola morbidity and mortality have increased after the onset of the outbreak in Sierra Leone, Guinea, and Liberia. Reproductive, maternal, and child health services were especially affected, and the decrease in facility deliveries, cesarean sections, and volume of antenatal and postnatal care visits might have significant adverse effects on maternal and newborn health. The impact of Ebola stretches far beyond Ebola cases and deaths. This review indicates that indirect health service effects are substantial and both short and long term, and highlights the importance of support to maintain routine health service delivery and the maintenance of vaccination programs as well as preventative and curative

  19. Satellite Servicing Technology Development Missions

    NASA Technical Reports Server (NTRS)

    Middleton, R.; Waltz, D.; Schrock, S.

    1984-01-01

    A new capability regarding the U.S. space efforts will be related to the servicing of satellites in orbit utilizing first-generation space station as the collection point or base for Shuttle-delivered payloads. Orbital maneuvering vehicles could move payloads or spacecraft assembled at the Shuttle/space station terminus to other earth orbit locations. It is assumed that such a capability will be initially available in the early 1990's. The benefits provided by satellite servicing in orbit are discussed, taking into account extended satellite lifetimes, lower acquisition cost, improved satellite performance, the possibility to change a satellite's mission, optimized science, and higher satellite reliability. The requirements for Satellite Servicing Technology Development Missions (TDMs) are considered. It is found that existing technology is insufficient, in various areas, to perform the servicing operations. A list is provided of critical technologies which must be developed.

  20. Utility of Induced Pluripotent Stem Cells for the Study and Treatment of Genetic Diseases: Focus on Childhood Neurological Disorders

    PubMed Central

    Barral, Serena; Kurian, Manju A.

    2016-01-01

    The study of neurological disorders often presents with significant challenges due to the inaccessibility of human neuronal cells for further investigation. Advances in cellular reprogramming techniques, have however provided a new source of human cells for laboratory-based research. Patient-derived induced pluripotent stem cells (iPSCs) can now be robustly differentiated into specific neural subtypes, including dopaminergic, inhibitory GABAergic, motorneurons and cortical neurons. These neurons can then be utilized for in vitro studies to elucidate molecular causes underpinning neurological disease. Although human iPSC-derived neuronal models are increasingly regarded as a useful tool in cell biology, there are a number of limitations, including the relatively early, fetal stage of differentiated cells and the mainly two dimensional, simple nature of the in vitro system. Furthermore, clonal variation is a well-described phenomenon in iPSC lines. In order to account for this, robust baseline data from multiple control lines is necessary to determine whether a particular gene defect leads to a specific cellular phenotype. Over the last few years patient-derived neural cells have proven very useful in addressing several mechanistic questions related to central nervous system diseases, including early-onset neurological disorders of childhood. Many studies report the clinical utility of human-derived neural cells for testing known drugs with repurposing potential, novel compounds and gene therapies, which then can be translated to clinical reality. iPSCs derived neural cells, therefore provide great promise and potential to gain insight into, and treat early-onset neurological disorders. PMID:27656126

  1. Utilization of a free fitness center-based exercise referral program among women with chronic disease risk factors.

    PubMed

    Waterman, Megan R; Wiecha, John M; Manne, Jennifer; Tringale, Stephen M; Costa, Elizabeth; Wiecha, Jean L

    2014-12-01

    Physical activity (PA) reduces the risk for a number of chronic diseases including heart disease, hypertension, hyperlipidemia, and diabetes mellitus type 2. However, most Americans do not meet expert recommendations for exercise, and minorities and low-income persons are the most inactive. Community-based approaches to promoting PA include primary care exercise referral programs. This study examines patient characteristics associated with utilization of a community health center-based exercise referral program. Adult female patients of a community health center with an affiliated fitness center, in Boston, MA, were included in the study if they received a referral to the fitness center from their primary care provider. Demographic and medical information was abstracted from the medical chart, and fitness records were abstracted to measure activation of a fitness center membership (creation of an account denoting at least an initial visit) and utilization over time. Overall, 503 (40%) of the 1,254 referred women in the study sample activated their membership. Black women were almost 60% more likely to activate their membership (adjusted OR 1.6, 95% CI 1.2-2.2), and women with higher co-morbidity counts were almost 45% more likely to activate (adjusted OR 1.4, 95% CI 1.0-2.0). Once activated, a minority of women participated at levels likely to improve cardiometabolic fitness. Of the 503 activations, 96 (19%) had no participation, 359 (71%) had low participation, and only 48 (10%) had high participation. No independent predictors of participation were identified. These findings suggest that program design may benefit from developing activation, initial participation, and retention strategies that address population-specific barriers.

  2. Safety and Utility of Quantitative Sensory Testing among Adults with Sickle Cell Disease: Indicators of Neuropathic Pain?

    PubMed Central

    Ezenwa, Miriam O.; Molokie, Robert E.; Wang, Zaijie Jim; Yao, Yingwei; Suarez, Marie L.; Pullum, Cherese; Schlaeger, Judith M.; Fillingim, Roger B.; Wilkie, Diana J.

    2014-01-01

    Objectives Pain is the hallmark symptom of sickle cell disease (SCD), yet the types of pain that these patients experience, and the underlying mechanisms, have not been well characterized. The study purpose was to determine the safety and utility of a mechanical and thermal quantitative sensory testing (QST) protocol and the feasibility of utilizing neuropathic pain questionnaires among adults with SCD. Methods A convenience sample (N=25, 18 women, mean age 38.5 ± 12.5 [20–58 years]) completed self-report pain and quality-of-life tools. Subjects also underwent testing with the TSA-II NeuroSensory Analyzer and calibrated von Frey microfilaments. Results We found that the QST protocol was safe and did not stimulate a SCD pain crisis. There was evidence of central sensitization (n=15), peripheral sensitization (n=1), a mix of central and peripheral sensitization (n=8), or no sensitization (n=1). The neuropathic pain self-report tools were feasible with evidence of construct validity; 40% of the subjects reported S-LANSS scores that were indicative of neuropathic pain and had evidence of central, peripheral or mixed sensitization. Discussion The QST protocol can be safely conducted in adults with SCD and provides evidence of central or peripheral sensitization, which is consistent with a neuropathic component to SCD pain. These findings are novel, warrant a larger confirmatory study, and indicate the need for normative QST data from African American adults and older adults. PMID:25581383

  3. Radiocommunications for meteorological satellite systems

    NASA Technical Reports Server (NTRS)

    Walton, B. A.

    1975-01-01

    A general overview is presented of the spectrum utilization and frequency requirements of present and planned meteorological satellite programs. The sensors, and TIROS operational systems are discussed along with the Nimbus and Synchronous Meteorological Satellites. STORMSAT, SEASAT, and the Spacelab are briefly described.

  4. Cost reductions through earth resource satellites in developed countries

    NASA Technical Reports Server (NTRS)

    Schweickart, R. L.; Buffalano, A. C.

    1975-01-01

    Data from detailed studies on the possible economic impact of the use of remote sensing technology in industry and agriculture are presented and analyzed. The utility of satellite surveillance in reduction of crop production forecast error, recognition and monitoring of crop diseases and insect infestations, and range management is evaluated. Application of satellite maps to facilitate land resource decisions, mineral exploration, geological studies, and water resource inventories is considered, as is the usefulness of early storm warning in the reduction of property damage. The cost of remote sensing is compared to that of conventional methods whenever possible.

  5. Satellite Teleconferencing in the Caribbean.

    ERIC Educational Resources Information Center

    Sankar, Hollis C.

    1985-01-01

    Discusses the need for, and the development, use, and future trends of, the University of the West Indies Distance Teaching Experiment, which utilizes telephone and communications satellite technology teleconferencing to extend educational opportunities to the peoples of the Caribbean. (MBR)

  6. The begomoviruses Honeysuckle yellow vein mosaic virus and Tobacco leaf curl Japan virus with DNAbeta satellites cause yellow dwarf disease of tomato.

    PubMed

    Ogawa, T; Sharma, P; Ikegami, M

    2008-11-01

    The complete nucleotide sequences of two begomoviruses (Nara virus-1 and Nara virus-2), a satellite DNA (DNAbeta-Nara) and defective DNAs were obtained from honeysuckle (Lonicera japonica) showing characteristic yellow vein mosaic symptoms in Nara Prefecture, Japan. One begomovirus (Ibaraki virus) and a satellite DNA (DNAbeta-Ibaraki) was isolated and cloned from honeysuckle plants exhibited typical yellowing of veins and small elliptical shaped enations along veins on the under side of the leaves in Ibaraki Prefecture, Japan. The genome organization of the three viruses is the same as those of other Old World monopartite begomoviruses. Nara virus-1 had overall nucleotide sequence identity with Nara virus-2 of 94% and Ibaraki virus of 90%. DNAbeta-Nara had overall nucleotide sequence identity with DNAbeta-Ibaraki of 83%. Comparison of the nucleotide sequences with other begomoviruses revealed that Nara virus-1 and Nara virus-2 are strains of Honeysuckle yellow vein mosaic virus (HYVMV), hence named as HYVMV-Nara1 and HYVMV-Nara2, whereas Ibaraki virus was a strain of Tobacco leaf curl Japan virus (TbLCJV), designated as TbLCJV-Hs[Iba]. HYVMV-Nara1 and HYVMV-Nara2 have hybrid genomes, which are likely to have formed recombination between HYVMV and TbLCJV. TbLCJV-Hs[Iba] or HYVMV-Nara2 could infect and cause yellowing, leaf crinkling and stunting symptoms when partial tandem dimeric constructs were agroinoculated on tomato plants. However, in the presence of DNAbeta, both TbLCJV-Hs[Iba] or HYVMV-Nara2 produced more severe stunting symptoms in tomato plants. Therefore, these viruses along with their satellites are causal agents of tomato yellow dwarf disease in Japan, and honeysuckle acts as a potential reservoir host. Previously available evidence indicated that DNAbeta elements do not contain iteron sequences of their helper viruses; hence this is the first evidence that DNAbeta satellites have the iteron of their helper virus.

  7. Awareness, utilization, and determinants of using oral diseases prevention methods among Saudi adults – a clinic-based pilot study

    PubMed Central

    Al-Ansari, Asim

    2016-01-01

    Objectives The present study was conducted to assess the level of awareness and utilization of methods to prevent oral diseases among a group of adult Saudis. Methodology An anonymous, self-administered questionnaire was distributed to patients visiting the clinics of the College of Dentistry, University of Dammam in 2015. The questionnaire assessed the background of the respondents, their dental history, awareness and use of a number of methods available to prevent oral diseases, sources of information about these methods and barriers against their use. Regression analysis was used to assess the factors affecting the use of these practices. Results Brushing was reported to be used by about 60% of respondents whereas fluoride and sealant were less prevalent (≤30%). Dentist was the most frequently reported source of information about preventive methods (60%) and about 40% cited cost and time as the main reasons why they did not use these preventive methods. Awareness and age were associated with using a greater number of the various preventive methods (odds regression coefficient ratio= 0.27 and 0.04). Conclusions Use of preventive methods is not prevalent among Saudi adults and it can be improved by more intensive efforts to increase the awareness of these methods, primarily through dentists. PMID:27004060

  8. The utility of the Dementia Severity Rating Scale in differentiating mild cognitive impairment and Alzheimer disease from controls.

    PubMed

    Mitchell, Joel C; Dick, Malcolm B; Wood, Amanda E; Tapp, Andre M; Ziegler, Raphael

    2015-01-01

    The current study investigated the utility of the Dementia Severity Rating Scale (DSRS) total score to identify individuals at the earliest stage of impairment (ie, mild cognitive impairment/MCI). In addition, the authors sought to investigate how well the measure correlates with an expanded battery of cognitive tests and other measures of functional abilities. Of the 320 participants included in this study, 85 were normal controls, 96 had single-domain or multiple-domain amnestic MCI, and 139 had possible or probable Alzheimer disease (AD). Each participant underwent a thorough cognitive, neurological, and physical examination. Results from this study indicated that the DSRS total scores differed significantly between the 3 groups (P<0.001) and accurately identified 81% of the control group, 60% of the MCI group, and 78% of the AD group in a post hoc discriminant analysis. When combined with a brief cognitive measure (ie, Consortium to Establish a Registry for Alzheimer's Disease Word List 5 min recall test), the DSRS accurately identified 98% of the control group, 76% of the MCI group, and 82% of the AD group. Implications for clinical practice and proposed areas of future research are discussed.

  9. Anxiety disorders, physical illnesses, and health care utilization in older male veterans with Parkinson disease and comorbid depression.

    PubMed

    Qureshi, Salah U; Amspoker, Amber B; Calleo, Jessica S; Kunik, Mark E; Marsh, Laura

    2012-12-01

    This study examined the rates of anxiety and depressive disorders, physical illnesses, and health service use in male patients 55 years or older with a diagnosis of Parkinson disease who were seen at least twice at the 10 medical centers in the Veterans Affairs Healthcare Network of the South Central region of the United States. Of the 273 male patients diagnosed between October 1, 1997, and September 30, 2009, 62 (22.7%) had a depressive disorder. The overall prevalence of anxiety disorders was 12.8%; patients with comorbid depression had a 5-fold greater prevalence of anxiety disorders than those without depression (35.5% vs 6.2%, P<.0001). Patients with comorbid depression also had increased prevalence of all physical illnesses examined and more outpatient clinic and mental health visits. Patients with Parkinson disease and comorbid depression are more likely to have anxiety disorders and several physical illnesses, to be using antipsychotic and dementia medicines, and to have increased health service utilization than those without depression.

  10. A conceptualization of the utility of subjective cognitive decline in clinical trials of preclinical Alzheimer’s disease

    PubMed Central

    Buckley, Rachel F.; Villemagne, Victor L.; Masters, Colin L.; Ellis, Kathryn A.; Rowe, Christopher C.; Johnson, Keith; Sperling, Reisa; Amariglio, Rebecca

    2017-01-01

    Introduction This commentary outlines a conceptual model for subjective cognitive decline (SCD) in relation to Alzheimer’s disease (AD) biomarkers in the preclinical stages of disease, and a framework for effectively utilizing SCD in secondary prevention clinical trials. Objective Mounting evidence supports the notion that SCD is sensitive to encroaching Aβ-amyloid and neurodegeneration. SCD has also been shown to provide additive information of AD-dementia risk beyond what is known about the biomarker status of the individual. Thus, we provide recommendations for the implementing SCD measurement in clinical trials. Results We argue that SCD can be measured at three catch points within the course of the clinical trial; firstly, at the initial recruitment and screening phase, secondly, to create more robust estimates of rates of AD-dementia progression, and finally, to measure subjective experiences of cognitive change and quality of life over the course of the trial as a proxy of clinically meaningful functional improvement. We provide recommendations of how SCD can be approached at each of these points Conclusion SCD is an important component of the preclinical AD-dementia trajectory. Future studies need to elucidate the interactive influence of Aβ-amyloid and tau on SCD from a spatiotemporal perspective. Even as this evidence accrues, it is clear that SCD can provide unique and additive information about rates of progression and subjectively experienced cognitive change within clinical trials. PMID:27514526

  11. Making an IMPAKT; Improving care of Chronic Kidney Disease patients in the community through collaborative working and utilizing Information Technology

    PubMed Central

    Xu, Gang; Major, Rupert; Shepherd, David; Brunskill, Nigel

    2017-01-01

    Chronic kidney disease (CKD) is a serious long-term condition, which if left untreated causes significant cardiovascular sequele. It is well recognized management of modifiable risk factors, such as blood pressure (BP), can lead to improved long-term outcomes. A novel information technology (IT) solution presents a possible solution to help clinicians in the community identify and manage at risk patients more efficiently. The IMproving Patient care and Awareness of Kidney disease progression Together (IMPAKT) IT tool was used to identify patients with CKD and uncontrolled hypertension in the community. A CKD nurse utilized the tool at primary care practices to identify patients who warranted potential intervention and disseminated this information to clinical staff. Blood pressure management targets and incidence of coded CKD were used to evaluate the project. Altogether 48 practices participated in an 18 month project from April 2014, and data from 20 practices, with a total adult population of 121,362, was available for analysis. Two full consecutive QI (Quality Improvement) audit cycles were completed. There was an increase in the mean recorded prevalence of coded CKD patients over the course of the project. Similarly, there was an increase in the percentage of patients with BP been recorded and importantly there was an accompanying significant increase in CKD patients achieving BP targets. At the end of the project an additional 345 individuals with CKD achieved better blood pressure control. This could potentially prevent 9 cardiovascular events in the CKD group, translating to a cost saving of £320,000 for the 20 practices involved. The most significant change in clinical markers occurred during cycle 1 of the audit, the improvement was maintained throughout cycle 2 of the audit. Our results show the real-life clinical impact of a relatively simple and easy to implement QI project, to help improve outcomes in patients with CKD. This was achieved through more

  12. Making an IMPAKT; Improving care of Chronic Kidney Disease patients in the community through collaborative working and utilizing Information Technology.

    PubMed

    Xu, Gang; Major, Rupert; Shepherd, David; Brunskill, Nigel

    2017-01-01

    Chronic kidney disease (CKD) is a serious long-term condition, which if left untreated causes significant cardiovascular sequele. It is well recognized management of modifiable risk factors, such as blood pressure (BP), can lead to improved long-term outcomes. A novel information technology (IT) solution presents a possible solution to help clinicians in the community identify and manage at risk patients more efficiently. The IMproving Patient care and Awareness of Kidney disease progression Together (IMPAKT) IT tool was used to identify patients with CKD and uncontrolled hypertension in the community. A CKD nurse utilized the tool at primary care practices to identify patients who warranted potential intervention and disseminated this information to clinical staff. Blood pressure management targets and incidence of coded CKD were used to evaluate the project. Altogether 48 practices participated in an 18 month project from April 2014, and data from 20 practices, with a total adult population of 121,362, was available for analysis. Two full consecutive QI (Quality Improvement) audit cycles were completed. There was an increase in the mean recorded prevalence of coded CKD patients over the course of the project. Similarly, there was an increase in the percentage of patients with BP been recorded and importantly there was an accompanying significant increase in CKD patients achieving BP targets. At the end of the project an additional 345 individuals with CKD achieved better blood pressure control. This could potentially prevent 9 cardiovascular events in the CKD group, translating to a cost saving of £320,000 for the 20 practices involved. The most significant change in clinical markers occurred during cycle 1 of the audit, the improvement was maintained throughout cycle 2 of the audit. Our results show the real-life clinical impact of a relatively simple and easy to implement QI project, to help improve outcomes in patients with CKD. This was achieved through more

  13. Prognostic Utility of Calcium Scoring as an Adjunct to Stress Myocardial Perfusion Scintigraphy in End-Stage Renal Disease.

    PubMed

    Moody, William E; Lin, Erica L S; Stoodley, Matthew; McNulty, David; Thomson, Louise E; Berman, Daniel S; Edwards, Nicola C; Holloway, Benjamin; Ferro, Charles J; Townend, Jonathan N; Steeds, Richard P

    2016-05-01

    Coronary artery calcium score (CACS) is a strong predictor of adverse cardiovascular events in the general population. Recent data confirm the prognostic utility of single-photon emission computed tomographic (SPECT) imaging in end-stage renal disease, but whether performing CACS as part of hybrid imaging improves risk prediction in this population is unclear. Consecutive patients (n = 284) were identified after referral to a university hospital for cardiovascular risk stratification in assessment for renal transplantation. Participants underwent technetium-99m SPECT imaging after exercise or standard adenosine stress in those unable to achieve 85% maximal heart rate; multislice CACS was also performed (Siemens Symbia T16, Siemens, Erlangen, Germany). Subjects with known coronary artery disease (n = 88) and those who underwent early revascularization (n = 2) were excluded. The primary outcome was a composite of death or first myocardial infarction. An abnormal SPECT perfusion result was seen in 22% (43 of 194) of subjects, whereas 45% (87 of 194) had at least moderate CACS (>100 U). The frequency of abnormal perfusion (summed stress score ≥4) increased with increasing CACS severity (p = 0.049). There were a total of 15 events (8 deaths, and 7 myocardial infarctions) after a median duration of 18 months (maximum follow-up 3.4 years). Univariate analysis showed diabetes mellitus (Hazard ratio [HR] 3.30, 95% CI 1.14 to 9.54; p = 0.028), abnormal perfusion on SPECT (HR 5.32, 95% CI 1.84 to 15.35; p = 0.002), and moderate-to-severe CACS (HR 3.55, 95% CI 1.11 to 11.35; p = 0.032) were all associated with the primary outcome. In a multivariate model, abnormal perfusion on SPECT (HR 4.18, 95% CI 1.43 to 12.27; p = 0.009), but not moderate-to-severe CACS (HR 2.50, 95% CI 0.76 to 8.20; p = 0.130), independently predicted all-cause death or myocardial infarction. The prognostic value of CACS was not incremental to clinical and SPECT perfusion data (global chi-square change

  14. Utilizing satellite precipitation estimates for streamflow forecasting via adjustment of mean field bias in precipitation data and assimilation of streamflow observations

    NASA Astrophysics Data System (ADS)

    Lee, Haksu; Zhang, Yu; Seo, Dong-Jun; Xie, Pingping

    2015-10-01

    This study explores mitigating bias in satellite quantitative precipitation estimates (SQPE) and improving hydrologic predictions at ungauged locations via adjustment of the mean field bias (MFB) in SQPE and data assimilation (DA) of streamflow observations in a distributed hydrologic model. In this study, a variational procedure is used to adjust MFB in Climate Prediction Center MORPHing (CMORPH) SQPE and assimilate streamflow observations at the outlet of Elk River Basin in Missouri into the distributed Sacramento Soil Moisture Accounting (SAC-SMA) and kinematic wave routing models. The benefits of assimilation are assessed by comparing the streamflow predictions with or without DA at both the outlet and an upstream location, and by comparing the soil moisture grids forced by CMORPH SQPE against those forced by higher-quality multisensor quantitative precipitation estimates (MQPE) from National Weather Service. Special attention is given to the dependence of the efficacy of DA on the quality and latency of the SQPE, and the impact of dynamic correction of MFB in the SQPE via DA. The results show that adjusting MFB in CMORPH SQPE in addition to assimilating outlet flow reduces 66% of the bias in the CMORPH SQPE analysis and the RMSE of 12-h streamflow predictions by 81% at the outlet and 34-62% at interior locations of the catchment. Compared to applying a temporally invariant MFB for the entire storm, the DA-based, dynamic MFB correction reduces the RMSE of 6-h streamflow prediction by 63% at the outlet and 39-69% at interior locations. It is also shown that the accuracy of streamflow prediction deteriorates if the delineation of the precipitation area by CMORPH SQPE is significantly different, as measured by the Hausdorff distance, from that by MQPE. When compared with adjusting MFB in the CMORPH SQPE over the entire assimilation window, adjusting the MFB for all but the latest 18 h (i.e., the latency of CMORPH SQPE) within the assimilation window reduces the

  15. Using qualitative methods to inform the trade-off between content validity and consistency in utility assessment: the example of type 2 diabetes and Alzheimer's Disease

    PubMed Central

    2010-01-01

    Background Key stakeholders regard generic utility instruments as suitable tools to inform health technology assessment decision-making regarding allocation of resources across competing interventions. These instruments require a 'descriptor', a 'valuation' and a 'perspective' of the economic evaluation. There are various approaches that can be taken for each of these, offering a potential lack of consistency between instruments (a basic requirement for comparisons across diseases). The 'reference method' has been proposed as a way to address the limitations of the Quality-Adjusted Life Year (QALY). However, the degree to which generic measures can assess patients' specific experiences with their disease would remain unresolved. This has been neglected in the discussions on methods development and its impact on the QALY values obtained and resulting cost per QALY estimate underestimated. This study explored the content of utility instruments relevant to type 2 diabetes and Alzheimer's disease (AD) as examples, and the role of qualitative research in informing the trade-off between content coverage and consistency. Method A literature review was performed to identify qualitative and quantitative studies regarding patients' experiences with type 2 diabetes or AD, and associated treatments. Conceptual models for each indication were developed. Generic- and disease-specific instruments were mapped to the conceptual models. Results Findings showed that published descriptions of relevant concepts important to patients with type 2 diabetes or AD are available for consideration in deciding on the most comprehensive approach to utility assessment. While the 15-dimensional health related quality of life measure (15D) seemed the most comprehensive measure for both diseases, the Health Utilities Index 3 (HUI 3) seemed to have the least coverage for type 2 diabetes and the EuroQol-5 Dimensions (EQ-5D) for AD. Furthermore, some of the utility instruments contained items that

  16. Molecular diversity of Cotton leaf curl Gezira virus isolates and their satellite DNAs associated with okra leaf curl disease in Burkina Faso

    PubMed Central

    2010-01-01

    Okra leaf curl disease (OLCD) is a major constraint on okra (Abelmoschus esculentus) production and is widespread in Africa. Using a large number of samples representative of the major growing regions in Burkina Faso (BF), we show that the disease is associated with a monopartite begomovirus and satellite DNA complexes. Twenty-three complete genomic sequences of Cotton leaf curl Gezira virus (CLCuGV) isolates associated with OLCD, sharing 95 to 99% nucleotide identity, were cloned and sequenced. Six betasatellite and four alphasatellite (DNA-1) molecules were also characterized. The six isolates of betasatellite associated with CLCuGV isolates correspond to Cotton leaf curl Gezira betasatellite (CLCuGB) (88 to 98% nucleotide identity). One isolate of alphasatellite is a variant of Cotton leaf curl Gezira alphasatellite (CLCuGA) (89% nucleotide identity), whereas the three others isolates appear to correspond to a new species of alphasatellite (CLCuGA most similar sequence present 52 to 60% nucleotide identity), provisionally named Okra leaf curl Burkina Faso alphasatellite (OLCBFA). Recombination analysis of the viruses demonstrated the interspecies recombinant origin of all CLCuGV isolates, with parents being close to Hollyhock leaf crumple virus (AY036009) and Tomato leaf curl Diana virus (AM701765). Combined with the presence of satellites DNA, these results highlight the complexity of begomoviruses associated with OLCD. PMID:20178575

  17. Satellite communication for public services

    NASA Technical Reports Server (NTRS)

    Cooper, R. S.; Redisch, W. N.

    1977-01-01

    Public service programs using NASA's ATS-6 and CTS satellites are discussed. Examples include the ATS-6 Health and Education Telecommunications experimental program and the use of CTS to enable students in one university to take courses presented at another distant university. Possible applications of satellite communication systems to several areas of public service are described, and economic and political obstacles hindering the implementation of these programs are considered. It is suggested that a federally sponsored program demonstrating the utility of satellites accomodating a large number of small terminals is needed to encourage commercial satellite operations.

  18. Health State Utility Value in Chronic Obstructive Pulmonary Disease (COPD); The Challenge of Heterogeneity: A Systematic Review and Meta-Analysis.

    PubMed

    Moayeri, Foruhar; Hsueh, Ya-Seng Arthur; Clarke, Philip; Hua, Xinyang; Dunt, David

    2016-06-01

    Chronic obstructive pulmonary disease (COPD) has a considerable impact on quality of life and well-being of patients. Health state utility value (HSUV) is a recognized measure for health economic appraisals and is extensively used as an indicator for decision-making studies. This study is a systematic review of literature aimed to estimate mean utility value in COPD using meta-analysis and explore degree of heterogeneity in the utility values across a variety of clinical and study characteristic. The literature review covers studies that used EQ-5D to estimate utility value for patient level research in COPD. Studies that reported utility values elicited by EQ-5D in COPD patients were selected for random-effect meta-analysis addressing inter-study heterogeneity and subgroup analyses. Thirty-two studies were included in the general utility meta-analysis. The estimated general utility value was 0.673 (95% CI 0.653 to 0.693). Meta-analyses of COPD stages utility values showed influence of airway obstruction on utility value. The utility values ranged from 0.820 (95% CI 0.767 to 0.872) for stage I to 0.624 (95% CI 0.571 to 0.677) for stage IV. There was substantial heterogeneity in utility values: I(2) = 97.7%. A more accurate measurement of utility values in COPD is needed to refine valid and generalizable scores of HSUV. Given the limited success of the factors studied to reduce heterogeneity, an approach needs to be developed how best to use mean utility values for COPD in health economic evaluation.

  19. Satellite RNAs and Satellite Viruses.

    PubMed

    Palukaitis, Peter

    2016-03-01

    Satellite RNAs and satellite viruses are extraviral components that can affect either the pathogenicity, the accumulation, or both of their associated viruses while themselves being dependent on the associated viruses as helper viruses for their infection. Most of these satellite RNAs are noncoding RNAs, and in many cases, have been shown to alter the interaction of their helper viruses with their hosts. In only a few cases have the functions of these satellite RNAs in such interactions been studied in detail. In particular, work on the satellite RNAs of Cucumber mosaic virus and Turnip crinkle virus have provided novel insights into RNAs functioning as noncoding RNAs. These effects are described and potential roles for satellite RNAs in the processes involved in symptom intensification or attenuation are discussed. In most cases, models describing these roles involve some aspect of RNA silencing or its suppression, either directly or indirectly involving the particular satellite RNA.

  20. Health care utilization, costs, and the burden of disease related to eosinophilic esophagitis in the United States

    PubMed Central

    Jensen, Elizabeth T.; Kappelman, Michael D.; Martin, Christopher F.; Dellon, Evan S.

    2015-01-01

    Objectives Eosinophilic esophagitis (EoE) has rapidly become a major cause of upper GI morbidity, but health care costs related to EoE have not been described. This study aimed to estimate EoE-related health care costs and utilization in the United States. Methods We performed a study of health care utilization of EoE cases compared to age- and sex-matched controls using administrative claims data, representative of the commercially insured population in the U.S. Cases of EoE were identified using a previously validated definition. We assessed inpatient, outpatient, emergency department, outpatient prescription, and endoscopy-related costs for patients with EoE, and estimated total costs related to EoE extrapolated to the U.S. population. Results We identified 8,135 cases of EoE and 32,540 controls. The median total annual cost per EoE case was $3,304 compared to $1,001 for controls (p<0.001). For EoE, median costs included $2,508/year for outpatient visits, $157 for endoscopies, and $325 for pharmacy claims, compared to $699, $0, and $76 for controls (p<0.001 for all). The overall median costs associated with EoE were $2,302/year/patient. Total costs in the U.S. ranged from $503 million to $1.36 billion/year, depending on the prevalence estimate, with costs attributable to EoE ranging from $350-$947 million/year. Conclusions Patients with EoE have an estimated annual health care cost of as much as $1.4 billion in the U.S. This represents a remarkable burden of disease for an entity that was essentially unknown two decades ago. These cost data can be used by policy makers to guide resource allocation. PMID:25267327

  1. Calibration and Evaluation of a Flood Forecasting System: Utility of Numerical Weather Prediction Model, Data Assimilation and Satellite-based Rainfall

    NASA Astrophysics Data System (ADS)

    Yucel, Ismail; Onen, Alper; Yilmaz, Koray; Gochis, David

    2015-04-01

    A fully-distributed, multi-physics, multi-scale hydrologic and hydraulic modeling system, WRF-Hydro, is used to assess the potential for skillful flood forecasting based on precipitation inputs derived from the Weather Research and Forecasting (WRF) model and the EUMETSAT Multi-sensor Precipitation Estimates (MPEs). Similar to past studies it was found that WRF model precipitation forecast errors related to model initial conditions are reduced when the three dimensional atmospheric data assimilation (3DVAR) scheme in the WRF model simulations is used. The study then undertook a comparative evaluation of the impact of MPE versus WRF precipitation estimates, both with and without data assimilation, in driving WRF-Hydro simulated streamflow. Several flood events that occurred in the Black Sea region were used for testing and evaluation. Following model calibration, the WRF-Hydro system was capable of skillfully reproducing observed flood hydrographs in terms of the volume of the runoff produced and the overall shape of the hydrograph. Streamflow simulation skill was significantly improved for those WRF model simulations where storm precipitation was accurately depicted with respect to timing, location and amount. Accurate streamflow simulations were more evident in WRF model simulations where the 3DVAR scheme was used compared to when it was not used. Because of substantial dry bias feature of MPE, streamflow derived using this precipitation product is in general very poor. Overall, root mean squared errors for runoff were reduced by 22.2% when hydrological model calibration is performed with WRF precipitation. Errors were reduced by 36.9% (above uncalibrated model performance) when both WRF model data assimilation and hydrological model calibration was utilized. Our results also indicated that when assimilated precipitation and model calibration is performed jointly, the calibrated parameters at the gauged sites could be transferred to ungauged neighboring basins

  2. Potential utility of three-dimensional temperature and salinity fields estimated from satellite altimetry and Argo data for improving mesoscale reproducibility in regional ocean modeling

    NASA Astrophysics Data System (ADS)

    Kanki, R.; Uchiyama, Y.; Miyazaki, D.; Takano, A.; Miyazawa, Y.; Yamazaki, H.

    2014-12-01

    Mesoscale oceanic structure and variability are required to be reproduced as accurately as possible in realistic regional ocean modeling. Uchiyama et al. (2012) demonstrated with a submesoscale eddy-resolving JCOPE2-ROMS downscaling oceanic modeling system that the mesoscale reproducibility of the Kuroshio meandering along Japan is significantly improved by introducing a simple restoration to data which we call "TS nudging" (a.k.a. robust diagnosis) where the prognostic temperature and salinity fields are weakly nudged four-dimensionally towards the assimilative JCOPE2 reanalysis (Miyazawa et al., 2009). However, there is not always a reliable reanalysis for oceanic downscaling in an arbitrary region and at an arbitrary time, and therefore alternative dataset should be prepared. Takano et al. (2009) proposed an empirical method to estimate mesoscale 3-D thermal structure from the near real-time AVISO altimetry data along with the ARGO float data based on the two-layer model of Goni et al. (1996). In the present study, we consider the TS data derived from this method as a candidate. We thus conduct a synoptic forward modeling of the Kuroshio using the JCOPE2-ROMS downscaling system to explore potential utility of this empirical TS dataset (hereinafter TUM-TS) by carrying out two runs with the T-S nudging towards 1) the JCOPE2-TS and 2) TUM-TS fields. An example of the comparison between the two ROMS test runs is shown in the attached figure showing the annually averaged surface EKE. Both of TUM-TS and JCOPE2-TS are found to help reproducing the mesoscale variance of the Koroshio and its extension as well as its mean paths, surface KE and EKE reasonably well. Therefore, the AVISO-ARGO derived empirical 3-D TS estimation is potentially exploitable for the dataset to conduct the T-S nudging to reproduce mesoscale oceanic structure.

  3. Inertial storage for satellites

    NASA Technical Reports Server (NTRS)

    Eisenhaure, D.

    1984-01-01

    A new system is being developed that performs satellite attitude control, attitude reference, and energy storage utilizing inertia wheels. The baseline approach consists of two counter rotating flywheels suspended in specially designed magnetic bearings, spin axis motor/generators, and a control system. The control system regulates the magnetic bearings and spin axis motor/generators and interacts with other satellite subsystems (photovoltaic array, star trackers, Sun sensors, magnetic torquers, etc.) to perform the three functions. Existing satellites utilize separate subsystems to perform attitude control, provide attitude reference, and store energy. These functions are currently performed using reaction or momentum wheels, gyros, batteries, and devices that provide an absolute reference (Sun sensors and star trackers). A Combined Attitude, Reference, and Energy Storage (CARES) system based on high energy density inertial energy storage wheels (flywheels) has potential advantages over existing technologies. Even when used only for energy storage, this system offers the potential for substantial improvements in life, energy efficiency, and weight over existing battery technologies. Utilizing this same device for both attitude control and attitude reference would result in significant additional savings in overall satellite weight and complexity.

  4. Utility of Iron Staining in Identifying the Cause of Renal Allograft Dysfunction in Patients with Sickle Cell Disease

    PubMed Central

    Wang, Yingchun; Khan, Salman; Li, Wei; Zhang, Ping L.

    2015-01-01

    Sickle cell nephropathy (SCN) is associated with iron/heme deposition in proximal renal tubules and related acute tubular injury (ATI). Here we report the utility of iron staining in differentiating causes of renal allograft dysfunction in patients with a history of sickle cell disease. Case 1: the patient developed acute allograft dysfunction two years after renal transplant. Her renal biopsy showed ATI, supported by patchy loss of brush border and positive staining of kidney injury molecule-1 in proximal tubular epithelial cells, where diffuse increase in iron staining (2+) was present. This indicated that ATI likely resulted from iron/heme toxicity to proximal tubules. Electron microscope confirmed aggregated sickle RBCs in glomeruli, indicating a recurrent SCN. Case 2: four years after renal transplant, the patient developed acute allograft dysfunction and became positive for serum donor-specific antibody. His renal biopsy revealed thrombotic microangiopathy (TMA) and diffuse positive C4d stain in peritubular capillaries. Iron staining was negative in the renal tubules, implying that TMA was likely associated with acute antibody-mediated rejection (AAMR, type 2) rather than recurrent SCN. These case reports imply that iron staining is an inexpensive but effective method in distinguishing SCN-associated renal injury in allograft kidney from other etiologies. PMID:26697257

  5. Microimaging studies of myocardial substrate utilization and perfusion in two models of non-coronary heart disease

    SciTech Connect

    Som, P.; Oster, Z.H.; Knapp, F.F. Jr.

    1987-01-01

    We have studied two animal models of non-coronary heart disease. The salt-sensitive Dahl strain hypertensive rats and their genetically matched normotensive controls and the cardiomyopathic BIO 53.58 (CM) strain Syrian hamsters with age and sex-matched RB strain controls. The CM strain hamster seems to be a very good model of human congestive cardiomyopathy and the Dahl strain hypertensive rats have also been found to be good models for studying the effects of hypertension on the myocardium. In our studies we compared the utilization of various metabolic substrates, viz., fatty acids, glucose analogs, and the early distribution of /sup 201/Tl, as an indicator of myocardial flow. The routine studies involving dissection of animals for assaying the radioactivity following the injection of radiopharmaceuticals is not suitable for assessing regional changes in metabolism and flow. The use of quantitative autoradiographic microimaging (ARG) enables the visualization of discrete regional as well as global changes from normal and to quantitate them. This paper describes the methodology and results of these investigations. 14 refs., 5 figs.

  6. Calibration and evaluation of a flood forecasting system: Utility of numerical weather prediction model, data assimilation and satellite-based rainfall

    NASA Astrophysics Data System (ADS)

    Yucel, I.; Onen, A.; Yilmaz, K. K.; Gochis, D. J.

    2015-04-01

    22.2% when hydrological model calibration is performed with WRF precipitation. Errors were reduced by 36.9% (above uncalibrated model performance) when both WRF model data assimilation and hydrological model calibration was utilized. Our results also indicated that when assimilated precipitation and model calibration is performed jointly, the calibrated parameters at the gauged sites could be transferred to ungauged neighboring basins where WRF-Hydro reduced mean root mean squared error from 8.31 m3/s to 6.51 m3/s.

  7. Prognostic utility of admission cell-free DNA levels in patients with chronic obstructive pulmonary disease exacerbations

    PubMed Central

    Avriel, Avital; Rozenberg, Dmitry; Raviv, Yael; Heimer, Dov; Bar-Shai, Amir; Gavish, Rachel; Sheynin, Jony; Douvdevani, Amos

    2016-01-01

    Background Chronic obstructive pulmonary disease exacerbations (COPDEs) are associated with increased morbidity and mortality. Cell-free DNA (cfDNA) is a novel biomarker associated with clinical outcomes in several disease states but has not been studied in COPD. The objectives of this study were to assess cfDNA levels during a COPDE, to evaluate the association of cfDNA with clinical parameters and to explore the prognostic implications of cfDNA levels on long-term survival. Methods This was an observational study that assessed cfDNA levels in patients admitted to hospital for a COPDE. Plasma cfDNA levels of COPDE patients were compared to those of matched stable COPD patients and healthy controls. Multivariable and Cox regression analyses were used to assess the association of cfDNA levels with blood gas parameters and long-term survival. Results A total of 62 patients (46 males, forced expiratory volume in 1 second [FEV1] 38%±13%) were included. The median cfDNA levels on admission for COPDE patients was 1,634 ng/mL (interquartile range [IQR] 1,016–2,319) compared to 781 ng/mL (IQR 523–855) for stable COPD patients, matched for age and disease severity, and 352 ng/mL (IQR 209–636) for healthy controls (P<0.0001, for both comparisons). cfDNA was correlated with partial arterial pressure of carbon dioxide (PaCO2, r=0.35) and pH (r=−0.35), P=0.01 for both comparisons. In a multivariable analysis, PaCO2 was the only independent predictor of cfDNA. Using a cfDNA level of 1,924 ng/mL (threshold for abnormal PaCO2), those with high levels had a trend for increased 5-year mortality risk adjusted for age, sex and FEV1% (hazard ratio 1.92, 95% confidence interval 0.93–3.95, P=0.08). Conclusion Plasma cfDNA might offer a novel technique to identify COPD patients at increased risk of poor outcomes, but the prognostic utility of this measurement requires further study. PMID:28003743

  8. Satellite Vulnerabilities

    DTIC Science & Technology

    2008-02-18

    per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and...allies. 8  Satellites and Intelligence , Surveillance, and Reconnaissance We have become dependent also on our satellite surveillance assets...uninterrupted ISR”, with “space intelligence , surveillance, and reconnaissance (ISR) systems…fundamental to air power—especially to the execution

  9. Exacerbations and health care resource utilization in patients with airflow limitation diseases attending a primary care setting: the PUMA study

    PubMed Central

    Montes de Oca, Maria; Aguirre, Carlos; Lopez Varela, Maria Victorina; Laucho-Contreras, Maria E; Casas, Alejandro; Surmont, Filip

    2016-01-01

    Background COPD, asthma, and asthma–COPD overlap increase health care resource consumption, predominantly because of hospitalization for exacerbations and also increased visits to general practitioners (GPs) or specialists. Little information is available regarding this in the primary care setting. Objectives To describe the prevalence and number of GP and specialist visits for any cause or due to exacerbations in patients with COPD, asthma, and asthma–COPD overlap. Methods COPD was defined as post-bronchodilator forced expiratory volume in 1 second/forced vital capacity (FEV1/FVC) ratio <0.70; asthma was defined as prior medical diagnosis, wheezing in the last 12 months, or wheezing plus reversibility (post-bronchodilator FEV1 or FVC increase ≥200 mL and ≥12%); asthma–COPD overlap was defined as post-bronchodilator FEV1/FVC <0.70 plus prior asthma diagnosis. Health care utilization was evaluated as GP and/or specialist visits in the previous year. Results Among the 1,743 individuals who completed the questionnaire, 1,540 performed acceptable spirometry. COPD patients had a higher prevalence of any medical visits to any physician versus those without COPD (37.2% vs 21.8%, respectively) and exacerbations doubled the number of visits. The prevalence of any medical visits to any physician was also higher in asthma patients versus those without asthma (wheezing: 47.2% vs 22.7%; medical diagnosis: 54.6% vs 21.6%; wheezing plus reversibility: 46.2% vs 23.8%, respectively). Asthma patients with exacerbations had twice the number of visits versus those without an exacerbation. The number of visits was higher (2.8 times) in asthma–COPD overlap, asthma (1.9 times), or COPD (1.4 times) patients versus those without these respiratory diseases; the number of visits due to exacerbation was also higher (4.9 times) in asthma–COPD overlap, asthma (3.5 times), and COPD (3.8 times) patients. Conclusion COPD, asthma, and asthma–COPD overlap increase the prevalence of

  10. Meteorological satellites

    NASA Technical Reports Server (NTRS)

    Allison, L. J. (Editor); Schnapf, A.; Diesen, B. C., III; Martin, P. S.; Schwalb, A.; Bandeen, W. R.

