Sea Ice Evolution in the Pacific Arctic by Selected CMIP5 Models: the Present and the Future

NASA Astrophysics Data System (ADS)

Wang, M.; Yang, Q.; Overland, J. E.; Stabeno, P. J.

2016-12-01

With fast declining of sea ice cover in the Arctic, the timing of sea ice break-up and freeze-up is an urgent economic, social and scientific issue. Based on daily sea ice concentration data we assess three parameters: the dates of sea ice break-up and freeze-up and the annual sea ice duration in the Pacific Arctic. The sea ice duration is shrinking, with the largest trend during the past decade (1990-2015); this declining trend will continue based on CMIP5 model projections. The seven CMIP5 models used in current study are able to simulate all three parameters well when compared with observations. Comparisons made at eight Chukchi Sea mooring sites and the eight Distributed Biological Observatory (DBO) boxes show consistent results as well. The 30-year averaged trend for annual sea ice duration is projected to be -0.68 days/year to -1.2 days/year for 2015-2044. This is equivalent 20 to 36 days reduction in the annual sea ice duration. A similar magnitude of the negative trend is also found at all eight DBO boxes. The reduction in annual sea ice duration will include both earlier break-up dates and later freeze-up date. However, models project that a later freeze-up contributes more than early break-up to the overall shortening of annual sea ice duration. Around the Bering Strait future changes are the smallest, with less than 20-days change in duration during next 30 years. Upto 60 days reduction of the sea ice duration is projected for the decade of 2030-2044 in the East Siberia, the Chukchi and the Beaufort Seas.

Breastfeeding duration and offspring conduct problems: The moderating role of genetic risk.

PubMed

Jackson, Dylan B

2016-10-01

A sizable body of research has examined associations between breastfeeding and various facets of offspring development, including childhood behavioral problems. Notwithstanding the number of studies on the topic, breastfeeding has not consistently been linked to child misbehaviors. Moreover, empirical examinations of whether breastfeeding is differentially predictive of conduct problems among individuals with varying degrees of genetic risk are lacking. The present study examines whether a short duration of breastfeeding and genetic risk interact to predict conduct problems during childhood. A genetically informative design is employed to examine a subsample of twins from the Early Childhood Longitudinal Study: Birth Cohort (ECLS-B), a nationally representative sample of American children. The findings suggest that a shorter duration of breastfeeding only enhances the risk of offspring conduct problems among children who possess high levels of genetic risk. Conversely, longer breastfeeding durations were found to protect against childhood behavioral problems when genetic risk was high. Indicators of genetic risk may help to distinguish individuals whose behavioral development is most sensitive to the duration of breastfeeding. Future research should seek to replicate and extend these findings by considering genetic factors as potential markers of differential susceptibility to breastfeeding duration. Copyright © 2016 Elsevier Ltd. All rights reserved.

Preliminary report on small group factors in long duration space flights: Review and directions for future research

NASA Technical Reports Server (NTRS)

Harrison, A. A.

1979-01-01

Group dynamics, sociological and psychological factors are examined. Crew composition and compatability are studied. Group dynamics analysis includes: leadership; cohesiveness; conformity; and conflict.

Preliminary report on social psychological factors in long duration space flights: Review and directions for future research

NASA Technical Reports Server (NTRS)

Harrison, A. A.

1978-01-01

Group dynamics, sociological and psychological factors are examined. Crew composition and compatibility are studied. Group dynamics analysis includes: leadership; cohesiveness; conformity; and conflict.

The Understanding of Time by Deaf Pupils.

ERIC Educational Resources Information Center

Kaiser-Grodecka, Irmina; Cieszynska, Jagoda

The natural sign language used by deaf children in Poland makes no distinction between present, future, and past tenses. Deaf pupils do not understand the notions of temporal sequence and duration of time intervals, and so are prevented from thinking of and planning for the future. The study with 15 deaf 12-year-old pupils and 15 deaf 14-year-old…

Recalled Initiation and Duration of Maternal Breastfeeding Among Children with and Without ADHD in a Well Characterized Case-Control Sample.

PubMed

Stadler, Diane D; Musser, Erica D; Holton, Kathleen F; Shannon, Jackilen; Nigg, Joel T

2016-02-01

Early environmental influences are increasingly of interest in understanding ADHD as a neurodevelopmental condition, particularly in light of recognition that gene by environment interplay are likely involved in this condition. Breastfeeding duration predicts cognitive development, as well as development of brain white matter connectivity, in areas similar to those seen in ADHD. Prior studies show an association between breastfeeding and ADHD but without adequate evaluation of ADHD. A case control cohort of 474 children aged 7-13 years was examined, 291 with well characterized ADHD (71.5 % male) and the rest typically developing controls (51.9 % male). Mothers retrospectively reported on breast feeding initiation and duration. Initiation of breastfeeding was not associated with child ADHD, but shorter duration of breastfeeding was associated with child ADHD with a medium effect size (d = 0.40, p < 0.05); this effect held after covarying a broad set of potential confounders, including child oppositional defiant and conduct problems and including maternal and paternal ADHD symptoms. Effects were replicated across both parent and teacher ratings of child ADHD symptoms. Shorter duration of breastfeeding is among several risk factors in early life associated with future ADHD, or else longer duration is protective. The direction of this effect is unknown, however. It may be that some children are more difficult to breastfeed or that breastfeeding provides nutrients or other benefits that reduce future chance of ADHD.

Socio-economic differences in the association between sickness absence and mortality: the prospective DREAM study of Danish private sector employees.

PubMed

Lund, T; Kivimäki, M; Christensen, K B; Labriola, M

2009-03-01

To examine duration of sickness absence as a risk marker for future mortality by socio-economic position among all private sector employees in Denmark in 1998-2004. All residents in Denmark employed in the private sector receiving sickness absence compensation in 1998 were investigated in a prospective cohort study. 236 207 persons (38.2% women, 61.8% men, age range 18-65, mean age 37.8 years) alive on 1 January 2001 were included in the study. Mortality from 1 January 2001 to 31 December 2004 was assessed using national register data. Deaths in 1999 and 2000 were excluded to determine the status of sickness absence duration as an early risk marker. For analyses within occupational grades, data were available for a sub-population of 137 607 study participants. 3040 persons died during follow-up. The age-adjusted risk of future mortality increased by duration of sickness absence in a graded fashion among men and non-blue collar workers. Among women and blue collar workers, there was no association of mortality with duration of sickness absences below 6 weeks. However, employees with > or =6 weeks of absence compared to those with 1-week absence had a substantial excess risk of death in all groups: adjusted hazard ratio 2.2 (95% CI 1.8 to 2.7) for women, 2.1 (95% CI 1.8 to 2.4) for men, 3.7 (95% CI 1.9 to 7.2) in white collar occupations, 3.3 (95% CI 2.2 to 5.0) in intermediate grade occupations and 2.0 (95% CI 1.7 to 2.3) in blue collar occupations. Administratively collected data on sickness absence compensation for periods > or =6 weeks identified "at risk" groups for future excess mortality in male and female private sector employees across occupational grade levels.

Antarctic Exploration Parallels for Future Human Planetary Exploration: The Role and Utility of Long Range, Long Duration Traverses

NASA Technical Reports Server (NTRS)

Hoffman, Stephen J. (Editor); Voels, Stephen A. (Editor)

2012-01-01

Topics covered include: Antarctic Exploration Parallels for Future Human Planetary Exploration: Science Operations Lessons Learned, Planning, and Equipment Capabilities for Long Range, Long Duration Traverses; Parallels Between Antarctic Travel in 1950 and Planetary Travel in 2050 (to Accompany Notes on "The Norwegian British-Swedish Antarctic Expedition 1949-52"); My IGY in Antarctica; Short Trips and a Traverse; Geologic Traverse Planning for Apollo Missions; Desert Research and Technology Studies (DRATS) Traverse Planning; Science Traverses in the Canadian High Arctic; NOR-USA Scientific Traverse of East Antarctica: Science and Logistics on a Three-Month Expedition Across Antarctica's Farthest Frontier; A Notional Example of Understanding Human Exploration Traverses on the Lunar Surface; and The Princess Elisabeth Station.

Effect of socio-economic status on sleep.

PubMed

Seo, Won Hee; Kwon, Jung Hyun; Eun, So-Hee; Kim, Gunha; Han, Kyungdo; Choi, Byung Min

2017-06-01

Sufficient sleep is an important factor in physical and mental health. Sleep duration can be affected by socio-economic status (SES). This study aimed to examine the association between sleep duration and SES in Korean adolescents. This study was conducted with 1608 adolescents aged 12-18 years, based on data from the 2010 to 2012 Korean National Health and Nutrition Examination Survey (KNHANES). Sleep duration was self-reported in hours and three SES indicators were used: household income, basic livelihood security programmes and type of health insurance. Confounding factors in this study were age, mental health and physical activity. Participants' average age was 15.6 ± 0.05 years and average sleep duration was 7.04 ± 0.05 h. There was a strong association between sleep duration and household income (P < 0.05) rather than other socio-economic indicators. In addition, it showed that sleep duration was significantly associated with age, body mass index (P < 0.05) and low mood is associated with short sleep and long sleep (>9 h/night). We found similar results in both genders, that is, that the highest income group had shorter sleep duration than the lowest income group. This study shows that the SES, particularly household income, is an important factor in short sleep duration in Korean adolescents. Our findings suggest that, in future investigations of the adolescent's sleep problem, attention should be paid to household income. © 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

Sleep duration and its correlates in middle-aged and elderly Chinese women: the Shanghai Women’s Health Study

PubMed Central

Tu, Xiangdong; Cai, Hui; Gao, Yu-Tang; Wu, Xiaoyan; Ji, Bu-Tian; Yang, Gong; Li, Honglan; Zheng, Wei; Shu, Xiao Ou

2012-01-01

Background Abnormal sleep duration, either long or short, is associated with disease risk and mortality. Little information is available on sleep duration and its correlates among Chinese women. Methods Using information collected from 68,832 women who participated in the Shanghai Women’s Health Study (SWHS), we evaluated sleep duration and its correlations with sociodemographic and lifestyle factors, health status, and anthropometric measurements and their indexes using polynomial logistic regression. Results The mean age of the study population was 59.6 years (SD=9.0; range: 44.6–79.9 years) at time of sleep duration assessment. Approximately 80% of women reported sleeping 6–8 hours per day, 11.5% slept five hours or less, and 8.7% slept nine hours or more. As expected, age was the strongest predictor for sleep duration and was negatively correlated with sleep duration. In general, sleep duration was positively associated with energy intake, intakes of total meat and fruits, body mass index (BMI), waist-hip ratio (WHR), and waist circumference (WC) after adjustment for age and other factors. Both short and long sleep duration were negatively associated with education level, family income, and leisure-time physical activity and positively associated with number of live births, history of night shift work, and certain chronic diseases, compared to sleep duration around seven hours/day (6.5–7.4 hours/day). Short sleep duration was related to tea consumption and passive smoking. Long sleep duration was related to menopausal status and marital status. Conclusions In this large, population-based study, we found that sleep duration among middle-aged and elderly Chinese women was associated with several sociodemographic and lifestyle factors and with disease status. The main limitation of the study is the cross-sectional design that does not allow us to draw any causal inference. However, this study provides information for future investigation into the nature of these associations so that recommendations can be developed to reduce sleep problems in middle-aged and elderly Chinese women. It also provides important information on potential confounders for investigation of sleep duration on health outcomes in this population. PMID:22938861

Sleep duration and its correlates in middle-aged and elderly Chinese women: the Shanghai Women's Health Study.

PubMed

Tu, Xiangdong; Cai, Hui; Gao, Yu-Tang; Wu, Xiaoyan; Ji, Bu-Tian; Yang, Gong; Li, Honglan; Zheng, Wei; Shu, Xiao Ou

2012-10-01

Abnormal sleep duration, either long or short, is associated with disease risk and mortality. Little information is available on sleep duration and its correlates among Chinese women. Using information collected from 68,832 women who participated in the Shanghai Women's Health Study (SWHS), we evaluated sleep duration and its correlations with sociodemographic and lifestyle factors, health status, and anthropometric measurements and their indexes using polynomial logistic regression. The mean age of the study population was 59.6 years (SD=9.0; range: 44.6-79.9 years) at time of sleep duration assessment. Approximately 80% of women reported sleeping 6-8 h/day, 11.5% slept 5h or less, and 8.7% slept 9h or more. As expected, age was the strongest predictor for sleep duration and was negatively correlated with sleep duration. In general, sleep duration was positively associated with energy intake, intakes of total meat and fruits, body mass index (BMI), waist-hip ratio (WHR), and waist circumference (WC) after adjustment for age and other factors. Both short and long sleep duration were negatively associated with education level, family income, and leisure-time physical activity and positively associated with number of live births, history of night shift work, and certain chronic diseases, compared to sleep duration around 7 h/day (6.5-7.4h/day). Short sleep duration was related to tea consumption and passive smoking. Long sleep duration was related to menopausal status and marital status. In this large, population-based study, we found that sleep duration among middle-aged and elderly Chinese women was associated with several sociodemographic and lifestyle factors and with disease status. The main limitation of the study is the cross-sectional design that does not allow us to draw any causal inference. However, this study provides information for future investigation into the nature of these associations so that recommendations can be developed to reduce sleep problems in middle-aged and elderly Chinese women. It also provides important information on potential confounders for investigation of sleep duration on health outcomes in this population. Copyright © 2012 Elsevier B.V. All rights reserved.

Predicting the Future as Bayesian Inference: People Combine Prior Knowledge with Observations when Estimating Duration and Extent

ERIC Educational Resources Information Center

Griffiths, Thomas L.; Tenenbaum, Joshua B.

2011-01-01

Predicting the future is a basic problem that people have to solve every day and a component of planning, decision making, memory, and causal reasoning. In this article, we present 5 experiments testing a Bayesian model of predicting the duration or extent of phenomena from their current state. This Bayesian model indicates how people should…

Sleep Duration and Body Mass Index in Twins: A Gene-Environment Interaction

PubMed Central

Watson, Nathaniel F.; Harden, Kathryn Paige; Buchwald, Dedra; Vitiello, Michael V.; Pack, Allan I.; Weigle, David S.; Goldberg, Jack

2012-01-01

Study Objectives: To examine whether sleep duration modifies genetic and environmental influences on body mass index (BMI). Design: Genotype-environment interaction twin study. Setting: University of Washington Twin Registry. Patients or Participants: A population-based sample of US twins (1,088 pairs, 604 monozygotic, 484 dizygotic; 66% female; mean age = 36.6 yr, standard deviation (SD) = 15.9 yr). Interventions: N/A. Measurements and Results: Participants self-reported information on height, weight, and sleep. Mean BMI was calculated as 25.3 kg/m2 (SD = 5.4) and mean habitual sleep duration was 7.2 hr/night (SD = 1.2). Data were analyzed using biometric genetic interaction models. Overall the heritability of sleep duration was 34%. Longer sleep duration was associated with decreased BMI (P < 0.05). The heritability of BMI when sleep duration was < 7 hr (h2 = 70%) was more than twice as large as the heritability of BMI when sleep duration was ≥ 9 hr (h2 = 32%); this interaction was significant (P < 0.05). Conclusions: Shorter sleep duration is associated with increased BMI and increased genetic influences on BMI, suggesting that shorter sleep duration increases expression of genetic risks for high body weight. At the same time, longer sleep duration may suppress genetic influences on body weight. Future research aiming to identify specific genotypes for BMI may benefit by considering the moderating role of sleep duration. Citation: Watson NF; Harden KP; Buchwald D; Vitiello MV; Pack AI; Weigle DS; Goldberg J. Sleep duration and body mass index in twins: a gene-environment interaction. SLEEP 2012;35(5):597-603. PMID:22547885

[Socio professional impact of surgical release of carpal tunnel syndrome].

PubMed

Kraiem, Aouatef Mahfoudh; Hnia, Hajer; Bouzgarrou, Lamia; Henchi, Mohamed Adnène; Khalfallah, Taoufik

2016-01-01

The objective was studying the socio-professional impact of release surgery for carpal tunnel syndrom (CTS). We conducted a cross-sectional study of patients operated for work-related CTS; data were collected in the Occupational Health Department at the University Hospital Tahar Sfar in Mahdia, Tunisia over a period of 8 years, from 1 January 2006 to December 2013. Data collection was performed using a survey form focusing on participants' socio-professional and medical characteristics and on their professional future. We used Karasek's questionnaire to study psychosocial constraints at work. The duration of a work stoppage following release surgery for CTS was significantly related to the existence of musculoskeletal disorders other than CTS, to a statement that the carpal tunnel syndrome was work related and to job seniority. As regards the professional future of operated employees, 50.7% remained in the same position, 15.3% were given customized workstation and 33.8% were offered a different position within the same company. The professional future of these employees was related to their occupational qualifications and to the type of sensory and/or motor impairment of median nerve detected during EMG test. A number of nonlesional factors determines the duration of the work stoppage, while the professional future of patients operated for CTS essentially depends on their professional qualifications and on EMG data. Certainly much broader studies would allow to refine these results.

Electrification Futures Study: End-Use Electric Technology Cost and Performance Projections through 2050

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

Jadun, Paige; McMillan, Colin; Steinberg, Daniel

This report is the first in a series of Electrification Futures Study (EFS) publications. The EFS is a multiyear research project to explore widespread electrification in the future energy system of the United States. More specifically, the EFS is designed to examine electric technology advancement and adoption for end uses in all major economic sectors as well as electricity consumption growth and load profiles, future power system infrastructure development and operations, and the economic and environmental implications of widespread electrification. Because of the expansive scope and the multiyear duration of the study, research findings and supporting data will be publishedmore » as a series of reports, with each report released on its own timeframe.« less

Intensity-duration threshold of rainfall-triggered debris flows in the Wenchuan Earthquake affected area, China

NASA Astrophysics Data System (ADS)

Guo, Xiaojun; Cui, Peng; Li, Yong; Ma, Li; Ge, Yonggang; Mahoney, William B.

2016-01-01

The Ms 8.0 Wenchuan Earthquake has greatly altered the rainfall threshold for debris flows in the affected areas. This study explores the local intensity-duration (I-D) relationship based on 252 post-earthquake debris flows. It was found that I = 5.25 D-0.76 accounts for more than 98% of the debris flow occurrences with rainfall duration between 1 and 135 h; therefore the curve defines the threshold for debris flows in the study area. This gives much lower thresholds than those proposed by the previous studies, suggesting that the earthquake has greatly decreased the thresholds in the past years. Moreover, the rainfall thresholds appear to increase annually in the period of 2008-2013, and present a logarithmic increasing tendency, indicating that the thresholds will recover in the future decades.

Predicting Future Suicide Attempts Among Adolescent and Emerging Adult Psychiatric Emergency Patients

PubMed Central

Horwitz, Adam G.; Czyz, Ewa K.; King, Cheryl A.

2014-01-01

Objective The purpose of this study was to longitudinally examine specific characteristics of suicidal ideation in combination with histories of suicide attempts and non-suicidal self-injury (NSSI) to best evaluate risk for a future attempt among high-risk adolescents and emerging adults. Method Participants in this retrospective medical record review study were 473 (53% female; 69% Caucasian) consecutive patients, ages 15–24 years (M = 19.4 years) who presented for psychiatric emergency (PE) services during a 9-month period. These patients’ medical records, including a clinician-administered Columbia-Suicide Severity Rating Scale, were coded at the index visit and at future visits occurring within the next 18 months. Logistic regression models were used to predict suicide attempts during this period. Results SES, suicidal ideation severity (i.e., intent, method), suicidal ideation intensity (i.e., frequency, controllability), a lifetime history of suicide attempt, and a lifetime history of NSSI were significant independent predictors of a future suicide attempt. Suicidal ideation added incremental validity to the prediction of future suicide attempts above and beyond the influence of a past suicide attempt, whereas a lifetime history of NSSI did not. Sex moderated the relationship between the duration of suicidal thoughts and future attempts (predictive for males, but not females). Conclusions Results suggest value in incorporating both past behaviors and current thoughts into suicide risk formulation. Furthermore, suicidal ideation duration warrants additional examination as a potential critical factor for screening assessments evaluating suicide risk among high-risk samples, particularly for males. PMID:24871489

A comparison of methods to estimate future sub-daily design rainfall

NASA Astrophysics Data System (ADS)

Li, J.; Johnson, F.; Evans, J.; Sharma, A.

2017-12-01

Warmer temperatures are expected to increase extreme short-duration rainfall due to the increased moisture-holding capacity of the atmosphere. While attention has been paid to the impacts of climate change on future design rainfalls at daily or longer time scales, the potential changes in short duration design rainfalls have been often overlooked due to the limited availability of sub-daily projections and observations. This study uses a high-resolution regional climate model (RCM) to predict the changes in sub-daily design rainfalls for the Greater Sydney region in Australia. Sixteen methods for predicting changes to sub-daily future extremes are assessed based on different options for bias correction, disaggregation and frequency analysis. A Monte Carlo cross-validation procedure is employed to evaluate the skill of each method in estimating the design rainfall for the current climate. It is found that bias correction significantly improves the accuracy of the design rainfall estimated for the current climate. For 1 h events, bias correcting the hourly annual maximum rainfall simulated by the RCM produces design rainfall closest to observations, whereas for multi-hour events, disaggregating the daily rainfall total is recommended. This suggests that the RCM fails to simulate the observed multi-duration rainfall persistence, which is a common issue for most climate models. Despite the significant differences in the estimated design rainfalls between different methods, all methods lead to an increase in design rainfalls across the majority of the study region.

Sleep duration, cognitive decline, and dementia risk in older women

PubMed Central

Chen, Jiu-Chiuan; Espeland, Mark A.; Brunner, Robert L.; Lovato, Laura C.; Wallace, Robert B.; Leng, Xiaoyan; Phillips, Lawrence S.; Robinson, Jennifer G.; Kotchen, Jane M.; Johnson, Karen C.; Manson, JoAnn E.; Stefanick, Marcia L.; Sarto, Gloria E.; Mysiw, W. Jerry

2015-01-01

Background Consistent evidence linking habitual sleep duration with risks of mild cognitive impairment (MCI) and dementia is lacking. Methods We conducted a prospective study on 7444 community-dwelling women (aged 65–80) with self-reported sleep duration, within the Women’s Health Initiative Memory Study in 1995–2008. Incident MCI/dementia cases were ascertained by validated protocols. Cox models were used to adjust for multiple sociodemographic and lifestyle factors, depression, cardiovascular disease (CVD), and other clinical characteristics. Results We found a statistically significant (p=0.03) V-shaped association, with a higher MCI/dementia risk in women with either short (≤6 hours/night) or long (≥8 hours/night) sleep duration (vs.7 hours/night). The multicovariate-adjusted hazard for MCI/dementia was increased by 36% in short sleepers irrespective of CVD, and by 35% in long sleepers without CVD. A similar V-shaped association was found with cognitive decline. Conclusion In older women, habitual sleep duration predicts the future risk for cognitive impairments including dementia, independent of vascular risk factors. PMID:26086180

Reliability of reported breastfeeding duration among reproductive-aged women from Mexico

PubMed Central

Cupul-Uicab, Lea A.; Gladen, Beth C.; Hernández-Ávila, Mauricio; Longnecker, Matthew P.

2010-01-01

Breastfed children have lower risk of infectious diseases, post-neonatal mortality and chronic diseases later in life. Because epidemiologic studies usually rely on reported history of previous breastfeeding, data on the accuracy and precision of recalled histories allow improved interpretation of the epidemiologic findings. We evaluated the reliability of two reported breastfeeding durations in 567 reproductive-aged women from Mexico using information obtained from nearly identical sets of questions applied at different times after weaning. We compared differences between reports, and examined the intra-class correlation coefficient (ICC) for any and for exclusive breastfeeding (EBF). Logistic regression was used to evaluate the determinants of poor recall (difference between reports of >20%). The reliability of duration of any breastfeeding was high (ICC 0.94). Overall, differences between reports of duration were usually <1 month, and for 385/567, the difference was ≤0.5 months. Predictors of poorer recall were having ≥4 children, and time between reports of >2 months. The only predictor of better recall was greater age of the baby at weaning. The reliability of EBF duration was lower (ICC 0.49). In this population with a relatively long duration of breastfeeding, reliability of any breast-feeding duration was high. Age, education and previous breastfeeding were not important predictors of recall, in contrast to findings in earlier studies. Consistent with previous reports, however, parity and length of recall were associated with poorer recall of duration of any breastfeeding. Future studies that use reported breastfeeding duration may want to consider the effect of these variables on recall. PMID:19292747

Cohort and duration patterns among Asian immigrants: Comparing trends in obesity and self-rated health

PubMed Central

Ro, Annie; Geronimus, Arline; Bound, John; Griffith, Derek; Gee, Gilbert

2015-01-01

Many studies, but not all, suggest that immigrant health worsens with duration of residence in the U.S. Cohort effects may explain the inconsistent findings; not only are cohort effects confounded with duration, but the timing of entry into the US may also create qualitatively different migration experiences. The present study tests for duration and cohort patterns among Asian immigrants to the United States across six year-of-entry cohorts (pre-1980, 1981-1985, 1986-1990, 1991-1995, 1996-2000, 2001-2005). Data come from the Asian American sample (n=44,002) from the 1994-2009 waves of the National Health Interview Survey. The data show cohort differences for self-rated health, such that more recent cohorts showed improved baseline health compared to older cohorts. After accounting for cohorts, there was no significant change in self-rated health by duration. Older cohorts actually showed improving self-rated health with longer duration. Obesity showed the opposite pattern; there were no differences across cohorts, but duration in the United States correlated with higher obesity. These results imply that immigrant health is not simply an issue of duration and adaptation, but underscore the utility of considering cohorts as broader contexts of migration. Collectively, the results encourage future research that more carefully examines the etiological mechanisms that drive immigrant health. PMID:25879262

First-time mothers' breast-feeding maintenance: role of experiences and changes in maternal perceptions.

PubMed

Schafer, Ellen J; Campo, Shelly; Colaizy, Tarah T; Mulder, Pamela J; Breheny, Patrick; Ashida, Sato

2017-12-01

Breast-feeding initiation rates have increased in the USA; however, maintenance of breast-feeding for recommended durations is low. The objective of the present study was to identify factors that may facilitate breast-feeding for longer durations among first-time mothers, including physiological and social experiences and changes in maternal perceptions. Survival analysis and linear regression methods were used to explore the relationship between experiences and breast-feeding duration, and the possible mediating effect of changes in maternal perceptions. Secondary data from the Infant Feeding Practices Study II, conducted in the USA between 2005 and 2007. Data from 762 first-time mothers who ever breast-fed were analysed. Experiencing trouble with baby's latch, problems with milk flow/supply and painful breast-feeding were significantly associated with breast-feeding duration (64, 26 and 36 % shorter duration, respectively). Meanwhile, positive changes in perception with respect to breast-feeding self-efficacy, opinion about infant feeding and belief about breast milk were associated with 16-27 % longer duration. Furthermore, changes in perception were observed to partially mediate the impact of physiological experiences on breast-feeding duration. Perceptions of breast-feeding self-efficacy, beliefs and opinions can change over time and are influenced by breast-feeding experiences. The combined effect of experience and perception plays a key role in influencing breast-feeding duration. Future research should explore interventions to maintain or improve these perceptions while accounting for physiological experiences to support breast-feeding for recommended durations among first-time mothers.

Temporal narrowing of neutrons produced by high-intensity short-pulse lasers

DOE PAGES

Higginson, D. P.; Vassura, L.; Gugiu, M. M.; ...

2015-07-28

The production of neutron beams having short temporal duration is studied using ultraintense laser pulses. Laser-accelerated protons are spectrally filtered using a laser-triggered microlens to produce a short duration neutron pulse via nuclear reactions induced in a converter material (LiF). This produces a ~3 ns duration neutron pulse with 10 4 n/MeV/sr/shot at 0.56 m from the laser-irradiated proton source. The large spatial separation between the neutron production and the proton source allows for shielding from the copious and undesirable radiation resulting from the laser-plasma interaction. Finally, this neutron pulse compares favorably to the duration of conventional accelerator sources andmore » should scale up with, present and future, higher energy laser facilities to produce brighter and shorter neutron beams for ultrafast probing of dense materials.« less

Impact of climatic and environmental changes on flood-duration-frequencies in the Fengle Rriver (YangTze Basin, China)

NASA Astrophysics Data System (ADS)

Salles, Christian; Chu, Yin; Tournoud, Marie-George; Ou, Mengli; Perrin, Jean-Louis; Cres, François-Noël; Ma, Youhua

2016-04-01

Future water management challenges such as flood risk are highly relevant to climate and land use changes. Climate change is expected to lead to an ongoing intensification of effects on changes in precipitation and evapotranspiration which could exacerbate flooding issues. Land use changes, modifications of agricultural practices and urbanization alter the apportionment of the different hydrological processes at the basin scale and could significantly affect the seasonality of streamflow. At the local scale, the consequences of climate and land use changes on flood occurrence and magnitude are a major issue for the economic development and management policy of basin area. This study apply a methodology for investigating the potential consequences of land use ,as well as precipitation and temperature changes on flood occurrence, duration and magnitude, accounting for uncertainties in scenario data and hydrological model parameters. The discharge time series predicted for the future were simulated from a calibrated and validated distributed hydrological model. The model was run from inputs which are -predicted rainfall time series based on scenarios of changes identified from a literature review, -future evapotranspiration rates assessed from temperature changes identified from a literature review -and scenarios of land-use changes The study area, the Fengle River basin (1500 km2), is located in the northeast part of Yangtze basin. The river is one of the main tributaries of the Chao Lake, the fifth largest natural lake of China. The lake catchment is 9130 km2 in area, including the city of Hefei and a large extent of agricultural and rural areas. Many changes are expected in land use and agricultural practices in the future, due to the touristic appeal of the Chao Lake shore and the growth of the city of Hefei. Climate changes are also expected in this region, with a high impact on rainfall regime. In the current period heavy storms and floods occur predominantly during summer. Using the above methodology the future dynamics of the Fengle River is characterized on discharge-duration-frequency curves. Results will be discussed with regards to the sensitivity of predicted flood occurrence, duration and magnitude by quantifying the impact of rainfall, temperature and land-use changes.

Factors Impacting Habitable Volume Requirements: Results from the 2011 Habitable Volume Workshop

NASA Technical Reports Server (NTRS)

Simon, M.; Whitmire, A.; Otto, C.; Neubek, D. (Editor)

2011-01-01

This report documents the results of the Habitable Volume Workshop held April 18-21, 2011 in Houston, TX at the Center for Advanced Space Studies-Universities Space Research Association. The workshop was convened by NASA to examine the factors that feed into understanding minimum habitable volume requirements for long duration space missions. While there have been confinement studies and analogs that have provided the basis for the guidance found in current habitability standards, determining the adequacy of the volume for future long duration exploration missions is a more complicated endeavor. It was determined that an improved understanding of the relationship between behavioral and psychosocial stressors, available habitable and net habitable volume, and interior layouts was needed to judge the adequacy of long duration habitat designs. The workshop brought together a multi-disciplinary group of experts from the medical and behavioral sciences, spaceflight, human habitability disciplines and design professionals. These subject matter experts identified the most salient design-related stressors anticipated for a long duration exploration mission. The selected stressors were based on scientific evidence, as well as personal experiences from spaceflight and analogs. They were organized into eight major categories: allocation of space; workspace; general and individual control of environment; sensory deprivation; social monotony; crew composition; physical and medical issues; and contingency readiness. Mitigation strategies for the identified stressors and their subsequent impact to habitat design were identified. Recommendations for future research to address the stressors and mitigating design impacts are presented.

Effects of Long-Duration Microgravity on Fine Motor Skills: ISS One-Year Mission

NASA Technical Reports Server (NTRS)

Holden, Kritina; Greene, Maya; Cross, Ernest

2017-01-01

Fine motor skills will be critical in future long-duration missions, particularly those skills needed to interact with advanced technologies in next-generation vehicles, spacesuits, and habitats. Studies to date on the effects of microgravity and gravitational transitions on fine motor performance have not yielded conclusive results. Datasets are incomplete-timeline gaps in the microgravity data sessions. Studies have not focused on the fine motor actions that are likely to be required for interacting with software displays and controls (pointing, clicking, dragging, multi-touch/pinching). The majority of studies have used a joystick or arm reaching task. Touchscreen tablets are already in use on ISS, and at least one commercial partner is already planning a cockpit with touchscreens as the primary means of input. We must ensure that crewmembers are ready to perform with computer-based devices after a long-duration voyage and transition to surface operations.

Building a Shared Definitional Model of Long Duration Human Spaceflight

NASA Technical Reports Server (NTRS)

Arias, Diana; Orr, Martin; Whitmire, Alexandra; Leveton, Lauren; Sandoval, Luis

2012-01-01

Objective: To establish the need for a shared definitional model of long duration human spaceflight, that would provide a framework and vision to facilitate communication, research and practice In 1956, on the eve of human space travel, Hubertus Strughold first proposed a "simple classification of the present and future stages of manned flight" that identified key factors, risks and developmental stages for the evolutionary journey ahead. As we look to new destinations, we need a current shared working definitional model of long duration human space flight to help guide our path. Here we describe our preliminary findings and outline potential approaches for the future development of a definition and broader classification system

Short sleep duration as an independent predictor of cardiovascular events in Japanese patients with hypertension.

PubMed

Eguchi, Kazuo; Pickering, Thomas G; Schwartz, Joseph E; Hoshide, Satoshi; Ishikawa, Joji; Ishikawa, Shizukiyo; Shimada, Kazuyuki; Kario, Kazuomi

2008-11-10

It is not known whether short duration of sleep is a predictor of future cardiovascular events in patients with hypertension. To test the hypothesis that short duration of sleep is independently associated with incident cardiovascular diseases (CVD), we performed ambulatory blood pressure (BP) monitoring in 1255 subjects with hypertension (mean [SD] age, 70.4 [9.9] years) and followed them for a mean period of 50 (23) months. Short sleep duration was defined as less than 7.5 hours (20th percentile). Multivariable Cox hazard models predicting CVD events were used to estimate the adjusted hazard ratio and 95% confidence interval (CI) for short sleep duration. A riser pattern was defined when mean nighttime systolic BP exceeded daytime systolic BP. The end point was a cardiovascular event: stroke, fatal or nonfatal myocardial infarction (MI), and sudden cardiac death. In multivariable analyses, short duration of sleep (<7.5 hours) was associated with incident CVD (hazard ratio [HR], 1.68; 95% CI, 1.06-2.66; P = .03). A synergistic interaction was observed between short sleep duration and the riser pattern (P = .09). When subjects were classified according to their sleep time and a riser vs nonriser pattern, the group with shorter sleep duration plus the riser pattern had a substantially and significantly higher incidence of CVD than the group with predominant normal sleep duration plus the nonriser pattern (HR, 4.43; 95% CI, 2.09-9.39; P < .001), independent of covariates. Short duration of sleep is associated with incident CVD risk and the combination of the riser pattern and short duration of sleep that is most strongly predictive of future CVD, independent of ambulatory BP levels. Physicians should inquire about sleep duration in the risk assessment of patients with hypertension.

Fine-scale spatio-temporal variation in tiger Panthera tigris diet: Effect of study duration and extent on estimates of tiger diet in Chitwan National Park, Nepal

USGS Publications Warehouse

Kapfer, Paul M.; Streby, Henry M.; Gurung, B.; Simcharoen, A.; McDougal, C.C.; Smith, J.L.D.

2011-01-01

Attempts to conserve declining tiger Panthera tigris populations and distributions have experienced limited success. The poaching of tiger prey is a key threat to tiger persistence; a clear understanding of tiger diet is a prerequisite to conserve dwindling populations. We used unpublished data on tiger diet in combination with two previously published studies to examine fine-scale spatio-temporal changes in tiger diet relative to prey abundance in Chitwan National Park, Nepal, and aggregated data from the three studies to examine the effect that study duration and the size of the study area have on estimates of tiger diet. Our results correspond with those of previous studies: in all three studies, tiger diet was dominated by members of Cervidae; small to medium-sized prey was important in one study. Tiger diet was unrelated to prey abundance, and the aggregation of studies indicates that increasing study duration and study area size both result in increased dietary diversity in terms of prey categories consumed, and increasing study duration changed which prey species contributed most to tiger diet. Based on our results, we suggest that managers focus their efforts on minimizing the poaching of all tiger prey, and that future studies of tiger diet be of long duration and large spatial extent to improve our understanding of spatio-temporal variation in estimates of tiger diet. ?? 2011 Wildlife Biology, NKV.

An overview of NASA ISS human engineering and habitability: past, present, and future.

PubMed

Fitts, D; Architecture, B

2000-09-01

The International Space Station (ISS) is the first major NASA project to provide human engineering an equal system engineering an equal system engineering status to other disciplines. The incorporation and verification of hundreds of human engineering requirements applied across-the-board to the ISS has provided for a notably more habitable environment to support long duration spaceflight missions than might otherwise have been the case. As the ISS begins to be inhabited and become operational, much work remains in monitoring the effectiveness of the Station's built environment in supporting the range of activities required of a long-duration vehicle. With international partner participation, NASA's ISS Operational Habitability Assessment intends to carry human engineering and habitability considerations into the next phase of the ISS Program with constant attention to opportunities for cost-effective improvements that need to be and can be made to the on-orbit facility. Too, during its operations the ISS must be effectively used as an on-orbit laboratory to promote and expand human engineering/habitability awareness and knowledge to support the international space faring community with the data needed to develop future space vehicles for long-duration missions. As future space mission duration increases, the rise in importance of habitation issues make it imperative that lessons are captured from the experience of human engineering's incorporation into the ISS Program and applied to future NASA programmatic processes.

Sensor-derived physical activity parameters can predict future falls in people with dementia.

PubMed

Schwenk, Michael; Hauer, Klaus; Zieschang, Tania; Englert, Stefan; Mohler, Jane; Najafi, Bijan

2014-01-01

There is a need for simple clinical tools that can objectively assess the fall risk in people with dementia. Wearable sensors seem to have the potential for fall prediction; however, there has been limited work performed in this important area. To explore the validity of sensor-derived physical activity (PA) parameters for predicting future falls in people with dementia. To compare sensor-based fall risk assessment with conventional fall risk measures. This was a cohort study of people with confirmed dementia discharged from a geriatric rehabilitation ward. PA was quantified using 24-hour motion-sensor monitoring at the beginning of the study. PA parameters (percentage of walking, standing, sitting, and lying; duration of single walking, standing, and sitting bouts) were extracted using specific algorithms. Conventional assessment included performance-based tests (Timed Up and Go Test, Performance-Oriented Mobility Assessment, 5-chair stand) and questionnaires (cognition, ADL status, fear of falling, depression, previous faller). Outcome measures were fallers (at least one fall in the 3-month follow-up period) versus non-fallers. 77 people were included in the study (age 81.8 ± 6.3; community-dwelling 88%, institutionalized 12%). Surprisingly, fallers and non-fallers did not differ on any conventional assessment (p = 0.069-0.991), except for 'previous faller' (p = 0.006). Interestingly, several PA parameters discriminated between the groups. The 'walking bout average duration', 'longest walking bout duration' and 'walking bout duration variability' were lower in fallers, compared to non-fallers (p = 0.008-0.027). The 'standing bout average duration' was higher in fallers (p = 0.050). Two variables, 'walking bout average duration' [odds ratio (OR) 0.79, p = 0.012] and 'previous faller' (OR 4.44, p = 0.007) were identified as independent predictors for falls. The OR for a 'walking bout average duration' <15 s for predicting fallers was 6.30 (p = 0.020). Combining 'walking bout average duration' and 'previous faller' improved fall prediction (OR 7.71, p < 0.001, sensitivity/specificity 72%/76%). RESULTS demonstrate that sensor-derived PA parameters are independent predictors of the fall risk and may have higher diagnostic accuracy in persons with dementia compared to conventional fall risk measures. Our findings highlight the potential of telemonitoring technology for estimating the fall risk. RESULTS should be confirmed in a larger study and by measuring PA over a longer period of time. © 2014 S. Karger AG, Basel.

Association between duration of playing video games and bone mineral density in Chinese adolescents.

PubMed

Shao, Haiyu; Xu, Shaonan; Zhang, Jun; Zheng, Jiayin; Chen, Jinping; Huang, Yazeng; Ru, Bin; Jin, Yongming; Zhang, Qi; Ying, Qifeng

2015-01-01

The aim of the study was to investigate the association between duration of playing video games and bone mineral density (BMD) in Chinese adolescents. Three hundred eighty-four Chinese adolescents aged 14-18 yr (148 males and 236 females) were analyzed. Anthropometric measurements were obtained using standard procedures. Total body and regional BMD were measured using dual-energy X-ray absorptiometry. Duration of playing video games, defined as hours per day, was measured by a self-report questionnaire. We examined the association between duration of playing video games and BMD using multiple linear regression analysis. After adjustment for age, sex, pubertal stage, parental education, body mass index, adolescents with longer video game duration were more likely to have lower legs, trunk, pelvic, spine, and total BMD (p < 0.05). We concluded that duration of video game was negatively associated with BMD in Chinese adolescents. These findings provide support for reducing duration of playing video games as a possible means to increase BMD in adolescents. Future research is needed to elucidate the underlined mechanisms linking playing video games and osteoporosis. Copyright © 2015 The International Society for Clinical Densitometry. Published by Elsevier Inc. All rights reserved.

External Long-Duration Materials Instrument Research Observatory

NASA Astrophysics Data System (ADS)

Engelhardt, J. P.; Heath, K.

2018-02-01

The External Long-duration Materials and Instrument Research Observatory (ELMIRO) is a commercial facility that will allow for continuous and repeatable external testing on the Deep Space Gateway of materials, electronics/instruments for future deep space spacecraft.

33 CFR 25.117 - Proof of amount claimed for personal injury or death.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Duration of time injuries prevented or limited employment, (4) Past, present, and future limitations on employment, (5) Duration and extent of pain and suffering and of any disability or physical disfigurement, (6...

Sleep Duration and Waist Circumference in Adults: A Meta-Analysis

PubMed Central

Sperry, Susan D.; Scully, Iiona D.; Gramzow, Richard H.; Jorgensen, Randall S.

2015-01-01

Background: Previous research has demonstrated a relation between insufficient sleep and overall obesity. Waist circumference (WC), a measure of central adiposity, has been demonstrated to improve prediction of health risk. However, recent research on the relation of insufficient sleep duration to WC in adults has yielded inconsistent findings. Objectives: To assess the magnitude and the consistency of the relation of insufficient sleep and WC Methods: A systematic search of Internet and research databases using Google Scholar, Medline, PubMed, and PsycINFO through July 2013 was conducted. All articles in English with adult human subjects that included measurements of WC and sleep duration were reviewed. A random effects meta-analysis and regression analyses were performed. Heterogeneity and publication bias were checked. Results are expressed as Pearson correlations (r; 95% confidence interval). Results: Of 1,376 articles, 30 met inclusion criteria and 21 studies (22 samples for a total of 56,259 participants) provided sufficient data for meta-analysis. Results showed a significant negative relation between sleep duration and WC (r = −0.10, P < 0.0001) with significant heterogeneity related to sleep comparison method. Potential moderators of the relation between sleep duration and WC were not significant. Funnel plots showed no indication of publication bias. In addition, a fail-safe N calculation indicated that 418 studies with null effects would be necessary to bring the overall mean effect size to a trivial value of r = −0.005. Conclusions: Internationally, cross-sectional studies demonstrate a significant negative relation between sleep duration and waist circumference, indicating shorter sleep durations covary with central adiposity. Future research should include prospective studies. Citation: Sperry SD, Scully ID, Gramzow RH, Jorgensen RS. Sleep duration and waist circumference in adults: a meta-analysis. SLEEP 2015;38(8):1269–1276. PMID:25581918

A Multivariate and Probabilistic Assessment of Drought in the Pacific Northwest under Observed and Future Climate.

NASA Astrophysics Data System (ADS)

Mortuza, M. R.; Demissie, Y. K.

2015-12-01

In lieu with the recent and anticipated more server and frequently droughts incidences in Yakima River Basin (YRB), a reliable and comprehensive drought assessment is deemed necessary to avoid major crop production loss and better manage the water right issues in the region during low precipitation and/or snow accumulation years. In this study, we have conducted frequency analysis of hydrological droughts and quantified associated uncertainty in the YRB under both historical and changing climate. Streamflow drought index (SDI) was employed to identify mutually correlated drought characteristics (e.g., severity, duration and peak). The historical and future characteristics of drought were estimated by applying tri-variate copulas probability distribution, which effectively describe the joint distribution and dependence of drought severity, duration, and peak. The associated prediction uncertainty, related to parameters of the joint probability and climate projections, were evaluated using the Bayesian approach with bootstrap resampling. For the climate change scenarios, two future representative pathways (RCP4.5 and RCP8.5) from University of Idaho's Multivariate Adaptive Constructed Analogs (MACA) database were considered. The results from the study are expected to provide useful information towards drought risk management in YRB under anticipated climate changes.

The effect of part-time sick leave for employees with mental disorders.

PubMed

Høgelund, Jan; Holm, Anders; Eplov, Lene Falgaard

2012-12-01

Part-time sick leave (PTSL) allows employees on full-time sick leave (FTSL) to resume work at reduced hours. When the partly absent employee's health improves, working hours are increased until the employee is able to work regular hours. Studies have found that PTSL is an effective instrument for reducing sick leave durations for employees with musculoskeletal disorders and for employees on sick leave in general. This is the first published article to document how PTSL affects sick leave durations for employees with mental disorders. The aim is to estimate the effect of PTSL on the duration until returning to regular working hours for employees with mental disorders. We compare this effect to that of PTSL for employees with non-mental disorders ('other disorders'). We use combined survey and register data about 226 employees on long-term sick leave with mental disorders and 638 employees with other disorders. These data contain information about type of disorder, PTSL and FTSL (full-time sick leave) durations, and various background characteristics. We use a mixed proportional hazard regression model that allows us to control for unobserved differences between employees on PTSL and those on FTSL. Our analyses show that PTSL has no effect on the duration until returning to regular working hours for employees with mental disorders. Furthermore, looking at specific disorders such as depression and stress-related conditions, we find no significant effects of PTSL. In contrast, in line with previous research, we find that PTSL significantly reduces the duration until returning to regular working hours for employees with other disorders. The analyses also illustrate the importance of controlling for unobserved differences between employees on PTSL and those on FTSL. Without this control, PTSL significantly reduces the duration until returning to regular working hours. When we control for unobserved characteristics, this effect decreases, and for employees with mental disorders the effect vanishes entirely. The lack of an effect of PTSL for employees with mental disorders needs replication in other studies. If subsequent studies confirm our findings, one should not necessarily conclude that PTSL is an ineffective intervention: PTSL may play a role in combination with other workplace interventions and in combination with person-centred interventions. The study is limited by self-reported data about disorders and a relatively small number of employees with mental disorders. Our findings suggest that while PTSL reduces sick leave durations for employees with other disorders, it does not affect sick leave durations for employees with mental disorders. These results may indicate that PTSL by itself is insufficient for promoting the return to work of employees with mental disorders. Future studies could benefit from larger data sets with disorder information based on medical assessments. In addition to quantitative effect studies, future studies could focus on qualitative workplace mechanisms that may counteract the potential positive effects of PTSL for employees on sick leave with mental disorders.

Ion tracking in photocathode rf guns

NASA Astrophysics Data System (ADS)

Lewellen, John W.

2002-02-01

Projected next-generation linac-based light sources, such as PERL or the TESLA free-electron laser, generally assume, as essential components of their injector complexes, long-pulse photocathode rf electron guns. These guns, due to their design rf pulse durations of many milliseconds to continuous wave, may be more susceptible to ion bombardment damage of their cathodes than conventional rf guns, which typically use rf pulses of microsecond duration. This paper explores this possibility in terms of ion propagation within the gun, and presents a basis for future study of the subject.

Sleep duration and insulin resistance in individuals without type 2 diabetes: the PPP-Botnia study.

PubMed

Pyykkönen, Antti-Jussi; Isomaa, Bo; Pesonen, Anu-Katriina; Eriksson, Johan G; Groop, Leif; Tuomi, Tiinamaija; Räikkönen, Katri

2014-08-01

Both short and long sleep duration may increase risk of type 2 diabetes (diabetes). We studied if short and long sleep durations were associated with insulin resistance (IR) and insulin secretion in individuals without diabetes, and if the associations remained after we excluded individuals who reported more frequent and severe complaints of sleep apnea and insomnia. An oral glucose tolerance test (OGTT) was performed for 722 adults without diabetes. Indices of IR and insulin secretion were calculated. Sleep duration and complaints of sleep apnea and insomnia were self-reported. In comparison to average sleepers (6-9 h/night), short sleepers (< 6 h/night) had higher 120-min insulin and AUC glucose, and long sleepers (≥ 9 h/night) had higher fasting and 120-min insulin, 120-min glucose, and HOMAIR and lower Insulin Sensitivity Index. After adjusting for confounders and after excluding individuals who reported more frequent and severe complaints of sleep apnea and insomnia, long sleep duration remained significantly associated with IR and insulin secretion. Long but not short sleep duration is associated with IR and insulin secretion in individuals without diabetes whether or not accompanied by sleep complaints. Long sleepers may benefit from targeted preventions and interventions that aim at reducing risk of future diabetes.

Shifting the urban heat island clock in a megacity: a case study of Hong Kong

NASA Astrophysics Data System (ADS)

Chen, Xuan; Jeong, Su-Jong

2018-01-01

With increasing levels of urbanization in the near future, understanding the impact of urbanization on urban heat islands (UHIs) is critical to adapting to regional climate and environmental changes. However, our understanding of the UHI effect relies mainly on its intensity or magnitude. The present study evaluates the impact of urbanization on UHI duration changes by comparing three stations with different rates of urbanization, including highly developed and developing urban areas throughout Hong Kong, from 1990-2015. Results show that the 26 year average UHI intensity in highly urbanized regions is much higher than that in developing areas, and the 26 year average of UHI duration is similar. Over the past 25 years, however, UHI duration has increased only in developing urban areas, from 13.59-17.47 hours. Both earlier UHI starting and later UHI ending times concurrently contribute to the UHI effect being experienced for a longer duration. The differences in UHI duration change between the two areas are supported by population and by night light changes from space. Increasing night light, which suggests enhancements in the economic infrastructure, occurred only in the developing urban areas. Our results suggest that changes in UHI duration should be included in an assessment of regional climate change as well as in urban planning in a megacity.

Sleep Duration and Waist Circumference in Adults: A Meta-Analysis.

PubMed

Sperry, Susan D; Scully, Iiona D; Gramzow, Richard H; Jorgensen, Randall S

2015-08-01

Previous research has demonstrated a relation between insufficient sleep and overall obesity. Waist circumference (WC), a measure of central adiposity, has been demonstrated to improve prediction of health risk. However, recent research on the relation of insufficient sleep duration to WC in adults has yielded inconsistent findings. To assess the magnitude and the consistency of the relation of insufficient sleep and WC. A systematic search of Internet and research databases using Google Scholar, Medline, PubMed, and PsycINFO through July 2013 was conducted. All articles in English with adult human subjects that included measurements of WC and sleep duration were reviewed. A random effects meta-analysis and regression analyses were performed. Heterogeneity and publication bias were checked. Results are expressed as Pearson correlations (r; 95% confidence interval). Of 1,376 articles, 30 met inclusion criteria and 21 studies (22 samples for a total of 56,259 participants) provided sufficient data for meta-analysis. Results showed a significant negative relation between sleep duration and WC (r = -0.10, P < 0.0001) with significant heterogeneity related to sleep comparison method. Potential moderators of the relation between sleep duration and WC were not significant. Funnel plots showed no indication of publication bias. In addition, a fail-safe N calculation indicated that 418 studies with null effects would be necessary to bring the overall mean effect size to a trivial value of r = -0.005. Internationally, cross-sectional studies demonstrate a significant negative relation between sleep duration and waist circumference, indicating shorter sleep durations covary with central adiposity. Future research should include prospective studies. © 2015 Associated Professional Sleep Societies, LLC.

Short Sleep Duration and Dietary Intake: Epidemiologic Evidence, Mechanisms, and Health Implications12

PubMed Central

Dashti, Hassan S; Scheer, Frank AJL; Jacques, Paul F; Lamon-Fava, Stefania; Ordovás, José M

2015-01-01

Links between short sleep duration and obesity, type 2 diabetes, hypertension, and cardiovascular disease may be mediated through changes in dietary intake. This review provides an overview of recent epidemiologic studies on the relations between habitual short sleep duration and dietary intake in adults from 16 cross-sectional studies. The studies have observed consistent associations between short sleep duration and higher total energy intake and higher total fat intake, and limited evidence for lower fruit intake, and lower quality diets. Evidence also suggests that short sleepers may have irregular eating behavior deviating from the traditional 3 meals/d to fewer main meals and more frequent, smaller, energy-dense, and highly palatable snacks at night. Although the impact of short sleep duration on dietary intake tends to be small, if chronic, it may contribute to an increased risk of obesity and related chronic disease. Mechanisms mediating the associations between sleep duration and dietary intake are likely to be multifactorial and include differences in the appetite-related hormones leptin and ghrelin, hedonic pathways, extended hours for intake, and altered time of intake. Taking into account these epidemiologic relations and the evidence for causal relations between sleep loss and metabolism and cardiovascular function, health promotion strategies should emphasize improved sleep as an additional factor in health and weight management. Moreover, future sleep interventions in controlled studies and sleep extension trials in chronic short sleepers are imperative for establishing whether there is a causal relation between short sleep duration and changes in dietary intake. PMID:26567190

Sleep Duration in Relation to Attention Deficit Hyperactivity Disorder in American Adults.

PubMed

Bogdan, Alexander R; Reeves, Katherine W

2018-01-01

Attention deficit hyperactivity disorder (ADHD) is a neurodevelopmental condition being diagnosed in increasing numbers. While the link between sleep and ADHD is of increasing interest, the relationship between sleep duration and ADHD remains largely uninvestigated in adult populations. We evaluated the association between self-reported sleep duration and ADHD in a cohort of American adults using data from the 2012 National Health Interview Survey (Centers for Disease Control and Prevention, 2012). Of the 30,858 participants eligible for our analyses, there were 1,122 cases of ADHD. Elevated and diminished sleep durations were both associated with increased odds of reporting ADHD (≤ 6 hr: OR = 1.50, 95% CI 1.19, 1.90; ≥ 9 hr: OR = 1.49, 95% CI 1.26, 1.75) in fully adjusted models. Future prospective studies are necessary to further examine this association in adult patients.