    1980-01-01

    An overview is presented of the meteorological satellite programs that have been evolving from 1958 to the present, and plans for the future meteorological and environmental satellite systems that are scheduled to be placed into service in the early 1980's are reviewed. The development of the TIROS family of weather satellites, including TIROS, ESSA, ITOS/NOAA, and the present TIROS-N (the third generation operational system) is summarized. The contribution of the Nimbus and ATS technology satellites to the development of the operational-orbiting and geostationary satellites is discussed. Included are descriptions of both the TIROS-N and the DMSP payloads currently under development to assure a continued and orderly growth of these systems into the 1980's.

  11. Risk Factors for Nursing Home Placement in Alzheimer's Disease: A Longitudinal Study of Cognition, ADL, Service Utilization, and Cholinesterase Inhibitor Treatment

    ERIC Educational Resources Information Center

    Wattmo, Carina; Wallin, Asa K.; Londos, Elisabet; Minthon, Lennart

    2011-01-01

    Purpose of the Study: To identify risk factors for early nursing home placement (NHP) in Alzheimer's disease (AD), focusing on the impact of longitudinal change in cognition, activities of daily living (ADL), service utilization, and cholinesterase inhibitor treatment (ChEI). Design and Methods: In an open, 3-year, prospective, multicenter study…

  12. A review of pediatric palliative care service utilization in children with a progressive neuromuscular disease who died on a palliative care program.

    PubMed

    Ho, Charles; Straatman, Lynn

    2013-01-01

    Recent studies and consensus statements have expressed the need to involve palliative care services in the care of children with progressive neuromuscular diseases (PMD), yet there have been no reviews of the utilization of palliative care services by children who died on a palliative care program. We conducted a retrospective chart review of all children who had a PMD who died on a single-center palliative care program. Twenty cases were identified. Services utilized by these patients included respite care, transition services, pain and symptom management, and end-of-life care. Prominent symptoms in the last 24 hours of life included respiratory distress, pain, nausea/vomiting, and anxiety; however, symptom management was very good. Utilization of services differed depending on the disease trajectory, with respite playing a critical role in the care of children with PMD. Good symptom management can be achieved.

  13. Association Between Satellite-based Estimates of Long-term PM2.5 Exposure and Coronary Artery Disease

    EPA Science Inventory

    Background: Epidemiological studies have identified associations between long-term PM2.5 exposure and cardiovascular events, though most have relied on concentrations from central-site air quality monitors. Methods: We utilized a cohort of 5679 patients who had undergone cardiac ...

  14. Japan's efforts to promote global health using satellite remote sensing data from the Japan Aerospace Exploration Agency for prediction of infectious diseases and air quality.

    PubMed

    Igarashi, Tamotsu; Kuze, Akihiko; Sobue, Shinichi; Yamamoto, Aya; Yamamoto, Kazuhide; Oyoshi, Kei; Imaoka, Keiji; Fukuda, Toru

    2014-12-01

    In this paper we review the status of new applications research of the Japanese Aerospace Exploration Agency (JAXA) for global health promotion using information derived from Earth observation data by satellites in cooperation with inter-disciplinary collaborators. Current research effort at JAXA to promote global public health is focused primarily on the use of remote sensing to address two themes: (i) prediction models for malaria and cholera in Kenya, Africa; and (ii) air quality assessment of small, particulate matter (PM2.5), nitrogen dioxide (NO2) and ozone (O3). Respiratory and cardivascular diseases constitute cross-boundary public health risk issues on a global scale. The authors report here on results of current of a collaborative research to call attention to the need to take preventive measures against threats to public health using newly arising remote sensing information from space.

  15. Animal models of disease: pre-clinical animal models of cancer and their applications and utility in drug discovery.

    PubMed

    Ruggeri, Bruce A; Camp, Faye; Miknyoczki, Sheila

    2014-01-01

    Preclinical models of human cancers are indispensable in the drug discovery and development process for new cancer drugs, small molecules and biologics. They are however imperfect facsimiles of human cancers given the genetic and epigenetic heterogeneity of the latter and the multiplicity of dysregulated survival and growth-regulatory pathways that characterize this spectrum of diseases. This review discusses pre-clinical tumor models - traditional ectopic xenografts, orthotopic xenografts, genetically engineered tumor models, primary human tumorgrafts, and various multi-stage carcinogen-induced tumor models - their advantages, limitations, physiological and pathological relevance. Collectively, these animal models represent a portfolio of test systems that should be utilized at specific stages in the drug discovery process in a pragmatic and hierarchical manner of increasing complexity, physiological relevance, and clinical predictability of the human response. Additionally, evaluating the efficacy of novel therapeutic agents emerging from drug discovery programs in a variety of pre-clinical models can better mimic the heterogeneity of human cancers and also aid in establishing dose levels, dose regimens and drug combinations for use in clinical trials. Nonetheless, despite the sophistication and physiological relevance of these human cancer models (e.g., genetically engineered tumor models and primary human tumografts), the ultimate proof of concept for efficacy and safety of novel oncology therapeutics lies in humans. The judicious interpretation and extrapolation of data derived from these models to humans, and a correspondingly greater emphasis placed on translational medical research in early stage clinical trials, are essential to improve on the current clinical attrition rates for novel oncology therapeutic agents.

  16. Potential utility of soluble p3-alcadein α plasma levels as a biomarker for sporadic Alzheimer's disease.

    PubMed

    Kamogawa, Kenji; Kohara, Katsuhiko; Tabara, Yasuharu; Takita, Rie; Miki, Tetsuro; Konno, Tomoko; Hata, Saori; Suzuki, Toshiharu

    2012-01-01

    Alcadeins (Alcs) constitute a family of neuronal type I membrane proteins (α, β, γ) that share identical localization and function to the amyloid-β protein precursor (AβPP) in the brain. Alcs are proteolyzed in neurons through successive cleavages via secretases, resulting in non-aggregative p3-Alc, where p3 corresponds to the AβPP-fragment. We found p3-Alcα detected in human plasma reflected the pathological process of amyloid-β accumulation in Alzheimer's disease (AD) patients and therefore investigated the utility of p3-Alcα as a plasma biomarker in AD. We measured p3-Alcα plasma levels in 83 sporadic-AD, 18 mild cognitive impaired (MCI), and 24 control subjects using the sandwich-ELISA system. Pooled samples with previously published data (171 AD and 45 controls) were also analyzed. The plasma p3-Alcα concentrations in patients with AD and MCI were significantly higher compared with control subjects (224.7 ± 40.4, 223.3 ± 53.9, and 189.1 ± 32.9 pg/ml, respectively; p = 0.0012). In AD patients, the plasma p3-Alcα concentration significantly correlated with age (r = 0.23, p = 0.037) and serum creatinine levels (r = 0.23, p = 0.0012). Even after adjusting for confounding factors of age, gender, renal function, and ApoE-ε4, high plasma p3-Alcα levels were correlated with significant AD risk, with an odds ratio 1.47 (95% confidence interval: 1.18-1.93, p = 0.0019) for every 10 pg/ml increase. Pooled analysis further confirmed these findings. Increased plasma p3-Alcα, evident in the early stages of cognitive impairment, suggests that Alc metabolites are useful plasma biomarkers of AD.

  17. The clinical utility of whole-exome sequencing in the context of rare diseases - the changing tides of medical practice.

    PubMed

    Nguyen, M T; Charlebois, K

    2015-10-01

    Whole-exome sequencing (WES) carries the potential to facilitate the identification of disease causing genes. This is particularly relevant concerning rare diseases, which proves particularly difficult for physicians to diagnose. However, the complexity of this technology renders its applicability onto the clinical setting uncertain. Our study thus aims to understand physicians' perspectives regarding the clinical utility of WES, particularly for providing a diagnosis for patients with rare diseases. Ten semi-structured interviews were conducted with physicians with experience and familiarity with WES, and the major themes that emerged from our interviews were (i) the relevance of WES in diagnosing patients with rare diseases (appropriateness); (ii) the cost-effectiveness of WES (accessibility), (iii) the practical issues related to the clinical implementation of WES (practicability); and (iv) ethical, legal and social issues (acceptability). Our study highlights how the clinical implementation of WES presents additional challenges where rare diseases are taken into consideration.

  18. Satellite Videoconferences

    NASA Technical Reports Server (NTRS)

    1990-01-01

    NASA is helping thousands of teachers to learn more about aerospace matters, improve their classroom skills, and expand significantly the content of their aerospace education curricula by means of live educational satellite videoconferences. The 1 1/2 hour 'Update for Teachers' programs originate at Oklahoma State University (OSU) Telecommunications Center. The television signals are transmitted to the WESTAR IV communications satellite, which remits them to participating schools across the U.S. and in parts of Mexico and Canada. The schools are equipped with small home style satellite reception dishes. Education Satellite Videoconference programs are conducted four times yearly, covering a variety of aerospace subjects. Teachers can call toll-free and have questions answered after the speaker's presentations. Information about NASA educational resources and how to obtain them will be provided.

  19. Utility of A Satellite Vehicle For Reconnaissance.

    DTIC Science & Technology

    1951-04-01

    angular velocity around all three axes is much more important than any reasonable angular attitude error. Four small control motors are used during...optical-scanning system, circuitry 145 230* Transmitter and modulator 20 50 Tracking receiver and antenna control circuitry 10 30 Antenna and servo motors ...10 20 Power divider 15 20 .Hou.sings, mountings, and climatizing equpment 100 ... Subtotal 300 -350 Artitude Controls : Flywherls 150 ... Motor , drives

  20. Satellite (Natural)

    NASA Astrophysics Data System (ADS)

    Murdin, P.

    2000-11-01

    In its most general sense, any celestial object in orbit around a similar larger object. Thus, for example, the Magellanic Clouds are satellite galaxies of our own Milky Way galaxy. Without qualification, the term is used to mean a body in orbit around a planet; an alternative term is moon. The term natural satellite distinguishes these bodies from artificial satellites—spacecraft placed in orbi...

  1. Satellite based remote sensing technique as a tool for real time monitoring of leaf retention in natural rubber plantations affected by abnormal leaf fall disease

    NASA Astrophysics Data System (ADS)

    Pradeep, B.; Meti, S.; James, J.

    2014-11-01

    Most parts of the traditional natural rubber growing regions of India, extending from Kanyakumari district of Tamil Nadu in the South to Kasaragod district of Kerala in the North received excess and prolonged rains during 2013. This led to severe incidence of Abnormal Leaf Fall (ALF) disease caused by the fungus, Phytophthora sp. The present study demonstrated the first time use of satellite remote sensing technique to monitor ALF disease by estimating Leaf Area Index (LAI) in natural rubber holdings in near real time. Leaf retention was monitored in between April and December 2012 and 2013 by estimating LAI using MODIS 15A2 product covering rubber holdings spread across all districts in the traditional rubber growing region of the country that was mapped using Resourcesat LISS III 2012 and 2013 data. It was found that as the monsoon advanced, LAI decreased substantially in both years, but the reduction was much more substantial and prolonged in many districts during 2013 than 2012 reflecting increased leaf fall due to ALF disease in 2013. The decline was more pronounced in central and northern Kerala than in the South. Kanyakumari district of Tamil Nadu is generally known to be free from ALF disease, but there was considerable leaf loss due to ALF in June 2012 and June and July 2013 even as the monsoon was unusually severe in 2013. Weighted mean LAI during for the entire period of April to December was estimated as a weighted average of LAI and per cent of total area under rubber in each district in the study area for the two years. This was markedly less in 2013 than 2012. The implications of poor leaf retention for biomass production (net primary productivity), carbon sequestration and rubber yield are discussed.

  2. Identifying Determinants of Socioeconomic Inequality in Health Service Utilization among Patients with Chronic Non-Communicable Diseases in China

    PubMed Central

    Wu, Qunhong; Hao, Yanhua; Ning, Ning; Xu, Ling; Liu, Chaojie; Li, Ye; Kang, Zheng; Liu, Guoxiang

    2014-01-01

    Background People with chronic non-communicable diseases (NCD) are particularly vulnerable to socioeconomic inequality due to their long-term expensive health needs. This study aimed to assess socioeconomic-related inequality in health service utilization among NCD patients in China and to analyze factors associated with this disparity. Methods Data were taken from the 2008 Chinese National Health Survey, in which a multiple stage stratified random sampling method was employed to survey 56,456 households. We analyzed the distribution of actual use, need-expected use, and need-standardized usage of outpatient services (over a two-week period) and inpatient services (over one-year) across different income groups in 27,233 adult respondents who reported as having a NCD. We used a concentration index to measure inequality in the distribution of health services, which was expressed as HI (Horizontal Inequity Index) for need-standardized use of services. A non-linear probit regression model was employed to detect inequality across socio-economic groups. Results Pro-rich inequity in health services among NCD patients was more substantial than the average population. A higher degree of pro-rich inequity (HI = 0.253) was found in inpatient services compared to outpatient services (HI = 0.089). Despite a greater need for health services amongst those of lower socio-economic status, their actual use is much less than their more affluent counterparts. Health service underuse by the poor and overuse by the affluent are evident. Household income disparity was the greatest inequality factor in NCD service use for both outpatients (71.3%) and inpatients (108%), more so than health insurance policies. Some medical insurance schemes, such as the MIUE, actually made a pro-rich contribution to health service inequality (16.1% for outpatient and 12.1% for inpatient). Conclusions Inequality in health services amongst NCD patients in China remains largely determined by patient

  3. Expectation versus Reality: The Impact of Utility on Emotional Outcomes after Returning Individualized Genetic Research Results in Pediatric Rare Disease Research, a Qualitative Interview Study

    PubMed Central

    Cacioppo, Cara N.; Chandler, Ariel E.; Towne, Meghan C.; Beggs, Alan H.; Holm, Ingrid A.

    2016-01-01

    Purpose Much information on parental perspectives on the return of individual research results (IRR) in pediatric genomic research is based on hypothetical rather than actual IRR. Our aim was to understand how the expected utility to parents who received IRR on their child from a genetic research study compared to the actual utility of the IRR received. Methods We conducted individual telephone interviews with parents who received IRR on their child through participation in the Manton Center for Orphan Disease Research Gene Discovery Core (GDC) at Boston Children’s Hospital (BCH). Results Five themes emerged around the utility that parents expected and actually received from IRR: predictability, management, family planning, finding answers, and helping science and/or families. Parents expressing negative or mixed emotions after IRR return were those who did not receive the utility they expected from the IRR. Conversely, parents who expressed positive emotions were those who received as much or greater utility than expected. Conclusions Discrepancies between expected and actual utility of IRR affect the experiences of parents and families enrolled in genetic research studies. An informed consent process that fosters realistic expectations between researchers and participants may help to minimize any negative impact on parents and families. PMID:27082877

  4. Particulate air pollution and chronic ischemic heart disease in the eastern United States: a county level ecological study using satellite aerosol data

    PubMed Central

    2009-01-01

    Background There are several known factors that cause ischemic heart disease. However, the part played by air pollution still remains something of a mystery. Recent attention has focused on the chronic effect of particulate matter on heart disease. Satellite-derived aerosol optical depth (AOD) was found to be correlated with PM2.5 in the eastern US. The objective of this study was to examine if there is an association between aerosol air pollution as indicated by AOD and chronic ischemic heart disease (CIHD) in the eastern US. Methods An ecological geographic study method was employed. Race and age standardized mortality rate (SMR) of CIHD was computed for each of the 2306 counties for the time period 2003–2004. A mean AOD raster grid for the same period was derived from Moderate Resolution Imaging Spectrometer (MODIS) aerosol data and the average AOD was calculated for each county. A bivariate Moran's I scatter plot, a map of local indicator of spatial association (LISA) clusters, and three regression models (ordinary least square, spatial lag, and spatial error) were used to analyze the relationship between AOD and CIHD SMR. Results The global Moran's I value is 0.2673 (p = 0.001), indicating an overall positive spatial correlation of CIHD SMR and AOD. The entire study area is dominated by spatial clusters of AOD against SMR (high AOD and high SMR in the east, and low AOD and low SMR in the west) (permutations = 999, p = 0.05). Of the three regression models, the spatial error model achieved the best fit (R2 = 0.28). The effect of AOD is positive and significant (beta = 0.7774, p = 0.01). Conclusion Aerosol particle pollution has adverse effect on CIHD mortality risk in the eastern US. High risk of CIHD mortality was found in areas with elevated levels of outdoor aerosol air pollution as indicated by satellite derived AOD. The evidence of the association would support targeting of policy interventions on such areas to reduce air pollution levels. Remote sensing

  5. Satellite Earth resources data, module U-3

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Satellite data image products potentially useful in solving Earth resource and environmental problems are described. Sources for satellite data and user information are given. Recommendations for suitability of use of data from each satellite are presented. Satellite sources of Earth resources data are summarized for satellites launched since 1965 and those projected for launch through the late 1980s. The sensors of interest on each satellite, the wavelength or frequency of operation, and the resolution are given. Color ranges are illustrated and compared. The form and utility of aircraft and LANDSAT images are compared. Data from the Gemini-Apollo photography, Skylab, meteorological satellites, the Heat Capacity Mapping Mission, the Coastal Zone Color Scanner, Seasat, LANDSAT, and projected future satellites are briefly described.

  6. Advanced Communications Technology Satellite (ACTS)

    NASA Technical Reports Server (NTRS)

    Gedney, Richard T.; Schertler, Ronald J.

    1989-01-01

    The NASA Advanced Communications Technology Satellite (ACTS) was conceived to help maintain U.S. leadership in the world's communications-satellite market. This experimental satellite is expected to be launched by NASA in 1992 and to furnish the technology necessary for establishing very small aperture terminal digital networks which provide on-demand full-mesh connectivity, and 1.544-MBPS services with only a single hop. Utilizing on-board switching and processing, each individual voice or data circuit can be separately routed to any location in the network. This paper provides an overview of the ACTS and discusses the value of the technology for future communications systems.

  7. Gigabit Satellite Network for NASA's Advanced Communication Technology Satellite (ACTS)

    NASA Technical Reports Server (NTRS)

    Hoder, Douglas; Bergamo, Marcos

    1996-01-01

    The advanced communication technology satellite (ACTS) gigabit satellite network provides long-haul point-to-point and point-to-multipoint full-duplex SONET services over NASA's ACTS. at rates up to 622 Mbit/s (SONET OC-12), with signal quality comparable to that obtained with terrestrial fiber networks. Data multiplexing over the satellite is accomplished using time-division multiple access (TDMA) techniques coordinated with the switching and beam hopping facilities provided by ACTS. Transmissions through the satellite are protected with Reed-Solomon encoding. providing virtually error-free transmission under most weather conditions. Unique to the system are a TDMA frame structure and satellite synchronization mechanism that allow: (a) very efficient utilization of the satellite capacity: (b) over-the-satellite dosed-loop synchronization of the network in configurations with up to 64 ground stations: and (c) ground station initial acquisition without collisions with existing signalling or data traffic. The user interfaces are compatible with SONET standards, performing the function of conventional SONET multiplexers and. as such. can be: readily integrated with standard SONET fiber-based terrestrial networks. Management of the network is based upon the simple network management protocol (SNMP). and includes an over-the-satellite signalling network and backup terrestrial internet (IP-based) connectivity. A description of the ground stations is also included.

  8. Continuation of the compendium of applications technology satellite and communications technology satellite user experiments 1967-1977, volume 2. [bibliography

    NASA Technical Reports Server (NTRS)

    Engler, N. A.; Nash, J. F.; Strange, J. D.

    1978-01-01

    Approximately 453 reports, papers, and articles catalogued into an information retrieval system, covering communications experiments and demonstrations conducted, utilizing the Communications Technology Satellite and the Applications Technology Satellites 1, 3, 5, and 6 are listed.

  9. The utility of cerebral blood flow imaging in patients with the unique syndrome of progressive dementia with motor neuron disease

    SciTech Connect

    Ohnishi, T.; Hoshi, H.; Jinnouchi, S.; Nagamachi, S.; Watanabe, K.; Mituyama, Y. )

    1990-05-01

    Two patients presenting with progressive dementia coupled with motor neuron disease underwent brain SPECT using N-isopropyl-p iodine-123-iodoamphetamine (({sup 123}I)IMP). The characteristic clinical features of progressive dementia and motor neuron disease were noted. IMP SPECT also revealed reduced uptake in the bilateral frontal and temporal regions, with no reduction of uptake in the parietal, parietal-occipital regions. We conclude that IMP SPECT has potential for the evaluation of progressive dementia with motor neuron disease.

  10. Satellite Coordination

    NASA Astrophysics Data System (ADS)

    Cohen, R. J.

    2004-06-01

    The Radio Regulations set out complex procedures to ensure that when new systems start to use the frequency bands allocated to them there is minimal disruption to existing systems using the same bands. The process of satellite coordination is described, and the issues for radio astronomy are discussed. In order to be protected by the ITU-R machinery radio telescopes need to be officially registered. The issue of paper satellites highlights the need for early registration to gain priority over incoming systems. Modern developments including the use of complex Monte-Carlo simulations to predict interference levels, and the issue of adjacent band interference, are discussed.

  11. Small Satellite Access of the Space Network

    NASA Technical Reports Server (NTRS)

    Horan, Stephen; Minnix, Timothy O.; Vigil, J. S.

    1999-01-01

    Small satellites have been perceived as having limited access to NASA's Space Network (SN). The potential for satellite access of the space network when the design utilizes a fixed antenna configuration and low-power, coded transmission is analyzed. From the analysis, satellites using this configuration in high-inclination orbits are shown to have a daily data throughput in the 100 to 1000 Mbit range using the multiple access communications service.

  12. Future switching satellites

    NASA Technical Reports Server (NTRS)

    Campanella, S. Joseph; Pontano, Benjamin A.; Chalmers, Harvey

    1988-01-01

    Communications satellites of the future are likely to use much narrower beams in order to increase the uplink G/T and the downlink EIRP so that small earth terminals of the VSAT class can achieve full mesh connectivity. These satellites will need onboard switches to route traffic from originating upbeams to destination downbeams. This paper presents a new approach to accomplishing this rerouting using destination-directed packets that inherently carry the information needed to control the onboard switch connections and to adjust the traffic flow among the beams and the stations. The method also inherently provides channel multiplication and DAMA advantages which result in maximally efficient utilization of the space segment resource.

  13. Manned engineering test satellites

    NASA Astrophysics Data System (ADS)

    Seko, Hiromi; Satou, Masao; Tomoeda, Hisao; Obara, Hiroaki; Oomura, Katsutoshi

    1992-07-01

    An overview of the conceptual design of manned engineering satellites is presented. The mission scenarios for developing manned engineering satellites involve: (1) selecting mission equipment to enable preferential development and validation of mandatory technologies among those for Environmental Control and Life Support System (ECLSS); (2) selecting mission equipment to enable development and validation of independent domestic technologies as well as utilizing to the utmost the manned space technology acquired through the Japanese Experimental Module (JEM); and (3) installing the most effective mission on the basis of relationships with Extravehicular Activity (EVA), robot, and retrieval-type spacecraft technologies, and trends of overseas manned space technology. The results of reviews on the system and subsystems, such as attitude and orbit control, structure, thermal control, electric power, communication, and data processing subsystems are outlined. The results of reviews on the structure, weight, and reentry phase operation are presented.

  14. Commercial satellite communications

    NASA Astrophysics Data System (ADS)

    Marcolin, C.

    1991-09-01

    Telespazio provides satellites services for fixed and mobile telecommunications utilizing the space segments of INTELSAT, EUTELSAT and INMARSAT since inception. Telespazio's main facilities are located in the three centers of Fucino (central Italy), Lario (northern Italy) and Scanzano (Sicily) for a total of 7 stations operating traffic for a number of Italian and Foreign Telecommunications organizations. As at December 31, 1990 a total of 4500 voice grade and data circuits were in operations connecting Italy to nearly a hundred Overseas and European destinations. Over 400,000 and 530,000 minutes of telephone and telex were transmitted, respectively, through Fucino Coast Earth Station via INMARSAT satellite during 1990 to and from ships and other mobile vehicles. Both occasional and regular television services are broadcast and received. The total number of hours of TV services broadcast in 1990 reached the record figure of more than 5500.

  15. Exercise limitations by the oxygen delivery and utilization systems in aging and disease: coordinated adaptation and deadaptation of the lung-heart muscle axis - a mini-review.

    PubMed

    Burtscher, Martin

    2013-01-01

    Cardiorespiratory fitness (aerobic exercise capacity) is one of the most important prerequisites for successful aging in human beings and depends on adequate oxygen transport by the respiratory and circulatory systems from environmental air to the working muscles and the efficient utilization of oxygen by the mitochondria. A linear dose-response relation between aerobic exercise capacity, morbidity, mortality, and quality of life is well documented. The process of normal aging is associated with a variable reduction in functional capacity of the main organs involved in oxygen delivery and utilization. Integrated changes of the heart-lung muscle axis are termed here 'coordinated deadaptation', e.g. due to aging and disease, in contrast to the beneficial effects of 'coordinated adaptation', e.g. resulting from exercise training. Physical inactivity in aging persons initiates a circulus vitiosus resulting in coordinated deadaptation of the oxygen delivery and utilization systems mainly affecting the heart-muscle axis. Whereas in the healthy elderly the deadaptation process starts from inactive locomotor muscles, the lung or the heart represent the origin in patients suffering from respiratory or cardiovascular diseases. Specific exercise training programs, considering the state of cardiorespiratory health and physical activity, are the most important and almost the only effective intervention to avoid or to break the circulus vitiosus, thereby promoting quality and expectancy of life in aging humans.

  16. The European Telecommunications Satellite Organization (Eutelsat)

    NASA Astrophysics Data System (ADS)

    Grenier, Jean

    An overview is presented of Eutelsat, which was created in 1977 by 17 European telecommunications operators to provide mobile and fixed satellite communication services to the entire continent. The eight Eutelsat satellites now in orbit are utilized for telephony and business services, for direct-to-home broadcasting, for the distribution and exchange of radio and television programs, and for land mobile services.

  17. Visual Data Analysis for Satellites

    NASA Technical Reports Server (NTRS)

    Lau, Yee; Bhate, Sachin; Fitzpatrick, Patrick

    2008-01-01

    The Visual Data Analysis Package is a collection of programs and scripts that facilitate visual analysis of data available from NASA and NOAA satellites, as well as dropsonde, buoy, and conventional in-situ observations. The package features utilities for data extraction, data quality control, statistical analysis, and data visualization. The Hierarchical Data Format (HDF) satellite data extraction routines from NASA's Jet Propulsion Laboratory were customized for specific spatial coverage and file input/output. Statistical analysis includes the calculation of the relative error, the absolute error, and the root mean square error. Other capabilities include curve fitting through the data points to fill in missing data points between satellite passes or where clouds obscure satellite data. For data visualization, the software provides customizable Generic Mapping Tool (GMT) scripts to generate difference maps, scatter plots, line plots, vector plots, histograms, timeseries, and color fill images.

  18. Diagnostic Utility of Contrast-enhanced 3D T1-weighted Imaging in Acute Cerebral Infarction Associated with Graves Disease.

    PubMed

    Gon, Yasufumi; Sakaguchi, Manabu; Oyama, Naoki; Mochizuki, Hideki

    2017-02-01

    Graves disease is rarely complicated with cerebrovascular steno-occlusive diseases. Previous studies have suggested several hypotheses for this occurrence, including excess thyroid hormone, which stimulates the sympathetic nervous system, which in turn causes an abnormal hemodynamic response with consequent atherosclerotic changes, and antithyroid antibodies cause local vascular inflammation in patients with Graves disease. However, radiological findings of vasculitis in patients with Graves disease and cerebral infarction remain less known. We report the case of a 30-year-old Japanese woman with acute cerebral infarction due to vasculitis associated with Graves disease. She was admitted to our hospital with a 4-day history of intermittent transient dysarthria and limb shaking of the left leg when standing. Three weeks before admission, she went to a local hospital because of general malaise and was diagnosed with Graves disease. Neurological examination revealed paralytic dysarthria, left central facial nerve palsy, and left hemiparesis (manual muscle testing, 4 of 5). Blood examinations showed hyperthyroidism (thyroid-stimulating hormone ≤.010 µU/mL; free T3 ≥25.0 pg/mL; free T4 ≥8.0 ng/dL) and elevation of antithyroid antibody levels (thyroid peroxidase antibody, 87 IU/mL). The vessel wall of the right internal carotid artery was markedly enhanced on contrast-enhanced three-dimensional T1-weighted magnetic resonance imaging, suggesting vasculitis. Magnetic resonance angiography revealed right internal carotid artery occlusion after the branching ophthalmic artery. Arterial stenosis due to vasculitis was considered the cause of hemodynamic ischemic stroke. Vessel wall imaging such as high-resolution contrast-enhanced T1-weighted imaging seems useful for assessing the underlying mechanism of stroke in patients with Graves disease.

  19. Utility of measuring serum concentrations of anti-TNF agents and anti-drug antibodies in inflammatory bowel disease.

    PubMed

    Guerra, Iván; Chaparro, María; Bermejo, Fernando; Gisbert, Javier P

    2011-07-01

    Tumor necrosis factor alpha (TNFα) is a cytokine with a critical role in the pathogenesis of some chronic inflammatory diseases, such as inflammatory bowel diseases. Anti-TNF agents, which neutralize the biological activity of TNFα, are widely used among the different therapeutic options for the treatment of patients with inflammatory bowel diseases. These drugs are very useful in clinical practice, but some patients experience lack and loss of response during the treatment. Drug serum concentration, antibodies against anti-TNF agents, clearance of the drug, formation of immune complexes, a more severe disease and probably other unknown factors can influence the treatment's efficacy. Nowadays, the management of patients with lack or loss of response is empirical. The measurement of drug concentrations and antibodies against anti-TNF agents might be useful for improving the selection of patients that will benefit from the maintenance treatment. In clinical practice, these methods may help us decide which strategy will be used in cases of loss of response: treatment intensification, shortening the infusion interval, increasing the dose, switching to another anti-TNF agent or to a drug with another mechanism of action. The optimal strategy in the future may be comprised of an early detection of loss of response to the treatment by assessing clinical symptoms and finding evidence of activity of the disease on endoscopic or radiological examinations when necessary, as well as a better management of anti-TNF treatment aided by measuring the serum concentration of the drug and antibodies against the drug.

  20. Perception via satellite

    USGS Publications Warehouse

    Robinove, Charles J.

    1970-01-01

    The earth resources observation satellite (EROS) program in the Department of the Interior is intended to gather and use data from satellites and aircraft on natural and man-made features of the earth's surface. Earth resources technology satellite will provide the EROS program with data for use in dealing with natural resource problems and understanding the interaction between man and the environment. Applications will include studies of tectonic features, hydrologic problems, location of fish schools, determination of the conditions of range land, mapping land use for urban planning, studies of erosion and change along coastlines and major streams, and inventories of land use and land forms. In addition, the ERTS data may be used for detecting forest and crop diseases and inventorying crops. The ERTS satellite will be in a polar, sun-synchronous orbit so that each point on the earth's surface will be sensed every 17 to 20 days, at the same time of day. Multispectral photography is being investigated for its usefulness in hydrology. Side-looking airborne radar has not yet been widely used in hydrologic studies, although it is an excellent tool for all-weather, day or night, coverage of large areas. Other techniques being investigated include passive microwave radiometry, ultraviolet and visible stimulated luminescence, and absorption spectroscopy.

  1. Building Satellites is Easier

    NASA Technical Reports Server (NTRS)

    Marsh, Phyllis Nimmo

    1996-01-01

    'Building Satellites' is a story about Jim Marsh's recovery from a severe head injury told by his wife Phyllis from the moment she learned of its happening, through the ups and downs of a lengthy rehabilitation, until his return to work and daily living. It continues on, however, and narrates his battle with the more insidious Grave's disease. Told in the first person, 'Building Satellites' vividly portrays Phyllis's thoughts and feelings throughout this experience with scrupulous honestly. This is a story worth reading for many reasons. First of all, Jim was an accomplished scientist, respected by his colleagues both in this country and abroad. Secondly, it narrates the many stages of his recovery from head injury with detailed readable accuracy; it informs us as well as inspires. Finally, 'Building Satellites" also tells us the story of Phyllis Marsh's remarkable creative response to this crisis. It narrates her personal experiences as she progresses through the strange and somewhat bizarre world of medicine and rehabilitation, guided by a few basic beliefs, which she learned as a child in Iowa, that provided her with the strength to endure. 'Building Satellites' seems to reaffirm our unconscious, but settled conviction, that when confornted overnight with adversity, we are somehow given the means for coping, supported by our basic beliefs, strengthened by family and friends, and eventually learning to accept any outcome.

  2. Utility of high-resolution anorectal manometry and wireless motility capsule in the evaluation of patients with Parkinson's disease and chronic constipation

    PubMed Central

    Su, Andrew; Gandhy, Rita; Barlow, Carrolee; Triadafilopoulos, George

    2016-01-01

    Background The aetiology of constipation in Parkinson's disease remains poorly understood. Defaecatory dyssynergia, anal sphincter spasticity and slow transit constipation may, individually or collectively, play a role. Aims In this retrospective cohort analysis of patients with Parkinson's disease and chronic constipation, we determined the utility of high-resolution anorectal manometry, balloon expulsion and wireless motility capsule testing in defining the underlying aetiology for constipation. Methods In this retrospective cohort study, consecutive patients with Parkinson's disease and chronic constipation underwent clinical assessment, manometry with balloon expulsion and wireless motility capsule testing using standard protocols. Results We studied 66 patients fulfilling Rome IV criteria for functional constipation. Most patients (89%) had abnormal manometry, exhibiting various types of defaecatory dyssynergia (mostly types II and IV), abnormal balloon expulsion, diminished rectal sensation and, in some, lacking rectoanal inhibitory reflex. 62% exhibited colonic transit delay by wireless motility capsule study, while 57% had combined manometric and transit abnormalities, suggesting of overlap constipation. Symptoms of infrequent defaecation, straining and incomplete evacuation were not discriminatory. There was a relationship between constipation scores and colonic transit times (p=0.01); Parkinson's disease scores and duration were not correlated with either the manometric or transit findings. Faecal incontinence was seen in 26% of the patients. Conclusions Chronic constipation in patients with Parkinson's disease may reflect pelvic floor dyssynergia, slow transit constipation or both, and may be associated with faecal incontinence, suggesting both motor and autonomic dysfunction. Anorectal manometry and wireless motility capsule testing are useful in the assessment of these patients. PMID:27843572

  3. Satellite RNAs of plant viruses: structures and biological effects.

    PubMed Central

    Roossinck, M J; Sleat, D; Palukaitis, P

    1992-01-01

    Plant viruses often contain parasites of their own, referred to as satellites. Satellite RNAs are dependent on their associated (helper) virus for both replication and encapsidation. Satellite RNAs vary from 194 to approximately 1,500 nucleotides (nt). The larger satellites (900 to 1,500 nt) contain open reading frames and express proteins in vitro and in vivo, whereas the smaller satellites (194 to 700 nt) do not appear to produce functional proteins. The smaller satellites contain a high degree of secondary structure involving 49 to 73% of their sequences, with the circular satellites containing more base pairing than the linear satellites. Many of the smaller satellites produce multimeric forms during replication. There are various models to account for their formation and role in satellite replication. Some of these smaller satellites encode ribozymes and are able to undergo autocatalytic cleavage. The enzymology of satellite replication is poorly understood, as is the replication of their helper viruses. In many cases the coreplication of satellites suppresses the replication of the helper virus genome. This is usually paralleled by a reduction in the disease induced by the helper virus; however, there are notable exceptions in which the satellite exacerbates the pathogenicity of the helper virus, albeit on only a limited number of hosts. The ameliorative satellites are being assessed as biocontrol agents of virus-induced disease. In greenhouse studies, satellites have been known to "spontaneously" appear in virus cultures. The possible origin of satellites will be briefly considered. PMID:1620065

  4. LDEF satellite radiation study

    NASA Technical Reports Server (NTRS)

    Armstrong, T. W.; Colborn, B. L.

    1994-01-01

    Some early results are summarized from a program under way to utilize LDEF satellite data for evaluating and improving current models of the space radiation environment in low earth orbit. Reported here are predictions and comparisons with some of the LDEF dose and induced radioactivity data, which are used to check the accuracy of current models describing the magnitude and directionality of the trapped proton environment. Preliminary findings are that the environment models underestimate both dose and activation from trapped protons by a factor of about two, and the observed anisotropy is higher than predicted.

  5. Virtual Satellite

    NASA Technical Reports Server (NTRS)

    Hammrs, Stephan R.

    2008-01-01

    Virtual Satellite (VirtualSat) is a computer program that creates an environment that facilitates the development, verification, and validation of flight software for a single spacecraft or for multiple spacecraft flying in formation. In this environment, enhanced functionality and autonomy of navigation, guidance, and control systems of a spacecraft are provided by a virtual satellite that is, a computational model that simulates the dynamic behavior of the spacecraft. Within this environment, it is possible to execute any associated software, the development of which could benefit from knowledge of, and possible interaction (typically, exchange of data) with, the virtual satellite. Examples of associated software include programs for simulating spacecraft power and thermal- management systems. This environment is independent of the flight hardware that will eventually host the flight software, making it possible to develop the software simultaneously with, or even before, the hardware is delivered. Optionally, by use of interfaces included in VirtualSat, hardware can be used instead of simulated. The flight software, coded in the C or C++ programming language, is compilable and loadable into VirtualSat without any special modifications. Thus, VirtualSat can serve as a relatively inexpensive software test-bed for development test, integration, and post-launch maintenance of spacecraft flight software.

  6. The utility of polymerase chain reaction for diagnosis of lumpy skin disease in cattle and water buffaloes in Egypt.

    PubMed

    Sharawi, S S A; Abd El-Rahim, I H A

    2011-12-01

    An outbreak of lumpy skin disease (LSD) occurred among cattle and water buffaloes in Egypt in 2006. Polymerase chain reaction (PCR) and the agar gel precipitation test (AGPT) were compared. Eight of ten (80%) tissue specimens from diseased cattle were positive with AGPT while 100% were positive with PCR. Of ten tissue specimens from diseased water buffaloes, 70% were positive with AGPT while 100% were positive with PCR. Ten milk samples were obtained from diseased water buffaloes; PCR detected nucleic acid of LSD virus (LSDV) in 50% while AGPT failed to detect LSDV antigen. Water buffaloes are susceptible to LSDV infection. The clinical signs of LSD were less severe in water buffaloes, but the virus was excreted in their milk. Diagnosis of LSD outbreaks by PCR will facilitate rapid application of control measures. Mass vaccination should be applied in both cattle and water buffaloes in Egypt using an effective specific vaccine against LSD, such as the attenuated Neethling strain vaccine or a recombinant vaccine.

  7. Host colonization and substrate utilization by wood-colonizing Ascomycete fungi in the grapevine trunk disease complex

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Grapevine trunk diseases cause chronic wood infections (cankers) in mixed infections within the same vine. To determine the synergistic interactions of trunk-pathogen communities and their impact on the host we are characterizing, on a pathogen-by-pathogen basis, fungal damage to woody cells and tis...

  8. Seasat data utilization project

    NASA Technical Reports Server (NTRS)

    Born, G. H.; Held, D. N.; Lame, D. B.; Lipes, R. G.; Montgomery, D. R.; Rygh, P. J.; Scott, J. F.

    1981-01-01

    During the three months of orbital operations, the satellite returned data from the world's oceans. Dozens of tropical storms, hurricanes and typhoons were observed, and two planned major intensive surface truth experiments were conducted. The utility of the Seasat-A microwave sensors as oceanographic tools was determined. Sensor and geophysical evaluations are discussed, including surface observations, and evaluation summaries of an altimeter, a scatterometer, a scanning multichannel microwave radiometer, a synthetic aperture radar, and a visible and infrared radiometer.

  9. Using Health Utility Index (HUI) for measuring the impact on health-related quality of Life (HRQL) among individuals with chronic diseases.

    PubMed

    Mo, Frank; Choi, Bernard C K; Li, Felix C K; Merrick, Joav

    2004-08-27

    Quality of life is an important indicator in assessing the burden of disease, especially for chronic conditions. The Health Utilities Index (HUI) is a recently developed system for measuring the overall health status and health-related quality of life (HRQL) of individuals, clinical groups, and general populations. Using the HUI (constructed based on eight attributes: vision, hearing, speech, mobility, dexterity, cognition, emotion, and pain/discomfort) to measure the HRQL for chronic disease patients and to detect possible associations between HUI system and various chronic conditions, this study provides information to improve the management of chronic diseases. This study is of interest to data analysts, policy makers, and public health practitioners involved in descriptive clinical studies, clinical trials, program evaluation, population health planning, and assessments. Based on the Canadian Community Health Survey (CCHS) for 2000-01, the HUI was used to measure the quality of life for individuals living with various chronic conditions (Alzheimer/other dementia, effects of stroke, urinary incontinence, arthritis/rheumatism, bowel disorder, cataracts, back problems, stomach/intestinal ulcers, emphysema/COPD, chronic bronchitis, epilepsy, heart disease, diabetes, migraine headaches, glaucoma, asthma, fibromyalgia, cancers, high blood pressure, multiple sclerosis, thyroid condition, and other remaining chronic diseases). Logistic Regression Model was employed to estimate the associations between the overall HUI scores and various chronic conditions. The HUI scores ranged from 0.00 (corresponding to a state close to death) to 1.00 (corresponding to perfect health); negative scores reflect health states considered worse than death. The mean HUI score by sex and age group indicated the typical quality of life for persons with various chronic conditions. Logistic Regression results showed a strong relationship between low HUI scores (< or = 0.5 and 0.06-1.0) and

  10. Chronic obstructive pulmonary disease in African- and European-American women: morbidity, mortality and healthcare utilization in the USA.

    PubMed

    Mehari, Alem; Gillum, Richard F

    2015-04-01

    The impact of chronic obstructive pulmonary disease (COPD) is increasing in US women. In 2008-2010, an estimated 7.9 million US women were living with COPD. Chronic lower respiratory disease was the third leading cause of mortality in 2010 and was a major cause of morbidity. Its economic and social burden is both substantial and increasing in the USA. The annual number of COPD deaths is now higher in women than in men. In 2011, 72,584 women and 65,920 men aged 25 years and over died of COPD. The death rate in African-American women was only half compared with European-American women. Further, rates of COPD prevalence, emergency room visits and hospitalization were greater among women than men. This review reports the latest patterns and trends in several measures of COPD in US women.

  11. Combination therapy utilizing shRNA knockdown and an optimized resistant transgene for rescue of diseases caused by misfolded proteins.

    PubMed

    Li, Chengwen; Xiao, Pingjie; Gray, Steven James; Weinberg, Marc Scott; Samulski, R Jude

    2011-08-23

    Molecular knockdown of disease proteins and restoration of wild-type activity represent a promising but challenging strategy for the treatment of diseases that result from the accumulation of misfolded proteins (i.e., Huntington disease, amyotrophic lateral sclerosis, and α-1 antitrypsin deficiency). In this study we used alpha-1 antitrypsin (AAT) deficiency with the piZZ mutant phenotype as a model system to evaluate the efficiency of gene-delivery approaches that both silence the piZZ transcript (e.g., shRNA) and restore circulating wild-type AAT expression from resistant codon-optimized AAT (AAT-opt) transgene cassette using adeno-associated virus (AAV) vector delivery. After systemic injection of a self-complimentary AAV serotype 8 (scAAV8) vector encoding shRNA in piZZ transgenic mice, both mutant AAT mRNA in the liver and defected serum protein level were inhibited by 95%, whereas liver pathology, as monitored by dPAS and fibrosis staining, reversed. To restore blood AAT levels in AAV8/shRNA-treated mice, several strategies to restore functional AAT levels were tested, including using AAV AAT-opt transgene cassettes targeted to muscle and liver, or combination vectors carrying piZZ shRNA and AAT-opt transgenes separately, or a single bicistronic AAV vector. With these molecular approaches, we observed over 90% knockdown of mutant AAT with a 13- to 30-fold increase of circulating wild-type AAT protein from the shRNA-resistant AAT-opt cassette. The molecular approaches applied in this study can simultaneously prevent liver pathology and restore blood AAT concentration in AAT deficiencies. Based on these observations, similar gene-therapy strategies could be considered for any diseases caused by accumulation of misfolded proteins.

  12. Diagnostic Utility of ANG in Coronary Heart Disease Complicating Chronic Heart Failure: A Cross-Sectional Study

    PubMed Central

    Liu, Ming; Yang, Xue; Yu, Ying; Zhao, Ji; Zhang, Lei; Tong, Rui; Zou, Yunzeng; Ge, Junbo

    2016-01-01

    Angiogenin (ANG) has been shown to be elevated in several cardiovascular diseases. To detect its levels and diagnostic capacity in coronary heart disease (CHD) patients complicating chronic heart failure (CHF), we performed this cross-sectional study and enrolled 616 CHD patients and 53 healthy controls. According to complicating CHF or not, the patients were divided into CHF group (n = 203) and CHD disease controls (n = 413), in which the CHF group was subdivided as heart failure with reduced ejection fraction (HFrEF) group or heart failure with preserved ejection fraction (HFpEF) group on the basis of left ventricular ejection fraction (LVEF), or as different NYHA class group. Their plasma ANG levels were detected using enzyme-linked immunosorbent assay (ELISA). Plasma ANG was 342.8 (IQR [273.9,432.9]), 304.5 (IQR [254.0,370.5]), and 279.7 (IQR [214.4,344.0]) ng/mL in the CHF group, CHD disease controls, and healthy controls, respectively, significantly higher in the CHF group compared with the others. Furthermore, among CHF group, ANG is dramatically higher in the HFrEF patients compared with the HFpEF patients. As for the diagnostic capacity of ANG, the area under the receiver operating characteristic curve was 0.71 (95% CI 0.63–0.78). We concluded that plasma ANG is elevated in CHD complicating CHF patients and may be a moderate discriminator of CHF from CHD or the healthy. PMID:27872509

  13. Utility of Indocyanine Green Angiography in Arterial Selection during Free Flap Harvest in Patients with Severe Peripheral Vascular Disease

    PubMed Central

    Maxwell, Anne K.

    2016-01-01

    Summary: Indocyanine green angiography (SPY) was used to guide arterial selection for an anterolateral thigh free flap in the setting of severe peripheral vascular disease. SPY technology serves as a novel and sensitive intraoperative tool to predict decreased tissue perfusion from vessel sacrifice for flap harvest. Change in SPY time parameters measuring superficial blood flow distal to the donor site while temporarily intraoperatively clamping different possible arterial pedicles can optimize free flap design to avoid iatrogenic critical limb ischemia. PMID:27826489

  14. ATP Synthase and the Actions of Inhibitors Utilized To Study Its Roles in Human Health, Disease, and Other Scientific Areas

    PubMed Central

    Hong, Sangjin; Pedersen, Peter L.

    2008-01-01

    Summary: ATP synthase, a double-motor enzyme, plays various roles in the cell, participating not only in ATP synthesis but in ATP hydrolysis-dependent processes and in the regulation of a proton gradient across some membrane-dependent systems. Recent studies of ATP synthase as a potential molecular target for the treatment of some human diseases have displayed promising results, and this enzyme is now emerging as an attractive molecular target for the development of new therapies for a variety of diseases. Significantly, ATP synthase, because of its complex structure, is inhibited by a number of different inhibitors and provides diverse possibilities in the development of new ATP synthase-directed agents. In this review, we classify over 250 natural and synthetic inhibitors of ATP synthase reported to date and present their inhibitory sites and their known or proposed modes of action. The rich source of ATP synthase inhibitors and their known or purported sites of action presented in this review should provide valuable insights into their applications as potential scaffolds for new therapeutics for human and animal diseases as well as for the discovery of new pesticides and herbicides to help protect the world's food supply. Finally, as ATP synthase is now known to consist of two unique nanomotors involved in making ATP from ADP and Pi, the information provided in this review may greatly assist those investigators entering the emerging field of nanotechnology. PMID:19052322

  15. Differential prognostic utility of NTproBNP and Cystatin C in patients with acute exacerbation of chronic pulmonary disease

    PubMed Central

    Pérez-Calvo, Juan I; Sánchez-Marteles, Marta; Ruiz-Ruiz, Francisco-José; Morales-Rull, José-Luis; Nieto-Rodríguez, José-Antonio

    2010-01-01

    Objectives To determine whether serum Cystatin C (CysC) and NTproBNP have prognostic value among patients with long-standing chronic lung disease. Design Prospective, observational, non-interventional study. Setting CysC and NTproBNP are prognostic markers in several cardiac conditions. In addition, CysC acts as an antiprotease following Cathepsin activation, which has been involved in the pathogenesis of chronic obstructive pulmonary disease. Participants Patients with a basal functional status of II-IV (NYHA), admitted for an acute exacerbation of chronic pulmonary diseases and no previous history of symptoms related to pulmonary hypertension or heart failure. Main outcome measures NTproBNP and CysC were determined at admission in 107 patients with acute exacerbation of chronic lung disease. During 12-month follow-up, mortality, new hospital admissions and prescription of diuretics were recorded. Results During follow-up there were eight patient deaths (7.5%). Mean NTproBNP among the deceased was 1510.20 pg/mL (95% CI 498.44–4628.55) vs 502.70 pg/mL (95% CI 395.44–645.48) among survivors (p = 0.01). Twenty-seven patients (25%) were prescribed loop diuretics. Mean concentration of CysC was 1.45 mg/dL (95% CI 1.21–1.69 mg/dL) vs 1.17 mg/dL (95% IC 1.09–1.25 mg/dL) in those not prescribed (p = 0.004). NTproBNP concentration was 837.14 pg/mL (95% CI 555.57–1274.10 pg/mL) in patients prescribed diuretics vs 473.42 pg/mL (95% CI 357.80–632.70 pg/mL) in those not prescribed (p = 0.03). Kaplan-Meier analysis revealed a significant difference between death and diuretic prescription during follow-up when cut-off value for NTproBNP was 550 pg/mL (p = 0.03 and p = 0.02, respectively). For 1.16mg/dL of CsysC, a significant difference was only observed in diuretic prescription (p = 0.007). Conclusions In patients with chronic respiratory diseases NTproBNP has predictive value in terms of mortality whereas CysC does not. However, it is still possible that both can

  16. Diagnostic Utility of Splenial Lesions in a Case of Legionnaires' Disease due to Legionella pneumophila Serogroup 2.

    PubMed

    Tomizawa, Yuji; Hoshino, Yasunobu; Sasaki, Fuyuko; Kurita, Naohide; Kawajiri, Sumihiro; Noda, Kazuyuki; Hattori, Nobutaka; Amemura-Maekawa, Junko; Kura, Fumiaki; Okuma, Yasuyuki

    2015-01-01

    We herein report the case of a 49-year-old man with clinically mild encephalitis/encephalopathy with a reversible splenial lesion (MERS) associated with Legionnaires' disease due to Legionella pneumophila serogroup 2. Past reports suggest that Legionella infection is frequent in cases of MERS-associated pneumonia. Obtaining an early diagnosis of legionella infection is a challenge, especially if a Legionella pneumophila serogroup other than serogroup 1 contains the causative agent. In this case, the splenial lesion played an important role in recognizing the legionella infection. We suggest that legionella infection should be considered as a differential diagnosis in cases of splenial lesions associated with pneumonia.

  17. The Utility of Ovotransferrin and Ovotransferrin-Derived Peptides as Possible Candidates in the Clinical Treatment of Cardiovascular Diseases

    PubMed Central

    Chen, Shuang; Jiang, Hongmei; Peng, Hanhui

    2017-01-01

    Several of the most prevalent etiological factors which contribute towards global death rates are associated with cardiovascular diseases (CVDs), which include a range of conditions such as angina, rheumatic heart disease, and venous thrombosis. Extensive research has been conducted into the role played by oxidative stress and inflammation in the functional transformations associated with the progression of CVDs, while the research findings from these investigations have been both fruitful and informative. In view of the adverse secondary effects that result from the clinical administration of many synthetic medications, research which explored the treatment of severe and long-lasting conditions, including CVDs, has primarily centered on the potential benefits displayed by natural agents, one of which is food protein-based bioactive peptides. Most importantly, previous research has revealed the possible benefits associated with these products' anti-inflammatory and antioxidant characteristics. In light of these considerations, this paper aims to review the degree to which ovotransferrin (otrf, also referred to as conalbumin) and otrf-derived peptides, including IRW, IQW, and KVREGT, are, by virtue of their anti-inflammatory and antioxidant characteristics, viable treatment agents for endothelial dysfunction and the prevention of CVD. PMID:28386310

  18. Utilizing magnetization transfer imaging to investigate tissue remodeling in a murine model of autosomal dominant polycystic kidney disease

    PubMed Central

    Kline, Timothy L.; Irazabal, Maria V.; Ebrahimi, Behzad; Hopp, Katharina; Udoji, Kelly N.; Warner, Joshua D.; Korfiatis, Panagiotis; Mishra, Prasanna K.; Macura, Slobodan I.; Venkatesh, Sudhakar K.; Lerman, Lilach O.; Harris, Peter C.; Torres, Vicente E.; King, Bernard F.

    2015-01-01

    Purpose Noninvasive imaging techniques that quantify renal tissue composition are needed to more accurately ascertain prognosis and monitor disease progression in polycystic kidney disease (PKD). Given the success of magnetization transfer (MT) imaging to characterize various tissue remodeling pathologies, it was tested on a murine model of autosomal dominant PKD. Methods C57Bl/6 Pkd1 R3277C mice at 9, 12, and 15 months were imaged with a 16.4T MR imaging system. Images were acquired without and with RF saturation in order to calculate MT ratio (MTR) maps. Following imaging, the mice were euthanized and kidney sections were analyzed for cystic and fibrotic indices, which were compared with statistical parameters of the MTR maps. Results The MTR‐derived mean, median, 25th percentile, skewness, and kurtosis were all closely related to indices of renal pathology, including kidney weight/body weight, cystic index, and percent of remaining parenchyma. The correlation between MTR and histology‐derived cystic and fibrotic changes was R2 = 0.84 and R2 = 0.70, respectively. Conclusion MT imaging provides a new, noninvasive means of measuring tissue remodeling PKD changes and may be better suited for characterizing renal impairment compared with conventional MR techniques. Magn Reson Med 75:1466–1473, 2016. © 2015 The Authors. Magnetic Resonance in Medicine published by Wiley Periodicals, Inc. on behalf of International Society for Magnetic Resonance. PMID:25974140

  19. Clinical utility and prognostic value of appropriateness criteria in stress echocardiography for the evaluation of valvular heart disease.

    PubMed

    Bhattacharyya, Sanjeev; Kamperidis, Vasilis; Shah, Benoy Nalin; Roussin, Isabelle; Chahal, Navtej; Li, Wei; Khattar, Rajdeep; Senior, Roxy

    2013-09-01

    We examined the prognostic value of stress echocardiography appropriateness criteria for evaluation of valvular heart disease in 100 consecutive patients. Of the studies, 49%, 36%, and 15% were classified as appropriate, uncertain, and inappropriate, respectively. Over a median of 12.6 months, 24 events (12 deaths and 12 heart failure admissions) occurred. The 12-month event-free survival was significantly reduced in patients with appropriate or uncertain studies compared with patients with inappropriate studies (p = 0.04 and p = 0.005, respectively). There was no survival difference between patients with an appropriate or uncertain indication (p = 0.1). The only independent predictors of events were a positive stress echocardiogram (hazard ratio: 15.5, p < 0.0001) and left ventricular ejection fraction (hazard ratio: 0.95, p = 0.02). The appropriateness criteria for evaluation of valvular heart disease provide the ability to differentiate between patients at high- (appropriate group) and low- (inappropriate group) risk of cardiac events. Reclassification of the uncertain group may improve the differential value of these criteria.

  20. Cytomegalovirus-Related Hospitalization Is Associated With Adverse Outcomes and Increased Health-Care Resource Utilization in Inflammatory Bowel Disease

    PubMed Central

    Zhang, Cheng; Krishna, Somashekar G; Hinton, Alice; Arsenescu, Razvan; Levine, Edward J; Conwell, Darwin L

    2016-01-01

    Objectives: Impact of cytomegalovirus (CMV)-related hospitalization in inflammatory bowel disease (IBD) patients is unknown. The aim of this study was to determine hospital outcomes of CMV-related hospitalization in IBD patients in a large national in-patient administrative data set. Methods: This was a cross-sectional study using data from the Nationwide In-patient Sample database. IBD- and CMV-related hospitalizations between 2003 and 2011 were identified using appropriate ICD-9-CM (International Classification of Diseases, Ninth Revision, Clinical Modification) codes. Impact of CMV-related hospitalization on in-hospital mortality, length of stay (LOS), and hospital charges were quantified. Results: CMV-related hospitalization was associated with higher in-hospital mortality (odds ratio (OR) 7.09, 95% confidence interval (CI) 3.38–14.85), prolonged LOS (7.77 days, P<0.0001), and more hospital charge (US$66,495, P<0.0001) in IBD patients. Conclusions: CMV-related hospitalization in IBD is associated with high in-hospital mortality, prolonged LOS, and hospital care costs. PMID:26963000

  1. The Utility of Fecal Calprotectin in the Real-World Clinical Care of Patients with Inflammatory Bowel Disease

    PubMed Central

    Abej, Esmail

    2016-01-01

    Objectives. To determine the relationship between fecal calprotectin (FCAL) and imaging studies and other biochemical inflammatory markers and the impact of FCAL measurements on decision-making in IBD patient management in usual clinical practice. Methods. 240 persons with IBD were enrolled. The correlation between FCAL values and other markers for disease activity such as serum albumin (alb), hemoglobin (Hg), and C-reactive protein (CRP) and diagnostic imaging or colonoscopy was examined. FCAL ≥ 250 mcg/g of stool was considered a positive result indicating active IBD. Results. 183 stool samples (76.3%) were returned. The return rate in the pediatric and adult cohorts was 91% (n = 82) and 67.3% (n = 101), respectively (P < 0.0001). Positive FCAL was associated with colonoscopy findings of active IBD (P < 0.05), low albumin (P < 0.05), anemia (P < 0.01), and elevated CRP (P < 0.01). There was no significant difference for FCAL results by outcomes on small bowel evaluation among the 21 persons with small bowel CD. Most persons (87.5%) with normal FCAL and no change in therapy remained in remission during subsequent 3 months. Conclusions. FCAL is a useful marker of disease activity and a valuable tool in managing persons with IBD in clinical practice. Clinicians have to be cautious in interpreting FCAL results in small bowel CD. PMID:27774443

  2. Patterns of ambulatory medical care utilization in elderly patients with special reference to chronic diseases and multimorbidity - Results from a claims data based observational study in Germany

    PubMed Central

    2011-01-01

    Background In order to estimate the future demands for health services, the analysis of current utilization patterns of the elderly is crucial. The aim of this study is to analyze ambulatory medical care utilization by elderly patients in relation to age, gender, number of chronic conditions, patterns of multimorbidity, and nursing dependency in Germany. Methods Claims data of the year 2004 from 123,224 patients aged 65 years and over which are members of one nationwide operating statutory insurance company in Germany were studied. Multimorbidity was defined as the presence of 3 or more chronic conditions of a list of 46 most prevalent chronic conditions based on ICD 10 diagnoses. Utilization was analyzed by the number of contacts with practices of physicians working in the ambulatory medical care sector and by the number of different physicians contacted for every single chronic condition and their most frequent triadic combinations. Main statistical analyses were multidimensional frequency counts with standard deviations and confidence intervals, and multivariable linear regression analyses. Results Multimorbid patients had more than twice as many contacts per year with physicians than those without multimorbidity (36 vs. 16). These contact frequencies were associated with visits to 5.7 different physicians per year in case of multimorbidity vs. 3.5 when multimorbidity was not present. The number of contacts and of physicians contacted increased steadily with the number of chronic conditions. The number of contacts varied between 35 and 54 per year and the number of contacted physicians varied between 5 to 7, depending on the presence of individual chronic diseases and/or their triadic combinations. The influence of gender or age on utilization was small and clinically almost irrelevant. The most important factor influencing physician contact was the presence of nursing dependency due to disability. Conclusion In absolute terms, we found a very high rate of

  3. Severe storms observing satellite (STORMSAT)

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The primary payload for this satellite is the Advanced Atmospheric Sounding and Imaging Radiometer which will perform precise infrared temperature sounding and visible/infrared imaging from geostationary orbit. A secondary payload instrument which may be utilized on STORMSAT is the Microwave Atmospheric Sounding Radiometer which provides an independent set of temperature and humidity sounding in cloudy, meteorologically active regions. The study provides satellite designs and identifies mission-unique subsystems using the Multimission Modular Spacecraft using a Shuttle/Interim Upper Stage launch vehicle.

  4. Chaotic motions of a tethered satellite system in circular orbit

    NASA Astrophysics Data System (ADS)

    Jin, D. P.; PANG, Z. J.; Wen, H.; Yu, B. S.

    2016-09-01

    This paper studies the chaotic motions of a tethered satellite system by utilizing a ground-based experimental system. Based on dynamics similarity principle, a dynamical equivalent model between the on-orbit tethered satellite and its ground physical model is obtained. As a result, the space dynamics environment of the tethered satellite can be simulated via the thrust forces and the torque of a momentum wheel on the satellite simulator. The numerical results of the on-orbit tethered satellite show the chaotic motions of the attitude motion of mother satellite. The experiment shows that the torque of momentum wheel as a negative damping is able to suppress the chaotic motion.

  5. The biological function and clinical utilization of CD147 in human diseases: a review of the current scientific literature.

    PubMed

    Xiong, Lijuan; Edwards, Carl K; Zhou, Lijun

    2014-09-29

    CD147 or EMMPRIN is a member of the immunoglobulin superfamily in humans. It is widely expressed in human tumors and plays a central role in the progression of many cancers by stimulating the secretion of matrix metalloproteinases (MMPs) and cytokines. CD147 regulates cell proliferation, apoptosis, and tumor cell migration, metastasis and differentiation, especially under hypoxic conditions. CD147 is also important to many organ systems. This review will provide a detailed overview of the discovery, characterization, molecular structure, diverse biological functions and regulatory mechanisms of CD147 in human physiological and pathological processes. In particular, recent studies have demonstrated the potential application of CD147 not only as a phenotypic marker of activated regulatory T cells but also as a potential diagnostic marker for early-stage disease. Moreover, CD147 is recognized as an effective therapeutic target for hepatocellular carcinoma (HCC) and other cancers, and exciting clinical progress has been made in HCC treatment using CD147-directed monoclonal antibodies.

  6. Healthcare Data Analytics for Parkinson’s Disease Patients: A Study of Hospital Cost and Utilization in the United States

    PubMed Central

    Mukherjee, Sunanda; Wu, Huanmei; Jones, Josette

    2016-01-01

    Parkinson’s Disease (PD), a prevalent problem, especially for the aged populations, is a progressive but non-fatal nervous system disorder. PD patients have special motor as well as non-motor symptoms over time. There are several limitations in the study of PD such as unavailability of data, proper diagnosis and treatment methods. These limitations significantly reduce the quality of PD patient life quality, either directly or indirectly. PD also imposes great financial burdens to PD patients and their family. This project aims to analyze the most common reasons for PD patient hospitalization, review complications that occur during inpatient stays, and measure the costs associated with PD patient characteristics. Using the HCUP NIS data, comprehensive data analysis has been performed. The results are customized visualized using Tableau and other software systems. The preliminary findings sheds light into how to improve the life quality of PD patients. PMID:28269954

  7. Stability and Reproducibility Underscore Utility of RT-QuIC for Diagnosis of Creutzfeldt-Jakob Disease.

    PubMed

    Cramm, Maria; Schmitz, Matthias; Karch, André; Mitrova, Eva; Kuhn, Franziska; Schroeder, Bjoern; Raeber, Alex; Varges, Daniela; Kim, Yong-Sun; Satoh, Katsuya; Collins, Steven; Zerr, Inga

    2016-04-01

    Real-time quaking-induced conversion (RT-QuIC) allows the amplification of miniscule amounts of scrapie prion protein (PrP(Sc)). Recent studies applied the RT-QuIC methodology to cerebrospinal fluid (CSF) for diagnosing human prion diseases. However, to date, there has not been a formal multi-centre assessment of the reproducibility, validity and stability of RT-QuIC in this context, an indispensable step for establishment as a diagnostic test in clinical practice. In the present study, we analysed CSF from 110 prion disease patients and 400 control patients using the RT-QuIC method under various conditions. In addition, "blinded" ring trials between different participating sites were performed to estimate reproducibility. Using the previously established cut-off of 10,000 relative fluorescence units (rfu), we obtained a sensitivity of 85% and a specificity of 99%. The multi-centre inter-laboratory reproducibility of RT-QuIC revealed a Fleiss' kappa value of 0.83 (95% CI: 0.40-1.00) indicating an almost perfect agreement. Moreover, we investigated the impact of short-term CSF storage at different temperatures, long-term storage, repeated freezing and thawing cycles and the contamination of CSF with blood on the RT-QuIC seeding response. Our data indicated that the PrP(Sc) seed in CSF is stable to any type of storage condition but sensitive to contaminations with blood (>1250 erythrocytes/μL), which results in a false negative RT-QuIC response. Fresh blood-contaminated samples (3 days) can be rescued by removal of erythrocytes. The present study underlines the reproducibility and high stability of RT-QuIC across various CSF storage conditions with a remarkable sensitivity and specificity, suggesting RT-QuIC as an innovative and robust diagnostic method.

  8. The epidemiology and burden of Alzheimer’s disease in Taiwan utilizing data from the National Health Insurance Research Database

    PubMed Central

    Hung, Yen-Ni; Kadziola, Zbigniew; Brnabic, Alan JM; Yeh, Ju-Fen; Fuh, Jong-Ling; Hwang, Jen-Ping; Montgomery, William

    2016-01-01

    Purpose The objectives of this study were to estimate the incidence, cumulative incidence, and economic burden of Alzheimer’s disease (AD) in Taiwan, using data from the National Health Insurance Research Database (NHIRD). Materials and methods This was a retrospective, longitudinal, observational study using data from the Longitudinal Health Insurance Database of the NHIRD. Patients were included in this study if they were 50 years of age or older and their records included a primary or secondary diagnosis of AD. New patients who met inclusion criteria were followed up longitudinally from 2005 to 2010. Costs were calculated for the first year following the diagnosis of AD. Results Overall, a higher percentage of women than men were diagnosed with AD (54% vs 46%, respectively). The first AD diagnosis occurred most frequently in the age of 75–84 years. The person-year incidence rate increased from 5.63/1,000 persons (95% CI, 5.32–5.94) in 2005 to 8.17/1,000 persons (95% CI, 7.78–8.57) in 2010. The cumulative incidence rate was 33.54/1,000 persons (95% CI, 32.76–34.33) in 2005–2010. The total mean inflated annual costs per patient in new Taiwan dollars (NT$) in the first year of diagnosis ranged from NT$205,413 (2009) to NT$227,110 (2005), with hospitalization representing the largest component. Conclusion AD represents a substantial burden in Taiwan, and based on the observed increase in incidence rate over time, it is likely that this burden will continue to increase. The findings reported here are consistent with previous research. The NHIRD contains extensive real-world information that can be used to conduct research, allowing us to expand our understanding of the incidence, prevalence, and burden of disease in Taiwan. PMID:27536149

  9. Diagnostic Utility of Pleural Fluid Cell Block versus Pleural Biopsy Collected by Flex-Rigid Pleuroscopy for Malignant Pleural Disease: A Single Center Retrospective Analysis

    PubMed Central

    Sasada, Shinji; Izumo, Takehiro; Matsumoto, Yuji; Tsuchida, Takaaki

    2016-01-01

    Background Some trials recently demonstrated the benefit of targeted treatment for malignant disease; therefore, adequate tissues are needed to detect the targeted gene. Pleural biopsy using flex-rigid pleuroscopy and pleural effusion cell block analysis are both useful for diagnosis of malignancy and obtaining adequate samples. The purpose of our study was to compare the diagnostic utility between the two methods among patients with malignant pleural disease with effusion. Methods Data from patients who underwent flex-rigid pleuroscopy for diagnosis of pleural effusion suspicious for malignancy at the National Cancer Center Hospital, Japan between April 2011 and June 2014 were retrospectively reviewed. All procedures were performed under local anesthesia. At least 150 mL of pleural fluid was collected by pleuroscopy, followed by pleural biopsies from the abnormal site. Results Thirty-five patients who were finally diagnosed as malignant pleural disease were included in this study. Final diagnoses of malignancy were 24 adenocarcinoma, 1 combined adeno-small cell carcinoma, and 7 malignant pleural mesothelioma (MPM), and 3 metastatic breast cancer. The diagnostic yield was significantly higher by pleural biopsy than by cell block [94.2% (33/35) vs. 71.4% (25/35); p = 0.008]. All patients with positive results on cell block also had positive results on pleural biopsy. Eight patients with negative results on cell block had positive results on pleural biopsy (lung adenocarcinoma in 4, sarcomatoid MPM in 3, and metastatic breast cancer in 1). Two patients with negative results on both cell block and pleural biopsy were diagnosed was sarcomatoid MPM by computed tomography-guided needle biopsy and epithelioid MPM by autopsy. Conclusion Pleural biopsy using flex-rigid pleuroscopy was efficient in the diagnosis of malignant pleural diseases. Flex-rigid pleuroscopy with pleural biopsy and pleural effusion cell block analysis should be considered as the initial diagnostic

  10. Age- and Sex-related Prevalence and Drug Utilization Pattern in the Management of Type 2 Diabetes Mellitus and its Comorbidity with Cardiovascular Diseases: A Comparative Study.

    PubMed

    Das, S; Haroled Peter, P L; Bhavani, M Lakshmi; Naresh, P; Ramana, M V

    2015-01-01

    A cross-sectional study of 250 cases of type 2 diabetes management was conducted in a governmental tertiary care hospital of urban south India to determine the comparative prevalence of type 2 diabetes and its comorbidity with cardiovascular diseases in diabetic population, core drug use indicators and drug utilization pattern in the management of diabetics entirely and with cardiovascular diseases. Highest prevalent age group for type 2 diabetes/cardiovascular diseases (greater incidence in female than male) was 51-60 years. The 62.8% prevalence of cardiovascular diseases in the diabetic population ascertained in the study could provide an evidence-based rationale for the World Health Organization guidelines for the management of hypertension in type 2 diabetics. Incidence of polypharmacy (6.06, the mean number of total drug products prescribed); 59.26% of encounters prescribed antibiotics; 17.6 and 18.5 min of average consultation and dispensing time, respectively; 100% of drugs actually dispensed and adequately labeled; 81.26% of patients having knowledge of correct dosage and average drug cost of Indian Rupees 145.54 per prescription were the core drug use indicators found mainly. Moreover, drugs prescribed from the Essential Drug List were more than 90% and thereby indicated the drug use in this set-up quite rational. Around 71.09% of cardiovascular agents prescribed by generic name revealed the cost effective medical care. Among the agents in type 2 diabetes management, Actrapid(®) (35.43%) was the highest. Among the cardiovascular agents prescribed, lasix (19.37%) was the highest. Cardiovascular agents prescribed orally by 76.48% signified the good prescription habit indicating the improved patients' adherence to the treatment. The present study emphasizes the need of early detection of hypertension as a preliminary diagnostic parameter of cardiovascular diseases in diabetics and appropriate management through concomitant therapy of cardiovascular drugs to

  11. Satellite communications for the Pacific islands. Second year report

    NASA Technical Reports Server (NTRS)

    Young, E.; Hurd, J. N.

    1982-01-01

    Requirements, options and costs for use of communications satellites in underserved areas of the Pacific Basin are described with emphasis on extended utilization of INTELSAT. The economic structures within and among Pacific Basin entities are examined, particularly the relationship between the growth of regional trade and telecommunications potential for the region. Suitable satellite services are recommended and the financial implications for extended utilization of communications satellites in the Pacific Basin are considered.

  12. Global Positioning System Satellite Selection Method

    NASA Technical Reports Server (NTRS)

    Niles, Frederick A. (Inventor)

    2001-01-01

    The satellite selection method as utilized by the spaceborne Global Positioning System receiver provides navigational solutions and is designed for use in low Earth orbit. The satellite selection method is a robust algorithm that can be used a GPS receiver to select appropriate GPS satellites for use in calculating point solutions or attitude solutions. The method is takes into account the difficulty of finding a particular GPS satellite phase code, especially when the search range in greatly increased due to Doppler shifts introduced into the carrier frequency. The method starts with an update of the antenna pointing and spacecraft vectors to determine the antenna backplane direction. Next, the GPS satellites that will potentially be in view of the antenna are ranked on a list, whereby the list is generated based on the estimated attitude and position of each GPS satellite. Satellites blocked by the Earth are not entered on this list. A second list is created, whereby the GPS satellites are ranked according to their desirability for use in attitude determination. GPS satellites are ranked according to their orthogonality to the antenna backplane, and according to geometric dilution of precision considerations. After the lists are created, the channels of the spaceborne GPS receiver are assigned to various GPS satellites for acquisition and lock. Preliminary Doppler frequencies for searching are assigned to the various channels.

  13. A Review on Inter-satellite Link in Inter-satellite Optical Wireless Communication

    NASA Astrophysics Data System (ADS)

    Arora, Heena; Goyal, Rakesh

    2017-03-01

    In this paper, inter-satellite optical wireless communication (IsOWC) system is proposed, one of the imperative utilizations of free space optics/wireless space optics (FSO)/WSO innovation. IsOWC frameworks give a high bandwidth, small size, small weight, low power and minimal effort different option for present microwave satellite frameworks. Optical communications systems have evolved from lengthy fibers to powerful wireless system. This has hence resulted in the use of optical wireless communication system in space communications. As the quantity of satellites circling the Earth expands year by year, a system between the satellites gives a strategy to them to correspond with one another. This is vital for satellites to send data to each other furthermore to hand off the data starting with one satellite then onto the next satellite and after that to the ground stations. By utilizing laser satellite correspondence, the satellites can be joined with information rates up to a few Gbps. The system performance including bit rates, input power, wavelength and distance on an inter-satellite link was analyzed. Various issues such as bit rates, input power, wavelength and distance were presented in IsOWC.

  14. Assessing change in cognitive function in dementia: the relative utilities of the Alzheimer's Disease Assessment Scale-Cognitive Subscale and the Cognitive Drug Research system.

    PubMed

    Wesnes, Keith A

    2008-01-01

    This paper considers the suitability of the Alzheimer's Disease Assessment Scale-Cognitive Subscale (ADAS-cog) as the gold standard in registration trials of treatments for Alzheimer's disease. Working groups have recommended replacing the ADAS-cog if suitable automated alternatives can be found. This paper makes the case for the Cognitive Drug Research (CDR) computerised cognitive assessment system, as an example of a suitable instrument to replace the ADAS-cog. The CDR system has been widely used in dementia work for 20 years and shows good correlations to the ADAS-cog, while additionally assessing the domains of attention, working memory, information processing and retrieval speed of information held in memory. The utility of the system in evaluating and differentiating the major dementias will be described, as well as its ability to track deterioration over time. Its validation as a core measure of cognitive dysfunction in the dementias will be described, as will work showing that various CDR measures relate closely to activities of daily living. The sensitivity of the CDR system to anticholinesterases will be described in Alzheimer's disease, dementia with Lewy bodies and Parkinson's dementia. Finally, the CDR system has a large normative database which allows treatment effects in dementia to be put into an unambiguous clinical perspective.

  15. Evaluation of the diagnostic and prognostic utility of ultrasonography at first diagnosis of presumptive bovine respiratory disease.

    PubMed

    Abutarbush, Sameeh M; Pollock, Colleen M; Wildman, Brian K; Perrett, Tye; Schunicht, Oliver C; Fenton, R Kent; Hannon, Sherry J; Vogstad, Amanda R; Jim, G Kee; Booker, Calvin W

    2012-01-01

    This project investigated the use of ultrasonography at first diagnosis of presumptive early bovine respiratory disease (BRD) in feedlot cattle from western Canada. One hundred seventy-four cattle (116 cases and 58 controls) at high risk of developing BRD were enrolled in a prospective longitudinal study over 2 y (2006-2007). Cattle with clinical signs relating to the respiratory system and assessed as sick at the time of feedlot arrival (arrival fever cases) or assessed as sick in the pen 3 to 30 d post-arrival (post-arrival fever cases, post-arrival no fevers cases) were eligible for enrollment. Control animals were identified at the time of case enrollments. Ultrasonography was done using a 3.5 sector transducer at enrollment and at 2, 4, and 6 wk post-enrollment. Lung lesions were identified at least 1 time over the course of the trial in 32/116 (28%) cases and 9/58 (16%) controls. At enrollment, lung lesions were identified in 20/115 (17%) cases and 2/55 (4%) controls (data unreadable n = 4). Post-arrival fever cases (14/48) were the most likely to have a lesion identified using ultrasound. In arrival fever cases, average daily gain (enrollment to last ultrasound, average 34 d) was improved (P = 0.007) in cattle identified with a lesion at enrollment using ultrasound compared with those not identified with a lesion at that time, potentially demonstrating the effects of gut fill at arrival weighing, as these sicker animals may have eaten less prior to arrival and, therefore, had more room for improvement in weight over time due to restoration of normal gut fill. None of the ultrasound time points explored (enrollment, 2, 4, or 6 wk post-enrollment) were associated with the animal health outcomes of interest (subsequent treatment, chronicity, wastage, or mortality) for cattle enrolled at arrival or post-arrival.Ultrasonography using a 3.5 sector transducer was not particularly effective as a prognostic/diagnostic tool for early detection of BRD, but may be

  16. Screening for Cognitive Impairment in Parkinson's Disease: Improving the Diagnostic Utility of the MoCA through Subtest Weighting

    PubMed Central

    Fengler, Sophie; Kessler, Josef; Timmermann, Lars; Zapf, Alexandra; Elben, Saskia; Wojtecki, Lars; Tucha, Oliver; Kalbe, Elke

    2016-01-01

    Background Given the high prevalence of cognitive impairment in Parkinson’s disease (PD), cognitive screening is important in clinical practice. The Montreal Cognitive Assessment (MoCA) is a frequently used screening test in PD to detect mild cognitive impairment (PD-MCI) and Parkinson’s disease dementia (PD-D). However, the proportion in which the subtests are represented in the MoCA total score does not seem reasonable. We present the development and preliminary evaluation of an empirically based alternative scoring system of the MoCA which aims at increasing the overall diagnostic accuracy. Methods In study 1, the MoCA was administered to 40 patients with PD without cognitive impairment (PD-N), PD-MCI, or PD-D, as defined by a comprehensive neuropsychological test battery. The new MoCA scoring algorithm was developed by defining Areas under the Curve (AUC) for MoCA subtests in a Receiver Operating Characteristic (ROC) and by weighting the subtests according to their sensitivities and specificities. In study 2, an independent sample of 24 PD patients (PD-N, PD-MCI, or PD-D) was tested with the MoCA. In both studies, diagnostic accuracy of the original and the new scoring procedure was calculated. Results Diagnostic accuracy increased with the new MoCA scoring algorithm. In study 1, the sensitivity to detect cognitive impairment increased from 62.5% to 92%, while specificity decreased only slightly from 77.7% to 73%; in study 2, sensitivity increased from 68.8% to 81.3%, while specificity stayed stable at 75%. Conclusion This pilot study demonstrates that the sensitivity of the MoCA can be enhanced substantially by an empirically based weighting procedure and that the proposed scoring algorithm may serve the MoCA’s actual purpose as a screening tool in the detection of cognitive dysfunction in PD patients better than the original scoring of the MoCA. Further research with larger sample sizes is necessary to establish efficacy of the alternate scoring system

  17. Utility of Boston Qualitative Scoring System for Rey-Osterrieth Complex Figure: evidence from a Parkinson's Diseases sample.

    PubMed

    Scarpina, Federica; Ambiel, Erika; Albani, Giovanni; Pradotto, Luca Guglielmo; Mauro, Alessandro

    2016-10-01

    This study examined the ability of the Boston Qualitative Scoring System (BQSS) in comparison to the Osterrieth scoring method to separate Parkinson's Disease patients without dementia from healthy controls at the Rey-Osterrieth Complex Figure (ROCF) copy. 30 PD participants and 30 healthy participants completed ROCF copy. The performance was scored according to both methods. The results indicated that PD patients performed significantly worse on ROCF. According to ROC analyses, BQSS Copy Total score represented the most suitable index to distinguish between the two groups: a score below or equal to 16 indicates an impaired performance. Moreover, PD participants reported lower performance in the BQSS scores of Planning and Neatness. PD patients' poor performance in ROCF copy was related to executive difficulties, specifically in terms of planning and impulsivity, instead of global visuo-constructional impairments. An extensive evaluation of copy drawings allowing to disentangle between different involved cognitive domains would be suitable, specifically in those clinical conditions like PD, in which motor impairments affect drawing performance.