Temperature and precipitation in the context of the annual cycle over Asia: Model evaluation and future change

NASA Astrophysics Data System (ADS)

Moon, Suyeon; Ha, Kyung-Ja

2017-05-01

Since the early or late arrival of monsoon rainfall can be devastating to agriculture and economy, the prediction of the onset of monsoon is a very important issue. The Asian monsoon is characterized by a strong annual cycle with rainy summer and dry winter. Nevertheless, most of monsoon studies have focused on the seasonal-mean of temperature and precipitation. The present study aims to evaluate a total of 27 coupled models that participated in phase 5 of the Coupled Model Intercomparison Project (CMIP5) for projection of the time evolution and the intensity of Asian monsoon on the basis of the annual cycle of temperature and precipitation. And future changes of onset, retreat, and intensity of monsoon are analyzed. Four models for good seasonal-mean (GSM) and good harmonic (GH) groups, respectively, are selected. GSM is based on the seasonal-mean of temperature and precipitation in summer and winter, and GH is based on the annual cycle of temperature and precipitation which represents a characteristic of the monsoon. To compare how well the time evolution of the monsoon is simulated in each group, the onset, retreat, and duration of Asian monsoon are examined. The highest pattern correlation coefficient (PCC) of onset, retreat, and duration between the reanalysis data and model outputs demonstrates that GH models' MME predicts time evolution of monsoon most precisely, with PCC values of 0.80, 0.52, and 0.63, respectively. To predict future changes of the monsoon, the representative concentration pathway 4.5 (RCP 4.5) experiments for the period of 2073-2099 are compared with historical simulations for the period of 1979-2005 from CMIP5 using GH models' MME. The Asian monsoon domain is expanded by 22.6% in the future projection. The onset date in the future is advanced over most parts of Asian monsoon region. The duration of summer Asian monsoon in the future projection will be lengthened by up to 2 pentads over the Asian monsoon region, as a result of advanced onset. The Asian monsoon intensity becomes stronger with the passage of time. This study has important implication for assessment of CMIP5 models in terms of the prediction of time evolution and intensity of Asian monsoon based on the annual cycle of temperature and precipitation.

The role of emotional eating and stress in the influence of short sleep on food consumption.

PubMed

Dweck, Julia S; Jenkins, Steve M; Nolan, Laurence J

2014-01-01

Short sleep duration is associated with elevated body mass index (BMI) and increased energy consumption. The present studies were conducted to determine what role emotional eating and stress might play in these relationships. The first was an exploratory questionnaire study in which sleep quality and duration were measured in conjunction with the Dutch Eating Behavior Questionnaire in 184 women. Emotional and external eating scores were significantly higher in those who reported poor sleep quality (but were not related to sleep duration). In a second study of 64 women who were provided with snacks in the laboratory under stressed and control conditions, elevated food consumption was observed in those who scored high on emotional eating and who reported short sleep (a significant stress × emotional eating × sleep duration interaction) but not in those who reported poor sleep quality. No effects were found in liking or wanting of food and few effects were found on appetite. BMI was not related to sleep duration or sleep quality in either study. The results suggest that the relationship between short sleep and elevated food consumption exists in those who are prone to emotional eating. An external stressor elevated consumption in normal sleepers to the level observed in short sleepers, however, it did not significantly elevate consumption in short sleepers. Future examinations of the effects of sleep duration and quality on food consumption should examine emotional eating status. Copyright © 2013 Elsevier Ltd. All rights reserved.

Urolithiasis and Genitourinary Systems Issues for Spaceflight

NASA Astrophysics Data System (ADS)

Jones, Jeffrey A.; Sargsyan, Ashot; Pietryzk, Robert; Sams, C.; Stepaniak, Phillip; Whitson, P.

2008-09-01

Genitourinary medical events have shown to be an issue for both short duration and long duration spaceflight, and are anticipated to also be a potential issue for future exploration missions as well. This is based on actual historical pre-, in- and post-flight medical events, as well as assessment of what future flight challenges lay ahead. For this study, retrospective record review, as well as prospective studies of ultrasound and contingency management procedure development, and oral urinary stone prophylaxis were conducted. Results showed that the incidence of prior urinary calculi in- and post-flight was a risk driver for development of on-orbit countermeasures, as well as diagnostic and therapeutic methods for a possible in-flight calculus contingency. Oral potassium citrate and bisphosphonate preparations show promise for prophylaxis in spaceflight risk reduction. We conclude that a properly developed approach of selection, monitoring, and preventive medicine with effective countermeasures, along with early imaging diagnosis and minimally-invasive contingency intervention, should prevent issues such as urinary calculi from having a significant mission impact for exploration-class spaceflight.

NASA Utilization of the International Space Station and the Vision for Space Exploration

NASA Technical Reports Server (NTRS)

Robinson, Julie A.; Thumm, Tracy L.; Thomas, Donald A.

2006-01-01

In response to the U.S. President s Vision for Space Exploration (January 14, 2004), NASA has revised its utilization plans for ISS to focus on (1) research on astronaut health and the development of countermeasures that will protect our crews from the space environment during long duration voyages, (2) ISS as a test bed for research and technology developments that will insure vehicle systems and operational practices are ready for future exploration missions, (3) developing and validating operational practices and procedures for long-duration space missions. In addition, NASA will continue a small amount of fundamental research in life and microgravity sciences. There have been significant research accomplishments that are important for achieving the Exploration Vision. Some of these have been formal research payloads, while others have come from research based on the operation of International Space Station (ISS). We will review a selection of these experiments and results, as well as outline some of ongoing and upcoming research. The ISS represents the only microgravity opportunity to perform on-orbit long-duration studies of human health and performance and technologies relevant for future long-duration missions planned during the next 25 years. Even as NASA focuses on developing the Orion spacecraft and return to the moon (2015-2020), research on and operation of the ISS is fundamental to the success of NASA s Exploration Vision.

NASA Utilization of the International Space Station and the Vision for Space Exploration

NASA Technical Reports Server (NTRS)

Robinson, Julie A.; Thumm, Tracy L.; Thomas, Donald A.

2007-01-01

In response to the U.S. President s Vision for Space Exploration (January 14, 2004), NASA has revised its utilization plans for ISS to focus on (1) research on astronaut health and the development of countermeasures that will protect our crews from the space environment during long duration voyages, (2) ISS as a test bed for research and technology developments that will insure vehicle systems and operational practices are ready for future exploration missions, (3) developing and validating operational practices and procedures for long-duration space missions. In addition, NASA will continue a small amount of fundamental research in life and microgravity sciences. There have been significant research accomplishments that are important for achieving the Exploration Vision. Some of these have been formal research payloads, while others have come from research based on the operation of International Space Station (ISS). We will review a selection of these experiments and results, as well as outline some of ongoing and upcoming research. The ISS represents the only microgravity opportunity to perform on-orbit long-duration studies of human health and performance and technologies relevant for future long-duration missions planned during the next 25 years. Even as NASA focuses on developing the Orion spacecraft and return to the moon (2015-2020), research on and operation of the ISS is fundamental to the success of NASA s Exploration Vision.

NASA Utilization of the International Space Station and the Vision for Space Exploration

NASA Technical Reports Server (NTRS)

Robinson, Julie A.; Thomas, Donald A.; Thumm, Tracy L.

2006-01-01

In response to the U.S. President's Vision for Space Exploration (January 14, 2004), NASA has revised its utilization plans for ISS to focus on (1) research on astronaut health and the development of countermeasures that will protect our crews from the space environment during long duration voyages, (2) ISS as a test bed for research and technology developments that will insure vehicle systems and operational practices are ready for future exploration missions, (3) developing and validating operational practices and procedures for long-duration space missions. In addition, NASA will continue a small amount of fundamental research in life and microgravity sciences. There have been significant research accomplishments that are important for achieving the Exploration Vision. Some of these have been formal research payloads, while others have come from research based on the operation of International Space Station (ISS). We will review a selection of these experiments and results, as well as outline some of ongoing and upcoming research. The ISS represents the only microgravity opportunity to perform on-orbit long-duration studies of human health and performance and technologies relevant for future long-duration missions planned during the next 25 years. Even as NASA focuses on developing the Orion spacecraft and return to the moon (2015-2020), research on and operation of the ISS is fundamental to the success of NASA s Exploration Vision.

Loss of ability to work and ability to live independently in Parkinson's disease.

PubMed

Jasinska-Myga, Barbara; Heckman, Michael G; Wider, Christian; Putzke, John D; Wszolek, Zbigniew K; Uitti, Ryan J

2012-02-01

Ability to work and live independently is of particular concern for patients with Parkinson's disease (PD). We studied a series of PD patients able to work or live independently at baseline, and evaluated potential risk factors for two separate outcomes: loss of ability to work and loss of ability to live independently. The series comprised 495 PD patients followed prospectively. Ability to work and ability to live independently were based on clinical interview and examination. Cox regression models adjusted for age and disease duration were used to evaluate associations of baseline characteristics with loss of ability to work and loss of ability to live independently. Higher UPDRS dyskinesia score, UPDRS instability score, UPDRS total score, Hoehn and Yahr stage, and presence of intellectual impairment at baseline were all associated with increased risk of future loss of ability to work and loss of ability to live independently (P ≤ 0.0033). Five years after initial visit, for patients ≤70 years of age with a disease duration ≤4 years at initial visit, 88% were still able to work and 90% to live independently. These estimates worsened as age and disease duration at initial visit increased; for patients >70 years of age with a disease duration >4 years, estimates at 5 years were 43% able to work and 57% able to live independently. The information provided in this study can offer useful information for PD patients in preparing for future ability to perform activities of daily living. Copyright © 2011 Elsevier Ltd. All rights reserved.

Climatic changes and flooding durations in relation with public health

NASA Astrophysics Data System (ADS)

Sandoz, A.; Roumieux, C.; Trouillet, A.

2009-04-01

Climatic Changes, and more generaly Global Changes, play a major role in environmental modifications in relation with public health. Modifications of temperatures, precipitations... influence ecological habitats. These habitats can be adapted for some animals species, responsable of certain pandemics. Mosquitoes and birds represent for certain pandemics the essential elements of virus transmission. Abundance of mosquitoes and birds species, is heavily conditioned by flooded areas extent and specific habitats and their variations. The study we carried, has been done in South of France. We show present status of ecological habitats and flooded durations and future previsions. We reach environment impact for certain virus like West Nile virus. This virus affects bird, horse and sometimes man. Presence of the virus is conditioned by different factors, primarily including vector distribution (mosquitoes). We show how it's possible to localise favorable areas for the virus and to predict its future expansion areas. We present maps of the possibilities for future concerning previsions of bioclimatic steps variations. Thanks to the latest remote sensing and spatial analysis techniques. Our maps may be used as precious tools to help decision makers when faced with mosquito related problems.

Updated Intensity - Duration - Frequency Curves Under Different Future Climate Scenarios

NASA Astrophysics Data System (ADS)

Ragno, E.; AghaKouchak, A.

2016-12-01

Current infrastructure design procedures rely on the use of Intensity - Duration - Frequency (IDF) curves retrieved under the assumption of temporal stationarity, meaning that occurrences of extreme events are expected to be time invariant. However, numerous studies have observed more severe extreme events over time. Hence, the stationarity assumption for extreme analysis may not be appropriate in a warming climate. This issue raises concerns regarding the safety and resilience of the existing and future infrastructures. Here we employ historical and projected (RCP 8.5) CMIP5 runs to investigate IDF curves of 14 urban areas across the United States. We first statistically assess changes in precipitation extremes using an energy-based test for equal distributions. Then, through a Bayesian inference approach for stationary and non-stationary extreme value analysis, we provide updated IDF curves based on climatic model projections. This presentation summarizes the projected changes in statistics of extremes. We show that, based on CMIP5 simulations, extreme precipitation events in some urban areas can be 20% more severe in the future, even when projected annual mean precipitation is expected to remain similar to the ground-based climatology.

Interaction of Sleep Duration and Sleep Quality on Hypertension Prevalence in Adult Chinese Males.

PubMed

Lu, Kai; Chen, Jia; Wu, Shouling; Chen, Ji; Hu, Dayi

2015-01-01

Previous studies demonstrated conflicting results about the association of sleep duration and hypertension. Given the potential relationship between sleep quality and hypertension, this study aimed to investigate the interaction of self-reported sleep duration and sleep quality on hypertension prevalence in adult Chinese males. We undertook a cross-sectional analysis of 4144 male subjects. Sleep duration were measured by self-reported average sleep time during the past month. Sleep quality was evaluated using the standard Pittsburgh Sleep Quality Index. Hypertension was defined as blood pressure level ≥140/90 mm Hg or current antihypertensive treatment. The association between hypertension prevalence, sleep duration, and sleep quality was analyzed using logistic regression after adjusting for basic cardiovascular characteristics. Sleep duration shorter than 8 hours was found to be associated with increased hypertension, with odds ratios and 95% confidence intervals (CIs) of 1.25 (95% CI, 1.03-1.52) for 7 hours, 1.41 (95% CI, 1.14-1.73) for 6 hours, and 2.38 (95% CI, 1.81-3.11) for <6 hours. Using very good sleep quality as the reference, good, poor, and very poor sleep quality were associated with hypertension, with odds ratios of 1.20 (95% CI, 1.01-1.42), 1.67 (95% CI, 1.32-2.11), and 2.32 (95% CI, 1.67-3.21), respectively. More importantly, further investigation of the association of different combinations of sleep duration and quality in relation to hypertension indicated an additive interaction. There is an additive interaction of poor sleep quality and short sleep duration on hypertension prevalence. More comprehensive measurement of sleep should be performed in future studies.

Match Duration and Number of Rallies in Men’s and Women’s 2000–2010 FIVB World Tour Beach Volleyball

PubMed Central

Palao, José Manuel; Valades, David; Ortega, Enrique

2012-01-01

After the 2000 Olympic Games, the Fédération Internationale de Volleyball (FIVB) modified the scoring system used in beach volleyball from side-out to a rally point system. The goal was to facilitate the comprehension of the game and to stabilize match duration. The purpose of this study was to assess the duration and number of rallies in men’s and women’s beach volleyball matches (2000–2010 FIVB World Tour). Data from 14,432 men’s matches and 14,175 women’s matches of the 2000–2010 World Tour were collected. The variables studied were: match duration, total rallies per set and match, number of sets, team that won the set and match, type of match (equality in score), and gender. The average match duration in beach volleyball is stable, ranging from 30 to 64 minutes, regardless of the number of sets, the stage of the tournament (qualifying round or main draw), or gender. The average number of rallies per match were 78–80 for two-set matches and 94–96 for three-set matches. Matches from the main draw are more balanced than matches from the qualifying round. More balanced matches (smaller point difference between teams) have longer durations. It is not clear why there is no relationship between the number of rallies and match duration. Future studies are needed to clarify this aspect. The results can serve as a reference to guide beach volleyball training (with regard to duration and number of rallies) and to help understand the effect of the rule change. PMID:23486703

Flight range, fuel load and the impact of climate change on the journeys of migrant birds

PubMed Central

Sheard, Catherine; Butchart, Stuart H. M.

2018-01-01

Climate change is predicted to increase migration distances for many migratory species, but the physiological and temporal implications of longer migratory journeys have not been explored. Here, we combine information about species' flight range potential and migratory refuelling requirements to simulate the number of stopovers required and the duration of current migratory journeys for 77 bird species breeding in Europe. Using tracking data, we show that our estimates accord with recorded journey times and stopovers for most species. We then combine projections of altered migratory distances under climate change with models of avian flight to predict future migratory journeys. We find that 37% of migratory journeys undertaken by long-distance migrants will necessitate an additional stopover in future. These greater distances and the increased number of stops will substantially increase overall journey durations of many long-distance migratory species, a factor not currently considered in climate impact studies. PMID:29467262

Teaching surgery takes time: the impact of surgical education on time in the operating room

PubMed Central

Vinden, Christopher; Malthaner, Richard; McGee, Jacob; McClure, J. Andrew; Winick-Ng, Jennifer; Liu, Kuan; Nash, Danielle M.; Welk, Blayne; Dubois, Luc

2016-01-01

Background It is generally accepted that surgical training is associated with increased surgical duration. The purpose of this study was to determine the magnitude of this increase for common surgical procedures by comparing surgery duration in teaching and nonteaching hospitals. Methods This retrospective population-based cohort study included all adult residents of Ontario, Canada, who underwent 1 of 14 surgical procedures between 2002 and 2012. We used several linked administrative databases to identify the study cohort in addition to patient-, surgeon- and procedure-related variables. We determined surgery duration using anesthesiology billing records. Negative binomial regression was used to model the association between teaching versus nonteaching hospital status and surgery duration. Results Of the 713 573 surgical cases included in this study, 20.8% were performed in a teaching hospital. For each procedure, the mean surgery duration was significantly longer for teaching hospitals, with differences ranging from 5 to 62 minutes across individual procedures in unadjusted analyses (all p < 0.001). In regression analysis, procedures performed in teaching hospitals were associated with an overall 22% (95% confidence interval 20%–24%) increase in surgery duration, adjusting for patient-, surgeon- and procedure-related variables as well as the clustering of patients within surgeons and hospitals. Conclusion Our results show that a wide range of surgical procedures require significantly more time to perform in teaching than nonteaching hospitals. Given the magnitude of this difference, the impact of surgical training on health care costs and clinical outcomes should be a priority for future studies. PMID:27007088

Nitrous oxide-related postoperative nausea and vomiting depends on duration of exposure.

PubMed

Peyton, Philip J; Wu, Christine Yx

2014-05-01

Inclusion of nitrous oxide in the gas mixture has been implicated in postoperative nausea and vomiting (PONV) in numerous studies. However, these studies have not examined whether duration of exposure was a significant covariate. This distinction might affect the future place of nitrous oxide in clinical practice. PubMed listed journals reporting trials in which patients randomized to a nitrous oxide or nitrous oxide-free anesthetic for surgery were included, where the incidence of PONV within the first 24 postoperative hours and mean duration of anesthesia was reported. Meta-regression of the log risk ratio for PONV with nitrous oxide (lnRR PONVN2O) versus duration was performed. Twenty-nine studies in 27 articles met the inclusion criteria, randomizing 10,317 patients. There was a significant relationship between lnRR PONVN2O and duration (r = 0.51, P = 0.002). Risk ratio PONV increased 20% per hour of nitrous oxide after 45 min. The number needed to treat to prevent PONV by avoiding nitrous oxide was 128, 23, and 9 where duration was less than 1, 1 to 2, and over 2 h, respectively. The risk ratio for the overall effect of nitrous oxide on PONV was 1.21 (CIs, 1.04-1.40); P = 0.014. This duration-related effect may be via disturbance of methionine and folate metabolism. No clinically significant effect of nitrous oxide on the risk of PONV exists under an hour of exposure. Nitrous oxide-related PONV should not be seen as an impediment to its use in minor or ambulatory surgery.

Substance use associated with short sleep duration in patients with schizophrenia or schizoaffective disorder.

PubMed

Tang, Vivian K; Pato, Michele T; Sobell, Janet L; Hammond, Terese C; Valdez, Mark M; Lane, Christianne J; Pato, Carlos N

2016-06-01

To examine the association between substance use and short sleep duration in individuals with schizophrenia or schizoaffective disorder, depressive type (SADD). Cross-sectional, retrospective study. Urban, suburban, and rural centers across the United States. 2,462 consented, adult individuals with schizophrenia or schizoaffective disorder, depressive type (SADD). Participants included inpatients in acute or chronic care settings as well as outpatients and residents in community dwellings. Substance use was assessed with 10 questions adopted from well-validated measures (e.g., CAGE questionnaire) for alcohol, marijuana, and illicit drugs. Short sleep duration was defined as <6 hr of self-reported sleep per night. Close to 100% of our sample used nicotine while 83% used substances other than nicotine. More importantly, there was a significant association between substance use and short sleep duration. Interestingly, this association was strongest among African-Americans with schizophrenia or SADD. Because psychiatric medications often target chemical receptors involved with both sleep and substance use, understanding the association between short sleep duration and substance use in individuals with schizophrenia and SADD is important. Given that the majority of premature deaths in individuals with psychotic illness are due to medical conditions associated with modifiable risk factors, prospective studies designed to examine the effect of short sleep duration on behaviors like substance use should be undertaken. Finally, analyzing genetic and environmental data in a future study might help illuminate the strong association found between short sleep duration and substance use in African-Americans with schizophrenia and SADD. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

Effects of boron supplementation on the severity and duration of pain in primary dysmenorrhea.

PubMed

Nikkhah, Somayeh; Dolatian, Mahrokh; Naghii, Mohammad Reza; Zaeri, Farid; Taheri, Seyed Mojtaba

2015-05-01

Primary dysmenorrhea refers to painful menstrual cramps without pelvic pathology. The condition is highly prevalent among women and exerts negative effects on their quality of life. Considering the evidence for anti-inflammatory properties of Boron, the present study aimed to determine the effects of Boron supplementation on the severity and duration of menstrual pain in female university students. This triple-blind randomized clinical trial study recruited 113 university students. The participants were matched for the severity and duration of dysmenorrhea and randomly allocated into the case and control groups (n = 58 and 55, respectively). The case group consumed 10 mg/day Boron from two days before the menstrual flow until its third day. The control group received placebo capsules (similar to those distributed among the cases). All subjects were asked to take the capsules for two consecutive menstrual cycles. Pain severity (measured on a visual analog scale) and duration (in hours) were measured at baseline and during the two cycles. The two groups had no significant differences in the severity and duration of pain at baseline. After the intervention, however, the severity and duration of pain were significantly lower in the case group than in the control group (P < 0.05). Based on our findings, Boron supplementation can reduce the severity and duration of menstrual pain through exerting anti-inflammatory effects. In order to clarify the effects of Boron on dysmenorrhea, future studies are required to measure the levels of hormones and inflammatory biomarkers. Copyright © 2015 Elsevier Ltd. All rights reserved.

[Consequences of new patient discharge guidelines on the cost structure of radioiodine therapy].

PubMed

Dietlein, M; Troche, C J; Moka, D; Bausch, V; Lauterbach, K W; Schicha, H

1998-01-01

Consequences of the new recommendations by the Federal German Radiation Protection Committee (SSK) for patient discharge guidelines (residual activity of 250 MBq for I-131) were calculated for duration of stay and radioiodine therapy cost management. For 601 consecutively admitted patients with hyperthyreosis, actual duration of stay and duration of stay according to previous guidelines (from 1993) were calculated, as well as duration of stay according to recommended values. Following BPflV statutes, cost-analysis considered the cause and volume of goitre, and by using sensitivity analyses included a range of diagnostics, service assessment, and duration of stay. Duration of stay following I-131 therapy (in Germany) is expected to fall by 35-50% (average future stay 4.0 +/- 2.8 days), average costs from DM 4,452 to DM 3,680 (-17.4%). Not including pretreatment diagnostics, cost reduction (service assessment 17-24%) was estimated at 21-25%. Compared to strumectomy, I-131 therapy costs are expected to be lower for goitres (Graves' disease) up to at least 60 ml, toxic nodules of at least 25 ml, and toxic multinodular goitres of at least 90 ml. In the future, I-131 therapy will be more cost-effective even with larger goitres. Since reimbursement is determined by the duration of stay, new reimbursement procedures are discussed in this paper.

Beyond Sleep Duration: Distinct Sleep Dimensions are Associated with Obesity in Children and Adolescent’s

PubMed Central

Jarrin, Denise C.; McGrath, Jennifer J.; Drake, Christopher L.

2016-01-01

Objective Short sleep duration is recognized as a significant risk factor in childhood obesity; however, the question as to how sleep contributes to the development of obesity remains largely unknown. The majority of pediatric studies have relied on sleep duration as the exclusive measure of sleep; this insular approach may be misleading given that sleep is a dynamic multidimensional construct beyond sleep duration, including sleep disturbances and patterns. While these sleep dimensions partly overlap, it is necessary to determine their independent relation with obesity, which in turn, may inform a more comprehensive understanding of putative pathophysiological mechanisms linking sleep and obesity. The aim of the present study was to investigate whether sleep dimensions including sleep duration, disturbances, and patterns were individually associated with obesity, independent of multiple covariates. The second objective was to examine whether sleep disturbances and patterns were independently associated with obesity, after adjusting for sleep duration. Method Participants included 240 healthy children and adolescents (Mage=12.60, SD=1.98; 45.8% females). Anthropometric measures included measured waist and hip circumference, body mass index Z-score and percent body fat. Subjective sleep measures included sleep duration, sleep disturbances, sleep quality, and sleep patterns from youth- and parental-report. Results Youth with larger adiposity and body composition measures reported poorer sleep quality (βavg=−0.14, p<.01), more sleep disturbances (βavg=0.13, p<.05), and showed a delayed sleep phase pattern (βavg=0.15, p<.05), independent of age, sex, pubertal status, physical activity, screen time, socioeconomic status, and sleep duration. Shorter sleep duration was significantly associated with obesity; however, this link was attenuated after adjustment of covariates. Conclusions Results suggest sleep measures beyond duration may more precisely capture influences that drive the negative association between sleep and obesity, and thus, yield more robust associations. As such, future studies are needed to better understand how distinct sleep dimensions confer risk for childhood obesity. PMID:23419602

Short Sleep Duration is an Independent Predictor of Cardiovascular Events in Japanese Hypertensive Patients

PubMed Central

Eguchi, Kazuo; Pickering, Thomas G.; Schwartz, Joseph E.; Hoshide, Satoshi; Ishikawa, Joji; Ishikawa, Shizukiyo; Shimada, Kazuyuki; Kario, Kazuomi

2013-01-01

Context It is not known whether short duration of sleep is a predictor of future cardiovascular events in hypertensive patients. Objective To test the hypothesis that short duration of sleep is independently associated with incident cardiovascular diseases (CVD). Design, Setting, and Participants We performed ambulatory BP monitoring (ABPM) in 1255 subjects with hypertension (mean age: 70.4±9.9 years) and they were followed for an average of 50±23 months. Short sleep duration was defined as <7.5 hrs (20th percentile). Multivariable Cox hazard models predicting CVD events were used to estimate the adjusted hazard ratio (HR) and 95% CI for short sleep duration. A riser pattern was defined when average nighttime SBP exceeded daytime SBP. Main Outcome Measures The end point was cardiovascular events: stroke, fatal or non-fatal myocardial infarction (MI), and sudden cardiac death. Results In multivariable analyses, short duration of sleep (<7.5 hrs) was associated with incident CVD (HR=1.68; 1.06–2.66, P=.03). A synergistic interaction was observed between short sleep duration and the riser pattern (P=.089). When subjects were categorized on the basis of their sleep time and riser/non-riser patterns, the shorter sleep+riser group had a substantially and significantly higher incidence of CVD than the predominant normal sleep+non-riser group (HR=4.43;2.09–9.39, P<0.001), independent of covariates. Conclusions Short duration of sleep is associated with incident CVD risk, and the combination of riser pattern and short duration of sleep that is most strongly predictive of future CVD, independent of ambulatory BP levels. Physicians should inquire about sleep duration in the risk assessment of hypertensive patients. PMID:19001199

The Effects of the Mars Exploration Rovers (MER) Work Schedule Regime on Locomotor Activity Circadian Rhythms, Sleep and Fatigue

NASA Technical Reports Server (NTRS)

DeRoshia, Charles W.; Colletti, Laura C.; Mallis, Melissa M.

2008-01-01

This study assessed human adaptation to a Mars sol by evaluating sleep metrics obtained by actigraphy and subjective responses in 22 participants, and circadian rhythmicity in locomotor activity in 9 participants assigned to Mars Exploration Rover (MER) operational work schedules (24.65 hour days) at the Jet Propulsion Laboratory in 2004. During MER operations, increased work shift durations and reduced sleep durations and time in bed were associated with the appearance of pronounced 12-hr (circasemidian) rhythms with reduced activity levels. Sleep duration, workload, and circadian rhythm stability have important implications for adaptability and maintenance of operational performance not only of MER operations personnel but also in space crews exposed to a Mars sol of 24.65 hours during future Mars missions.

Pressurization and expulsion of a flightweight liquid hydrogen tank

NASA Technical Reports Server (NTRS)

Vandresar, N. T.; Stochl, R. J.

1993-01-01

Experimental results are presented for pressurization and expulsion of a flight-weight 4.89 cu m liquid hydrogen storage tank under normal gravity conditions. Pressurization and expulsion times are parametrically varied to study the effects of longer transfer times expected in future space flight applications. It is found that the increase in pressurant consumption with increased operational time is significant at shorter pressurization or expulsion durations and diminishes as the duration lengthens. Gas-to-wall heat transfer in the ullage is the dominant mode of energy exchange, with more than 50 percent of the pressurant energy being lost to tank wall heating in expulsions and the long duration pressurizations. Advanced data analysis will require a multidimensional approach combined with improved measurement capabilities of liquid-vapor interfacial transport phenomena.

Cognition and objectively measured sleep duration in children: a systematic review and meta-analysis.

PubMed

Short, Michelle A; Blunden, Sarah; Rigney, Gabrielle; Matricciani, Lisa; Coussens, Scott; M Reynolds, Chelsea; Galland, Barbara

2018-06-01

Sleep recommendations are widely used to guide communities on children's sleep needs. Following recent adjustments to guidelines by the National Sleep Foundation and the subsequent consensus statement by the American Academy of Sleep Medicine, we undertook a systematic literature search to evaluate the current evidence regarding relationships between objectively measured sleep duration and cognitive function in children aged 5 to 13 years. Cognitive function included measures of memory, attention, processing speed, and intelligence in children aged 5 to 13 years. Keyword searches of 7 databases to December 2016 found 23 meeting inclusion criteria from 137 full articles reviewed, 19 of which were suitable for meta-analysis. A significant effect (r = .06) was found between sleep duration and cognition, suggesting that longer sleep durations were associated with better cognitive functioning. Analyses of different cognitive domains revealed that full/verbal IQ was significantly associated with sleep loss, but memory, fluid IQ, processing speed and attention were not. Comparison of study sleep durations with current sleep recommendations showed that most children studied had sleep durations that were not within the range of recommended sleep. As such, the true effect of sleep loss on cognitive function may be obscured in these samples, as most children were sleep restricted. Future research using more rigorous experimental methodologies is needed to properly elucidate the relationship between sleep duration and cognition in this age group. Copyright © 2018 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.

Estimating and projecting the effect of cold waves on mortality in 209 US cities.

PubMed

Wang, Yan; Shi, Liuhua; Zanobetti, Antonella; Schwartz, Joel D

2016-09-01

The frequency, duration, and intensity of cold waves are expected to decrease in the near future under the changing climate. However, there is a lack of understanding on future mortality related to cold waves. The present study conducted a large-scale national projection to estimate future mortality attributable to cold waves during 1960-2050 in 209 US cities. Cold waves were defined as two, three, or at least four consecutive days with daily temperature lower than the 5th percentile of temperatures in each city. The lingering period of a cold wave was defined as the non-cold wave days within seven days following that cold wave period. First, with 168million residents in 209 US cities during 1962-2006, we fitted over-dispersed Poisson regressions to estimate the immediate and lingering effects of cold waves on mortality and tested if the associations were modified by the duration of cold waves, the intensity of cold waves, and mean winter temperature (MWT). Then we projected future mortality related to cold waves using 20 downscaled climate models. Here we show that the cold waves (both immediate and lingering) were associated with an increased but small risk of mortality. The associations varied substantially across climate regions. The risk increased with the duration and intensity of cold waves but decreased with MWT. The projected mortality related to cold waves would decrease from 1960 to 2050. Such a decrease, however, is small and may not be able to offset the potential increase in heat-related deaths if the adaptation to heat is not adequate. Copyright © 2016 Elsevier Ltd. All rights reserved.

Current status and future direction of NASA's Space Life Sciences Program

NASA Technical Reports Server (NTRS)

White, Ronald J.; Lujan, Barbara F.

1989-01-01

The elements of the NASA Life Sciences Program that are related to manned space flight and biological scientific studies in space are reviewed. Projects included in the current program are outlined and the future direction of the program is discussed. Consideration is given to issues such as long-duration spaceflight, medical support in space, readaptation to the gravity field of earth, considerations for the Space Station, radiation hazards, environmental standards for space habitation, and human operator interaction with computers, robots, and telepresence systems.

Promising high monetary rewards for future task performance increases intermediate task performance.

PubMed

Zedelius, Claire M; Veling, Harm; Bijleveld, Erik; Aarts, Henk

2012-01-01

In everyday life contexts and work settings, monetary rewards are often contingent on future performance. Based on research showing that the anticipation of rewards causes improved task performance through enhanced task preparation, the present study tested the hypothesis that the promise of monetary rewards for future performance would not only increase future performance, but also performance on an unrewarded intermediate task. Participants performed an auditory Simon task in which they responded to two consecutive tones. While participants could earn high vs. low monetary rewards for fast responses to every second tone, their responses to the first tone were not rewarded. Moreover, we compared performance under conditions in which reward information could prompt strategic performance adjustments (i.e., when reward information was presented for a relatively long duration) to conditions preventing strategic performance adjustments (i.e., when reward information was presented very briefly). Results showed that high (vs. low) rewards sped up both rewarded and intermediate, unrewarded responses, and the effect was independent of the duration of reward presentation. Moreover, long presentation led to a speed-accuracy trade-off for both rewarded and unrewarded tones, whereas short presentation sped up responses to rewarded and unrewarded tones without this trade-off. These results suggest that high rewards for future performance boost intermediate performance due to enhanced task preparation, and they do so regardless whether people respond to rewards in a strategic or non-strategic manner.

Promising High Monetary Rewards for Future Task Performance Increases Intermediate Task Performance

PubMed Central

Zedelius, Claire M.; Veling, Harm; Bijleveld, Erik; Aarts, Henk

2012-01-01

In everyday life contexts and work settings, monetary rewards are often contingent on future performance. Based on research showing that the anticipation of rewards causes improved task performance through enhanced task preparation, the present study tested the hypothesis that the promise of monetary rewards for future performance would not only increase future performance, but also performance on an unrewarded intermediate task. Participants performed an auditory Simon task in which they responded to two consecutive tones. While participants could earn high vs. low monetary rewards for fast responses to every second tone, their responses to the first tone were not rewarded. Moreover, we compared performance under conditions in which reward information could prompt strategic performance adjustments (i.e., when reward information was presented for a relatively long duration) to conditions preventing strategic performance adjustments (i.e., when reward information was presented very briefly). Results showed that high (vs. low) rewards sped up both rewarded and intermediate, unrewarded responses, and the effect was independent of the duration of reward presentation. Moreover, long presentation led to a speed-accuracy trade-off for both rewarded and unrewarded tones, whereas short presentation sped up responses to rewarded and unrewarded tones without this trade-off. These results suggest that high rewards for future performance boost intermediate performance due to enhanced task preparation, and they do so regardless whether people respond to rewards in a strategic or non-strategic manner. PMID:22905145

Sleep duration and diet quality among women within 5 years of childbirth in the United States- a cross-sectional study

PubMed Central

Xiao, Rui S.; Simas, Tiffany A. Moore; Pagoto, Sherry L.; Person, Sharina D.; Rosal, Milagros C.; Waring, Molly E.

2016-01-01

Objective Only 9% of women with young children consume a high quality diet. The association between sleep duration and health may be U-shaped. We examined diet quality in relation to sleep duration among U.S. women within 5 years of childbirth. Methods Data were from non-pregnant women aged 20-44 years within 5 years of childbirth who completed two 24-hour dietary recalls (N=896) in the National Health and Nutrition Examination Survey (NHANES) 2005-2012. Self-reported weekday/workday sleep duration was categorized as short (≤6 hours), adequate (7-8 hours), or long (≥9 hours). The Healthy Eating Index (HEI-2010, range: 0-100) estimated overall and components of diet quality. Multivariable-adjusted linear regression models estimated the association between sleep duration and diet quality, adjusting for age, race/ethnicity, and education. Results Thirty-four percent of women reported short, 57.1% adequate, and 8.6% long sleep duration. The average diet quality total score was 47.4 out of 100. Short sleep duration was not associated with diet quality. Long sleep duration was associated with lower quality diet (β = −4.3; 95% CI: −8.1 - −0.4), lower consumption of total fruit (β = −0.7; 95% CI: −1.3 - −0.1), whole fruit (β = −0.9; 95% CI: −1.6 - −0.2), and total protein (β = −0.7; 95% CI: −1.3 - −0.03), and higher consumption of empty calories (β = 2.2; 95% CI: −4.3 - −0.1). Conclusions for Practice Future studies should examine the longitudinal association between sleep duration and diet quality among women following childbirth and whether interventions to improve sleep can enhance diet quality. PMID:27090412

First Post-Operative Urinary Kidney Injury Biomarkers and Association with the Duration of AKI in the TRIBE-AKI Cohort

PubMed Central

Coca, Steven G.; Nadkarni, Girish N.; Garg, Amit X.; Koyner, Jay; Thiessen-Philbrook, Heather; McArthur, Eric; Shlipak, Michael G.; Parikh, Chirag R.

2016-01-01

Background We previously demonstrated that assessment of the duration of AKI, in addition to magnitude of rise in creatinine alone, adds prognostic information for long-term survival. We evaluated whether post-operative kidney injury biomarkers in urine collected immediately after cardiac surgery associate with duration of serum creatinine elevation. Methods We studied 1199 adults undergoing cardiac surgery in a prospective cohort study (TRIBE-AKI) and examined the association between the levels of five urinary biomarkers individually at 0–6 hours after surgery: interleukin-18 (IL-18), neutrophil gelatinase-associated lipocalin (NGAL), kidney injury molecule-1 (KIM-1), liver fatty acid binding protein (L-FABP) and albumin with duration of serum creatinine-based AKIN criteria for AKI (0 (no AKI), 1–2, 3–6, ≥7 days). Results Overall, 407 (34%) patients had at least stage 1 AKI, of whom 251 (61.7%) had duration of 1–2 days, 118 (28.9%) had duration 3–6 days, and 38 (9.3%) had duration of ≥7 days. Higher concentrations of all biomarkers (per log increase) were independently associated with a greater odds of a longer duration of AKI; odds ratios and 95% confidence intervals using ordinal logistic regression were the following: IL-18: 1.22, 1.13–1.32; KIM-1: 1.36, 1.21–1.52; albumin 1.20, 1.09–1.32; L-FABP 1.11, 1.04–1.19; NGAL 1.06, 1.00–1.14). AKI duration of 7 days or longer was associated with a 5-fold adjusted risk of mortality at 3 years. Conclusions There was an independent dose-response association between urinary levels of injury biomarkers immediately after cardiac surgery and longer duration of AKI. Duration of AKI was also associated with long term mortality. Future studies should explore the potential utility of these urinary kidney injury biomarkers to enrich enrollment of patients at risk for longer duration of AKI into trials of interventions to prevent or treat post-operative AKI. PMID:27537050

Projective analysis of staple food crop productivity in adaptation to future climate change in China

NASA Astrophysics Data System (ADS)

Zhang, Qing; Zhang, Wen; Li, Tingting; Sun, Wenjuan; Yu, Yongqiang; Wang, Guocheng

2017-08-01

Climate change continually affects our capabilities to feed the increasing population. Rising temperatures have the potential to shorten the crop growth duration and therefore reduce crop yields. In the past decades, China has successfully improved crop cultivars to stabilize, and even lengthen, the crop growth duration to make use of increasing heat resources. However, because of the complex cropping systems in the different regions of China, the possibility and the effectiveness of regulating crop growth duration to reduce the negative impacts of future climate change remain questionable. Here, we performed a projective analysis of the staple food crop productivity in double-rice, wheat-rice, wheat-maize, single-rice, and single-maize cropping systems in China using modeling approaches. The results indicated that from the present to the 2040s, the warming climate would shorten the growth duration of the current rice, wheat, and maize cultivars by 2-24, 11-13, and 9-29 days, respectively. The most significant shortening of the crop growth duration would be in Northeast China, where single-rice and single-maize cropping dominates the croplands. The shortened crop growth duration would consequently reduce crop productivity. The most significant decreases would be 27-31, 6-20, and 7-22% for the late crop in the double-rice rotation, wheat in the winter wheat-rice rotation, and single maize, respectively. However, our projection analysis also showed that the negative effects of the warming climate could be compensated for by stabilizing the growth duration of the crops via improvement in crop cultivars. In this case, the productivity of rice, wheat, and maize in the 2040s would increase by 4-16, 31-38, and 11-12%, respectively. Our modeling results implied that the possibility of securing future food production exists by adopting proper adaptation options in China.

Projective analysis of staple food crop productivity in adaptation to future climate change in China.

PubMed

Zhang, Qing; Zhang, Wen; Li, Tingting; Sun, Wenjuan; Yu, Yongqiang; Wang, Guocheng

2017-08-01

Climate change continually affects our capabilities to feed the increasing population. Rising temperatures have the potential to shorten the crop growth duration and therefore reduce crop yields. In the past decades, China has successfully improved crop cultivars to stabilize, and even lengthen, the crop growth duration to make use of increasing heat resources. However, because of the complex cropping systems in the different regions of China, the possibility and the effectiveness of regulating crop growth duration to reduce the negative impacts of future climate change remain questionable. Here, we performed a projective analysis of the staple food crop productivity in double-rice, wheat-rice, wheat-maize, single-rice, and single-maize cropping systems in China using modeling approaches. The results indicated that from the present to the 2040s, the warming climate would shorten the growth duration of the current rice, wheat, and maize cultivars by 2-24, 11-13, and 9-29 days, respectively. The most significant shortening of the crop growth duration would be in Northeast China, where single-rice and single-maize cropping dominates the croplands. The shortened crop growth duration would consequently reduce crop productivity. The most significant decreases would be 27-31, 6-20, and 7-22% for the late crop in the double-rice rotation, wheat in the winter wheat-rice rotation, and single maize, respectively. However, our projection analysis also showed that the negative effects of the warming climate could be compensated for by stabilizing the growth duration of the crops via improvement in crop cultivars. In this case, the productivity of rice, wheat, and maize in the 2040s would increase by 4-16, 31-38, and 11-12%, respectively. Our modeling results implied that the possibility of securing future food production exists by adopting proper adaptation options in China.

Flood frequencies and durations and their response to El Niño Southern Oscillation: Global analysis

NASA Astrophysics Data System (ADS)

Ward, P. J.; Kummu, M.; Lall, U.

2016-08-01

Floods are one of the most serious forms of natural hazards in terms of the damages they cause. In 2012 alone, flood damages exceeded 19 billion. A large proportion of the damages from several recent major flood disasters, such as those in South India and South Carolina (2015), England and Wales (2014), the Mississippi (2012), Thailand (2011), Queensland (Australia) (2010-2011), and Pakistan (2010), were related to the long duration of those flood events. However, most flood risk studies to date do not account for flood duration. In this paper, we provide the first global modelling exercise to assess the link between interannual climate variability and flood duration and frequency. Specifically, we examine relationships between simulated flood events and El Niño Southern Oscillation (ENSO). Our results show that the duration of flooding appears to be more sensitive to ENSO than is the case for flood frequency. At the globally aggregated scale, we found floods to be significantly longer during both El Niño and La Niña years, compared to neutral years. At the scale of individual river basins, we found strong correlations between ENSO and both flood frequency and duration for a large number of basins, with generally stronger correlations for flood duration than for flood frequency. Future research on flood impacts should attempt to incorporate more information on flood durations.

Estimated flow-duration curves for selected ungaged sites in Kansas

USGS Publications Warehouse

Studley, S.E.

2001-01-01

Flow-duration curves for 1968-98 were estimated for 32 ungaged sites in the Missouri, Smoky Hill-Saline, Solomon, Marais des Cygnes, Walnut, Verdigris, and Neosho River Basins in Kansas. Also included from a previous report are estimated flow-duration curves for 16 ungaged sites in the Cimarron and lower Arkansas River Basins in Kansas. The method of estimation used six unique factors of flow duration: (1) mean streamflow and percentage duration of mean streamflow, (2) ratio of 1-percent-duration streamflow to mean streamflow, (3) ratio of 0.1-percent-duration streamflow to 1-percent-duration streamflow, (4) ratio of 50-percent-duration streamflow to mean streamflow, (5) percentage duration of appreciable streamflow (0.10 cubic foot per second), and (6) average slope of the flow-duration curve. These factors were previously developed from a regionalized study of flow-duration curves using streamflow data for 1921-76 from streamflow-gaging stations with drainage areas of 100 to 3,000 square miles. The method was tested on a currently (2001) measured, continuous-record streamflow-gaging station on Salt Creek near Lyndon, Kansas, with a drainage area of 111 square miles and was found to adequately estimate the computed flow-duration curve for the station. The method also was tested on a currently (2001) measured, continuous-record, streamflow-gaging station on Soldier Creek near Circleville, Kansas, with a drainage area of 49.3 square miles. The results of the test on Soldier Creek near Circleville indicated that the method could adequately estimate flow-duration curves for sites with drainage areas of less than 100 square miles. The low-flow parts of the estimated flow-duration curves were verified or revised using 137 base-flow discharge measurements made during 1999-2000 at the 32 ungaged sites that were correlated with base-flow measurements and flow-duration analyses performed at nearby, long-term, continuous-record, streamflow-gaging stations (index stations). The method did not adequately estimate the flow-duration curves for two sites in the western one-third of the State because of substantial changes in farming practices (terracing and intensive ground-water withdrawal) that were not accounted for in the two previous studies (Furness, 1959; Jordan, 1983). For these two sites, there was enough historic, continuous-streamflow record available to perform record-extension techniques correlated to their respective index stations for the development of the estimated flow-duration curves. The estimated flow-duration curves at the ungaged sites can be used for projecting future flow frequencies for assessment of total maximum daily loads (TMDLs) or other water-quality constituents, water-availability studies, and for basin-characteristic studies.

Countdown to the Future

NASA Technical Reports Server (NTRS)

Cheng-Campbell, Meg; Scott, Ryan T.; Torres, Samantha; Murray, Matthew; Moyer, Eric

2017-01-01

At the NASA Ames Research Center in California, the next generation of space biologists are working to understand the effects of long duration space flight on model organisms, and are developing ways to protect the health of future astronauts.

Napping and associated factors: a Japanese nationwide general population survey.

PubMed

Furihata, Ryuji; Kaneita, Yoshitaka; Jike, Maki; Ohida, Takashi; Uchiyama, Makoto

2016-04-01

The objective of this study was to investigate napping habits and their associated factors in the Japanese adult general population. The cross-sectional survey was conducted in November 2007 for subjects selected randomly from among 300 districts throughout Japan. Data from 7664 people (3527 men and 4137 women), aged 20-99 years, were analyzed. Participants completed a self-administered questionnaire on frequency and duration of napping. The percentage of responders for high-frequency napping, four or more days per week, was 21.2% among men and 17.1% among women. The percentage of responders for long-duration napping, 2 h or more per one nap, was 2.9% among men and 2.6% among women. Multivariate logistic regression analyses revealed that men, older age, smoking, insomnia symptoms, long sleep duration, excessive daytime sleepiness, and having sufficient rest obtained by sleep were positively associated with high-frequency napping, whereas alcohol drinking showed a negative association. Older age was negatively associated with long-duration napping whereas living in a large community, smoking, long sleep duration, excessive daytime sleepiness, and psychological stress showed a positive association. These findings provide important data for future studies aimed at improvement of sleep habits. Copyright © 2016 Elsevier B.V. All rights reserved.

Effects of Duration of Electronic Cigarette Use

PubMed Central

Tackett, Alayna P.; Grant, DeMond M.; Tahirkheli, Noor N.; Driskill, Leslie M.; Wagener, Theodore L.

2015-01-01

Introduction: This study examined the effect of duration electronic cigarette (e-cigarette) use on e-cigarette dependence, frequency of use, and strength of nicotine solution as well as number of cigarettes smoked per day. Methods: Individuals were recruited at e-cigarette retail locations in a large Midwestern metropolitan city of the United States in July 2013. A total of 159 participants completed a brief 29-item self-report measure that assessed behaviors and perceptions of use. The mean age of the participants was 35.8 years; 84.4% were White, and 53.7% were male. Results: Increased duration of e-cigarette use was associated with fewer cigarettes smoked per day and differing patterns of dependence to e-cigarettes contingent upon smoking history. Additionally, increased duration of e-cigarette use was associated with increased frequency of use; however, this finding became nonsignificant when current tobacco cigarette use was accounted for, suggesting that individuals may increase e-cigarette use frequency as they decrease cigarette use. Overall, e-cigarette users tended to decrease the strength of nicotine in their e-cigarette products regardless of duration of use. Conclusions: Although preliminary in nature, this study identifies several factors that are important to consider when examining the effects of prolonged e-cigarette use. The implications of the current results should be informative to future studies that examine these variables in longitudinal designs. PMID:24827788

Duration of U.S. stay and body mass index among Latino and Asian immigrants: A test of theoretical pathways.

PubMed

Ro, Annie; Bostean, Georgiana

2015-11-01

Studies find that longer-term immigrants have higher body mass index (BMI) than their more recently arrived counterparts. Most interpretations of these health patterns by duration of U.S. residence rely on theories of immigrant integration; they posit that with increasing time in the United States, immigrants incorporate economically, socially, and culturally into aspects of U.S. society, and that these changes impact health. Few studies empirically examine whether these aspects of integration are indeed mediators of the association between duration of U.S. stay and BMI, and if their patterns differ across immigrant subgroups. This study examines data from the National Latino and Asian American Survey, using path analytic methods to simultaneously test six hypothesized mediators between duration and BMI: household income, English language ability, ethnic identity, family cohesion, acculturative stress and discrimination for both Latino and Asian immigrants, stratified by gender. We find little evidence for an association between duration and BMI for either Latino or Asian men. For women, duration and BMI have a significant and positive relationship, although the pathways differ between the two ethnic groups. For Latina women, household income and acculturative stress are significant indirect pathways, although they work in opposing directions. For Asian women, English proficiency and discrimination are significant indirect pathways. Our findings reveal complex pathways between duration and BMI that vary by ethnicity and gender and highlight limitations in the negative acculturation theory, which suggests that exposure to the United States should have a net negative impact on health. In contrast, our findings suggest that not all groups show declining health with longer duration, as measured by BMI, and that integration processes do not always translate into health differences in the expected directions. Future research on duration patterns may need to consider alternative explanations beyond incorporation-based processes, such as cross-national health theories or age, period, cohort effects. Copyright © 2015 Elsevier Ltd. All rights reserved.

Comparison of QRS Duration and Associated Cardiovascular Events in American Indian Men Versus Women (The Strong Heart Study).

PubMed

Deen, Jason F; Rhoades, Dorothy A; Noonan, Carolyn; Best, Lyle G; Okin, Peter M; Devereux, Richard B; Umans, Jason G

2017-06-01

Electrocardiographic QRS duration at rest is associated with sudden cardiac death and death from coronary heart disease in the general population. However, its relation to cardiovascular events in American Indians, a population with persistently high cardiovascular disease mortality, is unknown. The relation of QRS duration to incident cardiovascular disease during 17.2 years of follow-up was assessed in 1,851 male and female Strong Heart Study participants aged 45 to 74 years without known cardiovascular disease at baseline. Cox regression with robust standard error estimates was used to determine the association between quintiles of QRS duration and incident cardiovascular disease in gender-stratified analyses, adjusted for age, systolic blood pressure, hypertension, antihypertensive medication use, body mass index, current smoking, diabetes, total cholesterol, high-density lipoprotein cholesterol, and albuminuria. In women only, QRS duration in the highest quintile (≥105 ms) conferred significantly higher risk of cardiovascular disease than QRS duration in the lowest quintile (64 to 84 ms) (hazard ratio 1.6, 95% CI 1.1 to 2.4) likely because of higher risks of coronary heart disease (hazard ratio 1.8, 95% CI 1.1 to 3.1) and myocardial infarction (hazard ratio 2.1, 95% CI 1.0 to 4.7). Furthermore, when added to the Strong Heart Study Coronary Heart Disease Risk Calculator, QRS duration significantly improved prediction of future coronary heart disease events in women (Net Reclassification Index 0.17, 95% CI 0.06 to 0.47). In conclusion, QRS duration is an independent predictor of cardiovascular disease in women in the Strong Heart Study cohort and may have value in estimating risk in populations with similar risk profiles and a high lifetime incidence of cardiovascular disease. Copyright © 2017 Elsevier Inc. All rights reserved.

A Large Radius Human Centrifuge: The Human Hypergravity Havitat

NASA Astrophysics Data System (ADS)

van Loon, J. J. W. A.

2008-06-01

Life on Earth has developed at unit gravity, 9.81 m/s2, but how would plants and animals have evolved on a larger planet, i.e. larger than Earth? We are able to address this question simply by studies using centrifuges. In the past decades numerous experiments have been performed on cells, plants and animals grown for longer durations, even multi generations, under hypergravity conditions. Based on these studies we have gained interesting insights in the physiological process of these systems when exposed to artificial gravity. Animals and plants adapt themselves to this new high-g environment. Information of adaptation to hyper-g in mammals is interesting, or maybe even proof vital, for future human space flight programs especially in light of long duration missions to Moon and Mars. We know from long duration animal studies that numerous physiological processes and structures like muscles, bones, neuro-vestibular, or the cardiovascular system are affected. However, humans have never been exposed to a hyper-g environment for long durations. Human studies are mostly in the order of hours at most. Current work on human centrifuges is all focused on short arm systems to apply artificial gravity in long duration space missions. In this paper we want to address the possible usefulness of a large radius human centrifuge on Earth, or even on Moon or Mars, for both basic research and possible applications. In such a centrifuge a group of humans may be exposed to hypergravity for, in principle, an unlimited period of time.

The Future Impact of Wind on BPA Power System Load Following and Regulation Requirements

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

Makarov, Yuri V.; Lu, Shuai; McManus, Bart

Wind power is growing in a very fast pace as an alternative generating resource. As the ratio of wind power over total system capacity increases, the impact of wind on various system aspects becomes significant. This paper presents a methodology to study the future impact of wind on BPA power system load following and regulation requirements. Existing methodologies for similar analysis include dispatch model simulation and standard deviation evaluation on load and wind data. The methodology proposed in this paper uses historical data and stochastic processes to simulate the load balancing processes in the BPA power system. It mimics themore » actual power system operations therefore the results are close to reality yet the study based on this methodology is convenient to perform. The capacity, ramp rate and ramp duration characteristics are extracted from the simulation results. System load following and regulation capacity requirements are calculated accordingly. The ramp rate and ramp duration data obtained from the analysis can be used to evaluate generator response or maneuverability requirement and regulating units’ energy requirement, respectively.« less

Muscle contraction during electro-muscular incapacitation: A comparison between square-wave pulses and the TASER(®) X26 Electronic control device.