  18. Utility of a seven-subtest version of the WAIS-R among an Alzheimer's disease sample.

    PubMed

    Schopp, L H; Callahan, C D; Johnstone, B; Schwake, C J

    1998-10-01

    Recent health care sector changes have created a need for shorter, more focused neuropsychological assessments. The WAIS-R provides useful information on patients' general cognitive abilities, but poses problems in that it is time-consuming and may contribute to fatigue, especially among geriatric patients with dementia. This study evaluated Ward's (1990) 7-subtest version of the WAIS-R among 32 patients with presumptive Alzheimer's disease. Among all patients, the abbreviated test underestimated full WAIS-R scores by an average of 2.0, 0.2, and 1.8 points for the Verbal Intelligence Quotient (VIQ), Performance Intelligent Quotient (PIQ), and Full-Scale Intelligence Quotient (FSIQ). This general finding held true regardless of whether scores were generated using the standard WAIS-R method (for patients age 75 and younger) or using age corrections (i.e., Mayo Older Americans' Normative Studies [MOANS]) for older patients. Most patients scored within the mean standard errors of measurement defined in the WAIS-R manual for VIQ, PIQ, and FSIQ. In general, the 7-subtest and full versions of the WAIS-R yielded similar findings among this closely screened sample, but further testing among a more typical sample of patients with multiple risk factors for dementing conditions is needed.

  19. Safety and Utility of Single-Session Endoscopic Ultrasonography and Endoscopic Retrograde Cholangiopancreatography for the Evaluation of Pancreatobiliary Diseases

    PubMed Central

    Kawakubo, Kazumichi; Kuwatani, Masaki; Haba, Shin; Kudo, Taiki; Abe, Yoko; Kawahata, Shuhei; Onodera, Manabu; Ehira, Nobuyuki; Yamato, Hiroaki; Eto, Kazunori; Sakamoto, Naoya

    2014-01-01

    Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) are essential for diagnosing and treating pancreatobiliary diseases. Single-session EUS and ERCP are considered to be essential in reducing the duration of hospital stays; however, complications are a primary concern. The aim of this study was to evaluate the safety and efficacy of single-session EUS and ERCP. Sixty-eight patients underwent single-session EUS and ERCP at a tertiary referral center between June 2008 and December 2012. We retrospectively reviewed patient data from a prospectively maintained EUS-ERCP database and evaluated the procedural characteristics and complications. Thirty-eight patients (56%) underwent diagnostic EUS, and 30 patients (44%) underwent EUS fine-needle aspiration, which had an overall accuracy of 100%. Sixty patients (89%) underwent therapeutic ERCP, whereas the remaining eight procedures were diagnostic. Thirteen patients underwent biliary stone extraction, and 48 underwent biliary drainage. The median total procedural time was 75 minutes. Complications were observed in seven patients (10%). Six complications were post-ERCP pancreatitis, which were resolved using conservative management. One patient developed Mallory-Weiss syndrome, which required endoscopic hemostasis. No sedation-related cardiopulmonary complications were observed. Single-session EUS and ERCP provided accurate diagnosis and effective management with a minimal complication rate. PMID:24827632

  20. A call for the better utilization of physical activity and exercise training in the defense against cardiovascular disease.

    PubMed

    Murlasits, Zsolt

    2015-11-01

    Statins, also known as 3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors, effectively reduce elevated levels of serum LDL-C concentration and in turn lower cardiovascular morbidity and mortality. Regular exercise and physical activity also have significant preventive effects against cardiovascular diseases by simultaneously reducing multiple risk factors. However, statins also produce a number of adverse events, including muscle pain, which increases dramatically in statin users who also exercise, likely limiting the cardiovascular benefits. Most importantly, reduced physical activity participation due to statin-related side effects can cancel out the benefits of the pharmacological treatment. Although exercise training offers more modest benefits compared to pharmacological therapy against traditional risk factors, considering the total impact of exercise on cardiovascular health, it is now evident that this intervention may offer a greater reduction of risks compared to statin therapy alone. However, primary recommendations regarding cardiovascular therapy still center around pharmacological approaches. Thus a new outlook is called for in clinical practice that provides room for physical activity and exercise training, thus lipid targets can be reached by a combined intervention along with improvements in other cardiovascular parameters, such as endothelial function and low-grade inflammation. Databases such as Pubmed and Google Scholar as well as the reference list of the relevant articles were searched to collect information for this opinion article.

  1. Clinical utility of Beckman-Coulter Gen's reticulocyte analysis in the study of anemia of chronic disease (ACD).

    PubMed

    Rodrigues, Ana; Ortega, Carlos; Santos, Luís; Teixeira, Alexandre; Dinis, Maria Joáo; Vasconcelos, Iponina; Lacerda, Jorge; Fonseca, Elisa

    2007-01-01

    The aim of this study is to analyze the reticulocyte parameters (classical and research parameters) acquired by the Beckman Coulter GEN'S blood counter (GEN'S; Brea, CA, USA) to establish the "reticulocyte profile" characteristics of patients with anemia of chronic disease (ACD). The reticulocyte parameters and profile provided by the GEN'S were studied in 38 anemic patients who fulfilled the diagnostic criteria for the ACD, and the results were compared with those of 38 healthy controls in a multivariate statistical analysis using the Student t-test and the receiver operating characteristics (ROC) curve analysis.Statistically significant (P <.05) differences between the 2 population groups were observed in several of the reticulocyte parameters provided by the GEN'S: mean volume of the reticulocyte population (MRV) (high), percentage of high light scatter reticulocytes HLR% (high), mean volume of the whole sphered red cell and reticulocyte population (MSCV) (high) MCV-MSCV (low) with the highest diagnostic value, as measured by the area under the ROC curve (>0.9), for the IRF (high) and the reticulocyte population data: mean channel scatter retics (high) and the mean channel conductivity retics (high). This study establishes the reticulocyte parameters and reticulocyte profile as provided by the GEN'S and characteristic of patients with ACD as compared with normal subjects. This should provide the basis for further studies comparing the reticulocyte profile of patients with ACD with those found in other types of anemia.

  2. Eosinophil activation of fibroblasts from chronic allergen-induced disease utilizes stem cell factor for phenotypic changes.

    PubMed

    Dolgachev, Vladislav; Berlin, Aaron A; Lukacs, Nicholas W

    2008-01-01

    In the present studies the role of stem cell factor (SCF) in mediating eosinophil and fibroblast activation during their interaction was investigated. SCF was significantly higher in fibroblasts grown from lungs of chronic allergen-challenged mice compared to fibroblasts grown from normal mice. When eosinophils were layered onto fibroblasts from allergic mice, a significant increase in SCF was detected compared to fibroblasts from nonallergic mice. The interaction of fibroblasts with eosinophils also increased the production of asthma-associated chemokines, CCL5 and CCL6, was dependent on cell-to-cell interaction, and was observed only with fibroblasts derived from lungs of chronic allergen-challenged mice and not from those derived from unchallenged normal mice. Chemokine production was significantly decreased when anti-SCF antibodies were added during eosinophil-fibroblast interaction. The interaction of fibroblasts from chronic allergen-challenged mice with eosinophils also increased alpha-smooth muscle cell actin and procollagen I expression as well as induced transforming growth factor-beta. The changes in myofibroblast activation were dependent on SCF-mediated pathways because anti-SCF antibody treatment reduced the expression of all three of these latter fibrosis-associated markers. Thus, our data suggest that SCF mediates an important activation pathway for fibroblasts during chronic allergic responses on interaction with recruited eosinophils and suggest a potential mechanism of airway remodeling during chronic disease.

  3. Survey of United States commercial satellites in geosynchronous Earth orbit

    NASA Astrophysics Data System (ADS)

    Hunt, Lawerence D.; Miller, Jeffrey L.

    1994-09-01

    This thesis examines the domestic commercial satellite options available for telecommunication and remote sensing services. The study provides a single source, comprehensive examination of the available commercial U.S. geosynchronous telecommunications satellites as well as the remote sensing spacecraft which may be utilized for commercial purposes. A general satellite communications technology overview is provided as background material for the more detailed satellite compendium. The following telecommunications operators are included with their respective domestic communications satellites: Alascom, Alpha Lyracom Pan American, AT&T, Comsat, GE Americom, GTE Spacenet, Hughes and Intelsat. Satellite evolution, overview, key design features, and performance parameters are catalogued. Additionally, each satellite's communications payload is examined in detail. Emerging technologies in the remote sensing field are presented. The current GOES and NOAA satellite systems are surveyed with an emphasis on each satellite's capabilities and operational status.

  4. The Financial Burden of Non-Communicable Chronic Diseases in Rural Nigeria: Wealth and Gender Heterogeneity in Health Care Utilization and Health Expenditures

    PubMed Central

    Janssens, Wendy; de Bree, Godelieve J.; Aderibigbe, Sunday A.; Akande, Tanimola M.; Mesnard, Alice

    2016-01-01

    Objectives Better insights into health care utilization and out-of-pocket expenditures for non-communicable chronic diseases (NCCD) are needed to develop accessible health care and limit the increasing financial burden of NCCDs in Sub-Saharan Africa. Methods A household survey was conducted in rural Kwara State, Nigeria, among 5,761 individuals. Data were obtained using biomedical and socio-economic questionnaires. Health care utilization, NCCD-related health expenditures and distances to health care providers were compared by sex and by wealth quintile, and a Heckman regression model was used to estimate health expenditures taking selection bias in health care utilization into account. Results The prevalence of NCCDs in our sample was 6.2%. NCCD-affected individuals from the wealthiest quintile utilized formal health care nearly twice as often as those from the lowest quintile (87.8% vs 46.2%, p = 0.002). Women reported foregone formal care more often than men (43.5% vs. 27.0%, p = 0.058). Health expenditures relative to annual consumption of the poorest quintile exceeded those of the highest quintile 2.2-fold, and the poorest quintile exhibited a higher rate of catastrophic health spending (10.8% among NCCD-affected households) than the three upper quintiles (4.2% to 6.7%). Long travel distances to the nearest provider, highest for the poorest quintile, were a significant deterrent to seeking care. Using distance to the nearest facility as instrument to account for selection into health care utilization, we estimated out-of-pocket health care expenditures for NCCDs to be significantly higher in the lowest wealth quintile compared to the three upper quintiles. Conclusions Facing potentially high health care costs and poor accessibility of health care facilities, many individuals suffering from NCCDs—particularly women and the poor—forego formal care, thereby increasing the risk of more severe illness in the future. When seeking care, the poor spend less on

  5. Utilizing Nontraditional Data Sources for Near Real-Time Estimation of Transmission Dynamics During the 2015-2016 Colombian Zika Virus Disease Outbreak

    PubMed Central

    Santillana, Mauricio; Mekaru, Sumiko R; McGinnis, Denise P; Khan, Kamran; Brownstein, John S

    2016-01-01

    Background Approximately 40 countries in Central and South America have experienced local vector-born transmission of Zika virus, resulting in nearly 300,000 total reported cases of Zika virus disease to date. Of the cases that have sought care thus far in the region, more than 70,000 have been reported out of Colombia. Objective In this paper, we use nontraditional digital disease surveillance data via HealthMap and Google Trends to develop near real-time estimates for the basic (R0) and observed (Robs) reproductive numbers associated with Zika virus disease in Colombia. We then validate our results against traditional health care-based disease surveillance data. Methods Cumulative reported case counts of Zika virus disease in Colombia were acquired via the HealthMap digital disease surveillance system. Linear smoothing was conducted to adjust the shape of the HealthMap cumulative case curve using Google search data. Traditional surveillance data on Zika virus disease were obtained from weekly Instituto Nacional de Salud (INS) epidemiological bulletin publications. The Incidence Decay and Exponential Adjustment (IDEA) model was used to estimate R0 and Robs for both data sources. Results Using the digital (smoothed HealthMap) data, we estimated a mean R0 of 2.56 (range 1.42-3.83) and a mean Robs of 1.80 (range 1.42-2.30). The traditional (INS) data yielded a mean R0 of 4.82 (range 2.34-8.32) and a mean Robs of 2.34 (range 1.60-3.31). Conclusions Although modeling using the traditional (INS) data yielded higher R0 estimates than the digital (smoothed HealthMap) data, modeled ranges for Robs were comparable across both data sources. As a result, the narrow range of possible case projections generated by the traditional (INS) data was largely encompassed by the wider range produced by the digital (smoothed HealthMap) data. Thus, in the absence of traditional surveillance data, digital surveillance data can yield similar estimates for key transmission parameters and

  6. Utility of behavioral versus cognitive measures in differentiating between subtypes of frontotemporal lobar degeneration and Alzheimer's disease.

    PubMed

    Heidler-Gary, Jennifer; Gottesman, Rebecca; Newhart, Melissa; Chang, Shannon; Ken, Lynda; Hillis, Argye E

    2007-01-01

    We hypothesized that a modified version of the Frontal Behavioral Inventory (FBI-mod), along with a few cognitive tests, would be clinically useful in distinguishing between clinically defined Alzheimer's disease (AD) and subtypes of frontotemporal lobar degeneration (FTLD): frontotemporal dementia (dysexecutive type), progressive nonfluent aphasia, and semantic dementia. We studied 80 patients who were diagnosed with AD (n = 30) or FTLD (n = 50), on the basis of a comprehensive neuropsychological battery, imaging, neurological examination, and history. We found significant between-group differences on the FBI-mod, two subtests of the Rey Auditory Verbal Learning Test (verbal learning and delayed recall), and the Trail Making Test Part B (one measure of 'executive functioning'). AD was characterized by relatively severe impairment in verbal learning, delayed recall, and executive functioning, with relatively normal scores on the FBI-mod. Frontotemporal dementia was characterized by relatively severe impairment on the FBI-mod and executive functioning in the absence of severe impairment in verbal learning and recall. Progressive nonfluent aphasia was characterized by severe impairment in executive functioning with relatively normal scores on verbal learning and recall and FBI-mod. Finally, semantic dementia was characterized by relatively severe deficits in delayed recall, but relatively normal performance on new learning, executive functioning, and on FBI-mod. Discriminant function analysis confirmed that the FBI-mod, in conjunction with the Rey Auditory Verbal Learning Test, and the Trail Making Test Part B categorized the majority of patients as subtypes of FTLD or AD in the same way as a full neuropsychological battery, neurological examination, complete history, and imaging. These tests may be useful for efficient clinical diagnosis, although progressive nonfluent aphasia and semantic dementia are likely to be best distinguished by language tests not included

  7. Perceived Utility of the RE-AIM Framework for Health Promotion/Disease Prevention Initiatives for Older Adults: A Case Study from the U.S. Evidence-Based Disease Prevention Initiative

    PubMed Central

    Ory, Marcia G.; Altpeter, Mary; Belza, Basia; Helduser, Janet; Zhang, Chen; Smith, Matthew Lee

    2015-01-01

    Dissemination and implementation (D&I) frameworks are increasingly being promoted in public health research. However, less is known about their uptake in the field, especially for diverse sets of programs. Limited questionnaires exist to assess the ways that frameworks can be utilized in program planning and evaluation. We present a case study from the United States that describes the implementation of the RE-AIM framework by state aging services providers and public health partners and a questionnaire that can be used to assess the utility of such frameworks in practice. An online questionnaire was developed to capture community perspectives about the utility of the RE-AIM framework. Distributed to project leads in 27 funded states in an evidence-based disease prevention initiative for older adults, 40 key stakeholders responded representing a 100% state-participation rate among the 27 funded states. Findings suggest that there is perceived utility in using the RE-AIM framework when evaluating grand-scale initiatives for older adults. The RE-AIM framework was seen as useful for planning, implementation, and evaluation with relevance for evaluators, providers, community leaders, and policy makers. Yet, the uptake was not universal, and some respondents reported difficulties in use, especially adopting the framework as a whole. This questionnaire can serve as the basis to assess ways the RE-AIM framework can be utilized by practitioners in state-wide D&I efforts. Maximal benefit can be derived from examining the assessment of RE-AIM-related knowledge and confidence as part of a continual quality assurance process. We recommend such an assessment be performed before the implementation of new funding initiatives and throughout their course to assess RE-AIM uptake and to identify areas for technical assistance. PMID:25964897

  8. Low utilization of prenatal and pre-implantation genetic diagnosis in Huntington disease - risk discounting in preventive genetics.

    PubMed

    Schulman, J D; Stern, H J

    2015-09-01

    Huntington disease (HD) is a late-onset, fatal neurodegenerative disorder caused by a (CAG) triplet repeat expansion in the Huntingtin gene that enlarges during male meiosis. In 1996 in this journal, one of us (J. D. S.) presented a methodology to perform pre-implantation genetic diagnosis in families at-risk for HD without revealing the genetic status of the at-risk parent. Despite the introduction of accurate prenatal and pre-implantation genetic testing which can prevent transmission of the abnormal HD gene in the family permanently, utilization of these options is extremely low. In this article, we examine the decision-making process regarding genetic testing in families with HD and discuss the possible reasons for the low uptake among this group.

  9. A promising approach for treatment of tumor-induced bone diseases: utilizing bisphosphonate derivatives of nucleoside antimetabolites.

    PubMed

    Reinholz, Monica M; Zinnen, Shawn P; Dueck, Amylou C; Dingli, David; Reinholz, Gregory G; Jonart, Leslie A; Kitzmann, Kathleen A; Bruzek, Amy K; Negron, Vivian; Abdalla, Abdalla K; Arendt, Bonnie K; Croatt, Anthony J; Sanchez-Perez, Luis; Sebesta, David P; Lönnberg, Harri; Yoneda, Toshiyuki; Nath, Karl A; Jelinek, Diane F; Russell, Stephen J; Ingle, James N; Spelsberg, Thomas C; Dixon, Henry B F Hal; Karpeisky, Alexander; Lingle, Wilma L

    2010-07-01

    Despite palliative treatments, tumor-induced bone disease (TIBD) remains highly debilitating for many cancer patients and progression typically results in death within two years. Therefore, more effective therapies with enhanced anti-resorptive and cytotoxic characteristics are needed. We developed bisphosphonate-chemotherapeutic conjugates designed to bind bone and hydrolyze, releasing both compounds, thereby targeting both osteoclasts and tumor cells. This study examined the effects of our lead compound, MBC-11 (the anhydride formed between arabinocytidine (AraC)-5'-phosphate and etidronate), on bone tumor burden, bone volume, femur bone mineral density (BMD), and overall survival using two distinct mouse models of TIBD, the 4T1/luc breast cancer and the KAS-6/1-MIP1alpha multiple myeloma models. In mice orthotopically inoculated with 4T1/luc mouse mammary cells, MBC-11 (0.04 microg/day; s.c.) reduced the incidence of bone metastases to 40% (4/10), compared to 90% (9/10; p=0.057) and 100% (5/5; p=0.04) of PBS- or similarly-dosed, zoledronate-treated mice, respectively. MBC-11 also significantly decreased bone tumor burden compared to PBS- or zoledronate-treated mice (p=0.021, p=0.017, respectively). MBC-11 and zoledronate (0.04 microg/day) significantly increased bone volume by two- and four-fold, respectively, compared to PBS-treated mice (p=0.005, p<0.001, respectively). In mice systemically injected with human multiple myeloma KAS-6/1-MIP1alpha cells, 0.04 and 4.0 microg/day MBC-11 improved femur BMD by 13% and 16%, respectively, compared to PBS (p=0.025, p=0.017, respectively) at 10 weeks post-tumor cell injection and increased mean survival to 95 days compared to 77 days in mice treated with PBS (p=0.047). Similar doses of zoledronate also improved femur BMD (p< or =0.01 vs PBS) and increased mean survival to 86 days, but this was not significantly different than in PBS-treated mice (p=0.53). These results demonstrate that MBC-11 decreases bone tumor burden

  10. Patterns of Healthcare Utilization Among Veterans Infected With Hepatitis C Virus (HCV) and Human Immunodeficiency Virus (HIV) and Coinfected With HIV/HCV: Unique Burdens of Disease

    PubMed Central

    Katrak, Shereen; Park, Lawrence P.; Woods, Christopher; Muir, Andrew; Hicks, Charles; Naggie, Susanna

    2016-01-01

    Background. Hepatitis C virus (HCV) infection is a leading cause of cirrhosis and the primary cause of liver transplantation in the United States, and coinfection with human immunodeficiency virus (HIV) increases the risk of comorbidities. However, healthcare utilization (HCU) patterns among HIV/HCV-coinfected patients are poorly understood. This study compared the rates of HCU and reasons for hospital admission among HCV-infected, HIV-infected, and HIV/HCV-coinfected veterans. Methods. Hepatitis C virus- and HIV-infected and HIV/HCV-coinfected veterans in care with the Department of Veterans Affairs (VA) from 1998 to 2009 (n = 335 371, n = 28 179, n = 13 471, respectively) were identified by HIV- and HCV-associated International Classification of Diseases, Ninth Revision codes from the clinical case registry. We assessed rates of HCU using emergency department (ED) visits, outpatient visits, and hospitalization and primary diagnoses associated with hospitalization. Independent risk factors associated with hospitalization were also examined. Results. Rates of outpatient and ED visits increased over the 11-year study period for all groups, with inpatient admission rates remaining stable. The HCU rates were consistently higher for the coinfected than other cohorts. The primary reason for hospital admission for all groups was psychiatric disease/substance use, accounting for 44% of all admissions. Nadir CD4 <350 cells/mm3 was associated with higher rates of hospitalization versus nadir CD4 >500 cells/mm3. Conclusions. As the current population of HCV-infected, HIV-infected, and HIV/HCV-coinfected veterans age, they will continue to place a substantial and increasing demand on the US healthcare system, particularly in their utilization of ED and outpatient services. These data suggest the need for an ongoing investment in mental health and primary care within the VA healthcare system. PMID:27704025

  11. Labview utilities

    SciTech Connect

    Persaud, Arun

    2011-09-30

    The software package provides several utilities written in LabView. These utilities don't form independent programs, but rather can be used as a library or controls in other labview programs. The utilities include several new controls (xcontrols), VIs for input and output routines, as well as other 'helper'-functions not provided in the standard LabView environment.

  12. Using Cell Phones From Satellites

    NASA Technical Reports Server (NTRS)

    Horan, Stephen

    2000-01-01

    During the past several years, an interest has grown in using commercial telecommunications techniques to supply Telemetry and Command (T&C) services. Recently, the National Aeronautics and Space Administration (NASA) Space Operations Management Office (SOMO) has outlined plans to utilize satellite-based telecommunications services to support space operations in space missions over the next several decades. NASA currently obtains the bulk of its telecommunications services for earth-orbiting satellites via the existing government-owned and controlled Space Network (SN) system. This system consists of the constellation of Tracking and Data Relay Satellites (TDRS) in Geostationary Earth Orbit (GEO) and the associated ground terminals and communications intrastructure. This system is valuable and effective for scientific satellites costing over one million dollars. However, for smaller satellites, this system becomes problematic due to the cost of transponders and support infrastructure. The nominal transponders for using the TDRS cannot be obtained for a cost in dollars, and size, weight, or power that the 3 Corner Satellite project can afford. For these types of nanosatellite missions, alternatives that fit the mission cost and satellite profiles are needed. In particular, low-cost access using existing commercial infrastructure would be useful to mission planners. In particular, the ability to obtain low data rate T&C services would be especially valuable. The nanosatellites generally have low T&C requirements and therefore would benefit from using commercial services that could operate in the 2400 bps - 9600 bps range, especially if contact times longer than the 5 - 10 minute ground station passes could be found.

  13. Low Earth orbit communications satellite

    NASA Technical Reports Server (NTRS)

    Moroney, D.; Lashbrook, D.; Mckibben, B.; Gardener, N.; Rivers, T.; Nottingham, G.; Golden, B.; Barfield, B.; Bruening, J.; Wood, D.

    1992-01-01

    A current thrust in satellite communication systems considers a low-Earth orbiting constellations of satellites for continuous global coverage. Conceptual design studies have been done at the time of this design project by LORAL Aerospace Corporation under the program name GLOBALSTAR and by Motorola under their IRIDIUM program. This design project concentrates on the spacecraft design of the GLOBALSTAR low-Earth orbiting communication system. Overview information on the program was gained through the Federal Communications Commission licensing request. The GLOBALSTAR system consists of 48 operational satellites positioned in a Walker Delta pattern providing global coverage and redundancy. The operational orbit is 1389 km (750 nmi) altitude with eight planes of six satellites each. The orbital planes are spaced 45 deg., and the spacecraft are separated by 60 deg. within the plane. A Delta 2 launch vehicle is used to carry six spacecraft for orbit establishment. Once in orbit, the spacecraft will utilize code-division multiple access (spread spectrum modulation) for digital relay, voice, and radio determination satellite services (RDSS) yielding position determination with accuracy up to 200 meters.

  14. Utilization of Ayurveda in health care: an approach for prevention, health promotion, and treatment of disease. Part 2--Ayurveda in primary health care.

    PubMed

    Sharma, Hari; Chandola, H M; Singh, Gurdip; Basisht, Gopal

    2007-12-01

    Ayurveda is a comprehensive natural health care system that originated in India more than 5000 years ago. It is still widely used in India as a system of primary health care, and interest in it is growing worldwide as well. Ayurveda has unique concepts and methodologies to address health care throughout the course of life, from pregnancy and infant care to geriatric disorders. Common spices are utilized, as well as herbs, herbal mixtures, and special preparations known as Rasayanas. Purification procedures known as Panchakarma remove toxins from the physiology. Research has been conducted worldwide on Ayurveda. There are encouraging results for its effectiveness in treating various ailments, including chronic disorders associated with the aging process. Pilot studies presented in this paper were conducted on depression, anxiety, sleep disorders, hypertension, diabetes mellitus, Parkinson's disease, and Alzheimer's disease. These preliminary studies yielded positive results and provide a basis for conducting larger, more rigorous clinical trials. Conducting research that compares Ayurveda's comprehensive treatment approach, Western allopathic treatment, and an integrated approach combining the Ayurvedic and allopathic treatments would shed light on which treatment approach is the most effective for the benefit of the patient.

  15. Utility of SPM8 plus DARTEL (VSRAD) combined with magnetic resonance spectroscopy as adjunct techniques for screening and predicting dementia due to Alzheimer's disease in clinical practice.

    PubMed

    Waragai, Masaaki; Hata, Saori; Suzuki, Toshiharu; Ishii, Ryotaro; Fujii, Chihiro; Tokuda, Takahiko; Arai, Hiroyuki; Ohrui, Takashi; Higuchi, Susumu; Yoshida, Madoka; Igarashi, Kazuei; Moriya, Masaru; Iwai, Naomichi; Uemura, Kenichi

    2014-01-01

    We validated the utility of SPM8 plus DARTEL (VSRAD) combined with magnetic resonance spectroscopy (1H MRS) as an adjunct screening technique for dementia due to Alzheimer's disease (AD). We examined the posterior cingulate gyri of 228 subjects using VSRAD and 1H MRS in addition to conventional cerebrospinal fluid biomarkers at baseline. At the 3-year follow-up, the 228 subject were classified as follows: 93 healthy subjects, 42 MCI-non-converters (MCI-NC), 25 MCI-converters to AD (MCI-C), 44 AD, 8 dementia with Lewy bodies (DLB), 5 normal pressure hydrocephalus, and 11 patients with other neurological diseases. Our results demonstrated that subjects with increased medial temporal atrophy (MTA) severity on VSRAD, increased Cho/Cr, MI/Cr ratio, and decreased NAA/Cr and NAA/MI ratio on 1H MRS at baseline were at risk of dementia due to AD. Receiver operating characteristic analysis showed that severity of MTA and the NAA/MI ratio distinguished patients with AD and MCI-C from controls. Furthermore, the 118 subjects without dementia and MTA showing only a decreased NAA/MI ratio at baseline developed to MCI-C, AD, and DLB 3 years later. 1H MRS detected biochemical abnormalities preceding brain atrophy and cognitive decline. VSRAD combined with 1H MRS may be routinely applied to screen for MCI/AD and prodromal AD in clinical practice.

  16. Nano-Satellite Avionics

    NASA Technical Reports Server (NTRS)

    Culver, Harry

    1999-01-01

    Abstract NASA's Goddard Space Flight Center (GSFC) is currently developing a new class of satellites called the nano-satellite (nano-sat). A major objective of this development effort is to provide the technology required to enable a constellation of tens to hundreds of nano-satellites to make both remote and in-situ measurements from space. The Nano-sat will be a spacecraft weighing a maximum of 10 kg, including the propellant mass, and producing at least 5 Watts of power to operate the spacecraft. The electronics are required to survive a total radiation dose rate of 100 krads for a mission lifetime of two years. There are many unique challenges that must be met in order to develop the avionics for such a spacecraft. The first challenge is to develop an architecture that will operate on the allotted 5 Watts and meet the diverging requirements of multiple missions. This architecture will need to incorporate a multitude of new advanced microelectronic technologies. The microelectronics developed must be a modular and scalable packaging of technology to solve the problem of developing a solution to both reduce cost and meet the requirements of various missions. This development will utilize the most cost effective approach, whether infusing commercially driven semiconductor devices into spacecraft applications or partnering with industry to design and develop low cost, low power, low mass, and high capacity data processing devices. This paper will discuss the nano-sat architecture and the major technologies that will be developed. The major technologies that will be covered include: (1) Light weight Low Power Electronics Packaging, (2) Radiation Hard/Tolerant, Low Power Processing Platforms, (3) High capacity Low Power Memory Systems (4) Radiation Hard reconfiguragble field programmable gate array (rFPGA)

  17. Cesium standard for satellite application

    NASA Technical Reports Server (NTRS)

    Bloch, M. B.; Meirs, M.; Pascaru, I.; Weinstein, B.

    1983-01-01

    A Cesium frequency standard that was developed for satellite applications is discussed. It weighs 23 lbs. and uses 23.5 watts of power, achieves a stability of 1 x ten to the minus 13th power/100,000 seconds, and is radiation hardened. To achieve the weight and reliability requirements, both thick and thin film hybrid circuits were utilized. A crystal oscillator is used to improve short-term stability and performance on a moving platform.

  18. The TOPEX satellite option study

    NASA Technical Reports Server (NTRS)

    1982-01-01

    The applicability of an existing spacecraft bus and subsystems to the requirements of ocean circulation measurements are assessed. The operational meteorological satellite family TIROS and DMSP are recommended. These programs utilize a common bus to satisfy their Earth observation missions. Note that although the instrument complements were different, the pointing accuracies were different, and, initially, the boosters were different, a high degree of commonality was achieved.

  19. Cost Utility Analysis of the Cervical Artificial Disc vs Fusion for the Treatment of 2-Level Symptomatic Degenerative Disc Disease: 5-Year Follow-up

    PubMed Central

    Yang, Zhuo; Nunley, Pierce; Stone, Marcus B.; Lee, Darrin; Kim, Kee D.

    2016-01-01

    BACKGROUND: The cervical total disc replacement (cTDR) was developed to treat cervical degenerative disc disease while preserving motion. OBJECTIVE: Cost-effectiveness of this intervention was established by looking at 2-year follow-up, and this update reevaluates our analysis over 5 years. METHODS: Data were derived from a randomized trial of 330 patients. Data from the 12-Item Short Form Health Survey were transformed into utilities by using the SF-6D algorithm. Costs were calculated by extracting diagnosis-related group codes and then applying 2014 Medicare reimbursement rates. A Markov model evaluated quality-adjusted life years (QALYs) for both treatment groups. Univariate and multivariate sensitivity analyses were conducted to test the stability of the model. The model adopted both societal and health system perspectives and applied a 3% annual discount rate. RESULTS: The cTDR costs $1687 more than anterior cervical discectomy and fusion (ACDF) over 5 years. In contrast, cTDR had $34 377 less productivity loss compared with ACDF. There was a significant difference in the return-to-work rate (81.6% compared with 65.4% for cTDR and ACDF, respectively; P = .029). From a societal perspective, the incremental cost-effective ratio (ICER) for cTDR was −$165 103 per QALY. From a health system perspective, the ICER for cTDR was $8518 per QALY. In the sensitivity analysis, the ICER for cTDR remained below the US willingness-to-pay threshold of $50 000 per QALY in all scenarios (−$225 816 per QALY to $22 071 per QALY). CONCLUSION: This study is the first to report the comparative cost-effectiveness of cTDR vs ACDF for 2-level degenerative disc disease at 5 years. The authors conclude that, because of the negative ICER, cTDR is the dominant modality. ABBREVIATIONS: ACDF, anterior cervical discectomy and fusion AWP, average wholesale price CE, cost-effectiveness CEA, cost-effectiveness analysis CPT, Current Procedural Terminology cTDR, cervical total disc

  20. The Utility of a Syndemic Framework in Understanding Chronic Disease Management Among HIV-Infected and Type 2 Diabetic Men Who Have Sex with Men.

    PubMed

    Byg, Blaire; Bazzi, Angela Robertson; Funk, Danielle; James, Bonface; Potter, Jennifer

    2016-12-01

    Syndemic theory posits that epidemics of multiple physical and psychosocial problems co-occur among disadvantaged groups due to adverse social conditions. Although sexual minority populations are often stigmatized and vulnerable to multiple health problems, the syndemic perspective has been underutilized in understanding chronic disease. To assess the potential utility of this perspective in understanding the management of co-occurring HIV and Type 2 diabetes, we used linear regression to examine glycemic control (A1c) among men who have sex with men (MSM) with both HIV and Type 2 diabetes (n = 88). Bivariable linear regression explored potential syndemic correlates of inadequate glycemic control. Compared to those with adequate glycemic control (A1c ≤ 7.5 %), more men with inadequate glycemic control (A1c > 7.5 %) had hypertension (70 vs. 46 %, p = 0.034), high triglycerides (93 vs. 61 %, p = 0.002), depression (67 vs. 39 %, p = 0.018), current substance abuse (15 vs. 2 %, p = 0.014), and detectable levels of HIV (i.e., viral load ≥75 copies per ml blood; 30 vs. 10 %, p = 0.019). In multivariable regression controlling for age, the factors that were independently associated with higher A1c were high triglycerides, substance use, and detectable HIV viral load, suggesting that chronic disease management among MSM is complex and challenging for patients and providers. Findings also suggest that syndemic theory can be a clarifying lens for understanding chronic disease management among sexual minority stigmatized populations. Interventions targeting single conditions may be inadequate when multiple conditions co-occur; thus, research using a syndemic framework may be helpful in identifying intervention strategies that target multiple co-occurring conditions.

  1. Satellite communications for disaster relief operations

    NASA Technical Reports Server (NTRS)

    Sivo, J. N.

    1979-01-01

    The use of existing and planned communication satellite systems to provide assistance in the implementation of disaster relief operations on a global basis was discussed along with satellite communications system implications and their potential impact on field operations in disaster situations. Consideration are given to the utilization of both INTELSAT and MARISAT systems operating at frequencies ranging from 1.5 to 4 GHz and to the size and type of ground terminals necessary for satellite access. Estimates of communication requirements for a global system are given. Some discussion of cost estimates for satellite services to support operations are included. Studies of communication satellites for both pre and post disaster applications conducted for NOAA are included as well as recent experiments conducted in conjunction with the Office of Foreign Disaster Assistance of the Agency for International Development.

  2. Domestic satellite communications systems - Background and projections

    NASA Astrophysics Data System (ADS)

    Bargellini, P. L.

    Planned and existing national and international communications satellites are reviewed, along with comparative costs for leasing or owning a satellite and the basic capabilities of communications spacecraft. Eleven different satellite communications systems existed in 1982, including Intelsat, Marisat/Inmarsat, and Intersputnik as the international segments, and the Molniya, Telesat, Palapa, Westar, Satcom, Comstar, Amersat, and the SBS national systems. Seven of the twenty countries leasing Intelsat services are planning their own satellites. Leasing permits full capabilities withno development costs and ensures the lessor of full use of the satellite capacities. Developing countries can then gain hands-on experience with space technologies. Future demands are discussed, noting the broadening of the available bandwidths, better orbit utilization, and increases in transponder numbers to handle increased loads in future spacecraft.

  3. Advanced satellite communication system

    NASA Astrophysics Data System (ADS)

    Staples, Edward J.; Lie, Sen

    1992-05-01

    The objective of this research program was to develop an innovative advanced satellite receiver/demodulator utilizing surface acoustic wave (SAW) chirp transform processor and coherent BPSK demodulation. The algorithm of this SAW chirp Fourier transformer is of the Convolve - Multiply - Convolve (CMC) type, utilizing off-the-shelf reflective array compressor (RAC) chirp filters. This satellite receiver, if fully developed, was intended to be used as an on-board multichannel communications repeater. The Advanced Communications Receiver consists of four units: (1) CMC processor, (2) single sideband modulator, (3) demodulator, and (4) chirp waveform generator and individual channel processors. The input signal is composed of multiple user transmission frequencies operating independently from remotely located ground terminals. This signal is Fourier transformed by the CMC Processor into a unique time slot for each user frequency. The CMC processor is driven by a waveform generator through a single sideband (SSB) modulator. The output of the coherent demodulator is composed of positive and negative pulses, which are the envelopes of the chirp transform processor output. These pulses correspond to the data symbols. Following the demodulator, a logic circuit reconstructs the pulses into data, which are subsequently differentially decoded to form the transmitted data. The coherent demodulation and detection of BPSK signals derived from a CMC chirp transform processor were experimentally demonstrated and bit error rate (BER) testing was performed. To assess the feasibility of such advanced receiver, the results were compared with the theoretical analysis and plotted for an average BER as a function of signal-to-noise ratio. Another goal of this SBIR program was the development of a commercial product. The commercial product developed was an arbitrary waveform generator. The successful sales have begun with the delivery of the first arbitrary waveform generator.

  4. Advanced satellite communication system

    NASA Technical Reports Server (NTRS)

    Staples, Edward J.; Lie, Sen

    1992-01-01

    The objective of this research program was to develop an innovative advanced satellite receiver/demodulator utilizing surface acoustic wave (SAW) chirp transform processor and coherent BPSK demodulation. The algorithm of this SAW chirp Fourier transformer is of the Convolve - Multiply - Convolve (CMC) type, utilizing off-the-shelf reflective array compressor (RAC) chirp filters. This satellite receiver, if fully developed, was intended to be used as an on-board multichannel communications repeater. The Advanced Communications Receiver consists of four units: (1) CMC processor, (2) single sideband modulator, (3) demodulator, and (4) chirp waveform generator and individual channel processors. The input signal is composed of multiple user transmission frequencies operating independently from remotely located ground terminals. This signal is Fourier transformed by the CMC Processor into a unique time slot for each user frequency. The CMC processor is driven by a waveform generator through a single sideband (SSB) modulator. The output of the coherent demodulator is composed of positive and negative pulses, which are the envelopes of the chirp transform processor output. These pulses correspond to the data symbols. Following the demodulator, a logic circuit reconstructs the pulses into data, which are subsequently differentially decoded to form the transmitted data. The coherent demodulation and detection of BPSK signals derived from a CMC chirp transform processor were experimentally demonstrated and bit error rate (BER) testing was performed. To assess the feasibility of such advanced receiver, the results were compared with the theoretical analysis and plotted for an average BER as a function of signal-to-noise ratio. Another goal of this SBIR program was the development of a commercial product. The commercial product developed was an arbitrary waveform generator. The successful sales have begun with the delivery of the first arbitrary waveform generator.

  5. Autonomy requirements for satellite power systems

    SciTech Connect

    Trumble, T.M.; Gjermundsen, E.; Wise, J.F.

    1984-08-01

    The focus of this paper, automating the power subsystems of satellites, represents one of the more complex and challenging tasks in achieving future autonomy goals. Recent studies have determined that our current satellites cannot survive for extended periods of time without the aid of ground support. Future survivable spacecraft will be required to perform their own support by utilizing a distributed processing architecture where smart subsystems interact with the centralized spacecraft computer.

  6. Iodine Satellite

    NASA Technical Reports Server (NTRS)

    Kamhawi, Hani; Dankanich, John; Martinez, Andres; Petro, Andrew

    2015-01-01

    The Iodine Satellite (iSat) spacecraft will be the first CubeSat to demonstrate high change in velocity from a primary propulsion system by using Hall thruster technology and iodine as a propellant. The mission will demonstrate CubeSat maneuverability, including plane change, altitude change and change in its closest approach to Earth to ensure atmospheric reentry in less than 90 days. The mission is planned for launch in fall 2017. Hall thruster technology is a type of electric propulsion. Electric propulsion uses electricity, typically from solar panels, to accelerate the propellant. Electric propulsion can accelerate propellant to 10 times higher velocities than traditional chemical propulsion systems, which significantly increases fuel efficiency. To enable the success of the propulsion subsystem, iSat will also demonstrate power management and thermal control capabilities well beyond the current state-of-the-art for spacecraft of its size. This technology is a viable primary propulsion system that can be used on small satellites ranging from about 22 pounds (10 kilograms) to more than 1,000 pounds (450 kilograms). iSat's fuel efficiency is ten times greater and its propulsion per volume is 100 times greater than current cold-gas systems and three times better than the same system operating on xenon. iSat's iodine propulsion system consists of a 200 watt (W) Hall thruster, a cathode, a tank to store solid iodine, a power processing unit (PPU) and the feed system to supply the iodine. This propulsion system is based on a 200 W Hall thruster developed by Busek Co. Inc., which was previously flown using xenon as the propellant. Several improvements have been made to the original system to include a compact PPU, targeting greater than 80 percent reduction in mass and volume of conventional PPU designs. The cathode technology is planned to enable heaterless cathode conditioning, significantly increasing total system efficiency. The feed system has been designed to

  7. Tethered Communication Satellites

    NASA Technical Reports Server (NTRS)

    Von Tiesenhausen, G.

    1986-01-01

    Report describes concept for placing several communication satellites in geostationary orbit without taking up more space than assigned to single satellite. Proposed scheme eases orbital crowding more economically than space platforms. Concept requires minimal redesign of existing satellites and accommodates many satellites in just one orbital slot. System much lighter in weight than geostationary platform and easier and more economical to transport.

  8. Advances in understanding begomovirus satellites.

    PubMed

    Zhou, Xueping

    2013-01-01

    Begomoviruses are numerous and geographically widespread viruses that cause devastating diseases in many crops. Monopartite begomoviruses are frequently associated with betasatellites or alphasatellites. Both betasatellite and alphasatellite DNA genomes are approximately half the size of begomovirus DNA genomes. Betasatellites are essential for induction of typical disease symptoms. The βC1 genes encoded by the betasatellites have important roles in symptom induction, in suppression of transcriptional and posttranscriptional gene silencing, and they can affect jasmonic acid responsive genes. Host plants of begomoviruses have evolved diverse innate defense mechanisms against the βC1 protein to counter these challenges. Alphasatellites have been identified mainly in monopartite begomoviruses that associate with betasatellites and have no known contributions to pathogenesis of begomovirus-betasatellite disease complexes. Applications of current molecular tools are facilitating viral diagnosis and the discovery of novel species of geminiviruses and satellite DNAs and are also advancing our understanding of the global diversity and evolution of satellite DNAs.

  9. Outer planet satellites

    SciTech Connect

    Schenk, P.M. )

    1991-01-01

    Recent findings on the outer-planet satellites are presented, with special consideration given to data on the rheologic properties of ice on icy satellites, the satellite surfaces and exogenic processes, cratering on dead cratered satellites, volcanism, and the interiors of outer-planet satellites. Particular attention is given to the state of Titan's surface and the properties of Triton, Pluto, and Charon. 210 refs.

  10. Exploring the Uranian satellites

    NASA Technical Reports Server (NTRS)

    Brown, Robert Hamilton

    1986-01-01

    Data on the Uranian satellites from the January 25, 1986 flyby of Voyager 2 are presented. Ten new satellites were discovered by Voyager 2; the features and orbits of these ten satellites are examined. The main geological characteristics for Oberon, Umbriel, Titania, Ariel, and Miranda discovered in the Voyager 2 images are described. Possible relationships between the Uranian satellites and Jovian and Saturnian satellites are being researched.

  11. Primary Care Practice Reengineering and Associations With Patient Portal Use, Service Utilization, and Disease Control Among Patients With Hypertension and/or Diabetes

    PubMed Central

    Price-Haywood, Eboni G.; Luo, Qingyang

    2017-01-01

    Background: We describe the role of primary care reengineering in the Ochsner Health System (OHS) patient portal implementation strategy and compare subsequent trends in service utilization and disease control among portal users vs nonusers within this context. Methods: This retrospective cohort study includes 101,019 patients with hypertension or diabetes who saw an OHS primary care provider (PCP) between 2012 and 2014. Inverse probability treatment weighting was used to reduce case-mix differences between study groups. We used generalized estimating equation modeling to compare changes in encounter rates (PCP, telephone, specialty services, emergency department [ED], inpatient hospitalization), blood pressure (BP), and hemoglobin A1c (HbA1c). Results: Age, sex, race, comorbidities, insurance, preindex utilization, and portal use were associated with changes in utilization, BP, and HbA1C; however, the strength and direction of these differences varied. An adjusted analysis comparing portal users to nonusers showed an increase in PCP (rate ratio per patient per year of 1.18, 95% confidence interval [CI] 1.14-1.22) and telephone encounter rates (1.15, 95% CI 1.08-1.22; both P<0.001) but no significant differences in specialty, ED, or inpatient hospitalization encounters. Among patients with preindex systolic BP ≥140 mmHg or diastolic BP ≥90 mmHg, portal users compared to nonusers had a greater decline in their BP, although the between-group difference was small (mmHg [SE], –1.1 [0.42] and –1.2 [0.34], respectively; both P<0.01). Portal users with diabetes compared to nonusers with diabetes also had greater decreases in HbA1c (all patients, % [SE], –0.13 [0.06]; patients with a preindex HbA1c ≥8, –0.43 [0.13], both P<0.05). Conclusion: Our findings may reflect patient factors and system-level portal implementation strategies that focused heavily on accessibility to care. PMID:28331456

  12. Clinical Utility of a Coronary Heart Disease Risk Prediction Gene Score in UK Healthy Middle Aged Men and in the Pakistani Population

    PubMed Central

    Beaney, Katherine E.; Cooper, Jackie A.; Ullah Shahid, Saleem; Ahmed, Waqas; Qamar, Raheel; Drenos, Fotios; Crockard, Martin A.; Humphries, Steve E.

    2015-01-01

    Background Numerous risk prediction algorithms based on conventional risk factors for Coronary Heart Disease (CHD) are available but provide only modest discrimination. The inclusion of genetic information may improve clinical utility. Methods We tested the use of two gene scores (GS) in the prospective second Northwick Park Heart Study (NPHSII) of 2775 healthy UK men (284 cases), and Pakistani case-control studies from Islamabad/Rawalpindi (321 cases/228 controls) and Lahore (414 cases/219 controls). The 19-SNP GS included SNPs in loci identified by GWAS and candidate gene studies, while the 13-SNP GS only included SNPs in loci identified by the CARDIoGRAMplusC4D consortium. Results In NPHSII, the mean of both gene scores was higher in those who went on to develop CHD over 13.5 years of follow-up (19-SNP p=0.01, 13-SNP p=7x10-3). In combination with the Framingham algorithm the GSs appeared to show improvement in discrimination (increase in area under the ROC curve, 19-SNP p=0.48, 13-SNP p=0.82) and risk classification (net reclassification improvement (NRI), 19-SNP p=0.28, 13-SNP p=0.42) compared to the Framingham algorithm alone, but these were not statistically significant. When considering only individuals who moved up a risk category with inclusion of the GS, the improvement in risk classification was statistically significant (19-SNP p=0.01, 13-SNP p=0.04). In the Pakistani samples, risk allele frequencies were significantly lower compared to NPHSII for 13/19 SNPs. In the Islamabad study, the mean gene score was higher in cases than controls only for the 13-SNP GS (2.24 v 2.34, p=0.04). There was no association with CHD and either score in the Lahore study. Conclusion The performance of both GSs showed potential clinical utility in European men but much less utility in subjects from Pakistan, suggesting that a different set of risk loci or SNPs may be required for risk prediction in the South Asian population. PMID:26133560

  13. Comparison of the Multiattribute Utility Instruments EQ-5D and SF-6D in a Europe-Wide Population-Based Cohort of Patients with Inflammatory Bowel Disease 10 Years after Diagnosis

    PubMed Central

    Aas, Eline; Odes, Selwyn; Småstuen, Milada; Stockbrugger, Reinhold; Hoff, Geir; Moum, Bjørn; Bernklev, Tomm

    2016-01-01

    Background. The treatment of chronic inflammatory bowel disease (IBD) is costly, and limited resources call for analyses of the cost effectiveness of therapeutic interventions. The present study evaluated the equivalency of the Short Form 6D (SF-6D) and the Euro QoL (EQ-5D), two preference-based HRQoL instruments that are broadly used in cost-effectiveness analyses, in an unselected IBD patient population. Methods. IBD patients from seven European countries were invited to a follow-up visit ten years after their initial diagnosis. Clinical and demographic data were assessed, and the Short Form 36 (SF-36) was employed. Utility scores were obtained by calculating the SF-6D index values from the SF-36 data for comparison with the scores obtained with the EQ-5D questionnaire. Results. The SF-6D and EQ-5D provided good sensitivities for detecting disease activity-dependent utility differences. However, the single-measure intraclass correlation coefficient was 0.58, and the Bland-Altman plot indicated numerous values beyond the limits of agreement. Conclusions. There was poor agreement between the measures retrieved from the EQ-5D and the SF-6D utility instruments. Although both instruments may provide good sensitivity for the detection of disease activity-dependent utility differences, the instruments cannot be used interchangeably. Cost-utility analyses performed with only one utility instrument must be interpreted with caution. PMID:27630711

  14. Clinical Utility of Fractional exhaled Nitric Oxide (FeNO) as a Biomarker to Predict Severity of Disease and Response to Inhaled Corticosteroid (ICS) in Asthma Patients

    PubMed Central

    Saka, Vinodkumar; Tamilarasu, Kadhiravan; Rajaram, Manju; Selvarajan, Sandhiya; Chandrasekaran, Adithan

    2016-01-01

    Introduction Bronchial asthma is a common chronic inflammatory airway disease diagnosed and is based on symptomatic history and Pulmonary Function Tests (PFT). Fractional exhaled Nitric Oxide (FeNO) is exclusively a non-invasive biomarker of on-going eosinophilic airway inflammation which remains unpredictable only with PFTs. FeNO measurement is recommended in predicting asthma severity and Inhaled Corticosteroid (ICS) response but further research is required to understand its clinical utility and agreement with current recommendations in a specific population. Aim To estimate FeNO levels in Tamilian patients with mild-to-moderate persistent asthma and to correlate with disease severity and ICS response. Materials and Methods The study was a prospective cohort with a single group of 102 persistent asthma patients under standard ICS regimen for 8 weeks (follow-up period). PFT and FeNO were measured using portable spirometry and chemiluminescence based exhaled breath analyser, at baseline and during follow-up visits. Based on PFT and FeNO parameters, the study population was sub-grouped with respect to asthma severity (as mild, moderate and moderately severe), FeNO cut-off (> or < 50ppb) and ICS response classification (good vs poor ICS responders). Results Significant decrease in mean FeNO levels were found in mild, moderate and moderately severe asthmatic groups following ICS treatment (90.15±27.36, 75.74±31.98 and 77.18±32.79 ppb) compared to similar baseline FeNO levels (103.03±34.08, 91.38±37.60 and 97.90±43.84 ppb) in all the above groups. Similarly, significant decrease in mean FeNO levels was found - FeNO>50ppb, good and poor ICS responders groups, in post- ICS treatment (89.63±24.04, 77.90±31.12 and 86.49±32.57 ppb) compared to baseline levels (110.183±1.23, 97.12±42.04 and 99.68±34.71 ppb). Conclusion The observed baseline FeNO values in all groups as stated above did not show significant difference to differentiate asthma severity or ICS

  15. Comparative study on health care utilization and hospital outcomes of severe acute exacerbation of chronic obstructive pulmonary disease managed by pulmonologists vs internists

    PubMed Central

    Pothirat, Chaicharn; Liwsrisakun, Chalerm; Bumroongkit, Chaiwat; Deesomchok, Athavudh; Theerakittikul, Theerakorn; Limsukon, Atikun

    2015-01-01

    Background Care for many chronic health conditions is delivered by both specialists and generalists. Differences in patients’ quality of care and management between generalists and specialists have been well documented for asthma, whereas a few studies for COPD reported no differences. Objective The objective of this study is to compare consistency with Global initiative for chronic Obstructive Lung Disease guidelines, as well as rate, health care utilization, and hospital outcomes of severe acute exacerbation (AE) of COPD patients managed by pulmonologists and internists. Materials and methods This is a 12-month prospective, comparative observational study among 208 COPD patients who were regularly managed by pulmonologists (Group A) and internists (Group B). Clinical data, health care utilization, and hospital outcomes of the two groups were statistically compared. Results Out of 208 enrolled patients, 137 (Group A) and 71 (Group B) were managed by pulmonologists and internists, respectively. Pharmacological treatment corresponding to disease severity stages between the two groups was not statistically different. Group A received care consistent with guidelines in terms of annual influenza vaccination (31.4% vs 9.9%, P<0.001) and pulmonary rehabilitation (24.1% vs 0%, P<0.001) greater than Group B. Group A had reduced rates (12.4% vs 23.9%, P=0.033) and numbers of severe AE (0.20±0.63 person-years vs 0.41±0.80 person-years, P=0.029). Among patients with severe AE requiring mechanical ventilation, Group A had reduced mechanical ventilator duration (1.5 [1–7] days vs 5 [3–29] days, P=0.005), hospital length of stay (3.5 [1–20] days vs 16 [6–29] days, P=0.012), and total hospital cost ($863 [247–2,496] vs $2,095 [763–6,792], P=0.049) as compared with Group B. Conclusion This study demonstrated that pulmonologists followed national COPD guidelines more closely than internists. The rates and frequencies of severe AE were significantly lower in patients

  16. 14.5-14.8 GHz frequency sharing by data relay satellite uplinks and broadcasting-satellite uplinks

    NASA Astrophysics Data System (ADS)

    Hines, O. T.

    1981-05-01

    An evaluation is conducted of the feasibility of band sharing between a typical data relay satellite (DRS) system and hypothetical broadcasting-satellite (BS) system feeder links in all three International Telecommunication Union (ITU) regions. In regions 1 and 3, the analysis makes use of the existing BS orbit-spectrum utilization plan. In region 2 the analysis is more general and establishes a method for determining DRS requirements for satisfactory shared band operation. Attention is given to a data relay satellite description, a broadcasting-satellite feeder link, interference criteria, interference path geometry, interference from DRS to BS, and interference from broadcasting-satellite service (BSS) to DRS.

  17. Satellite-Based Quantum Communications

    SciTech Connect

    Hughes, Richard J; Nordholt, Jane E; McCabe, Kevin P; Newell, Raymond T; Peterson, Charles G

    2010-09-20

    Single-photon quantum communications (QC) offers the attractive feature of 'future proof', forward security rooted in the laws of quantum physics. Ground based quantum key distribution (QKD) experiments in optical fiber have attained transmission ranges in excess of 200km, but for larger distances we proposed a methodology for satellite-based QC. Over the past decade we have devised solutions to the technical challenges to satellite-to-ground QC, and we now have a clear concept for how space-based QC could be performed and potentially utilized within a trusted QKD network architecture. Functioning as a trusted QKD node, a QC satellite ('QC-sat') could deliver secret keys to the key stores of ground-based trusted QKD network nodes, to each of which multiple users are connected by optical fiber or free-space QC. A QC-sat could thereby extend quantum-secured connectivity to geographically disjoint domains, separated by continental or inter-continental distances. In this paper we describe our system concept that makes QC feasible with low-earth orbit (LEO) QC-sats (200-km-2,000-km altitude orbits), and the results of link modeling of expected performance. Using the architecture that we have developed, LEO satellite-to-ground QKD will be feasible with secret bit yields of several hundred 256-bit AES keys per contact. With multiple ground sites separated by {approx} 100km, mitigation of cloudiness over any single ground site would be possible, potentially allowing multiple contact opportunities each day. The essential next step is an experimental QC-sat. A number of LEO-platforms would be suitable, ranging from a dedicated, three-axis stabilized small satellite, to a secondary experiment on an imaging satellite. to the ISS. With one or more QC-sats, low-latency quantum-secured communications could then be provided to ground-based users on a global scale. Air-to-ground QC would also be possible.

  18. Utility of point of care test devices for infectious disease testing of blood and oral fluid and application to rapid testing in the field

    NASA Astrophysics Data System (ADS)

    Lee, Stephen R.; Kardos, Keith W.; Yearwood, Graham D.; Guillon, Geraldine B.; Kurtz, Lisa A.; Mokkapati, Vijaya K.

    2008-04-01

    Rapid, point of care (POC) testing has been increasingly deployed as an aid in the diagnosis of infectious disease, due to its ability to deliver rapid, actionable results. In the case of HIV, a number of rapid test devices have been FDA approved and CLIA-waived in order to enable diagnosis of HIV infection outside of traditional laboratory settings. These settings include STD clinics, community outreach centers and mobile testing units, as well as identifying HIV infection among pregnant women and managing occupational exposure to infection. The OraQuick ® rapid test platform has been widely used to identify HIV in POC settings, due to its simplicity, ease of use and the ability to utilize oral fluid as an alternative specimen to blood. More recently, a rapid test for antibodies to hepatitis C virus (HCV) has been developed on the same test platform which uses serum, plasma, finger-stick blood, venous blood and oral fluid. Clinical testing using this POC test device has shown that performance is equivalent to state of the art, laboratory based tests. These devices may be suitable for rapid field testing of blood and other body fluids for the presence of infectious agents.

  19. The Utility of the Mini-Addenbrooke's Cognitive Examination as a Screen for Cognitive Impairment in Elderly Patients with Chronic Kidney Disease and Diabetes

    PubMed Central

    Hobson, Peter; Rohoma, Kamel H.; Wong, Stephen P.; Kumwenda, Mick J.

    2016-01-01

    Background/Aims We tested the utility of the Mini-Addenbrooke's Cognitive Examination (M-ACE) in a cohort of older adults with chronic kidney disease (CKD) and diabetes. Method The M-ACE was administered to 112 CKD and diabetes patients attending a nephrology clinic. Cognitive impairment was based upon patient, informant, and case review, neuropsychological assessment, and application of criteria for mild cognitive impairment (MCI) and the Diagnostic and Statistical Manual of Mental Disorders, fifth edition for dementia. The M-ACE was also compared to the Mini-Mental State Examination (MMSE). Results Upon assessment, 52 patients had normal cognitive function, 33 had MCI, and 27 had dementia. The area under the receiver operating curve for the M-ACE was 0.96 (95% CI 0.95–1.00). The sensitivity and specificity for a dementia diagnosis were 0.96 and 0.84 at the cut point <25 and 0.70 and 1.00 at the cut point <21. Mean M-ACE scores differed significantly between normal, demented, and MCI groups (p < 0.001), and compared to the MMSE, the M-ACE did not suffer from ceiling effects. Conclusion The M-ACE is an easily administered test with good sensitivity and specificity to capture and assist in the diagnosis of MCI or dementia in patients with CKD and diabetes. PMID:28101100

  20. Weather Prediction Improvement Using Advanced Satellite Technology

    NASA Technical Reports Server (NTRS)

    Einaudi, Franco; Uccellini, L.; Purdom, J.; Rogers, D.; Gelaro, R.; Dodge, J.; Atlas, R.; Lord, S.

    2001-01-01

    We discuss in this paper some of the problems that exist today in the fall utilization of satellite data to improve weather forecasts and we propose specific recommendations to solve them. This discussion can be viewed as an aspect of the general debate on how best to organize the transition from research to operational satellites and how to evaluate the impact of a research instrument on numerical weather predictions. A method for providing this transition is offered by the National Polar-Orbiting Operational Environmental Satellite System (NPOESS) Preparatory Project (NPP). This mission will bridge the time between the present NOAA and Department of Defense (DOD) polar orbiting missions and the initiation of the converged NPOESS series and will evaluate some of the Earth Observing System (EOS) instruments as appropriate for operational missions. Thus, this mission can be viewed as an effort to meet the operational requirements of NOAA and DOD and the research requirements of NASA. More generally, however, it can be said that the process of going from the conception of new, more advanced instruments to their operational implementation and full utilization by the weather forecast communities is not optimal. Instruments developed for research purposes may have insufficient funding to explore their potential operational capabilities. Furthermore, instrument development programs designed for operational satellites typically have insufficient funding for assimilation algorithms needed to transform the satellite observations into data that can be used by sophisticated global weather forecast models. As a result, years often go by before satellite data are efficiently used for operational forecasts. NASA and NOAA each have unique expertise in the design of satellite instruments, their use for basic and applied research and their utilization in weather and climate research. At a time of limited resources, the two agencies must combine their efforts to work toward common

  1. Satellites as Sentinels for Environment & Health

    NASA Technical Reports Server (NTRS)

    Maynard, Nancy G.

    2002-01-01

    Satellites as Sentinels for Environment & Health Remotely-sensed data and observations are providing powerful new tools for addressing human and ecosystem health by enabling improved understanding of the relationships and linkages between health-related environmental parameters and society as well as techniques for early warning of potential health problems. NASA Office of Earth Science Applications Program has established a new initiative to utilize its data, expertise, and observations of the Earth for public health applications. In this initiative, lead by Goddard Space Flight Center, remote sensing, geographic information systems, improved computational capabilities, and interdisciplinary research between the Earth and health science communities are being combined in rich collaborative efforts resulting in more rapid problem-solving, early warning, and prevention in global health issues. This presentation provides a number of recent examples of applications of advanced remote sensing and other technologies to health.and security issues related to the following: infectious and vector-borne diseases; urban, regional and global air pollution; African and Asian airborne dust; heat stress; UV radiation; water-borne disease; extreme weather; contaminant pathways (ocean, atmosphere, ice)

  2. Geostationary satellite log

    NASA Astrophysics Data System (ADS)

    Schmitt, C. H.

    The present listing of current and planned geostationary satellites for the Fixed Satellite Service, Maritime Mobile Satellite Service, Broadcasting Satellite Service, and Space Research Service, are ordered along increasing East longitude orbit position; they update previously published lists through December, 1985. Also given is a key to the frequency bands used by current and planned satellites and replacement satellites; subband locations are designated by an up/down-link frequency column. Service allocations and the applicable ITU region for bands not allocated worldwide are included.

  3. China's satellite communications discussed

    NASA Astrophysics Data System (ADS)

    Ruhou, Z.

    1986-04-01

    In 1972, China began to enter the age of satellite comunications, and it was realized that satellites could play a large role in television transmission in China. The experimental broadcasting of satellite television programs was begun in 1978, and satisfactory results were obtained. The success of the television transmission demonstration has led to important decisions regarding development of a domestic satellite communications system. Before specialized communications satellites are launched, the decision was made to lease an international communications satellite transmitter. The responsibility of the ground stations were discussed.

  4. Small satellite product assurance

    NASA Astrophysics Data System (ADS)

    Demontlivault, J.; Cadelec, Jacques

    1993-01-01

    In order to increase the interest in small satellites, their cost must be reduced; reducing product assurance costs induced by quality requirements is a major objective. For a logical approach, small satellites are classified in three main categories: satellites for experimental operations with a short lifetime, operational satellites manufactured in small mass with long lifetime requirements, operational satellites (long lifetime required), of which only a few models are produced. The various requirements as regards the product assurance are examined for each satellite category: general requirements for space approach, reliability, electronic components, materials and processes, quality assurance, documentation, tests, and management. Ideal product assurance system integrates quality teams and engineering teams.

  5. Satellite orbit predictor

    NASA Technical Reports Server (NTRS)

    Friedman, Morton l.; Garrett, James, Major

    An analog aid to determine satellite coverage of Emergency Locator Transmitters Emergency Position Indicating Radio Beacon (ELT/EPIRB) distress incidence is discussed. The satellite orbit predictor is a graphical aid for determining the relationship between the satellite orbit, antenna coverage of the spacecraft and coverage of the Local User Terminal. The predictor allows the user to quickly visualize if a selected position will probably be detected and is composed of a base map and a satellite track overlay for each satellite.A table of equator crossings for each satellite is included.

  6. Satellite Application for Disaster Management Information Systems

    NASA Astrophysics Data System (ADS)

    Okpanachi, George

    Abstract Satellites are becoming increasingly vital to modern day disaster management activities. Earth observation (EO) satellites provide images at various wavelengths that assist rapid-mapping in all phases of the disaster management cycle: mitigation of potential risks in a given area, preparedness for eventual disasters, immediate response to a disaster event, and the recovery/reconstruction efforts follo wing it. Global navigation satellite systems (GNSS) such as the Global Positioning System (GPS) assist all the phases by providing precise location and navigation data, helping manage land and infrastructures, and aiding rescue crews coordinate their search efforts. Effective disaster management is a complex problem, because it involves many parameters, which are usually not easy to measure and even identify: Analysis of current situation, planning, optimum resource management, coordination, controlling and monitoring current activities and making quick and correct decisions are only some of these parameters, whose complete list is very long. Disaster management information systems (DMIS) assist disaster management to analyse the situation better, make decisions and suggest further actions following the emergency plans. This requires not only fast and thorough processing and optimization abilities, but also real-time data provided to the DMIS. The need of DMIS for disaster’s real-time data can be satisfied by small satellites data utilization. Small satellites can provide up-to-data, plus a better media to transfer data. This paper suggests a rationale and a framework for utilization of small Satellite data by DMIS. DMIS should be used ‘’before’’, ‘’during’’ and ‘’after’’ the disasters. Data provided by the Small Satellites are almost crucial in any period of the disasters, because early warning can save lives, and satellite data may help to identify disasters before they occur. The paper also presents’ ‘when’’,

  7. Galileo satellite antenna modeling

    NASA Astrophysics Data System (ADS)

    Steigenberger, Peter; Dach, Rolf; Prange, Lars; Montenbruck, Oliver

    2015-04-01

    The space segment of the European satellite navigation system Galileo currently consists of six satellites. Four of them belong to the first generation of In-Orbit Validation (IOV) satellites whereas the other two are Full Operational Capability (FOC) satellites. High-precision geodetic applications require detailed knowledge about the actual phase center of the satellite and receiver antenna. The deviation of this actual phase center from a well-defined reference point is described by phase center offsets (PCOs) and phase center variations (PCVs). Unfortunately, no public information is available about the Galileo satellite antenna PCOs and PCVs, neither for the IOV, nor the FOC satellites. Therefore, conventional values for the IOV satellite antenna PCOs have been adopted for the Multi-GNSS experiment (MGEX) of the International GNSS Service (IGS). The effect of the PCVs is currently neglected and no PCOs for the FOC satellites are available yet. To overcome this deficiency in GNSS observation modeling, satellite antenna PCOs and PCVs are estimated for the Galileo IOV satellites based on global GNSS tracking data of the MGEX network and additional stations of the legacy IGS network. Two completely independent solutions are computed with the Bernese and Napeos software packages. The PCO and PCV values of the individual satellites are analyzed and the availability of two different solutions allows for an accuracy assessment. The FOC satellites are built by a different manufacturer and are also equipped with another type of antenna panel compared to the IOV satellites. Signal transmission of the first FOC satellite has started in December 2014 and activation of the second satellite is expected for early 2015. Based on the available observations PCO estimates and, optionally PCVs of the FOC satellites will be presented as well. Finally, the impact of the new antenna model on the precision and accuracy of the Galileo orbit determination is analyzed.

  8. Recent weather extremes and impact agricultural production and vector-borne disease patterns

    Technology Transfer Automated Retrieval System (TEKTRAN)

    We document significant worldwide weather anomalies that affected agriculture and vector-borne disease outbreaks during the 2010-2012 period. We utilized 2000-2012 vegetation index and land surface temperature data from NASA’s satellite-based Moderate Resolution Imaging Spectroradiometer (MODIS) to ...

  9. The use of satellites in non-goestationary orbits for unloading geostationary communication satellite traffic peaks. Volume 2: Technical report

    NASA Technical Reports Server (NTRS)

    Price, K.; Turner, A.; Nguyen, T.; Doong, W.; Weyandt, C.

    1987-01-01

    The part of the geostationary (GEO) orbital arc used for United States domestic fixed, communications service is rapidly becoming filled with satellites. One of the factors currently limiting its utilization is that communications satellites must be designed to have sufficient capacity to handle peak traffic leads, and thus are under utilized most of the time. A solution is to use satellites in suitable non-geostationary orbits to unload the traffic peaks. Three different designs for a non-geostationary orbit communications satellite system are presented for the 1995 time frame. The economic performance is analyzed and compared with geostationary satellites for two classes of service, trunking and customer premise service. The result is that the larger payload of the non-geostationary satellite offsets the burdens of increased complexity and worse radiation environment to give improved economic performance. Depending on ground terminal configuration, the improved economic performance of the space segment may be offset by increased ground terminal expenses.

  10. Satellite RNAs and Satellite Viruses of Plants

    PubMed Central

    Hu, Chung-Chi; Hsu, Yau-Heiu; Lin, Na-Sheng

    2009-01-01

    The view that satellite RNAs (satRNAs) and satellite viruses are purely molecular parasites of their cognate helper viruses has changed. The molecular mechanisms underlying the synergistic and/or antagonistic interactions among satRNAs/satellite viruses, helper viruses, and host plants are beginning to be comprehended. This review aims to summarize the recent achievements in basic and practical research, with special emphasis on the involvement of RNA silencing mechanisms in the pathogenicity, population dynamics, and, possibly, the origin(s) of these subviral agents. With further research following current trends, the comprehensive understanding of satRNAs and satellite viruses could lead to new insights into the trilateral interactions among host plants, viruses, and satellites. PMID:21994595

  11. Satellite RNAs and Satellite Viruses of Plants.

    PubMed

    Hu, Chung-Chi; Hsu, Yau-Heiu; Lin, Na-Sheng

    2009-12-01

    The view that satellite RNAs (satRNAs) and satellite viruses are purely molecular parasites of their cognate helper viruses has changed. The molecular mechanisms underlying the synergistic and/or antagonistic interactions among satRNAs/satellite viruses, helper viruses, and host plants are beginning to be comprehended. This review aims to summarize the recent achievements in basic and practical research, with special emphasis on the involvement of RNA silencing mechanisms in the pathogenicity, population dynamics, and, possibly, the origin(s) of these subviral agents. With further research following current trends, the comprehensive understanding of satRNAs and satellite viruses could lead to new insights into the trilateral interactions among host plants, viruses, and satellites.

  12. Stereo Measurements from Satellites

    NASA Technical Reports Server (NTRS)

    Adler, R.

    1982-01-01

    The papers in this presentation include: 1) 'Stereographic Observations from Geosynchronous Satellites: An Important New Tool for the Atmospheric Sciences'; 2) 'Thunderstorm Cloud Top Ascent Rates Determined from Stereoscopic Satellite Observations'; 3) 'Artificial Stereo Presentation of Meteorological Data Fields'.

  13. Utility of the wireless motility capsule and lactulose breath testing in the evaluation of patients with Parkinson's disease who present with functional gastrointestinal symptoms

    PubMed Central

    Su, Andrew; Gandhy, Rita; Barlow, Carrolee; Triadafilopoulos, George

    2017-01-01

    Background The aetiology and origin of gastrointestinal symptoms in Parkinson's disease (PD) remains poorly understood. Gastroparesis, small bowel transit delay and bacterial overgrowth may, individually or collectively, play a role. Aims In patients with PD and functional gastrointestinal symptoms, we aimed to determine the utility of the wireless motility capsule and lactulose breath tests in further defining their symptoms' aetiology. Methods In this retrospective cohort study, consecutive patients with PD and functional gastrointestinal symptoms underwent clinical assessment, as well as wireless motility capsule and lactulose breath testing using standard protocols. Results We studied 65 patients with PD and various gastrointestinal symptoms. 35% exhibited gastroparesis by the wireless motility capsule study, 20% small bowel transit delay, while 8% had combined transit abnormalities, suggestive of overlapping gastric and small bowel dysmotility. Small bowel bacterial overgrowth was seen in 34% of cases. Symptoms of abdominal pain, regurgitation, bloating, nausea, vomiting, belching and weight loss could not distinguish between patients with or without gastroparesis, although bloating was significantly more prominent (p<0.001) overall and specifically more so in patients with slow small bowel transit (p<0.01). There was no relationship between delayed small bowel transit time and bacterial overgrowth (p=0.5); PD scores and duration were not correlated with either the transit findings or small bowel bacterial overgrowth. Conclusions Functional gastrointestinal symptoms in patients with PD may reflect gastroparesis, small bowel transit delay or both, suggesting motor and/or autonomic dysfunction, and may be associated with small bowel bacterial overgrowth. The wireless motility capsule and lactulose breath testing are non-invasive and useful in the assessment of these patients. PMID:28321329

  14. The utility of a non-verbal prospective memory measure as a sensitive marker for early-stage Alzheimer's disease in Hong Kong.

    PubMed

    Tse, C S; Chang, J F; Fung, Ada W T; Lam, Linda C W; Hau, K T; Leung, Grace T Y; Balota, D A

    2014-09-23

    ABSTRACT Background: With the proportion of older adults in Hong Kong projected to double in size in the next 30 years, it is important to develop measures for detecting individuals in the earliest stage of Alzheimer's disease (AD, 0.5 in Clinical Dementia Rating, CDR). We tested the utility of a non-verbal prospective memory task (PM, ability to remember what one has to do when a specific event occurs in the future) as an early marker for AD in Hong Kong Chinese. Methods: A large community dwelling sample of older adults who are healthy controls (CDR 0, N = 125), in the earliest stage of AD (CDR 0.5, N = 125), or with mild AD (CDR 1, N = 30) participated in this study. Their reaction time/accuracy data were analyzed by mixed-factor analyses of variance to compare the performance of the three CDR groups. Logistic regression analyses were performed to test the discriminative power of these measures for CDR 0 versus 0.5 participants. Results: Prospective memory performance declined as a function of AD severity: CDR 0 > CDR 0.5 > CDR 1, suggesting the effects of early-stage AD and AD progression on PM. After partialling out the variance explained by psychometric measures (e.g., ADAS-Cog), reaction time/accuracy measures that reflected the PM still significantly discriminated between CDR 0 versus 0.5 participants in most of the cases. Conclusion: The effectiveness of PM measures in discriminating individuals in the earliest stage of AD from healthy older adults suggests that these measures should be further developed as tools for early-stage AD discrimination.

  15. 48 CFR 252.225-7049 - Prohibition on Acquisition of Commercial Satellite Services From Certain Foreign Entities...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... instrumentality thereof. Satellite services means communications capabilities that utilize an on-orbit satellite... of Commercial Satellite Services From Certain Foreign Entities-Representations. 252.225-7049 Section... Clauses 252.225-7049 Prohibition on Acquisition of Commercial Satellite Services From Certain...

  16. Evolution of geminiviruses and their satellites.

    PubMed

    Nawaz-ul-Rehman, Muhammad Shah; Fauquet, Claude M

    2009-06-18

    Geminiviruses and their satellites have circular single stranded DNA genomes, infecting many crops and weeds across the globe. To successfully invade new hosts, break host resistance, move virus particles within and between plants, geminiviruses and their satellites have evolved a coordinated network of protein interactions, showing a possible evolutionary path. Humans have played an important role in the last century to promote the emergence of many geminivirus diseases, thereby impacting their evolution. The greatest molecular diversity of geminiviruses and their satellites resides in Southeast Asia revealing a possible center of origin. This minireview leads us to a possible general grand scheme of their evolution.

  17. Tracking Weather Satellites.

    ERIC Educational Resources Information Center

    Martin, Helen E.

    1996-01-01

    Describes the use of weather satellites in providing an exciting, cohesive framework for students learning Earth and space science and in providing a hands-on approach to technology in the classroom. Discusses the history of weather satellites and classroom satellite tracking. (JRH)

  18. Which satellites were used?

    Atmospheric Science Data Center

    2014-12-08

    The three satellites ERBS, NOAA-9, NOAA-10 carrying two ERBE instrument packages (Scanner and NonScanner) were used. The NASA Goddard Space Flight Center built the Earth Radiation Budget Satellite (ERBS) on which ... and Atmospheric Administration (NOAA) weather monitoring satellites, NOAA-9 and NOAA-10 in 1984 and 1986, respectively. ...

  19. Geodetic Secor Satellite

    DTIC Science & Technology

    1974-06-01

    simple, and had low-power lem. 17 14. Satellite Orientation . The satellite was designed to maintain a constant relationship between the antenna...the same satellite orientation . Further considerations were Th oscillations, however, when higher orbital ranges (500-2500 nautical miles) -, 3 a

  20. Technology Development on ISS for Satellite Servicing and Exploration

    NASA Technical Reports Server (NTRS)

    Reed, Benjamin B.

    2015-01-01

    NASA's Satellite Servicing Capabilities Office is utilizing the International Space Station to demonstrate technologies essential to satellite servicing endeavors in support of human exploration and science. Within this presentation, we will discuss the status and implications of three of these technology payloads: Restore-L, Asteroid Redirect Robotic Mission (ARRM), Raven, Robotic Refueling Mission (RRM) Phase 2, and RRM Phase 3.

  1. Application of satellite data to tropic/subtropic moisture coupling

    NASA Technical Reports Server (NTRS)

    Thompson, A. H.; Mcguirk, J. P.

    1984-01-01

    The objective is to utilize various satellite products from a number of satellites together with data observed from platforms available during the FGGE Special Observing Periods to diagnose synoptic scale events in date void regions. The focus is on episodes of northeastward traveling cloud bands which move out of the ITCZ over the eastern North Pacific Ocean. These events are called moisture bursts.

  2. The PVUSA-Hawaii Satellite Project

    SciTech Connect

    Rezachek, D.A.; Seki, A.; Sakai, K.

    1995-11-01

    The Photovoltaics for Utility Scale Applications (PVUSA) Project is a national, cooperative research, development and demonstration program designed to promote utility-scale use of photovoltaics. Five 20-kilowatt-peak (nominal) emerging technologies, as well as several other photovoltaic systems, are being demonstrated at a site near Davis, California and one emerging technology system is being demonstrated at Kihei, Maui, Hawaii. The PVUSA-Hawaii Satellite Project was the first satellite system in the US. This paper describes the design, installation, operation and testing, maintenance, performance, and costs of the PVUSA-Hawaii Satellite Project. This system is compared to a similar system in Davis, and conclusions and recommendations based on more than five years of operation are presented.

  3. Survey: National Environmental Satellite Service

    NASA Technical Reports Server (NTRS)

    1977-01-01

    The national Environmental Satellite Service (NESS) receives data at periodic intervals from satellites of the Synchronous Meteorological Satellite/Geostationary Operational Environmental Satellite series and from the Improved TIROS (Television Infrared Observational Satellite) Operational Satellite. Within the conterminous United States, direct readout and processed products are distributed to users over facsimile networks from a central processing and data distribution facility. In addition, the NESS Satellite Field Stations analyze, interpret, and distribute processed geostationary satellite products to regional weather service activities.

  4. Space satellite to aid arctic oil development

    NASA Technical Reports Server (NTRS)

    1975-01-01

    A project which utilizes the Nimbus-6 weather satellite and air-dropable data collection platforms for observation of Arctic ice movement is described. The information gained from the project could be valuable for planning oil recovery operations in the area.

  5. Fundamentals of satellite navigation

    NASA Astrophysics Data System (ADS)

    Stiller, A. H.

    The basic operating principles and capabilities of conventional and satellite-based navigation systems for air, sea, and land vehicles are reviewed and illustrated with diagrams. Consideration is given to autonomous onboard systems; systems based on visible or radio beacons; the Transit, Cicada, Navstar-GPS, and Glonass satellite systems; the physical laws and parameters of satellite motion; the definition of time in satellite systems; and the content of the demodulated GPS data signal. The GPS and Glonass data format frames are presented graphically, and tables listing the GPS and Glonass satellites, their technical characteristics, and the (past or scheduled) launch dates are provided.

  6. Public service satellites

    NASA Technical Reports Server (NTRS)

    Fletcher, J. C.

    1977-01-01

    The development of the communications satellite system is discussed, taking into account a suggestion by Clarke in 1945 concerning the significance of geosynchronous satellites, the establishment of Intelsat, reductions in the cost of transatlantic telephone calls as a result of satellite communications service, questions of satellite cost, and the need for larger satellites. It is pointed out that the use of the Space Shuttle will reduce the cost of placing a satellite in orbit from more than half to less than a quarter of the total cost of design, construction, and launch. Attention is given to studies of a personal communications system which involves direct broadcast from a 'wrist watch radio' to a high-capacity, multibeam satellite for retransmission to ground communications centrals.

  7. A systematic review of the application and utility of geographical information systems for exploring disease-disease relationships in paediatric global health research: the case of anaemia and malaria

    PubMed Central

    2013-01-01

    Malaria and anaemia are important health problems among children globally. Iron deficiency anaemia may offer protection against malaria infection and iron supplementation may increase the risk of malaria-related hospitalization and mortality. The nature and mechanism of these relationships, however, remain largely unresolved, resulting in concern and uncertainty around policies for non-selective iron supplementation in malaria endemic areas. Use of geographical information systems (GIS) to investigate this disease-disease interaction could contribute important new information for developing safe and effective anaemia and malaria interventions. To assess the current state of knowledge we conducted a systematic review of peer-reviewed and grey literature. Our primary objective was to qualitatively assess the application and utility of geographical concepts or spatial analyses in paediatric global health research. The secondary objective was to identify geographical factors that may be associated with anaemia and malaria prevalence or incidence among children 0–5 years of age living in low- and middle-income countries. Evaluation tools for assessing the quality of geographical data could not be found in the peer-reviewed or grey literature, and thus adapted versions of the STROBE (Strengthening The Reporting of Observational Studies in Epidemiology) and GRADE (Grades of Recommendation, Assessment, Development and Evaluation) methods were used to create reporting, and overall evidence quality scoring systems. Among the 20 included studies, we found that both malaria and anaemia were more prevalent in rural communities compared to urban areas. Geographical factors associated with malaria prevalence included regional transmission stability, and proximity to a mosquito breeding area. The prevalence of anaemia tended to vary inversely with greater or poorer access to community services such as piped water. Techniques for investigating geographic relationships ranged from

  8. A systematic review of the application and utility of geographical information systems for exploring disease-disease relationships in paediatric global health research: the case of anaemia and malaria.