PubMed

Comeaux, James A; Jauchem, James R; Cox, D Duane; Crane, Carrie C; D'Andrea, John A

2011-01-01

Electronic control devices (including the Advanced TASER(®) X26 model produced by TASER International) incapacitate individuals by causing muscle contractions. To provide information relevant to development of future potential devices, effects of monophasic square waves with different parameters were compared with those of the X26 electronic control device, using two animal models (frogs and swine). Pulse power, electrical pulse charge, pulse duration, and pulse repetition frequency affected muscle contraction. There was no difference in the charge required, between the square waveform and the X26 waveform, to cause approximately the same muscle-contraction response (in terms of the strength-duration curve). Thus, on the basis of these initial studies, the detailed shape of a waveform may not be important in terms of generating electro-muscular incapacitation. More detailed studies, however, may be required to thoroughly test all potential waveforms to be considered for future use in ECDs. 2010 American Academy of Forensic Sciences. Published 2010. This article is a U.S. Government work and is in the public domain in the U.S.A.

Inadequate sleep as a contributor to type 2 diabetes in children and adolescents.

PubMed

Dutil, C; Chaput, J-P

2017-05-08

Lack of sleep is a modifiable risk factor for adverse health in humans. Short sleep duration and poor sleep quality are common in the pediatric population; the largest decline in sleep duration over the past decades has been seen in children and adolescents. The objective of the present narrative review was to provide for the first time an overview of the literature on sleep and its association with type 2 diabetes mellitus (T2D) biomarkers in children and adolescents. For this narrative review, 23 studies were retained (21 observational and 2 experimental studies). Notwithstanding the conflicting results found in these studies and despite being attenuated by adiposity level, maturity, sex and age, there is still some compelling evidence for an association between sleep duration (for both objective or subjective measurements of duration) and architecture with one or more T2D biomarkers in children and adolescents. The majority of the studies reviewed did focus on sleep duration and one or more T2D biomarkers in children and adolescents, but sleep architecture, more precisely the suppression of slow wave sleep and rapid eye movement sleep, has also been shown to be associated with insulin resistance. Only two studies looked at sleep quality, and the association between sleep quality and insulin resistance was not independent of level of adiposity. Future experimental studies will help to better understand the mechanisms linking insufficient sleep with T2D. Work also needs to be carried out on finding novel and effective strategies aimed at improving sleep hygiene and health outcomes of children and adolescents.

Inadequate sleep as a contributor to type 2 diabetes in children and adolescents

PubMed Central

Dutil, C; Chaput, J-P

2017-01-01

Lack of sleep is a modifiable risk factor for adverse health in humans. Short sleep duration and poor sleep quality are common in the pediatric population; the largest decline in sleep duration over the past decades has been seen in children and adolescents. The objective of the present narrative review was to provide for the first time an overview of the literature on sleep and its association with type 2 diabetes mellitus (T2D) biomarkers in children and adolescents. For this narrative review, 23 studies were retained (21 observational and 2 experimental studies). Notwithstanding the conflicting results found in these studies and despite being attenuated by adiposity level, maturity, sex and age, there is still some compelling evidence for an association between sleep duration (for both objective or subjective measurements of duration) and architecture with one or more T2D biomarkers in children and adolescents. The majority of the studies reviewed did focus on sleep duration and one or more T2D biomarkers in children and adolescents, but sleep architecture, more precisely the suppression of slow wave sleep and rapid eye movement sleep, has also been shown to be associated with insulin resistance. Only two studies looked at sleep quality, and the association between sleep quality and insulin resistance was not independent of level of adiposity. Future experimental studies will help to better understand the mechanisms linking insufficient sleep with T2D. Work also needs to be carried out on finding novel and effective strategies aimed at improving sleep hygiene and health outcomes of children and adolescents. PMID:28481337

CERES-Maize model-based simulation of climate change impacts on maize yields and potential adaptive measures in Heilongjiang Province, China.

PubMed

Lin, Yumei; Wu, Wenxiang; Ge, Quansheng

2015-11-01

Climate change would cause negative impacts on future agricultural production and food security. Adaptive measures should be taken to mitigate the adverse effects. The objectives of this study were to simulate the potential effects of climate change on maize yields in Heilongjiang Province and to evaluate two selected typical household-level autonomous adaptive measures (cultivar changes and planting time adjustments) for mitigating the risks of climate change based on the CERES-Maize model. The results showed that flowering duration and maturity duration of maize would be shortened in the future climate and thus maize yield would reduce by 11-46% during 2011-2099 relative to 1981-2010. Increased CO2 concentration would not benefit maize production significantly. However, substituting local cultivars with later-maturing ones and delaying the planting date could increase yields as the climate changes. The results provide insight regarding the likely impacts of climate change on maize yields and the efficacy of selected adaptive measures by presenting evidence-based implications and mitigation strategies for the potential negative impacts of future climate change. © 2014 Society of Chemical Industry.

Human Factor Studies on a Mars Analogue During Crew 100b International Lunar Exploration Working Group EuroMoonMars Crew: Proposed New Approaches for Future Human Space and Interplanetary Missions.

PubMed

Rai, Balwant; Kaur, Jasdeep

2012-11-01

Knowing the risks, costs, and complexities associated with human missions to Mars, analogue research can be a great (low-risk) tool for exploring the challenges associated with the preparation for living, operating, and undertaking research in interplanetary missions. Short-duration analogue studies, such as those being accomplished at the Mars Desert Research Station (MDRS), offer the chance to study mission operations and human factors in a simulated environment, and therefore contribute to exploration of the Moon and Mars in planned future missions. This article is based upon previously published articles, abstracts, and presentations by a series of independent authors, human factor studies performed on mars analogue station by Crew 100B. The MDRS Crew 100B performed studies over 15 days providing a unique insight into human factor issues in simulated short-duration Mars mission. In this study, 15 human factors were evaluated and analyzed by subjective and objective means, and from the summary of results it was concluded that optimum health of an individual and the crew as a whole is a necessity in order to encourage and maintain high performance and the satisfaction of project goals.

Human Factor Studies on a Mars Analogue During Crew 100b International Lunar Exploration Working Group EuroMoonMars Crew: Proposed New Approaches for Future Human Space and Interplanetary Missions

PubMed Central

Rai, Balwant; Kaur, Jasdeep

2012-01-01

Knowing the risks, costs, and complexities associated with human missions to Mars, analogue research can be a great (low-risk) tool for exploring the challenges associated with the preparation for living, operating, and undertaking research in interplanetary missions. Short-duration analogue studies, such as those being accomplished at the Mars Desert Research Station (MDRS), offer the chance to study mission operations and human factors in a simulated environment, and therefore contribute to exploration of the Moon and Mars in planned future missions. This article is based upon previously published articles, abstracts, and presentations by a series of independent authors, human factor studies performed on mars analogue station by Crew 100B. The MDRS Crew 100B performed studies over 15 days providing a unique insight into human factor issues in simulated short-duration Mars mission. In this study, 15 human factors were evaluated and analyzed by subjective and objective means, and from the summary of results it was concluded that optimum health of an individual and the crew as a whole is a necessity in order to encourage and maintain high performance and the satisfaction of project goals. PMID:23181225

The Association of Sleep Duration and Morbid Obesity in a Working Population: The Baptist Health South Florida Employee Study.

PubMed

Aziz, Muhammad; Osondu, Chukwuemeka U; Younus, Adnan; Malik, Rehan; Rouseff, Maribeth; Das, Sankalp; Guzman, Henry; Maziak, Wasim; Virani, Salim; Feldman, Theodore; Agatston, Arthur S; Veledar, Emir; Aneni, Ehimen C; Nasir, Khurram

2017-03-01

The current study aimed to determine the relationship between self-reported sleep duration and morbid obesity in an employee population. Baptist Health South Florida conducts an annual Health Risk Assessment (HRA) for its employees. Data for this cross-sectional study was collected via this HRA in 2014, and included information on self-reported sleep duration, height and weight for body mass index (BMI), and other biometric measures. Average sleep duration was categorized as short sleep (<6 hr), optimal sleep (6-7.9 hr), and long sleep duration (≥8 hr), while obesity status was categorized as nonobese (BMI <30 kg/m 2 ), obese (30-34.9 kg/m 2 ), and morbid obese (≥35 kg/m 2 ). A total of 9505 participants (mean age 42.8 ± 12.1 years, 75% females, and 55% Hispanic) were included in this study. Prevalence of morbid obesity was about 24% among employees who were sleeping for less than 6 hr compared to 13% and 14% among those sleeping for 6-7.9 hours, and 8 or more hours respectively. In regression analyses, persons who slept less than 6 hr had almost twice the odds of morbid obesity compared to those who slept 6-7.9 hr (odds ratio = 1.8; 1.5-2.2). Our finding that short sleep duration (<6 hr) is significantly associated with a higher risk of morbid obesity should facilitate the development of workplace-based programs that focus on improving sleep among at-risk employees, especially those who work in shift duties to reduce the risk of morbid obesity and other comorbid conditions. Future studies are needed to further explore the relationship of sleep duration and morbid obesity in employee populations.

Stochastic extreme downscaling model for an assessment of changes in rainfall intensity-duration-frequency curves over South Korea using multiple regional climate models

NASA Astrophysics Data System (ADS)

So, Byung-Jin; Kim, Jin-Young; Kwon, Hyun-Han; Lima, Carlos H. R.

2017-10-01

A conditional copula function based downscaling model in a fully Bayesian framework is developed in this study to evaluate future changes in intensity-duration frequency (IDF) curves in South Korea. The model incorporates a quantile mapping approach for bias correction while integrated Bayesian inference allows accounting for parameter uncertainties. The proposed approach is used to temporally downscale expected changes in daily rainfall, inferred from multiple CORDEX-RCMs based on Representative Concentration Pathways (RCPs) 4.5 and 8.5 scenarios, into sub-daily temporal scales. Among the CORDEX-RCMs, a noticeable increase in rainfall intensity is observed in the HadGem3-RA (9%), RegCM (28%), and SNU_WRF (13%) on average, whereas no noticeable changes are observed in the GRIMs (-2%) for the period 2020-2050. More specifically, a 5-30% increase in rainfall intensity is expected in all of the CORDEX-RCMs for 50-year return values under the RCP 8.5 scenario. Uncertainty in simulated rainfall intensity gradually decreases toward the longer durations, which is largely associated with the enhanced strength of the relationship with the 24-h annual maximum rainfalls (AMRs). A primary advantage of the proposed model is that projected changes in future rainfall intensities are well preserved.

Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China.

PubMed

Xu, Xianglong; Liu, Dengyuan; Zhang, Zhangyi; Sharma, Manoj; Zhao, Yong

2017-07-20

Objectives: Good maternal health and fetal development require sufficient and good quality of sleep during pregnancy. This study investigated sleep duration and quality in pregnant women, assessing factors with possibly influence on sleep. Method: A cross-sectional survey was conducted on pregnant women between June and August in 2015 in 16 hospitals in five provinces in China. A total of 2345 pregnant women aged 18 years and older were surveyed. Insufficient sleeping duration was defined as sleeping of less than 7 h per day. Excessive sleep duration was defined as sleeping of more than 9 h per day. Results: A total of 561 (23.9%) participants reported insufficient sleeping duration, whereas 485 (20.9%) claimed excessive sleep duration. A total of 358 (15.2%) of pregnant women reported problems regarding sleep quality. Compared to pregnant women with sufficient sleeping duration, those with insufficient sleeping duration were prone to have poor sleep quality, whereas those with excessive sleeping duration featured low possibility of poor sleep quality. High-risk groups of insufficient sleep duration include women of Han nationality, with siblings, in their first trimester of pregnancy, receiving care in low-capacity/quality hospital settings, and with daily or 1-3 days of secondhand smoke exposure. High-risk groups of excessive sleep duration include women living in rural areas, unemployed, in their third trimester of pregnancy, and receiving care in medium-capacity/quality hospital settings. High-risk groups of poor sleep quality include women of non-Han nationality, low income level, in their third trimester of pregnancy, and with insufficient sleep duration. Conclusions: Insufficient/excessive sleep duration and poor sleep quality commonly occur during pregnancy in China. Findings provide a better understanding of the influencing factors of insufficient/excessive sleep duration and poor quality of sleep. These findings have some implications for future interventions on sleep among pregnant women.

Sleep Duration and Quality in Pregnant Women: A Cross-Sectional Survey in China

PubMed Central

Liu, Dengyuan; Zhang, Zhangyi; Zhao, Yong

2017-01-01

Objectives: Good maternal health and fetal development require sufficient and good quality of sleep during pregnancy. This study investigated sleep duration and quality in pregnant women, assessing factors with possibly influence on sleep. Method: A cross-sectional survey was conducted on pregnant women between June and August in 2015 in 16 hospitals in five provinces in China. A total of 2345 pregnant women aged 18 years and older were surveyed. Insufficient sleeping duration was defined as sleeping of less than 7 h per day. Excessive sleep duration was defined as sleeping of more than 9 h per day. Results: A total of 561 (23.9%) participants reported insufficient sleeping duration, whereas 485 (20.9%) claimed excessive sleep duration. A total of 358 (15.2%) of pregnant women reported problems regarding sleep quality. Compared to pregnant women with sufficient sleeping duration, those with insufficient sleeping duration were prone to have poor sleep quality, whereas those with excessive sleeping duration featured low possibility of poor sleep quality. High-risk groups of insufficient sleep duration include women of Han nationality, with siblings, in their first trimester of pregnancy, receiving care in low-capacity/quality hospital settings, and with daily or 1–3 days of secondhand smoke exposure. High-risk groups of excessive sleep duration include women living in rural areas, unemployed, in their third trimester of pregnancy, and receiving care in medium-capacity/quality hospital settings. High-risk groups of poor sleep quality include women of non-Han nationality, low income level, in their third trimester of pregnancy, and with insufficient sleep duration. Conclusions: Insufficient/excessive sleep duration and poor sleep quality commonly occur during pregnancy in China. Findings provide a better understanding of the influencing factors of insufficient/excessive sleep duration and poor quality of sleep. These findings have some implications for future interventions on sleep among pregnant women. PMID:28726747

Association between short sleep duration and body mass index in Australian Indigenous children.

PubMed

Deacon-Crouch, Melissa; Skinner, Isabelle; Tucci, Joseph; Skinner, Timothy

2018-01-01

Associations between short sleep duration and obesity and the relationship between obesity and chronic illness are well documented. Obese children are likely to become obese adults. To date, there is a paucity of information regarding sleep duration and quality for Indigenous Australian people. It may be that poor-quality, short sleep is contributing to the gap in health outcomes for Indigenous people compared with non-Indigenous adults and children. This study sought to investigate the possibility that poor sleep quality may be contributing to health outcomes for Indigenous children by exploring associations between sleep duration and body mass index (BMI). Participants included 1253 children aged 7-12 years in Wave 7 of the national Longitudinal Study of Indigenous Children survey. Interviewers asked primary carers about children's sleep times. BMI was derived from measurements of children made by researchers. Regardless of age, relative socio-economic disadvantage and level of remoteness, unhealthy weight was associated with less sleep duration than healthy weight for Indigenous children. The relationship between short sleep duration and BMI in Indigenous children has important implications for their future health outcomes. Both overweight conditions and short sleep are established modifiable risk factors for metabolic dysfunction and other chronic illnesses prominent in the Indigenous population. It is important to consider strategies to optimise both for Indigenous children in an attempt to help 'close the gap' in health outcomes and life expectancy between Indigenous and non-Indigenous people. © 2017 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

Intercultural crew issues in long-duration spaceflight

NASA Technical Reports Server (NTRS)

Kraft, Norbert O.; Lyons, Terence J.; Binder, Heidi

2003-01-01

Before long-duration flights with international crews can be safely undertaken, potential interpersonal difficulties will need to be addressed. Crew performance breakdown has been recognized by the American Institute of Medicine, in scientific literature, and in popular culture. However, few studies of human interaction and performance in confined, isolated environments exist, and the data pertaining to those studies are mostly anecdotal. Many incidents involving crew interpersonal dynamics, those among flight crews, as well as between flight crews and ground controllers, are reported only in non-peer reviewed books and newspapers. Consequently, due to this lack of concrete knowledge, the selection of astronauts and cosmonauts has focused on individual rather than group selection. Additional selection criteria such as interpersonal and communication competence, along with intercultural training, will have a decisive impact on future mission success. Furthermore, industrial psychological research has demonstrated the ability to select a group based on compatibility. With all this in mind, it is essential to conduct further research on heterogeneous, multi-national crews including selection and training for long-duration space missions.

eLearning course may shorten the duration of mechanical restraint among psychiatric inpatients: a cluster-randomized trial.

PubMed

Kontio, Raija; Pitkänen, Anneli; Joffe, Grigori; Katajisto, Jouko; Välimäki, Maritta

2014-10-01

The management of psychiatric inpatients exhibiting severely disturbed and aggressive behaviour is an important educational topic. Well structured, IT-based educational programmes (eLearning) often ensure quality and may make training more affordable and accessible. The aim of this study was to explore the impact of an eLearning course for personnel on the rates and duration of seclusion and mechanical restraint among psychiatric inpatients. In a cluster-randomized intervention trial, the nursing personnel on 10 wards were randomly assigned to eLearning (intervention) or training-as-usual (control) groups. The eLearning course comprised six modules with specific topics (legal and ethical issues, behaviour-related factors, therapeutic relationship and self-awareness, teamwork and integrating knowledge with practice) and specific learning methods. The rates (incidents per 1000 occupied bed days) and durations of the coercion incidents were examined before and after the course. A total of 1283 coercion incidents (1143 seclusions [89%] and 140 incidents involving the use of mechanical restraints [11%]) were recorded on the study wards during the data collection period. On the intervention wards, there were no statistically significant changes in the rates of seclusion and mechanical restraint. However, the duration of incidents involving mechanical restraints shortened from 36.0 to 4.0 h (median) (P < 0.001). No statistically significant changes occurred on the control wards. After our eLearning course, the duration of incidents involving the use of mechanical restraints decreased. However, more studies are needed to ensure that the content of the course focuses on the most important factors associated with the seclusion-related elements. The eLearning course deserves further development and further studies. The duration of coercion incidents merits attention in future research.

Shortened Sleep Duration does not Predict Obesity in Adolescents

PubMed Central

Calamaro, Christina J.; Park, Sunhee; Mason, Thornton B. A.; Marcus, Carole L.; Weaver, Terri E.; Pack, Allan; Ratcliffe, Sarah J.

2010-01-01

Obesity continues to be a major public health issue. In adolescents, there are limited studies on the relationship between obesity and sleep duration. We hypothesied that average sleep duration of less than 6 hours in adolescents was associated with obesity. Data was from the National Longitudinal Study of Adolescent Health (ADD Health); survey of 90,000 youths, ages 12 – 18 years; surveyed in several waves. The sample population for our study was 13,568. Weighted multiple logistic regression was used to identify relationship between obesity at Wave II and sleep duration, having adjusted for skipping breakfast ≥ 2/week; race, gender, parental income, TV ≥ 2hrs/day, depression, and obesity at Wave I. At Wave I, mean age 15.96±0.11 yrs; mean sleep hours 7.91±0.04. 10.6% and 11.2% of adolescents were obese at Waves I and II, respectively. Adjusted analyses suggest that effect of shortened sleep duration in Wave I was not significantly predictive of obesity in Wave II (p<0.218).Longitudinally, depression and TV ≥ 2hrs/day at Wave I was associated with higher risk of obesity at Wave II in adjusted analyses. Depressed adolescents were almost twice as likely to be obese (OR=1.84, 95% CI=1.25–2.72); adolescents who watched TV ≥ 2hrs/day were 37% more likely to be obese (OR=1.37, 95% CI=1.09–1.72).Environmental factors including TV ≥ 2hrs/day and depression were significantly associated with obesity; shortened sleep duration was not. Future longitudinal studies in adolescents are needed to determine whether timing of television watching directly influences sleep patterns, and ultimately obesity. PMID:20545836

Are sleep and depression independent or overlapping risk factors for cardiometabolic disease?

PubMed

Mezick, Elizabeth J; Hall, Martica; Matthews, Karen A

2011-02-01

Sleep duration, sleep continuity, and depression are associated with cardiovascular disease and metabolic disorders. Despite the well-established relationship between sleep and depression, few studies examine these characteristics simultaneously in the development of cardiometabolic disease. Here, we review available studies that include measures of both sleep and depression in relation to cardiometabolic outcomes (cardiovascular disease, diabetes, and the metabolic syndrome). In general, data show that independent of depression, sleep continuity is a risk factor for cardiovascular disease, and short or long sleep duration is a risk factor for diabetes and the metabolic syndrome. Results for associations between sleep duration and cardiovascular disease, and associations between sleep continuity and metabolic disease, are more mixed. Regarding depression, there is preliminary evidence that depression increases risk for cardiovascular disease, independent of sleep continuity. However, there are insufficient data to address whether relationships between depression and cardiovascular and metabolic disease are independent of sleep duration. A number of biobehavioral mechanisms, including inflammation, hypothalamic and sympathetic dysregulation, and obesity and health behaviors, may account for the relationships among sleep, depression, and cardiometabolic disease. After summarizing these mechanisms, we discuss limitations of the extant literature and suggest directions for future research. © 2010 Elsevier Ltd. All rights reserved.

The Impact of Sleep Duration on Performance Among Competitive Athletes: A Systematic Literature Review.

PubMed

Kirschen, Gregory W; Jones, Jason J; Hale, Lauren

2018-06-14

The athletic advantage of sleep, although commonly touted by coaches, trainers, and sports physicians, is still unclear and likely varies by sport, athletic performance metric, and length of sufficient or insufficient sleep. Although recent literature reviews have highlighted circadian and nutritional factors that influence different aspects of athletic performance, a systematic summary of the effects of sleep duration and sleep quality on performance among competitive athletes is lacking. Here we systematically review the relationship between sleep duration and sleep quality and objective athletic performance among competitive athletes across 19 studies representing 12 sports. Taken holistically, we find that the sports requiring speed, tactical strategy, and technical skill are most sensitive to sleep duration manipulations. Furthermore, longer-term sleep manipulations are more likely than acute sleep manipulations (whether deprivation or extension) to affect athletic performance. Thus, the importance of sleep for competitive athletes to achieve high performance is dependent on the demands of the sport as well as the length of sleep interventions. In light of the limited number of studies investigating sleep quality and performance, the potential relevance of subjective sleep quality remains an interesting question for future work.

Architectural considerations for lunar long duration habitat

NASA Astrophysics Data System (ADS)

Bahrami, Payam

The future of space exploration science and technology is expected to move toward long duration missions. During this long duration missions the most important factor to success will be the habitation system, the place that crew will live and work. The broad range of future space exploration, new advances in technology and increasing demand for space travel and space tourism will create great opportunities for architects to use their special abilities and skills in the realm of space. The lunar habitat is defined as a multidisciplinary task and cannot be considered an independent project from the main module. Therefore, habitability will become the most important aspect of future human exploration. A successful design strategy should integrate architecture, structure and other disciplines and should bring in elements such as psychological and physiological factors, human interfaces, and privacy. The current research provides "Habitat Architectural Design System (HADS)" in order to evaluate lunar habitat concepts based on habitability, functional optimization, and human factors. HADS helps to promote parametric studied and evaluation of habitat concepts. It will provide a guideline dependent upon mission objectives to standardize architectural needs within the engineering applications and scientific demands. The significance of this research is the process of developing lunar habitat concepts using an architectural system to evaluate the quality of each concept via habitability aspects. This process can be employed during the early stage of design development and is flexible enough to be adjusted by different parameters according to the objectives of lunar mission, limitations, and cost. It also emphasizes the importance of architecture involvement in space projects, especially habitats.

Developing and Evaluating Computer-Based Teamwork Skills Training for Long-Duration Spaceflight Crews

ERIC Educational Resources Information Center

Hixson, Katharine

2013-01-01

Due to the long-duration and long distance nature of future exploration missions, coupled with significant communication delays from ground-based personnel, NASA astronauts will be living and working within confined, isolated environments for significant periods of time. This extreme environment poses concerns for the flight crews' ability to…

Back from the future: Volitional postdiction of perceived apparent motion direction.

PubMed

Sun, Liwei; Frank, Sebastian M; Hartstein, Kevin C; Hassan, Wassim; Tse, Peter U

2017-11-01

Among physical events, it is impossible that an event could alter its own past for the simple reason that past events precede future events, and not vice versa. Moreover, to do so would invoke impossible self-causation. However, mental events are constructed by physical neuronal processes that take a finite duration to execute. Given this fact, it is conceivable that later brain events could alter the ongoing interpretation of previous brain events if they arrive within this finite duration of interpretive processing, before a commitment is made to what happened. In the current study, we show that humans can volitionally influence how they perceive an ambiguous apparent motion sequence, as long as the top-down command occurs up to 300ms after the occurrence of the actual motion event in the world. This finding supports the view that there is a temporal integration period over which perception is constructed on the basis of both bottom-up and top-down inputs. Copyright © 2017 Elsevier Ltd. All rights reserved.

Flight range, fuel load and the impact of climate change on the journeys of migrant birds.

PubMed

Howard, Christine; Stephens, Philip A; Tobias, Joseph A; Sheard, Catherine; Butchart, Stuart H M; Willis, Stephen G

2018-02-28

Climate change is predicted to increase migration distances for many migratory species, but the physiological and temporal implications of longer migratory journeys have not been explored. Here, we combine information about species' flight range potential and migratory refuelling requirements to simulate the number of stopovers required and the duration of current migratory journeys for 77 bird species breeding in Europe. Using tracking data, we show that our estimates accord with recorded journey times and stopovers for most species. We then combine projections of altered migratory distances under climate change with models of avian flight to predict future migratory journeys. We find that 37% of migratory journeys undertaken by long-distance migrants will necessitate an additional stopover in future. These greater distances and the increased number of stops will substantially increase overall journey durations of many long-distance migratory species, a factor not currently considered in climate impact studies. © 2018 The Authors.

Prescription duration and treatment episodes in oral glucocorticoid users: application of the parametric waiting time distribution.

PubMed

Laugesen, Kristina; Støvring, Henrik; Hallas, Jesper; Pottegård, Anton; Jørgensen, Jens Otto Lunde; Sørensen, Henrik Toft; Petersen, Irene

2017-01-01

Glucocorticoids are widely used medications. In many pharmacoepidemiological studies, duration of individual prescriptions and definition of treatment episodes are important issues. However, many data sources lack this information. We aimed to estimate duration of individual prescriptions for oral glucocorticoids and to describe continuous treatment episodes using the parametric waiting time distribution. We used Danish nationwide registries to identify all prescriptions for oral glucocorticoids during 1996-2014. We applied the parametric waiting time distribution to estimate duration of individual prescriptions each year by estimating the 80th, 90th, 95th and 99th percentiles for the interarrival distribution. These corresponded to the time since last prescription during which 80%, 90%, 95% and 99% of users presented a new prescription for redemption. We used the Kaplan-Meier survival function to estimate length of first continuous treatment episodes by assigning estimated prescription duration to each prescription and thereby create treatment episodes from overlapping prescriptions. We identified 5,691,985 prescriptions issued to 854,429 individuals of whom 351,202 (41%) only redeemed 1 prescription in the whole study period. The 80th percentile for prescription duration ranged from 87 to 120 days, the 90th percentile from 116 to 150 days, the 95th percentile from 147 to 181 days, and the 99th percentile from 228 to 259 days during 1996-2014. Based on the 80th, 90th, 95th and 99th percentiles of prescription duration, the median length of continuous treatment was 113, 141, 170 and 243 days, respectively. Our method and results may provide an important framework for future pharmacoepidemiological studies. The choice of which percentile of the interarrival distribution to apply as prescription duration has an impact on the level of misclassification. Use of the 80th percentile provides a measure of drug exposure that is specific, while the 99th percentile provides a sensitive measure.

Effects of climate change on probable maximum precipitation: A sensitivity study over the Alabama-Coosa-Tallapoosa River Basin

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

Rastogi, Deeksha; Kao, Shih-Chieh; Ashfaq, Moetasim

Probable maximum precipitation (PMP), defined as the largest rainfall depth that could physically occur under a series of adverse atmospheric conditions, has been an important design criterion for critical infrastructures such as dams and nuclear power plants. To understand how PMP may respond to projected future climate forcings, we used a physics-based numerical weather simulation model to estimate PMP across various durations and areas over the Alabama-Coosa-Tallapoosa (ACT) river basin in the southeastern United States. Six sets of Weather Research and Forecasting (WRF) model experiments driven by both reanalysis and global climate model projections, with a total of 120 storms,more » were conducted. The depth-area-duration relationship was derived for each set of WRF simulations and compared with the conventional PMP estimates. Here, our results showed that PMP driven by projected future climate forcings is higher than 1981-2010 baseline values by around 20% in the 2021-2050 near-future and 44% in the 2071-2100 far-future periods. The additional sensitivity simulations of background air temperature warming also showed an enhancement of PMP, suggesting that atmospheric warming could be one important factor controlling the increase in PMP. In light of the projected increase in precipitation extremes under a warming environment, the reasonableness and role of PMP deserves more in-depth examination.« less

Effects of climate change on probable maximum precipitation: A sensitivity study over the Alabama-Coosa-Tallapoosa River Basin

NASA Astrophysics Data System (ADS)

Rastogi, Deeksha; Kao, Shih-Chieh; Ashfaq, Moetasim; Mei, Rui; Kabela, Erik D.; Gangrade, Sudershan; Naz, Bibi S.; Preston, Benjamin L.; Singh, Nagendra; Anantharaj, Valentine G.

2017-05-01

Probable maximum precipitation (PMP), defined as the largest rainfall depth that could physically occur under a series of adverse atmospheric conditions, has been an important design criterion for critical infrastructures such as dams and nuclear power plants. To understand how PMP may respond to projected future climate forcings, we used a physics-based numerical weather simulation model to estimate PMP across various durations and areas over the Alabama-Coosa-Tallapoosa (ACT) River Basin in the southeastern United States. Six sets of Weather Research and Forecasting (WRF) model experiments driven by both reanalysis and global climate model projections, with a total of 120 storms, were conducted. The depth-area-duration relationship was derived for each set of WRF simulations and compared with the conventional PMP estimates. Our results showed that PMP driven by projected future climate forcings is higher than 1981-2010 baseline values by around 20% in the 2021-2050 near-future and 44% in the 2071-2100 far-future periods. The additional sensitivity simulations of background air temperature warming also showed an enhancement of PMP, suggesting that atmospheric warming could be one important factor controlling the increase in PMP. In light of the projected increase in precipitation extremes under a warming environment, the reasonableness and role of PMP deserve more in-depth examination.

Effects of climate change on probable maximum precipitation: A sensitivity study over the Alabama-Coosa-Tallapoosa River Basin

DOE PAGES

Rastogi, Deeksha; Kao, Shih-Chieh; Ashfaq, Moetasim; ...

2017-04-13

Probable maximum precipitation (PMP), defined as the largest rainfall depth that could physically occur under a series of adverse atmospheric conditions, has been an important design criterion for critical infrastructures such as dams and nuclear power plants. To understand how PMP may respond to projected future climate forcings, we used a physics-based numerical weather simulation model to estimate PMP across various durations and areas over the Alabama-Coosa-Tallapoosa (ACT) river basin in the southeastern United States. Six sets of Weather Research and Forecasting (WRF) model experiments driven by both reanalysis and global climate model projections, with a total of 120 storms,more » were conducted. The depth-area-duration relationship was derived for each set of WRF simulations and compared with the conventional PMP estimates. Here, our results showed that PMP driven by projected future climate forcings is higher than 1981-2010 baseline values by around 20% in the 2021-2050 near-future and 44% in the 2071-2100 far-future periods. The additional sensitivity simulations of background air temperature warming also showed an enhancement of PMP, suggesting that atmospheric warming could be one important factor controlling the increase in PMP. In light of the projected increase in precipitation extremes under a warming environment, the reasonableness and role of PMP deserves more in-depth examination.« less

Low-flow characteristics of streams under natural and diversion conditions, Waipiʻo Valley, Island of Hawaiʻi, Hawaiʻi

USGS Publications Warehouse

Fontaine, Richard A.

2012-01-01

Over the past 100 years, natural streamflow in Waipiʻo Valley has been reduced by the transfer of water out of the valley by Upper and Lower Hāmākua Ditches. The physical condition and diversion practices along the two ditch systems have varied widely over the years, and as a result, so have their effects on natural streamflow in Waipiʻo Valley. Recent renovation and improvements to Lower Hāmākua Ditch system, along with proposals for its future operation and water-diversion strategies, have unknown implications. The purpose of this report is to quantify the availability of streamflow and to determine the effects of current and proposed diversion strategies on the low-flow hydrology in Waipiʻo Valley. In this report, the low-flow hydrology of Waipiʻo Valley is described in terms of flow-duration statistics. Flow-duration statistics were computed for three locations in the Waipiʻo Valley study area where long-term surface-water gaging stations have been operated. Using a variety of streamflow record-extension techniques, flow-duration statistics were estimated at an additional 13 locations where only few historical data are available or where discharge measurements were made as part of this study. Flow-duration statistics were computed to reflect natural conditions, current (2000-2005) diversion conditions, and proposed future diversion conditions at the 16 locations. At the downstream limit of the study area, on Wailoa Stream at an altitude of 190 feet, a baseline for evaluating the availability of streamflow is provided by computed flow-duration statistics that are representative of natural, no-diversion conditions. At the Wailoa gaging station, 95- and 50-percentile discharges under natural conditions were determined to be 86 and 112 cubic feet per second, respectively. Under 1965-1969 diversion conditions, natural 95- and 50-percentile discharges were reduced by 52 and 53 percent, to 41 and 53 cubic feet per second, respectively. Under current (2000-2005) diversion conditions, natural 95- and 50-percentile discharges were reduced by 21 and 24 percent, to 68 and 85 cubic feet per second, respectively. Under proposed future diversion conditions, natural 95- and 50-percentile discharges would be reduced by 33 and 24 percent, to 58 and 85 cubic feet per second, respectively. Compared to discharges that reflect current (2000-2005) diversion conditions, proposed future diversion conditions would reduce 95-percentile discharges, which are representative of moderate drought levels in the stream, by 15 percent. No change would be expected in 50-percentile discharges, which are representative of normal conditions. The effects of current (2000-2005) and proposed future diversion conditions on the natural flow of streams in the Waipiʻo Valley study area differ, depending on the location. Under current (2000-2005) diversion conditions, reductions in natural 95- or 50-percentile discharges of greater than 30 percent were found in Kawainui Stream downstream from Upper Hamakua Ditch to an altitude of about 1,435 feet and in the reach of Waimā Stream between Upper and Lower Hāmākua Ditches. Under proposed future diversion conditions, reductions in natural 95- or 50-percentile discharges of greater than 30 percent were found in Kawainui Stream downstream from Upper Hamakua Ditch to an altitude of about 1,435 feet, in the reach of Waimā Stream between Upper and Lower Hāmākua Ditches, and along most stream reaches downstream from Lower Hāmākua Ditch, except for Waimā Stream.

Systematic studies of modified vocalization: effects of speech rate and instatement style during metronome stimulation.

PubMed

Davidow, Jason H; Bothe, Anne K; Richardson, Jessica D; Andreatta, Richard D

2010-12-01

This study introduces a series of systematic investigations intended to clarify the parameters of the fluency-inducing conditions (FICs) in stuttering. Participants included 11 adults, aged 20-63 years, with typical speech-production skills. A repeated measures design was used to examine the relationships between several speech production variables (vowel duration, voice onset time, fundamental frequency, intraoral pressure, pressure rise time, transglottal airflow, and phonated intervals) and speech rate and instatement style during metronome-entrained rhythmic speech. Measures of duration (vowel duration, voice onset time, and pressure rise time) differed across different metronome conditions. When speech rates were matched between the control condition and metronome condition, voice onset time was the only variable that changed. Results confirm that speech rate and instatement style can influence speech production variables during the production of fluency-inducing conditions. Future studies of normally fluent speech and of stuttered speech must control both features and should further explore the importance of voice onset time, which may be influenced by rate during metronome stimulation in a way that the other variables are not.

Caffeine is a risk factor for osteopenia of prematurity in preterm infants: a cohort study.

PubMed

Ali, Ebtihal; Rockman-Greenberg, Cheryl; Moffatt, Michael; Narvey, Michael; Reed, Martin; Jiang, Depeng

2018-01-22

Caffeine, the most commonly used medication in Neonatal Intensive Care Units, has calciuric and osteoclastogenic effects. To examine the association between the cumulative dose and duration of therapy of caffeine and osteopenia of prematurity, a retrospective cohort study was conducted including premature infants less than 31 weeks and birth weight less than 1500 g. Osteopenia of prematurity was evaluated using chest X-rays on a biweekly basis over 12 weeks of hospitalization. The cohort included 109 infants. 51% had osteopenia of prematurity and 8% had spontaneous rib fractures. Using the generalized linear mixed model, caffeine dose and duration of caffeine therapy showed a strong association with osteopenia of prematurity. Steroids and vitamin D were also significantly correlated with osteopenia of prematurity while diuretic use did not show a statistically significant effect. The cumulative dose and duration of therapy of caffeine, as well as steroid are associated with osteopenia of prematurity in this cohort. Future studies are needed to confirm these findings and determine the lowest dose of caffeine needed to treat effectively apnea of prematurity.

Cardiovascular and Cerebrovascular Control on Return from ISS

NASA Technical Reports Server (NTRS)

Hughson, Richard Lee; Shoemaker, Joel Kevin; Blaber, Andrew Philip; Arbeille, Philippe; Greaves, Danielle Kathleen

2008-01-01

Cardiovascular and Cerebrovascular Control on Return from ISS (CCISS) will study the effects of long-duration spaceflight on crew members' heart functions and their blood vessels that supply the brain. Learning more about the cardiovascular and cerebrovascular systems could lead to specific countermeasures that might better protect future space travelers. This experiment is collaborative with the Canadian Space Agency.

Sustainable Leadership and Future-Oriented Decision Making in the Educational Governance--A Finnish Case

ERIC Educational Resources Information Center

Metsamuuronen, Jari; Kuosa, Tuomo; Laukkanen, Reijo

2013-01-01

Purpose: During the new millennium the Finnish educational system has faced a new challenge: how to explain glorious PISA results produced with only a small variance between schools, average national costs and, as regards the average duration of studies, relatively efficiently. Explanations for this issue can be searched for in many different…

Developing closed life support systems for large space habitats

NASA Technical Reports Server (NTRS)

Phillips, J. M.; Harlan, A. D.; Krumhar, K. C.

1978-01-01

In anticipation of possible large-scale, long-duration space missions which may be conducted in the future, NASA has begun to investigate the research and technology development requirements to create life support systems for large space habitats. An analysis suggests the feasibility of a regeneration of food in missions which exceed four years duration. Regeneration of food in space may be justified for missions of shorter duration when large crews must be supported at remote sites such as lunar bases and space manufacturing facilities. It is thought that biological components consisting principally of traditional crop and livestock species will prove to be the most acceptable means of closing the food cycle. A description is presented of the preliminary results of a study of potential biological components for large space habitats. Attention is given to controlled ecosystems, Russian life support system research, controlled-environment agriculture, and the social aspects of the life-support system.

Early Nutrition and Physical Activity Interventions in Childhood Cancer Survivors

PubMed Central

Zhang, Fang Fang; Kelly, Michael J.; Must, Aviva

2017-01-01

Purpose of review Childhood cancer survivors experience excessive weight gain early in treatment. Lifestyle interventions need to be initiated early in cancer care to prevent the early onset of obesity and cardiovascular disease (CVD). We reviewed the existing literature on early lifestyle interventions in childhood cancer survivors and consider implications for clinical care. Recent findings Few lifestyle interventions focus on improving nutrition in childhood cancer survivors. A consistent effect on reducing obesity and CVD risk factors is not evident from the limited number of studies with heterogeneous intervention characteristics, although interventions with a longer duration and follow-up show more promising trends. Summary Future lifestyle interventions should be of a longer duration and include a nutrition component. Interventions with a longer duration and follow-up are needed to assess the timing and sustainability of the intervention effect. Lifestyle interventions introduced early in cancer care are both safe and feasible. PMID:28455678

Sleep Duration and Diet Quality Among Women Within 5 Years of Childbirth in the United States: A Cross-Sectional Study.

PubMed

Xiao, Rui S; Moore Simas, Tiffany A; Pagoto, Sherry L; Person, Sharina D; Rosal, Milagros C; Waring, Molly E

2016-09-01

Objective Only 9 % of women with young children consume a high quality diet. The association between sleep duration and health may be U-shaped. We examined diet quality in relation to sleep duration among US women within 5 years of childbirth. Methods Data were from non-pregnant women aged 20-44 years within 5 years of childbirth who completed two 24-h dietary recalls (N = 896) in the National Health and Nutrition Examination Survey 2005-2012. Self-reported weekday/workday sleep duration was categorized as short (≤6 h), adequate (7-8 h), or long (≥9 h). The Healthy Eating Index (HEI-2010, range 0-100) estimated overall and components of diet quality. Multivariable-adjusted linear regression models estimated the association between sleep duration and diet quality, adjusting for age, race/ethnicity, and education. Results Thirty-four percent of women reported short, 57.1 % adequate, and 8.6 % long sleep duration. The average diet quality total score was 47.4 out of 100. Short sleep duration was not associated with diet quality. Long sleep duration was associated with lower quality diet (β = -4.3; 95 % CI -8.1 to -0.4), lower consumption of total fruit (β = -0.7; 95 % CI -1.3 to -0.1), whole fruit (β = -0.9; 95 % CI -1.6 to -0.2), and total protein (β = -0.7; 95 % CI -1.3 to -0.03), and higher consumption of empty calories (β = 2.2; 95 % CI -4.3 to -0.1). Conclusions for practice Future studies should examine the longitudinal association between sleep duration and diet quality among women following childbirth and whether interventions to improve sleep can enhance diet quality.

ISS Training Best Practices and Lessons Learned

NASA Technical Reports Server (NTRS)

Barshi, Immanuel; Dempsey, Donna L.

2017-01-01

Training our crew members for long duration exploration-class missions (LDEM) will have to be qualitatively and quantitatively different from current training practices. However, there is much to be learned from the extensive experience NASA has gained in training crew members for missions on board the International Space Station (ISS). Furthermore, the operational experience on board the ISS provides valuable feedback concerning training effectiveness. Keeping in mind the vast differences between current ISS crew training and training for LDEM, the needs of future crew members, and the demands of future missions, this ongoing study seeks to document current training practices and lessons learned. The goal of the study is to provide input to the design of future crew training that takes as much advantage as possible of what has already been learned and avoids as much as possible past inefficiencies. Results from this study will be presented upon its completion. By researching established training principles, examining future needs, and by using current practices in spaceflight training as test beds, this research project is mitigating program risks and generating templates and requirements to meet future training needs.

ISS Training Best Practices and Lessons Learned

NASA Technical Reports Server (NTRS)

Dempsey, Donna L.; Barshi, Immanuel

2018-01-01

Training our crew members for long-duration Deep Space Transport (DST) missions will have to be qualitatively and quantitatively different from current training practices. However, there is much to be learned from the extensive experience NASA has gained in training crew members for missions on board the International Space Station (ISS). Furthermore, the operational experience on board the ISS provides valuable feedback concerning training effectiveness. Keeping in mind the vast differences between current ISS crew training and training for DST missions, the needs of future crew members, and the demands of future missions, this ongoing study seeks to document current training practices and lessons learned. The goal of the study is to provide input to the design of future crew training that takes as much advantage as possible of what has already been learned and avoids as much as possible past inefficiencies. Results from this study will be presented upon its completion. By researching established training principles, examining future needs, and by using current practices in spaceflight training as test beds, this research project is mitigating program risks and generating templates and requirements to meet future training needs.

Effect of self-hypnosis on duration of labor and maternal and neonatal outcomes: a randomized controlled trial.

PubMed

Werner, Anette; Uldbjerg, Niels; Zachariae, Robert; Nohr, Ellen A

2013-07-01

To examine the effect of a brief course in self-hypnosis for childbirth on duration of the labor and other birth outcomes. A randomized, controlled, single-blind trial. Aarhus University Hospital Skejby, Denmark. A total of 1222 healthy nulliparous women. A hypnosis group receiving three 1-h lessons in self-hypnosis with additional audio-recordings to ease childbirth, a relaxation group receiving three 1-h lessons in various relaxation methods and mindfulness with audio-recordings for additional training, and a usual-care group receiving only the usual antenatal care were compared. Duration of labor, birth complications, lactation success, caring for the child, and preferred future mode of delivery. No differences were found across the three groups on duration from arriving at the birth department until the expulsive phase of second stage of labor, the duration of the expulsive phase, or other birth outcomes. Fewer emergency and more elective cesarean sections occurred in the hypnosis group. No difference was seen across the groups for lactation success or caring for the child but fewer women in the hypnosis group preferred a cesarean section in future pregnancies because of fear of childbirth and negative birth experiences. Learning self-hypnosis to ease childbirth taught as a brief course failed to show any effects on duration of childbirth and other birth outcomes. © 2013 The Authors Acta Obstetricia et Gynecologica Scandinavica © 2013 Nordic Federation of Societies of Obstetrics and Gynecology.

Impacts of leaf age and heat stress duration on photosynthetic gas exchange and foliar nonstructural carbohydrates in Coffea arabica

Treesearch

Danielle E. Marias; Frederick C. Meinzer; Christopher Still

2017-01-01

Given future climate predictions of increased temperature, and frequency and intensity of heat waves in the tropics, suitable habitat to grow ecologically, economically, and socially valuable Coffea arabica is severely threatened. We investigated how leaf age and heat stress duration impact recovery from heat stress in C. arabica...

Sleep problems, short sleep and a combination of both increase the risk of depressive symptoms in older people: a 6-year follow-up investigation from the English Longitudinal Study of Ageing.

PubMed

Jackowska, Marta; Poole, Lydia

2017-09-01

This study investigated whether sleep problems, sleep duration and a combination of short or long sleep with sleep problems were predictive of depressive symptoms six years later. Participants were 4545 men and women aged 50 years or older from the English Longitudinal Study of Ageing. Sleep problems were indexed through self-report enquiring about the most frequent insomnia symptoms including difficulties falling asleep, waking up several times a night and waking up in the morning feeling tired. Sleep duration was ascertained by asking about average sleep in the weeknight. Depressive symptoms were measured with the Center for Epidemiologic Studies Depression scale. Sleep problems were predictive of elevated depressive symptoms at follow-up (odds ratio [OR] = 1.36, 95% confidence interval [CI] = 1.19-1.56). When explored separately, waking up in the morning feeling tired (OR = 1.71, 95% CI = 1.24-2.37) followed by difficulties falling asleep (OR = 1.49, 95% CI = 1.06-2.11) were also predictors of future depressive symptoms. Compared to optimal duration, short (OR = 1.90, 95% CI = 1.34-2.71) but not long sleep hours were also linked to elevated depressive symptoms. Participants reporting short sleep hours combined with high sleep problems also had an elevated risk of depressive symptoms six years later (OR = 1.85, 95% CI = 1.15-3.00). Long sleep combined with high sleep problems was not predictive of depressive symptoms. Short and disturbed sleep and their combination increase the risk of future depressive symptoms in older adults. Copyright © 2017 Elsevier B.V. All rights reserved.

Next-Generation Regimens: The Future of Hepatitis C Virus Therapy.

PubMed

Vizuete, John; Hubbard, Hope; Lawitz, Eric

2015-11-01

The treatment of chronic hepatitis C virus (HCV) has undergone a period of rapid evolution. The era of combination direct antivirals has led to high rates of sustained viral response (SVR), limited toxicities, and more broad applicability across patient demographics. Even current therapies have their limitations, however, including genotype specificity and variable durations of treatment depending on the presence or absence of cirrhosis. Developing a fixed-duration pangenotypic regimen that can broadly treat all stages of fibrosis with equal rates of SVR in all patients, irrespective of treatment experience, is the goal of future therapies. This article reviews antivirals in development. Copyright © 2015 Elsevier Inc. All rights reserved.

NASA HRP Plans for Collaboration at the IBMP Ground-Based Experimental Facility (NEK)

NASA Technical Reports Server (NTRS)

Cromwell, Ronita L.

2016-01-01

NASA and IBMP are planning research collaborations using the IBMP Ground-based Experimental Facility (NEK). The NEK offers unique capabilities to study the effects of isolation on behavioral health and performance as it relates to spaceflight. The NEK is comprised of multiple interconnected modules that range in size from 50-250m(sup3). Modules can be included or excluded in a given mission allowing for flexibility of platform design. The NEK complex includes a Mission Control Center for communications and monitoring of crew members. In an effort to begin these collaborations, a 2-week mission is planned for 2017. In this mission, scientific studies will be conducted to assess facility capabilities in preparation for longer duration missions. A second follow-on 2-week mission may be planned for early in 2018. In future years, long duration missions of 4, 8 and 12 months are being considered. Missions will include scenarios that simulate for example, transit to and from asteroids, the moon, or other interplanetary travel. Mission operations will be structured to include stressors such as, high workloads, communication delays, and sleep deprivation. Studies completed at the NEK will support International Space Station expeditions, and future exploration missions. Topics studied will include communication, crew autonomy, cultural diversity, human factors, and medical capabilities.

Self-reported Napping, Sleep Duration and Quality in the Lifestyle Interventions and Independence for Elders Pilot (LIFE-P) Study

PubMed Central

Picarsic, Jennifer L.; Glynn, Nancy W.; Taylor, Christopher A.; Katula, Jeffery; Goldman, Suzanne E.; Studenski, Stephanie; Newman, Anne B.

2010-01-01

OBJECTIVES To determine the prevalence of self-reported napping and its association with subjective nighttime sleep duration and quality, as measured by sleep-onset latency and sleep efficiency. DESIGN Cross-sectional study. SETTING Lifestyle Interventions and Independence for Elder’s Pilot Study. PARTICIPANTS Community-dwelling older adults (N=414), aged 70 to 89 years. MEASUREMENTS Self-report questionnaire on napping and sleep, derived from the Pittsburgh Sleep Quality Index (PSQI) scale. RESULTS A total of 54 percent of participants reported napping with mean nap duration of 55 minutes, (SD 41.2 minutes). Compared to non-nappers, nappers were more often men (37.3% vs. 23.8%, P = .003), African American (20.4% vs.14.4%, P = .06), or diabetic (28% vs. 14.3%, P = .007). Nappers and non-nappers had similar nighttime sleep duration and quality, but nappers spent about 10 percent of their 24-hour sleep occupied in napping. In a multivariate model, the odds of napping were higher for diabetics (OR: 1.9; 95% CI: 1.2–3.0) and men (OR: 1.9; 95% CI: 1.2–3.0)). In nappers, diabetes mellitus (β = 12.3 minutes, P =.005), male gender (β = 9.0 minutes, P = .04), higher BMI (β = 0.8 minutes, P = .02), and lower MMSE (β = 2.2, P = .03) were independently associated with longer nap duration. CONCLUSION Napping was a common practice in community-dwelling older adults and did not detract from nighttime sleep duration or quality. Given its high prevalence and association with diabetes, napping behavior should be assessed as part of sleep behavior, both in future research and in clinical practice. PMID:18662202

Self-reported napping and duration and quality of sleep in the lifestyle interventions and independence for elders pilot study.

PubMed

Picarsic, Jennifer L; Glynn, Nancy W; Taylor, Christopher A; Katula, Jeffrey A; Goldman, Suzanne E; Studenski, Stephanie A; Newman, Anne B

2008-09-01

To determine the prevalence of self-reported napping and its association with subjective nighttime sleep duration and quality, as measured according to sleep-onset latency and sleep efficiency. Cross-sectional study. Lifestyle Interventions and Independence for Elders Pilot Study. Community-dwelling older adults (N=414) aged 70 to 89. Self-report questionnaire on napping and sleep derived from the Pittsburgh Sleep Quality Index (PSQI) scale. Fifty-four percent of participants reported napping, with mean nap duration of 55.0+/-41.2 minutes. Nappers were more likely to be male (37.3% vs 23.8%, P=.003) and African American (20.4% vs 14.4%, P=.06) and to have diabetes mellitus (28% vs 14.3%, P=.007) than non-nappers. Nappers and non-nappers had similar nighttime sleep duration and quality, but nappers spent approximately 10% of their 24-hour sleep occupied in napping. In a multivariate model, the odds of napping were higher for subjects with diabetes mellitus (odds ratio (OR)=1.9, 95% confidence interval (CI)=1.2-3.0) and men (OR=1.9, 95% CI=1.2-3.0). In nappers, diabetes mellitus (beta=12.3 minutes, P=.005), male sex (beta=9.0 minutes, P=.04), higher body mass index (beta=0.8 minutes, P=.02), and lower Mini-Mental State Examination score (beta=2.2 minutes, P=.03) were independently associated with longer nap duration. Napping was a common practice in community-dwelling older adults and did not detract from nighttime sleep duration or quality. Given its high prevalence and association with diabetes mellitus, napping behavior should be assessed as part of sleep behavior in future research and in clinical practice.

Effect of winter cold duration on spring phenology of the orange tip butterfly, Anthocharis cardamines.

PubMed

Stålhandske, Sandra; Lehmann, Philipp; Pruisscher, Peter; Leimar, Olof

2015-12-01

The effect of spring temperature on spring phenology is well understood in a wide range of taxa. However, studies on how winter conditions may affect spring phenology are underrepresented. Previous work on Anthocharis cardamines (orange tip butterfly) has shown population-specific reaction norms of spring development in relation to spring temperature and a speeding up of post-winter development with longer winter durations. In this experiment, we examined the effects of a greater and ecologically relevant range of winter durations on post-winter pupal development of A. cardamines of two populations from the United Kingdom and two from Sweden. By analyzing pupal weight loss and metabolic rate, we were able to separate the overall post-winter pupal development into diapause duration and post-diapause development. We found differences in the duration of cold needed to break diapause among populations, with the southern UK population requiring a shorter duration than the other populations. We also found that the overall post-winter pupal development time, following removal from winter cold, was negatively related to cold duration, through a combined effect of cold duration on diapause duration and on post-diapause development time. Longer cold durations also lead to higher population synchrony in hatching. For current winter durations in the field, the A. cardamines population of southern UK could have a reduced development rate and lower synchrony in emergence because of short winters. With future climate change, this might become an issue also for other populations. Differences in winter conditions in the field among these four populations are large enough to have driven local adaptation of characteristics controlling spring phenology in response to winter duration. The observed phenology of these populations depends on a combination of winter and spring temperatures; thus, both must be taken into account for accurate predictions of phenology.