    PubMed

    Aimone, Ashley Mariko; Perumal, Nandita; Cole, Donald C

    2013-01-10

    Malaria and anaemia are important health problems among children globally. Iron deficiency anaemia may offer protection against malaria infection and iron supplementation may increase the risk of malaria-related hospitalization and mortality. The nature and mechanism of these relationships, however, remain largely unresolved, resulting in concern and uncertainty around policies for non-selective iron supplementation in malaria endemic areas. Use of geographical information systems (GIS) to investigate this disease-disease interaction could contribute important new information for developing safe and effective anaemia and malaria interventions. To assess the current state of knowledge we conducted a systematic review of peer-reviewed and grey literature. Our primary objective was to qualitatively assess the application and utility of geographical concepts or spatial analyses in paediatric global health research. The secondary objective was to identify geographical factors that may be associated with anaemia and malaria prevalence or incidence among children 0-5 years of age living in low- and middle-income countries. Evaluation tools for assessing the quality of geographical data could not be found in the peer-reviewed or grey literature, and thus adapted versions of the STROBE (Strengthening The Reporting of Observational Studies in Epidemiology) and GRADE (Grades of Recommendation, Assessment, Development and Evaluation) methods were used to create reporting, and overall evidence quality scoring systems. Among the 20 included studies, we found that both malaria and anaemia were more prevalent in rural communities compared to urban areas. Geographical factors associated with malaria prevalence included regional transmission stability, and proximity to a mosquito breeding area. The prevalence of anaemia tended to vary inversely with greater or poorer access to community services such as piped water. Techniques for investigating geographic relationships ranged from

  9. The utility of age-specific cut-offs for visual rating of medial temporal atrophy in classifying Alzheimer's disease, MCI and cognitively normal elderly subjects

    PubMed Central

    Duara, Ranjan; Loewenstein, David A.; Shen, Qian; Barker, Warren; Varon, Daniel; Greig, Maria T.; Curiel, Rosie; Agron, Joscelyn; Santos, Isael; Potter, Huntington

    2013-01-01

    Background: New research criteria for diagnosing Alzheimer's disease (AD) in the mild cognitive impairment stage (MCI-AD) incorporate biomarkers to assign a level of certainty to the diagnosis. Structural MRI is widely available but greatly under-utilized for assessing atrophy of structures affected in early AD, such as the hippocampus (HP), because the quantification of HP volumes (HP-v) requires special expertise, and normative values have not been established. Methods: Elderly subjects (n =273) from the Florida ADRC were classified as having no cognitive impairment (cognitively normal, CN), amnestic mild cognitive impairment (aMCI) or AD. Volumes for the hippocampus (HP-v) were measured on structural MRI scans. A validated visual rating system for measuring medial temporal atrophy (VRS-MTA), including hippocampal, entorhinal cortex and perirhinal cortex atrophy was employed. The participants were subdivided into younger (less than or equal to 75 years of age) and older (greater than 75 years of age) subgroups. Results: Volumetric and VRS-MTA measures were equivalent in predicting classification of CN vs. aMCI for older (area under the receiver operator curves [aROC]: 0.652 vs. 0.723) and younger subjects (aROC: 0.764 vs. 0.736). However, for younger AD subjects, aROC values were significantly higher for VRS-MTA measures (0.920) than for volumetric measures (0.847). Relative to HP-v, VRS-MTA score was significantly more correlated to impairment on a range of memory tests and was more associated with progression of aMCI to AD than HP-v. Conclusion: Structural MRI with VRS-MTA assessment can serve as a biomarker for supporting the diagnosis of MCI-AD. Age-adjusted VRS-MTA scores are at least as effective as HP-v for distinguishing aMCI and AD from CN and for predicting progression from aMCI to AD. VRS-MTA is convenient for use in the clinic as well as for clinical trials and can readily be incorporated into a standardized radiological report. PMID:24065917

  10. Wide swath and high resolution optical imaging satellite of Japan

    NASA Astrophysics Data System (ADS)

    Katayama, Haruyoshi; Kato, Eri; Imai, Hiroko; Sagisaka, Masakazu

    2016-05-01

    The "Advanced optical satellite" (tentative name) is a follow-on mission from ALOS. Mission objectives of the advanced optical satellite is to build upon the existing advanced techniques for global land observation using optical sensors, as well as to promote data utilization for social needs. Wide swath and high resolution optical imager onboard the advanced optical satellite will extend the capabilities of earlier ALOS missions. The optical imager will be able to collect high-resolution (< 1 m) and wide-swath (70 km) images with high geo-location accuracy. This paper introduces a conceptual design of the advanced optical satellite.

  11. Recent developments with the Soviet Union's VHF satellite navigation system

    NASA Astrophysics Data System (ADS)

    Daly, P.; Perry, G. E.

    1986-03-01

    A description of the Soviet Union's VHF satellite navigation system is presented. The system utilizes constellations of satellites and position-fixing is achieved by low-orbiting satellites in near-polar orbit. The military satellites have orbital spacing intervals of 3 deg with satellite identification numbers 1-9 and civilian satellites have a 45 deg with identification numbers from 11-14. The satellite position data transmitted by the navigation system are examined. Each satellite transmits two coherent frequencies of 150 and 400 MHz and three tone modulations (3, 5, and 7 kHz). The data consist of time indications and orbital information encoded in final 32 bits in each second; a single frame of data lasts 1 min and two sets of four blocks of seven words provide satellite alerts. The launch schedule for the navigation system and the use of identification numbers are discussed. On-board problems with the Cosmos 1333 are analyzed. The COSPAS/SARSAT system is employed to locate ships and aircraft in distress. The code words utilized in the navigation system are studied.

  12. Satellite sound broadcast propagation studies and measurements

    NASA Technical Reports Server (NTRS)

    Vogel, Wolfhard J.; Torrence, Geoffrey W.

    1990-01-01

    Satellite Sound Broadcasting is an attractive satellite application. Before regulatory decisions can be made in 1992, the propagation effects encountered have to be characterized. The Electrical Engineering Research Laboratory has nearly completed a system which will allow amplitude measurements to be made over 10 MHz bandwidths in the 800 to 1800 MHz frequency range. The system uses transmission from a transportable tower, and reception inside buildings or in the shadow of trees or utility poles. The goal is to derive propagation models for use by systems engineers who are about to design satellite broadcast systems. The advance of fiber-optics technology has helped to focus future development of satellite services into areas where satellites are uniquely competitive. One of these preferred satellite applications is the broadcasting of high-quality sound for stationary or mobile reception by listeners using low-cost, consumer-grade receivers. Before such services can be provided, however, the political hurdles of spectrum allocation have to be surmounted and the technical questions of standardization for world-wide compatibility have to be resolved. In order to arrive at an optimal system design, efficient in the use of our scarce spectral resources, affordable both to the broadcaster and the listener, and providing predictable performance, the propagation effects to which the service is subjected have to be characterized. Consequently, the objective of the research project is to make basic propagation measurements for direct Satellite Sound Broadcasting Service (SSBS). The data obtained should allow the development of propagation models to be used by communications engineers designing the operational systems. Such models shall describe the effects of shadowing and multipath propagation on SSBS receivers operating in a specified environment, such as inside commercial or residential buildings of various construction and also in the shadow of trees or utility poles

  13. A home away from home: challenges and opportunities in engineering in vitro muscle satellite cell niches

    PubMed Central

    Cosgrove, Benjamin D.; Sacco, Alessandra; Gilbert, Penney M.; Blau, Helen M.

    2009-01-01

    Satellite cells are skeletal muscle stem cells with a principal role in postnatal skeletal muscle regeneration. Satellite cells, like many tissue-specific adult stem cells, reside in a quiescent state in an instructive, anatomically defined niche. The satellite cell niche constitutes a distinct membrane-enclosed compartment within the muscle fiber, containing a diversity of biochemical and biophysical signals that influence satellite cell function. A major limitation to the study and clinical utility of satellite cells is that upon removal from the muscle fiber and plating in traditional plastic tissue culture platforms, their muscle stem cell properties are rapidly lost. Clearly, the maintenance of stem cell function is critically dependent on in vivo niche signals, highlighting the need to create novel in vitro microenvironments that allow for the maintenance and propagation of satellite cells while retaining their potential to function as muscle stem cells. Here, we discuss how emerging biomaterials technologies offer great promise for engineering in vitro microenvironments to meet these challenges. In engineered biomaterials, signaling molecules can be presented in a manner that more closely mimics cell-cell and cell-matrix interactions and matrices can be fabricated with diverse rigidities that approximate in vivo tissues. The development of in vitro microenvironments in which niche features can be systematically modulated will be instrumental not only to future insights into muscle stem cell biology and therapeutic approaches to muscle diseases and muscle wasting with aging, but also will provide a paradigm for the analysis of numerous adult tissue-specific stem cells. PMID:19751902

  14. Satellite Data Communications

    DTIC Science & Technology

    1975-04-01

    emphasized. After a discussion of existing standard tariffed satellite data services and special tariffed data services we list some possible future data...international maritime cammunica- tions satellite (MARISAT) is scheduled for launch early in 1975, and an inter- national aeronautical satellite (AEROSAT...circuit may achieve a data rate of 9600 bits per second under carefully controlled conditions [8]. A 50,000 bits per second data circuit, tariffed

  15. Broadband Satellite Technologies and Markets Assessed

    NASA Technical Reports Server (NTRS)

    Wallett, Thomas M.

    1999-01-01

    The current usage of broadband (data rate greater than 64 kilobits per second (kbs)) for multimedia network computer applications is increasing, and the need for network communications technologies and systems to support this use is also growing. Satellite technology will likely be an important part of the National Information Infrastructure (NII) and the Global Information Infrastructure (GII) in the next decade. Several candidate communications technologies that may be used to carry a portion of the increased data traffic have been reviewed, and estimates of the future demand for satellite capacity have been made. A study was conducted by the NASA Lewis Research Center to assess the satellite addressable markets for broadband applications. This study effort included four specific milestones: (1) assess the changing nature of broadband applications and their usage, (2) assess broadband satellite and terrestrial technologies, (3) estimate the size of the global satellite addressable market from 2000 to 2010, and (4) identify how the impact of future technology developments could increase the utility of satellite-based transport to serve this market.

  16. Satellite communication antenna technology

    NASA Technical Reports Server (NTRS)

    Mittra, R. (Editor); Imbriale, W. A. (Editor); Maanders, E. J. (Editor)

    1983-01-01

    A general overview of current technology in the field of communication satellite antennas is presented. Among the topics discussed are: the design of multiple beam systems; frequency reuse; and polarization control of antenna measurements. Consideration is also given to: contour beam synthesis; dual shaped reflector synthesis; beam shaping; and offset reflector design. The applications of the above technologies to present and future generations of communications satellites is considered, with emphasis given to such systems as: the Intelsats; the Defense Satellite Communications System, (DSCS-III); Satellite Business System (SBS), and Comstar.

  17. Satellite networks for education

    NASA Technical Reports Server (NTRS)

    Singh, J. P.; Morgan, R. P.; Rosenbaum, F. J.

    1972-01-01

    Satellite based educational networking is discussed with particular attention given to the potential uses of communications satellites to help meet educational needs in the United states. Four major subject areas were covered; (1) characteristics and structure of networks, (2) definition of pressures within educational establishment that provide motivation for various types of networks, (3) examination of current educational networking status for educational radio and television, instructional television fixed services, inter- and intra-state educational communication networks, computer networks, and cable television for education, and (4) identification of possible satellite based educational telecommunication services and three alternatives for implementing educational satellite systems.

  18. Satellite Antenna Systems

    NASA Technical Reports Server (NTRS)

    1997-01-01

    Through the Technology Affiliates Program at the Jet Propulsion Laboratory, the ACTS antenna system was transferred from experimental testing status to commercial development with KVH Industries, Inc. The ACTS design enables mobile satellite antennas to remain pointed at the satellite, regardless of the motion or vibration on which it is mounted. KVH's first product based on the ACTS design is a land-mobile satellite antenna system that will enable direct broadcast satellite television aboard moving trucks, recreational vehicles, trains, and buses. Future products could include use in broadcasting, emergency medical and military vehicles.

  19. Engineering calculations for communications satellite systems planning

    NASA Technical Reports Server (NTRS)

    Martin, C. H.; Gonsalvez, D. J.; Levis, C. A.; Wang, C. W.

    1983-01-01

    Progress is reported on a computer code to improve the efficiency of spectrum and orbit utilization for the Broadcasting Satellite Service in the 12 GHz band for Region 2. It implements a constrained gradient search procedure using an exponential objective function based on aggregate signal to noise ratio and an extended line search in the gradient direction. The procedure is tested against a manually generated initial scenario and appears to work satisfactorily. In this test it was assumed that alternate channels use orthogonal polarizations at any one satellite location.

  20. NASA's Advanced Communications Technology Satellite (ACTS)

    NASA Technical Reports Server (NTRS)

    Gedney, R. T.

    1983-01-01

    NASA recently restructured its Space Communications Program to emphasize the development of high risk communication technology useable in multiple frequency bands and to support a wide range of future communication needs. As part of this restructuring, the Advanced Communications Technology Satellite (ACTS) Project will develop and experimentally verify the technology associated with multiple fixed and scanning beam systems which will enable growth in communication satellite capacities and more effective utilization of the radio frequency spectrum. The ACTS requirements and operations as well as the technology significance for future systems are described.

  1. DS-CDMA satellite diversity reception for personal satellite communication: Downlink performance analysis

    NASA Technical Reports Server (NTRS)

    DeGaudenzi, Riccardo; Giannetti, Filippo

    1995-01-01

    The downlink of a satellite-mobile personal communication system employing power-controlled Direct Sequence Code Division Multiple Access (DS-CDMA) and exploiting satellite-diversity is analyzed and its performance compared with a more traditional communication system utilizing single satellite reception. The analytical model developed has been thoroughly validated by means of extensive Monte Carlo computer simulations. It is shown how the capacity gain provided by diversity reception shrinks considerably in the presence of increasing traffic or in the case of light shadowing conditions. Moreover, the quantitative results tend to indicate that to combat system capacity reduction due to intra-system interference, no more than two satellites shall be active over the same region. To achieve higher system capacity, differently from terrestrial cellular systems, Multi-User Detection (MUD) techniques are likely to be required in the mobile user terminal, thus considerably increasing its complexity.

  2. Processing of satellite imagery at the National Environmental Satellite Service

    NASA Technical Reports Server (NTRS)

    Crowe, M.

    1977-01-01

    The National Environmental Satellite Service (NESS) image product processing system is described. Other topics discussed include: (1) image processing of polar-orbiter satellite data; (2) image processing of geostationary satellite data; and (3) quality assurance and product monitoring.

  3. Laser Guidestar Satellite for Ground-based Adaptive Optics Imaging of Geosynchronous Satellites

    NASA Astrophysics Data System (ADS)

    Marlow, W.; Carlton, A.; Yoon, H.; Clark, J.; Haughwout, C.; Cahoy, K.; Males, J.; Close, L.; Morzinski, K.

    2016-09-01

    In this study, we assess the utility of using a maneuverable nanosatellite laser guidestar from a geostationary equatorial orbit to enable ground-based, adaptive optics imaging of geosynchronous satellites with next-generation extremely large telescopes. The concept for a satellite guide star was rst discussed in the literature by Greenaway in the early 1990s, and expanded upon by Albert in 2012. With a satellite-based laser as an adaptive optics guidestar, the source laser does not need to scatter, and is well above atmospheric turbulence. When viewed from the ground through a turbulent atmosphere, the angular size of the satellite guidestar is much smaller than a back-scattered source. Advances in small satellite technology and capability allow us to revisit the concept on a 6U CubeSat, measuring 10 cm by 20 cm by 30 cm. We show that a system that uses a satellite-based laser transmitter can be relatively low power (1 W transmit power), operated intermittently, and requires little propellant to relocate within the geosynchronous belt. We present results of a design study on the feasibility of a small satellite guidestar and highlight the potential benets to the space situational awareness community.

  4. Signals from Communications Satellites.

    ERIC Educational Resources Information Center

    Thomsen, Volker

    1996-01-01

    Discusses the Doppler effect for relative motion between a source of waves and an observer and the orbital dynamics of communications satellites. Presents preliminary calculations of the satellite's altitude and linear velocity using only the concepts of the Doppler shift and the mechanics of motion in a circular path. (JRH)

  5. Amateur Radio Satellite Communications.

    ERIC Educational Resources Information Center

    Koch, David P.

    The Amateur Radio Satellite Communications project had, as its goal, the assembly of an amateur radio satellite station in a high school physics classroom. Specific objectives were to provide: (1) a special source of interest as a motivator for attracting students and building public relations; (2) a center of interest as a motivator for the study…

  6. Jovian satellite nomenclature

    NASA Technical Reports Server (NTRS)

    Owen, T.

    1976-01-01

    A brief review of the history of Jovian satellite nomenclature is given to indicate the background for the names proposed for the numbered satellites. The new names are consistent with established tradition and should cause minimal confusion with other named objects in the solar system.

  7. Communications technology satellite

    NASA Technical Reports Server (NTRS)

    1976-01-01

    A description of the Communications Technology Satellite (CTS), its planned orbit, its experiments, and associated ground facilities was given. The communication experiments, to be carried out by a variety of groups in both the United States and Canada, include tele-education, tele-medicine, community interaction, data communications and broadcasting. A historical summary of communications satellite development was also included.

  8. Communication satellite technology trends

    NASA Technical Reports Server (NTRS)

    Cuccia, Louis

    1986-01-01

    A chronology of space-Earth interconnectivity is presented. The Advanced Communications Technology Satellite (ACTS) system, Land Mobile Satellite, space-Earth antennas, impact of antenna size on coverage, intersatellite links are outlined. This presentation is represented by graphs and charts only.

  9. Tethered satellite control mechanism

    NASA Technical Reports Server (NTRS)

    Kyrias, G. M.

    1983-01-01

    The tethered satellite control mechanisms consist of four major subsystems. The reel drive mechanism stores the tether. It is motor driven and includes a level wind to uniformly feed the tether to the reel. The lower boom mechanism serves two primary functions: (1) it measures tether length and velocity as the tether runs through the mechanism, and (2) it reads the tether tension at the reel. It also provides change the direction for the tether from the reel to the upper boom mechanism. The deployment boom positions the upper boom mechanism with satellite out of the cargo bay. The deployment function places the 500-kg satellite 20 m away from the Space Shuttle (producing a small natural gravity gradient force), impacts an initial velocity to the satellite for deployment, and allows for satellite docking at a safe distance from the body of the Space Shuttle. The upper boom mechanism (UBM) services three functions: (1) it provides tether control to the satellite as the satellite swings in and out of plane; (2) it reads tether tension in the low range during the early deployment and final retrieval parts of the mission; and (3) it produces additional tether tension at the reel when tether tension to the satellite is in the low range.

  10. Satellite networks for education.

    NASA Technical Reports Server (NTRS)

    Singh, J. P.; Morgan, R. P.; Rosenbaum, F. J.

    1972-01-01

    Consideration of satellite-based educational networking. The characteristics and structure of networks are reviewed, and pressures within the educational establishment that are providing motivation for various types of networks are discussed. A number of studies are cited in which networking needs for educational sectors and services are defined. The current status of educational networking for educational radio and television, instructional television fixed services, inter- and intrastate educational communication networks, computer networks, cable television for education, and continuing and proposed educational experiments using NASA's Applications Technology Satellites is reviewed. Possible satellite-based educational telecommunication services and three alternatives for implementing educational satellite systems are described. Some remarks are made concerning public policy aspects of future educational satellite system development.

  11. Communications satellite needs examined

    NASA Astrophysics Data System (ADS)

    Supharat

    1985-02-01

    Thailand can use a communications satellite to provide various forms of international and domestic telecommunications services such as telephone, teleprinter, telephotograph, television and radio service. This can be done in a manner that is just as efficient as using a microwave radio and underwater and optical fiber cable system. A communications satellite is also superior in terms of flexibility and speed in putting it into operation with no restrictions on distance, routes or geographical characteristics. A ground radio transmitter-receiver station can be built anywhere radio waves from the satellite can be picked up. Costs of launching a satellite into orbit and procedures involved from a regulatory point of view are examined. Initiatives taken to provide Thailand with its own satellites are highlighted.

  12. Bistatic synthetic aperture radar using two satellites

    NASA Technical Reports Server (NTRS)

    Tomiyasu, K.

    1978-01-01

    The paper demonstrates the feasibility of a bistatic synthetic aperture radar (BISAR) utilizing two satellites. The proposed BISAR assumes that the direction of the two narrow antenna beams are programmed to coincide over the desired area to be imaged. Functionally, the transmitter and receiver portions can be interchanged between the two satellites. The two satellites may be in one orbit plane or two different orbits such as geosynchronous and low-earth orbits. The pulse repetition frequency and imaging geometry are constrained by contours of isodops and isodels. With two images of the same area viewed from different angles, it is possible in principle to derive three-dimensional stereo images. Applications of BISAR include topography, water resource management, and soil moisture determination.. Advantages of BISAR over a monostatic SAR are mentioned, including lower transmitter power and greater ranges in incidence angle and coverage.

  13. Use of satellite data in volcano monitoring

    NASA Technical Reports Server (NTRS)

    Mcclelland, Lindsay

    1987-01-01

    It is argued that Total Ozone Mapping Spectrometer (TOMS) data, especially data on sulfur dioxide detection in volcanic clouds, and weather satellite data complement each other. TOMS data is most useful for discovering previously unknown eruptions and indicating a minimum volume of SO sub 2 produced by a given eruption. Once an eruption has been reported, weather satellite data can be used to accurately monitor its progress. To be used effectively, these data need to be analyzed jointly and in real time. Toward this end, it is hoped that full and timely utilization can be made of existing TOMS data, a polar orbiting TOMS can be launched in the near future, and that TOMS type instruments can be included on future geostationary satellites.

  14. The Near Earth Object Surveillance Satellite (NEOSSat)

    NASA Astrophysics Data System (ADS)

    Wallace, Brad; Pinkney, Frank L.; Scott, Robert; Bedard, Donald; Rody, Jim; Levesque, Martin P.; Buteau, Sylvie; Racey, Tom; Burrell, Doug; Spaans, Aaron; Hildebrand, Alan

    2004-10-01

    Defence Research and Development Canada (DRDC) and the Canadian Space Agency (CSA) are collaborating to place a microsatellite in low earth orbit to perform optical detection and tracking of both inner-earth orbiting asteroids and earth-orbiting satellites and debris (i.e., "Resident Space Objects", RSOs). The "Near Earth Object Surveillance Satellite (NEOSSat)" will be the first mission for the CSA multi-mission microsatellite bus program, and is intended by DRDC to demonstrate the military utility of this small and inexpensive class of spacecraft. The mission will obtain metric positions, for geosynchronous satellites, to within ±500 m, timestamps accurate to within a millisecond, and be sensitive to objects in geosynchronous orbit down to 14th magnitude. The asteroid tracking mission will repeatedly survey the area from ±45-70° solar elongation with the aim of finding >50% of all inner-earth asteroids having diameters greater than 1 km.

  15. An advanced domestic satellite communications system

    NASA Technical Reports Server (NTRS)

    1980-01-01

    An updated traffic projection for U.S. domestic satellite communications service covering a period of 15 years; mid-1980 to mid-1995 was prepared. This model takes into account expected technology advances and reductions in transmission costs, legislative and regulatory changes permitting increased competition, and rising energy costs which will encourage more extensive substitution of telecommunications for travel. The historical development and current status of satellite systems are discussed as well as the characteristics of follow-on systems. Orbital arc utilization, spacecraft configuration for single shuttle launch, Earth station configuration, and system costs are examined. Areas which require technology development include multiple beam frequency reuse antennas, on-board switching, intersatellite links, and ka-band operation. Packing and deployment schemes for enclosing the satellite within the shuttle orbiter bay must also be devised.

  16. Design of a Representative Low Earth Orbit Satellite to Improve Existing Debris Models

    NASA Technical Reports Server (NTRS)

    Clark, S.; Dietrich, A.; Werremeyer, M.; Fitz-Coy, N.; Liou, J.-C.

    2012-01-01

    This paper summarizes the process and methodologies used in the design of a small-satellite, DebriSat, that represents materials and construction methods used in modern day Low Earth Orbit (LEO) satellites. This satellite will be used in a future hypervelocity impact test with the overall purpose to investigate the physical characteristics of modern LEO satellites after an on-orbit collision. The major ground-based satellite impact experiment used by DoD and NASA in their development of satellite breakup models was conducted in 1992. The target used for that experiment was a Navy Transit satellite (40 cm, 35 kg) fabricated in the 1960 s. Modern satellites are very different in materials and construction techniques from a satellite built 40 years ago. Therefore, there is a need to conduct a similar experiment using a modern target satellite to improve the fidelity of the satellite breakup models. The design of DebriSat will focus on designing and building a next-generation satellite to more accurately portray modern satellites. The design of DebriSat included a comprehensive study of historical LEO satellite designs and missions within the past 15 years for satellites ranging from 10 kg to 5000 kg. This study identified modern trends in hardware, material, and construction practices utilized in recent LEO missions, and helped direct the design of DebriSat.

  17. Clinical utility of neuronal cells directly converted from fibroblasts of patients for neuropsychiatric disorders: studies of lysosomal storage diseases and channelopathy.

    PubMed

    Kano, S; Yuan, M; Cardarelli, R A; Maegawa, G; Higurashi, N; Gaval-Cruz, M; Wilson, A M; Tristan, C; Kondo, M A; Chen, Y; Koga, M; Obie, C; Ishizuka, K; Seshadri, S; Srivastava, R; Kato, T A; Horiuchi, Y; Sedlak, T W; Lee, Y; Rapoport, J L; Hirose, S; Okano, H; Valle, D; O'Donnell, P; Sawa, A; Kai, M

    2015-01-01

    Methodologies for generating functional neuronal cells directly from human fibroblasts [induced neuronal (iN) cells] have been recently developed, but the research so far has only focused on technical refinements or recapitulation of known pathological phenotypes. A critical question is whether this novel technology will contribute to elucidation of novel disease mechanisms or evaluation of therapeutic strategies. Here we have addressed this question by studying Tay-Sachs disease, a representative lysosomal storage disease, and Dravet syndrome, a form of severe myoclonic epilepsy in infancy, using human iN cells with feature of immature postmitotic glutamatergic neuronal cells. In Tay-Sachs disease, we have successfully characterized canonical neuronal pathology, massive accumulation of GM2 ganglioside, and demonstrated the suitability of this novel cell culture for future drug screening. In Dravet syndrome, we have identified a novel functional phenotype that was not suggested by studies of classical mouse models and human autopsied brains. Taken together, the present study demonstrates that human iN cells are useful for translational neuroscience research to explore novel disease mechanisms and evaluate therapeutic compounds. In the future, research using human iN cells with well-characterized genomic landscape can be integrated into multidisciplinary patient-oriented research on neuropsychiatric disorders to address novel disease mechanisms and evaluate therapeutic strategies.

  18. Clinical utility of neuronal cells directly converted from fibroblasts of patients for neuropsychiatric disorders: studies of lysosomal storage diseases and channelopathy

    PubMed Central

    Kano, Shin-ichi; Yuan, Ming; Cardarelli, Ross A.; Maegawa, Gustavo; Higurashi, Norimichi; Gaval-Cruz, Meriem; Wilson, Ashley M.; Tristan, Carlos; Kondo, Mari A.; Chen, Yian; Koga, Minori; Obie, Cassandra; Ishizuka, Koko; Seshadri, Saurav; Srivastava, Rupali; Kato, Takahiro A.; Horiuchi, Yasue; Sedlak, Thomas W.; Lee, Yohan; Rapoport, Judith L.; Hirose, Shinichi; Okano, Hideyuki; Valle, David; O'Donnell, Patricio; Sawa, Akira; Kai, Mihoko

    2015-01-01

    Methodologies for generating functional neuronal cells directly from human fibroblasts [induced neuronal (iN) cells] have been recently developed, but the research so far has only focused on technical refinements or recapitulation of known pathological phenotypes. A critical question is whether this novel technology will contribute to elucidation of novel disease mechanisms or evaluation of therapeutic strategies. Here we have addressed this question by studying Tay-Sachs disease, a representative lysosomal storage disease, and Dravet syndrome, a form of severe myoclonic epilepsy in infancy, using human iN cells with feature of immature postmitotic glutamatergic neuronal cells. In Tay-Sachs disease, we have successfully characterized canonical neuronal pathology, massive accumulation of GM2 ganglioside, and demonstrated the suitability of this novel cell culture for future drug screening. In Dravet syndrome, we have identified a novel functional phenotype that was not suggested by studies of classical mouse models and human autopsied brains. Taken together, the present study demonstrates that human iN cells are useful for translational neuroscience research to explore novel disease mechanisms and evaluate therapeutic compounds. In the future, research using human iN cells with well-characterized genomic landscape can be integrated into multidisciplinary patient-oriented research on neuropsychiatric disorders to address novel disease mechanisms and evaluate therapeutic strategies. PMID:25732146

  19. Transit satellite system timing capabilities

    NASA Technical Reports Server (NTRS)

    Finsod, T. D.

    1978-01-01

    Current time transfer capabilities of the Transit Satellite System are reviewed. Potential improvements in the changes in equipment and operational procedures using operational satellites are discussed.

  20. Satellite Services Workshop, Volume 1

    NASA Technical Reports Server (NTRS)

    1982-01-01

    Key issues associated with the orbital servicing of satellites are examined including servicing spacecraft and equipment, servicing operations, economics, satellite design, docking and berthing, and fluid management.

  1. Utility of a mHealth App for Self-Management and Education of Cardiac Diseases in Spanish Urban and Rural Areas.

    PubMed

    de Garibay, Valentín González; Fernández, Miguel A; de la Torre-Díez, Isabel; López-Coronado, Miguel

    2016-08-01

    Analyze the utility of a mobile health app named HeartKeeper in several groups of population and obtain conclusions to be applied to other similar apps. A questionnaire has been designed to evaluate the usage and utility of the HeartKeeper app. The questionnaire information was collected by collaborating cardiologists from 32 patients before and after they used the app. Patients were randomly selected with established quotas within interest groups, so that men and women, patients older or younger than 60 years old and patients living in urban or rural areas were equally represented. Using the appropriate statistical techniques we see that the HeartKeeper app was useful for patients as they qualify with 70 points (out of 100) the overall opinion of the app, it helps them remember more easily taking their pills with a mean improvement of 20.94 points (p < 0.001) and they perceive a global improvement of their health (8.28 points, p < 0.001). We also observe that these improvements do not depend, in general, on the area (urban or rural) where the patient comes from or on their sex. Although older patients needed more help to use the app and used it slightly less frequently, the improvements on several measures considered, such as remembering taking pills, breathing problems or trouble developing activities, depend significantly (p < 0.05) on age with older patients reporting higher improvements than younger ones. The results obtained with the sample of patients considered in this research prove the utility of the HeartKeeper app. This utility is similar in urban and rural areas and for patients of both sexes and, to some extent, depends on the age of the patient with older patients reporting slightly lower frequency of use but higher health improvements than younger ones.

  2. Iridium Satellite Signal Exploitation

    NASA Astrophysics Data System (ADS)

    McDonough, Peter

    2010-03-01

    The Iridium Satellite constellation is unique to satellite communication networks in that it allows for transmission of data between satellites instead of relying on transmission by the bent pipe methodology. As such, this network is far more secure than other satellite communication networks, and forces interception to occur within the locale of the transmission from modem to satellite or within the locale of the downlink from the satellite other modem. The purpose of this project was to demonstrate the security weaknesses within the Iridium protocol, showing that it was possible to track one of these satellites with a high gain antenna, resulting in the ability to anticipate transmission, to acquire the location of that transmission, and to uncover the content of that transmission. This project was completed as part of the summer student program at the Southwest Research Institute. The presentation will demonstrate the thought process used in chronological order, essentially demonstrating how I achieved the result from my point of view as the summer progressed.

  3. Symptomatic improvement in function and disease activity in a patient with ankylosing spondylitis utilizing a course of chiropractic therapy: a prospective case study

    PubMed Central

    Rutherford, Susan M; Nicolson, Cameron F; Crowther, Edward R

    2005-01-01

    Background There is limited outcome measure support for chiropractic manipulative therapy in the management of ankylosing spondylitis. An improvement in specific indices for both function and disease activity during chiropractic therapy for ankylosing spondylitis has not previously been reported. Objective To measure changes in function and disease activity in a patient with ankylosing spondylitis during a course of chiropractic therapy. The clinical management of ankylosing spondylitis, including chiropractic manipulative therapy and the implications of this case study are discussed. Clinical Features A 34-year-old male with a 10 year diagnosis of ankylosing spondylitis sought chiropractic treatment for spinal pain and stiffness. His advanced radiographic signs included an increased atlantodental interspace and cervical vertebral ankylosis. Intervention and outcome The Bath Ankylosing Spondylitis Functional Index (BASFI), Bath Ankylosing Spondylitis Disease Activity Index (BASDAI), finger-tip-to-floor distance and chest expansion were assessed during an 18 week course of chiropractic spinal manipulation and mobilization therapy. There was a 90% improvement in the disease activity index and an 85% improvement in the functional index from the pre-treatment baseline, as measured by the BASDAI and BASFI respectively. Spinal flexibility and chest expansion also improved. Conclusion To the authors knowledge this is the first study to incorporate ankylosing spondylitis specific indices, for both disease activity and function, to objectively support the use of chiropractic manipulative therapy in the management of ankylosing spondylitis. More intensive research is suggested. PMID:17549197

  4. Autoimmune polyendocrine syndrome type 1: Utility of KCNRG autoantibodies as a marker of active pulmonary disease and successful treatment with rituximab.

    PubMed

    Popler, Jonathan; Alimohammadi, Mohammad; Kämpe, Olle; Dalin, Frida; Dishop, Megan K; Barker, Jennifer M; Moriarty-Kelsey, Margaret; Soep, Jennifer B; Deterding, Robin R

    2012-01-01

    Autoimmune polyendocrine syndrome type 1 (APS-1), also known as Autoimmune Polyendocrinopathy Candidiasis and Ectodermal Dysplasia (APECD) is a disorder caused by mutations in the autoimmune regulator (AIRE) gene. In some APS-1 patients, significant pulmonary disease is observed. Autoantibodies directed against the potassium channel regulatory protein (KCNRG), found in epithelial cells of terminal bronchioles, have been suggested as a marker for pulmonary disease in APS-1 patients. We report two patients with APS-1; one with and one without lung disease. Patient 1 had multiple admissions for pneumonia and respiratory insufficiency, required non-invasive ventilation, and had findings of bronchiectasis on thoracic imaging and significant lymphocytic infiltrates of the airways on lung biopsy. To verify the autoimmune cause of pulmonary symptoms APS-1 patients, both were tested in a blinded manner for the presence of autoantibodies to KCNRG in serum. We found that only Patient 1 had autoantibodies present. Additionally, Patient 1 had progressive disease despite treatment with several immunomodulating agents, including corticosteroids, azathioprine, and mycophenolate. Patient 1 had a lung biopsy performed which was consistent with B cell lymphocytic aggregates. Rituximab treatment was initiated with apparent good response. This report illustrates the practical use of KCNRG autoantibodies to identify APS-1 patients with pulmonary risk and the successful use of the monoclonal antibody, Rituximab, to treat pulmonary disease in APS-1 patients.

  5. Satellite Cells in Muscular Dystrophy - Lost in Polarity.

    PubMed

    Chang, Natasha C; Chevalier, Fabien P; Rudnicki, Michael A

    2016-06-01

    Recent findings employing the mdx mouse model for Duchenne muscular dystrophy (DMD) have revealed that muscle satellite stem cells play a direct role in contributing to disease etiology and progression of DMD, the most common and severe form of muscular dystrophy. Lack of dystrophin expression in DMD has critical consequences in satellite cells including an inability to establish cell polarity, abrogation of asymmetric satellite stem-cell divisions, and failure to enter the myogenic program. Thus, muscle wasting in dystrophic mice is not only caused by myofiber fragility but is exacerbated by intrinsic satellite cell dysfunction leading to impaired regeneration. Despite intense research and clinical efforts, there is still no effective cure for DMD. In this review we highlight recent research advances in DMD and discuss the current state of treatment and, importantly, how we can incorporate satellite cell-targeted therapeutic strategies to correct satellite cell dysfunction in DMD.

  6. Potential utility of future satellite magnetic field data

    NASA Technical Reports Server (NTRS)

    1984-01-01

    The requirements for a program of geomagnetic field studies are examined which will satisfy a wide range of user needs in the interim period between now and the time at which data from the Geopotential Research Mission (GRM) becomes available, and the long term needs for NASA's program in this area are considered. An overview of the subject, a justification for the recommended activities in the near term and long term, and a summary of the recommendations reached by the contributors is included.

  7. Utilization of satellite data in mesoscale modeling of severe weather

    NASA Technical Reports Server (NTRS)

    Warner, Thomas T.

    1987-01-01

    The Visible Infrared Spin Scan Radiometer Atmospheric Sounder (VAS) data were used to model the 36 hour cyclogenesis period over the Pacific Ocean. Various combinations of VAS data, conventional radiosonde data, and gridded data from the National Weather Service global analysis were used in successive-correction and variational objective-analysis procedures. The Penn State/NCAR mesoscale model was used to test the impact of the VAS data on a 12 hour forecast of convective precipitation in the midweastern U.S.

  8. Utilization of satellite data for inventorying prairie ponds and lakes

    NASA Technical Reports Server (NTRS)

    Work, E. A., Jr.; Gilmer, D. S.

    1976-01-01

    ERTS-1 data were used in mapping open surface water features in the glaciated prairies. Emphasis was placed on the recognition of these features based upon water's uniquely low radiance in a single near-infrared waveband. On the basis of these results, thematic maps and statistics relating to open surface water were obtained. In a related effort, the added information content of multiple spectral wavebands was used for discriminating surface water at a level of detail finer than the virtual resolution of the data. The basic theory of this technique and some preliminary results are described.

  9. Utility of Satellite LIDAR Waveform Data in Shallow Water

    DTIC Science & Technology

    2010-06-01

    intensity. Transects are studied from three geographic areas; Kure Atoll (near Midway), the Bahamas, and Sequoia National Forest. Differences in the data...Midway), the Bahamas, and Sequoia National Forest. Differences in the data for two wavelengths and polarization for the 532-nm light were examined...Bahamas ......................................................................................36 3. Sequoias

  10. Institutional arrangements. [utilization of information derived from satellites

    NASA Technical Reports Server (NTRS)

    1975-01-01

    The practical application of space systems is considered in terms of institutional arrangements. The evolution of space systems is examined along with examples of institutional arrangements for space systems uses or applications. An institutional framework developed to assure the widest practicable application of space system is proposed and described. Recommendations are included.

  11. Creating a Linear Model to Optimize Satellite Communication Bandwidth Utilization

    DTIC Science & Technology

    2006-05-01

    Don’t write a GRP to fill an academic square; write a paper that will be useful to someone.” Lt Col Rick Folks and Maj Matt Lupone at JCS/J6SC were kind...radio waves for global communications is bending those straight paths of travel around the curvature of the earth. While some radio frequencies can...communications. A solution to bending the signal around the world is to “bounce” it off some object that can reflect it around the curvature of the earth

  12. Seamless Handovers in Cobra Teardrop Satellite Arrays

    NASA Astrophysics Data System (ADS)

    Draim, John E.; Cefola, Paul J.; Ernandes, Kenneth J.

    2007-06-01

    Satellite systems provide the most efficient and possibly the only means of achieving two-way global communications with mobile systems (ships, aircraft, and vehicular traffic). To date, such systems have used only circular orbits, either GEO or LEO. Medium altitude elliptical constellations, on the other hand, can provide an efficient and affordable alternative to these architectures. Users also benefit from their very high average and minimum elevation angles, resulting in minimum signal attenuation. Cobra Teardrop is unique in that it employs time synchronized 8-h left- and right-leaning elliptical orbits giving mid-latitude observers the illusion of viewing a single satellite continuously orbiting almost directly overhead! In reality, observers see six different satellites per day, for 4 h each (while in their active duty cycles). By design, Teardrop satellites are physically in very close proximity at the handover points. This favorable geometry can be utilized to achieve a seamless handover from one satellite to the other (not requiring any electronic buffering). Handover is accomplished at the precise instant that the total path lengths from the transmitting station through both satellites to the receiving station are exactly equal. In these improved Cobra Teardrop arrays, an order of magnitude increase in global communications capacity (equivalent GEO slots) can be realized over earlier Basic Cobra systems. For decades into the future, these new orbital systems could satisfy a widely expanding range of commercial, government, and military high data rate communication requirements. These would include, but not be limited to, satellite cellular, air traffic control, meteorological, and combat net radio systems. With these arrays, a much larger number of system operators could be supported, without mutual electronic interference, than would ever be possible with circular orbits.

  13. Multicolour Optical Photometry of Active Geostationary Satellites

    NASA Astrophysics Data System (ADS)

    Jolley, A.; Wade, G.; Bedard, D.

    Although broadband photometry has been used to infer information about artificial satellites since soon after the launch of Sputnik 1, the development of photometric techniques for non-resolved space object identification or characterisation has been hampered by the large number of variables involved. Many individual studies, and some long ongoing experiments, have used costly metre-class telescopes to obtain data despite other experiments demonstrating that much more flexible and affordable small aperture telescopes may be suitable for the task. In addition, due to the highly time consuming and weather dependent nature of obtaining photometric observations, many studies have suffered from data sets of limited size, or relied upon simulations to support their claims. With this in mind, an experiment was conducted with the aim of determining the utility of small aperture telescopes for conducting broadband photometry of satellites for the purpose of non-resolved space object identification and characterisation. A 14 inch Celestron CG-14 telescope was used to gain multiple night-long, high temporal resolution data sets of six active geostationary satellites. The results of the experiment cast doubt on the efficacy of some of the previous approaches to obtaining and analysing photometric data. It was discovered that geostationary satellite lightcurves can vary to a greater degree than has generally been recognised, and colour ratios vary considerably with changes in the illumination/observation geometry, making it difficult to use colour for satellite discrimination. Evidence was also detected of variations in the spectral energy distribution of sunlight reflected off satellite surface materials, which could have implications for surface material characterisation and techniques that aim to separate satellite body and solar panel contributions to the total observed spectra.

  14. Probability of satellite collision

    NASA Technical Reports Server (NTRS)

    Mccarter, J. W.

    1972-01-01

    A method is presented for computing the probability of a collision between a particular artificial earth satellite and any one of the total population of earth satellites. The collision hazard incurred by the proposed modular Space Station is assessed using the technique presented. The results of a parametric study to determine what type of satellite orbits produce the greatest contribution to the total collision probability are presented. Collision probability for the Space Station is given as a function of Space Station altitude and inclination. Collision probability was also parameterized over miss distance and mission duration.

  15. Land mobile communications satellite

    NASA Astrophysics Data System (ADS)

    Carnebianca, C.; Pavesi, B.; Tuozzi, A.

    1986-09-01

    The economic value and salient technical and operational characteristics of a European Land Mobile Communication Satellite (LMCS) to complement and supplement the demand for mobile services of Western European countries in the 1995 to 2005 time frames were assessed. A significant future expansion of demand for LCMS services on the part of the public is anticipated. Important augmentations of current service capabilities could be achieved by a satellite service, improving the overall system performances and/or assisting the PTT's in containing their investments in the required infrastructure. The satellite service itself could represent a profitable revenue producer.

  16. Skeletal muscle satellite cells

    NASA Technical Reports Server (NTRS)

    Schultz, E.; McCormick, K. M.

    1994-01-01

    Evidence now suggests that satellite cells constitute a class of myogenic cells that differ distinctly from other embryonic myoblasts. Satellite cells arise from somites and first appear as a distinct myoblast type well before birth. Satellite cells from different muscles cannot be functionally distinguished from one another and are able to provide nuclei to all fibers without regard to phenotype. Thus, it is difficult to ascribe any significant function to establishing or stabilizing fiber type, even during regeneration. Within a muscle, satellite cells exhibit marked heterogeneity with respect to their proliferative behavior. The satellite cell population on a fiber can be partitioned into those that function as stem cells and those which are readily available for fusion. Recent studies have shown that the cells are not simply spindle shaped, but are very diverse in their morphology and have multiple branches emanating from the poles of the cells. This finding is consistent with other studies indicating that the cells have the capacity for extensive migration within, and perhaps between, muscles. Complexity of cell shape usually reflects increased cytoplasmic volume and organelles including a well developed Golgi, and is usually associated with growing postnatal muscle or muscles undergoing some form of induced adaptive change or repair. The appearance of activated satellite cells suggests some function of the cells in the adaptive process through elaboration and secretion of a product. Significant advances have been made in determining the potential secretion products that satellite cells make. The manner in which satellite cell proliferative and fusion behavior is controlled has also been studied. There seems to be little doubt that cellcell coupling is not how satellite cells and myofibers communicate. Rather satellite cell regulation is through a number of potential growth factors that arise from a number of sources. Critical to the understanding of this form

  17. Satellite Multicarrier Demodulation System

    NASA Technical Reports Server (NTRS)

    Budinger, James; Kwatra, Subhash C.; Jamale, Mohsin M.; Fernandez, John P.; Eugene, Linus P.

    1994-01-01

    Proposed onboard signal processing system for communications satellites performs real-time conversion of multiple uplink (received) signals in single-channel-per-carrier, frequency-division-multiple-access (SCPC/FDMA) format to downlink (transmitted) signals in time-division-multiplexed (TDM) format. Conversion approach enhances use of allocated spectrum and reduces required effective isotropic radiated power at both transponder (satellite) and Earth stations. Equipment needed to implement scheme less complex and less expensive than time-division-multiple-access (TDMA) formats. More economical future satellite communication systems made possible through use of many small-capacity multiservice Earth terminals.

  18. Overview of commercial satellite communications

    NASA Astrophysics Data System (ADS)

    Beakley, G. W.

    1984-07-01

    A brief history of communications satellites is presented, taking into account the launching of Sputnik 1 in October 1957, the Explorer 1 in January of 1958, the launch of the Score as the world's first active communications satellite in December 1958, the Communications Satellite Act in 1962, and the launch of 'Early Bird' in 1964. The Intelsat satellites are considered along with maritime satellite communications, the U.S. domestic satellite systems, Alaskan satellite communications, cable television, broadcast TV stations, print media, the hotel/motel industry as a large market for satellite communications terminals, the opening of a minicable and satellite master antenna TV market for TV receive-only systems, and business telecommunications earth terminals. Attention is also given to future directions regarding satellite positions, the concept of 'video-plus', and direct broadcast satellites.

  19. Severely impaired health status at diagnosis of Pompe disease: a cross-sectional analysis to explore the potential utility of neonatal screening.

    PubMed

    Rigter, Tessel; Weinreich, Stephanie S; van El, Carla G; de Vries, Juna M; van Gelder, Carin M; Güngör, Deniz; Reuser, Arnold J J; Hagemans, Marloes L C; Cornel, Martina C; van der Ploeg, Ans T

    2012-11-01

    Since the introduction of enzyme replacement therapy for Pompe disease, awareness and early diagnosis have gained importance. Because the therapy is most effective when started early and methods for dried bloodspot screening for Pompe disease are currently being explored, neonatal screening is getting increased attention. The objective of this study was to investigate the gains that might be achieved with earlier diagnosis by neonatal screening. For this purpose we analyzed the health and functional status of non-screened patients with Pompe disease at the time of diagnosis. Previously collected clinical data and results of an international patient-reported questionnaire were used. Cross-sectional data of 53 patients with Pompe disease diagnosed between 1999 and 2009 (aged 0-64 years) were analyzed. According to the World Health Organization's International Classification of Functioning, Disability and Health the following domains are described: body function, activity, participation and contextual factors. In all patients with classic infantile Pompe disease cardiac function, hearing, muscle strength and motor development were considerably impaired at the time of clinical diagnosis. The use of oxygen and/or nasogastric tube-feeding was reported in more than 70% of these cases. Most children, adolescents and adults had advanced muscle weakness and impaired respiratory function at the time of their diagnosis, causing varying degrees of handicap. About 12% of them used a walking device and/or respiratory support at the time of diagnosis. The severely impaired health status reported here provides a strong argument for earlier diagnosis and to further explore the potential of neonatal screening for Pompe disease.

  20. Geologic investigations of outer planets satellites

    NASA Technical Reports Server (NTRS)

    Strom, R. G.

    1984-01-01

    Four tests are examined: (1) investigation of volcanism on Io; Interim results of thermal and structural modeling of volcanism on Io are presented, (2) a study of the ancient heavily cratered regions on Ganymede, (3) a geologic comparison of the cratering record on Ganymede and Callisto, and (4) a geological and chemical investigation of internal resurfacing processes on the Saturnian satellites. Tasks 2, 3, and 4 utilize Voyager imaging data.

  1. Servicing communication satellites in geostationary orbit

    NASA Technical Reports Server (NTRS)

    Russell, Paul K.; Price, Kent M.

    1990-01-01

    The econmic benefits of a LEO space station are quantified by identifying alternative operating scenarios utilizing the space station's transportation facilities and assembly and repair facilities. Particular consideration is given to the analysis of the impact of on-orbit assembly and servicing on a typical communications satellite is analyzed. The results of this study show that on-orbit servicing can increase the internal rate of return by as much as 30 percent.

  2. Intersatellite link application to commercial communications satellites

    NASA Technical Reports Server (NTRS)

    Lee, Young S.; Atia, Ali E.; Ponchak, Denise S.

    1988-01-01

    The fundamental characteristics of intersatellite link (ISL) systems, and their application to domestic, regional, and global satellite communications, are described. The quantitative advantages of using ISLs to improve orbit utilization, spectrum occupancy, transmission delay (compared to multi-hop links), coverage, and connectivity, and to reduce the number of earth station antennas, are also presented. Cost-effectiveness and other systems benefits of using ISLs are identified, and the technical and systems planning aspects of ISL systems implementation are addressed.

  3. Orbit determination accuracies using satellite-to-satellite tracking

    NASA Technical Reports Server (NTRS)

    Vonbun, F. O.; Argentiero, P. D.; Schmid, P. E.

    1977-01-01

    The uncertainty in relay satellite sate is a significant error source which cannot be ignored in the reduction of satellite-to-satellite tracking data. Based on simulations and real data reductions, it is numerically impractical to use simultaneous unconstrained solutions to determine both relay and user satellite epoch states. A Bayesian or least squares estimation technique with an a priori procedure is presented which permits the adjustment of relay satellite epoch state in the reduction of satellite-to-satellite tracking data without the numerical difficulties introduced by an ill-conditioned normal matrix.

  4. Origins of satellites.

    NASA Astrophysics Data System (ADS)

    Stevenson, D. J.; Harris, A. W.; Lunine, J. I.

    Satellites are an inevitable consequence of most plausible planetary accumulation processes. They can arise from gaseous or particulate circumplanetary disks, continuously fed during accretion of the planet or infrequently created by large impacts. They can also arise from capture, aided by gas drag. Fission (in the Darwinian sense) is highly unlikely. This review seeks to assess critically the alternatives within the context of current ideas of the early solar system, guided by both cosmochemical and dynamical constraints, but unencumbered by prejudices concerning planetary growth. Topics discussed include the dynamics of both gaseous and particulate disks, the role of large impacts in creating satellite source material, the role of capture, and the thermodynamics of satellite accretion. Possible explanations for each of the satellite systems are offered.

  5. Satellites map the oceans

    NASA Technical Reports Server (NTRS)

    Hibbs, A. R.; Wilson, W. S.

    1983-01-01

    Satellite remote sensing systems, both operational and planned, for monitoring the ocean winds, temperatures, chlorophyll concentrations, ice flows, and the sea surface and ocean floor topographies are described. Seasat demonstrated the effectiveness of scatterometer measurements for measuring wind velocities and directions, and a new scatterometer may be launched on the U.S. Navy NROSS spacecraft in 1988. The NOAA-7 and -8 satellites carry IR sensors to monitor ocean temperatures, and can thus forewarn of the onset of El Nino. Ocean currents are traced with radar altimeters such as the one planned for the Topex satellite as a follow-on to instrumentation tested during the three-month lifetime of the Seasat satellite. Further analytical development is required, however, to improve the data analyses of the altimeter and scatterometer readings, and to account for errors introduced by the observed features and the interposed atmospheric phenomena.

  6. Meteorological satellite accomplishments

    NASA Technical Reports Server (NTRS)

    Allison, L. J.; Arking, A.; Bandeen, W. R.; Shenk, W. E.; Wexler, R.

    1974-01-01

    The various types of meteorological satellites are enumerated. Vertical sounding, parameter extraction technique, and both macroscale and mesoscale meteorological phenomena are discussed. The heat budget of the earth-atmosphere system is considered, along with ocean surface and hydrology.

  7. Biological satellite Kosmos-936

    NASA Technical Reports Server (NTRS)

    Vedeshin, L. A.

    1978-01-01

    A description is given of physiological experiments performed on the biological satellite Kosmos-936. Other experiments to determine the electrostatic and dielectric responses to the effects of cosmic radiation are discussed.

  8. Satellite positioning systems

    NASA Astrophysics Data System (ADS)

    Keydel, W.

    The basic physical principles, technology, and capabilities of satellite position-finding systems (SPFSs) are examined in a general overview. Topics discussed include the properties of EM waves as a basis for measurement; two-way (radar) SPFSs with active satellites (to locate passive targets); one-way SPFSs with active satellites (for self-location using a passive receiver); one-way SPFSs with passive satellites and active objects (for emergency search-and-rescue use); radar altimeters, radar scatterometers, and SARs; Doppler methods; and range-difference and pseudorange time-of-flight methods. Consideration is given to problems of precision in time measurements and orbit measurement and prediction, improved precision using differential methods, the predicted accuracy of Navstar GPS, propagation-related limitations, user demands, and political and economic factors influencing future SPFS development.

  9. Domestic Communication Satellites

    ERIC Educational Resources Information Center

    Horowitz, Andrew

    1974-01-01

    A discussion of the Federal Communications Commission's new policy on domestic satellites in light of our 1) military and economic history; 2) corporate interests; 3) citizen surveillance; and 4) media control. (HB)

  10. Virophages or satellite viruses?

    PubMed

    Krupovic, Mart; Cvirkaite-Krupovic, Virginija

    2011-11-01

    It has been argued that the smaller viruses associated with giant DNA viruses are a new biological entity. However, Mart Krupovic and Virginija Cvirkaite-Krupovic argue here that these smaller viruses should be classified with the satellite viruses.

  11. Trends In Satellite Communication

    NASA Technical Reports Server (NTRS)

    Poley, William A.; Stevens, Grady H.; Stevenson, Steven M.; Lekan, Jack; Arth, Clifford H.; Hollansworth, James E.; Miller, Edward F.

    1988-01-01

    Report assesses trends in satellite communication from present to year 2010. Examines restrictions imposed by limited spectrum resource and technology needs created by trends. Personal communications, orbiting switchboards, and videophones foreseen.

  12. Weather, land satellite sale

    NASA Astrophysics Data System (ADS)

    Richman, Barbara T.

    President Ronald Reagan announced on March 8 plans to sell to private industry the nation's land and meteorological remote-sensing satellites, including the responsibility for any future ocean-observing systems. According to the plan, the private firm successful in its bid to buy the five satellites would sell back to the government the data received by the satellites. The Reagan administration says the sale will save money and will put activities appropriate for commercial ventures into the commercial sector. Response to the announcement from scientists and congressmen has been anything but dulcet; one senator, in fact, charges that the Commerce Department and the corporation most likely to purchase the satellites are engaged in a ‘sweetheart deal.’

  13. Donor satellite cell engraftment is significantly augmented when the host niche is preserved and endogenous satellite cells are incapacitated.

    PubMed

    Boldrin, Luisa; Neal, Alice; Zammit, Peter S; Muntoni, Francesco; Morgan, Jennifer E

    2012-09-01

    Stem cell transplantation is already in clinical practice for certain genetic diseases and is a promising therapy for dystrophic muscle. We used the mdx mouse model of Duchenne muscular dystrophy to investigate the effect of the host satellite cell niche on the contribution of donor muscle stem cells (satellite cells) to muscle regeneration. We found that incapacitation of the host satellite cells and preservation of the muscle niche promote donor satellite cell contribution to muscle regeneration and functional reconstitution of the satellite cell compartment. But, if the host niche is not promptly refilled, or is filled by competent host satellite cells, it becomes nonfunctional and donor engraftment is negligible. Application of this regimen to aged host muscles also promotes efficient regeneration from aged donor satellite cells. In contrast, if the niche is destroyed, yet host satellite cells remain proliferation-competent, donor-derived engraftment is trivial. Thus preservation of the satellite cell niche, concomitant with functional impairment of the majority of satellite cells within dystrophic human muscles, may improve the efficiency of stem cell therapy.

  14. Cyber security with radio frequency interferences mitigation study for satellite systems

    NASA Astrophysics Data System (ADS)

    Wang, Gang; Wei, Sixiao; Chen, Genshe; Tian, Xin; Shen, Dan; Pham, Khanh; Nguyen, Tien M.; Blasch, Erik

    2016-05-01

    Satellite systems including the Global Navigation Satellite System (GNSS) and the satellite communications (SATCOM) system provide great convenience and utility to human life including emergency response, wide area efficient communications, and effective transportation. Elements of satellite systems incorporate technologies such as navigation with the global positioning system (GPS), satellite digital video broadcasting, and information transmission with a very small aperture terminal (VSAT), etc. The satellite systems importance is growing in prominence with end users' requirement for globally high data rate transmissions; the cost reduction of launching satellites; development of smaller sized satellites including cubesat, nanosat, picosat, and femtosat; and integrating internet services with satellite networks. However, with the promising benefits, challenges remain to fully develop secure and robust satellite systems with pervasive computing and communications. In this paper, we investigate both cyber security and radio frequency (RF) interferences mitigation for satellite systems, and demonstrate that they are not isolated. The action space for both cyber security and RF interferences are firstly summarized for satellite systems, based on which the mitigation schemes for both cyber security and RF interferences are given. A multi-layered satellite systems structure is provided with cross-layer design considering multi-path routing and channel coding, to provide great security and diversity gains for secure and robust satellite systems.

  15. Hierarchical Supervisor and Agent Routing Algorithm in LEO/MEO Double-layered Optical Satellite Network

    NASA Astrophysics Data System (ADS)

    Li, Yongjun; Zhao, Shanghong

    2016-09-01

    A novel routing algorithm (Hierarchical Supervisor and Agent Routing Algorithm, HSARA) for LEO/MEO (low earth orbit/medium earth orbit) double-layered optical satellite network is brought forward. The so-called supervisor (MEO satellite) is designed for failure recovery and network management. LEO satellites are grouped according to the virtual managed field of MEO which is different from coverage area of MEO satellite in RF satellite network. In each LEO group, one LEO satellite which has maximal persistent link with its supervisor is called the agent. A LEO group is updated when this optical inter-orbit links between agent LEO satellite and the corresponding MEO satellite supervisor cuts off. In this way, computations of topology changes and LEO group updating can be decreased. Expense of routing is integration of delay and wavelength utilization. HSARA algorithm simulations are implemented and the results are as follows: average network delay of HSARA can reduce 21 ms and 31.2 ms compared with traditional multilayered satellite routing and single-layer LEO satellite respectively; LEO/MEO double-layered optical satellite network can cover polar region which cannot be covered by single-layered LEO satellite and throughput is 1% more than that of single-layered LEO satellite averagely. Therefore, exact global coverage can be achieved with this double-layered optical satellite network.

  16. Epos TCS Satellite Data

    NASA Astrophysics Data System (ADS)

    Manunta, Michele; Mandea, Mioara; Fernández-Turiel, José Luis; Stramondo, Salvatore; Wright, Tim; Walter, Thomas; Bally, Philippe; Casu, Francesco; Zeni, Giovanni; Buonanno, Sabatino; Zinno, Ivana; Tizzani, Pietro; Castaldo, Raffaele; Ostanciaux, Emilie; Diament, Michel; Hooper, Andy; Maccaferri, Francesco; Lanari, Riccardo

    2016-04-01

    TCS Satellite Data is devoted to provide Earth Observation (EO) services, transversal with respect to the large EPOS community, suitable to be used in several application scenarios. In particular, the main goal is to contribute with mature services that have already well demonstrated their effectiveness and relevance in investigating the physical processes controlling earthquakes, volcanic eruptions and unrest episodes as well as those driving tectonics and Earth surface dynamics. The TCS Satellite Data will provide two kinds of services: satellite products/services, and Value-added satellite products/services. The satellite products/services are composed of three (EPOSAR, GDM and COMET) well-identified and partly already operational elements for delivering Level 1 products. Such services will be devoted to the generation of SAR interferograms, DTM and ground displacement maps through the exploitation of different advanced EO techniques for InSAR and optical data analysis. The Value-added satellite products/services are composed of 4 elements (EPOSAR, 3D-Def, Mod and COMET) of Level 2 and 3 products. Such services integrate satellite and in situ measurements and observations to retrieve information on source mechanism, such as the geometry (spatial location, depth, volume changes) and the physical parameters of the deformation sources, through the exploitation of modelling approaches. The TCS Satellite Data will provide products in two different processing and delivery modes: 1- surveillance mode - routinely product generation; 2- on demand mode - product generation performed on demand by the user. Concerning the surveillance mode, the goal is providing continuous satellite measurements in areas of particular interest from a geophysical perspective (supersites). The objective is the detection of displacement patterns changing along time and their geophysical explanation. This is a valid approach for inter-seismic movements and volcanic unrest, post-seismic and post

  17. Tactical Satellite 3

    DTIC Science & Technology

    2008-08-01

    TACTICAL SATELLITE 3 THE 4S SYMPOSIUM Thomas M. Davis (1), Stanley D. Straight (2), Dr. Ronald B. Lockwood (3) (1) Air Force Research...Laboratory Science and Technology ( S &T) initiative that explores the capability and technological maturity of small, low-cost satellites. It features a...technology area, these S &T efforts also help mitigate technology risk and establish a potential concept of operations for future acquisitions. The

  18. Solar Power Satellites

    NASA Technical Reports Server (NTRS)

    Kraft, C. C., Jr.

    1977-01-01

    A satellite based energy concept is described, including the advantages of the basic concept, system characteristics, cost, and environmental considerations. An outline of a plan for the further evaluation and implementation of the system is given. It is concluded that the satellite concept is competitive with other advanced power generation systems when a variety of factors are considered, including technical feasibility, cost, safety, natural resources, environment, baseload capability, location flexibility, land use, and existing industrial base for implementation.

  19. Satellite battery testing status

    NASA Technical Reports Server (NTRS)

    Haag, R.; Hall, S.

    1986-01-01

    Because of the large numbers of satellite cells currently being tested and anticipated at the Naval Weapons Support Center (NAVWPNSUPPCEN) Crane, Indiana, satellite cell testing is being integrated into the Battery Test Automation Project (BTAP). The BTAP, designed to meet the growing needs for battery testing at the NAVWPNSUPPCEN Crane, will consist of several Automated Test Stations (ATSs) which monitor batteries under test. Each ATS will interface with an Automation Network Controller (ANC) which will collect test data for reduction.

  20. The Archimedes satellite system

    NASA Astrophysics Data System (ADS)

    Taylor, Stuart C.; Shurvinton, William D.

    1992-03-01

    Archimedes is a satellite system conceived by the European Space Agency (ESA) to effectively serve the European market for Mobile Radio Services (MRS). This paper describes the requirements and technical design of the Archimedes satellite system. The underlying assumptions and trade-offs behind the design are detailed and the design is compared and contrasted against alternative design solutions, both technically and economically. A path forward for the development of the system is indicated.

  1. Radio determination satellite service

    NASA Astrophysics Data System (ADS)

    Briskman, Robert D.

    1990-07-01

    The capabilities and measured performance of a geosynchronous satellite-based service called the radio determination satellite service (RDSS), which operates at radio frequencies allocated by the International Telecommunications Union (ITU) and is licensed in the United States by the Federal Communications Commission (FCC), are discussed. Plans for both improvement in capability and expansion to nearly global coverage are described. Since RDSS can also provide radio navigation, some comparisons of this service with the Global Positioning System (GPS) are made.

  2. Satellite Communications Industry

    DTIC Science & Technology

    1993-04-01

    got access to GE’s corporate R&D center as part of the acquisition of GE Aerospace. A recent (5 FEB 93) NASA/National Science Foundation (NSF...million and $175 million. Cost of Products - Satellite Communicatons Services The cost of Satellite Communications Services is going down steadily, and...agreement also covers procurement by Nippon Telegraph and Telephone (NTT) Corporation (Japan’s largest telecom company), and Nippon Hoso Kyokai (NHK

  3. Space Solar Power Satellite Systems, Modern Small Satellites, and Space Rectenna

    NASA Astrophysics Data System (ADS)

    Bergsrud, Corey Alexis Marvin

    Space solar power satellite (SSPS) systems is the concept of placing large satellite into geostationary Earth orbit (GEO) to harvest and convert massive amounts of solar energy into microwave energy, and to transmit the microwaves to a rectifying antenna (rectenna) array on Earth. The rectenna array captures and converts the microwave power into usable power that is injected into the terrestrial electric grid for use. This work approached the microwave power beam as an additional source of power (with solar) for lower orbiting satellites. Assuming the concept of retrodirectivity, a GEO-SSPS antenna array system tracks and delivers microwave power to lower orbiting satellites. The lower orbiting satellites are equipped with a stacked photovoltaic (PV)/rectenna array hybrid power generation unit (HPGU) in order to harvest solar and/or microwave energy for on-board use during orbit. The area, and mass of the PV array part of the HPGU was reduced at about 32% beginning-of-life power in order to achieve the spacecraft power requirements. The HPGU proved to offer a mass decrease in the PGU, and an increase in mission life due to longer living component life of the rectenna array. Moreover, greater mission flexibility is achieved through a track and power delivery concept. To validate the potential advantages offered by a HPGU, a mission concept was presented that utilizes modern small satellites as technology demonstrators. During launch, a smaller power receiving "daughter" satellite sits inside a larger power transmitting "mother" satellite. Once separated from the launch vehicle the daughter satellite is ejected away from the mother satellite, and each satellite deploys its respective power transmitting or power receiving hardware's for experimentation. The concept of close proximity mission operations between the satellites is considered. To validate the technology of the space rectenna array part of the HPGU, six milestones were completed in the design. The first

  4. Satellite Applications for Public Service: Project Summaries.

    ERIC Educational Resources Information Center

    Lauffer, Sandra; And Others

    Summaries of 18 different projects involving the use of satellite communications are presented in this report, including PEACESAT Education and Communication Experiments, USP Network Satellite Communication Project, Project Satellite, Satellite Instructional Television Experiment (SITE), Appalachian Education Satellite Program, Alaska Education…

  5. Vibration and acoustic testing of TOPEX/Poseidon satellite

    NASA Technical Reports Server (NTRS)

    Boatman, Dave; Scharton, Terry; Hershfeld, Donald; Larkin, Paul

    1992-01-01

    The satellite was subjected to a 1.5G swept sine vibration test and a 146 dB overall level acoustic test, in accordance with Ariane launch vehicle requirements, at the NASA Goddard Space Flight Center. Extensive pretest analysis of the sine test was conducted to plan the input notching and to justify vibration testing the satellite only in the longitudinal axis. A unique measurement system was utilized to determine the six components of interface force between the shaker and the satellite in the sine vibration test. The satellite was heavily instrumented in both the sine vibration and acoustic test in order to insure that the launch loads were enveloped with appropriate margin and that satellite responses did not exceed the compatibilities of the structure and equipment. The test specification, objectives, instrumentation, and test results are described herein.

  6. Vibration and acoustic testing of TOPEX/Poseidon satellite

    NASA Astrophysics Data System (ADS)

    Boatman, Dave; Scharton, Terry; Hershfeld, Donald; Larkin, Paul

    1992-11-01

    The satellite was subjected to a 1.5G swept sine vibration test and a 146 dB overall level acoustic test, in accordance with Ariane launch vehicle requirements, at the NASA Goddard Space Flight Center. Extensive pretest analysis of the sine test was conducted to plan the input notching and to justify vibration testing the satellite only in the longitudinal axis. A unique measurement system was utilized to determine the six components of interface force between the shaker and the satellite in the sine vibration test. The satellite was heavily instrumented in both the sine vibration and acoustic test in order to insure that the launch loads were enveloped with appropriate margin and that satellite responses did not exceed the compatibilities of the structure and equipment. The test specification, objectives, instrumentation, and test results are described herein.

  7. Jupiter: its captured satellites.

    PubMed

    Bailey, J M

    1971-08-27

    Because of the small size and irregular orbits of the seven outer satellites of Jupiter, it is often assumed that they were derived by capture. The conditions whereby Jupiter can capture satellites have therefore been examined. Relationships derived on the basis of the three-body problem for planets in elliptical orbits enable the dimensions of the capture orbits around Jupiter to be calculated. It is found that Jupiter may capture satellites through the inner Lagrangian point when at perihelion or at aphelion. Captures at perihelion should give rise to satellites in direct orbits of 11.48 x 10(6) kilometers and capture at aphelion to retrograde orbits of 21.7 x 10(6) kilometers. The correspondence with the seven outer satellites suggests that Jupiter VI, VIl, and X in direct orbits at 11.47, 11.74, and 11.85 x 10(6) kilometers were captured at Jupiter perihelion, whereas Jupiter VIII, IX, XI, and XII in retrograde orbits of 23.5, 23.7, 22.5, and 21.2 x 10(6) kilometers were captured when Jupiter was at aphelion. Examination of the precapture orbits indicates that the seven outer satellites were derived from the asteroid belt.

  8. The satellites of Uranus

    NASA Technical Reports Server (NTRS)

    Cruikshank, D. P.

    1982-01-01

    Observations and the probable natures of the five known satellites of Uranus are reviewed. Photographic, photoelectric and CCD photometry of the satellites since 1961, although in agreement within experimental error, is not as mutually consistent as may be expected, and broadband JHK photometry falls in a portion of the J-H, H-K color diagram difficult to interpret. Spectrophotometry in the range 0.3-1.1 microns taken on two separate occasions is inconsistent, with only the relatively neutral reflectances of Titania and Oberon regarded as well established. Near-infrared spectrophotometry has revealed the presence of water ice or frost on the satellite surfaces, possibly in a very pure state, with spectra most similar to Ganymede. Estimations of the properties of the satellites from their surface geometric albedos, assumed mean densities and dynamics yield radii in the range 160-520 km, albedos on the order of 0.5 and densities of about 1.3 g/cu cm, similar to the icy Saturn satellites. The satellites are also believed to have formed after the event that caused the planet to tilt to its present obliquity.

  9. Satellite services system analysis study. Volume 5: Programmatics

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The overall program and resources needed for development and operation of a Satellite Services System is reviewed. Program requirements covered system operations through 1993 and were completed in preliminary form. Program requirements were refined based on equipment preliminary design and analysis. Schedules, costs, equipment utilization, and facility/advanced technology requirements were included in the update. Equipment user charges were developed for each piece of equipment and for representative satellite servicing missions.

  10. Technical and economic feasibility of integrated video service by satellite

    NASA Technical Reports Server (NTRS)

    Price, K. M.; Kwan, R. K.; White, L. W.; Garlow, R. K.; Henderson, T. R.

    1992-01-01

    A feasibility study is presented of utilizing modern satellite technology, or more advanced technology, to create a cost-effective, user-friendly, integrated video service, which can provide videophone, video conference, or other equivalent wideband service on demand. A system is described that permits a user to select a desired audience and establish the required links similar to arranging a teleconference by phone. Attention is given to video standards, video traffic scenarios, satellite system architecture, and user costs.

  11. Satellite Technologies in the Classroom.

    ERIC Educational Resources Information Center

    Portz, Stephen M.

    1999-01-01

    Focuses on ways of using satellite imagery obtained from the Internet, to enhance classroom learning. Discusses satellite deployment; classroom applications, including infrared imagery, high-resolution photography, and global positioning satellites; and use of satellite data for hands-on activities, including cartography, city and community…

  12. Direct Broadcasting Satellites in Japan.

    ERIC Educational Resources Information Center

    Maeda, Jiro

    The development and use of broadcasting satellites in Japan are discussed in this paper. The paper describes the medium-scale experimental broadcasting satellite, YURI, launched by NASA in 1978, and reports that experiments with YURI in the areas of basic technologies in the broadcasting satellite system, experiments on satellite control…

  13. ISDN - The case for satellites

    NASA Astrophysics Data System (ADS)

    Pelton, J. N.; McDougal, P. J.

    1987-05-01

    The role of satellites in the proposed Integrated Services Digital Network (ISDN) is examined. ISDN is to be a unified global network providing international telecommunication services. The delay time connected with satellite communications is considered. The advantages of using satellites in ISDN are: (1) the digital services available with satellites (time-division multiple access, intermediate data rate, and Intelsat business services); (2) satellite networking features; (3) flexibility; and (4) global interconnectivity. It is noted that with the use of powerful transmitters on satellites, the growth of small earth stations, and developments in band switching and intersatellite links that satellites are applicable to ISDN.

  14. Clinical utility of a wheat-germ precipitation assay for determination of bone alkaline phosphatase concentrations in patients with different metabolic bone diseases.

    PubMed

    Braga, V; Dorizzi, R; Brocco, G; Rossini, M; Zamberlan, N; Gatti, D; Adami, S

    1995-07-01

    Bone alkaline phosphatase was evaluated by wheat-germ lectin precipitation in several clinical conditions. The study included 33 premenopausal healthy women, 46 postmenopausal apparently healthy women, 19 growing children, 24 patients with Paget's disease, 31 patients with primary hyperparathyroidism and 66 patients with hepatobiliary diseases. In postmenopausal women the mean T score (i.e.: the number of SD below or above the mean for premenopausal women) was 2.6 +/- 1.3 (SD) for bone alkaline phosphatase and 1.61 +/- 1.21 for total alkaline phosphatase (p < 0.001). The T score for bone alkaline phosphatase provided a better discrimination from normals for both Paget's disease (22.1 +/- 27.8 versus 12.8 +/- 16 p < 0.001) and primary hyperparathyroidism (8.2 +/- 4.3 versus 4.6 +/- 3.7 p < 0.005 for bone alkaline phosphatase and total alkaline phosphatase respectively). After treatment with intravenous bisphosphonate the percent decrease of bone alkaline phosphatase was larger than that of total alkaline phosphatase both in patients with Paget's disease (-46% versus -72% p < 0.01) and in patients with primary hyperparathyroidism (-21% versus -47% p < 0.02) and an estimate of the precision (delta mean/SD of the delta mean) for bone alkaline phosphatase was 1.9-3.7 times higher than that of total alkaline phosphatase. In twelve osteoporotic patients treated for six months with oral alendronate the decrease in bone turnover was detected with significantly higher precision with bone alkaline phosphatase than with total alkaline phosphatase (p < 0.001).(ABSTRACT TRUNCATED AT 250 WORDS)

  15. Utilization of eye care services among those with unilateral visual impairment in rural South India: Andhra Pradesh Eye Disease Study (APEDS)

    PubMed Central

    Marmamula, Srinivas; Giridhar, Pyda; Khanna, Rohit C

    2017-01-01

    AIM To report on the utilization of eye care services and its associated factors among those with unilateral visual impairment (VI) in a rural South Indian population. METHODS A population based cross-sectional study was conducted in three districts (Adilabad, Mahbubnagar and West Godavari) in the state of Andhra Pradesh, India. A detailed interview and a comprehensive eye examination were conducted. Those with unilateral VI were asked questions about noticing any change in vision and on utilization of eye care services. The most important reason reported by the participant for not utilizing the services was used for the analysis. Multiple logistic regression models were used to examine the association between noticing a change in vision and socio-demographic variables such as age, gender, education and area of residence, severity and causes of VI. RESULTS Among the 4456 participants aged ≥16y who were administered the questionnaire, 53.2% were women, and 54.7% had no education. Of the 489 (11%; 95% CI: 10.1-11.9) people with unilateral VI, 399 (81.6%) participants reported noticing a change in their vision over the last five years but only 136 (34.1%) participants had sought eye care consultation. Those who had any education (OR: 1.9; 95% CI: 1.1-3.2), had blindness (OR: 2.7; 95% CI: 1.4-5.2), and cataract (OR: 2.1; 95% CI: 1.0-4.3) as a cause of unilateral VI were more like to seek eye care consultations. The most commonly reported reasons for not seeking eye care services were “do not have money for eye checkup” in 30.7% of the participants followed by “do not have a serious problem” (30.0%). CONCLUSION A large proportion of rural population though noticed a change in their vision did not seek eye care due to financial and person-related reasons. Eye care service providers need to address these barriers to enhance the uptake of eye care services among those with unilateral VI. PMID:28393042

  16. Communication satellite technology: State of the art and development opportunities

    NASA Technical Reports Server (NTRS)

    Woodford, J. B. (Compiler)

    1978-01-01

    Opportunities in communication satellite technology are identified and defined. Factors that tend to limit the ready availability of satellite communication to an increasingly wide group of users are evaluated. Current primary limitations on this wide utilization are the availability of frequency and/or synchronous equatorial satellite positions and the cost of individual user Earth terminals. The former could be ameliorated through the reuse of frequencies, the use of higher frequency bands, and the reduction of antenna side lobes. The latter limitation requires innovative hardware, design, careful system design, and large scale production.

  17. Next generation communications satellites: multiple access and network studies

    NASA Technical Reports Server (NTRS)

    Meadows, H. E.; Schwartz, M.; Stern, T. E.; Ganguly, S.; Kraimeche, B.; Matsuo, K.; Gopal, I.

    1982-01-01

    Efficient resource allocation and network design for satellite systems serving heterogeneous user populations with large numbers of small direct-to-user Earth stations are discussed. Focus is on TDMA systems involving a high degree of frequency reuse by means of satellite-switched multiple beams (SSMB) with varying degrees of onboard processing. Algorithms for the efficient utilization of the satellite resources were developed. The effect of skewed traffic, overlapping beams and batched arrivals in packet-switched SSMB systems, integration of stream and bursty traffic, and optimal circuit scheduling in SSMB systems: performance bounds and computational complexity are discussed.

  18. Development of land mobile satellite services in Europe

    NASA Astrophysics Data System (ADS)

    Visser, A. R.

    1991-05-01

    A review is presented of the development, status and current availability of European land mobile communication services. Consideration is given to terrestrial mobile communications, land mobile satellite communications, and land mobile satellite data communications. It is shown that all systems apply store-and-forward methods in combination with special error correction techniques, which results in a high degree of dependability. The complications involving the implementation of land mobile satellite communications, allowing users of such a system to carry and utilize their terminals in other countries, is discussed.

  19. Optimal Constellation Design for Satellite Based Augmentation System

    NASA Astrophysics Data System (ADS)

    Kawano, Isao

    Global Positioning System (GPS) is widely utilized in daily life, for instance car navigation. Wide Area Augmentation System (WAAS) and Local Area Augmentation System (LAAS) are proposed so as to provide GPS better navigation accuracy and integrity capability. Satellite Based Augmentation System (SBAS) is a kind of WAAS and Multi-functional Transportation Satellite (MTSAT) has been developed in Japan. To improve navigation accuracy most efficiently, augmentation satellites should be so placed that minimize Geometric Dilution of Precision (GDOP) of constellation. In this paper the result of optimal constellation design for SBAS is shown.

  20. Disparate Rates of Utilization and Progression to Combined Heart Failure and Chronic Obstructive Pulmonary Disease among Asians and Pacific Islanders in Hawai‘i

    PubMed Central

    Tam, Elizabeth; Taira, Deborah

    2016-01-01

    The objectives of the study were to compare ethnic differences in the rates of emergency department (ED) visits and hospitalizations, and to examine ethnic differences in how quickly patients with either chronic obstructive pulmonary disease (COPD) or congestive heart failure (CHF) developed both diseases. A large health plan in Hawai.i provided administrative data (2007 to 2010) on patients of Native Hawaiian, Japanese, Chinese, Filipino, and White race/ethnicity. The study found distinct patterns of health risks among the multi-ethnic population of patients with COPD, CHF, or both conditions. Native Hawaiians had the highest rates of ED visits and hospitalizations. Japanese, the largest ethnic group and relatively low health risks, were selected as the reference population. In adjusted regression models, Filipino patients with CHF developed COPD the most rapidly; 71% faster than Japanese patients. Compared to Japanese, Native Hawaiians with COPD transitioned to CHF 68% faster. The study highlights ethnic disparities in adverse events and disease progression in patients with COPD and CHF, with important implications for clinical practice. Health care providers may want to inform patients of ways to mitigate the risks. PMID:27563499

  1. Satellite Communications for ATM

    NASA Technical Reports Server (NTRS)

    Shamma, Mohammed A.

    2003-01-01

    This presentation is an overview on Satellite Communication for the Aeronautical Telecommunication Management (ATM) research. Satellite Communications are being considered by the FAA and NASA as a possible alternative to the present and future ground systems supporting Air Traffic Communications. The international Civil Aviation Organization (ICAO) have in place Standards and Recommended Practices (SARPS) for the Aeronautical Mobile Satellite Services (AMSS) which is mainly derived from the pre-existing Inmarsat service that has been in service since the 1980s. The Working Group A of the Aeronautical Mobile Communication Panel of ICAO has also been investigating SARPS for what is called the Next Generation Satellite Service (NGSS) which conforms less to the Inmarsat based architecture and explores wider options in terms of satellite architectures. Several designs are being proposed by Firms such as Boeing, ESA, NASA that are geared toward full or secondary usage of satellite communications for ATM. Satellite communications for ATM can serve several purposes ranging from primary usage where ground services would play a minimal backup role, to an integrated solution where it will be used to cover services, or areas that are less likely to be supported by the proposed and existing ground infrastructure. Such Integrated roles can include usage of satellite communications for oceanic and remote land areas for example. It also can include relieving the capacity of the ground network by providing broadcast based services of Traffic Information Services messages (TIS-B), or Flight Information Services (FIS-B) which can take a significant portion of the ground system capacity. Additionally, satellite communication can play a backup role to support any needs for ground replacement, or additional needed capacity even after the new digital systems are in place. The additional bandwidth that can be provided via satellite communications can also open the door for many new

  2. Proposal of “Ig Satellite Design Contest” and Its Expected Effect

    NASA Astrophysics Data System (ADS)

    Sahara, Hironori; Hosoda, Satoshi; Sugawara, Yoshiki; Nakano, Masakatsu; Nakasuka, Shinichi

    This paper proposes to hold “Ig Satellite Design Contest,” in order to expand our space utilization by means of content-based satellites in the stream of recent microsatellite development. Going back to the history of the recent microsatellite, such a content-based satellite is positioned as the third-generation one. Ig Satellite Design Contest stands on the position of the two policies, that is, the satellite is chip in porridge for practical effect, but is to bring pleasure or happiness to people, or to stimulate access to the space and our future space activities.