Impact of resident training on operative time and safety in hemithyroidectomy.

PubMed

Folsom, Craig; Serbousek, Kimberly; Lydiatt, William; Rieke, Katherine; Sayles, Harlan; Smith, Russell; Panwar, Aru

2017-06-01

The purpose of this study was to present our assessment of the impact of resident participation on operative duration and outcomes after hemithyroidectomy, which may identify opportunities for optimization of educational programs, reduction in cost of healthcare delivery, and maximizing patient safety, while continuing to train a competent physician workforce for the future. The American College of Surgeons' National Surgical Quality Improvement Program (ACS NSQIP) dataset from 2006 to 2012 identified 13,151 adult patients who underwent hemithyroidectomy. Differences in operative duration, postoperative complications, reoperation, and readmission rates were assessed based on stratification by resident participation in surgery. Compared with operations performed by attending surgeons alone, resident participation with attending supervision prolonged the operative duration by 10.5% (82.5 minutes vs 91.2 minutes; p < .0001). The incidence of readmission and wound complications was higher for patients who underwent surgery with resident participation. Resident participation in hemithyroidectomy may be associated with increased operative duration, higher incidence of wound complications, and readmission. © 2017 Wiley Periodicals, Inc. Head Neck 39: 1212-1217, 2017. © 2017 Wiley Periodicals, Inc.

Effectiveness of the Challenging Horizons After-School Program for Young Adolescents With ADHD

PubMed Central

Evans, Steven W.; Schultz, Brandon K.; DeMars, Christine E.; Davis, Heather

2012-01-01

There are no empirically supported psychosocial treatments for adolescents with attention-deficit hyperactivity disorder (ADHD). This study examined the treatment benefits of the Challenging Horizons Program (CHP), a psychosocial treatment program designed to address the impairment and symptoms associated with this disorder in young adolescents. In addition to evaluating social and academic functioning outcomes, two critical questions from previous studies pertaining to the timing, duration, and family involvement in treatment were addressed. Forty-nine students recruited in two cohorts were randomly assigned to receive either the CHP or a community care condition. Outcomes suggested that students who received the CHP improved compared to students in the control condition on measures of symptoms and impairment. Implications related to timing, duration, and family involvement are reported, as well as recommendations for future studies. PMID:21658528

Yawn duration predicts brain weight and cortical neuron number in mammals

PubMed Central

Church, Allyson M.; Pelegrino, Anthony J.

2016-01-01

Research indicates that the motor action pattern of yawning functions to promote cortical arousal and state change through enhanced intracranial circulation and brain cooling. Because the magnitude of this response likely corresponds to the degree of neurophysiological change, we hypothesized that interspecies variation in yawn duration would correlate with underlying neurological differences. Using openly accessible data, we show that both the mean and variance in yawn duration are robust predictors of mammalian brain weight and cortical neuron number (ρ-values > 0.9). Consistent with these effects, primates tend to have longer and more variable yawn durations compared with other mammals. Although yawning has long been considered a stereotyped action pattern, these findings reveal substantial variation in this response and highlight the importance of measuring yawn duration in future research. PMID:27703056

Infectious disease at gluten introduction and risk of childhood diabetes mellitus.

PubMed

Welander, Adina; Montgomery, Scott M; Ludvigsson, Johnny; Ludvigsson, Jonas F

2014-08-01

To investigate the risk of future diabetes mellitus type 1 (T1D) in children who suffered from infection at time of gluten introduction. Population-based prospective study. Parents filled out a diary at home. We hereby obtained data on date of gluten introduction, breastfeeding duration, and infections in 9414 children born in the southeast of Sweden from October 1, 1997, through October 1, 1999 (the All Babies in Southeast Sweden cohort). The Cox proportional hazards model was used to investigate the risk of future T1D until February 1, 2012, among children with infection at time of gluten introduction. Forty-six children (0.5%) developed T1D and were compared with 9368 reference children from the general population. Some 10 of 46 children with later T1D had an infection at time of gluten introduction (22%) compared with 2520 reference children (27%, P=.43). Later T1D was not associated with age at end of breastfeeding, age at any infection, or age at gluten introduction. Breastfeeding at time of gluten introduction was not protective against future T1D (hazard ratio 1.2; 95% CI, 0.5-2.7). In our final model, when we adjusted for age at gluten introduction, age at infection, and breastfeeding duration, infection at time of gluten introduction did not influence the risk of future T1D (hazard ratio 0.8; 95% CI, 0.3-1.6). Infection at time of gluten introduction is not a major risk factor for future T1D in nonselected children. Copyright © 2014 Elsevier Inc. All rights reserved.

Slow Wave Sleep and Long Duration Spaceflight

NASA Technical Reports Server (NTRS)

Orr, M.; Whitmire, A.; Arias, D.; Leveton, L.

2011-01-01

To review the literature on slow wave sleep (SWS) in long duration space flight, and place this within the context of the broader literature on SWS particularly with respect to analogous environments such as the Antarctic. Explore how SWS could be measured within the International Space Station (ISS) context with the aim to utilize the ISS as an analog for future extra-orbital long duration missions. Discuss the potential use of emergent minimally intrusive wireless technologies like ZEO for integrated prelaunch, flight, and return to Earth analysis and optimization of SWS (and general quality of sleep).

Living aloft: Human requirements for extended spaceflight

NASA Technical Reports Server (NTRS)

Connors, M. M.; Harrison, A. A.; Akins, F. R.

1985-01-01

Human psychological and social adjustment to space is investigated. Studies and experiences bearing on human performance capability, psychological well being, and social organization, as they relate to space, were identified and assessed, and suggestions offered as to where further research could ease the Earth/space transition. Special emphasis was given to the variables of crew size, crew diversity, and mission duration, all of which can be expected to increase in future spaceflight. By providing a conceptual framework in which issues and related information can be integrated, the hope is to aid in discovering those conditions under which future space travelers can flourish.

Characteristics and Impact of Drug Detailing for Gabapentin

PubMed Central

Steinman, Michael A; Harper, G. Michael; Chren, Mary-Margaret; Landefeld, C. Seth; Bero, Lisa A

2007-01-01

Background Sales visits by pharmaceutical representatives (“drug detailing”) are common, but little is known about the content of these visits or about the impact of visit characteristics on prescribing behavior. In this study, we evaluated the content and impact of detail visits for gabapentin by analyzing market research forms completed by physicians after receiving a detail visit for this drug. Methods and Findings Market research forms that describe detail visits for gabapentin became available through litigation that alleged that gabapentin was promoted for “off-label” uses. Forms were available for 97 physicians reporting on 116 detail visits between 1995 and 1999. Three-quarters of recorded visits (91/116) occurred in 1996. Two-thirds of visits (72/107) were 5 minutes or less in duration, 65% (73/113) were rated of high informational value, and 39% (42/107) were accompanied by the delivery or promise of samples. During the period of this study, gabapentin was approved by the US Food and Drug Administration only for the adjunctive treatment of partial seizures, but in 38% of visits (44/115) the “main message” of the visit involved at least one off-label use. After receiving the detail visit, 46% (50/108) of physicians reported the intention to increase their prescribing or recommending of gabapentin in the future. In multivariable analysis, intent to increase future use or recommendation of gabapentin was associated with receiving the detail in a small group (versus one-on-one) setting and with low or absent baseline use of the drug, but not with other factors such as visit duration, discussion of “on-label” versus “off-label” content, and the perceived informational value of the presentation. Conclusions Detail visits for gabapentin were of high perceived informational value and often involved messages about unapproved uses. Despite their short duration, detail visits were frequently followed by physician intentions to increase their future recommending or prescribing of the drug. PMID:17455990

Future projection of design storms using a GCM-informed weather generator

NASA Astrophysics Data System (ADS)

KIm, T. W.; Wi, S.; Valdés-Pineda, R.; Valdés, J. B.

2017-12-01

The rainfall Intensity-Duration-Frequency (IDF) curves are one of the most common tools used to provide planners with a description of the frequency of extreme rainfall events of various intensities and durations. Therefore deriving appropriate IDF estimates is important to avoid malfunctions of water structures that cause huge damage. Evaluating IDF estimates in the context of climate change has become more important because projections from climate models suggest that the frequency of intense rainfall events will increase in the future due to the increase in greenhouse gas emissions. In this study, the Bartlett-Lewis (BL) stochastic rainfall model is employed to generate annual maximum series of various sub-daily durations for test basins of the Model Parameter Estimation Experiment (MOPEX) project, and to derive the IDF curves in the context of climate changes projected by the North American Regional Climate Change (NARCCAP) models. From our results, it has been found that the observed annual rainfall maximum series is reasonably represented by the synthetic annual maximum series generated by the BL model. The observed data is perturbed by change factors to incorporate the NARCCAP climate change scenarios into the IDF estimates. The future IDF curves show a significant difference from the historical IDF curves calculated for the period 1968-2000. Overall, the projected IDF curves show an increasing trend over time. The impacts of changes in extreme rainfall on the hydrologic response of the MOPEX basins are also explored. Acknowledgement: This research was supported by a grant [MPSS-NH-2015-79] through the Disaster and Safety Management Institute funded by Ministry of Public Safety and Security of Korean government.

Are sleep education programs successful? The case for improved and consistent research efforts.

PubMed

Blunden, Sarah L; Chapman, Janine; Rigney, Gabrielle A

2012-08-01

Sleep duration and quality are associated with a range of neuropsychological and psychosocial outcomes in children and adolescents but community awareness of this is low. A small body of literature on sleep education programs in children and adolescents delivered through school-based programs is attempting to address this. A review of the literature found only 8 studies and 4 pilot studies in abstract form. This paper presents these sleep education programs and evaluates their effectiveness. In general, findings suggest that when sleep knowledge was measured it was increased in most programs. However this did not necessarily equate to sleep behaviour change such as increased sleep duration or improved sleep hygiene. Reasons for this are discussed and may include motivation and readiness to change, salience to the individual, delivery, content, time allocation, or methodological underpinnings. This paper attempts to understand this and assess how best to improve future sleep education programs from a theoretical perspective. Specifically, it considers the theory of planned behaviour which may assist in ensuring maximum efficacy for the current and future development of sleep education programs. Copyright © 2011 Elsevier Ltd. All rights reserved.

The Role of Frozen Soil in Groundwater Discharge Predictions for Warming Alpine Watersheds

NASA Astrophysics Data System (ADS)

Evans, Sarah G.; Ge, Shemin; Voss, Clifford I.; Molotch, Noah P.

2018-03-01

Climate warming may alter the quantity and timing of groundwater discharge to streams in high alpine watersheds due to changes in the timing of the duration of seasonal freezing in the subsurface and snowmelt recharge. It is imperative to understand the effects of seasonal freezing and recharge on groundwater discharge to streams in warming alpine watersheds as streamflow originating from these watersheds is a critical water resource for downstream users. This study evaluates how climate warming may alter groundwater discharge due to changes in seasonally frozen ground and snowmelt using a 2-D coupled flow and heat transport model with freeze and thaw capabilities for variably saturated media. The model is applied to a representative snowmelt-dominated watershed in the Rocky Mountains of central Colorado, USA, with snowmelt time series reconstructed from a 12 year data set of hydrometeorological records and satellite-derived snow covered area. Model analyses indicate that the duration of seasonal freezing in the subsurface controls groundwater discharge to streams, while snowmelt timing controls groundwater discharge to hillslope faces. Climate warming causes changes to subsurface ice content and duration, rerouting groundwater flow paths but not altering the total magnitude of future groundwater discharge outside of the bounds of hydrologic parameter uncertainties. These findings suggest that frozen soil routines play an important role for predicting the future location of groundwater discharge in watersheds underlain by seasonally frozen ground.

A Scoping Review of Health Game Research: Past, Present, and Future

PubMed Central

Lu, Amy Shirong; Gharghabi, Fardad; Coleman, Whitney

2012-01-01

Abstract Health game research has flourished over the last decade. The number of peer-reviewed scientific publications has surged as the clinical application of health games has diversified. In response to this growth, several past literature reviews have assessed the effectiveness of health games in specific clinical subdomains. The past literature reviews, however, have not provided a general scope of health games independent of clinical context. The present systematic review identified 149 publications. All sources were published before 2011 in a peer-reviewed venue. To be included in this review, publications were required (1) to be an original research, (2) to focus on health, (3) to utilize a sound research design, (4) to report quantitative health outcomes, and (5) to target healthcare receivers. Initial findings showed certain trends in health game publications: Focus on younger male demographics, relatively low number of study participants, increased number of controlled trials, short duration of intervention periods, short duration and frequency of user–game interaction, dominance of exercise and rehab games, lack of underlying theoretical frameworks, and concentration on clinical contexts such as physical activity and nutrition. The review concludes that future research should (1) widen the demographics to include females and elderly, (2) increase the number of participants in controlled trials, (3) lengthen both the intervention period and user–game interaction duration, and (4) expand the application of health games in new clinical contexts. PMID:24416638

The role of frozen soil in groundwater discharge predictions for warming alpine watersheds

USGS Publications Warehouse

Evans, Sarah G.; Ge, Shemin; Voss, Clifford I.; Molotch, Noah P.

2018-01-01

Climate warming may alter the quantity and timing of groundwater discharge to streams in high alpine watersheds due to changes in the timing of the duration of seasonal freezing in the subsurface and snowmelt recharge. It is imperative to understand the effects of seasonal freezing and recharge on groundwater discharge to streams in warming alpine watersheds as streamflow originating from these watersheds is a critical water resource for downstream users. This study evaluates how climate warming may alter groundwater discharge due to changes in seasonally frozen ground and snowmelt using a 2‐D coupled flow and heat transport model with freeze and thaw capabilities for variably saturated media. The model is applied to a representative snowmelt‐dominated watershed in the Rocky Mountains of central Colorado, USA, with snowmelt time series reconstructed from a 12 year data set of hydrometeorological records and satellite‐derived snow covered area. Model analyses indicate that the duration of seasonal freezing in the subsurface controls groundwater discharge to streams, while snowmelt timing controls groundwater discharge to hillslope faces. Climate warming causes changes to subsurface ice content and duration, rerouting groundwater flow paths but not altering the total magnitude of future groundwater discharge outside of the bounds of hydrologic parameter uncertainties. These findings suggest that frozen soil routines play an important role for predicting the future location of groundwater discharge in watersheds underlain by seasonally frozen ground.

Future prospects for space life sciences from a NASA perspective

NASA Technical Reports Server (NTRS)

White, Ronald J.; Lujan, Barbara F.

1989-01-01

Plans for future NASA research programs in the life sciences are reviewed. Consideration is given to international cooperation in space life science research, the NASA approach to funding life science research, and research opportunities using the Space Shuttle, the Space Station, and Biological Satellites. Several specific programs are described, including the Centrifuge Project to provide a controlled acceleration environment for microgravity studies, the Rhesus Project to conduct biomedical research using rhesus monkeys, and the LifeSat international biosatellite project. Also, the Space Biology Initiative to design and develop life sciences laboratory facilities for the Space Shuttle and the Space Station and the Extended Duration Crew Operations program to study crew adaptation needs are discussed.

Larval development of the subantarctic king crabs Lithodes santolla and Paralomis granulosa reared in the laboratory

NASA Astrophysics Data System (ADS)

Calcagno, J. A.; Anger, K.; Lovrich, G. A.; Thatje, S.; Kaffenberger, A.

2004-02-01

The larval development and survival in the two subantarctic lithodid crabs Lithodes santolla (Jaquinot) and Paralomis granulosa (Molina) from the Argentine Beagle Channel were studied in laboratory cultures. In L. santolla, larval development lasted about 70 days, passing through three zoeal stages and the megalopa stage, with a duration of approximately 4, 7, 11 and 48 days, respectively. The larval development in P. granulosa is more abbreviated, comprising only two zoeal stages and the megalopa stage, with 6, 11 and 43 days' duration, respectively. In both species, we tested for effects of presence versus absence of food (Artemia nauplii) on larval development duration and survival rate. In P. granulosa, we also studied effects of different rearing conditions, such as individual versus mass cultures, as well as aerated versus unaerated cultures. No differences in larval development duration and survival were observed between animals subjected to those different rearing conditions. The lack of response to the presence or absence of potential food confirms, in both species, a complete lecithotrophic mode of larval development. Since lithodid crabs are of high economic importance in the artisanal fishery in the southernmost parts of South America, the knowledge of optimal rearing conditions for lithodid larvae is essential for future attempts at repopulating the collapsing natural stocks off Tierra del Fuego.

The impact of sleep duration on adolescent development: a genetically informed analysis of identical twin pairs.

PubMed

Barnes, J C; Meldrum, Ryan C

2015-02-01

Recent work provides evidence that reduced sleep duration has detrimental effects on a range of developmentally related outcomes during adolescence. Yet, the potential confounding influence of genetic and shared environmental effects has not been sufficiently addressed. This study addresses this issue by analyzing cross-sectional data from the twin sub-sample of the first wave of the National Longitudinal Study of Adolescent Health [N ≈ 287 MZ (monozygotic) twin pairs; 50% male; 22% Black; mean age = 15.75]. Associations between sleep duration (measured through two different strategies, one tapping number of hours slept at night and the other measuring weeknight bedtimes) and seven outcomes (self-control, depressive symptoms, suicidal ideation, body mass index, violent delinquency, non-violent delinquency, and drug use) were estimated. Consistent with prior research, associations between sleep duration and several outcomes were statistically significant when using standard social science analytic methods. Yet, when employing a methodology that accounts for genetic and shared environmental influences, some of these associations were reduced to non-significance. Still, two consistent associations remained in that participants who reported sleeping fewer hours at night (or who reported later bedtimes) exhibited lower levels of self-control and more depressive symptoms. Implications of the findings and directions for future research are discussed.

Systematic review of general thoracic surgery articles to identify predictors of operating room case durations.

PubMed

Dexter, Franklin; Dexter, Elisabeth U; Masursky, Danielle; Nussmeier, Nancy A

2008-04-01

Previous studies of operating room (OR) information systems data over the past two decades have shown how to predict case durations using the combination of scheduled procedure(s), individual surgeon and assistant(s), and type of anesthetic(s). We hypothesized that the accuracy of case duration prediction could be improved by the use of other electronic medical record data (e.g., patient weight or surgeon notes using standardized vocabularies). General thoracic surgery was used as a model specialty because much of its workload is elective (scheduled) and many of its cases are long. PubMed was searched for thoracic surgery papers reporting operative time, surgical time, etc. The systematic literature review identified 48 papers reporting statistically significant differences in perioperative times. There were multiple reports of differences in OR times based on the procedure(s), perioperative team including primary surgeon, and type of anesthetic, in that sequence of importance. All such detail may not be known when the case is originally scheduled and thus may require an updated duration the day before surgery. Although the use of these categorical data from OR systems can result in few historical data for estimating each case's duration, bias and imprecision of case duration estimates are unlikely to be affected. There was a report of a difference in case duration based on additional information. However, the incidence of the procedure for the diagnosis was so uncommon as to be unlikely to affect OR management. Matching findings of prior studies using OR information system data, multiple case series show that it is important to rely on the precise procedure(s), surgical team, and type of anesthetic when estimating case durations. OR information systems need to incorporate the statistical methods designed for small numbers of prior surgical cases. Future research should focus on the most effective methods to update the prediction of each case's duration as these data become available. The case series did not reveal additional data which could be cost-effectively integrated with OR information systems data to improve the accuracy of predicted durations for general thoracic surgery cases.

Past and Future Drought Regimes in Turkey

NASA Astrophysics Data System (ADS)

Sen, Burak; Topcu, Sevilay; Turkes, Murat; Sen, Baha

2010-05-01

Climate variability in the 20th century was characterized by apparent precipitation variability at both temporal and spatial scales. In addition to the well-known characteristic seasonal and year-to-year variability, some marked and long-term changes in precipitation occurred in Turkey, particularly after the early 1970s. Drought, originating from a deficiency of precipitation over an extended time period (which is usually a season or more) has become a recurring phenomenon in Turkey in the past few decades. Spatially coherent with the significant drought events since early 1970s, water stress and shortages for all water user sectors have also reached their critical points in Turkey. Analyzing the historical occurrence of drought provides an understanding of the range of climate possibilities for a country, resulting in more informed management decision-making. However, future projections about spatial and temporal changes in drought characteristics such as frequency, intensity and duration can be challenging for developing appropriate mitigation and adaptation strategies. Hence, the objectives of this study are (i) to analyze the spatial and temporal dimensions of historical droughts in Turkey, (2) to predict potential intensity, frequency and duration of droughts in Turkey for the future (2070-2100). The Standardized Precipitation Index (SPI) and the Percent to Normal Index (PNI) have been used to assess the drought characteristics. Rainfall datasets for the reference period, 1960-1990, were acquired from 52 stations (representative of all kinds of regions with different rainfall regimes in the country) of the Turkish State Meteorological Service (TSMS). The future rainfall series for the 2070-2100 period were simulated using a regional climate model (RegCM3) for IPCC's SRESS-A2 scenario conditions. For verification of RegCM3 simulations, the model was performed for the reference period and simulated rainfall data were used for computing two drought indices (SPI and PNI) for the 1960-1990 period. Then, to proof the capturing capacity of the RegCM3, these results for the reference period were compared with SPI and PNI values calculated using observed climatic data. The validated climate model was used for performing climatic data for the future 30-year period, and using the projected climate data, the SPI and PNI values were computed for the future conditions, which indicates the drought events within future 30- year period. Furthermore, to determine the likely changes between reference and future periods, the projected future rainfall series was compared with the average rainfall amount derived from the reference period in SPI and PNI calculations. Finally, the maps were drawn to determine the spatial changes of droughts. RegCM3 model could capture the climatic data and also the drought indices well. The study results showed that drought conditions are diverse in the country, and also increasing trends for intensity, frequency and duration were detected. At regional scale, the Eastern part of Marmara, Black Sea Region and northern and eastern parts of the East Anatolia Regions are characterized by wetter conditions. Particularly severe drought conditions are expected in the Western Mediterranean and Aegean Regions, although other regions of the country will also confront with more frequent, intense and long lasting droughts. Both indices SPI and PNI yielded similar results for the reference as well as future period. Most of the rain-fed and irrigated areas as well as the major share of the surface water resources are located in the drought-vulnerable regions of the country. Other water user sectors including urban, industry and touristic places will also be affected from the worsened conditions. Thus, increasing frequency, severity and prolonged duration of drought events may have significant consequences for food production and socio-economic conditions in Turkey.

Comparative Packaging Study

NASA Technical Reports Server (NTRS)

Perchonok, Michele H.; Oziomek, Thomas V.

2009-01-01

Future long duration manned space flights beyond low earth orbit will require the food system to remain safe, acceptable and nutritious. Development of high barrier food packaging will enable this requirement by preventing the ingress and egress of gases and moisture. New high barrier food packaging materials have been identified through a trade study. Practical application of this packaging material within a shelf life test will allow for better determination of whether this material will allow the food system to meet given requirements after the package has undergone processing. The reason to conduct shelf life testing, using a variety of packaging materials, stems from the need to preserve food used for mission durations of several years. Chemical reactions that take place during longer durations may decrease food quality to a point where crew physical or psychological well-being is compromised. This can result in a reduction or loss of mission success. The rate of chemical reactions, including oxidative rancidity and staling, can be controlled by limiting the reactants, reducing the amount of energy available to drive the reaction, and minimizing the amount of water available. Water not only acts as a media for microbial growth, but also as a reactant and means by which two reactants may come into contact with each other. The objective of this study is to evaluate three packaging materials for potential use in long duration space exploration missions.

Two-year course of depressive and anxiety disorders: results from the Netherlands Study of Depression and Anxiety (NESDA).

PubMed

Penninx, Brenda W J H; Nolen, Willem A; Lamers, Femke; Zitman, Frans G; Smit, Johannes H; Spinhoven, Philip; Cuijpers, Pim; de Jong, Peter J; van Marwijk, Harm W J; van der Meer, Klaas; Verhaak, Peter; Laurant, Miranda G H; de Graaf, Ron; Hoogendijk, Witte J; van der Wee, Nic; Ormel, Johan; van Dyck, Richard; Beekman, Aartjan T F

2011-09-01

Whether course trajectories of depressive and anxiety disorders are different, remains an important question for clinical practice and informs future psychiatric nosology. This longitudinal study compares depressive and anxiety disorders in terms of diagnostic and symptom course trajectories, and examines clinical prognostic factors. Data are from 1209 depressive and/or anxiety patients residing in primary and specialized care settings, participating in the Netherlands Study of Depression and Anxiety. Diagnostic and Life Chart Interviews provided 2-year course information. Course was more favorable for pure depression (n=267, median episode duration = 6 months, 24.5% chronic) than for pure anxiety (n=487, median duration = 16 months, 41.9% chronic). Worst course was observed in the comorbid depression-anxiety group (n=455, median duration > 24 months, 56.8% chronic). Independent predictors of poor diagnostic and symptom trajectory outcomes were severity and duration of index episode, comorbid depression-anxiety, earlier onset age and older age. With only these factors a reasonable discriminative ability (C-statistic 0.72-0.77) was reached in predicting 2-year prognosis. Depression and anxiety cases concern prevalent - not incident - cases. This, however, reflects the actual patient population in primary and specialized care settings. Their differential course trajectory justifies separate consideration of pure depression, pure anxiety and comorbid anxiety-depression in clinical practice and psychiatric nosology. Copyright © 2011 Elsevier B.V. All rights reserved.

The gap-prepulse inhibition deficit of the cortical N1-P2 complex in patients with tinnitus: The effect of gap duration.

PubMed

Ku, Yunseo; Ahn, Joong Woo; Kwon, Chiheon; Kim, Do Youn; Suh, Myung-Whan; Park, Moo Kyun; Lee, Jun Ho; Oh, Seung Ha; Kim, Hee Chan

2017-05-01

The present study aimed to investigate whether gap-prepulse inhibition (GPI) deficit in patients with tinnitus occurred in the N1-P2 complex of the cortical auditory evoked potential. Auditory late responses to the intense sound of the GPI paradigm were obtained from 16 patients with tinnitus and 18 age- and hearing loss-matched controls without tinnitus. The inhibition degrees of the N1-P2 complex were assessed at 100-, 50-, and 20-ms gap durations with tinnitus-pitch-matched and non-matched frequency background noises. At the 20-ms gap condition with the tinnitus-pitch-matched frequency background noise, only the tinnitus group showed an inhibition deficit of the N1-P2 complex. The inhibition deficits were absent in both groups with longer gap durations. These findings suggested that the effect of tinnitus emerged depending on the cue onset timing and duration of the gap-prepulse. Since inhibition deficits were observed in both groups at the same 20-ms gap condition, but with the tinnitus-pitch-non-matched frequency background noise, the present study did not offer proof of concept for tinnitus filling in the gap. Additional studies on the intrinsic effects of different background frequencies on the gap processing are required in the future. Copyright © 2017 Elsevier B.V. All rights reserved.

Manned orbital systems concepts study. Book 2: Requirements for extended-duration missions

NASA Technical Reports Server (NTRS)

1975-01-01

In order to provide essential data needed in long-range program planning, the Manned Orbital Systems Concepts (MOSC) study attempted to define, evaluate, and compare concepts for manned orbital systems that provide extended experiment mission capabilities in space, flexibility of operation, and growth potential. Specific areas discussed include roles and requirements for man in future space missions, requirements for extended capability, mission/payload concepts, and preliminary design and operational requirements.

17 CFR 3.2 - Registration processing by the National Futures Association; notification and duration of...

Code of Federal Regulations, 2012 CFR

2012-04-01

... any registration form, any schedule or supplement thereto, any fingerprint card or other document... complete photocopy of that form, schedule, supplement, fingerprint card, or other document is filed... original form, schedule, supplement, fingerprint card, or other document. (c) The National Futures...

Neural substrates of time perception and impulsivity

PubMed Central

Wittmann, Marc; Simmons, Alan N.; Flagan, Taru; Lane, Scott D.; Wackermann, Jiří; Paulus, Martin P.

2011-01-01

Several studies provide empirical evidence for the association between impulsivity and time perception. However, little is known about the neural substrates underlying this function. This investigation examined the influence of impulsivity on neural activation patterns during the encoding and reproduction of intervals with durations of 3, 9 and 18 seconds using event-related functional magnetic resonance imaging (fMRI). Twenty-seven subjects participated in this study, including 15 high impulsive subjects that were classified based on their self-rating. FMRI activation during the duration reproduction task was correlated with measures of two self-report questionnaires related to the concept of impulsivity (Barratt Impulsiveness Scale, BIS; Zimbardo Time Perspective Inventory, ZTPI). Behaviorally, those individuals who under-reproduced temporal intervals also showed lower scores on the ZTPI future perspective subscale and higher scores on the BIS. FMRI activation revealed an accumulating pattern of neural activity peaking at the end of the 9- and 18-s interval within right posterior insula. Activations of brain regions during the reproduction phase of the timing task, such as those related to motor execution as well as to the ‘core control network’ – encompassing the inferior frontal and medial frontal cortex, the anterior insula as well as the inferior parietal cortex – were significantly correlated with reproduced duration, as well as with BIS and ZTPI subscales. In particular, the greater activation in these regions the shorter were the reproduced intervals, the more impulsive was an individual and the less pronounced the future perspective. Activation in the core control network, thus, may form a biological marker for cognitive time management and for impulsiveness. PMID:21763642

The longevity of lava dome eruptions

NASA Astrophysics Data System (ADS)

Wolpert, Robert L.; Ogburn, Sarah E.; Calder, Eliza S.

2016-02-01

Understanding the duration of past, ongoing, and future volcanic eruptions is an important scientific goal and a key societal need. We present a new methodology for forecasting the duration of ongoing and future lava dome eruptions based on a database (DomeHaz) recently compiled by the authors. The database includes duration and composition for 177 such eruptions, with "eruption" defined as the period encompassing individual episodes of dome growth along with associated quiescent periods during which extrusion pauses but unrest continues. In a key finding, we show that probability distributions for dome eruption durations are both heavy tailed and composition dependent. We construct objective Bayesian statistical models featuring heavy-tailed Generalized Pareto distributions with composition-specific parameters to make forecasts about the durations of new and ongoing eruptions that depend on both eruption duration to date and composition. Our Bayesian predictive distributions reflect both uncertainty about model parameter values (epistemic uncertainty) and the natural variability of the geologic processes (aleatoric uncertainty). The results are illustrated by presenting likely trajectories for 14 dome-building eruptions ongoing in 2015. Full representation of the uncertainty is presented for two key eruptions, Soufriére Hills Volcano in Montserrat (10-139 years, median 35 years) and Sinabung, Indonesia (1-17 years, median 4 years). Uncertainties are high but, importantly, quantifiable. This work provides for the first time a quantitative and transferable method and rationale on which to base long-term planning decisions for lava dome-forming volcanoes, with wide potential use and transferability to forecasts of other types of eruptions and other adverse events across the geohazard spectrum.

The Voice of Emotion: Acoustic Properties of Six Emotional Expressions.

NASA Astrophysics Data System (ADS)

Baldwin, Carol May

Studies in the perceptual identification of emotional states suggested that listeners seemed to depend on a limited set of vocal cues to distinguish among emotions. Linguistics and speech science literatures have indicated that this small set of cues included intensity, fundamental frequency, and temporal properties such as speech rate and duration. Little research has been done, however, to validate these cues in the production of emotional speech, or to determine if specific dimensions of each cue are associated with the production of a particular emotion for a variety of speakers. This study addressed deficiencies in understanding of the acoustical properties of duration and intensity as components of emotional speech by means of speech science instrumentation. Acoustic data were conveyed in a brief sentence spoken by twelve English speaking adult male and female subjects, half with dramatic training, and half without such training. Simulated expressions included: happiness, surprise, sadness, fear, anger, and disgust. The study demonstrated that the acoustic property of mean intensity served as an important cue for a vocal taxonomy. Overall duration was rejected as an element for a general taxonomy due to interactions involving gender and role. Findings suggested a gender-related taxonomy, however, based on differences in the ways in which men and women use the duration cue in their emotional expressions. Results also indicated that speaker training may influence greater use of the duration cue in expressions of emotion, particularly for male actors. Discussion of these results provided linkages to (1) practical management of emotional interactions in clinical and interpersonal environments, (2) implications for differences in the ways in which males and females may be socialized to express emotions, and (3) guidelines for future perceptual studies of emotional sensitivity.

A large-scale simulation of climate change effects on flood regime - A case study for the Alabama-Coosa-Tallapoosa River Basin

NASA Astrophysics Data System (ADS)

Dullo, T. T.; Gangrade, S.; Marshall, R.; Islam, S. R.; Ghafoor, S. K.; Kao, S. C.; Kalyanapu, A. J.

2017-12-01

The damage and cost of flooding are continuously increasing due to climate change and variability, which compels the development and advance of global flood hazard models. However, due to computational expensiveness, evaluation of large-scale and high-resolution flood regime remains a challenge. The objective of this research is to use a coupled modeling framework that consists of a dynamically downscaled suite of eleven Coupled Model Intercomparison Project Phase 5 (CMIP5) climate models, a distributed hydrologic model called DHSVM, and a computational-efficient 2-dimensional hydraulic model called Flood2D-GPU to study the impacts of climate change on flood regime in the Alabama-Coosa-Tallapoosa (ACT) River Basin. Downscaled meteorologic forcings for 40 years in the historical period (1966-2005) and 40 years in the future period (2011-2050) were used as inputs to drive the calibrated DHSVM to generate annual maximum flood hydrographs. These flood hydrographs along with 30-m resolution digital elevation and estimated surface roughness were then used by Flood2D-GPU to estimate high-resolution flood depth, velocities, duration, and regime. Preliminary results for the Conasauga river basin (an upper subbasin within ACT) indicate that seven of the eleven climate projections show an average increase of 25 km2 in flooded area (between historic and future projections). Future work will focus on illustrating the effects of climate change on flood duration and area for the entire ACT basin.

Using administrative sickness absence data as a marker of future disability pension: the prospective DREAM study of Danish private sector employees.

PubMed

Lund, Thomas; Kivimäki, Mika; Labriola, Merete; Villadsen, Ebbe; Christensen, Karl Bang

2008-01-01

The aim of this study was to examine duration of sickness absence as a risk marker for future disability pension among all private sector employees in Denmark 1998-2004. All private sector employees receiving sickness absence compensation from the municipality in 1998, a total of 225 056 persons (39.2% women 61.8% men, age range 18-65, mean age 37.2), were followed in a national register to determine granted disability pension during the period 1 January 2001 through 31 December 2004. The authors excluded pensions in 1999 and 2000 to determine the status of sickness absence duration as an early risk marker. 5694 persons (2.5%) received disability pension during follow-up, more men (53.4%) than women (46.6%). There was a strong graded association between increasing length of absence and increasing risk of future disability pension. Significant differences were found between the younger and older age strata: men below 40 experiencing more than 26 weeks of sickness absence had a 16-fold risk of disability pension. The corresponding figure for men 40 years or older was approximately 7. For women, the corresponding figures were 12.6 and 6.7 respectively. The findings suggest that administratively collected data on sickness absence compensation are an important predictor of disability pension among private sector employees. The use of information on sick leave may improve the effectiveness of early interventions by policy makers, case managing authorities, employers and physicians.

First Recorded Loss of an Emperor Penguin Colony in the Recent Period of Antarctic Regional Warming: Implications for Other Colonies

PubMed Central

Trathan, Philip N.; Fretwell, Peter T.; Stonehouse, Bernard

2011-01-01

In 1948, a small colony of emperor penguins Aptenodytes forsteri was discovered breeding on Emperor Island (67° 51′ 52″ S, 68° 42′ 20″ W), in the Dion Islands, close to the West Antarctic Peninsula (Stonehouse 1952). When discovered, the colony comprised approximately 150 breeding pairs; these numbers were maintained until 1970, after which time the colony showed a continuous decline. By 1999 there were fewer than 20 pairs, and in 2009 high-resolution aerial photography revealed no remaining trace of the colony. Here we relate the decline and loss of the Emperor Island colony to a well-documented rise in local mean annual air temperature and coincident decline in seasonal sea ice duration. The loss of this colony provides empirical support for recent studies (Barbraud & Weimerskirch 2001; Jenouvrier et al 2005, 2009; Ainley et al 2010; Barber-Meyer et al 2005) that have highlighted the vulnerability of emperor penguins to changes in sea ice duration and distribution. These studies suggest that continued climate change is likely to impact upon future breeding success and colony viability for this species. Furthermore, a recent circumpolar study by Fretwell & Trathan (2009) highlighted those Antarctic coastal regions where colonies appear most vulnerable to such changes. Here we examine which other colonies might be at risk, discussing various ecological factors, some previously unexplored, that may also contribute to future declines. The implications of this are important for future modelling work and for understanding which colonies actually are most vulnerable. PMID:21386883

We Have the Spaceship; But Where's the Start Button: Human Engineering Issues in the Age of Long Duration Space Exploration - Presentation

NASA Technical Reports Server (NTRS)

Hamilton, George; Adams, Chris

2005-01-01

This viewgraph presentation addresses the following considerations for human factors engineering during long duration human space flight: gravitational adaptation, 2-D to 3-D adaptation, handles, exercise posture, and space ergonomics. The presentation argues that there is an urgent need to advance research is these areas in preparation for future manned missions.

Adjuvant Agents in Regional Anesthesia in the Ambulatory Setting.

PubMed

Koyyalamudi, Veerandra; Sen, Sudipta; Patil, Shilpadevi; Creel, Justin B; Cornett, Elyse M; Fox, Charles J; Kaye, Alan D

2017-01-01

A majority of surgical practice has involved ambulatory centers with the number of outpatient operations in the USA doubling to 26.8 million per year. Local anesthesia delivery provides numerous benefits, including increased satisfaction, earlier discharge, and reduction in unplanned hospital admission. Further, with the epidemic of opioid mediated overdoses, local anesthesia can be a key tool in providing an opportunity to reduce the need for other analgesics postoperatively. Adjuvants such as epinephrine and clonidine enhance local anesthetic clinical utility. Further, dexmedetomidine prolongs regional blockade duration effects. There has also been a significant interest recently in the use of dexamethasone. Studies have demonstrated a significant prolongation in motor and sensory block with perineural dexamethasone. Findings are conflicting as to whether intravenous dexamethasone has similar beneficial effects. However, considering the possible neurotoxicity effects, which perineural dexamethasone may present, it would be prudent not to consider intravenously administered dexamethasone to prolong regional block duration. Many studies have also demonstrated neurotoxicity from intrathecally administered midazolam. Therefore, midazolam as an adjuvant is not recommended. Magnesium prolongs regional block duration but related to paucity of studies as of yet, cannot be recommended. Tramadol yields inconsistent results and ketamine is associated with psychotomimetic adverse effects. Buprenorphine consistently increases regional block duration and reduce opioid requirements by a significant amount. Future studies are warranted to define best practice strategies for these adjuvant agents. The present review focuses on the many roles of local anesthetics in current ambulatory practice.

Sleep characteristics of young children in Japan: internet study and comparison with other Asian countries.

PubMed

Kohyama, Jun; Mindell, Jodi A; Sadeh, Avi

2011-10-01

A recent international Internet-based study of young children (birth to 36 months) found that total sleep duration in Japan was the shortest among 17 countries/regions. The present study compared features of children's sleep in Japan relative to those in other Asian countries/regions. Parents of 872 infants and toddlers in Japan (48.6% boys), and parents of 20 455 infants and toddlers in 11 other Asian countries/regions (48.1% boys; China, Hong Kong, India, Indonesia, Korea, Malaysia, Philippines, Singapore, Taiwan, Thailand, and Vietnam) completed an Internet-based expanded version of the Brief Infant Sleep Questionnaire. Young children in Japan exhibited significantly fewer nocturnal wakings and shorter daytime sleep in comparison with other Asian countries/regions. Although the former finding was apparent in all age groups, the reduced duration of daytime sleep in Japan was not present until after 3 months of age. Interestingly, sleep problems were reported by significantly fewer parents in Japan compared with those in other Asian countries/regions, although parents in Japan reported significantly more difficulty at bedtime. The short sleep duration of young children in Japan is largely due to a relatively short duration of daytime sleep. Significant differences in sleep characteristics in Japan relative to other Asian regions were found primarily after 3 months of age. Future studies should further explore the underlying causes and the potential impacts of these sleep differences. © 2011 The Authors. Pediatrics International © 2011 Japan Pediatric Society.

Models for forecasting hospital bed requirements in the acute sector.

PubMed Central

Farmer, R D; Emami, J

1990-01-01

STUDY OBJECTIVE--The aim was to evaluate the current approach to forecasting hospital bed requirements. DESIGN--The study was a time series and regression analysis. The time series for mean duration of stay for general surgery in the age group 15-44 years (1969-1982) was used in the evaluation of different methods of forecasting future values of mean duration of stay and its subsequent use in the formation of hospital bed requirements. RESULTS--It has been suggested that the simple trend fitting approach suffers from model specification error and imposes unjustified restrictions on the data. Time series approach (Box-Jenkins method) was shown to be a more appropriate way of modelling the data. CONCLUSION--The simple trend fitting approach is inferior to the time series approach in modelling hospital bed requirements. PMID:2277253

Testing Crew Responses to Varied Higher Plant Presentations in the MARS-500 Day Mission Simulation

NASA Astrophysics Data System (ADS)

Marquit, J. D.; Bates, S. C.; Gushin, V. I.; Synchev, V. N.; Levinskikh, M. A.; Podolsky, I. G.; Marchant, C. C.; Bingham, G. E.

2008-06-01

Maintaining psychological and behavioral health of humans during long-duration space missions is of great importance for the future success of space exploration as the hostile space environment adversely impacts the psychological, social, and physiological well-being of humans in space. Growing and tending plants has been proposed as a countermeasures for the negative impacts of long-duration space missions[3] as interactions with plant life on earth have been found to be beneficial to humans in other settings. Preliminary results from a pilot 14-day chamber study appear to support the notion that interactions with plant life may act as a countermeasure for the negative impacts of life in space. Additional data will be collected during the Mars 500-day Chamber Study at Institute of Biomedical Problems (IMBP).

Coastal Storm Hazards from Virginia to Maine

DTIC Science & Technology

2015-11-01

study, storm surge, tide, waves, wind, atmospheric pressure, and currents were the dominant storm responses computed. The effect of sea level change on...coastal storm hazards and vulnerability nationally (USACE 2015). NACCS goals also included evaluating the effect of future sea level change (SLC) on...the computed high-fidelity responses included storm surge, astronomical tide, waves, wave effects on water levels, storm duration, wind, currents

Teamwork Training Needs Analysis for Long-Duration Exploration Missions

NASA Technical Reports Server (NTRS)

Smith-Jentsch, Kimberly A.; Sierra, Mary Jane

2016-01-01

The success of future long-duration exploration missions (LDEMs) will be determined largely by the extent to which mission-critical personnel possess and effectively exercise essential teamwork competencies throughout the entire mission lifecycle (e.g., Galarza & Holland, 1999; Hysong, Galarza, & Holland, 2007; Noe, Dachner, Saxton, & Keeton, 2011). To ensure that such personnel develop and exercise these necessary teamwork competencies prior to and over the full course of future LDEMs, it is essential that a teamwork training curriculum be developed and put into place at NASA that is both 1) comprehensive, in that it targets all teamwork competencies critical for mission success and 2) structured around empirically-based best practices for enhancing teamwork training effectiveness. In response to this demand, the current teamwork-oriented training needs analysis (TNA) was initiated to 1) identify the teamwork training needs (i.e., essential teamwork-related competencies) of future LDEM crews, 2) identify critical gaps within NASA’s current and future teamwork training curriculum (i.e., gaps in the competencies targeted and in the training practices utilized) that threaten to impact the success of future LDEMs, and to 3) identify a broad set of practical nonprescriptive recommendations for enhancing the effectiveness of NASA’s teamwork training curriculum in order to increase the probability of future LDEM success.

Patients' Future Expectations for Diabetes and Hypertension Treatments: "Through the Diet… I Think This is Going to Go Away."

PubMed

Fairchild, Paige C; Nathan, Aviva G; Quinn, Michael; Huang, Elbert S; Laiteerapong, Neda

2017-01-01

Diabetes and hypertension are chronic conditions for which over 90 % of patients require medication regimens that must be intensified over time. However, delays in intensification are common, and may be partially due to unrealistic patient expectations. To explore whether patient expectations regarding their diabetes and hypertension are congruent with the natural history of these conditions. Qualitative analysis of semi-structured interviews. Sixty adults from an urban academic primary care clinic taking oral medications for both diabetes (duration <10 years) and hypertension (any duration) MAIN MEASURES: (1) Expectations for their a) current diabetes and hypertension medications, b) need for additional medications, c) likelihood of cure (not requiring medications); (2) preferences for receiving information on expected duration of treatments KEY RESULTS: The average patient age was 60 years, and 65 % were women. Nearly half (48 %) of participants expected to discontinue current diabetes medications in 6 years or less, whereas only one-fifth (22 %) expected to take medications for life. For blood pressure medications, one-third (37 %) expected to stop medicines in 6 years or less, and one-third expected to take medicines for life. The vast majority did not expect that they would need additional medications in the future (oral diabetes medications: 85 %; insulin: 87 %; hypertension medications: 93 %). A majority expected that their diabetes (65 %) and hypertension (58 %) would be cured. Most participants believed that intensifying lifestyle changes would allow them to discontinue medications, avoid additional medications, or cure their diabetes and hypertension. Nearly all participants (97 %) wanted to hear information on the expected duration of their diabetes and hypertension treatments from their healthcare provider. Providers should educate patients on the natural history of diabetes and hypertension in order to manage patient expectations for current and future medications. Future research should assess whether education can increase the adoption of and adherence to medications, without diminishing enthusiasm for lifestyle changes.

Future projects in asteroseismology: the unique role of Antarctica

NASA Astrophysics Data System (ADS)

Mosser, B.; Siamois Team

Asteroseismology requires observables registered in stringent conditions: very high sensitivity, uninterrupted time series, long duration. These specifications then allow to study the details of the stellar interior structure. Space-borne and ground-based asteroseismic projects are presented and compared. With CoRoT as a precursor, then Kepler and maybe Plato, the roadmap in space appears to be precisely designed. In parallel, ground-based projects are necessary to provide different and unique information on bright stars with Doppler measurements. Dome C appears to be the ideal place for ground-based asteroseismic observations. The unequalled weather conditions yield a duty cycle comparable to space. Long time series (up to 3 months) will be possible, thanks to the long duration of the polar night.

Nutritional Status Assessment

NASA Technical Reports Server (NTRS)

Smith, Scott M.

2008-01-01

Nutritional Status Assessment (Nutrition) is the most comprehensive inflight study done by NASA to date of human physiologic changes during long-duration space flight; this includes measures of bone metabolism, oxidative damage, nutritional assessments, and hormonal changes. This study will impact both the definition of nutritional requirements and development of food systems for future space exploration missions to the Moon and Mars. This experiment will also help to understand the impact of countermeasures (exercise and pharmaceuticals) on nutritional status and nutrient requirements for astronauts.

Self-Reported Symptoms of Parkinson's Disease by Sex and Disease Duration.

PubMed

Shin, Ju Young; Pohlig, Ryan T; Habermann, Barbara

2017-11-01

Parkinson's disease (PD) is a neurodegenerative disease with a wide range of symptom presentations. The purpose of this research was to compare self-reported motor and non-motor symptoms of PD by sex and disease duration. This study was a cross-sectional descriptive survey in community-dwelling people with PD. A total of 141 participants (64.6% response rate; 59.6% men; M age = 69.7 years) were included. Males reported more rigidity, speech problems, sexual dysfunction, memory problems, and socializing problems than females. The number of motor symptoms in three groups divided by increments of 5 years was significantly increased. Postural instability, freezing, off periods, dyskinesia, speech problems, and hallucinations/psychosis were significantly increased as the disease duration increased. Thorough assessment of motor and non-motor symptoms could decrease the risk of inadequate symptom management. Provision of information regarding PD symptoms at each stage may help people with PD and their caregivers in planning their future care and life.

Evaluation of the best fit distribution for partial duration series of daily rainfall in Madinah, western Saudi Arabia

NASA Astrophysics Data System (ADS)

Alahmadi, F.; Rahman, N. A.; Abdulrazzak, M.

2014-09-01

Rainfall frequency analysis is an essential tool for the design of water related infrastructure. It can be used to predict future flood magnitudes for a given magnitude and frequency of extreme rainfall events. This study analyses the application of rainfall partial duration series (PDS) in the vast growing urban Madinah city located in the western part of Saudi Arabia. Different statistical distributions were applied (i.e. Normal, Log Normal, Extreme Value type I, Generalized Extreme Value, Pearson Type III, Log Pearson Type III) and their distribution parameters were estimated using L-moments methods. Also, different selection criteria models are applied, e.g. Akaike Information Criterion (AIC), Corrected Akaike Information Criterion (AICc), Bayesian Information Criterion (BIC) and Anderson-Darling Criterion (ADC). The analysis indicated the advantage of Generalized Extreme Value as the best fit statistical distribution for Madinah partial duration daily rainfall series. The outcome of such an evaluation can contribute toward better design criteria for flood management, especially flood protection measures.

Self-Reported Symptoms of Parkinson’s Disease by Sex and Disease Duration

PubMed Central

Shin, Ju Young; Pohlig, Ryan T.; Habermann, Barbara

2017-01-01

Parkinson’s disease (PD) is a neurodegenerative disease with a wide range of symptom presentations. The purpose of this research was to compare self-reported motor and non-motor symptoms of PD by sex and disease duration. This study was a cross-sectional descriptive survey in community-dwelling people with PD. A total of 141 participants (64.6% response rate; 59.6% men; Mage = 69.7 years) were included. Males reported more rigidity, speech problems, sexual dysfunction, memory problems, and socializing problems than females. The number of motor symptoms in three groups divided by increments of 5 years was significantly increased. Postural instability, freezing, off periods, dyskinesia, speech problems, and hallucinations/psychosis were significantly increased as the disease duration increased. Thorough assessment of motor and non-motor symptoms could decrease the risk of inadequate symptom management. Provision of information regarding PD symptoms at each stage may help people with PD and their caregivers in planning their future care and life. PMID:27664144

Metabolic syndrome and sleep duration in police officers.

PubMed

McCanlies, Erin C; Slaven, James E; Smith, Lindsay M; Andrew, Michael E; Charles, Luenda E; Burchfiel, Cecil M; Violanti, John M

2012-01-01

To examine associations for sleep quality and quantity with metabolic syndrome (MS) and its five components in police officers. The study population consisted of 98 randomly selected officers (39 women and 59 men) for whom MS and sleep data were available. Sleep duration (categorized as short < 6 hours, long ≥ 6 hours) for the past week and quality of sleep were collected by interviewer-administered questionnaires. MS was assessed using standard criteria. Generalized linear models were used to assess associations between sleep duration or sleep quality and MS, and the mean number of MS components. Metabolic syndrome was present in 22.0% and 2.6% of the male and female officers, respectively. Women with short sleep had a significantly higher mean number of MS components (mean=1.43) than those with longer sleep (mean=0.81, p=0.0316). Officers who stopped breathing during the night had more MS components (mean=2.43) compared to those who did not (mean =1.13, p=0.0206). Sleep duration and quality were associated with the mean number of MS components, particularly in women. Future research should examine these associations prospectively, in a larger cohort, exploring possible gender differences.

Anxiety sensitivity and racial differences in sleep duration: Results from a national survey of adults with cardiovascular disease.

PubMed

Alcántara, Carmela; Giorgio Cosenzo, Luciana Andrea; Fan, Weijia; Doyle, David Matthew; Shaffer, Jonathan A

2017-05-01

Although Blacks sleep between 37 and 75min less per night than non-Hispanic Whites, research into what drives racial differences in sleep duration is limited. We examined the association of anxiety sensitivity, a cognitive vulnerability, and race (Blacks vs. White) with short sleep duration (<7h of sleep/night), and whether anxiety sensitivity mediated race differences in sleep duration in a nationally representative sample of adults with cardiovascular disease. Overall, 1289 adults (115 Black, 1174 White) with a self-reported physician/health professional diagnosis of ≥1 myocardial infarction completed an online survey. Weighted multivariable logistic regressions and mediation analyses with bootstrapping and case resampling were conducted. Anxiety sensitivity and Black vs. White race were associated with 4%-84% increased odds, respectively, of short sleep duration. Anxiety sensitivity mediated Black-White differences in sleep duration. Each anxiety sensitivity subscale was also a significant mediator. Implications for future intervention science to address sleep disparities are discussed. Copyright © 2016 Elsevier Ltd. All rights reserved.

Westward migration of tropical cyclone rapid-intensification over the Northwestern Pacific during short duration El Niño.

PubMed

Guo, Yi-Peng; Tan, Zhe-Min

2018-04-17

The El Niño-Southern Oscillation (ENSO) can significantly affect the rapid intensification of tropical cyclones over the western North Pacific (WNP). However, ENSO events have various durations, which can lead to different atmospheric and oceanic conditions. Here we show that during short duration El Niño events, the WNP tropical cyclone rapid-intensification mean occurrence position migrates westward by ~8.0° longitude, which is caused by reduced vertical wind shear, increased mid-tropospheric humidity, and enhanced tropical cyclone heat potential over the westernmost WNP. The changes in these factors are caused by westward advected upper ocean heat during the decaying phase of a short duration El Niño. As super El Niño events tend to have short durations and their frequency is projected to increase under global warming, our findings have important implications for future projections of WNP tropical cyclone activity.

Fluid Shifts Before, During and After Prolonged Space Flight and Their Association with Intracranial Pressure and Visual Impairment

NASA Technical Reports Server (NTRS)

Stenger, Michael; Hargens, Alan; Dulchavsky, Scott

2014-01-01

Future human space travel will primarily consist of long duration missions onboard the International Space Station or exploration class missions to Mars, its moons, or nearby asteroids. Current evidence suggests that long duration missions might increase risk of permanent ocular structural and functional changes, possibly due to increased intracranial pressure resulting from a spaceflight-induced cephalad (headward) fluid shift.

Operations planning for Space Station Freedom - And beyond

NASA Technical Reports Server (NTRS)

Gibson, Stephen S.; Martin, Thomas E.; Durham, H. J.

1992-01-01

The potential of automated planning and electronic execution systems for enhancing operations on board Space Station Freedom (SSF) are discussed. To exploit this potential the Operations Planning and Scheduling Subsystem is being developed at the NASA Johnson Space Center. Such systems may also make valuable contributions to the operation of resource-constrained, long-duration space habitats of the future. Points that should be considered during the design of future long-duration manned space missions are discussed. Early development of a detailed operations concept as an end-to-end mission description offers a basis for iterative design evaluation, refinement, and option comparison, particularly when used with an advanced operations planning system capable of modeling the operations and resource constraints of the proposed designs.

The influence of acculturation on breast-feeding initiation and duration in low-income women in the US.

PubMed

Sussner, Katarina M; Lindsay, Ana C; Peterson, Karen E

2008-09-01

While the 'immigrant health paradox' posits better health behaviours and outcomes for immigrants upon arrival to the US, research suggests that this advantage may deteriorate over time. This study analysed the relationship of acculturation and breast-feeding initiation and duration among a sample of predominantly Latina, low-income women in the US. The four measures of acculturation included: mother's nativity (foreign born vs US born), mother's parents' nativity (foreign born vs US born), years of US residence (<8 years vs > or =8 years) and a dichotomous measure of language acculturation adapted from three items on Marin's acculturation scale (preferred language spoken at home, reading language and writing language) as exclusive use of native language versus non-exclusive use (mixed or English only) (Marin et al., 1987; Marin & Gamba, 1996). Final multivariable models showed that mothers who exclusively used their native language were more likely to initiate breast-feeding as well as breast-feed for longer duration compared with mothers with non-exclusive use, whereas years of US residence and mother's nativity were not significantly associated with breast-feeding initiation or duration. Mother's parents' nativity also emerged as a significant predictor of breast-feeding duration, both within final models for immigrants and across study participants. Programmes providing nutrition education to low-income women may wish to consider the role of language as an important determinant of breast-feeding. The role of mother's parents' nativity on breast-feeding practices deserves exploration in future studies, as the cultural practices taught by family members born outside the US may exert strong pressure within immigrant families now living in the US.

Dietary Carbohydrate and Nocturnal Sleep Duration in Relation to Children's BMI: Findings from the IDEFICS Study in Eight European Countries.

PubMed

Hunsberger, Monica; Mehlig, Kirsten; Börnhorst, Claudia; Hebestreit, Antje; Moreno, Luis; Veidebaum, Toomas; Kourides, Yiannis; Siani, Alfonso; Molnar, Dénes; Sioen, Isabelle; Lissner, Lauren

2015-12-08

Previous research has found an association between being overweight and short sleep duration. We hypothesized that this association could be modified by a high carbohydrate (HC) diet and that the timing and type (starch or sugar) of intake may be an important factor in this context. Participants in the prospective, eight-country European study IDEFICS were recruited from September 2007 to June 2008, when they were aged two to nine years. Data on lifestyle, dietary intake and anthropometry were collected on two occasions. This study included 5944 children at baseline and 4301 at two-year follow-up. For each meal occasion (morning, midday, and evening), starch in grams and sugar in grams were divided by total energy intake (EI), and quartiles calculated. HC-starch and HC-sugar intake categories were defined as the highest quartile for each meal occasion. In a mutually adjusted linear regression model, short sleep duration as well as HC-starch in the morning were positively associated with body mass index (BMI) z-scores at baseline. HC-starch at midday was positively associated with body mass index (BMI) z-scores in children with short sleep duration, and negatively associated with BMI z-scores in those with normal sleep. After adjustment for baseline BMI z-scores, associations between total HC from starch or sugar and high BMI z-scores at two-year follow-up did not persist. Our observations offer a perspective on optimal timing for macronutrient consumption, which is known to be influenced by circadian rhythms. Reduced carbohydrate intake, especially during morning and midday meals, and following nocturnal sleep duration recommendations are two modifiable factors that may protect children from being overweight in the future.

Sleep duration and sleep quality in relation to 12-year cardiovascular disease incidence: the MORGEN study.

PubMed

Hoevenaar-Blom, Marieke P; Spijkerman, Annemieke M W; Kromhout, Daan; van den Berg, Julia F; Verschuren, W M Monique

2011-11-01

We studied sleep duration and sleep quality in relation to cardiovascular disease (CVD) incidence. Dutch population-based cohort study. 20,432 men and women aged 20-65 and with no history of CVD. N/A. Sleep duration and sleep quality were assessed by a self-administered questionnaire. Morbidity data, vital status, and causes of death were obtained through linkage with several national registries. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were calculated using Cox proportional hazards models. During 10-15 years of follow-up, 1,486 CVD and 1,148 coronary heart disease (CHD) events occurred. Short sleepers (≤ 6 h) had a 15% higher risk of total CVD (HR: 1.15; 95%CI: 1.00-1.32) and a 23% higher risk of CHD (HR: 1.23 [1.04-1.45]) compared to normal sleepers (7 h) after adjustment for all confounders. Additional adjustment for intermediate biological risk factors attenuated these relative risks to 1.11 (0.97-1.27) for total CVD and to 1.19 (1.00-1.40) for CHD. Short sleepers with poor sleep quality had a 63% higher risk of CVD (HR: 1.63 [1.21-2.19]) and a 79% higher risk of CHD incidence (HR: 1.79 [1.24-2.58]) compared to normal sleepers with good sleep quality, after adjustments for all confounders. We observed no associations between long sleep duration (≥ 9 h) and CVD or CHD incidence. Short sleepers, especially those with poor sleep quality, have an increased risk of total CVD and CHD incidence. Future investigations should not only focus on sleep duration, but should also take sleep quality into account.

Duration to Establish an Emergency Vascular Access and How to Accelerate It: A Simulation-Based Study Performed in Real-Life Neonatal Resuscitation Rooms.

PubMed

Schwindt, Eva M; Hoffmann, Florian; Deindl, Philipp; Waldhoer, Thomas J; Schwindt, Jens C

2018-05-01

To compare the duration to establish an umbilical venous catheter and an intraosseous access in real hospital delivery rooms and as a secondary aim to assess delaying factors during establishment and to provide recommendations to accelerate vascular access in neonatal resuscitation. Retrospective analysis of audio-video recorded neonatal simulation training. Simulation training events in exact replications of actual delivery/resuscitation rooms of 16 hospitals with different levels of care (Austria and Germany). Equipment was prepared the same way as for real clinical events. Medical teams of four to five persons with birth-related background (midwives, nurses, neonatologists, and anesthesiologists) in a realistic team composition. Audio-video recorded mannequin-based simulated resuscitation of an asphyxiated newborn including the establishment of either umbilical venous catheter or intraosseous access. The duration of access establishment (time from decision to first flush/aspiration), preparation (decision to start of procedure), and the procedure itself (start to first flush/aspiration) was significantly longer for umbilical venous catheter than for intraosseous access (overall duration 199 vs 86 s). Delaying factors for umbilical venous catheter establishment were mainly due to the complex approach itself, the multitude of equipment required, and uncertainties about necessary hygiene standards. Challenges in intraosseous access establishment were handling of the unfamiliar material and absence of an intraosseous access kit in the resuscitation room. There was no significant difference between the required duration for access establishment between large centers and small hospitals, but a trend was observed that duration for umbilical venous catheter was longer in small hospitals than in centers. Duration for intraosseous access was similar in both hospital types. Vascular access establishment in neonatal resuscitation could be accelerated by infrastructural improvements and specific training of medical teams. In simulated in situ neonatal resuscitation, intraosseous access is faster to establish than umbilical venous catheter. Future studies are required to assess efficacy and safety of both approaches in real resuscitation settings.

The role of CO2 variability and exposure time for biological impacts of ocean acidification

NASA Astrophysics Data System (ADS)

Shaw, Emily C.; Munday, Philip L.; McNeil, Ben I.

2013-09-01

impacts of ocean acidification have mostly been studied using future levels of CO2 without consideration of natural variability or how this modulates both duration and magnitude of CO2 exposure. Here we combine results from laboratory studies on coral reef fish with diurnal in situ CO2 data from a shallow coral reef, to demonstrate how natural variability alters exposure times for marine organisms under increasingly high-CO2 conditions. Large in situ CO2 variability already results in exposure of coral reef fish to short-term CO2 levels higher than laboratory-derived critical CO2 levels (~600 µatm). However, we suggest that the in situ exposure time is presently insufficient to induce negative effects observed in laboratory studies. Our results suggest that both exposure time and the magnitude of CO2 levels will be important in determining the response of organisms to future ocean acidification, where both will increase markedly with future increases in CO2.

Longer duration of obesity is associated with a reduction in urinary angiotensinogen in prepubertal children.

PubMed

Morato, Manuela; Correia-Costa, Liane; Sousa, Teresa; Cosme, Dina; Schaefer, Franz; Areias, José Carlos; Guerra, António; Afonso, Alberto Caldas; Barros, Henrique; Azevedo, Ana; Albino-Teixeira, António

2017-08-01

We aimed to study the impact of obesity on urinary excretion of angiotensinogen (U-AGT) in prepubertal children, focusing on the duration of obesity and gender. Also, we aimed to evaluate whether plasma angiotensinogen (P-AGT) and hydrogen peroxide (H 2 O 2 ) play a role in the putative association. Cross-sectional evaluation of 305 children aged 8-9 years (160 normal weight, 86 overweight, and 59 obese). Anthropometric measurements and 24-h ambulatory blood pressure monitoring were performed. Angiotensinogen (AGT) was determined by a commercial enzyme-linked immunosorbent assay (ELISA) kit and H 2 O 2 by a microplate fluorometric assay. U-AGT and P-AGT levels were similar across body mass index (BMI) groups and between sexes. However, boys who were overweight/obese since the age of 4 years presented lower levels of U-AGT compared with those of normal weight at the same age. In children who were overweight/obese since the age of 4, urinary H 2 O 2 decreased with P-AGT. A higher duration of obesity was associated with decreased U-AGT in boys, thus reflecting decreased intrarenal activity of the renin-angiotensin system. Also, children with a longer duration of obesity showed an inverse association between urinary H 2 O 2 and P-AGT. Future studies should address whether these results reflect an early compensatory mechanism to limit obesity-triggered renal dysfunction.

Sex influence on face recognition memory moderated by presentation duration and reencoding.

PubMed

Weirich, Sebastian; Hoffmann, Ferdinand; Meissner, Lucia; Heinz, Andreas; Bengner, Thomas

2011-11-01

It has been suggested that women have a better face recognition memory than men. Here we analyzed whether this advantage depends on a better encoding or consolidation of information and if the advantage is visible during short-term memory (STM), only, or whether it also remains evident in long-term memory (LTM). We tested short- and long-term face recognition memory in 36 nonclinical participants (19 women). We varied the duration of item presentation (1, 5, and 10 s), the time of testing (immediately after the study phase, 1 hr, and 24 hr later), and the possibility to reencode items (none, immediately after the study phase, after 1 hr). Women showed better overall face recognition memory than men (ηp² = .15, p < .05). We found this advantage, however, only with a longer duration of item presentation (interaction effect Sex × ηp² = .16, p < .05). Women's advantage in face recognition was visible mainly if participants had the possibility to reencode faces during former test trials. Our results suggest women do not have a better face recognition memory than men per se, but may profit more than men from longer durations of presentation during encoding or the possibility for reencoding. Future research on sex differences in face recognition memory should explicate possible causes for the better encoding of face information in women.

Comparison of the Effects of Low Volume Prilocaine and Alkalinized Prilocaine for the Regional Intravenous Anesthesia Technique in Hand and Wrist Surgery

PubMed Central

Kapusuz, Ozlem; Argun, Guldeniz; Arikan, Murat; Toğral, Guray; Basarir, Aysun; Kadiogullari, Nihal

2014-01-01

Aim. Comparing the effectivity of prilocaine and prilocaine alkalinized with 8.4% NaHCO3 in terms of sensory and motor block onset and termination durations in RIVA technique considering patients' satisfaction and tolerance with application of tourniquet undergoing hand-wrist surgery. Materials and Methods. 64 patients were randomised into two groups. First group (Group P) was administered prilocaine and second group (Group PN) was administered prilocaine + %8.4 NaHCO3. Sensory and motor block onset and termination times and onset of tourniquet pain were recorded. Results. No significant difference was found between the two groups in terms of onset and termination of sensory block and the onset of motor block. The duration of the motor block was longer in Group PN than in Group P (P < 0.05). Tourniquet pain was more intense in Group P (P = 0.036). In Group PN, the use of additional drugs was recorded at a lower rate and patients' satisfaction was higher than Group P. Conclusion. In the present study, it was established that alkalinization of prilocaine had no effect on the duration of sensory block and it prolonged the duration of motor block, increased patients' satisfaction, and decreased tourniquet pain. It is our suggestion that future studies should be carried out on the issue by using different volumes. PMID:25133177

Post-Traumatic Stress Disorder Predicts Future Weight Change in the Millennium Cohort Study

DTIC Science & Technology

2015-04-01

weight changes in individuals with PTSD: (1) sleep deprivation caused by PTSD, as shorter sleep duration has been linked to higher obesity prevalence...eating and dieting behaviors (12), and (4) medications prescribed for PTSD that may affect body weight (13). Since obesity increases the risk of...traumatic stress disorder (exposure) and subsequent 3 year weight change (outcome). Original Article Obesity EPIDEMIOLOGY/GENETICS www.obesityjournal.org

Complement pathway biomarkers and age-related macular degeneration

PubMed Central

Gemenetzi, M; Lotery, A J

2016-01-01

In the age-related macular degeneration (AMD) ‘inflammation model', local inflammation plus complement activation contributes to the pathogenesis and progression of the disease. Multiple genetic associations have now been established correlating the risk of development or progression of AMD. Stratifying patients by their AMD genetic profile may facilitate future AMD therapeutic trials resulting in meaningful clinical trial end points with smaller sample sizes and study duration. PMID:26493033

Left ventricular twisting mechanics and exercise in healthy individuals: a systematic review

PubMed Central

Drury, C Taylor; Bredin, Shannon SD; Phillips, Aaron A; Warburton, Darren ER

2012-01-01

The aim of this study was to review systematically the effects of exercise on left ventricular (LV) twisting mechanics in healthy individuals. Literature searches were conducted in electronic databases for articles reporting measures of LV twisting mechanics in healthy individuals before and during/after exercise. Upon review, 18 articles were analyzed. Studies were separated by exercise type into the following four categories to allow for detailed comparisons: submaximal, prolonged endurance, maximal, and chronic endurance. Despite an overall methodological quality of low to moderate and within-group variations in exercise intensity, duration, and subject characteristics, important trends in the literature emerged. Most important, the coupling of LV systolic twisting and diastolic untwisting was present in all exercise types, as both were either improved or impaired concomitantly, highlighting the linkage between systole and diastole provided through LV twist. In addition, trends regarding the effects of age, training status, and cardiac loading also became apparent within different exercise types. Furthermore, a potential dose-response relationship between exercise duration and the degree of impairment to LV twisting mechanics was found. Although some disagreement existed in results, the observed trends provide important directions for future research. Future investigations should be of higher methodological quality and should include consistent exercise protocols and subject populations in order to minimize the variability between investigations. PMID:24198592

Modeling the Effects of Drought Events on Forest Ecosystem Functioning Historically and Under Scenarios of Climate Change

NASA Astrophysics Data System (ADS)

Ren, J.; Hanan, E. J.; Kolden, C.; Abatzoglou, J. T.; Tague, C.; Liu, M.; Adam, J. C.

2017-12-01

Drought events have been increasing across the western United States in recent years. Many studies have shown that, in the context of climate change, droughts will continue to be stronger, more frequent, and prolonged in the future. However, the response of forest ecosystems to droughts, particularly multi-year droughts, is not well understood. The objectives of this study are to examine how drought events of varying characteristics (e.g. intensity, duration, frequency, etc.) have affected the functioning of forest ecosystems historically, and how changing drought characteristics (including multi-year droughts) may affect forest functioning in a future climate. We utilize the Regional Hydro-Ecological Simulation System (RHESSys) to simulate impacts of both historical droughts and scenarios of future droughts on forest ecosystems. RHESSys is a spatially-distributed and process-based model that captures the interactions between coupled biogeochemical and hydrologic cycles at catchment scales. Here our case study is the Trail Creek catchment of the Big Wood River basin in Idaho, the Northwestern USA. For historical simulations, we use the gridded meteorological data of 1979 to 2016; for future climate scenarios, we utilize downscaled data from GCMs that have been demonstrated to capture drought events in the Northwest of the USA. From these climate projections, we identify various types of drought in intensity and duration, including multi-year drought events. We evaluate the following responses of ecosystems to these events: 1) evapotranspiration and streamflow; 2) gross primary productivity; 3) the post-drought recovery of plant biomass; and 4) the forest functioning and recovery after multi-year droughts. This research is part of an integration project to examine the roles of drought, insect outbreak, and forest management activities on wildfire activity and its impacts. This project will provide improved information for forest managers and communities in the wild urban interface to adapt to climate change.

Drought prediction till 2100 under RCP 8.5 climate change scenarios for Korea

NASA Astrophysics Data System (ADS)

Park, Chang-Kyun; Byun, Hi-Ryong; Deo, Ravinesh; Lee, Bo-Ra

2015-07-01

An important step in mitigating the negative impacts of drought requires effective methodologies for predicting the future events. This study utilises the daily Effective Drought Index (EDI) to precisely and quantitatively predict future drought occurrences in Korea over the period 2014-2100. The EDI is computed from precipitation data generated by the regional climate model (HadGEM3-RA) under the Representative Concentration Pathway (RCP 8.5) scenario. Using this data for 678 grid points (12.5 km interval) groups of cluster regions with similar climates, the G1 (Northwest), G2 (Middle), G3 (Northeast) and G4 (Southern) regions, are constructed. Drought forecasting period is categorised into the early phase (EP, 2014-2040), middle phase (MP, 2041-2070) and latter phase (LP, 2071-2100). Future drought events are quantified and ranked according to the duration and intensity. Moreover, the occurrences of drought (when, where, how severe) within the clustered regions are represented as a spatial map over Korea. Based on the grid-point averages, the most severe future drought throughout the 87-year period are expected to occur in Namwon around 2039-2041 with peak intensity (minimum EDI) -3.54 and projected duration of 580 days. The most severe drought by cluster analysis is expected to occur in the G3 region with a mean intensity of -2.85 in 2027. Within the spatial area of investigation, 6.6 years of drought periodicity and a slight decrease in the peak intensity is noted. Finally a spatial-temporal drought map is constructed for all clusters and time-periods under consideration.

Drought Prediction till 2100 Under RCP 8.5 Climate Change Scenarios for Korea

NASA Astrophysics Data System (ADS)

Byun, H. R.; Park, C. K.; Deo, R. C.

2014-12-01

An important step in mitigating the negative impacts of drought requires effective methodologies for predicting the future events. This study utilizes the daily Effective Drought Index (EDI) to precisely and quantitatively predict future drought occurrences in Korea over the period 2014-2100. The EDI is computed from precipitation data generated by the regional climate model (HadGEM3-RA) under the Representative Concentration Pathway (RCP 8.5) scenario. Using this data for 678 grid points (12.5 km interval) groups of cluster regions with similar climates, the G1 (Northwest), G2 (Middle), G3 (Northeast) and G4 (Southern) regions, are constructed. Drought forecasting period is categorised into the early phase (EP, 2014-2040), middle phase (MP, 2041-2070) and latter phase (LP, 2071-2100). Future drought events are quantified and ranked according to the duration and intensity. Moreover, the occurrences of drought (when, where, how severe) within the clustered regions are represented as a spatial map over Korea. Based on the grid-point averages, the most severe future drought throughout the 87-year period are expected to occur in Namwon around 2039-2041 with peak intensity (minimum EDI) -3.54 and projected duration of 580 days. The most severe drought by cluster analysis is expected to occur in the G3 region with a mean intensity of -2.85 in 2027. Within the spatial area of investigation, 6 years of drought periodicity and a slight decrease in the peak intensity is noted. Finally a spatial-temporal drought map is constructed for all clusters and time-periods under consideration.

Exploration-Related Research on ISS: Connecting Science Results to Future Missions

NASA Technical Reports Server (NTRS)

Rhatigan, Jennifer L.; Robinson, Julie A.; Sawin, Charles F.

2005-01-01

In January, 2004, the U.S. President announced The Vision for Space Exploration, and charged the National Aeronautics and Space Administration (NASA) with using the International Space Station (ISS) for research and technology targeted at supporting U.S. space exploration goals. This paper describes: What we have learned from the first four years of research on ISS relative to the exploration mission; The on-going research being conducted in this regard; and Our current understanding of the major exploration mission risks that the ISS can be used to address. Specifically, we discuss research carried out on the ISS to determine the mechanisms by which human health is affected on long-duration missions, and to develop countermeasures to protect humans from the space environment. These bioastronautics experiments are key enablers of future long duration human exploration missions. We also discuss how targeted technological developments can enable mission design trade studies. We discuss the relationship between the ultimate number of human test subjects available on the ISS to the quality and quantity of scientific insight that can be used to reduce health risks to future explorers. We discuss the results of NASA's efforts over the past year to realign the ISS research programs to support a product-driven portfolio that is directed towards reducing the major risks of exploration missions. The fundamental challenge to science on ISS is completing experiments that answer key questions in time to shape design decisions for future exploration. In this context, exploration relevant research must do more than be conceptually connected to design decisions - it must become a part of the mission design process.

Biofilms On Orbit and On Earth: Current Methods, Future Needs

NASA Technical Reports Server (NTRS)

Vega, Leticia

2013-01-01

Biofilms have played a significant role on the effectiveness of life support hardware on the Space Shuttle and International Space Station (ISS). This presentation will discuss how biofilms impact flight hardware, how on orbit biofilms are analyzed from an engineering and research perspective, and future needs to analyze and utilize biofilms for long duration, deep space missions.

Operationally Efficient Propulsion System Study (OEPSS) data book. Volume 1: Generic ground operations data

NASA Technical Reports Server (NTRS)

Byrd, Raymond J.

1990-01-01

This study was initiated to identify operations problems and cost drivers for current propulsion systems and to identify technology and design approaches to increase the operational efficiency and reduce operations costs for future propulsion systems. To provide readily usable data for the Advance Launch System (ALS) program, the results of the Operationally Efficient Propulsion System Study (OEPSS) were organized into a series of OEPSS Data Books as follows: Volume 1, Generic Ground Operations Data; Volume 2, Ground Operations Problems; Volume 3, Operations Technology; Volume 4, OEPSS Design Concepts; and Volume 5, OEPSS Final Review Briefing, which summarizes the activities and results of the study. This volume presents ground processing data for a generic LOX/LH2 booster and core propulsion system based on current STS experience. The data presented includes: top logic diagram, process flow, activities bar-chart, loaded timelines, manpower requirements in terms of duration, headcount and skill mix per operations and maintenance instruction (OMI), and critical path tasks and durations.

Model Predictive Control-based gait pattern generation for wearable exoskeletons.

PubMed

Wang, Letian; van Asseldonk, Edwin H F; van der Kooij, Herman

2011-01-01

This paper introduces a new method for controlling wearable exoskeletons that do not need predefined joint trajectories. Instead, it only needs basic gait descriptors such as step length, swing duration, and walking speed. End point Model Predictive Control (MPC) is used to generate the online joint trajectories based on these gait parameters. Real-time ability and control performance of the method during the swing phase of gait cycle is studied in this paper. Experiments are performed by helping a human subject swing his leg with different patterns in the LOPES gait trainer. Results show that the method is able to assist subjects to make steps with different step length and step duration without predefined joint trajectories and is fast enough for real-time implementation. Future study of the method will focus on controlling the exoskeletons in the entire gait cycle. © 2011 IEEE

Space Flight-Associated Neuro-ocular Syndrome.

PubMed

Lee, Andrew G; Mader, Thomas H; Gibson, C Robert; Tarver, William

2017-09-01

New and unique physiologic and pathologic systemic and neuro-ocular responses have been documented in astronauts during and after long-duration space flight. Although the precise cause remains unknown, space flight-associated neuro-ocular syndrome (SANS) has been adopted as an appropriate descriptive term. The Space Medicine Operations Division of the US National Aeronautics and Space Administration (NASA) has documented the variable occurrence of SANS in astronauts returning from long-duration space flight on the International Space Station. These clinical findings have included unilateral and bilateral optic disc edema, globe flattening, choroidal and retinal folds, hyperopic refractive error shifts, and nerve fiber layer infarcts. The clinical findings of SANS have been correlated with structural changes on intraorbital and intracranial magnetic resonance imaging and in-flight and terrestrial ultrasonographic studies and ocular optical coherence tomography. Further study of SANS is ongoing for consideration of future manned missions to space, including a return trip to the moon or Mars.

Russian Countermeasure Systems for Adverse Effects of Microgravity on Long-Duration ISS Flights.

PubMed

Kozlovskaya, Inessa B; Yarmanova, E N; Yegorov, A D; Stepantsov, V I; Fomina, E V; Tomilovaskaya, E S

2015-12-01

The system of countermeasures for the adverse effects of microgravity developed in the USSR supported the successful implementation of long-duration spaceflight (LDS) programs on the Salyut and Mir orbital stations and was subsequently adapted for flights on the International Space Station (ISS). From 2000 through 2010, crews completed 26 ISS flight increments ranging in duration from 140 to 216 d, with the participation of 27 Russian cosmonauts. These flights have made it possible to more precisely determine a crew-member's level of conditioning, better assess the advantages and disadvantages of training processes, and determine prospects for future developments.

Sleep duration and consumption of sugar-sweetened beverages and energy drinks among adolescents.

PubMed

Sampasa-Kanyinga, Hugues; Hamilton, Hayley A; Chaput, Jean-Philippe

2018-04-01

To examine the relationship between sleep duration and consumption of sugar sweetened beverages (SSBs) and energy drinks (EDs) among adolescents. Data on 9,473 adolescents aged 11-20 years were obtained from the 2015 cycle of the Ontario Student Drug Use and Health Survey, a province-wide and cross-sectional school based survey of students in middle and high school. Respondents self-reported their sleep duration and consumption of SSBs and EDs. Those who did not meet the age-appropriate sleep duration recommendation were considered short sleepers. Overall, 81.4% and 12.0% of respondents reported that they had at least one SSBs and EDs in the past week, respectively. Males were more likely than females to consume SSBs and EDs. High school students were more likely than those in middle school to report drinking EDs. After adjusting for multiple covariates, results from logistic regression analyses indicated that short sleep duration was associated with greater odds of SSB consumption in middle school students (odd ratio (OR) = 1.64, 95% confidence interval (CI) = 1.18-2.11), but not those in high school (OR = 1.06, 95% CI = 0.86-1.31). Short sleep duration was associated with greater odds of ED consumption in both middle (OR = 1.60, 95% CI = 1.10-2.34) and high school (OR = 1.78, 95% CI = 1.38-2.30) students. Short sleep duration was associated with consumption of EDs in middle and high school students and with SSBs in middle school students only. Future studies are needed to establish causality and to determine whether improving sleep patterns can reduce the consumption of SSBs and EDs among adolescents. Copyright © 2017 Elsevier Inc. All rights reserved.

[Time perception, maternal tasks, and maternal role behavior among pregnant Japanese women].

PubMed

Yamamoto, A

1996-01-01

The relationship of time perception, maternal tasks, and maternal role behavior was examined in 140 pregnant Japanese women with a short-term longitudinal design. A model developed by Rubin provided the conceptual framework for this research. The Time Perception Scale. Time Production Method, and the Prefatory Maternal Response measured the study variables. Study results revealed significant differences in duration of time, time production, maternal-fetal attachment, and maternal role behavior before and after quickening(fetal movement)occurred. Medium to strong positive relationships among time orientation, maternal-fetal attachment, gratification, and maternal role behavior were found before and after movement. After quickening, a weak relationship between time orientation and duration was found. After controlling maternal-fetal attachment and gratification in pregnancy and maternal role, orientation in time perception accounted for significant amounts of variance in maternal role behavior before and after fetal movement. Results show that the process of becoming a mother, which started before quickening, increased in magnitude after fetal movement. The function of fetal movement is important in developing motherhood. In the process of becoming a mother, cognitive, emotional, and behavioral aspects in becoming a mother are inseparable from each other. Future orientation of time perception contributes to development of maternal role behavior. Having a future orientation during pregnancy may indicate hope or positive expectation. Based on these findings, several recommendations were proposed: (a)to study further the general process of becoming a mother and the role of time perception in developing motherhood, (b)to disseminate information to the general public about the process in development of motherhood, (c)to construct theory to explain the process of becoming a mother, and(d)to conduct future research to clarify the construct of time perception and attachment.

Sleep characteristics, body mass index, and risk for hypertension in young adolescents.

PubMed

Peach, Hannah; Gaultney, Jane F; Reeve, Charlie L

2015-02-01

Inadequate sleep has been identified as a risk factor for a variety of health consequences. For example, short sleep durations and daytime sleepiness, an indicator of insufficient sleep and/or poor sleep quality, have been identified as risk factors for hypertension in the adult population. However, less evidence exists regarding whether these relationships hold within child and early adolescent samples and what factors mediate the relationship between sleep and risk for hypertension. Using data from the Study of Early Child Care and Youth Development, the present study examined body mass index (BMI) as a possible mediator for the effects of school-night sleep duration, weekend night sleep duration, and daytime sleepiness on risk for hypertension in a sample of sixth graders. The results demonstrated gender-specific patterns. Among boys, all three sleep characteristics predicted BMI and yielded significant indirect effects on risk for hypertension. Oppositely, only daytime sleepiness predicted BMI among girls and yielded a significant indirect effect on risk for hypertension. The findings provide clarification for the influence of sleep on the risk for hypertension during early adolescence and suggest a potential need for gender-specific designs in future research and application endeavors.

Otoacoustic emission responses of the cochlea to acute and total ischemia.

PubMed

Yıldırım, Yavuz Selim; Aksoy, Fadlullah; Ozturan, Orhan; Veyseller, Bayram; Demirhan, Hasan

2013-12-01

In the present experimental study, we sought to monitor distortion product otoacoustic emissions (DPOAEs) as an indicator of cochlear function, after sudden, total, and irreversible interruption of cochlear blood flow, to provide information on the time course of cochlear response to ischemia. Twenty rats with normal hearing function were included. Complete and abrupt ischemia was provided by decapitation. DPOAEs at 3-8 kHz frequencies were recorded at baseline and exactly every consecutive minute after decapitation, until emissions in all frequencies disappeared completely. Mean DPOAE values decreased significantly and progressively after decapitation for all frequencies. The mean duration of emissions was 8.20 ± 1.96 min (minimum 3 min, maximum 11 min). The longest durations of DPOAEs were observed with 4 and 5 kHz frequencies, and 3 and 6 kHz had the shortest durations. The outer hair cells exposed to acute ischemia seem to exhibit a rapid functional loss; thus, cautious handling of the cochlear vasculature and surrounding structures is necessary in surgical interventions. Additionally, our results provide some idea of the normal tolerance range of the cochlea to ischemia, which could be useful for future studies.

Predictive model for falling in Parkinson disease patients.

PubMed

Custodio, Nilton; Lira, David; Herrera-Perez, Eder; Montesinos, Rosa; Castro-Suarez, Sheila; Cuenca-Alfaro, Jose; Cortijo, Patricia

2016-12-01

Falls are a common complication of advancing Parkinson's disease (PD). Although numerous risk factors are known, reliable predictors of future falls are still lacking. The aim of this study was to develop a multivariate model to predict falling in PD patients. Prospective cohort with forty-nine PD patients. The area under the receiver-operating characteristic curve (AUC) was calculated to evaluate predictive performance of the purposed multivariate model. The median of PD duration and UPDRS-III score in the cohort was 6 years and 24 points, respectively. Falls occurred in 18 PD patients (30%). Predictive factors for falling identified by univariate analysis were age, PD duration, physical activity, and scores of UPDRS motor, FOG, ACE, IFS, PFAQ and GDS ( p -value < 0.001), as well as fear of falling score ( p -value = 0.04). The final multivariate model (PD duration, FOG, ACE, and physical activity) showed an AUC = 0.9282 (correctly classified = 89.83%; sensitivity = 92.68%; specificity = 83.33%). This study showed that our multivariate model have a high performance to predict falling in a sample of PD patients.

The signal of aerosol-induced changes in sunshine duration records: A review of the evidence

NASA Astrophysics Data System (ADS)

Sanchez-Romero, A.; Sanchez-Lorenzo, A.; Calbó, J.; González, J. A.; Azorin-Molina, C.

2014-04-01

Aerosols play a significant yet complex and central role in the Earth's radiation budget, and knowledge of long-term changes in the atmospheric turbidity induced by aerosols is therefore fundamental for a better understanding of climate change. However, there is little available information on changes in aerosol concentration in the atmosphere, especially prior to the 1980s. The present paper reviews publications reporting the suitability of sunshine duration records with regard to detecting changes in atmospheric aerosols. Some of the studies reviewed propose methods for estimating aerosol-related magnitudes, such as turbidity, from sunshine deficit at approximately sunrise and sunset, when the impact of aerosols on the solar beam is more easily observed. In addition, there is abundant evidence that one cause of the decadal changes observed in sunshine duration records involves variations in atmospheric aerosol loading. Possible directions for future research are also suggested: in particular, detailed studies of the burn (not only its length but also its width) registered by means of Campbell-Stokes sunshine recorders may provide a way of creating time series of atmospheric aerosol loading metrics dating back to over 120 years from the present.

Removal Efficiency of Electrocoagulation Treatment Using Aluminium Electrode for Stabilized Leachate

NASA Astrophysics Data System (ADS)

Mohamad Zailani, L. W.; Amdan, N. S. Mohd; Zin, N. S. M.

2018-04-01

This research was conducted to investigate the performance of aluminium electrode in electrocoagulation process removing chemical oxygen demand (COD), ammonia, turbidity, colour and suspended solid (SS) from Simpang Renggam landfill leachate. Effects of current density, electrolysis duration and pH were observed in this study. From the data obtained, optimum condition at current density was recorded at 200 A/m2with the electrolysis duration of 20-minutes and optimum pH value at 4. The removal recorded at this condition for COD, ammonia, colour, turbidity and suspended solid were 60%, 37%, 94%, 88% and 89% respectively. Electrocoagulation treatment give a better result and can be applied for leachate treatment in future. Thus, electrocoagulation treatment has the potential to be used in treatment of leachate.

Designing clinical trials for amblyopia

PubMed Central

Holmes, Jonathan M.

2015-01-01

Randomized clinical trial (RCT) study design leads to one of the highest levels of evidence, and is a preferred study design over cohort studies, because randomization reduces bias and maximizes the chance that even unknown confounding factors will be balanced between treatment groups. Recent randomized clinical trials and observational studies in amblyopia can be taken together to formulate an evidence-based approach to amblyopia treatment, which is presented in this review. When designing future clinical studies of amblyopia treatment, issues such as regression to the mean, sample size and trial duration must be considered, since each may impact study results and conclusions. PMID:25752747

Flexibility in the duration of parental care: Female leopards prioritise cub survival over reproductive output.

PubMed

Balme, Guy A; Robinson, Hugh S; Pitman, Ross T; Hunter, Luke T B

2017-09-01

Deciding when to terminate care of offspring is a key consideration for parents. Prolonging care may increase fitness of current offspring, but it can also reduce opportunities for future reproduction. Despite its evolutionary importance, few studies have explored the optimal duration of parental care, particularly among large carnivores. We used a 40-year dataset to assess the trade-offs associated with the length of maternal care in leopards in the Sabi Sand Game Reserve, South Africa. We compared the costs imposed by care on the survival and residual reproductive value of leopard mothers against the benefits derived from maternal care in terms of increased offspring survival, recruitment and reproduction. We also examined the demographic and ecological factors affecting the duration of care in the light of five explanatory hypotheses: litter size, sex allocation, resource limitation, timing of independence and terminal investment. Duration of care exhibited by female leopards varied markedly, from 9 to 35 months. Mothers did not appear to suffer any short- or long-term survival costs from caring for cubs, but extending care reduced the number of litters that mothers could produce during their lifetimes. Interestingly, the duration of care did not appear to affect the post-independence survival or reproductive success of offspring (although it may have indirectly affected offspring survival by influencing dispersal distance). However, results from generalised linear mixed models showed that mothers prolonged care during periods of prey scarcity, supporting the resource limitation hypothesis. Female leopards also cared for sons longer than daughters, in line with the sex-allocation hypothesis. Cub survival is an important determinant of the lifetime reproductive success in leopards. By buffering offspring against environmental perturbation without jeopardising their own survivorship, female leopards apparently "hedge their bets" with current offspring rather than gamble on future offspring which have a small probability of surviving. In many species, parents put their own needs before that of their offspring. Leopard mothers appear sensitive to their offspring's demands, and adjust levels of care accordingly. © 2017 The Authors. Journal of Animal Ecology © 2017 British Ecological Society.

Using Four Downscaling Techniques to Characterize Uncertainty in Updating Intensity-Duration-Frequency Curves Under Climate Change

NASA Astrophysics Data System (ADS)

Cook, L. M.; Samaras, C.; McGinnis, S. A.

2017-12-01

Intensity-duration-frequency (IDF) curves are a common input to urban drainage design, and are used to represent extreme rainfall in a region. As rainfall patterns shift into a non-stationary regime as a result of climate change, these curves will need to be updated with future projections of extreme precipitation. Many regions have begun to update these curves to reflect the trends from downscaled climate models; however, few studies have compared the methods for doing so, as well as the uncertainty that results from the selection of the native grid scale and temporal resolution of the climate model. This study examines the variability in updated IDF curves for Pittsburgh using four different methods for adjusting gridded regional climate model (RCM) outputs into station scale precipitation extremes: (1) a simple change factor applied to observed return levels, (2) a naïve adjustment of stationary and non-stationary Generalized Extreme Value (GEV) distribution parameters, (3) a transfer function of the GEV parameters from the annual maximum series, and (4) kernel density distribution mapping bias correction of the RCM time series. Return level estimates (rainfall intensities) and confidence intervals from these methods for the 1-hour to 48-hour duration are tested for sensitivity to the underlying spatial and temporal resolution of the climate ensemble from the NA-CORDEX project, as well as, the future time period for updating. The first goal is to determine if uncertainty is highest for: (i) the downscaling method, (ii) the climate model resolution, (iii) the climate model simulation, (iv) the GEV parameters, or (v) the future time period examined. Initial results of the 6-hour, 10-year return level adjusted with the simple change factor method using four climate model simulations of two different spatial resolutions show that uncertainty is highest in the estimation of the GEV parameters. The second goal is to determine if complex downscaling methods and high-resolution climate models are necessary for updating, or if simpler methods and lower resolution climate models will suffice. The final results can be used to inform the most appropriate method and climate model resolutions to use for updating IDF curves for urban drainage design.

The Quiet Eye and Motor Expertise: Explaining the “Efficiency Paradox”

PubMed Central

Klostermann, André; Hossner, Ernst-Joachim

2018-01-01

It has been consistently reported that experts show longer quiet eye (QE) durations when compared to near-experts and novices. However, this finding is rather paradoxical as motor expertise is characterized by an economization of motor-control processes rather than by a prolongation in response programming, a suggested explanatory mechanism of the QE phenomenon. Therefore, an inhibition hypothesis was proposed that suggests an inhibition of non-optimal task solutions over movement parametrization, which is particularly necessary in experts due to the great extent and high density of their experienced task-solution space. In the current study, the effect of the task-solution space’ extension was tested by comparing the QE-duration gains in groups that trained a far-aiming task with a small number (low-extent) vs. a large number (high-extent) of task variants. After an extensive training period of more than 750 trials, both groups showed superior performance in post-test and retention test when compared to pretest and longer QE durations in post-test when compared to pretest. However, the QE durations dropped to baseline values at retention. Finally, the expected additional gain in QE duration for the high-extent group was not found and thus, the assumption of long QE durations due to an extended task-solution space was not confirmed. The findings were (by tendency) more in line with the density explanation of the inhibition hypothesis. This density argument suits research revealing a high specificity of motor skills in experts thus providing worthwhile options for future research on the paradoxical relation between the QE and motor expertise. PMID:29472882

The Impact of Sex of Child on Breastfeeding in the United States.

PubMed

Shafer, Emily Fitzgibbons; Hawkins, Summer Sherburne

2017-11-01

Background Sex of child has been shown to impact breastfeeding duration in India, Australia, Scandinavia, Latin America, and, within the US, in a sample in Eastern Connecticut and in a separate sample of Indian and Chinese immigrants. Objectives The objective of this study is to examine differences in breastfeeding initiation and duration by sex of child across racial/ethnic groups in the US. Methods We used the Pregnancy Risk Assessment Monitoring System 2009-2010 and logistic regression to examine whether sex of child impacts breastfeeding initiation and duration for at least 8 weeks by women's racial/ethnic group. Results Among the 66,107 women in our sample representing 12 different race/ethnic groups, Hispanic women (n = 9049) had lower odds of breastfeeding initiation (adjusted odds ratio [AOR] = 0.81, 95% CI 0.71-0.93) and breastfeeding duration (AOR = .87, 95% CI 0.80-0.96) if they have sons compared to Hispanic women who have daughters. Sex of child did not impact the odds of breastfeeding initiation or duration among any other race/ethnic group. Conclusion We have shown that, for Hispanics in the US, sex of child may have an impact on breastfeeding, a health behavior that has a variety of positive impacts on infants throughout their lives. Boys, relative to girls, were at a disadvantage in breastfeeding initiation and duration. Future work is necessary to unpack the mechanisms behind these findings. In particular, how sex of child impacts how mothers and fathers view the nutritional needs of their children and breastfeeding more broadly.

Future human bone research in space

NASA Technical Reports Server (NTRS)

LeBlanc, A.; Shackelford, L.; Schneider, V.

1998-01-01

Skylab crewmembers demonstrated negative calcium (Ca) balance reaching about -300 mg/day by flight day 84. Limited bone density (BMD) measurements documented that bone was not lost equally from all parts of the skeleton. Subsequent BMD studies during long duration Russian flights documented the regional extent of bone loss. These studies demonstrated mean losses in the spine, femur neck, trochanter, and pelvis of about 1%-1.6% with large differences between individuals as well as between bone sites in a given individual. Limited available data indicate postflight bone recovery occurred in some individuals, but may require several years for complete restoration. Long duration bedrest studies showed a similar pattern of bone loss and calcium balance (-180 mg/day) as spaceflight. During long duration bedrest, resorption markers were elevated, formation markers were unchanged, 1,25 vitamin D (VitD) and calcium absorption were decreased, and serum ionized Ca was increased. Although this information is a good beginning, additional spaceflight research is needed to assess architectural and subregional bone changes, elucidate mechanisms, and develop efficient as well as effective countermeasures. Space research poses a number of unique problems not encountered in ground-based laboratory research. Therefore, researchers contemplating human spaceflight research need to consider a number of unique problems related to spaceflight in their experimental design.

Future In-Space Operations (FISO): A Working Group and Community Engagement

NASA Technical Reports Server (NTRS)

Thronson, Harley; Lester, Dan

2013-01-01

Long-duration human capabilities beyond low Earth orbit (LEO), either in support of or as an alternative to lunar surface operations, have been assessed at least since the late 1960s. Over the next few months, we will present short histories of concepts for long-duration, free-space human habitation beyond LEO from the end of the Apollo program to the Decadal Planning Team (DPT)/NASA Exploration Team (NExT), which was active in 1999 2000 (see Forging a vision: NASA s Decadal Planning Team and the origins of the Vision for Space Exploration , The Space Review, December 19, 2005). Here we summarize the brief existence of the Future In-Space Operations (FISO) working group in 2005 2006 and its successor, a telecon-based colloquium series, which we co-moderate.

Basic Fibroblast Growth Factor Predicts Cardiovascular Disease Occurrence in Participants from the Veterans Affairs Diabetes Trial

PubMed Central

Zimering, Mark B.; Anderson, Robert J.; Ge, Ling; Moritz, Thomas E.; Duckworth, William C.

2013-01-01

Aim: Cardiovascular disease (CVD) is a leading cause of morbidity and mortality in adults with type 2 diabetes mellitus. The aim of the present study was to test whether plasma basic fibroblast growth factor (bFGF) levels predict future CVD occurrence in adults from the Veterans Affairs Diabetes Trial (VADT). Methods: Nearly 400 veterans, 40 years of age or older having a mean baseline diabetes duration of 11.4 years were recruited from outpatient clinics at six geographically distributed sites in the VADT. Within the VADT, they were randomly assigned to intensive or standard glycemic treatment, with follow-up as much as seven and one-half years. CVD occurrence was examined at baseline in the patient population and during randomized treatment. Plasma bFGF was determined with a sensitive, specific two-site enzyme-linked immunoassay at the baseline study visit in all 399 subjects and repeated at the year 1 study visit in a randomly selected subset of 215 subjects. Results: One hundred and five first cardiovascular events occurred in these 399 subjects. The best fit model of risk factors associated with the time to first CVD occurrence (in the study) over a seven and one-half year period had as significant predictors: prior cardiovascular event [hazard ratio (HR) 3.378; 95% confidence intervals (CI) 3.079–3.807; P < 0.0001), baseline plasma bFGF (HR 1.008; 95% CI 1.002–1.014; P = 0.01), age (HR 1.027; 95% CI 1.004–1.051; P = 0.019), baseline plasma triglycerides (HR 1.001; 95% CI 1.000–1.002; P = 0.02), and diabetes duration-treatment interaction (P = 0.03). Intensive glucose-lowering was associated with significantly decreased hazard ratios for CVD occurrence (0.38–0.63) in patients with known diabetes duration of 0–10 years, and non-significantly increased hazard ratios for CVD occurrence (0.82–1.78) in patients with longer diabetes duration. Conclusion: High level of plasma bFGF is a predictive biomarker of future CVD occurrence in this population of adult type 2 diabetes. PMID:24319441

Future discharge drought across climate regions around the world modelled with a synthetic hydrological modelling approach forced by three general circulation models

NASA Astrophysics Data System (ADS)

Wanders, N.; Van Lanen, H. A. J.

2015-03-01

Hydrological drought characteristics (drought in groundwater and streamflow) likely will change in the 21st century as a result of climate change. The magnitude and directionality of these changes and their dependency on climatology and catchment characteristics, however, is uncertain. In this study a conceptual hydrological model was forced by downscaled and bias-corrected outcome from three general circulation models for the SRES A2 emission scenario (GCM forced models), and the WATCH Forcing Data set (reference model). The threshold level method was applied to investigate drought occurrence, duration and severity. Results for the control period (1971-2000) show that the drought characteristics of each GCM forced model reasonably agree with the reference model for most of the climate types, suggesting that the climate models' results after post-processing produce realistic outcomes for global drought analyses. For the near future (2021-2050) and far future (2071-2100) the GCM forced models show a decrease in drought occurrence for all major climates around the world and increase of both average drought duration and deficit volume of the remaining drought events. The largest decrease in hydrological drought occurrence is expected in cold (D) climates where global warming results in a decreased length of the snow season and an increased precipitation. In the dry (B) climates the smallest decrease in drought occurrence is expected to occur, which probably will lead to even more severe water scarcity. However, in the extreme climate regions (desert and polar), the drought analysis for the control period showed that projections of hydrological drought characteristics are most uncertain. On a global scale the increase in hydrological drought duration and severity in multiple regions will lead to a higher impact of drought events, which should motivate water resource managers to timely anticipate the increased risk of more severe drought in groundwater and streamflow and to design pro-active measures.

Testing the responses of four wheat crop models to heat stress at anthesis and grain filling.

PubMed

Liu, Bing; Asseng, Senthold; Liu, Leilei; Tang, Liang; Cao, Weixing; Zhu, Yan

2016-05-01

Higher temperatures caused by future climate change will bring more frequent heat stress events and pose an increasing risk to global wheat production. Crop models have been widely used to simulate future crop productivity but are rarely tested with observed heat stress experimental datasets. Four wheat models (DSSAT-CERES-Wheat, DSSAT-Nwheat, APSIM-Wheat, and WheatGrow) were evaluated with 4 years of environment-controlled phytotron experimental datasets with two wheat cultivars under heat stress at anthesis and grain filling stages. Heat stress at anthesis reduced observed grain numbers per unit area and individual grain size, while heat stress during grain filling mainly decreased the size of the individual grains. The observed impact of heat stress on grain filling duration, total aboveground biomass, grain yield, and grain protein concentration (GPC) varied depending on cultivar and accumulated heat stress. For every unit increase of heat degree days (HDD, degree days over 30 °C), grain filling duration was reduced by 0.30-0.60%, total aboveground biomass was reduced by 0.37-0.43%, and grain yield was reduced by 1.0-1.6%, but GPC was increased by 0.50% for cv Yangmai16 and 0.80% for cv Xumai30. The tested crop simulation models could reproduce some of the observed reductions in grain filling duration, final total aboveground biomass, and grain yield, as well as the observed increase in GPC due to heat stress. Most of the crop models tended to reproduce heat stress impacts better during grain filling than at anthesis. Some of the tested models require improvements in the response to heat stress during grain filling, but all models need improvements in simulating heat stress effects on grain set during anthesis. The observed significant genetic variability in the response of wheat to heat stress needs to be considered through cultivar parameters in future simulation studies. © 2016 John Wiley & Sons Ltd.

Development of Advanced Plant Habitat Flight Unit

NASA Technical Reports Server (NTRS)

Johnson, Curtis J., Jr

2013-01-01

With NASA's current goals and resources moving forward to bring the idea of Manned Deep-Space missions from a long-thought concept to a reality, innovative research methods and expertise are being utilized for studies that integrate human needs with that of technology to make for the most efficient operations possible. Through the capability to supply food, provide oxygen from what was once carbon dioxide, and various others which help to make plant research one of the prime factors of future long-duration mission, the Advanced Plant Habitat will be the largest microgravity plant growth chamber on the International Space Station when it is launched in the near future (2014- 2015). Soon, the Advanced Plant Habitat unit will continue on and enrich the discoveries and studies on the long-term effects of microgravity on plants.

ISS Habitability Data Collection and Preliminary Findings

NASA Technical Reports Server (NTRS)

Thaxton, Sherry (Principal Investigator); Greene, Maya; Schuh, Susan; Williams, Thomas; Archer, Ronald; Vasser, Katie

2017-01-01

Habitability is the relationship between an individual and their surroundings (i.e. the interplay of the person, machines, environment, and mission). The purpose of this study is to assess habitability and human factors on the ISS to better prepare for future long-duration space flights. Scheduled data collection sessions primarily require the use of iSHORT (iPad app) to capture near real-time habitability feedback and analyze vehicle layout and space utilization.

Recruiters, Advertising, and Navy Enlistments,

DTIC Science & Technology

1979-10-01

product markets have concluded that advertising increases demand in current and future periods, but its effects decline over time (see reference 2). A study...Apr 1979 2. Clarke, D.G., "Econometric Measurement of the Duration of Advertising Effect on Sales," Journal of Marketing Research, Nov 1976, pp. 345...7AD-AOA6201 CENTER FOR NAVAL ANALYSES ALEXANDRIA VA INST OF NAVAL--ETC F/6 5/9 I RECRUITERS, ADVERTISING , AND NAVY ENLISTMENTS. (U) IOCT 79 L

A tradeoff study of determine the optimum approach to a wash/rinse capability to support future space flight

NASA Technical Reports Server (NTRS)

Wilson, D. A.

1976-01-01

Specific requirements for a wash/rinse capability to support Spacelab biological experimentation and to identify various concepts for achieving this capability were determined. This included the examination of current state-of-the-art and emerging technology designs that would meet the wash/rinse requirements. Once several concepts were identified, including the disposable utensils, tools and gloves or other possible alternatives, a tradeoff analysis involving system cost, weight, volume utilization, functional performance, maintainability, reliability, power utilization, safety, complexity, etc., was performed so as to determine an optimum approach for achieving a wash/rinse capability to support future space flights. Missions of varying crew size and durations were considered.

Central nervous system medication use and incident mobility limitation in community elders: the Health, Aging, and Body Composition study.

PubMed

Boudreau, Robert M; Hanlon, Joseph T; Roumani, Yazan F; Studenski, Stephanie A; Ruby, Christine M; Wright, Rollin M; Hilmer, Sarah N; Shorr, Ronald I; Bauer, Douglas C; Simonsick, Eleanor M; Newman, Anne B

2009-10-01

To evaluate whether CNS medication use in older adults was associated with a higher risk of future incident mobility limitation. This 5-year longitudinal cohort study included 3055 participants from the health, aging and body composition (Health ABC) study who were well-functioning at baseline. CNS medication use (benzodiazepine and opioid receptor agonists, antipsychotics, and antidepressants) was determined yearly (except year 4) during in-home or in-clinic interviews. Summated standardized daily doses (low, medium, and high) and duration of CNS drug use were computed. Incident mobility limitation was operationalized as two consecutive self-reports of having any difficulty walking 1/4 mile or climbing 10 steps without resting every 6 months after baseline. Multivariable Cox proportional hazard analyses were conducted adjusting for demographics, health behaviors, health status, and common indications for CNS medications. Each year at least 13.9% of participants used a CNS medication. By year 6, overall 49% had developed incident mobility limitation. In multivariable models, CNS medication users compared to never users showed a higher risk for incident mobility limitation (adjusted hazard ratio (Adj. HR) 1.28; 95% confidence interval (CI) 1.12-1.47). Similar findings of increased risk were seen in analyses examining dose- and duration-response relationships. CNS medication use is independently associated with an increased risk of future incident mobility limitation in community dwelling elderly. Further studies are needed to determine the impact of reducing CNS medication exposure on mobility problems. 2009 John Wiley & Sons, Ltd.

Alternative Futures and Army Force Planning. Implications for the Future Force Era

DTIC Science & Technology

2005-01-01

narcotraffickers had to establish coca fields in other Latin American countries like Bolivia and Peru , build processing labs in remote areas of the Amazon basin...emergence of Al Qaeda as a potent worldwide force, both the scope and the duration of the war on terrorism remain un- certain, as does the level of...future. Our hypothesis was that a drastic downturn in any one of the development variables would drag the remaining four at least into the medium category

Psycho-educational strategies to promote fluid adherence in adult hemodialysis patients: a review of intervention studies.