  3. Clinical Utility and Analytical Challenges in Measurement of Cerebrospinal Fluid Amyloid-β1–42 and τ Proteins as Alzheimer Disease Biomarkers

    PubMed Central

    Kang, Ju-Hee; Korecka, Magdalena; Toledo, Jon B.; Trojanowski, John Q.; Shaw, Leslie M.

    2014-01-01

    BACKGROUND Over the past 2 decades, clinical studies have provided evidence that cerebrospinal fluid (CSF) amyloid β1–42 (Aβ1–42), total τ(t-τ), and τ phosphorylated at Thr181 (p-τ181) are reliable biochemical markers of Alzheimer disease (AD) neuropathology. CONTENT In this review, we summarize the clinical performance and describe the major challenges for the analytical performance of the most widely used immunoassay platforms [based on ELISA or microbead-based multianalyte profiling (xMAP) technology] for the measurement of CSF AD biomarkers (Aβ1–42, t-τ, and p-τ181). With foundational immunoassay data providing the diagnostic and prognostic values of CSF AD biomarkers, the newly revised criteria for the diagnosis of AD include CSF AD biomarkers for use in research settings. In addition, it has been suggested that the selection of AD patients at the predementia stage by use of CSF AD biomarkers can improve the statistical power of clinical trial design. Owing to the lack of a replenishable and commutable human CSF-based standardized reference material (SRM) and significant differences across different immunoassay platforms, the diagnostic–prognostic cutpoints of CSF AD biomarker concentrations are not universal at this time. These challenges can be effectively met in the future, however, through collaborative ongoing standardization efforts to minimize the sources of analytical variability and to develop reference methods and SRMs. SUMMARY Measurements of CSF Aβ1–42, t-τ, and p-τ181 with analytically qualified immunoassays reliably reflect the neuropathologic hallmarks of AD in patients at the early predementia stage of the disease and even in presymptomatic patients. Thus these CSF biomarker tests are useful for early diagnosis of AD, prediction of disease progression, and efficient design of drug intervention clinical trials. PMID:23519967

  4. Utilization and Safety of Common Over-the-Counter Dietary/Nutritional Supplements, Herbal Agents, and Homeopathic Compounds for Disease Prevention.

    PubMed

    Trivedi, Ruchir; Salvo, Marissa C

    2016-09-01

    Dietary supplements are commonly used by patients as part of their medical care plan. Often clinicians may not be aware of their use, because patients do not always consider these to be medications. All clinicians need to continually ask patients about their use of dietary supplements when collecting a medication history. Dietary supplements and prescription medications often share similar enzymatic pathways for their metabolism. These interactions may lead to severe adverse reactions. This article reviews available evidence for a variety of dietary supplements in select disease categories.

  5. Soviet satellite communications science and technology

    SciTech Connect

    Birch, J.N.; Campanella, S.J.; Gordon, G.D.; McElroy, D.R.; Pritchard, W.L.; Stamminger, R.

    1991-08-01

    This is a report by six US scientists and engineers concerning the current state of the art and projections of future Soviet satellite communications technologies. The panel members are experts in satellite stabilization, spacecraft environments, space power generation, launch systems, spacecraft communications sciences and technologies, onboard processing, ground stations, and other technologies that impact communications. The panel assessed the Soviet ability to support high-data-rate space missions at 128 Mbps by evaluating current and projected Soviet satellite communications technologies. A variety of space missions were considered, including Earth-to-Earth communications via satellites in geostationary or highly elliptical orbits, those missions that require space-to-Earth communications via a direct path and those missions that require space-to-Earth communications via a relay satellite. Soviet satellite communications capability, in most cases, is 10 years behind that of the United States and other industrialized nations. However, based upon an analysis of communications links needed to support these missions using current Soviet capabilities, it is well within the current Soviet technology to support certain space missions outlined above at rates of 128 Mbps or higher, although published literature clearly shows that the Soviet Union has not exceeded 60 Mbps in its current space system. These analyses are necessary but not sufficient to determine mission data rates, and other technologies such as onboard processing and storage could limit the mission data rate well below that which could actually be supported via the communications links. Presently, the Soviet Union appears to be content with data rates in the low-Earth-orbit relay via geostationary mode of 12 Mbps. This limit is a direct result of power amplifier limits, spacecraft antenna size, and the utilization of K{sub u}-band frequencies. 91 refs., 16 figs., 15 tabs.

  6. 3D timelapse analysis of muscle satellite cell motility.

    PubMed

    Siegel, Ashley L; Atchison, Kevin; Fisher, Kevin E; Davis, George E; Cornelison, D D W

    2009-10-01

    Skeletal muscle repair and regeneration requires the activity of satellite cells, a population of myogenic stem cells scattered throughout the tissue and activated to proliferate and differentiate in response to myotrauma or disease. While it seems likely that satellite cells would need to navigate local muscle tissue to reach damaged areas, relatively little data on such motility exist, and most studies have been with immortalized cell lines. We find that primary satellite cells are significantly more motile than myoblast cell lines, and that adhesion to laminin promotes primary cell motility more than fourfold over other substrates. Using timelapse videomicroscopy to assess satellite cell motility on single living myofibers, we have identified a requirement for the laminin-binding integrin alpha 7 beta 1 in satellite cell motility, as well as a role for hepatocyte growth factor in promoting directional persistence. The extensive migratory behavior of satellite cells resident on muscle fibers suggests caution when determining, based on fixed specimens, whether adjacent cells are daughters from the same mother cell. We also observed more persistent long-term contact between individual satellite cells than has been previously supposed, potential cell-cell attractive and repulsive interactions, and migration between host myofibers. Based on such activity, we assayed for expression of "pathfinding" cues, and found that satellite cells express multiple guidance ligands and receptors. Together, these data suggest that satellite cell migration in vivo may be more extensive than currently thought, and could be regulated by combinations of signals, including adhesive haptotaxis, soluble factors, and guidance cues.

  7. Benefits Derived From Laser Ranging Measurements for Orbit Determination of the GPS Satellite Orbit

    NASA Technical Reports Server (NTRS)

    Welch, Bryan W.

    2007-01-01

    While navigation systems for the determination of the orbit of the Global Position System (GPS) have proven to be very effective, the current research is examining methods to lower the error in the GPS satellite ephemerides below their current level. Two GPS satellites that are currently in orbit carry retro-reflectors onboard. One notion to reduce the error in the satellite ephemerides is to utilize the retro-reflectors via laser ranging measurements taken from multiple Earth ground stations. Analysis has been performed to determine the level of reduction in the semi-major axis covariance of the GPS satellites, when laser ranging measurements are supplemented to the radiometric station keeping, which the satellites undergo. Six ground tracking systems are studied to estimate the performance of the satellite. The first system is the baseline current system approach which provides pseudo-range and integrated Doppler measurements from six ground stations. The remaining five ground tracking systems utilize all measurements from the current system and laser ranging measurements from the additional ground stations utilized within those systems. Station locations for the additional ground sites were taken from a listing of laser ranging ground stations from the International Laser Ranging Service. Results show reductions in state covariance estimates when utilizing laser ranging measurements to solve for the satellite s position component of the state vector. Results also show dependency on the number of ground stations providing laser ranging measurements, orientation of the satellite to the ground stations, and the initial covariance of the satellite's state vector.

  8. A utility oriented radio resource management algorithm for heterogenous network

    NASA Astrophysics Data System (ADS)

    Wang, Xiaoyan; Dong, Yan; Huang, Zailu

    2007-11-01

    A utility oriented radio resource management algorithm is proposed for broadband nongeostationary satellite network which works in the heterogeneous network environment and provides access services for various customers on the ground. Based on the game theory, the problem for optimizing the network's performance is turned into the problem for maximizing the network's long term utility in the proposed algorithm. With evaluation to the traffic condition and dimensions of Qos for the network at the moment while the access service requirements changing, the influence of this service requirement to the long term utility of the satellite network is audited and then the resource assignment decision can be made according to the rule for maximizing the satellite network's long term utility. The process directed by game theory guaranteed both that the benefit of the network and the requirements of the customers could be considered synthetically. The simulation results demonstrate the effectiveness of the proposed algorithm.

  9. International communications via satellite

    NASA Astrophysics Data System (ADS)

    McLucas, J. L.

    The evolution of communications satellite systems is traced in terms of technical capabilities and technological advances. The Communications Act of 1962 led to the establishment of INTELSAT on an international basis in 1964. The original 19 signatory nations has grown to over 100, and over 800 ground relay stations have been built. The INTELSAT system comprises spacecraft over the Atlantic, Pacific, and Indian Oceans and handles 2/3 of the world's international electronic communications and all transoceanic television. The 1965 Early Bird satellite had a 240 two-way telephone link capacity and weighed 38 kg, while the Intelsat V satellites, of which there will be nine, have increased the capacity to 20,000 voice circuits and Intelsat VI will double the number by 1993. Increasing demand for satellite communications links is driving the design and development of space platforms for multiple missions of communications, meteorological studies, and on-board switching and data processing in excess of current multiple satellite systems.

  10. Effect on Gait Speed, Balance, Motor Symptom Rating, and Quality of Life in Those with Stage I Parkinson's Disease Utilizing LSVT BIG®

    PubMed Central

    Anheluk, Mattie

    2017-01-01

    Individuals with Parkinson's Disease (PD) are often not referred to Physical Therapy (PT) until there are issues with mobility in later Hoehn and Yahr Stages. There have been no studies outlining the benefits of PT intervention in Stage I only. For persons with PD, deficits in motor function increase over time due to destruction of dopamine-producing cells. LSVT BIG, an exercise program for PD, has been shown to be effective in improving mobility. The purpose of this study was to assess participants functional improvement at a level of minimal clinically important difference (MCID) in one of four outcome measures: Gait Speed, Berg Balance Assessment, Functional Gait Assessment, and Unified Parkinson's Disease Rating Scale Motor Section. Case Description. Nine participants with Stage I PD received LSVT BIG 4x/week for 4 weeks followed by bimonthly participation in a community class. Outcome measurement occurred at baseline, after LSVT BIG, and three months after LSVT BIG. Outcomes. Eight of nine participants (88.9%) achieved MCID in at least one of the four measures at both after and 3 months after LSVT BIG training indicating improvement based on our criteria. Participants in Stage I of PD in this study completed LSVT BIG and demonstrated improved function. PMID:28331638

  11. Soviet early warning satellites

    NASA Astrophysics Data System (ADS)

    Perry, G. E.

    1982-02-01

    Satellite orbits and groups for the Cosmos spacecraft are discussed, noting that the orbits are configured to provide full early warning system coverage. The regular crossing of a ground track which includes all the Minuteman bases in the U.S. is noted, as are time constraints for the launch into a suitable orbit without introducing orbital anomalies. Cosmos 1024 was observed to need four corrections in order to reach a point where free libration over a fixed ground station was possible for a year until replacement by the Cosmos 1124 occurred. The current configuration is a total of nine satellites with 40 deg spacing, which yields full coverage, although it is indicated that only three satellites ever operate simultaneously.

  12. Estimation in satellite control.

    NASA Technical Reports Server (NTRS)

    Debra, D. B.

    1971-01-01

    The use of estimators or observers is discussed as applied to satellite attitude control and the control of drag-free satellites. The practical problems of implementation are discussed, and the relative advantages of full and reduced state estimators are compared, particularly in terms of their effectiveness and bandwidth as filters. Three applications are used to illustrate the principles. They are: (1) a reaction wheel control system, (2) a spinning attitude control system, and (3) a drag-free satellite translational control system. Fixed estimator gains are shown to be adequate for these (and many other) applications. Our experience in the hardware realization of estimators has led to categorize the error sources in terms of those that improve with increased estimator gains and those that get worse with increased estimator gains.

  13. Uranus satellites - Surface properties

    NASA Astrophysics Data System (ADS)

    Veverka, J.; Brown, R. H.; Bell, Jeffrey F.

    The post-Voyager knowledge of the photometric, colorimetric, spectral, and thermal properties of the Uranian satellites is reviewed, focusing on such fundamental physical properties as albedo, color, and surface texture. While albedo variations of at least a factor of 2 exist, color differences are almost absent (Miranda) or subdued (Oberon). In the case of Titania, the strong opposition effect reported by ground-based observers was confirmed by Voyager. Voyager did not observe the opposition parts of the phase curves of the other satellites. Voyager thermal observations of Ariel and Miranda suggest that both have highly porous regoliths, thermophysically similar to those of Jupiter's icy satellites. At the time of the flyby (south pole facing the sun), maximum surface temperatures reached or exceeded 85 K, but nighttime polar temperatures are predicted to drop to 20 to 30 K because each pole spends about 40 yr in darkness. Ground-based spectroscopy identified water ice as an important surface constituent.

  14. Uranus satellites - Surface properties

    NASA Technical Reports Server (NTRS)

    Veverka, J.; Brown, R. H.; Bell, Jeffrey F.

    1991-01-01

    The post-Voyager knowledge of the photometric, colorimetric, spectral, and thermal properties of the Uranian satellites is reviewed, focusing on such fundamental physical properties as albedo, color, and surface texture. While albedo variations of at least a factor of 2 exist, color differences are almost absent (Miranda) or subdued (Oberon). In the case of Titania, the strong opposition effect reported by ground-based observers was confirmed by Voyager. Voyager did not observe the opposition parts of the phase curves of the other satellites. Voyager thermal observations of Ariel and Miranda suggest that both have highly porous regoliths, thermophysically similar to those of Jupiter's icy satellites. At the time of the flyby (south pole facing the sun), maximum surface temperatures reached or exceeded 85 K, but nighttime polar temperatures are predicted to drop to 20 to 30 K because each pole spends about 40 yr in darkness. Ground-based spectroscopy identified water ice as an important surface constituent.

  15. ESA's satellite communications programme

    NASA Astrophysics Data System (ADS)

    Bartholome, P.

    1985-02-01

    The developmental history, current status, and future plans of the ESA satellite-communications programs are discussed in a general survey and illustrated with network diagrams and maps. Consideration is given to the parallel development of national and European direct-broadcast systems and telecommunications networks, the position of the European space and electronics industries in the growing world market, the impact of technological improvements (both in satellite systems and in ground-based networks), and the technological and commercial advantages of integrated space-terrestrial networks. The needs for a European definition of the precise national and international roles of satellite communications, for maximum speed in implementing such decisions (before the technology becomes obsolete), and for increased cooperation and standardization to assure European equipment manufacturers a reasonable share of the market are stressed.

  16. The Clementine satellite

    SciTech Connect

    Not Available

    1994-06-01

    The first US satellite to the Moon in more than two decades was launched from Vandenberg Air Force Base (Santa Barbara County), California, on January 25, 1994. The satellite was named Clementine because it carried only enough fuel to complete its mission before it was [open quotes]lost and gone forever.[close quotes] The Clementine satellite tested 23 advanced technologies during its mission for the Ballistic Missile Defense Organization. In fulfilling its scientific goals, Clementine provided a wealth of information relevant to the mineralogy of the lunar surface. Using six on-board cameras designed and built at the Laboratory, Clementine mapped the entire surface of the Moon at resolutions never before attained. Clementine also provided range data that will be used to construct a relief map of the lunar surface.

  17. Sporadic MM2-thalamic + cortical Creutzfeldt-Jakob disease: Utility of diffusion tensor imaging in the detection of cortical involvement in vivo.

    PubMed

    Grau-Rivera, Oriol; Sánchez-Valle, Raquel; Bargalló, Nuria; Lladó, Albert; Gaig, Carles; Nos, Carlos; Ferrer, Isidre; Graus, Francesc; Gelpi, Ellen

    2016-04-01

    In sporadic Creutzfeldt-Jakob disease (sCJD), high signal intensity in fluid attenuated inversion recovery (FLAIR) and diffusion-weighted imaging (DWI) sequences in striatum and/or cortical regions of the brain are present in about 83% of cases, reflecting tissue damage, such as spongiform change and abnormal prion protein deposits. Novel diffusion sequences of MRI might improve the detection of CJD characteristic changes in the subset of patients in whom these alterations are absent or less evident. We report a neuropathologically confirmed case of the rare MM2 T + C subtype of sCJD, with mixed clinical and neuropathological features of MM2 thalamic and MM2 cortical subtypes, in whom the use of diffusion tensor imaging helped to identify cortical hyperintensities that could be easily overlooked with conventional DWI.

  18. Design, synthesis, and biological evaluation of new 5-HT4 receptor agonists: application as amyloid cascade modulators and potential therapeutic utility in Alzheimer's disease.

    PubMed

    Russo, Olivier; Cachard-Chastel, Marthe; Rivière, Céline; Giner, Mireille; Soulier, Jean-Louis; Berthouze, Magali; Richard, Tristan; Monti, Jean-Pierre; Sicsic, Sames; Lezoualc'h, Frank; Berque-Bestel, Isabelle

    2009-04-23

    Serotonin 5-HT(4) receptor (5-HT(4)R) agonists are of particular interest for the treatment of Alzheimer's disease because of their ability to ameliorate cognitive deficits and to modulate production of amyloid beta-protein (Abeta). However, despite the range of 5-HT(4)R agonists synthesized to date, potent and selective 5-HT(4)R agonists are still lacking. In the present study, two libraries of molecules based on the scaffold of ML10302, a highly specific and partial 5-HT(4)R agonist, were efficiently prepared by parallel supported synthesis and their binding affinities and agonist activities evaluated. Furthermore, we showed that, in vivo, the two best candidates exhibited neuroprotective activity by increasing the level of the soluble form of the amyloid precursor protein (sAPPalpha) in the cortex and hippocampus of mice. Interestingly, one of these compounds could also inhibit Abeta fibril formation in vitro.

  19. Clinical utility of PKD2 mutation testing in a polycystic kidney disease cohort attending a specialist nephrology out-patient clinic

    PubMed Central

    2012-01-01

    Background ADPKD affects approximately 1:1000 of the worldwide population. It is caused by mutations in two genes, PKD1 and PKD2. Although allelic variation has some influence on disease severity, genic effects are strong, with PKD2 mutations predicting later onset of ESRF by up to 20 years. We therefore screened a cohort of ADPKD patients attending a nephrology out-patient clinic for PKD2 mutations, to identify factors that can be used to offer targeted gene testing and to provide patients with improved prognostic information. Methods 142 consecutive individuals presenting to a hospital nephrology out-patient service with a diagnosis of ADPKD and CKD stage 4 or less were screened for mutations in PKD2, following clinical evaluation and provision of a detailed family history (FH). Results PKD2 mutations were identified in one fifth of cases. 12% of non-PKD2 patients progressed to ESRF during this study whilst none with a PKD2 mutation did (median 38.5 months of follow-up, range 16–88 months, p < 0.03). A significant difference was found in age at ESRF of affected family members (non-PKD2 vs. PKD2, 54 yrs vs. 65 yrs; p < 0.0001). No PKD2 mutations were identified in patients with a FH of ESRF occurring before age 50 yrs, whereas a PKD2 mutation was predicted by a positive FH without ESRF. Conclusions PKD2 testing has a clinically significant detection rate in the pre-ESRF population. It did not accurately distinguish those individuals with milder renal disease defined by stage of CKD but did identify a group less likely to progress to ESRF. When used with detailed FH, it offers useful prognostic information for individuals and their families. It can therefore be offered to all but those whose relatives have developed ESRF before age 50. PMID:22863349

  20. Bird Migration and Avian Influenza: A Comparison of Hydrogen Stable Isotopes and Satellite Tracking Methods.

    PubMed

    Bridge, Eli S; Kelly, Jeffrey F; Xiao, Xiangming; Takekawa, John Y; Hill, Nichola J; Yamage, Mat; Haque, Enam Ul; Islam, Mohammad Anwarul; Mundkur, Taej; Yavuz, Kiraz Erciyas; Leader, Paul; Leung, Connie Y H; Smith, Bena; Spragens, Kyle A; Vandegrift, Kurt; Hosseini, Parviez R; Saif, Samia; Mohsanin, Samiul; Mikolon, Andrea; Islam, Ausrafal; George, Acty; Sivananinthaperumal, Balachandran; Daszak, Peter; Newman, Scott H

    2014-10-01

    Satellite-based tracking of migratory waterfowl is an important tool for understanding the potential role of wild birds in the long-distance transmission of highly pathogenic avian influenza. However, employing this technique on a continental scale is prohibitively expensive. This study explores the utility of stable isotope ratios in feathers in examining both the distances traveled by migratory birds and variation in migration behavior. We compared the satellite-derived movement data of 22 ducks from 8 species captured at wintering areas in Bangladesh, Turkey, and Hong Kong with deuterium ratios (δD) of these and other individuals captured at the same locations. We derived likely molting locations from the satellite tracking data and generated expected isotope ratios based on an interpolated map of δD in rainwater. Although δD was correlated with the distance between wintering and molting locations, surprisingly, measured δD values were not correlated with either expected values or latitudes of molting sites. However, population-level parameters derived from the satellite-tracking data, such as mean distance between wintering and molting locations and variation in migration distance, were reflected by means and variation of the stable isotope values. Our findings call into question the relevance of the rainfall isotope map for Asia for linking feather isotopes to molting locations, and underscore the need for extensive ground truthing in the form of feather-based isoscapes. Nevertheless, stable isotopes from feathers could inform disease models by characterizing the degree to which regional breeding populations interact at common wintering locations. Feather isotopes also could aid in surveying wintering locations to determine where high-resolution tracking techniques (e.g. satellite tracking) could most effectively be employed. Moreover, intrinsic markers such as stable isotopes offer the only means of inferring movement information from birds that have died

  1. Bird migration and avian influenza: a comparison of hydrogen stable isotopes and satellite tracking methods

    USGS Publications Warehouse

    Bridge, Eli S.; Kelly, Jeffrey F.; Xiao, Xiangming; Takekawa, John Y.; Hill, Nichola J.; Yamage, Mat; Haque, Enam Ul; Islam, Mohammad Anwarul; Mundkur, Taej; Yavuz, Kiraz Erciyas; Leader, Paul; Leung, Connie Y.H.; Smith, Bena; Spragens, Kyle A.; Vandegrift, Kurt J.; Hosseini, Parviez R.; Saif, Samia; Mohsanin, Samiul; Mikolon, Andrea; Islam, Ausrafal; George, Acty; Sivananinthaperumal, Balachandran; Daszak, Peter; Newman, Scott H.

    2014-01-01

    Satellite-based tracking of migratory waterfowl is an important tool for understanding the potential role of wild birds in the long-distance transmission of highly pathogenic avian influenza. However, employing this technique on a continental scale is prohibitively expensive. This study explores the utility of stable isotope ratios in feathers in examining both the distances traveled by migratory birds and variation in migration behavior. We compared the satellite-derived movement data of 22 ducks from 8 species captured at wintering areas in Bangladesh, Turkey, and Hong Kong with deuterium ratios (δD) in the feathers of these and other individuals captured at the same locations. We derived likely molting locations from the satellite tracking data and generated expected isotope ratios based on an interpolated map of δD in rainwater. Although δD was correlated with the distance between wintering and molting locations, surprisingly, measured δD values were not correlated with either expected values or latitudes of molting sites. However, population-level parameters derived from the satellite-tracking data, such as mean distance between wintering and molting locations and variation in migration distance, were reflected by means and variation of the stable isotope values. Our findings call into question the relevance of the rainfall isotope map for Asia for linking feather isotopes to molting locations, and underscore the need for extensive ground truthing in the form of feather-based isoscapes. Nevertheless, stable isotopes from feathers could inform disease models by characterizing the degree to which regional breeding populations interact at common wintering locations. Feather isotopes also could aid in surveying wintering locations to determine where high-resolution tracking techniques (e.g. satellite tracking) could most effectively be employed. Moreover, intrinsic markers such as stable isotopes offer the only means of inferring movement information from

  2. Regional Bias of Satellite Precipitation Estimates

    NASA Astrophysics Data System (ADS)

    Modrick, T. M.; Georgakakos, K. P.; Spencer, C. R.

    2012-12-01

    Satellite-based estimates of precipitation have improved the spatial availability of precipitation data particularly for regions with limited gauge networks due to limited accessibility or infrastructure. Understanding the quality and reliability of satellite precipitation estimates is important, especially when the estimates are utilitized for real-time hydrologic forecasting and for fast-responding phenomena. In partnership with the World Meteorological Organization (WMO), the U.S. Agency of International Development (USAID) and the National Ocean and Atmospheric Administration (NOAA), the Hydrologic Research Center has begun implementation of real-time flash flood warning systems for diverse regions around the world. As part of this effort, bias characteristics of satellite precipitation have been examined in these various regions, such includes portions of Southeastern Asia, Southeastern Europe, the Middle East, Central America, and the southern half of the African continent. The work has focused on the Global Hydro-Estimator (GHE) precipitation product from NOAA/NESDIS. These real-time systems utilize the GHE given low latency times of this product. This presentation focuses on the characterization of precipitation bias as compared to in-situ gauge records, and the regional variations or similarities. Additional analysis is currently underway considering regional bias for other satellite precipitation products (e.g., CMORPH) for comparison with the GHE results.

  3. A Canadian small satellite launch vehicle

    NASA Astrophysics Data System (ADS)

    Payne, B.; Reinhardt, A.; Oconnor, D.; Wehrle, V.

    1993-11-01

    Today's small satellites can accomplish missions of sophistication and utility which would have required large satellites several years ago. A remaining constraint to further growth of the small satellite business is the lack of appropriately priced launch vehicles. Based on its experience with designing the Black Brant series of suborbital launchers, Bristol Aerospace is developing a family of orbital launch vehicles aimed specifically at the small-satellite market. The new Black Brant 2000 series will be based on three vehicles: the core vehicle (300) uses four solid propellant motors, with the first and fourth stages using existing flight-proven motors and the second and third to use a common, new motor specifically developed for this application. The upgraded 400 and 500 vehicles are derived by adding strap-ons to the 300 to raise the 600-km payload capability to 294 kg. A description of the vehicle hardware and system performance of the Black Brant 2000 series is presented, including motors, interstages, guidance system, avionics, payload fairing, and interfaces. It is believed that the series can be flight qualified by 1997.

  4. Satellite Laser Ranging operations

    NASA Technical Reports Server (NTRS)

    Pearlman, Michael R.

    1994-01-01

    Satellite Laser Ranging (SLR) is currently providing precision orbit determination for measurements of: 1) Ocean surface topography from satellite borne radar altimetry, 2) Spatial and temporal variations of the gravity field, 3) Earth and ocean tides, 4) Plate tectonic and regional deformation, 5) Post-glacial uplift and subsidence, 6) Variations in the Earth's center-of-mass, and 7) Variations in Earth rotation. SLR also supports specialized programs in time transfer and classical geodetic positioning, and will soon provide precision ranging to support experiments in relativity.

  5. Satellite communications system 'Tyulpan'

    NASA Astrophysics Data System (ADS)

    Tchuyan, R. K.; Tarasov, E. V.; Belousov, A. P.; Balyk, V. M.; Kovtunenko, V. M.; Morozov, V. A.; Andreev, V. A.; v'yunenko, K. A.

    1993-10-01

    A concept of the satellite communication system called 'Tyulpan' (because or its tulip-resembling shape) is considered. This conception envisages the use of six satellites-retranslators installed on high-latitude elliptic orbits. Such a system can provide the communication for mean- and high-latitude region of Europe, Asia, and America. For the communication, super small ground stations of 0.4 m in diameter can be used. In the development of system conception, the already existing technical solutions and possibility of conversion or existing installations of military destination were taken into account. Therefore, the system considered can be realized at the earliest possible date.

  6. Satellite altitude determination uncertainties

    NASA Technical Reports Server (NTRS)

    Siry, J. W.

    1972-01-01

    Satellite altitude determination uncertainties will be discussed from the standpoint of the GEOS-C satellite, from the longer range viewpoint afforded by the Geopause concept. Data are focused on methods for short-arc tracking which are essentially geometric in nature. One uses combinations of lasers and collocated cameras. The other method relies only on lasers, using three or more to obtain the position fix. Two typical locales are looked at, the Caribbean area, and a region associated with tracking sites at Goddard, Bermuda and Canada which encompasses a portion of the Gulf Stream in which meanders develop.

  7. Public service satellite communications

    NASA Technical Reports Server (NTRS)

    Wolff, E. A.

    1978-01-01

    It is suggested that the high effective isotropic radiated power provided by high-power satellite transmitters and high-gain antennas could be used in conjunction with economical ground receivers to furnish public services in remote areas of the U.S. Applications to health care, education and public safety are mentioned. A system concept involving a communications satellite operating in the Ku-band (12-GHz down, 14-GHz up) and either 100/30 watt stationary earth terminals with 1-1.8 m antennas or mobile terminals with omnidirectional antennas is presented.

  8. Mexico's first domestic satellite

    NASA Astrophysics Data System (ADS)

    Sanchez-Ruiz, M. E.; Elbert, B. R.

    The principal features of the Morelos communications satellite program, providing Mexico with C-band and Ku-band TV and telephone services beginning in 1985, are reviewed. Two satellites, modified versions of the Hughes HS-376 dual-spin bus, will be launched by STS and controlled from a tracking, telemetery, and command station near Mexico City; the 184-station ground network currently operating with Intelsat-IV will be expanded to about 1000 C-band stations (plus numerous small Ku-band receivers) by 1990. The spacecraft design, communications-subsystem performance, repeater equipment, antennas, and coverage pattern are presented in tables, drawings, diagrams, photographs and maps and discussed.

  9. Land mobile satellite systems

    NASA Astrophysics Data System (ADS)

    Kiesling, John D.

    1990-07-01

    The general advantages and potential operating characteristics of the mobile satellite service (MSS) are described, and distinctions are made between radio telephone, which is interconnected to the public switched telephone network, and private mobile radio systems. Mobile satellite service offers voice, data, position location, and paging services, interconnection to the public switched telephone network, and the possibility of private networks. Performance and cost characteristics are given along with summaries of market needs and market demands. The space and ground systems of the MSS are described.

  10. Declassified intelligence satellite photographs

    USGS Publications Warehouse

    ,

    1998-01-01

    Recently declassified photographs from spy satellites are an important addition to the record of the Earth?s land surface held by the U.S. Geological Survey (USGS). More than 800,000 high-resolution photos taken between 1959 through 1972 were made available by Executive Order of the President. The collection is held at the USGS EROS Data Center, near Sioux Falls, S. Dak., and are offered for public sale. For some purposes in earth science studies, these photos extend the record of changes in the land surface another decade back in time from the advent of the Landsat earth-observing satellite program.

  11. Satellites For Sale

    NASA Technical Reports Server (NTRS)

    1984-01-01

    Astronaut Dale A. Gardner, having just completed the major portion of his second extravehicular activity (EVA) period in three days, holds up a 'For Sale' sign refering to the two satellites, Palapa B-2 and Westar 6 that they retrieved from orbit after their Payload Assist Modules (PAM) failed to fire. Astronaut Joseph P. Allen IV, who also participated in the two EVAs, is reflected in Gardner's helmet visor. A portion of each of two recovered satellites is in the lower right corner, with Westar 6 nearer Discovery's aft.

  12. Using Satellite Data in Weather Forecasting: I

    NASA Technical Reports Server (NTRS)

    Jedlovec, Gary J.; Suggs, Ronnie J.; Lecue, Juan M.

    2006-01-01

    The GOES Product Generation System (GPGS) is a set of computer codes and scripts that enable the assimilation of real-time Geostationary Operational Environmental Satellite (GOES) data into regional-weather-forecasting mathematical models. The GPGS can be used to derive such geophysical parameters as land surface temperature, the amount of precipitable water, the degree of cloud cover, the surface albedo, and the amount of insolation from satellite measurements of radiant energy emitted by the Earth and its atmosphere. GPGS incorporates a priori information (initial guesses of thermodynamic parameters of the atmosphere) and radiometric measurements from the geostationary operational environmental satellites along with mathematical models of physical principles that govern the transfer of energy in the atmosphere. GPGS solves the radiative-transfer equation and provides the resulting data products in formats suitable for use by weather-forecasting computer programs. The data-assimilation capability afforded by GPGS offers the potential to improve local weather forecasts ranging from 3 hours to 2 days - especially with respect to temperature, humidity, cloud cover, and the probability of precipitation. The improvements afforded by GPGS could be of interest to news media, utility companies, and other organizations that utilize regional weather forecasts.

  13. The American Satellite Company (ASC) satellite deployed from payload bay

    NASA Technical Reports Server (NTRS)

    1985-01-01

    The American Satellite Company (ASC) communications satellite is deployed from the payload bay of the Shuttle Discovery. A portion of the cloudy surface of the earth can be seen to the left of the frame.

  14. How Good Are Satellite Rainfall Products For Hydrologic Simulations Of A Small Watershed?

    NASA Astrophysics Data System (ADS)

    Zeweldi, D. A.; Gebremichael, M.; Downer, C. W.

    2009-12-01

    Despite recent advances in satellite rainfall technology, the use of satellite rainfall products for hydrological applications is very limited. Assessing the potential and utility of satellite rainfall products is crucially important to advance their utility. In this work, first we quantify the errors in satellite rainfall products. We considered different satellite rainfall algorithms; namely, CMORPH (~8km, 30-minute), PERSIANN-CCS (4km, hourly) and HydroEstimator (10 km, hourly). Second, we assess how these errors propagate to hydrologic model streamflow simulations. We used the fully-distributed hydrologic model known as GSSHA. Our study region is the Goodwin Creek experimental watershed (21 sq. km) in Mississippi, USA. Our results provide information on how good different satellite rainfall products are for hydrologic simulations of a small watershed.

  15. Satellite orbit determination and gravity field recovery from satellite-to-satellite tracking

    NASA Astrophysics Data System (ADS)

    Wakker, K. F.; Ambrosius, B. A. C.; Leenman, H.

    1989-07-01

    Studies on satellite-to-satellite tracking (SST) with POPSAT (a geodetic satellite concept) and a ERS-class (Earth observation) satellite, a Satellite-to-Satellite Tracking (SST) gravity mission, and precise gravity field determination methods and mission requirements are reported. The first two studies primarily address the application of SST between the high altitude POPSAT and an ERS-class or GRM (Geopotential Research Mission) satellite to the orbit determination of the latter two satellites. Activities focussed on the determination of the tracking coverage of the lower altitude satellite by ground based tracking systems and by POPSAT, orbit determination error analysis and the determination of the surface forces acting on GRM. The third study surveys principles of SST, uncertainties of existing drag models, effects of direct luni-solar attraction and tides on orbit and the gravity gradient observable. Detailed ARISTOTELES (which replaced POPSAT) orbit determination error analyses were performed for various ground based tracking networks.

  16. The satellite configuration of satellite-TV navigation system

    NASA Astrophysics Data System (ADS)

    Gao, Yu-Ping

    2001-02-01

    The positioning accuracy and availability of navigation system are affected directly by the quality of satellite configuration. The possible satellite configurations for satellite-TV navigation system are discussed and estimated in this paper. The results show that a well setted configuration or a resonable integration of satellite-TV navigation system and Chinese Loran-C will improve the positioning accuracy and availability of the system.

  17. Preparation and diagnostic utility of a hemagglutination inhibition test antigen derived from the baculovirus-expressed hemagglutinin-neuraminidase protein gene of Newcastle disease virus.

    PubMed

    Choi, Kang-Seuk; Kye, Soo-Jeong; Jeon, Woo-Jin; Park, Mi-Ja; Kim, Saeromi; Seul, Hee-Jung; Kwon, Jun-Hun

    2013-01-01

    A recombinant hemagglutinin-neuraminidase (rHN) protein from Newcastle disease virus (NDV) with hemagglutination (HA) activity was expressed in Spodoptera frugiperda cells using a baculovirus expression system. The rHN protein extracted from infected cells was used as an antigen in a hemagglutination inhibition (HI) test for the detection and titration of NDV-specific antibodies present in chicken sera. The rHN antigen produced high HA titers of 2(13) per 25 μL, which were similar to those of the NDV antigen produced using chicken eggs, and it remained stable without significant loss of the HA activity for at least 12 weeks at 4°C. The rHN-based HI assay specifically detected NDV antibodies, but not the sera of other avian pathogens, with a specificity and sensitivity of 100% and 98.0%, respectively, in known positive and negative chicken sera (n = 430). Compared with an NDV-based HI assay, the rHN-based HI assay had a relative sensitivity and specificity of 96.1% and 95.5%, respectively, when applied to field chicken sera. The HI titers of the rHN-based HI assay were highly correlated with those in an NDV-based HI assay (r = 0.927). Overall, these results indicate that rHN protein provides a useful alternative to NDV antigen in HI assays.

  18. The Utility of Post-Void Residual Volume versus Sphincter Electromyography to Distinguish between Multiple System Atrophy and Parkinson’s Disease

    PubMed Central

    Yamamoto, Tatsuya; Asahina, Masato; Yamanaka, Yoshitaka; Uchiyama, Tomoyuki; Hirano, Shigeki; Fuse, Miki; Koga, Yasuko; Sakakibara, Ryuji; Kuwabara, Satoshi

    2017-01-01

    Objective To determine the ability of sphincter electromyography (EMG) and post-void residual urine volume (PVR) during a free-flow study and a pressure-flow study (PFS) for distinguishing multiple system atrophy (MSA) from Parkinson’s disease (PD). Methods We retrospectively reviewed 241 case records; both urodynamic study and sphincter EMG were performed in patients with MSA (n = 147) and PD (n = 94). Results There was a statistically significant difference (p < 0.01) in the mean PVR during the free-flow study (113.1 ± 7.5 mL in MSA and 40.4 ± 3.8 mL in PD), mean PVR during PFS (230.1 ± 12.6 mL in MSA and 71.7 ± 6.6 mL in PD), and mean duration of MUP for sphincter EMG (9.3 ± 0.1 ms in MSA and 7.7 ± 0.1 ms in PD). The area under the curve used for differentiating MSA from PD was 0.79 and 0.73 for PVR during PFS and the free-flow study, respectively. There was a mean duration of 0.69 ms for the sphincter EMG. Conclusions The present results suggested that PVR was more appropriate than sphincter EMG for differentiating MSA from PD. PMID:28060892

  19. Screening for infectious diseases among newly arrived migrants in EU/EEA countries--varying practices but consensus on the utility of screening.

    PubMed

    Kärki, Tommi; Napoli, Christian; Riccardo, Flavia; Fabiani, Massimo; Dente, Maria Grazia; Carballo, Manuel; Noori, Teymur; Declich, Silvia

    2014-10-21

    Screening is one possible tool for monitoring infectious diseases among migrants. However, there is limited information on screening programmes targeted for newly arrived migrants in EU/EEA countries. Our aim was to investigate the implementation, practices and usefulness of these programmes. We conducted a survey among country experts from EU/EEA countries and Switzerland, asking whether their countries had implemented screening programmes. We also estimated the association between the implementation of these programmes and the rate of asylum-seekers in the population. Of the countries, 16 (59%) had implemented screening programmes and 15 (56%) had national guidelines. The rate of asylum-seekers was associated with implementation of screening programmes (p = 0.014). Screening was performed most often for tuberculosis; most commonly on holding level, and was targeted to specific migrant groups in over half of the countries performing screening. Twenty-five of all the country experts (96%) considered screening among migrants useful, and 24 (92%) would welcome EU level guidelines for screening. The implementation of screening programmes varied, and the practices were different among countries. Our survey suggests, that establishing EU level guidelines for screening would be useful, although they would have to take into account differences between individual countries.

  20. The Utility of Infliximab Therapeutic Drug Monitoring among Patients with Inflammatory Bowel Disease and Concerns for Loss of Response: A Retrospective Analysis of a Real-World Experience

    PubMed Central

    Shuster, Constantin; DeMarco, Mari L.; Rosenfeld, Gregory

    2016-01-01

    Background. Infliximab (IFX) therapeutic drug monitoring (TDM) allows for objective decision making in patients with inflammatory bowel disease (IBD) and loss of response. Questions remain about whether IFX TDM improves outcomes. Methods. Patients with IBD who had IFX TDM due to concerns for loss of response were considered for inclusion. Serum IFX trough concentration and anti-drug antibody (ADA) concentrations were measured. Patients were grouped by TDM results: group 1, low IFX/high ADA; group 2, low IFX/low ADA; group 3, therapeutic IFX. Changes in management were analyzed according to groupings; remission rates were assessed at 6 months. Results. 71 patients were included of whom 37% underwent an appropriate change in therapy. Groups 1 (67%) and 2 (83%) had high adherence compared to only 9% in group 3. At 6 months, 57% had achieved remission. More patients who underwent an appropriate change in therapy achieved remission, though this did not reach statistical significance (69% versus 49%; P = 0.098). Conclusions. A trend towards increased remission rates was associated with appropriate changes in management following TDM results. Many patients with therapeutic IFX concentrations did not undergo an appropriate change in management, potentially reflecting a lack of available out-of-class options at the time of TDM or due to uncertainty of the meaning of the reported therapeutic range. PMID:27957480