PubMed

Welch, Janet L; Thomas-Hawkins, Charlotte

2005-07-01

We reviewed psycho-educational intervention studies that were designed to reduce interdialytic weight gain (IDWG) in adult hemodialysis patients. Our goals were to critique research methods, describe the effectiveness of tested interventions, and make recommendations for future research. Medline, PsychInfo, and the Cumulative Index to Nursing and Applied Health (CINAHL) databases were searched to identify empirical work. Each study was evaluated in terms of sample, design, theoretical framework, intervention delivery, and outcome. Nine studies were reviewed. Self-monitoring appears to be a promising strategy to be considered to reduce IDWG. Theory was not usually used to guide interventions, designs generally had control groups, interventions were delivered individually, more than one intervention was delivered at a time, the duration of the intervention varied greatly, there was no long-term follow-up, IDWG was the only outcome, and IDWG was operationalized in different ways. Theoretical models and methodological rigor are needed to guide future research. Specific recommendations on design, measurement, and conceptual issues are offered to enhance the effectiveness of future research.

The Life Cycle Cost (LCC) of Life Support Recycling and Resupply

NASA Technical Reports Server (NTRS)

Jones, Harry W.

2015-01-01

Brief human space missions supply all the crew's water and oxygen from Earth. The multiyear International Space Station (ISS) program instead uses physicochemical life support systems to recycle water and oxygen. This paper compares the Life Cycle Cost (LCC) of recycling to the LCC of resupply for potential future long duration human space missions. Recycling systems have high initial development costs but relatively low durationdependent support costs. This means that recycling is more cost effective for longer missions. Resupplying all the water and oxygen requires little initial development cost but has a much higher launch mass and launch cost. The cost of resupply increases as the mission duration increases. Resupply is therefore more cost effective than recycling for shorter missions. A recycling system pays for itself when the resupply LCC grows greater over time than the recycling LCC. The time when this occurs is called the recycling breakeven date. Recycling will cost very much less than resupply for long duration missions within the Earth-Moon system, such as a future space station or Moon base. But recycling would cost about the same as resupply for long duration deep space missions, such as a Mars trip. Because it is not possible to provide emergency supplies or quick return options on the way to Mars, more expensive redundant recycling systems will be needed.

Effects of Simvastatin Treatment on Serum Adiponectin Concentrations in Patients With Dislipidemia

PubMed Central

Moezzi, Atefeh; Parizadeh, Seyyed Mohammad Reza; Tavallaie, Shima; Mazidi, Mohsen; Afzali, Fariba; Adab, Afrouz; Ferns, Gordon; Ghayour Mobarhan, Majid

2014-01-01

Background: Adiponectin is an adipose tissue-derived protein with anti-inflammatory properties. Statins are a class of cholesterol-lowering drugs, widely used for treatment of cardiovascular diseases. Objectives: In the current study, we aimed to assess the effects of simvastatin on serum levels of adiponectin in patients with dyslipidemia, recruited from Ghaem Hospital, Mashhad, Iran. Materials and Methods: A total of 102 patients with dyslipidemia were treated with simvastatin or placebo during a double-blind, cross-over, placebo-controlled trial. The adiponectin levels were measured before and after each treatment period. Seventy seven participants completed the study. Results: There was a significant reduction in serum total cholesterol (approxmately 21%), low density lipoprotein-cholesterol (LDL-C) (approxmately 28%), and triglycerides (approxmately 11%), after four weeks of treatment with simvastatin (P < 0.001). Conclusions: No significant change in serum adiponectin concentrations was observed after treatment with simvastatin. This may be because of the relatively short duration of treatment and longer treatment duration may be necessary to investigation in future studies. PMID:25389496

Effects of simvastatin treatment on serum adiponectin concentrations in patients with dislipidemia.

PubMed

Moezzi, Atefeh; Parizadeh, Seyyed Mohammad Reza; Tavallaie, Shima; Mazidi, Mohsen; Afzali, Fariba; Adab, Afrouz; Ferns, Gordon; Ghayour Mobarhan, Majid

2014-08-01

Adiponectin is an adipose tissue-derived protein with anti-inflammatory properties. Statins are a class of cholesterol-lowering drugs, widely used for treatment of cardiovascular diseases. In the current study, we aimed to assess the effects of simvastatin on serum levels of adiponectin in patients with dyslipidemia, recruited from Ghaem Hospital, Mashhad, Iran. A total of 102 patients with dyslipidemia were treated with simvastatin or placebo during a double-blind, cross-over, placebo-controlled trial. The adiponectin levels were measured before and after each treatment period. Seventy seven participants completed the study. There was a significant reduction in serum total cholesterol (approxmately 21%), low density lipoprotein-cholesterol (LDL-C) (approxmately 28%), and triglycerides (approxmately 11%), after four weeks of treatment with simvastatin (P < 0.001). No significant change in serum adiponectin concentrations was observed after treatment with simvastatin. This may be because of the relatively short duration of treatment and longer treatment duration may be necessary to investigation in future studies.

Modification Plans For The NASA 5.2 Second Drop Tower

NASA Technical Reports Server (NTRS)

Urban, David

2015-01-01

A design study is currently underway to examine the possibility of converting the NASA Glenn Research Center 5.2 second drop-tower to include testing at partial gravity levels and to increase the test duration to approximately 10 seconds and the number of tests conducted in a day to over 30. This will be achieved by converting to a magnetic-levitation system to drive the test capsule. This conversion will require concessions in certain areas to enable the enhanced capability. In particular the quality of g or vibration attainable in the new design is currently unknown. This capability may trade against payload mass, volume, or test duration. The acceleration quality for partial-g studies and the launch and deceleration levels are also in the process of definition. The status of the redesign study is presented along with discussion of the critical design options. Input from the community is sought to enable optimization of the design for future combustion applications.

The behavior and social communication of honey bees (Apis mellifera carnica Poll.) under the influence of alcohol.

PubMed

Mixson, T Andrew; Abramson, Charles I; Bozic, Janko

2010-06-01

In this study, the effects of ethanol on honey bee social communication and behavior within the hive were studied to further investigate the usefulness of honey bees as an ethanol-abuse model. Control (1.5 M sucrose) and experimental (1.5 M sucrose, 2.5% w/v ethanol) solutions were directly administered to individual forager bees via proboscis contact with glass capillary tubes. The duration, frequency, and proportion of time spent performing social and nonsocial behaviors were the dependent variables of interest. No differences in the relative frequency or proportion of time spent performing the target behaviors were observed. However, ethanol consumption significantly decreased bouts of walking, resting, and the duration of trophallactic (i.e., food-exchange) encounters. The results of this study suggest that a low dose of ethanol is sufficient to disrupt both social and nonsocial behaviors in honey bees. In view of these results, future behavioral-genetic investigations of honey bee social behavior are encouraged.

Exploring the Relationship between Students' Understanding of Conventional Time and Deep (Geologic) Time

NASA Astrophysics Data System (ADS)

Cheek, Kim A.

2013-07-01

Many geologic processes occur in the context of geologic or deep time. Students of all ages demonstrate difficulty grasping this fundamental concept which impacts their ability to acquire other geoscience concepts. A concept of deep time requires the ability to sequence events on an immense temporal scale (succession) and to judge the durations of geologic processes based on the rates at which they occur. The twin concepts of succession and duration are the same ideas that underlie a concept of conventional time. If deep time is an extension of conventional time and not qualitatively different from it, students should display similar reasoning patterns when dealing with analogous tasks over disparate temporal periods. Thirty-five US students aged 13-24 years participated in individual task-based interviews to ascertain how they thought about succession and duration in conventional and deep time. This is the first attempt to explore this relationship in the same study in over 30 years. Most students successfully completed temporal succession tasks, but there was greater variability in responses on duration tasks. Conventional time concepts appear to impact how students reason about deep time. The application of spatial reasoning to temporal tasks sometimes leads to correct responses but in other instances does not. Implications for future research and teaching strategies are discussed.

A systematic review of education and evidence-based practice interventions with health professionals and breast feeding counsellors on duration of breast feeding.

PubMed

Spiby, Helen; McCormick, Felicia; Wallace, Louise; Renfrew, Mary J; D'Souza, Lalitha; Dyson, Lisa

2009-02-01

to examine the effects of training, education and practice change interventions with health professionals and lay breast feeding educator/counsellors on duration of breast feeding. this was part of a series of reviews of interventions that affect duration of breast feeding. Full details of methods used, including search strategy, are reported separately. SELECTION CRITERIA FOR INCLUDED STUDIES: randomised controlled trials, non randomised controlled trials with concurrent controls and before after studies (cohort or cross-sectional), undertaken in a developed country, published between 1980 and 2003 in any language. The primary outcome was duration of breast feeding. Secondary and process outcomes, including attitude, knowledge and behaviour change of participants, were included from papers that also reported breast feeding duration outcomes. STUDY-QUALITY ASSESSMENT: inclusion and exclusion criteria were applied, data extracted and study quality assessments made by one reviewer and independently checked by another, with a third reviewer to resolve differences, as recommended by the NHS Centre for Reviews and Dissemination's guidance for reviews. the search identified nine papers. All were before after studies that included the education of health professionals; no studies were identified that related to breast feeding counsellors. In six of the studies, the participants were working with mothers and babies in hospitals (three in the UK, two in Italy and one in France); in three studies, the participants were working in community settings (Canada, Spain and the USA). Two UK studies and two non-UK studies (Spain and USA) involved mothers living in disadvantaged areas. Most interventions aimed to increase knowledge and change professional practice in support of breast feeding. many of the studies reviewed have methodological limitations. Study settings and contexts vary and lack comparability. Evidence from these studies was insufficient to draw conclusions about overall benefit or harm associated with the interventions. From the studies identified, there seems to be no single way that consistently achieves changes in breast feeding duration. From one of the methodologically more robust studies, it seems that UNICEF/WHO Baby Friendly Hospital Initiative (BFI) training might have the potential to influence breast feeding duration. RECOMMENDATIONS FOR FURTHER RESEARCH: further testing of the BFI initiative within a controlled design. Future research into the education of health-care professionals that relates to the support of breast feeding women should have appropriate theoretical underpinning, describe educational programmes and the context of care delivery comprehensively and use standardised time points in the assessment of the effect of interventions. Intermediate outcomes should also be reported, including those related to the effect on education and practice.

Projected changes in atmospheric heating due to changes in fire disturbance and the snow season in the western Arctic, 2003–2100

USGS Publications Warehouse

Euskirchen, E.S.; McGuire, A. David; Rupp, T.S.; Chapin, F. S.; Walsh, J.E.

2009-01-01

In high latitudes, changes in climate impact fire regimes and snow cover duration, altering the surface albedo and the heating of the regional atmosphere. In the western Arctic, under four scenarios of future climate change and future fire regimes (2003–2100), we examined changes in surface albedo and the related changes in regional atmospheric heating due to: (1) vegetation changes following a changing fire regime, and (2) changes in snow cover duration. We used a spatially explicit dynamic vegetation model (Alaskan Frame-based Ecosystem Code) to simulate changes in successional dynamics associated with fire under the future climate scenarios, and the Terrestrial Ecosystem Model to simulate changes in snow cover. Changes in summer heating due to the changes in the forest stand age distributions under future fire regimes showed a slight cooling effect due to increases in summer albedo (mean across climates of −0.9 W m−2 decade−1). Over this same time period, decreases in snow cover (mean reduction in the snow season of 4.5 d decade−1) caused a reduction in albedo, and a heating effect (mean across climates of 4.3 W m−2 decade−1). Adding both the summer negative change in atmospheric heating due to changes in fire regimes to the positive changes in atmospheric heating due to changes in the length of the snow season resulted in a 3.4 W m−2 decade−1 increase in atmospheric heating. These findings highlight the importance of gaining a better understanding of the influences of changes in surface albedo on atmospheric heating due to both changes in the fire regime and changes in snow cover duration.

A randomized comparison study regarding the impact of short-duration, high-intensity exercise and traditional exercise on anthropometric and body composition measurement changes in post-menopausal women--A pilot study.

PubMed

Grossman, Joan A Cebrick; Payne, Ellen K

2016-03-01

The mode and duration of exercise necessary to change body composition and reduce weight remains debatable. Menopause results in hormonal changes that preclude weight loss. This randomized pilot study compared the effects of short-duration, high-intensity interval training and traditional exercise on anthropometric and body composition measurement changes in post-menopausal women. To compare the effects of short-duration, high-intensity interval training and traditional methods of exercise (walking) on anthropometric, body composition and body weight change over a 12-week period. Subjects (N = 18) were post-menopausal, sedentary female volunteers, randomly assigned into one of two exercise groups. Both groups exercised five out of seven days for 12 weeks. The resistance group (n = 8) (54.3 ± 7.3 years; BMI = 28.0 ± 2.1 kg/m(2); mean ± SD) exercised for 15.0 ± 3.5 min, which consisted of five different exercise routines including upper and lower extremity, a cardio segment, yoga and abdominal exercises. The walkers (n = 10) (56.6 ± 5.2 years; BMI = 29.2 ± 2.6 kg/m(2); mean ± SD) exercised for 40.0 ± 5.0 min at 65% of their age-predicted maximum heart rate. Relative (%) body fat was measured via DEXA scan, along with five anthropometric measurements, all of which were taken prior to and after 12 weeks. Independent sample t-tests were probed for differences, p ≤ 0.05. No statistically significant changes were determined between the groups for pre-and post-measurements. The outcomes of this study provide a foundation for future comparisons of short-duration high-intensity interval training exercise and traditional exercise, or walking, on anthropometric and body composition measurement changes in sedentary, overweight, post-menopausal females over a 12-week period. © The Author(s) 2016.

Measures of behavioral function predict duration of video game play: Utilization of the Video Game Functional Assessment - Revised.

PubMed

Buono, Frank D; Griffiths, Mark D; Sprong, Matthew E; Lloyd, Daniel P; Sullivan, Ryan M; Upton, Thomas D

2017-12-01

Background Internet gaming disorder (IGD) was introduced in the DSM-5 as a way of identifying and diagnosing problematic video game play. However, the use of the diagnosis is constrained, as it shares criteria with other addictive orders (e.g., pathological gambling). Aims Further work is required to better understand IGD. One potential avenue of investigation is IGD's relationship to the primary reinforcing behavioral functions. This study explores the relationship between duration of video game play and the reinforcing behavioral functions that may motivate or maintain video gaming. Methods A total of 499 video game players began the online survey, with complete data from 453 participants (85% white and 28% female), were analyzed. Individuals were placed into five groups based on self-reported hours of video gaming per week, and completed the Video Game Functional Assessment - Revised (VGFA-R). Results The results demonstrated the escape and social attention function were significant in predicting duration of video game play, whereas sensory and tangible were not significant. Conclusion Future implications of the VGFA-R and behaviorally based research are discussed.

Predicting High-Power Performance in Professional Cyclists.

PubMed

Sanders, Dajo; Heijboer, Mathieu; Akubat, Ibrahim; Meijer, Kenneth; Hesselink, Matthijs K

2017-03-01

To assess if short-duration (5 to ~300 s) high-power performance can accurately be predicted using the anaerobic power reserve (APR) model in professional cyclists. Data from 4 professional cyclists from a World Tour cycling team were used. Using the maximal aerobic power, sprint peak power output, and an exponential constant describing the decrement in power over time, a power-duration relationship was established for each participant. To test the predictive accuracy of the model, several all-out field trials of different durations were performed by each cyclist. The power output achieved during the all-out trials was compared with the predicted power output by the APR model. The power output predicted by the model showed very large to nearly perfect correlations to the actual power output obtained during the all-out trials for each cyclist (r = .88 ± .21, .92 ± .17, .95 ± .13, and .97 ± .09). Power output during the all-out trials remained within an average of 6.6% (53 W) of the predicted power output by the model. This preliminary pilot study presents 4 case studies on the applicability of the APR model in professional cyclists using a field-based approach. The decrement in all-out performance during high-intensity exercise seems to conform to a general relationship with a single exponential-decay model describing the decrement in power vs increasing duration. These results are in line with previous studies using the APR model to predict performance during brief all-out trials. Future research should evaluate the APR model with a larger sample size of elite cyclists.

Effects of cumulative illness severity on hippocampal gray matter volume in major depression: a voxel-based morphometry study.

PubMed

Zaremba, Dario; Enneking, Verena; Meinert, Susanne; Förster, Katharina; Bürger, Christian; Dohm, Katharina; Grotegerd, Dominik; Redlich, Ronny; Dietsche, Bruno; Krug, Axel; Kircher, Tilo; Kugel, Harald; Heindel, Walter; Baune, Bernhard T; Arolt, Volker; Dannlowski, Udo

2018-02-08

Patients with major depression show reduced hippocampal volume compared to healthy controls. However, the contribution of patients' cumulative illness severity to hippocampal volume has rarely been investigated. It was the aim of our study to find a composite score of cumulative illness severity that is associated with hippocampal volume in depression. We estimated hippocampal gray matter volume using 3-tesla brain magnetic resonance imaging in 213 inpatients with acute major depression according to DSM-IV criteria (employing the SCID interview) and 213 healthy controls. Patients' cumulative illness severity was ascertained by six clinical variables via structured clinical interviews. A principal component analysis was conducted to identify components reflecting cumulative illness severity. Regression analyses and a voxel-based morphometry approach were used to investigate the influence of patients' individual component scores on hippocampal volume. Principal component analysis yielded two main components of cumulative illness severity: Hospitalization and Duration of Illness. While the component Hospitalization incorporated information from the intensity of inpatient treatment, the component Duration of Illness was based on the duration and frequency of illness episodes. We could demonstrate a significant inverse association of patients' Hospitalization component scores with bilateral hippocampal gray matter volume. This relationship was not found for Duration of Illness component scores. Variables associated with patients' history of psychiatric hospitalization seem to be accurate predictors of hippocampal volume in major depression and reliable estimators of patients' cumulative illness severity. Future studies should pay attention to these measures when investigating hippocampal volume changes in major depression.

Effectiveness of psychological interventions to improve quality of life in people with long-term conditions: rapid systematic review of randomised controlled trials.

PubMed

Anderson, Niall; Ozakinci, Gozde

2018-03-27

Long-term conditions may negatively impact multiple aspects of quality of life including physical functioning and mental wellbeing. The rapid systematic review aimed to examine the effectiveness of psychological interventions to improve quality of life in people with long-term conditions to inform future healthcare provision and research. EBSCOhost and OVID were used to search four databases (PsychInfo, PBSC, Medline and Embase). Relevant papers were systematically extracted by one researcher using the predefined inclusion/exclusion criteria based on titles, abstracts, and full texts. Randomized controlled trial psychological interventions conducted between 2006 and February 2016 to directly target and assess people with long-term conditions in order to improve quality of life were included. Interventions without long-term condition populations, psychological intervention and/or patient-assessed quality of life were excluded. From 2223 citations identified, 6 satisfied the inclusion/exclusion criteria. All 6 studies significantly improved at least one quality of life outcome immediately post-intervention. Significant quality of life improvements were maintained at 12-months follow-up in one out of two studies for each of the short- (0-3 months), medium- (3-12 months), and long-term (≥ 12 months) study duration categories. All 6 psychological intervention studies significantly improved at least one quality of life outcome immediately post-intervention, with three out of six studies maintaining effects up to 12-months post-intervention. Future studies should seek to assess the efficacy of tailored psychological interventions using different formats, durations and facilitators to supplement healthcare provision and practice.

Objective measures of sleep duration and continuity in major depressive disorder with comorbid hypersomnolence: a primary investigation with contiguous systematic review and meta-analysis.

PubMed

Plante, David T; Cook, Jesse D; Goldstein, Michael R

2017-06-01

Hypersomnolence plays an important role in the presentation, treatment and course of mood disorders. However, there has been relatively little research that examines objective measures of sleep duration and continuity in patients with depression and hypersomnolence, despite the use of these factors in sleep medicine nosological systems. This study compared total sleep time and efficiency measured by naturalistic actigraphic recordings followed by ad libitum polysomnography (PSG; without prescribed wake time) in 22 patients with major depressive disorder and co-occurring hypersomnolence against age- and sex-matched healthy sleeper controls. The major depressive disorder and co-occurring hypersomnolence group demonstrated significantly longer sleep duration compared with healthy sleeper controls quantified by sleep diaries, actigraphy and ad libitum PSG. No between-group differences in sleep efficiency (SE), latency to sleep or wake after sleep onset were observed when assessed using objective measures. To further contextualize these findings within the broader scientific literature, a systematic review was performed to identify other comparable investigations. A meta-analysis of pooled data demonstrated patients with mood disorders and co-occurring hypersomnolence have significantly greater sleep duration and similar SE compared with healthy controls when assessed using ad libitum PSG. These results suggest current sleep medicine nosology that distinguishes hypersomnia associated with psychiatric disorders primarily as a construct characterized by low SE and increased time in bed may not be accurate. Future studies that establish the biological bases hypersomnolence in mood disorders, as well as clarify the accuracy of nosological thresholds to define excessive sleep duration, are needed to refine the diagnosis and treatment of these disorders. © 2017 European Sleep Research Society.

Effects of Oral Exposure Duration and Gastric Energy Content on Appetite Ratings and Energy Intake in Lean Men

PubMed Central

Wijlens, Anne G. M.; de Graaf, Cees; Erkner, Alfrun; Mars, Monica

2016-01-01

Studies show that longer oral exposure to food leads to earlier satiation and lowers energy intake. Moreover, higher energy content of food has been shown to lead to higher satiety. Up to now, it has not been studied systematically how oral exposure duration and gastric energy content interact in satiety regulation. Thirty-seven men (22 ± 4 years, 22 ± 2 kg/m2) participated in a randomized cross-over trial, in which we independently manipulated: (1) oral exposure duration by modified sham feeding (MSF) for 1 or 8 min; and (2) energy content of gastric load (GL) by a nasogastric tube: 100 kcal/500 mL or 700 kcal/500 mL. Outcome measures were appetite ratings and subsequent energy intake from an ad libitum meal. Energy intake was 35% lower after the GLs with 700 kcal than with 100kcal (p < 0.0001). All appetite ratings were lower in the 700 kcal than in the 100 kcal treatments (area under the curve (AUC); p-values ≤ 0.002); fullness was higher and prospective consumption was lower in the 8 min than in the 1 min MSF treatments (AUC; p-values ≤ 0.02). In conclusion, the current showed that a GL of 700 kcal/500 mL vs. 100 kcal/500 mL increased satiety and lowered energy intake. No additional effects of oral exposure duration could be observed, presumably due to the high contrast in energy between the manipulations. Future research should also focus on the role of oral exposure as such and not only the duration. PMID:26821045

Objective Measures of Sleep Duration and Continuity in Major Depressive Disorder with Comorbid Hypersomnolence: A Primary Investigation with Contiguous Systematic Review and Meta-Analysis

PubMed Central

Plante, David T.; Cook, Jesse D.; Goldstein, Michael R.

2016-01-01

SUMMARY Hypersomnolence plays an important role in the presentation, treatment, and course of mood disorders. However, there has been relatively little research that examines objective measures of sleep duration and continuity in patients with depression and hypersomnolence, despite the use of these factors in sleep medicine nosological systems. This study compared total sleep time and efficiency measured by naturalistic actigraphic recordings followed by ad libitum polysomnography (without prescribed wake time) in twenty-two patients with major depressive disorder and co-occurring hypersomnolence (MDD-HYP) against age- and sex-matched healthy sleeper controls (HC). MDD-HYP demonstrated significantly longer sleep duration compared to HC quantified by sleep diaries, actigraphy, and ad libitum polysomnography. No between-group differences in sleep efficiency, latency to sleep, or wake after sleep onset were observed when assessed using objective measures. To further contextualize these findings within the broader scientific literature, a systematic review was performed to identify other comparable investigations. Meta-analysis of pooled data demonstrated patients with mood disorders and co-occurring hypersomnolence have significantly greater sleep duration and similar sleep efficiency compared to healthy controls when assessed using ad libitum polysomnography. These results suggest current sleep medicine nosology that distinguishes hypersomnia associated with psychiatric disorders primarily as a construct characterized by low sleep efficiency and increased time in bed may not be accurate. Future studies that establish the biological bases hypersomnolence in mood disorders, as well as clarify the accuracy of nosological thresholds to define excessive sleep duration, are needed to refine the diagnosis and treatment of these disorders. PMID:28145043

Active shielding for long duration interplanetary manned missions

NASA Astrophysics Data System (ADS)

Spillantini, Piero

The problem of protecting astronauts from the cosmic rays action in unavoidable and was therefore preliminary studied by many space agencies. In Europe, in the years 2002-2004, ESA supported two works on this thematic: a topical team in the frame of the ‘life and physical sciences' and a study, assigned by tender, of the ‘radiation exposure and mission strategies for interplanetary manned missions to Moon and Mars'. In both studies it was concluded that, while the protection from solar cosmic rays can relay on the use of passive absorbers, for long duration missions the astronauts must be protected from the much more energetic galactic cosmic rays during the whole duration of the mission. This requires the protection of a large habitat where they could live and work, and not a temporary small volume shelter, and the use of active shielding is therefore mandatory. The possibilities offered by using superconducting magnets were discussed, and the needed R&D recommended. The technical development occurred in the meantime and the evolution of the panorama of the possible interplanetary missions in the near future require to revise these pioneer studies and think of the problem at a scale allowing long human permanence in ‘deep' space, and not for a relatively small number of dedicated astronauts but also for citizens conducting there ‘normal' activities.

Sleep duration and risk of obesity among a sample of Victorian school children.

PubMed

Morrissey, Bridget; Malakellis, Mary; Whelan, Jill; Millar, Lynne; Swinburn, Boyd; Allender, Steven; Strugnell, Claudia

2016-03-09

Insufficient sleep is potentially an important modifiable risk factor for obesity and poor physical activity and sedentary behaviours among children. However, inconsistencies across studies highlight the need for more objective measures. This paper examines the relationship between sleep duration and objectively measured physical activity, sedentary time and weight status, among a sample of Victorian Primary School children. A sub-sample of 298 grades four (n = 157) and six (n = 132) Victorian primary school children (aged 9.2-13.2 years) with complete accelerometry and anthropometry data, from 39 schools, were taken from a pilot study of a larger state based cluster randomized control trial in 2013. Data comprised: researcher measured height and weight; accelerometry derived physical activity and sedentary time; and self-reported sleep duration and hypothesised confounding factors (e.g. age, gender and environmental factors). Compared with sufficient sleepers (67 %), those with insufficient sleep (<10 hrs/day) were significantly more likely to be overweight (OR 1.97, 95 % CI:1.11-3.48) or obese (OR 2.43, 95 % CI:1.26-4.71). No association between sleep and objectively measured physical activity levels or sedentary time was found. The strong positive relationship between weight status and sleep deprivation merits further research though PA and sedentary time do not seem to be involved in the relationship. Strategies to improve sleep duration may help obesity prevention initiatives in the future.

Spacecraft formation flying for Earth-crossing object deflections using a power limited laser ablating

NASA Astrophysics Data System (ADS)

Yoo, Sung-Moon; Song, Young-Joo; Park, Sang-Young; Choi, Kyu-Hong

2009-06-01

A formation flying strategy with an Earth-crossing object (ECO) is proposed to avoid the Earth collision. Assuming that a future conceptual spacecraft equipped with a powerful laser ablation tool already rendezvoused with a fictitious Earth collision object, the optimal required laser operating duration and direction histories are accurately derived to miss the Earth. Based on these results, the concept of formation flying between the object and the spacecraft is applied and analyzed as to establish the spacecraft's orbital motion design strategy. A fictitious "Apophis"-like object is established to impact with the Earth and two major deflection scenarios are designed and analyzed. These scenarios include the cases for the both short and long laser operating duration to avoid the Earth impact. Also, requirement of onboard laser tool's for both cases are discussed. As a result, the optimal initial conditions for the spacecraft to maintain its relative trajectory to the object are discovered. Additionally, the discovered optimal initial conditions also satisfied the optimal required laser operating conditions with no additional spacecraft's own fuel expenditure to achieve the spacecraft formation flying with the ECO. The initial conditions founded in the current research can be used as a spacecraft's initial rendezvous points with the ECO when designing the future deflection missions with laser ablation tools. The results with proposed strategy are expected to make more advances in the fields of the conceptual studies, especially for the future deflection missions using powerful laser ablation tools.

Habitability and Human Factors: Lessons Learned in Long Duration Space Flight

NASA Technical Reports Server (NTRS)

Baggerman, Susan D.; Rando, Cynthia M.; Duvall, Laura E.

2006-01-01

This study documents the investigation of qualitative habitability and human factors feedback provided by scientists, engineers, and crewmembers on lessons learned from the ISS Program. A thorough review and understanding of this data is critical in charting NASA's future path in space exploration. NASA has been involved in ensuring that the needs of crewmembers to live and work safely and effectively in space have been met throughout the ISS Program. Human factors and habitability data has been collected from every U.S. crewmember that has resided on the ISS. The knowledge gained from both the developers and inhabitants of the ISS have provided a significant resource of information for NASA and will be used in future space exploration. The recurring issues have been tracked and documented; the top 5 most critical issues have been identified from this data. The top 5 identified problems were: excessive onsrbit stowage; environment; communication; procedures; and inadequate design of systems and equipment. Lessons learned from these issues will be used to aid in future improvements and developments to the space program. Full analysis of the habitability and human factors data has led to the following recommendations. It is critical for human factors to be involved early in the design of space vehicles and hardware. Human factors requirements need to be readdressed and redefined given the knowledge gained during previous ISS and long-duration space flight programs. These requirements must be integrated into vehicle and hardware technical documentation and consistently enforced. Lastly, space vehicles and hardware must be designed with primary focus on the user/operator to successfully complete missions and maintain a safe working environment. Implementation of these lessons learned will significantly improve NASA's likelihood of success in future space endeavors.

The Near-Earth Object Human Space Flight Accessible Targets Study (NHATS) List of Near-Earth Asteroids: Identifying Potential Targets for Future Exploration

NASA Astrophysics Data System (ADS)

Abell, Paul; Barbee, B. W.; Mink, R. G.; Adamo, D. R.; Alberding, C. M.; Mazanek, D. D.; Johnson, L. N.; Yeomans, D. K.; Chodas, P. W.; Chamberlin, A. B.; Benner, L. A. M.; Drake, B. G.; Friedensen, V. P.

2012-10-01

Introduction: Much attention has recently been focused on human exploration of near-Earth asteroids (NEAs). Detailed planning for deep space exploration and identification of potential NEA targets for human space flight requires selecting objects from the growing list of known NEAs. NASA therefore initiated the Near-Earth Object Human Space Flight Accessible Target Study (NHATS), which uses dynamical trajectory performance constraints to identify potentially accessible NEAs. Accessibility Criteria: Future NASA human space flight capability is being defined while the Orion Multi-Purpose Crew Vehicle and Space Launch System are under development. Velocity change and mission duration are two of the most critical factors in any human spaceflight endeavor, so the most accessible NEAs tend to be those with orbits similar to Earth’s. To be classified as NHATS-compliant, a NEA must offer at least one round-trip trajectory solution satisfying purposely inclusive constraints, including total mission change in velocity ≤ 12 km/s, mission duration ≤ 450 days (with at least 8 days at the NEA), Earth departure between Jan 1, 2015 and Dec 31, 2040, Earth departure C3 ≤ 60 km2/s2, and Earth return atmospheric entry speed ≤ 12 km/s. Monitoring and Updates: The NHATS list of potentially accessible targets is continuously updated as NEAs are discovered and orbit solutions for known NEAs are improved. The current list of accessible NEAs identified as potentially viable for future human exploration under the NHATS criteria is available to the international community via a website maintained by NASA’s NEO Program Office (http://neo.jpl.nasa.gov/nhats/). This website also lists predicted optical and radar observing opportunities for each NHATS-compliant NEA to facilitate acquisition of follow-up observations. Conclusions: This list of NEAs will be useful for analyzing robotic mission opportunities, identifying optimal round trip human space flight trajectories, and highlighting attractive objects of interest for future ground-based observation opportunities.

Sociodemographic characteristics associated with frequency and duration of eating family meals: a cross-sectional analysis.

PubMed

Skeer, Margie R; Yantsides, Konstantina E; Eliasziw, Misha; Tracy, Migdalia R; Carlton-Smith, Allison R; Spirito, Anthony

2016-01-01

Children who frequently eat family meals are less likely to develop risk- and behavior-related outcomes, such as substance misuse, sexual risk, and obesity. Few studies have examined sociodemographic characteristics associated with both meal frequency (i.e., number of meals) and duration (i.e., number of minutes spent at mealtimes). We examine the association between sociodemographics and family meal frequency and duration among a sample of 85 parents in a large New England city that was recruited through the public-school system. Additionally, we examined differences in family meals by race/ethnicity and parental nativity. Unadjusted ANOVA and adjusted ANCOVA models were used to assess the associations between sociodemographic characteristics and frequency and duration of meals. Sociodemographic characteristics were not significantly associated with the frequency of family meals; however, in the adjusted models, differences were associated with duration of meals. Parents who were born outside the U.S. spent an average of 135.0 min eating meals per day with their children compared to 76.2 for parents who were born in the U.S. ( p  < 0.01). Additionally, parents who reported being single, divorced, or separated on average, spent significantly more time per day eating family meals (126.7 min) compared to parents who reported being married or partnered (84.4; p  = 0.02). Differences existed in meal duration by parental nativity and race/ethnicity, ranging from 63.7 min among multi-racial/other parents born in the U.S. to 182.8 min among black parents born outside the U.S. This study builds a foundation for focused research into the mechanisms of family meals. Future longitudinal epidemiologic research on family meals may help to delineate targets for prevention of maladaptive behaviors, which could affect family-based practices, interventions, and policies.

The psychenet public health intervention for anorexia nervosa: a pre-post-evaluation study in a female patient sample.

PubMed

Gumz, Antje; Weigel, Angelika; Wegscheider, Karl; Romer, Georg; Löwe, Bernd

2018-01-01

Aim This non-randomized pre-post-intervention study investigated the effect of a systemic public health intervention on the length of time between anorexia nervosa symptom onset and contact with the health care system as well as the initiation of treatment. Although systemic public health interventions have successfully been implemented in physical and mental health fields, their effect on the early treatment of patients with anorexia nervosa remains unclear. In total, 59 anorexia nervosa patients (mean age=21.5 years, SD=7.2) were recruited before a systemic public health intervention, and 18 patients (mean age=22.2 years, SD=8.9) were recruited afterwards. Using validated self-report measures and a semi-structured interview, the duration of untreated anorexia nervosa and the duration until first contact with the health care system were investigated. Findings At the beginning of the individual treatment initiation process, participants in both samples most frequently consulted their general practitioner or paediatrician about their eating disorder-related symptoms. Neither the mean duration of untreated anorexia nervosa, that is, the time between illness onset and the initiation of a recommended treatment, nor the duration until first contact with the health care system significantly decreased after the implementation of the systemic public health intervention. The mean duration of untreated anorexia nervosa was 36.5 months (SD=68.2) before the systemic public health intervention and 40.1 months (SD=89.4) after the implementation of the systemic public health intervention. The mean duration until first contact with the health care system was 25.0 months (SD=53.0) before the intervention and 32.8 months (SD=86.5) after the intervention. Primary care providers are crucial to the treatment initiation process and should be involved in future interventions to improve early detection and treatment commencement amongst patients with anorexia nervosa.

Space Station program status and research capabilities

NASA Technical Reports Server (NTRS)

Holt, Alan C.

1995-01-01

Space Station will be a permanent orbiting laboratory in space which will provide researchers with unprecedented opportunities for access to the space environment. Space Station is designed to provide essential resources of volume, crew, power, data handling and communications to accommodate experiments for long-duration studies in technology, materials and the life sciences. Materials and coatings for exposure research will be supported by Space Station, providing new knowledge for applications in Earthbased technology and future space missions. Space Station has been redesigned at the direction of the President. The redesign was performed to significantly reduce development, operations and utilization costs while achieving many of the original goals for long duration scientific research. An overview of the Space Station Program and capabilities for research following the redesign is presented below. Accommodations for pressurized and external payloads are described.

Pilot Field Test: Recovery from a Simulated Fall and Quiet Stance Stability After Long-Duration Space Flight

NASA Technical Reports Server (NTRS)

Kofman, I. S.; Reschke, M. F.; Cerisano, J. M.; Fisher, E. A.; Phillips, T. R.; Rukavishnikov, I. V.; Kitov, V. V.; Lysova, N. Yu; Lee, S. M. C.; Stenger, M. B.;

Drug stability analyzer for long duration spaceflights

NASA Astrophysics Data System (ADS)

Shende, Chetan; Smith, Wayne; Brouillette, Carl; Farquharson, Stuart

2014-06-01

Crewmembers of current and future long duration spaceflights require drugs to overcome the deleterious effects of weightlessness, sickness and injuries. Unfortunately, recent studies have shown that some of the drugs currently used may degrade more rapidly in space, losing their potency well before their expiration dates. To complicate matters, the degradation products of some drugs can be toxic. Consequently there is a need for an analyzer that can determine if a drug is safe at the time of use, as well as to monitor and understand space-induced degradation, so that drug types, formulations, and packaging can be improved. Towards this goal we have been investigating the ability of Raman spectroscopy to monitor and quantify drug degradation. Here we present preliminary data by measuring acetaminophen, and its degradation product, p-aminophenol, as pure samples, and during forced degradation reactions.

Advancing the Oxygen Generation Assembly Design to Increase Reliability and Reduce Costs for a Future Long Duration Mission

NASA Technical Reports Server (NTRS)

Takada, Kevin C.; Ghariani, Ahmed E.; Van Keuren,

2015-01-01

The state-of-the-art Oxygen Generation Assembly (OGA) has been reliably producing breathing oxygen for the crew aboard the International Space Station (ISS) for over eight years. Lessons learned from operating the ISS OGA have led to proposing incremental improvements to advance the baseline design for use in a future long duration mission. These improvements are intended to reduce system weight, crew maintenance time and resupply mass from Earth while increasing reliability. The proposed improvements include replacing the cell stack membrane material, deleting the nitrogen purge equipment, replacing the hydrogen sensors, deleting the wastewater interface, replacing the hydrogen dome and redesigning the cell stack power supply. The development work to date will be discussed and forward work will be outlined. Additionally, a redesigned system architecture will be proposed.

Mitigating HZE Radiation-Induced Deficits in Marrow-Derived Mesenchymal Progenitor Cells and Skeletal Structure

NASA Technical Reports Server (NTRS)

Globus, Ruth K.; Schreurs, Ann-Sofie; Shirazi-Fard, Yasaman; Terada, Masahiro; Alwood, Joshua; Halloran, Bernard; Tahimic, Candice

2016-01-01

Future long-duration space exploration beyond the earths magnetosphere will increase human exposure to space radiation and associated risks to skeletal health. We hypothesize that oxidative stress resulting from radiation exposure causes progressive bone loss and dysfunction in associated tissue. In animal studies, increased free radical formation is associated with pathological changes in bone structure, enhanced bone resorption, reduced bone formation and decreased bone mineral density, which can lead to skeletal fragility.

Fluctuation behaviors of financial return volatility duration

NASA Astrophysics Data System (ADS)

Niu, Hongli; Wang, Jun; Lu, Yunfan

2016-04-01

It is of significantly crucial to understand the return volatility of financial markets because it helps to quantify the investment risk, optimize the portfolio, and provide a key input of option pricing models. The characteristics of isolated high volatility events above certain threshold in price fluctuations and the distributions of return intervals between these events arouse great interest in financial research. In the present work, we introduce a new concept of daily return volatility duration, which is defined as the shortest passage time when the future volatility intensity is above or below the current volatility intensity (without predefining a threshold). The statistical properties of the daily return volatility durations for seven representative stock indices from the world financial markets are investigated. Some useful and interesting empirical results of these volatility duration series about the probability distributions, memory effects and multifractal properties are obtained. These results also show that the proposed stock volatility series analysis is a meaningful and beneficial trial.

Parenting stress among caregivers of children with chronic illness: a systematic review.

PubMed

Cousino, Melissa K; Hazen, Rebecca A

2013-09-01

To critically review, analyze, and synthesize the literature on parenting stress among caregivers of children with asthma, cancer, cystic fibrosis, diabetes, epilepsy, juvenile rheumatoid arthritis, and/or sickle cell disease. Method PsychInfo, MEDLINE, and Cumulative Index to Nursing and Allied Health Literature were searched according to inclusion criteria. Meta-analysis of 13 studies and qualitative analysis of 96 studies was conducted. Results Caregivers of children with chronic illness reported significantly greater general parenting stress than caregivers of healthy children (d = .40; p = ≤.0001). Qualitative analysis revealed that greater general parenting stress was associated with greater parental responsibility for treatment management and was unrelated to illness duration and severity across illness populations. Greater parenting stress was associated with poorer psychological adjustment in caregivers and children with chronic illness. Conclusion Parenting stress is an important target for future intervention. General and illness-specific measures of parenting stress should be used in future studies.

The relationship between micronutrient status and sleep patterns: a systematic review

PubMed Central

Ji, Xiaopeng; Grandner, Michael A; Liu, Jianghong

2017-01-01

Objective To review articles on the relationship of dietary and circulating micronutrients with sleep patterns, and to identify issues surrounding implications for future research and public health practice. Design A systematic review was conducted. PubMed, Embase and Scopus were searched through January 2016. Setting Both experimental and observational studies were included. However, studies that focused on secondary sleep impairment due to comorbidities were excluded. Subjects Individuals in different age groups, from infants to older adults. Results A total of twenty-six articles were selected. In the articles reviewed, researchers generally supported a potential role of micronutrients, particularly Fe and Mg, in the development of sleep stages among infants and in reversing age-related alterations in sleep architecture in older adults. Micronutrient status has also been linked to sleep duration, with sleep duration positively associated with Fe, Zn and Mg levels, and negatively associated with Cu, K and vitamin B12 levels. The mechanisms underlying these relationships include the impact of micronutrients on excitatory/inhibitory neurotransmitters and the expression of circadian genes. Conclusions Although the number of studies on the relationship between micronutrient status and sleep remains low, evidence has emerged that suggests a link between dietary/circulating micronutrients and sleep. Future research is needed to investigate the dose-dependent as well as the longitudinal relationships between micronutrient levels and human sleep across populations, test the interactions among micronutrients on sleep outcomes, and ultimately examine the clinical relevance of micronutrients on sleep health. PMID:27702409

Lubrication of space systems

NASA Technical Reports Server (NTRS)

Fusaro, Robert L.

1994-01-01

NASA has many high-technology programs plannned for the future, such as the space station, Mission to Planet Earth (a series of Earth-observing satellites), space telescopes, and planetary orbiters. These missions will involve advanced mechanical moving components, space mechanisms that will need wear protection and lubrication. The tribology practices used in space today are primarily based on a technology that is more than 20 years old. The question is the following: Is this technology base good enough to meet the needs of these future long-duration NASA missions? This paper examines NASA's future space missions, how mechanisms are currently lubricated, some of the mechanism and tribology challenges that may be encountered in future missions, and some potential solutions to these future challenges.

Integrated Human-in-the-Loop Ground Testing - Value, History, and the Future

NASA Technical Reports Server (NTRS)

Henninger, Donald L.

2016-01-01

Systems for very long-duration human missions to Mars will be designed to operate reliably for many years and many of these systems will never be returned to Earth. The need for high reliability is driven by the requirement for safe functioning of remote, long-duration crewed systems and also by unsympathetic abort scenarios. Abort from a Mars mission could be as long as 450 days to return to Earth. The key to developing a human-in-the-loop architecture is a development process that allows for a logical sequence of validating successful development in a stepwise manner, with assessment of key performance parameters (KPPs) at each step; especially important are KPPs for technologies evaluated in a full systems context with human crews on Earth and on space platforms such as the ISS. This presentation will explore the implications of such an approach to technology development and validation including the roles of ground and space-based testing necessary to develop a highly reliable system for long duration human exploration missions. Historical development and systems testing from Mercury to the International Space Station (ISS) to ground testing will be reviewed. Current work as well as recommendations for future work will be described.

Duration of dual antiplatelet therapy in acute coronary syndrome

PubMed Central

Wilson, Simon John; Newby, David E; Dawson, Dana; Irving, John; Berry, Colin

2017-01-01

Despite a large volume of evidence supporting the use of dual antiplatelet therapy in patients with acute coronary syndrome, there remains major uncertainty regarding the optimal duration of therapy. Clinical trials have varied markedly in the duration of therapy, both across and within trials. Recent systematic reviews and meta-analyses suggest that shorter durations of dual antiplatelet therapy are superior because the avoidance of atherothrombotic events is counterbalanced by the greater risks of excess major bleeding with apparent increases in all-cause mortality with longer durations. These findings did not show significant heterogeneity according to whether patients had stable or unstable coronary heart disease. Moreover, the potential hazards and benefits may differ when applied to the general broad population of patients encountered in everyday clinical practice who have markedly higher bleeding and atherothrombotic event rates. Clinicians lack definitive information regarding the duration of therapy in patients with acute coronary syndrome and risk scores do not appear to be sufficiently robust to address these concerns. We believe that there is a pressing need to undertake a broad inclusive safety trial of shorter durations of therapy in real world populations of patients with acute coronary syndrome. The clinical evidence would further inform future research into strategies for personalised medicine. PMID:28249994

A preliminary study on drought events in Peninsular Malaysia

NASA Astrophysics Data System (ADS)

Zin, Wan Zawiah Wan; Nahrawi, Siti Aishah; Jemain, Abdul Aziz; Zahari, Marina

2014-06-01

In this research, the Standard Precipitation Index (SPI) is used to represent the dry condition in Peninsular Malaysia. To do this, data of monthly rainfall from 75 stations in Peninsular Malaysia is used to obtain the SPI values at scale one. From the SPI values, two drought characteristics that are commonly used to represent the dry condition in an area that is the duration and severity of a drought period are identified and their respective values calculated for every station. Spatial mappings are then used to identify areas which are more likely to be affected by longer and more severe drought condition from the results. As the two drought characteristics may be correlated with each other, the joint distribution of severity and duration of dry condition is considered. Bivariate copula model is used and five copula models were tested, namely, the Gumbel-Hougard, Clayton, Frank, Joe and Galambos copulas. The copula model, which best represents the relationship between severity and duration, is determined using Akaike information criterion. The results showed that the Joe and Clayton copulas are well-fitted by close to 60% of the stations under study. Based on the results on the most appropriate copula-based joint distribution for each station, some bivariate probabilistic properties of droughts can then be calculated, which will be continued in future research.

Early clinical outcomes following laparoscopic inguinal hernia repair.

PubMed

Tolver, Mette Astrup

2013-07-01

Laparoscopic inguinal hernia repair (TAPP) has gained increasing popularity because of less post-operative pain and a shorter duration of convalescence compared with open hernia repair technique (Lichtenstein). However, investigation of duration of convalescence with non-restrictive recommendations, and a procedure-specific characterization of the early clinical outcomes after TAPP was lacking. Furthermore, optimization of the post-operative period with fibrin sealant versus tacks for fixation of mesh, and the glucocorticoid dexamethasone versus placebo needed to be investigated in randomized clinical trials. The objective of this PhD thesis was to characterize the early clinical outcomes after TAPP and optimize the post-operative period. The four studies included in this thesis have investigated duration of convalescence and procedure-specific post-operative pain and other early clinical outcomes after TAPP. Furthermore, it has been shown that fibrin sealant can improve the early post-operative period compared with tacks, while dexamethasone showed no advantages apart from reduced use of antiemetics compared with placebo. Based on these findings, and the existing knowledge, 3-5 days of convalescence should be expected when 1 day of convalescence is recommended and future studies should focus on reducing intraabdominal pain after TAPP. Fibrin sealant can optimize the early clinical outcomes but the risk of hernia recurrence and chronic pain needs to be evaluated. Dexamethasone should be investigated in higher doses.

Inhibition of the reverse mode of the Na+/Ca2+ exchange by KB-R7943 augments arrhythmogenicity in the canine heart during rapid heart rates.

PubMed

Shinada, Takuro; Hirayama, Yoshiyuki; Maruyama, Mitsunori; Ohara, Toshihiko; Yashima, Masaaki; Kobayashi, Yoshinori; Atarashi, Hirotsugu; Takano, Teruo

2005-07-01

To test the hypothesis that the reverse mode of the Na+/Ca2+ exchange augmented by a rapid heart rate has an antiarrhythmic effect by shortening the action potential duration, we examined the effects of KB-R7943 (2-[2-[4-(4-nitrobenzyloxy)phenyl]ethyl] isothiourea methanesulfonate), a selective inhibitor of the reverse mode of the Na+/Ca2+ exchange, to attenuate this effect. We recorded the electrocardiogram, monophasic action potential (MAP), and left ventricular pressure in canine beating hearts. In comparison to the control, KB-R7943 significantly increased the QTc value and MAP duration. MAP alternans and left ventricular pressure alternans were observed after changing the cycle length to 300 milliseconds in the control studies. KB-R7943 magnified both types of alternans and produced spatially discordant alternans between right and left ventricles. Early after-depolarizations and nonsustained ventricular tachycardia occurred in the presence of KB-R7943. Our data suggest that the reverse mode of the Na+/Ca2+ exchange may contribute to suppression of arrhythmias by abbreviating action potential duration under pathophysiological conditions. This conclusion is based on further confirmation by future studies of the specificity of KB-R7943 for block of the reverse mode of the Na+/Ca2+ exchange.

Cognitive rehabilitation in schizophrenia: a quantitative analysis of controlled studies.

PubMed

Krabbendam, Lydia; Aleman, André

2003-09-01

Cognitive rehabilitation is now recognized as an important tool in the treatment of schizophrenia, and findings in this area are emerging rapidly. There is a need for a systematic review of the effects of the different training programs. To review quantitatively the controlled studies on cognitive rehabilitation in schizophrenia for the effect of training on performance on tasks other than those practiced in the training procedure. A meta-analysis was conducted on 12 controlled studies of cognitive rehabilitation in schizophrenia taking into account the effects of type of rehabilitation approach (rehearsal or strategy learning) and duration of training. The mean weighted effect size was 0.45, with a 95% confidence interval from 0.26 to 0.64. Effect sizes differed slightly, depending on rehabilitation approach, in favor of strategy learning, but this difference did not reach statistical significance. Duration of training did not influence effect size. Cognitive rehabilitation can improve task performance in patients with schizophrenia and this effect is apparent on tasks outside those practiced during the training procedure. Future studies should include more real-world outcomes and perform longitudinal evaluations.

Impacts of the active layer on runoff in an upland permafrost basin, northern Tibetan Plateau

PubMed Central

Zhang, Tingjun; Guo, Hong; Hu, Yuantao; Shang, Jianguo; Zhang, Yulan

2018-01-01

The paucity of studies on permafrost runoff generation processes, especially in mountain permafrost, constrains the understanding of permafrost hydrology and prediction of hydrological responses to permafrost degradation. This study investigated runoff generation processes, in addition to the contribution of summer thaw depth, soil temperature, soil moisture, and precipitation to streamflow in a small upland permafrost basin in the northern Tibetan Plateau. Results indicated that the thawing period and the duration of the zero-curtain were longer in permafrost of the northern Tibetan Plateau than in the Arctic. Limited snowmelt delayed the initiation of surface runoff in the peat permafrost in the study area. The runoff displayed intermittent generation, with the duration of most runoff events lasting less than 24 h. Precipitation without runoff generation was generally correlated with lower soil moisture conditions. Combined analysis suggested runoff generation in this region was controlled by soil temperature, thaw depth, precipitation frequency and amount, and antecedent soil moisture. This study serves as an important baseline to evaluate future environmental changes on the Tibetan Plateau. PMID:29470510

Impacts of the active layer on runoff in an upland permafrost basin, northern Tibetan Plateau.

PubMed

Gao, Tanguang; Zhang, Tingjun; Guo, Hong; Hu, Yuantao; Shang, Jianguo; Zhang, Yulan

2018-01-01

The paucity of studies on permafrost runoff generation processes, especially in mountain permafrost, constrains the understanding of permafrost hydrology and prediction of hydrological responses to permafrost degradation. This study investigated runoff generation processes, in addition to the contribution of summer thaw depth, soil temperature, soil moisture, and precipitation to streamflow in a small upland permafrost basin in the northern Tibetan Plateau. Results indicated that the thawing period and the duration of the zero-curtain were longer in permafrost of the northern Tibetan Plateau than in the Arctic. Limited snowmelt delayed the initiation of surface runoff in the peat permafrost in the study area. The runoff displayed intermittent generation, with the duration of most runoff events lasting less than 24 h. Precipitation without runoff generation was generally correlated with lower soil moisture conditions. Combined analysis suggested runoff generation in this region was controlled by soil temperature, thaw depth, precipitation frequency and amount, and antecedent soil moisture. This study serves as an important baseline to evaluate future environmental changes on the Tibetan Plateau.

Long-term mortality experience of steelworkers. VIII. Mortality patterns of open hearth steelworkers (a preliminary report).

PubMed

Redmond, C K; Gustin, J; Kamon, E

1975-01-01

The findings in this report of a deficit in mortality from cardiovascular diseases and an excess in diseases of the digestive system among open hearth workers indicate the need for further study of men working in hot environments. In future reports we hope to refine the comparisons by obtaining data which will enable classification of workers more precisely by intensity and duration of exposure within the open hearth. Of particular importance in future work are the evaluation of possible relationships between the actual levels of heat exposure and subsequent morbidity and mortality, as well as possible interactions between heat stress and physical exertion in terms of the incidence of heart disease and other select diseases.

The effects of duration of exposure to the REAPS model in developing students' general creativity and creative problem solving in science

NASA Astrophysics Data System (ADS)

Alhusaini, Abdulnasser Alashaal F.

The Real Engagement in Active Problem Solving (REAPS) model was developed in 2004 by C. June Maker and colleagues as an intervention for gifted students to develop creative problem solving ability through the use of real-world problems. The primary purpose of this study was to examine the effects of the REAPS model on developing students' general creativity and creative problem solving in science with two durations as independent variables. The long duration of the REAPS model implementation lasted five academic quarters or approximately 10 months; the short duration lasted two quarters or approximately four months. The dependent variables were students' general creativity and creative problem solving in science. The second purpose of the study was to explore which aspects of creative problem solving (i.e., generating ideas, generating different types of ideas, generating original ideas, adding details to ideas, generating ideas with social impact, finding problems, generating and elaborating on solutions, and classifying elements) were most affected by the long duration of the intervention. The REAPS model in conjunction with Amabile's (1983; 1996) model of creative performance provided the theoretical framework for this study. The study was conducted using data from the Project of Differentiation for Diverse Learners in Regular Classrooms (i.e., the Australian Project) in which one public elementary school in the eastern region of Australia cooperated with the DISCOVER research team at the University of Arizona. All students in the school from first to sixth grade participated in the study. The total sample was 360 students, of which 115 were exposed to a long duration and 245 to a short duration of the REAPS model. The principal investigators used a quasi-experimental research design in which all students in the school received the treatment for different durations. Students in both groups completed pre- and posttests using the Test of Creative Thinking-Drawing Production (TCT-DP) and the Test of Creative Problem Solving in Science (TCPS-S). A one-way analysis of covariance (ANCOVA) was conducted to control for differences between the two groups on pretest results. Statistically significant differences were not found between posttest scores on the TCT-DP for the two durations of REAPS model implementation. However, statistically significant differences were found between posttest scores on the TCPS-S. These findings are consistent with Amabile's (1983; 1996) model of creative performance, particularly her explanation that domain-specific creativity requires knowledge such as specific content and technical skills that must be learned prior to being applied creatively. The findings are also consistent with literature in which researchers have found that longer interventions typically result in expected positive growth in domain-specific creativity, while both longer and shorter interventions have been found effective in improving domain-general creativity. Change scores were also calculated between pre- and posttest scores on the 8 aspects of creativity (Maker, Jo, Alfaiz, & Alhusaini, 2015a), and a binary logistic regression was conducted to assess which were the most affected by the long duration of the intervention. The regression model was statistically significant, with aspects of generating ideas, adding details to ideas, and finding problems being the most affected by the long duration of the intervention. Based on these findings, the researcher believes that the REAPS model is a useful intervention to develop students' creativity. Future researchers should implement the model for longer durations if they are interested in developing students' domain-specific creative problem solving ability.

Short versus prolonged dual antiplatelet therapy (DAPT) duration after coronary stent implantation: A comparison between the DAPT study and 9 other trials evaluating DAPT duration

PubMed Central

Toyota, Toshiaki; Shiomi, Hiroki; Morimoto, Takeshi; Natsuaki, Masahiro; Kimura, Takeshi

2017-01-01

Aims The Dual Antiplatelet Therapy (DAPT) study demonstrated that DAPT beyond 1-year after drug-eluting stent (DES) implantation, as compared with aspirin therapy alone, significantly reduced the risk of major cardiovascular and cerebrovascular events, which was mainly driven by the large risk reduction for myocardial infarction (MI). We sought to compare the largest DAPT study with other trials evaluating DAPT durations after DES implantation. Methods and results By a systematic literature search, we identified 9 trials comparing prolonged- versus short-DAPT in addition to the DAPT study. The result from the DAPT study (N = 9961) with public–private collaboration was different from the pooled result of the 9 other investigator-driven trials (N = 22174) in terms of the effect of prolonged-DAPT on MI (odds ratio [OR] 0.48 [95%CI 0.38–0.62] versus pooled OR 0.88 [95%CI 0.67–1.15]: P = 0.001 for difference), while the trends for excess risk of prolonged-DAPT relative to short-DAPT for all-cause death (OR 1.31 [95%CI 0.97–1.78] versus pooled OR 1.16 [95%CI 0.92–1.45]: P = 0.53 for difference), and bleeding (OR 1.62 [95%CI 1.21–2.17] versus pooled OR 2.08 [95%CI 1.51–2.84]: P = 0.25 for difference) were consistently seen in both the DAPT and other trials. The annual rate of MI during aspirin mono-therapy in the DAPT study was much higher than that those in the other trials (2.7% versus 0.6–1.6%). Conclusions Given the difference between the DAPT study and other trials, future studies should focus on certain subgroups of patients that are more or less likely to benefit from longer duration DAPT. PMID:28931015

Short versus prolonged dual antiplatelet therapy (DAPT) duration after coronary stent implantation: A comparison between the DAPT study and 9 other trials evaluating DAPT duration.

PubMed

Toyota, Toshiaki; Shiomi, Hiroki; Morimoto, Takeshi; Natsuaki, Masahiro; Kimura, Takeshi

2017-01-01

The Dual Antiplatelet Therapy (DAPT) study demonstrated that DAPT beyond 1-year after drug-eluting stent (DES) implantation, as compared with aspirin therapy alone, significantly reduced the risk of major cardiovascular and cerebrovascular events, which was mainly driven by the large risk reduction for myocardial infarction (MI). We sought to compare the largest DAPT study with other trials evaluating DAPT durations after DES implantation. By a systematic literature search, we identified 9 trials comparing prolonged- versus short-DAPT in addition to the DAPT study. The result from the DAPT study (N = 9961) with public-private collaboration was different from the pooled result of the 9 other investigator-driven trials (N = 22174) in terms of the effect of prolonged-DAPT on MI (odds ratio [OR] 0.48 [95%CI 0.38-0.62] versus pooled OR 0.88 [95%CI 0.67-1.15]: P = 0.001 for difference), while the trends for excess risk of prolonged-DAPT relative to short-DAPT for all-cause death (OR 1.31 [95%CI 0.97-1.78] versus pooled OR 1.16 [95%CI 0.92-1.45]: P = 0.53 for difference), and bleeding (OR 1.62 [95%CI 1.21-2.17] versus pooled OR 2.08 [95%CI 1.51-2.84]: P = 0.25 for difference) were consistently seen in both the DAPT and other trials. The annual rate of MI during aspirin mono-therapy in the DAPT study was much higher than that those in the other trials (2.7% versus 0.6-1.6%). Given the difference between the DAPT study and other trials, future studies should focus on certain subgroups of patients that are more or less likely to benefit from longer duration DAPT.

Systematic Studies of Modified Vocalization: Speech Production Changes During a Variation of Metronomic Speech in Persons Who Do and Do Not Stutter

PubMed Central

Davidow, Jason H.; Bothe, Anne K.; Ye, Jun

2011-01-01

The most common way to induce fluency using rhythm requires persons who stutter to speak one syllable or one word to each beat of a metronome, but stuttering can also be eliminated when the stimulus is of a particular duration (e.g., 1 s). The present study examined stuttering frequency, speech production changes, and speech naturalness during rhythmic speech that alternated 1 s of reading with 1 s of silence. A repeated-measures design was used to compare data obtained during a control reading condition and during rhythmic reading in 10 persons who stutter (PWS) and 10 normally fluent controls. Ratings for speech naturalness were also gathered from naïve listeners. Results showed that mean vowel duration increased significantly, and the percentage of short phonated intervals decreased significantly, for both groups from the control to the experimental condition. Mean phonated interval length increased significantly for the fluent controls. Mean speech naturalness ratings during the experimental condition were approximately 7 on a 1–9 scale (1 = highly natural; 9 = highly unnatural), and these ratings were significantly correlated with vowel duration and phonated intervals for PWS. The findings indicate that PWS may be altering vocal fold vibration duration to obtain fluency during this rhythmic speech style, and that vocal fold vibration duration may have an impact on speech naturalness during rhythmic speech. Future investigations should examine speech production changes and speech naturalness during variations of this rhythmic condition. Educational Objectives The reader will be able to: (1) describe changes (from a control reading condition) in speech production variables when alternating between 1 s of reading and 1 s of silence, (2) describe which rhythmic conditions have been found to sound and feel the most natural, (3) describe methodological issues for studies about alterations in speech production variables during fluency-inducing conditions, and (4) describe which fluency-inducing conditions have been shown to involve a reduction in short phonated intervals. PMID:21664528

Leisure time activities in space: A survey of astronauts and cosmonauts

NASA Astrophysics Data System (ADS)

Kelly, Alan D.; Kanas, Nick

Questionnaires were returned from 54 astronauts and cosmonauts which addressed preferences for media and media-generated subjects that could be used to occupy leisure time in space. Ninety-three percent of the respondents had access to records or audio cassettes, and cosmonauts had greater access than astronauts to multiple media. Cosmonauts and long-duration space travelers reported that they missed various media more than their astronaut and short-duration counterparts. Media subjects that related to international events, national events and historical topics were rated as most preferable by all respondents and by several of the respondent groups. The findings are discussed in terms of their relevance for occupying free time during future long-duration manned space missions.

GeoLab Concept: The Importance of Sample Selection During Long Duration Human Exploration Mission

NASA Technical Reports Server (NTRS)

Calaway, M. J.; Evans, C. A.; Bell, M. S.; Graff, T. G.

2011-01-01

In the future when humans explore planetary surfaces on the Moon, Mars, and asteroids or beyond, the return of geologic samples to Earth will be a high priority for human spaceflight operations. All future sample return missions will have strict down-mass and volume requirements; methods for in-situ sample assessment and prioritization will be critical for selecting the best samples for return-to-Earth.

Power Subsystem for Extravehicular Activities for Exploration Missions

NASA Technical Reports Server (NTRS)

Manzo, Michelle

2005-01-01

The NASA Glenn Research Center has the responsibility to develop the next generation space suit power subsystem to support the Vision for Space Exploration. Various technology challenges exist in achieving extended duration missions as envisioned for future lunar and Mars mission scenarios. This paper presents an overview of ongoing development efforts undertaken at the Glenn Research Center in support of power subsystem development for future extravehicular activity systems.

Projected changes in atmospheric heating due to changes in fire disturbance and the snow season in the western Arctic, 2003-2100

Treesearch

E.S. Euskirchen; A.D. McGuire; T.S. Rupp; F.S. Chapin; J.E. Walsh

2009-01-01

In high latitudes, changes in climate impact fire regimes and snow cover duration, altering the surface albedo and the heating of the regional atmosphere. In the western Arctic, under four scenarios of future climate change and future fire regimes (2003-2100), we examined changes in surface albedo and the related changes in regional atmospheric heating due to: (1)...

Intermittent Fasting: Is the Wait Worth the Weight?

PubMed

Stockman, Mary-Catherine; Thomas, Dylan; Burke, Jacquelyn; Apovian, Caroline M

2018-06-01

We review the underlying mechanisms and potential benefits of intermittent fasting (IF) from animal models and recent clinical trials. Numerous variations of IF exist, and study protocols vary greatly in their interpretations of this weight loss trend. Most human IF studies result in minimal weight loss and marginal improvements in metabolic biomarkers, though outcomes vary. Some animal models have found that IF reduces oxidative stress, improves cognition, and delays aging. Additionally, IF has anti-inflammatory effects, promotes autophagy, and benefits the gut microbiome. The benefit-to-harm ratio varies by model, IF protocol, age at initiation, and duration. We provide an integrated perspective on potential benefits of IF as well as key areas for future investigation. In clinical trials, caloric restriction and IF result in similar degrees of weight loss and improvement in insulin sensitivity. Although these data suggest that IF may be a promising weight loss method, IF trials have been of moderate sample size and limited duration. More rigorous research is needed.

The picosecond laser for tattoo removal.

PubMed

Hsu, Vincent M; Aldahan, Adam S; Mlacker, Stephanie; Shah, Vidhi V; Nouri, Keyvan

2016-11-01

The prevalence of tattoos continues to grow as modern society's stigma towards this form of body art shifts towards greater acceptance. Approximately one third of Americans aged 18-25 and 40 % of Americans aged 26-40 are tattooed. As tattoos continue to rise in popularity, so has the demand for an effective method of tattoo removal such as lasers. The various colors of tattoo inks render them ideal targets for specific lasers using the principle of selective photothermolysis. Traditional laser modalities employed for tattoo removal operate on pulse durations in the nanosecond domain. However, this pulse duration range is still too long to effectively break ink into small enough particles. Picosecond (10 -12 ) lasers have emerged at the forefront of laser tattoo removal due to their shorter pulse lengths, leading to quicker heating of the target chromophores, and consequently, more effective tattoo clearance. Recent studies have cited more effective treatment outcomes using picosecond lasers. Future comparative studies between picosecond lasers of various settings are necessary to determine optimal laser parameters for tattoo clearance.

Recent advances in ultrasonic treatment: Challenges and field applications for controlling harmful algal blooms (HABs).

PubMed

Park, Jungsu; Church, Jared; Son, Younggyu; Kim, Keug-Tae; Lee, Woo Hyoung

2017-09-01

Algal blooms are a naturally occurring phenomenon which can occur in both freshwater and saltwater. However, due to excess nutrient loading in water bodies (e.g. agricultural runoff and industrial activities), harmful algal blooms (HABs) have become an increasing issue globally, and can even cause health effects in humans due to the release of cyanotoxins. Among currently available treatment methods, sonication has received increasing attention for algal control because of its low impact on ecosystems and the environment. The effects of ultrasound on algal cells are well understood and operating parameter such as frequency, intensity, and duration of exposure has been well studied. However, most studies have been limited to laboratory data interpretation due to complicated environmental conditions in the field. Only a few field and pilot tests in small reservoirs were reported and the applicability of ultrasound for HABs prevention and control is still under question. There is a lack of information on the upscaling of ultrasonication devices for HAB control on larger water bodies, considering field influencing factors such as rainfall, light intensity/duration, temperature, water flow, nutrients loading, and turbidity. In this review article, we address the challenges and field considerations of ultrasonic applications for controlling algal blooms. An extensive literature survey, from the fundamentals of ultrasound techniques to recent ultrasound laboratory and field studies, has been thoroughly conducted and summarized to identify future technical expectations for field applications. Case studies investigating spatial distribution of frequency and pressure during sonication are highlighted with future implications. Copyright © 2017 Elsevier B.V. All rights reserved.

Analysis of magnitude and duration of floods and droughts in the context of climate change

NASA Astrophysics Data System (ADS)

Eshetu Debele, Sisay; Bogdanowicz, Ewa; Strupczewski, Witold

2016-04-01

Research and scientific information are key elements of any decision-making process. There is also a strong need for tools to describe and compare in a concise way the regime of hydrological extreme events in the context of presumed climate change. To meet these demands, two complementary methods for estimating high and low-flow frequency characteristics are proposed. Both methods deal with duration and magnitude of extreme events. The first one "flow-duration-frequency" (known as QdF) has already been applied successfully to low-flow analysis, flood flows and rainfall intensity. The second one called "duration-flow-frequency" (DqF) was proposed by Strupczewski et al. in 2010 to flood frequency analysis. The two methods differ in the treatment of flow and duration. In the QdF method the duration (d-consecutive days) is a chosen fixed value and the frequency analysis concerns the annual or seasonal series of mean value of flows exceeded (in the case of floods) or non-exceeded (in the case of droughts) within d-day period. In the second method, DqF, the flows are treated as fixed thresholds and the duration of flows exceeding (floods) and non-exceeding (droughts) these thresholds are a subject of frequency analysis. The comparison of characteristics of floods and droughts in reference period and under future climate conditions for catchments studied within the CHIHE project is presented and a simple way to show the results to non-professionals and decision-makers is proposed. The work was undertaken within the project "Climate Change Impacts on Hydrological Extremes (CHIHE)", which is supported by the Norway-Poland Grants Program administered by the Norwegian Research Council. The observed time series were provided by the Institute of Meteorology and Water Management (IMGW), Poland. Strupczewski, W. G., Kochanek, K., Markiewicz, I., Bogdanowicz, E., Weglarczyk, S., & Singh V. P. (2010). On the Tails of Distributions of Annual Peak Flow. Hydrology Research, 42, 171-192. http://dx.doi.org/10.2166/nh.2011.062

STEM professional development: What's going on from the presenters' and participants' perspectives?

NASA Astrophysics Data System (ADS)

Williams, Randi

This study was designed to explore elementary STEM professional development viewed from the presenters' and participants' perspectives. Numerous committees and educational organizations recommend investing in STEM professional development at the local, state, and national level. This investment must begin with research that inquires how STEM professional development is structured and what is needed for teacher and student success. Since there is a recent STEM education push in schools, elementary teachers need effective professional development in order to gain the necessary content, skills, confidence, and pedagogy required for those changing demands. This qualitative study embraced. Yin's case study methodology by observing short-duration STEM professional development for elementary teachers within a large metropolitan school system and an educational professional development agency. The study discussed the analysis and findings in the context of Bandura's sources of efficacy and Desimone's critical features of professional development. Data were gathered form professional development observations, presenter interviews, and participant interviews. The research questions for this study included: (a) based on Desimone's (2009) framework for professional development, what does content focused, active learning, coherence, duration, and collective participation look like in initial STEM professional development for elementary teachers? (b) are Bandura's (1997) four sources of self- efficacy: mastery experiences, vicarious experiences, social persuasion, and affective states evidenced within the short duration professional development? and (c) how do these two frameworks align between presenter and participant thoughts and actions? This study uncovered additional sources of efficacy are present in short-duration STEM professional development. These found sources include coherence, content, and active learning delivered in a definitive order. The findings of this study have implications for educators, policy makers, and developers of professional development. Future research is needed to add to the small body of literature about STEM professional development, specifically research to fully understand the structure of STEM professional development and how this differs for other areas of learning.

An investigation into incident duration forecasting for FleetForward

DOT National Transportation Integrated Search

2000-08-01

Traffic condition forecasting is the process of estimating future traffic conditions based on current and archived data. Real-time forecasting is becoming an important tool in Intelligent Transportation Systems (ITS). This type of forecasting allows ...

Language, duration of United States residency, and leisure time physical activity among women from the Third National Health and Nutrition Examination Survey (NHANES III).

PubMed

Gaskins, Ronnesia B; Baskin, Monica L; Person, Sharina D

2012-11-01

Physical inactivity is a leading public health concern, particularly among women and ethnic minority groups, where Latinas are among the largest and fastest growing U.S. populations. Acculturation, known to affect other health behaviors, may explain low physical activity (PA) among these underserved women. Research on the effects of acculturation on PA, however, is scarce or limited by methodology. The study purpose was to evaluate the association between acculturation (i.e., language, birth country, and duration of U.S. residency) and PA in a national sample of women within the framework of the socioecologic model of health promotion. A total of 5,861 women (86% white, mean age 37.2) were sampled from the Third National Health and Nutrition Examination Survey (NHANES III). Hierarchical multivariable regression modeling results indicate significant associations among language, duration of U.S. residency, and age, after controlling for confounders (all p<0.05). Most women reported less than recommended PA. These findings indicate that age, duration of U.S. residency, and language are important to consider in combination when understanding women's PA, findings that have implications for future research, theory, and clinical practice (e.g., making available PA assessments in multiple languages additionally tailored on age and investigating sociopolitical factors unique to Latinas).

Potential Applications of Modularity to Enable a Deep Space Habitation Capability for Future Human Exploration Beyond Low-Earth Orbit

NASA Technical Reports Server (NTRS)

Simon, Matthew A.; Toups, Larry; Smitherman, David

2012-01-01

Evaluating preliminary concepts of a Deep Space Habitat (DSH) enabling long duration crewed exploration of asteroids, the Moon, and Mars is a technically challenging problem. Sufficient habitat volumes and equipment, necessary to ensure crew health and functionality, increase propellant requirements and decrease launch flexibility to deliver multiple elements on a single launch vehicle; both of which increase overall mission cost. Applying modularity in the design of the habitat structures and subsystems can alleviate these difficulties by spreading the build-up of the overall habitation capability across several smaller parts. This allows for a more flexible habitation approach that accommodates various crew mission durations and levels of functionality. This paper provides a technical analysis of how various modular habitation approaches can impact the parametric design of a DSH with potential benefits in mass, packaging volume, and architectural flexibility. This includes a description of the desired long duration habitation capability, the definition of a baseline model for comparison, a small trade study to investigate alternatives, and commentary on potentially advantageous configurations to enable different levels of habitability. The approaches investigated include modular pressure vessel strategies, modular subsystems, and modular manufacturing approaches to habitat structure. The paper also comments upon the possibility of an integrated habitation strategy using modular components to create all short and long duration habitation elements required in the current exploration architectures.

Flooding Hazard Maps of Different Land Uses in Subsidence Area

NASA Astrophysics Data System (ADS)

Lin, Yongjun; Chang, Hsiangkuan; Tan, Yihchi

2017-04-01

This study aims on flooding hazard maps of different land uses in the subsidence area of southern Taiwan. Those areas are low-lying due to subsidence resulting from over pumping ground water for aquaculture. As a result, the flooding due to storm surges and extreme rainfall are frequent in this area and are expected more frequently in the future. The main land uses there include: residence, fruit trees, and aquaculture. The hazard maps of the three land uses are investigated. The factors affecting hazards of different land uses are listed below. As for residence, flooding depth, duration of flooding, and rising rate of water surface level are factors affecting its degree of hazard. High flooding depth, long duration of flooding, and fast rising rate of water surface make residents harder to evacuate. As for fruit trees, flooding depth and duration of flooding affects its hazard most due to the root hypoxia. As for aquaculture, flooding depth affects its hazard most because the high flooding depth may cause the fish flush out the fishing ponds. An overland flow model is used for simulations of hydraulic parameters for factors such as flooding depth, rising rate of water surface level and duration of flooding. As above-mentioned factors, the hazard maps of different land uses can be made and high hazardous are can also be delineated in the subsidence areas.

ALARA database value in future outage work planning and dose management

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

Miller, D.W.; Green, W.H.

1995-03-01

ALARA database encompassing job-specific duration and man-rem plant specific information over three refueling outages represents an invaluable tool for the outage work planner and ALARA engineer. This paper describes dose-management trends emerging based on analysis of three refueling outages at Clinton Power Station. Conclusions reached based on hard data available from a relational database dose-tracking system is a valuable tool for planning of future outage work. The system`s ability to identify key problem areas during a refueling outage is improving as more outage comparative data becomes available. Trends over a three outage period are identified in this paper in themore » categories of number and type of radiation work permits implemented, duration of jobs, projected vs. actual dose rates in work areas, and accuracy of outage person-rem projection. The value of the database in projecting 1 and 5 year station person-rem estimates is discussed.« less

SpaceX CRS-15 What's on Board Briefing

NASA Image and Video Library

2018-06-28

The What’s On Board Science Briefing highlights some of the research headed for the International Space Station. · The Crew Interactive Mobile companion (CIMON) will study crew efficiency and acceptance of artificial intelligence (AI) support for future use on long-duration missions. Chemical Gardens will study the physics of nanotube growth. ECOsystem Spaceborne Thermal Radiometer Experiment on Space Station (ECOSTRESS) investigation will study water stress in plants and how selected regions may respond to future changes in climate. Quantifying Cohesive Sediment Dynamics for Advanced Environmental Modeling (BCAT-CS) focuses on the study of forces between particles that cluster together by studying sediments of quartz and clay particles. The Canadarm2 Latching End Effector (LEE) from the Canadian Space Agency is being launched as a spare to replace a failed unit that astronauts removed during a series of spacewalks in the fall of 2017. Each end of the Canadarm2 robotic arm has an identical LEE, and they are used as “hands” that grapple payloads and visiting cargo spacehships.

The past, present, and future of National Aeronautics and Space Administration spaceflight diet in support of microgravity rodent experiments.

PubMed

Sun, Gwo-Shing; Tou, Janet C; Yu, Diane; Girten, Beverly E; Cohen, Jacob

2014-02-01

Rodents have been the most frequently flown animal model used to study physiological responses to the space environment. In support of future of space exploration, the National Aeronautics and Space Administration (NASA) envisions an animal research program focused on rodents. Therefore, the development of a rodent diet that is suitable for the spaceflight environment including long duration spaceflight is a high priority. Recognizing the importance of nutrition in affecting spaceflight physiological responses and ensuring reliable biomedical and biological science return, NASA developed the nutrient-upgraded rodent food bar (NuRFB) as a standard diet for rodent spaceflight. Depending on future animal habitat hardware and planned spaceflight experiments, modification of the NuRFB or development of a new diet formulation may be needed, particularly for long term spaceflights. Research in this area consists primarily of internal technical reports that are not readily accessible. Therefore, the aims of this contribution are to provide a brief history of the development of rodent spaceflight diets, to review the present diet used in rodent spaceflight studies, and to discuss some of the challenges and potential solutions for diets to be used in future long-term rodent spaceflight studies. Copyright © 2014 Elsevier Inc. All rights reserved.

Visual attention on a respiratory function monitor during simulated neonatal resuscitation: an eye-tracking study.

PubMed

Katz, Trixie A; Weinberg, Danielle D; Fishman, Claire E; Nadkarni, Vinay; Tremoulet, Patrice; Te Pas, Arjan B; Sarcevic, Aleksandra; Foglia, Elizabeth E

2018-06-14

A respiratory function monitor (RFM) may improve positive pressure ventilation (PPV) technique, but many providers do not use RFM data appropriately during delivery room resuscitation. We sought to use eye-tracking technology to identify RFM parameters that neonatal providers view most commonly during simulated PPV. Mixed methods study. Neonatal providers performed RFM-guided PPV on a neonatal manikin while wearing eye-tracking glasses to quantify visual attention on displayed RFM parameters (ie, exhaled tidal volume, flow, leak). Participants subsequently provided qualitative feedback on the eye-tracking glasses. Level 3 academic neonatal intensive care unit. Twenty neonatal resuscitation providers. Visual attention: overall gaze sample percentage; total gaze duration, visit count and average visit duration for each displayed RFM parameter. Qualitative feedback: willingness to wear eye-tracking glasses during clinical resuscitation. Twenty providers participated in this study. The mean gaze sample captured wa s 93% (SD 4%). Exhaled tidal volume waveform was the RFM parameter with the highest total gaze duration (median 23%, IQR 13-51%), highest visit count (median 5.17 per 10 s, IQR 2.82-6.16) and longest visit duration (median 0.48 s, IQR 0.38-0.81 s). All participants were willing to wear the glasses during clinical resuscitation. Wearable eye-tracking technology is feasible to identify gaze fixation on the RFM display and is well accepted by providers. Neonatal providers look at exhaled tidal volume more than any other RFM parameter. Future applications of eye-tracking technology include use during clinical resuscitation. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Sleep duration and patterns in adolescents: correlates and the role of daily stressors.

PubMed

Bauducco, S V; Flink, I K; Jansson-Fröjmark, M; Linton, S J

2016-09-01

The first aim of this study was to assess the prevalence of sleep deficit in a large sample of adolescents. Second, the study aimed to assess whether short sleep duration in the sample was associated with emotional and behavioral problems. Lastly, the study aimed to investigate the association between daily stressors--bedtime activities and sleep duration. Cross-sectional survey. The questionnaires were completed during school hours in 17 municipal junior high schools in Sweden. A total of 2767 adolescents aged 12 to 16 years, 48% girls. Sleep measures included total sleep time (TST) for schooldays and weekends, obtained as combined measures of self-reported bed-time, wake-time, and sleep onset latency. We used the new National Sleep Foundation's guidelines to operationalize sleep duration. Overall 12% of younger adolescents (age 12-13 years) and 18% of older adolescents (14-16 years) slept less than recommended (TST < 7 hours). Adolescents reporting nonrecommended TST also reported more behavioral (ie, norm-breaking behaviors) and emotional problems (ie, depression, anxiety, and anger), with effects in the small-medium range. Finally, adolescents reporting bedtime arousal and use of information and communication technology in bed were more likely to report TST < 7 hours. Stress at home (for younger adolescents) and stress of school performance (for older adolescents) were also associated with TST less than 7 hours. The new National Sleep Foundation's recommendations were informative in this context. Future sleep interventions need to target barriers to good sleep practices, such as use of information and communication technology, stress, and worry that may contribute to arousal at bedtime. Copyright © 2016 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.

Stimulus train duration but not attention moderates γ-band entrainment abnormalities in schizophrenia

PubMed Central

Hamm, Jordan P.; Bobilev, Anastasia M.; Hayrynen, Lauren K.; Hudgens-Haney, Matthew E.; Oliver, William T.; Parker, David A.; McDowell, Jennifer E.; Buckley, Peter A.; Clementz, Brett A.

2017-01-01

Electroencephalographic (EEG) studies of auditory steady-state responses (aSSRs) non-invasively probe gamma-band (40-Hz) oscillatory capacity in sensory cortex with high signal-to-noise ratio. Consistent reports of reduced 40-Hz aSSRs in persons with schizophrenia (SZ) indicate its potential as an efficient biomarker for the disease, but studies have been limited to passive or indirect listening contexts with stereotypically short (500ms) stimulus trains. An inability to modulate sensorineural processing in accord with behavioral goals or within the sensory environmental context may represent a fundamental deficit in SZ, but whether and how this deficit relates to reduced aSSRs is unknown. We systematically varied stimulus duration and attentional contexts to further mature the 40-Hz aSSR as biomarker for future translational or mechanistic studies. Eighteen SZ and 18 healthy subjects (H) were presented binaural pure-tones with or without sinusoidal amplitude modulation at 40-Hz. Stimulus duration (500-ms or 1500-ms) and attention (via a button press task) were varied across 4 separate blocks. Evoked potentials recorded with dense-array EEGs were analyzed in the time-frequency domain. SZ displayed reduced 40-Hz aSSRs to typical stimulation parameters, replicating previous findings. In H, aSSRs were reduced when stimuli were presented in longer trains and were slightly enhanced by attention. Only the former modulation was impaired in SZ and correlated with sensory discrimination performance. Thus, gamma-band aSSRs are modulated by both attentional and stimulus duration contexts, but only modulations related to physical stimulus properties are abnormal in SZ, supporting its status as a biomarker of psychotic perceptual disturbance involving non-attentional sensori-cortical circuits. PMID:25868936

Development of Predictive Energy Management Strategies for Hybrid Electric Vehicles

NASA Astrophysics Data System (ADS)

Baker, David

Studies have shown that obtaining and utilizing information about the future state of vehicles can improve vehicle fuel economy (FE). However, there has been a lack of research into the impact of real-world prediction error on FE improvements, and whether near-term technologies can be utilized to improve FE. This study seeks to research the effect of prediction error on FE. First, a speed prediction method is developed, and trained with real-world driving data gathered only from the subject vehicle (a local data collection method). This speed prediction method informs a predictive powertrain controller to determine the optimal engine operation for various prediction durations. The optimal engine operation is input into a high-fidelity model of the FE of a Toyota Prius. A tradeoff analysis between prediction duration and prediction fidelity was completed to determine what duration of prediction resulted in the largest FE improvement. Results demonstrate that 60-90 second predictions resulted in the highest FE improvement over the baseline, achieving up to a 4.8% FE increase. A second speed prediction method utilizing simulated vehicle-to-vehicle (V2V) communication was developed to understand if incorporating near-term technologies could be utilized to further improve prediction fidelity. This prediction method produced lower variation in speed prediction error, and was able to realize a larger FE improvement over the local prediction method for longer prediction durations, achieving up to 6% FE improvement. This study concludes that speed prediction and prediction-informed optimal vehicle energy management can produce FE improvements with real-world prediction error and drive cycle variability, as up to 85% of the FE benefit of perfect speed prediction was achieved with the proposed prediction methods.

The relationship between exercise capacity and masked hypertension in sedentary patients with diabetes mellitus.

PubMed

Akilli, Hakan; Kayrak, Mehmet; Arıbas, Alpay; Tekinalp, Mehmet; Ayhan, Selim Suzi; Gündüz, Mehmet; Alibasic, Hajrudin; Altunbas, Gokhan; Yazıcı, Mehmet

2014-01-01

Although exaggerated blood pressure responses (EBPR) to exercise have been related to future hypertension and masked hypertension (MHT), the relationship between exercise capacity and MHT remains unclear. A sedentary life style has been related to increased cardiovascular mortality, diabetes mellitus (DM), and hypertension. In this study, we aimed to examine the relationship between exercise capacity and MHT in sedentary patients with DM. This study included 85 sedentary and normotensive patients with DM. Each patient's daily physical activity level was assessed according to the INTERHEART study. All patients underwent an exercise treadmill test, and exercise duration and capacity were recorded. Blood pressure (BP) was recorded during all exercise stages and BP values ≥ 200/110 mmHg were accepted as EBPR. MHT was diagnosed in patients having an office BP <140/90 mmHg and a daytime ambulatory BP >135/85 mmHg. Patients were divided into two groups according to their ambulatory BP monitoring (MHT and normotensive group). The prevalence of MHT was 28.2%. Exercise duration and capacity were lower in the MHT group than in the normotensive group (p<0.05) and were negatively correlated with age, HbA1c, mean daytime BP, and mean 24 hour BP. Peak exercise systolic BP and the frequency of EBPR were both increased in the MHT group (25.0% and 8.1%, respectively, p=0.03). According to a multivariate regression, exercise capacity (OR: 0.61, CI95%: 0.39-0.95, p=0.03), EBPR (OR: 9.45, CI95%: 1.72-16.90, p=0.01), and the duration of DM (OR: 0.84, CI95%: 0.71-0.96, p=0.03) were predictors of MHT. Exercise capacity, EBPR, and the duration of DM were predictors of MHT in sedentary subjects with DM.

How will Mahanarva spectabilis (Hemiptera: Cercopidae) Respond to Global Warming?

PubMed Central

Auad, A. M.; Resende, T. T.; Hott, M. C.; Borges, C.A.V.

2016-01-01

The aim of this study was to determine the favorable constant temperature range for Mahanarva spectabilis (Distant) (Hemiptera: Cercopidae) development as well as to generate geographic distribution maps of this insect pest for future climate scenarios. M. spectabilis eggs were reared on two host plants (Brachiaria ruziziensis (Germain and Edvard) and Pennisetum purpureum (Schumach)), with individual plants kept at temperatures of 16, 20, 24, 28, and 32°C. Nymphal stage duration, nymphal survival, adult longevity, and egg production were recorded for each temperature*host plant combination. Using the favorable temperature ranges for M. spectabilis development, it was possible to generate geographic distribution. Nymphal survival was highest at 24.4°C, with estimates of 44 and 8% on Pennisetum and Brachiaria, respectively. Nymphal stage duration was greater on Brachiaria than on Pennisetum at 20 and 24°C but equal at 28°C. Egg production was higher on Pennisetum at 24 and 28°C than at 20°C, and adult longevity on Pennisetum was higher at 28°C than at 20°C, whereas adult longevity at 24°C did not differ from that at 20 and 28°C. With these results, it was possible to predict a reduction in M. spectabilis densities in most regions of Brazil in future climate scenarios. PMID:27012869

Gradient Compression Garments as a Countermeasure to Post-Space Flight Orthostatic Intolerance: Potential Interactions with the Maximum Absorbency Garment

NASA Technical Reports Server (NTRS)

Lee, S. M. C.; Laurie, S. S.; Macias, B. R.; Willig, M.; Johnson, K.; Stenger, M. B.

2017-01-01

Astronauts and cosmonauts may experience symptoms of orthostatic intolerance during re-entry, landing, and for several days post-landing following short- and long-duration spaceflight. Presyncopal symptoms have been documented in approximately 20% of short-duration and greater than 60% of long-duration flyers on landing day specifically during 5-10 min of controlled (no countermeasures employed at the time of testing) stand tests or 80 deg head-up tilt tests. Current operational countermeasures to orthostatic intolerance include fluid loading prior to and whole body cooling during re-entry as well as compression garments that are worn during and for up to several days after landing. While both NASA and the Russian space program have utilized compression garments to protect astronauts and cosmonauts traveling on their respective vehicles, a "next-generation" gradient compression garment (GCG) has been developed and tested in collaboration with a commercial partner to support future space flight missions. Unlike previous compression garments used operationally by NASA that provide a single level of compression across only the calves, thighs, and lower abdomen, the GCG provides continuous coverage from the feet to below the pectoral muscles in a gradient fashion (from approximately 55 mm Hg at the feet to approximately 16 mmHg across the abdomen). The efficacy of the GCG has been demonstrated previously after a 14-d bed rest study without other countermeasures and after short-duration Space Shuttle missions. Currently the GCG is being tested during a stand test following long-duration missions (6 months) to the International Space Station. While results to date have been promising, interactions of the GCG with other space suit components have not been examined. Specifically, it is unknown whether wearing the GCG over NASA's Maximum Absorbency Garment (MAG; absorbent briefs worn for the collection of urine and feces while suited during re-entry and landing) will interfere with the effectiveness of the GCG or conversely whether the GCG will reduce the fluid absorption capabilities of the MAG. Methods: This operational, directed study, will (1) determine whether the effectiveness of the GCG is affected by the MAG with regard to cardiovascular responses to head-up tilt, the standard orthostatic intolerance test employed for astronauts and bed rest subjects; (2) determine whether the effectiveness of the MAG is compromised by the GCG tested by injecting a standard fluid volume (950 ml in 3 separate simulated "urine voids") at a standardized rate (30 ml/sec); and (3) determine whether comfort is affected by wearing the MAG under the GCG using a standardized questionnaire. Results from this study will guide future development and operational use of the GCG and MAG to maximize crew health, safety, and comfort.

Update on bacterial meningitis: epidemiology, trials and genetic association studies.

PubMed

Kasanmoentalib, E Soemirien; Brouwer, Matthijs C; van de Beek, Diederik

2013-06-01

Bacterial meningitis is a life-threatening disease that continues to inflict a heavy toll. We reviewed recent advances in vaccination, randomized studies on treatment, and genetic association studies in bacterial meningitis. The incidence of bacterial meningitis has decreased after implementation of vaccines, and further implementation of existing conjugate vaccines particularly in low-income countries is expected to reduce the global disease burden. Several randomized studies have been performed recently in this field. Clinical studies showed that short duration (5 days) of antibiotic treatment is as effective as longer duration treatment in low-income countries, and that dexamethasone decreases death and neurological sequelae in high-income countries. Ongoing trials will further define the role of paracetamol, glycerol and hypothermia in bacterial meningitis. Genetic association studies identified pathophysiological mechanisms that could be counteracted in experimental meningitis, providing promising leads for future treatments. Conjugate vaccines have reduced the burden of bacterial meningitis in high-income countries, but implementation of available vaccines in low-income countries is necessary to reduce disease burden worldwide. Adjunctive dexamethasone therapy has beneficial effects in patients with bacterial meningitis but only in high-income countries. Genetic association studies may reveal targets for new treatment strategies.

Plantar pressures are higher in cases with diabetic foot ulcers compared to controls despite a longer stance phase duration.

PubMed

Fernando, Malindu E; Crowther, Robert G; Lazzarini, Peter A; Sangla, Kunwarjit S; Wearing, Scott; Buttner, Petra; Golledge, Jonathan

2016-09-15

Current international guidelines advocate achieving at least a 30 % reduction in maximum plantar pressure to reduce the risk of foot ulcers in people with diabetes. However, whether plantar pressures differ in cases with foot ulcers to controls without ulcers is not clear. The aim of this study was to assess if plantar pressures were higher in patients with active plantar diabetic foot ulcers (cases) compared to patients with diabetes without a foot ulcer history (diabetes controls) and people without diabetes or a foot ulcer history (healthy controls). Twenty-one cases with diabetic foot ulcers, 69 diabetes controls and 56 healthy controls were recruited for this case-control study. Plantar pressures at ten sites on both feet and stance phase duration were measured using a pre-established protocol. Primary outcomes were mean peak plantar pressure, pressure-time integral and stance phase duration. Non-parametric analyses were used with Holm's correction to correct for multiple testing. Binary logistic regression models were used to adjust outcomes for age, sex and body mass index. Median differences with 95 % confidence intervals and Cohen's d values (standardised mean difference) were reported for all significant outcomes. The majority of ulcers were located on the plantar surface of the hallux and toes. When adjusted for age, sex and body mass index, the mean peak plantar pressure and pressure-time integral of toes and the mid-foot were significantly higher in cases compared to diabetes and healthy controls (p < 0.05). The stance phase duration was also significantly higher in cases compared to both control groups (p < 0.05). The main limitations of the study were the small number of cases studied and the inability to adjust analyses for multiple factors. This study shows that plantar pressures are higher in cases with active diabetic foot ulcers despite having a longer stance phase duration which would be expected to lower plantar pressure. Whether plantar pressure changes can predict ulcer healing should be the focus of future research. These results highlight the importance of offloading feet during active ulceration in addition to before ulceration.

Pregravid body mass index, psychological factors during pregnancy, and breastfeeding duration: is there a link?

PubMed Central

Mehta, Ushma J.; Siega-Riz, Anna Maria; Herring, Amy H.; Adair, Linda S.; Bentley, Margaret E.

2011-01-01

Breastfeeding rates in the U.S. are low and one possible reason may be the high prevalence of overweight/obesity among women of childbearing age. This analysis examined the association between pregravid body mass index (BMI) and breastfeeding duration and explored whether depressive symptoms, perceived stress and anxiety during pregnancy mediated this relationship. Participants (n = 550) in the Pregnancy, Infection, and Nutrition Postpartum Study were recruited through prenatal clinics prior to 20 weeks gestation and followed to 12 months postpartum. Duration of any breastfeeding was categorized as: none, less than 4 months, 4 to 6 months, 7 to 12 months, and more than 12 months (referent). Exclusive breastfeeding was categorized as less than 1 month, 1 to less than 4 months, and 4 months or more (referent). Being overweight/obese before pregnancy (35.7% of 550) was inversely associated with the durations of any and exclusive breastfeeding. Women who entered pregnancy overweight or obese were more likely to not initiate breastfeeding [RRR =5.39 (95% CI: 2.41, 12.04)] and to breastfeed less than four months [RRR = 2.38 (1.33, 4.27)] compared to women of normal weight status. Among women who initiated breastfeeding, being overweight or obese versus normal weight was related to exclusively breastfeeding less than 1 month [RRR = 2.09 (1.24, 3.51)]. We did not find evidence to support mediation by depressive symptoms, perceived stress or anxiety during pregnancy. Future research needs to explore the reasons behind the association between overweight/obesity and breastfeeding duration. PMID:21951308

Videographic assessment of cardiopulmonary resuscitation quality in the pediatric emergency department.

PubMed

Donoghue, Aaron; Hsieh, Ting-Chang; Myers, Sage; Mak, Allison; Sutton, Robert; Nadkarni, Vinay

2015-06-01

To describe the adherence to guidelines for CPR in a tertiary pediatric emergency department (ED) where resuscitations are reviewed by videorecording. Resuscitations in a tertiary pediatric ED are videorecorded as part of a quality improvement project. Patients receiving CPR under videorecorded conditions were eligible for inclusion. CPR parameters were quantified by retrospective review. Data were described by 30-s epoch (compression rate, ventilation rate, compression:ventilation ratio), by segment (duration of single providers' compressions) and by overall event (compression fraction). Duration of interruptions in compressions was measured; tasks completed during pauses were tabulated. 33 children received CPR under videorecorded conditions. A total of 650 min of CPR were analyzed. Chest compressions were performed at <100/min in 90/714 (13%) of epochs; 100-120/min in 309/714 (43%); >120/min in 315/714 (44%). Ventilations were 6-12 breaths/min in 201/708 (23%) of epochs and >12/min in 489/708 (70%). During CPR without an artificial airway, compression:ventilation coordination (15:2) was done in 93/234 (40%) of epochs. 178 pauses in CPR occurred; 120 (67%) were <10s in duration. Of 370 segments of compressions by individual providers, 282/370 (76%) were <2 min in duration. Median compression fraction was 91% (range 88-100%). CPR in a tertiary pediatric ED frequently met recommended parameters for compression rate, pause duration, and compression fraction. Hyperventilation and failure of C:V coordination were very common. Future studies should focus on the impact of training methods on CPR performance as documented by videorecording. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Adaptation to floods in future climate: a practical approach

NASA Astrophysics Data System (ADS)

Doroszkiewicz, Joanna; Romanowicz, Renata; Radon, Radoslaw; Hisdal, Hege

2016-04-01

In this study some aspects of the application of the 1D hydraulic model are discussed with a focus on its suitability for flood adaptation under future climate conditions. The Biała Tarnowska catchment is used as a case study. A 1D hydraulic model is developed for the evaluation of inundation extent and risk maps in future climatic conditions. We analyse the following flood indices: (i) extent of inundation area; (ii) depth of water on flooded land; (iii) the flood wave duration; (iv) the volume of a flood wave over the threshold value. In this study we derive a model cross-section geometry following the results of primary research based on a 500-year flood inundation extent. We compare two methods of localisation of cross-sections from the point of view of their suitability to the derivation of the most precise inundation outlines. The aim is to specify embankment heights along the river channel that would protect the river valley in the most vulnerable locations under future climatic conditions. We present an experimental design for scenario analysis studies and uncertainty reduction options for future climate projections obtained from the EUROCORDEX project. Acknowledgements: This work was supported by the project CHIHE (Climate Change Impact on Hydrological Extremes), carried out in the Institute of Geophysics Polish Academy of Sciences, funded by Norway Grants (contract No. Pol-Nor/196243/80/2013). The hydro-meteorological observations were provided by the Institute of Meteorology and Water Management (IMGW), Poland.

Reaction times of normal listeners to laryngeal, alaryngeal, and synthetic speech.

PubMed

Evitts, Paul M; Searl, Jeff

2006-12-01

The purpose of this study was to compare listener processing demands when decoding alaryngeal compared to laryngeal speech. Fifty-six listeners were presented with single words produced by 1 proficient speaker from 5 different modes of speech: normal, tracheosophageal (TE), esophageal (ES), electrolaryngeal (EL), and synthetic speech (SS). Cognitive processing load was indexed by listener reaction time (RT). To account for significant durational differences among the modes of speech, an RT ratio was calculated (stimulus duration divided by RT). Results indicated that the cognitive processing load was greater for ES and EL relative to normal speech. TE and normal speech did not differ in terms of RT ratio, suggesting fairly comparable cognitive demands placed on the listener. SS required greater cognitive processing load than normal and alaryngeal speech. The results are discussed relative to alaryngeal speech intelligibility and the role of the listener. Potential clinical applications and directions for future research are also presented.

[Tracheal Intubation by Paramedics in a Local Community: Current Situation and Future Challenges].

PubMed

Takinami, Yoshikazu

2016-03-01

As of April 2013, 164 paramedics are certified to perform tracheal intubation in Fukui Prefecture. This study investigated the current situation surrounding tracheal intubation performed by paramedics in prehospital care. Subjects were 58 paramedics who completed practical training at our hospital. Post-training duration, number of tracheal intubation cases, number of attempts before successful tracheal intubation, disease involved, rate of return of spontaneous circulation, and prognosis were examined. Tracheal intubation was successful on the first attempt in 92% of cases. Rate of return of spontaneous circulation was high in paramedics whose post-training duration was short. No return of spontaneous circulation occurred after a second attempt. Four patients survived asphyxia or aspiration. It is important to perform successful tracheal intubation on the first attempt, to recognize the probability of successful resuscitation in patients with exogenous disease, and to strengthen the medical control system.

Hydrogen Gas as a Fuel in Direct Injection Diesel Engine

NASA Astrophysics Data System (ADS)

Dhanasekaran, Chinnathambi; Mohankumar, Gabriael

2016-04-01

Hydrogen is expected to be one of the most important fuels in the near future for solving the problem caused by the greenhouse gases, for protecting environment and saving conventional fuels. In this study, a dual fuel engine of hydrogen and diesel was investigated. Hydrogen was conceded through the intake port, and simultaneously air and diesel was pervaded into the cylinder. Using electronic gas injector and electronic control unit, the injection timing and duration varied. In this investigation, a single cylinder, KIRLOSKAR AV1, DI Diesel engine was used. Hydrogen injection timing was fixed at TDC and injection duration was timed for 30°, 60°, and 90° crank angles. The injection timing of diesel was fixed at 23° BTDC. When hydrogen is mixed with inlet air, emanation of HC, CO and CO2 decreased without any emission (exhaustion) of smoke while increasing the brake thermal efficiency.

The biomedical challenges of space flight

NASA Technical Reports Server (NTRS)

Williams, David R.

2003-01-01

Space medicine has evolved considerably through past U.S. missions. It has been proven that humans can live and work in space for long durations and that humans are integral to mission success. The space medicine program of the National Aeronautics and Space Administration (NASA) looks toward future long-duration missions. Its goal is to overcome the biomedical challenges associated with maintaining the safety, health, and optimum performance of astronauts and cosmonauts. This program investigates the health effects of adaptation to microgravity: the nature of their pathologies, the effects of microgravity on pathophysiology, and the alterations in pharmacodynamics and treatment. A critical capability in performing research is the monitoring of the health of all astronauts and of the spacecraft environment. These data support the evidence-based approach to space medicine, incorporating past studies of microgravity-related conditions and their terrestrial counterparts. This comprehensive approach will enable safe and effective exploration beyond low Earth orbit.

Sleep in patients with remitted bipolar disorders: a meta-analysis of actigraphy studies.

PubMed

Geoffroy, P A; Scott, J; Boudebesse, C; Lajnef, M; Henry, C; Leboyer, M; Bellivier, F; Etain, B

2015-02-01

Sleep dysregulation is highly prevalent in bipolar disorders (BDs), with previous actigraphic studies demonstrating sleep abnormalities during depressive, manic, and interepisode periods. We undertook a meta-analysis of published actigraphy studies to identify whether any abnormalities in the reported sleep profiles of remitted BD cases differ from controls. A systematic review identified independent studies that were eligible for inclusion in a random effects meta-analysis. Effect sizes for actigraphy parameters were expressed as standardized mean differences (SMD) with 95% confidence intervals (95% CI). Nine of 248 identified studies met eligibility criteria. Compared with controls (N=210), remitted BD cases (N=202) showed significant differences in SMD for sleep latency (0.51 [0.28-0.73]), sleep duration (0.57 [0.30-0.84]), wake after sleep onset (WASO) (0.28 [0.06-0.50]) and sleep efficiency (-0.38 [-0.70-0.07]). Moderate heterogeneity was identified for sleep duration (I2=44%) and sleep efficiency (I2=44%). Post hoc meta-regression analyses demonstrated that larger SMD for sleep duration were identified for studies with a greater age difference between BD cases and controls (β=0.22; P=0.03) and non-significantly lower levels of residual depressive symptoms in BD cases (β=-0.13; P=0.07). This meta-analysis of sleep in remitted bipolar disorder highlights disturbances in several sleep parameters. Future actigraphy studies should pay attention to age matching and levels of residual depressive symptoms. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Summary of ionizing radiation analysis on the Long Duration Exposure Facility

NASA Technical Reports Server (NTRS)

Parnell, T. A.

1991-01-01

The Ionizing Radiation Special Investigation Group (IRSIG) for the Long Duration Exposure Facility (LDEF) was established to perform radiation measurements and analysis not planned in the original experiments, and to assure availability of LDEF analysis results in a form useful to future missions. The IRSIG has organized extensive induced radioactivity measurements throughout LDEF, and a comprehensive program to compare the LDEF radiation measurements to values calculated using environment models. The activities and present status of the Group is described. The ionizing radiation results presented is summarized.

Defining the Relationship Between Biomarkers of Oxidative and Inflammatory Stress and the Risk for Atherosclerosis in Astronauts During and After Long-Duration Spaceflight

NASA Technical Reports Server (NTRS)

Lee, S. M. C.; Martin, D. S.; Smith, S. M.; Zwart, S. R.; Laurie, S. S; Ribeiro, L. C.; Stenger, M. B.

2017-01-01

Current human space travel consists primarily of long-duration missions onboard the International Space Station (ISS), but in the future may include exploration-class missions to nearby asteroids, Mars, or its moons. These missions will expose astronauts to increased risk of oxidative and inflammatory damage from a variety of sources, including radiation, psychological stress, reduced physical activity, diminished nutritional status, and hyperoxic exposure during extravehicular activity. Evidence exists that increased oxidative stress and inflammation can accelerate the development of atherosclerosis.

Defining the Relationship Between Biomarkers of Oxidation and Inflammatory Stress and the Risk for Atherosclerosis in Astronauts During and After Long-Duration Spaceflight

NASA Technical Reports Server (NTRS)

Lee, Stuart M. C.; Stenger, Michael B.; Smith, Scott M.; Zwart, Sara R.

2016-01-01

Future human space travel will consist primarily of long-duration missions onboard the International Space Station (ISS) or exploration-class missions to Mars, its moons, or nearby asteroids. These missions will expose astronauts to increased risk of oxidative and inflammatory damage from a variety of sources, including radiation, psychological stress, reduced physical activity, diminished nutritional status, and hyperoxic exposure during extravehicular activity. Evidence exists that increased oxidative damage and inflammation can accelerate the development of atherosclerosis.

A health care system for the Space Station

NASA Technical Reports Server (NTRS)

1992-01-01

Life science will be one of the pacing technologies for long duration manned spaceflight. The ability to effectively deliver state-of-the-art inflight medical care will have a major impact on crew health and mission success. The future Space Station crews will participate in missions of extended duration with limited capability for emergency return. This factor alone places great responsibility on program designers to ensure the health, safety, and well-being of the crews. The Health Maintenance Facility (HMF) under development at the Johnson Space Center is described.

The role of the Long Duration Exposure Facility in the development of space systems

NASA Technical Reports Server (NTRS)

Little, Sally A.

1992-01-01

The Long Duration Exposure Facility (LDEF) presents the international, aerospace community with an unprecedented opportunity to examine the synergistic, long term, space environmental effects on systems and materials. The analysis of the data within appropriate environmental contexts is essential to the overall process of advancing the understanding of space environmental effects needed for the continuing development of strategies to improve the reliability and durability of space systems and to effectively deal with the future challenges that new space initiatives will likely present.

Long duration exposure facility post-flight thermal analysis: Orbital/thermal environment data package

NASA Technical Reports Server (NTRS)

Berrios, William M.

1990-01-01

A post flight mission thermal environment for the Long Duration Exposure Facility was created as part of the thermal analysis data reduction effort. The data included herein is the thermal parameter data used in the calculation of boundary temperatures. This boundary temperature data is to be released in the near future for use by the LDEF principal investigators in the final analysis of their particular experiment temperatures. Also included is the flight temperature data as recorded by the LDEF Thermal Measurements System (THERM) for the first 90 days of flight.

Normal-mode selectivity in ultrafast Raman excitations in C60

NASA Astrophysics Data System (ADS)

Zhang, G. P.; George, Thomas F.

2006-01-01

Ultrafast Raman spectra are a powerful tool to probe vibrational excitations, but inherently they are not normal-mode specific. For a system as complicated as C60 , there is no general rule to target a specific mode. A detailed study presented here aims to investigate normal-mode selectivity in C60 by an ultrafast laser. To accurately measure mode excitation, we formally introduce the kinetic-energy-based normal-mode analysis which overcomes the difficulty with the strong lattice anharmonicity and relaxation. We first investigate the resonant excitation and find that mode selectivity is normally difficult to achieve. However, for off-resonant excitations, it is possible to selectively excite a few modes in C60 by properly choosing an optimal laser pulse duration, which agrees with previous experimental and theoretical findings. Going beyond the phenomenological explanation, our study shines new light on the origin of the optimal duration: The phase matching between the laser field and mode vibration determines which mode is strongly excited or suppressed. This finding is very robust and should be a useful guide for future experimental and theoretical studies in more complicated systems.

Normal mode selectivity in ultrafast Raman excitations in C60

NASA Astrophysics Data System (ADS)

Zhang, Guoping; George, Thomas F.

2006-05-01

Ultrafast Raman spectra are a powerful tool to probe vibrational excitations, but inherently they are not normal-mode specific. For a system as complicated as C60, there is no general rule to target a specific mode. A detailed study presented here aims to investigate normal mode selectivity in C60 by an ultrafast laser. To accurately measure mode excitation, we formally introduce the kinetic energy-based normal mode analysis which overcomes the difficulty with the strong lattice anharmonicity and relaxation. We first investigate the resonant excitation and find that mode selectivity is normally difficult to achieve. However, for off-resonant excitations, it is possible to selectively excite a few modes in C60 by properly choosing an optimal laser pulse duration, which agrees with previous experimental and theoretical findings. Going beyond the phenomenological explanation, our study shines new light on the origin of the optimal duration: The phase matching between laser field and mode vibration determines which mode is strongly excited or suppressed. This finding is very robust and may be a useful guide for future experimental and theoretical studies in more complicated systems.

Influence of aromatherapy on medication administration to residential-care residents with dementia and behavioral challenges.

PubMed

Gray, Suzanne G; Clair, Alicia Ann

2002-01-01

Thirteen older persons (seven men and six women) in residential care participated as subjects in this study. All participants had histories of confusion due to dementia and were identified by staff as being consistently resistant to medication administration as indicated by vocal outbursts, moving away, or physical combativeness. Subjects were exposed to four aroma interventions during medication administration: 1) lavender vera (lavendula officinalis); 2) sweet orange (citrus aurantium); 3) tea tree (malaleuca alternifolia); and 4) no aroma (control). All medication administrations were videotaped for later data collection. Observers were trained to record frequency and duration of resistive behaviors during medication administration in allfour interventions for each subject. Reliability between two observers was extremely high. Results showed no statistically significant differences across all aroma conditions for either resistive behavior or duration of administration. Also, there were no statistically significant differences based on gender. This study indicates that aromatherapy does not reduce combative, resistive behaviors in individuals with dementia. Research with a larger sample in future studies may yield other results.

Family income, school attendance, and academic achievement in elementary school.

PubMed

Morrissey, Taryn W; Hutchison, Lindsey; Winsler, Adam

2014-03-01

Low family income is associated with poor academic achievement among children. Higher rates of school absence and tardiness may be one mechanism through which low family income impacts children's academic success. This study examines relations between family income, as measured by receipt of free or reduced-price lunch, school attendance, and academic achievement among a diverse sample of children from kindergarten to 4th grade (N = 35,419) using both random and within-child fixed-effects models. Generally, results suggest that the receipt of free or reduced-price lunch and duration of receipt have small but positive associations with school absences and tardies. Poor attendance patterns predict poorer grades, with absences more associated with grades than tardies. Given the small associations between receipt of free or reduced-price lunch and school attendance, and between the duration of receipt of free or reduced-price lunch and children's grades, results do not provide strong evidence that absences and tardies meaningfully attenuate relations between the duration of low family income and student achievement; poorer attendance and persistent low income independently predict poorer grades. Implications for policy and future research are discussed. PsycINFO Database Record (c) 2014 APA, all rights reserved.

First biological and dosimetric results of the free flyer biostack experiment AO015 on LDEF

NASA Technical Reports Server (NTRS)

Reitz, G.; Buecker, H.; Facius, R.; Horneck, G.; Schaeffer, M.; Schott, J. U.; Bayonove, J.; Beaujean, R.; Benton, E. V.; Delpoux, M.

1991-01-01

The main objectives of the Biostack Experiment are to study the effectiveness of the structured components of the cosmic radiation to bacterial spores, plant seeds, and animal cysts for a long duration spaceflight and to get dosimetric data such as particle fluences and spectra and total doses for the Long Duration Exposure Facility orbit. The configuration of the experiment packages allows the localization of the trajectory of the particles in each biological layer and to correlate the potential biological impairment or injury with the physical characteristics of the responsible particle. Although the Biostack Experiment was designed for a long duration flight of only nine months, most of the biological systems show a high hatching or germination rate. Some of the first observations are an increase of the mutation rate of embryonic lethals in the second generation of Arabidopsis seeds, somatic mutations, and a reduction of growth rates of corn plants and a reduction of life span of Artemia salina shrimps. The different passive detector systems are also in a good shape and give access to a proper dosimetric analysis. The results are summarized, and some aspects of future analysis are shown.

How Are MIS-5e And MIS-11 Different From Other Interglacials And the Future?

NASA Astrophysics Data System (ADS)

Yin, Q.; Berger, A.

2017-12-01

MIS-5e and MIS-11 appear in many proxy records as the warmest interglacials of the last million years although their astronomical configurations are very different. To investigate how they are different from other interglacials and between themselves, the climate of nine interglacials of the past 800,000 years has been simulated using both snapshot and transient experiments. These simulations allow to investigate the relative contributions of insolation and CO2 to the intensity and duration of each interglacial as well as the differences and similarities between the interglacials. The transient simulations which cover a large range of precession, obliquity and eccentricity allow to investigate the response of different climate variables and different regions to the three astronomical parameters. My presentation will focus on the characteristics of the climate forcing and response of MIS-5e and MIS-11 in comparison with the other intergalcials. Their duration and intensity at global and regional scales will be shown and the causes will be discussed. Unique features in astronomical forcing as well as in regional climate response are found in MIS-5e and MIS-11, which might help to understand why they appear to be among the warmest interglacials. The model results also show that the warm interval of MIS-11 is the longest, confirming its long duration as found in many proxy records. The long duration of MIS-11 is related to a particular combination of eccentricity, obliquity and precession as well as to its long-lasting high CO2 concentration. The differences between the seasonal behaviour of the past interglacials highlight the importance of seasonal climate reconstruction and therefore the necessity to obtain seasonal proxies. The simulated climate of MIS-5e and MIS-11 will also be compared with the climate of today and of the future to investigate the differences and similarities between the past warm conditions and the projected future warming. Part of the results are published in: Yin Q.Z. and Berger A., 2015. Interglacial analogues of the Holocene and its natural near future. Quaternary Science Reviews, 120, 28-46. Yin Q.Z. and Berger A., 2012. Individual contribution of insolation and CO2 to the interglacial climates of the past 800,000 years. Climate Dynamics 38:709-724.

Duration of dual antiplatelet therapy in acute coronary syndrome.

PubMed

Wilson, Simon John; Newby, David E; Dawson, Dana; Irving, John; Berry, Colin

2017-04-01

Despite a large volume of evidence supporting the use of dual antiplatelet therapy in patients with acute coronary syndrome, there remains major uncertainty regarding the optimal duration of therapy. Clinical trials have varied markedly in the duration of therapy, both across and within trials. Recent systematic reviews and meta-analyses suggest that shorter durations of dual antiplatelet therapy are superior because the avoidance of atherothrombotic events is counterbalanced by the greater risks of excess major bleeding with apparent increases in all-cause mortality with longer durations. These findings did not show significant heterogeneity according to whether patients had stable or unstable coronary heart disease. Moreover, the potential hazards and benefits may differ when applied to the general broad population of patients encountered in everyday clinical practice who have markedly higher bleeding and atherothrombotic event rates. Clinicians lack definitive information regarding the duration of therapy in patients with acute coronary syndrome and risk scores do not appear to be sufficiently robust to address these concerns. We believe that there is a pressing need to undertake a broad inclusive safety trial of shorter durations of therapy in real world populations of patients with acute coronary syndrome. The clinical evidence would further inform future research into strategies for personalised medicine. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Projection of heat waves variation over a warming climate in China

NASA Astrophysics Data System (ADS)

Yue, X.; Wu, S.; Pan, T.

2016-12-01

Heat waves (HW) have adverse impacts on economies, human health, societies and environment, which have been observed around the world and are expected to increase in a warming climate. However, the variations of HW under climate change over China are not clear yet. Using the HadGEM2-ES RCP4.5 and RCP8.5 daily maximum temperature and humidity dataset, variation of heat waves in China for 2021-2050 comparing to 1991-2000 as baseline were analyzed. The CMA-HI (Heat Index standardized by China Meteorological Administration) index was used to calculate the frequency and intensity of head waves. This paper classified the HW into three intensity levels including mild HW, moderate HW and severe HW , and defined a heat wave event (HWE) as that CMA-HI are all above or equal to 2.8 and keep at a intensity level more than five consecutive days. Results show that during 2021to 2050, the distribution area, frequency and duration of each intensity level have an increasing trend over China, and those of severe HW will increase mostly. The distribution area of mild, moderate and severe HW will increase 18%, 22%, 35% respectively. Average HWE frequency of each level will concentrate on 0.5-1instead of 0-0.3 in baseline period. Maximum frequency of each intensity can reach to almost 3 times a year. During 1991-2000, the average frequency of mild HW, moderate HW and severe HW kept a downward sequence. But it will change to increase in the future, and the shift occurs during 2031-2040. In addition, only severe HW duration will increase in the future. Its average value will increase from 9days to 13days, and keep a maximum duration of 42days.While the average duration of mild HW and moderate HW just keep almost 6 days and 8 days as usual. Regionally, both the frequency and duration will keep high value in the region of eastern China, central China, southern China and central Xinjiang autonomous region in the future. And only severe HW has a great change in distribution. Under RCP 8.5 climate scenario, China will suffer much more severe heat waves. The result of prediction of heat waves can give scientific basis to climate change risk management and adaptation strategies.

What aspects of future rainfall changes matter for crop yields in West Africa?

NASA Astrophysics Data System (ADS)

Guan, Kaiyu; Sultan, Benjamin; Biasutti, Michela; Baron, Christian; Lobell, David B.

2015-10-01

How rainfall arrives, in terms of its frequency, intensity, the timing and duration of rainy season, may have a large influence on rainfed agriculture. However, a thorough assessment of these effects is largely missing. This study combines a new synthetic rainfall model and two independently validated crop models (APSIM and SARRA-H) to assess sorghum yield response to possible shifts in seasonal rainfall characteristics in West Africa. We find that shifts in total rainfall amount primarily drive the rainfall-related crop yield change, with less relevance to intraseasonal rainfall features. However, dry regions (total annual rainfall below 500 mm/yr) have a high sensitivity to rainfall frequency and intensity, and more intense rainfall events have greater benefits for crop yield than more frequent rainfall. Delayed monsoon onset may negatively impact yields. Our study implies that future changes in seasonal rainfall characteristics should be considered in designing specific crop adaptations in West Africa.

Hair dye use and risk of human cancer

PubMed Central

Zhang, Yawei; Kim, Christopher; Zheng, Tongzhang

2016-01-01

Over 50% of the adult population will use hair dyes at some point in their lifetimes. Hair dyes consist of various chemicals and the composition of these chemicals vary by hair dye types. Chemicals p-phenylenediamine and aminophenyl have been suggested as possible carcinogens or mutagens in experimental studies. The scientific community has been interested in this potential public health impact and the results of published epidemiological studies are summarized here. The current evidence provides limited evidences on the association between personal hair dye use and human cancer risk, except for the possibility of hematopoietic cancers and to a lesser extent, bladder cancer. Risk appears to be affected by time period of use and by specific genetic polymorphisms. Future studies should investigate potential gene and environment interaction to assess possible genetic susceptibility. Several methodological issues should also be considered in future studies including completed hair dye use information such as on timing, duration, frequency and type of hair dye product use. PMID:22201892

Hair dye use and risk of human cancer.

PubMed

Zhang, Yawei; Kim, Christopher; Zheng, Tongzhang

2012-01-01

Over 50% of the adult population will use hair dyes at some point in their lifetimes. Hair dyes consist of various chemicals and the composition of these chemicals vary by hair dye types. Chemicals p-phenylenediamine and aminophenyl have been suggested as possible carcinogens or mutagens in experimental studies. The scientific community has been interested in this potential public health impact and the results of published epidemiological studies are summarized here. The current evidence provides limited evidences on the association between personal hair dye use and human cancer risk, except for the possibility of hematopoietic cancers and to a lesser extent, bladder cancer. Risk appears to be affected by time period of use and by specific genetic polymorphisms. Future studies should investigate potential gene and environment interaction to assess possible genetic susceptibility. Several methodological issues should also be considered in future studies including completed hair dye use information such as on timing, duration, frequency and type of hair dye product use.

Coastlines of the past: clues for our future

NASA Astrophysics Data System (ADS)

Reynolds, L.

2017-12-01

Coastlines are constantly evolving due to the long-term effects of sea-level change and human impacts, as well as in response to high-impact, short duration hazard events such as storms, tsunamis, and earthquakes. The sediments that accumulate in coastal systems such as estuaries, dunes, and beaches archieve the enviornmental record of the past, providing us a baseline with which to predict future coastal hazard magnitude and recurrence intervals. We study this record to understand future hazard potential, as well as to aid restoration efforts. Many coastal systems around the world have been degraded in the last few hundred years by human activity- these regions are important breeding grounds for commercially viable species, natural pollution filters, and barriers against inundation. Efforts to restore coastal systems often rely on data from historical sources to reconstruct past coastal conditions-the geological record can extend the timeframe with which we think about possible restoration points. In addition, studying past coastal response to enviornmental changes can aid the effort to restore systems to a point of sustainability and resilience instead of simply restoring to an arbirtary point in time.

Individualized Behavioral Health Monitoring Tool

NASA Technical Reports Server (NTRS)

Mollicone, Daniel

2015-01-01

Behavioral health risks during long-duration space exploration missions are among the most difficult to predict, detect, and mitigate. Given the anticipated extended duration of future missions and their isolated, extreme, and confined environments, there is the possibility that behavior conditions and mental disorders will develop among astronaut crew. Pulsar Informatics, Inc., has developed a health monitoring tool that provides a means to detect and address behavioral disorders and mental conditions at an early stage. The tool integrates all available behavioral measures collected during a mission to identify possible health indicator warning signs within the context of quantitatively tracked mission stressors. It is unobtrusive and requires minimal crew time and effort to train and utilize. The monitoring tool can be deployed in space analog environments for validation testing and ultimate deployment in long-duration space exploration missions.

Identifying climate analogues for precipitation extremes for Denmark based on RCM simulations from the ENSEMBLES database.

PubMed

Arnbjerg-Nielsen, K; Funder, S G; Madsen, H

2015-01-01

Climate analogues, also denoted Space-For-Time, may be used to identify regions where the present climatic conditions resemble conditions of a past or future state of another location or region based on robust climate variable statistics in combination with projections of how these statistics change over time. The study focuses on assessing climate analogues for Denmark based on current climate data set (E-OBS) observations as well as the ENSEMBLES database of future climates with the aim of projecting future precipitation extremes. The local present precipitation extremes are assessed by means of intensity-duration-frequency curves for urban drainage design for the relevant locations being France, the Netherlands, Belgium, Germany, the United Kingdom, and Denmark. Based on this approach projected increases of extreme precipitation by 2100 of 9 and 21% are expected for 2 and 10 year return periods, respectively. The results should be interpreted with caution as the best region to represent future conditions for Denmark is the coastal areas of Northern France, for which only little information is available with respect to present precipitation extremes.

Future projections of extreme precipitation using Advanced Weather Generator (AWE-GEN) over Peninsular Malaysia

NASA Astrophysics Data System (ADS)

Syafrina, A. H.; Zalina, M. D.; Juneng, L.

2014-09-01

A stochastic downscaling methodology known as the Advanced Weather Generator, AWE-GEN, has been tested at four stations in Peninsular Malaysia using observations available from 1975 to 2005. The methodology involves a stochastic downscaling procedure based on a Bayesian approach. Climate statistics from a multi-model ensemble of General Circulation Model (GCM) outputs were calculated and factors of change were derived to produce the probability distribution functions (PDF). New parameters were obtained to project future climate time series. A multi-model ensemble was used in this study. The projections of extreme precipitation were based on the RCP 6.0 scenario (2081-2100). The model was able to simulate both hourly and 24-h extreme precipitation, as well as wet spell durations quite well for almost all regions. However, the performance of GCM models varies significantly in all regions showing high variability of monthly precipitation for both observed and future periods. The extreme precipitation for both hourly and 24-h seems to increase in future, while extreme of wet spells remain unchanged, up to the return periods of 10-40 years.

Future perspectives on space psychology: Recommendations on psychosocial and neurobehavioural aspects of human spaceflight

NASA Astrophysics Data System (ADS)

De La Torre, Gabriel G.; van Baarsen, Berna; Ferlazzo, Fabio; Kanas, Nick; Weiss, Karine; Schneider, Stefan; Whiteley, Iya

2012-12-01

Recently the psychological effects of space flight have gained in attention. In uncovering the psychological challenges that individuals and teams can face, we need research options that integrate psychosocial aspects with behavioral, performance, technical and environmental issues. Future perspectives in Space Psychology and Human Spaceflight are reviewed in this paper. The topics covered include psychosocial and neurobehavioural aspects, neurocognitive testing tools, decision making, autonomy and delayed communications, well being, mental health, situational awareness, and methodology. Authors were members of a European Space Agency (ESA) Research Topical Team on Psychosocial and Behavioral Aspects of Human Spaceflight. They discuss the different topics under a common perspective of a theoretical and practical framework, showing interactions, relationships and possible solutions for the different aspects and variables in play. Recommendations for every topic are offered and summarized for future research in the field. The different proposed research ideas can be accomplished using analogs and simulation experiments, short- and long-duration bed rest, and in-flight microgravity studies. These topics are especially important for future Moon and Mars mission design and training.

Association of breastfeeding with maternal control of infant feeding at age 1 year.

PubMed

Taveras, Elsie M; Scanlon, Kelley S; Birch, Leann; Rifas-Shiman, Sheryl L; Rich-Edwards, Janet W; Gillman, Matthew W

2004-11-01

Previous studies have found that breastfeeding may protect infants against future overweight. One proposed mechanism is that breastfeeding, compared with bottle-feeding, may promote maternal feeding styles that are less controlling and more responsive to infant cues of hunger and satiety, thereby allowing infants greater self-regulation of energy intake. The objective of this study was to examine whether preponderance of breastfeeding in the first 6 months of life and breastfeeding duration are associated with less maternal restrictive behavior and less pressure to eat. We studied 1160 mother-infant pairs in Project Viva, an ongoing prospective cohort study of pregnant mothers and their children. The main outcome measures were mothers' reports of restricting their children's food intake and of pressuring their children to eat more food, as measured by a modified Child Feeding Questionnaire (CFQ) at 1 year postpartum. Restriction was defined by strongly agreeing or agreeing with the following question from the modified CFQ: "I have to be careful not to feed my child too much." We derived a continuous pressure to eat score from 5 questions of the modified CFQ. We used multiple logistic regression to examine the association between preponderance of breastfeeding in the first 6 months of life, breastfeeding duration, and mothers' restriction of children's access to food. We used multiple linear regression, both before and after adjusting for several groups of confounders, to predict the effects of breastfeeding on the mothers' scores for pressuring their children to eat. The mean (SD) age of the women was 32.4 (4.8) years; 24% of the women were nonwhite, and 32% were primigravidas. At 6 months postpartum, 24% of the mothers were exclusively breastfeeding, 25% were mixed feeding, 41% had weaned, and 10% had fed their infants formula only. The mean (SD) duration of breastfeeding was 6.3 (4.5) months. Thirteen percent of the mothers strongly agreed or agreed with the restriction question. The mean (SD) score on the pressure to eat scale was 5.3 (3.7), and the range was 0 to 20. After adjusting for mothers' preexisting concerns about their children's future eating and weight status, as well as sociodemographic, economic, and anthropometric predictors of breastfeeding duration, we found that the longer the mothers breastfed, the less likely they were to restrict their children's food intake at age 1 year. The adjusted odds ratio was 0.89 (95% confidence interval [CI]: 0.84-0.95) for each 1-month increment in breastfeeding duration. In addition, we found that compared with mothers who were exclusively formula feeding, mothers who were exclusively breastfeeding at 6 months of age had much lower odds of restricting their children's food intake at 1 year (odds ratio: 0.27; 95% CI: 0.10-0.72). Preponderance of breastfeeding in the first 6 months of life and breastfeeding duration (beta = -0.01 points on the 0-20 scale for each additional 1 month of breastfeeding [95% CI: -0.07 to 0.05]) were not related to mothers' pressuring their children to eat more. Mothers who fed their infants breast milk in early infancy and who breastfed for longer periods reported less restrictive behavior regarding child feeding at 1 year. Additional longitudinal studies should examine the extent to which any protective effect of breastfeeding on overweight is explained by decreased maternal feeding restriction.

Association of Breastfeeding With Maternal Control of Infant Feeding at Age 1 Year

PubMed Central

Taveras, Elsie M.; Scanlon, Kelley S.; Birch, Leann; Rifas-Shiman, Sheryl L.; Rich-Edwards, Janet W.; Gillman, Matthew W.

2007-01-01

Objective Previous studies have found that breastfeeding may protect infants against future overweight. One proposed mechanism is that breastfeeding, compared with bottle-feeding, may promote maternal feeding styles that are less controlling and more responsive to infant cues of hunger and satiety, thereby allowing infants greater self-regulation of energy intake. The objective of this study was to examine whether preponderance of breastfeeding in the first 6 months of life and breastfeeding duration are associated with less maternal restrictive behavior and less pressure to eat. Methods We studied 1160 mother–infant pairs in Project Viva, an ongoing prospective cohort study of pregnant mothers and their children. The main outcome measures were mothers’ reports of restricting their children’s food intake and of pressuring their children to eat more food, as measured by a modified Child Feeding Questionnaire (CFQ) at 1 year postpartum. Restriction was defined by strongly agreeing or agreeing with the following question from the modified CFQ: “I have to be careful not to feed my child too much.” We derived a continuous pressure to eat score from 5 questions of the modified CFQ. We used multiple logistic regression to examine the association between preponderance of breastfeeding in the first 6 months of life, breastfeeding duration, and mothers’ restriction of children’s access to food. We used multiple linear regression, both before and after adjusting for several groups of confounders, to predict the effects of breastfeeding on the mothers’ scores for pressuring their children to eat. Results The mean (SD) age of the women was 32.4 (4.8) years; 24% of the women were nonwhite, and 32% were primigravidas. At 6 months postpartum, 24% of the mothers were exclusively breastfeeding, 25% were mixed feeding, 41% had weaned, and 10% had fed their infants formula only. The mean (SD) duration of breastfeeding was 6.3 (4.5) months. Thirteen percent of the mothers strongly agreed or agreed with the restriction question. The mean (SD) score on the pressure to eat scale was 5.3 (3.7), and the range was 0 to 20. After adjusting for mothers’ preexisting concerns about their children’s future eating and weight status, as well as sociodemographic, economic, and anthropometric predictors of breastfeeding duration, we found that the longer the mothers breastfed, the less likely they were to restrict their children’s food intake at age 1 year. The adjusted odds ratio was 0.89 (95% confidence interval [CI]: 0.84–0.95) for each 1-month increment in breastfeeding duration. In addition, we found that compared with mothers who were exclusively formula feeding, mothers who were exclusively breastfeeding at 6 months of age had much lower odds of restricting their children’s food intake at 1 year (odds ratio: 0.27; 95% CI: 0.10–0.72). Preponderance of breastfeeding in the first 6 months of life and breastfeeding duration (β = −0.01 points on the 0–20 scale for each additional 1 month of breastfeeding [95% CI: −0.07 to 0.05]) were not related to mothers’ pressuring their children to eat more. Conclusion Mothers who fed their infants breast milk in early infancy and who breastfed for longer periods reported less restrictive behavior regarding child feeding at 1 year. Additional longitudinal studies should examine the extent to which any protective effect of breastfeeding on overweight is explained by decreased maternal feeding restriction. PMID:15492358

Immuno-oncology Clinical Trial Design: Limitations, Challenges, and Opportunities

PubMed Central

Baik, Christina S.; Rubin, Eric H.; Forde, Patrick M.; Mehnert, Janice M.; Collyar, Deborah; Butler, Marcus O.; Dixon, Erica L.; Chow, Laura Q.M.

2017-01-01

Recent advances in immuno-oncology and regulatory approvals have been rapid and paradigm shifting in many difficult-to-treat malignancies. Despite immune checkpoint inhibitor therapy becoming the standard of care across multiple tumor types, there are many unanswered questions that need to be addressed before this therapeutic modality can be fully harnessed. Areas of limitations include treatment of patients not sufficiently represented in clinical trials, uncertainty of the optimal treatment dosing and duration, and lack of understanding regarding long-term immune related toxicities and atypical tumor responses. Patients such as those with autoimmune disease, chronic viral infections, limited performance status, and brain metastases were often excluded from initial trials due to concerns of safety. However, limited data suggest that some of these patients can benefit from therapy with manageable toxicities; thus, future studies should incorporate these patients to clearly define safety and efficacy. There are still controversies regarding the optimal dosing strategy that can vary from weight-based to flat dosing, with undefined treatment duration. Further elucidation of the optimal dosing approach and evaluation of predictive biomarkers should be incorporated in the design of future trials. Finally, there are long-term immune-mediated toxicities, atypical tumor responses such as pseudoprogression and endpoints unique to immuno-oncology that are not adequately captured by traditional trial designs; thus, novel study designs are needed. In this article, we discuss in detail the above challenges and propose needed areas of research for exploration and incorporation in the next generation of immuno-oncology clinical trials. PMID:28864727

Bladder augmentation without integration of intact bowel segments: critical review and future perspectives.

PubMed

Gurocak, Serhat; De Gier, Robert P E; Feitz, Wouter

2007-03-01

We evaluated the long-term results of autoaugmentation in the pediatric age group and summarized technical adaptations, experimental options and future perspectives for treating these patients. A directed MEDLINE literature review was performed to assess different techniques and alternative options in autoaugmentation procedures. Of 150 studies 49 in the subgroup with the longest duration of followup to show the long-term outcome of the autoaugmentation procedures were chosen for this review. Information gained from these data was reviewed and new perspectives were summarized. Enterocystoplasy is an effective mode of therapy with acceptable morbidity and satisfactory clinical results, although it is major intraperitoneal surgery with various complications and patients need prolonged convalescence to adapt to these surgical procedures. On the other hand, patient selection seems to be the most crucial step for the success of autoaugmentation procedures because the clinical outcome does not appear to be durable. Achievement of better compliance after autoaugmentation procedures seems to be less pronounced and of shorter duration than that of conventional enterocystoplasty. On the other hand, the low morbidity and lack of side effects of bowel integration into the urinary tract are the definite advantages of this technique. It is the responsibility of the physician to determine the balance between the limited efficacy of the procedures vs the definite advantages. Although functionally improved parameters are obtained in tissue engineered autologous bladders, there is an absolute need for additional studies before this challenging technique could be applied widely.

International Space Station as Analog of Interplanetary Transit Vehicle For Biomedical Research

NASA Technical Reports Server (NTRS)

Charles, John B.

2012-01-01

Astronaut missions lasting up to six months aboard the International Space Station (ISS) have much in common with interplanetary flights, especially the outbound, Earth-to-Mars transit portion of a Mars mission. Utilization of ISS and other appropriate platforms to prepare for crewed expeditions to planetary destinations including Mars has been the work of NASA's Human Research Program (HRP) since 2005. HRP is charged specifically to understand and reduced the risks to astronaut health and performance in space exploration missions: everything HRP does and has done is directly related to that responsibility. Two major categories of human research have capitalized on ISS capabilities. The first category centers on the biomedical aspects of long-duration exposure to spaceflight factors, including prolonged weightlessness, radiation exposure, isolation and confinement, and actual risk to life and limb. These studies contribute to astronaut safety, health and efficiency on any long-duration missions, whether in low Earth orbit (LEO) or beyond. Qualitatively, weightlessness is weightlessness, whether in LEO or en route to Mars. The HRP sponsors investigations into losses in muscle and bone integrity, cardiovascular function, sensory-motor capability, immune capacity and psychosocial health, and development and demonstration of appropriate treatments and preventative measures. The second category includes studies that are focused on planetary expeditions beyond LEO. For these, ISS offers a high fidelity analog to investigate the combined effects of spaceflight factors (described above) plus the isolation and autonomy associated with simulated increasing distance from Earth. Investigations address crew cohesion, performance and workload, and mission control performance. The behavioral health and performance and space human factors aspects of planetary missions dominate this category. Work has already begun on a new investigation in this category which will examine the effects of a simulated lag in communications (mimicking that expected in transit to Mars) on astronaut performance aboard ISS. Extension of the current ISS increment duration from six months to nine or even twelve months would provide opportunities for expanded research relevant to long duration missions, albeit at the cost of fewer astronauts as subjects for those investigations. Given the possible limited access to ISS after 2020, if ISS is intended to facilitate future exploration missions, then the in-flight human investigations should focus on those that clearly enable future exploration missions.

Comparison and validation of statistical methods for predicting power outage durations in the event of hurricanes.

PubMed

Nateghi, Roshanak; Guikema, Seth D; Quiring, Steven M

2011-12-01

This article compares statistical methods for modeling power outage durations during hurricanes and examines the predictive accuracy of these methods. Being able to make accurate predictions of power outage durations is valuable because the information can be used by utility companies to plan their restoration efforts more efficiently. This information can also help inform customers and public agencies of the expected outage times, enabling better collective response planning, and coordination of restoration efforts for other critical infrastructures that depend on electricity. In the long run, outage duration estimates for future storm scenarios may help utilities and public agencies better allocate risk management resources to balance the disruption from hurricanes with the cost of hardening power systems. We compare the out-of-sample predictive accuracy of five distinct statistical models for estimating power outage duration times caused by Hurricane Ivan in 2004. The methods compared include both regression models (accelerated failure time (AFT) and Cox proportional hazard models (Cox PH)) and data mining techniques (regression trees, Bayesian additive regression trees (BART), and multivariate additive regression splines). We then validate our models against two other hurricanes. Our results indicate that BART yields the best prediction accuracy and that it is possible to predict outage durations with reasonable accuracy. © 2011 Society for Risk Analysis.

Analysis of the Duration of Lower Band Rising Tone Chorus Elements Using Van Allen Probes Data

NASA Astrophysics Data System (ADS)

Teng, S.; Tao, X.

2017-12-01

The duration of lower band rising tone chorus elements is an important parameter to understand chorus excitation mechanism, and is analyzed statistically in this work using Van Allen Probes data. The distribution of chorus element duration (τ) as a function of magnetic local time, L shell, and geomagnetic activity level characterized by the AE index are presented. We show that the typical value of τ for the nightside (0.15s) is smaller than that for the dayside (0.25s), and τ increases with increasing L-shell and decreasing geomagnetic level. We also investigate the correlation between τ and the frequency sweep rate (Γ). The observed relation between the duration (τ) scales and the frequency sweep rate (Γ) is found to be as τ ∝ Γ(-0.9). Future work is needed to explain this relation theoretically. Our results should be helpful to the further development of the theoretical model of chorus excitation.

Biomarker-guided antibiotic therapy—strengths and limitations

PubMed Central

Salluh, Jorge; Martin-Loeches, Ignacio; Póvoa, Pedro

2017-01-01

Biomarkers as C-reactive protein (CRP) and procalcitonin (PCT) emerged as tools to help clinicians to diagnose infection and to properly initiate and define the duration of antibiotic therapy. Several randomized controlled trials, including adult critically ill patients, showed that PCT-guided antibiotic stewardship was repeatedly associated with a decrease in the duration of antibiotic therapy with no apparent harm. There are however some relevant limitations in these trials namely the low rate of compliance of PCT-guided algorithms, the high rate of exclusion (without including common clinical situations and pathogens) and the long duration of antibiotic therapy in control groups. Such limitations weakened the real impact of such algorithms in the clinical decision-making process and strengthened the concept that the initiation and the duration of antibiotic therapy cannot depend solely on a biomarker. Future efforts should address these limitations in order to better clarify the role of biomarkers on the complex and multifactorial issue of antibiotic management and to deeply understand its potential effect on mortality. PMID:28603723

Biomarker-guided antibiotic therapy-strengths and limitations.

PubMed

Nora, David; Salluh, Jorge; Martin-Loeches, Ignacio; Póvoa, Pedro

2017-05-01

Biomarkers as C-reactive protein (CRP) and procalcitonin (PCT) emerged as tools to help clinicians to diagnose infection and to properly initiate and define the duration of antibiotic therapy. Several randomized controlled trials, including adult critically ill patients, showed that PCT-guided antibiotic stewardship was repeatedly associated with a decrease in the duration of antibiotic therapy with no apparent harm. There are however some relevant limitations in these trials namely the low rate of compliance of PCT-guided algorithms, the high rate of exclusion (without including common clinical situations and pathogens) and the long duration of antibiotic therapy in control groups. Such limitations weakened the real impact of such algorithms in the clinical decision-making process and strengthened the concept that the initiation and the duration of antibiotic therapy cannot depend solely on a biomarker. Future efforts should address these limitations in order to better clarify the role of biomarkers on the complex and multifactorial issue of antibiotic management and to deeply understand its potential effect on mortality.

Focused ultrasound-mediated noninvasive blood-brain barrier modulation: preclinical examination of efficacy and safety in various sonication parameters.

PubMed

Shin, Jaewoo; Kong, Chanho; Cho, Jae Sung; Lee, Jihyeon; Koh, Chin Su; Yoon, Min-Sik; Na, Young Cheol; Chang, Won Seok; Chang, Jin Woo

2018-02-01

OBJECTIVE The application of pharmacological therapeutics in neurological disorders is limited by the ability of these agents to penetrate the blood-brain barrier (BBB). Focused ultrasound (FUS) has recently gained attention for its potential application as a method for locally opening the BBB and thereby facilitating drug delivery into the brain parenchyma. However, this method still requires optimization to maximize its safety and efficacy for clinical use. In the present study, the authors examined several sonication parameters of FUS influencing BBB opening in small animals. METHODS Changes in BBB permeability were observed during transcranial sonication using low-intensity FUS in 20 adult male Sprague-Dawley rats. The authors examined the effects of FUS sonication with different sonication parameters, varying acoustic pressure, center frequency, burst duration, microbubble (MB) type, MB dose, pulse repetition frequency (PRF), and total exposure time. The focal region of BBB opening was identified by Evans blue dye. Additionally, H & E staining was used to identify blood vessel damage. RESULTS Acoustic pressure amplitude and burst duration were closely associated with enhancement of BBB opening efficiency, but these parameters were also highly correlated with tissue damage in the sonicated region. In contrast, MB types, MB dose, total exposure time, and PRF had an influence on BBB opening without conspicuous tissue damage after FUS sonication. CONCLUSIONS The study aimed to identify these influential conditions and provide safety and efficacy values for further studies. Future work based on the current results is anticipated to facilitate the implementation of FUS sonication for drug delivery in various CNS disease states in the near future.

Text messaging-based smoking cessation intervention: a narrative review.

PubMed

Kong, Grace; Ells, Daniel M; Camenga, Deepa R; Krishnan-Sarin, Suchitra

2014-05-01

Smoking cessation interventions delivered via text messaging on mobile phones may enhance motivations to quit smoking. The goal of this narrative review is to describe the text messaging interventions' theoretical contents, frequency and duration, treatment outcome, and sample characteristics such as age and motivation to quit, to better inform the future development of this mode of intervention. Studies were included if text messaging was primarily used to deliver smoking cessation intervention and published in English in a peer-reviewed journal. All articles were coded by two independent raters to determine eligibility and to extract data. Twenty-two studies described 15 text messaging interventions. About half of the interventions recruited adults (ages 30-40) and the other half targeted young adults (ages 18-29). Fourteen interventions sent text messages during the quit phase, 10 had a preparation phase and eight had a maintenance phase. The number of text messages and the duration of the intervention varied. All used motivational messages grounded in social cognitive behavioral theories, 11 used behavioral change techniques, and 14 used individually tailored messages. Eleven interventions also offered other smoking cessation tools. Three interventions yielded smoking cessation outcomes greater than the control condition. The proliferation of text messaging in recent years suggests that text messaging interventions may have the potential to improve smoking cessation rates. Detailed summary of the interventions suggests areas for future research and clinical application. More rigorous studies are needed to identify components of the interventions that can enhance their acceptability, feasibility and efficacy. Copyright © 2013. Published by Elsevier Ltd.

Text Messaging-Based Smoking Cessation Intervention: A Narrative Review

PubMed Central

Kong, Grace; Ells, Daniel; Camenga, Deepa R.; Krishnan-Sarin, Suchitra

2014-01-01

Introduction Smoking cessation interventions delivered via text messaging on mobile phones may enhance motivations to quit smoking. The goal of this narrative review is to describe the text messaging interventions’ theoretical contents, frequency and duration, treatment outcome, and sample characteristics such as age and motivation to quit, to better inform the future development of this mode of intervention. Methods Studies were included if text messaging was primarily used to deliver smoking cessation intervention and published in English in a peer-reviewed journal. All articles were coded by two independent raters to determine eligibility and to extract data. Results Twenty-two studies described 15 text messaging interventions. About half of the interventions recruited adults (ages 30-40s) and the other half targeted young adults (ages 18-29). Fourteen interventions sent text messages during the quit phase, 10 had a preparation phase and eight had a maintenance phase. The number of text messages and the duration of the intervention varied. All used motivational messages grounded in social cognitive behavioral theories, 11 used behavioral change techniques, and 14 used individually tailored messages. Eleven interventions also offered other smoking cessation tools. Three interventions yielded smoking cessation outcomes greater than the control condition. Conclusions The proliferation of text messaging in recent years suggests that text messaging interventions may have the potential to improve smoking cessation rates. Detailed summary of the interventions suggest areas for future research and clinical application. More rigorous studies are needed to identify components of the interventions that can enhance their acceptability, feasibility and efficacy. PMID:24462528

Interpersonal and cultural issues involving crews and ground personnel during Shuttle/Mir space missions.

PubMed

Kanas, N; Salnitskiy, V; Grund, E M; Gushin, V; Weiss, D S; Kozerenko, O; Sled, A; Marmar, C R

2000-09-01

Anecdotal reports from space and results from simulation studies on Earth suggest that interpersonal and cultural issues will have an impact on the interactions of crewmembers and mission control personnel during future long-duration space missions. To evaluate this impact we studied 5 astronauts, 8 cosmonauts, and 42 American and 16 Russian mission control personnel who participated in the Shuttle/Mir space program. Subjects completed questions from the Profile of Mood States, the Group Environment Scale, and the Work Environment Scale on a weekly basis during the missions. Subscale scores from these measures were analyzed using a two-way ANOVA to examine mean differences as a function of country (American vs. Russian), group (crewmember vs. ground personnel), and their interaction. Americans scored higher on measures of vigor and work pressure, and Russians scored higher on measures of managerial control, task orientation, physical comfort, self discovery, and leader support (which also showed a significant interaction effect). Mission control subjects scored higher than crewmembers on four measures of dysphoric emotions, but both groups scored significantly lower than published norms from other studies. There were significant interaction effects for subscales measuring leader support, expressiveness, and independence, with the American astronauts scoring the lowest of all comparison groups on all three subscales. In future long-duration space missions, countermeasures should focus on providing support for crewmembers from a culture in the minority, and crews should include more than one representative from this culture. Positive aspects of the interpersonal environment should be enhanced. The needs of mission control personnel should be addressed as well as those of crewmembers.

Affective outcomes of virtual reality exposure therapy for anxiety and specific phobias: a meta-analysis.

PubMed

Parsons, Thomas D; Rizzo, Albert A

2008-09-01

Virtual reality exposure therapy (VRET) is an increasingly common treatment for anxiety and specific phobias. Lacking is a quantitative meta-analysis that enhances understanding of the variability and clinical significance of anxiety reduction outcomes after VRET. Searches of electronic databases yielded 52 studies, and of these, 21 studies (300 subjects) met inclusion criteria. Although meta-analysis revealed large declines in anxiety symptoms following VRET, moderator analyses were limited due to inconsistent reporting in the VRET literature. This highlights the need for future research studies that report uniform and detailed information regarding presence, immersion, anxiety and/or phobia duration, and demographics.

Hypoglycemia begets hypoglycemia: the order effect in the ASPIRE in-clinic study.

PubMed

Garg, Satish K; Brazg, Ronald L; Bailey, Timothy S; Buckingham, Bruce A; Slover, Robert H; Klonoff, David C; Shin, John; Welsh, John B; Kaufman, Francine R

2014-03-01

The ASPIRE in-clinic study established that automatic suspension of insulin with the threshold suspend (TS) feature reduces the duration of induced hypoglycemia. The study's crossover design allowed the effects of antecedent hypoglycemia to be studied. The study enrolled 50 subjects who exercised until plasma glucose (YSI glucose and lactate analyzer; YSI, Inc., Yellow Springs, OH) reached ≤85 mg/dL. Hypoglycemia was evaluated after the YSI value reached <70 mg/dL. In TS experiments, insulin was stopped for 2 h once a sensor glucose (SG) value of ≤70 mg/dL was detected; in control experiments, basal insulin delivery continued. Subjects were randomly assigned to Group A (TS in Period 1; control in Period 2) or Group B (control in Period 1; TS in Period 2). Experiments were separated by 3-10 days. Hypoglycemia was 63.7 min shorter in Period 1 TS experiments (no preceding control experiment) than in Period 2 TS experiments (one or more preceding control experiment(s)) (P<0.01). The number of experiments prior to a successful TS experiment was lower for Period 1 than for Period 2 (0.36 ± 0.64 vs. 1.57 ± 0.84; P<0.001), as was the cumulative duration of antecedent hypoglycemia (16.6 min vs. 204.6 min; P<0.001). The between-groups difference in hypoglycemia duration was not attributable to differences in SG rates of change, the duration of exercise, or area under the curve of <70 mg/dL × min in the 2 days before the successful experiment (all P>0.3). The TS feature's ability to mitigate hypoglycemia was decreased by an episode or episodes of prolonged antecedent hypoglycemia, suggesting hypoglycemia begets hypoglycemia. The effect of antecedent hypoglycemia should be taken into consideration in the design of future experiments assessing strategies to reduce hypoglycemia.

The NASA Skylab Program

ERIC Educational Resources Information Center

Levin, Richard R.

1973-01-01

An experimental space station having three-man crews which will live and work there for periods up to 56 days is designed to provide data needed for long-duration space flight and future spacecraft design. This project will answer many scientific and medical questions. (DF)

Functional Group, Biomass, and Climate Change Effects on Ecological Drought in Semiarid Grasslands

NASA Astrophysics Data System (ADS)

Wilson, S. D.; Schlaepfer, D. R.; Bradford, J. B.; Lauenroth, W. K.; Duniway, M. C.; Hall, S. A.; Jamiyansharav, K.; Jia, G.; Lkhagva, A.; Munson, S. M.; Pyke, D. A.; Tietjen, B.

2018-03-01

Water relations in plant communities are influenced both by contrasting functional groups (grasses and shrubs) and by climate change via complex effects on interception, uptake, and transpiration. We modeled the effects of functional group replacement and biomass increase, both of which can be outcomes of invasion and vegetation management, and climate change on ecological drought (soil water potential below which photosynthesis stops) in 340 semiarid grassland sites over 30 year periods. Relative to control vegetation (climate and site-determined mixes of functional groups), the frequency and duration of drought were increased by shrubs and decreased by annual grasses. The rankings of shrubs, control vegetation, and annual grasses in terms of drought effects were generally consistent in current and future climates, suggesting that current differences among functional groups on drought effects predict future differences. Climate change accompanied by experimentally increased biomass (i.e., the effects of invasions that increase community biomass or management that increases productivity through fertilization or respite from grazing) increased drought frequency and duration and advanced drought onset. Our results suggest that the replacement of perennial temperate semiarid grasslands by shrubs, or increased biomass, can increase ecological drought in both current and future climates.

Functional group, biomass, and climate change effects on ecological drought in semiarid grasslands

USGS Publications Warehouse

Wilson, Scott D.; Schlaepfer, Daniel R.; Bradford, John B.; Lauenroth, William K.; Duniway, Michael C.; Hall, Sonia A.; Jamiyansharav, Khishigbayar; Jia, Gensuo; Lkhagva, Ariuntsetseg; Munson, Seth M.; Pyke, David A.; Tietjen, Britta

2018-01-01

Water relations in plant communities are influenced both by contrasting functional groups (grasses, shrubs) and by climate change via complex effects on interception, uptake and transpiration. We modelled the effects of functional group replacement and biomass increase, both of which can be outcomes of invasion and vegetation management, and climate change on ecological drought (soil water potential below which photosynthesis stops) in 340 semiarid grassland sites over 30‐year periods. Relative to control vegetation (climate and site‐determined mixes of functional groups), the frequency and duration of drought were increased by shrubs and decreased by annual grasses. The rankings of shrubs, control vegetation, and annual grasses in terms of drought effects were generally consistent in current and future climates, suggesting that current differences among functional groups on drought effects predict future differences. Climate change accompanied by experimentally‐increased biomass (i.e. the effects of invasions that increase community biomass, or management that increases productivity through fertilization or respite from grazing) increased drought frequency and duration, and advanced drought onset. Our results suggest that the replacement of perennial temperate semiarid grasslands by shrubs, or increased biomass, can increase ecological drought both in current and future climates.

Leveraging Epidemiology and Clinical Studies of Cancer Outcomes: Recommendations and Opportunities for Translational Research

PubMed Central

2013-01-01

As the number of cancer survivors continues to grow, research investigating the factors that affect cancer outcomes, such as disease recurrence, risk of second malignant neoplasms, and the late effects of cancer treatments, becomes ever more important. Numerous epidemiologic studies have investigated factors that affect cancer risk, but far fewer have addressed the extent to which demographic, lifestyle, genomic, clinical, and psychosocial factors influence cancer outcomes. To identify research priorities as well as resources and infrastructure needed to advance the field of cancer outcomes and survivorship research, the National Cancer Institute sponsored a workshop titled “Utilizing Data from Cancer Survivor Cohorts: Understanding the Current State of Knowledge and Developing Future Research Priorities” on November 3, 2011, in Washington, DC. This commentary highlights recent findings presented at the workshop, opportunities to leverage existing data, and recommendations for future research, data, and infrastructure needed to address high priority clinical and research questions. Multidisciplinary teams that include epidemiologists, clinicians, biostatisticians, and bioinformaticists will be essential to facilitate future cancer outcome studies focused on improving clinical care of cancer patients, identifying those at high risk of poor outcomes, and implementing effective interventions to ultimately improve the quality and duration of survival. PMID:23197494

[Issues of biomedical support of explorations missions].

PubMed

Potapov, A N; Sinyak, Yu E; Petrov, V M

2013-01-01

Sine qua non for piloted exploration missions is a system of biomedical support. The future system will be considerably different from the analogous systems applied in current orbital missions. The reason is the challenging conditions in expeditions to remote space. In a mission to Mars, specifically, these are high levels of radiation, hypomagnetic environment, alternation of micro- and hypogravity, very long mission duration and autonomy. The paper scrutinizes the major issues of medical support to future explorers of space.

Psychosocial issues during an expedition to Mars

NASA Astrophysics Data System (ADS)

Kanas, Nick

2014-10-01

Much is known about psychological and interpersonal issues affecting astronauts participating in manned space missions near the Earth. But in a future long-distance, long-duration expedition to Mars, additional stressors will occur that will result in psychological, psychiatric, and interpersonal effects on the crew, both negative and positive. This paper will review what is known about important psychosocial issues in space and will extrapolate them to the scenario of a future manned space mission to Mars.

Impact of lakes and wetlands on present and future boreal climate

NASA Astrophysics Data System (ADS)

Poutou, E.; Krinner, G.; Genthon, C.

2002-12-01

Impact of lakes and wetlands on present and future boreal climate The role of lakes and wetlands in present-day high latitude climate is quantified using a general circulation model of the atmosphere. The atmospheric model includes a lake module which is presented and validated. Seasonal and spatial wetland distribution is calculated as a function of the hydrological budget of the wetlands themselves and of continental soil whose runoff feeds them. Wetland extent is simulated and discussed both in simulations forced by observed climate and in general circulation model simulations. In off-line simulations, forced by ECMWF reanalyses, the lake model simulates correctly observed lake ice durations, while the wetland extent is somewhat underestimated in the boreal regions. Coupled to the general circulation model, the lake model yields satisfying ice durations, although the climate model biases have impacts on the modeled lake ice conditions. Boreal wetland extents are overestimated in the general circulation model as simulated precipitation is too high. The impact of inundated surfaces on the simulated climate is strongest in summer when these surfaces are ice-free. Wetlands seem to play a more important role than lakes in cooling the boreal regions in summer and in humidifying the atmosphere. The role of lakes and wetlands in future climate change is evaluated by analyzing simulations of present and future climate with and without prescribed inland water bodies.

Constraints on global temperature target overshoot

NASA Astrophysics Data System (ADS)

MacMartin, D. G.; Ricke, K.; Millar, R.

2016-12-01

The climate science and policy communities are beginning to assess the feasibility and potential benefits of limiting global warming to 1.5°C or 2°C. Understanding the dependence of the magnitude and duration of possible temporary exceedance (i.e., "overshoot") of these targets on sustainable energy decarbonization futures and carbon dioxide (CO2) removal rates will be an important contribution of the scientific community to this policy discussion. Drawing upon results from the mitigation literature and the IPCC Working Group 3 (WG3) scenario database, we examine the global mean temperature implications of differing independent pathways for the decarbonization of global energy supply and the implementation of negative emissions technologies. We find that within the range of decarbonization and negative emissions futures considered by WG3, the most ambitious rates of both decarbonization and deployment of negative emissions technologies are required to avoid overshoot of 1.5°C. The magnitude of temperature overshoot is more sensitive to the rate of decarbonization, but limiting the duration of overshoot to less than two centuries will require ambitious deployment of both decarbonization and negative emissions technology. The dependencies of temperature overshoots properties upon currently untested negative emissions technologies suggests that it will be important to assess how climate impacts depend on the magnitude and duration of overshoot, not just long term residual warming. As a new round of research proceeds with a 1.5°C threshold in mind, it will be important to understand the drivers behind various global temperature linked impacts and how these are influenced by both the duration and magnitude of a temporary overshoot of the target. This understanding will allow policy makers to better link climate policy goals to specific technological needs. Figure: Magnitude and duration of 1.5°C temperature target overshoot for "likely" range of climate response. Contours show the maximum magnitude (in °C) and duration (in years) of the period of overshoot beyond 1.5°C as a function of decarbonization and negative emissions implementation. White areas show scenario spaces with no overshoot, and stippled areas scenario spaces where the quantity is still undefined in 2300.

Sleep duration and cancer risk: time to use a "sleep-years" index?

PubMed

Erren, Thomas C

2012-09-01

With a focus on melatonin, a recent paper in the Journal investigated the hypothesis that endometrial cancer might be associated with the duration, and ultimately, amount of sleep. The authors found that "[s]elf-reported sleep duration may not adequately represent melatonin levels." The authors also concluded that there was "weak evidence of an association between sleep duration and endometrial cancer risk." Overall, these are interesting observations because primarily experimental and mechanistic research from many angles supports the study's notion that inappropriate sleep may be a determinant of cancer risk. To find out whether this is so in man, rather than assigning study individuals to fixed or average "baseline sleep categories" i.e., ≤5, 6, 7, 8, ≥9 h of habitual sleep in the present study, the accumulated amount of sleep over decades should be reconstructed in retrospective or constructed in prospective studies. To achieve this end, future epidemiological studies may want to use a sleep-years index [SYI]. This simple exposure parameter promises to be a sensible, feasible, and affordable way to approximate cumulative time spent at sleep in critical time windows over many years which we should expect to be relevant for the development of cancer. The SYI could be tested and used in observational studies which promise to be comparable and can be merged. This commentary provides roots of the index and explains why and how it should be used and how it could be interpreted in rigorous studies of biologically plausible links between sleep, on the one hand, and the development of internal cancers, on the other. This commentary also points out limitations of interpreting the SYI. It is emphasized that, where possible, the SYI should be assessed independently of (a) other sleep facets--such as quality--and of (b) known or suspected cancer risk factors. The respective contribution of (a) and (b) to risk must then be assessed during the analyses. Overall, the suggested inclusion and standardization of assessing sleep duration could be an important step forward when evaluating possible cancer risks in relation to sleep. Finally, the proposed approach may prove useful beyond sleep epidemiology per se: to exemplify, research into suggested causal links between disrupted natural sleep-wakefulness cycles and increased cancer risks in shift-workers could also benefit.

Flow regime alterations under changing climate in two river basins: Implications for freshwater ecosystems

USGS Publications Warehouse

Gibson, C.A.; Meyer, J.L.; Poff, N.L.; Hay, L.E.; Georgakakos, A.

2005-01-01

We examined impacts of future climate scenarios on flow regimes and how predicted changes might affect river ecosystems. We examined two case studies: Cle Elum River, Washington, and Chattahoochee-Apalachicola River Basin, Georgia and Florida. These rivers had available downscaled global circulation model (GCM) data and allowed us to analyse the effects of future climate scenarios on rivers with (1) different hydrographs, (2) high future water demands, and (3) a river-floodplain system. We compared observed flow regimes to those predicted under future climate scenarios to describe the extent and type of changes predicted to occur. Daily stream flow under future climate scenarios was created by either statistically downscaling GCMs (Cle Elum) or creating a regression model between climatological parameters predicted from GCMs and stream flow (Chattahoochee-Apalachicola). Flow regimes were examined for changes from current conditions with respect to ecologically relevant features including the magnitude and timing of minimum and maximum flows. The Cle Elum's hydrograph under future climate scenarios showed a dramatic shift in the timing of peak flows and lower low flow of a longer duration. These changes could mean higher summer water temperatures, lower summer dissolved oxygen, and reduced survival of larval fishes. The Chattahoochee-Apalachicola basin is heavily impacted by dams and water withdrawals for human consumption; therefore, we made comparisons between pre-large dam conditions, current conditions, current conditions with future demand, and future climate scenarios with future demand to separate climate change effects and other anthropogenic impacts. Dam construction, future climate, and future demand decreased the flow variability of the river. In addition, minimum flows were lower under future climate scenarios. These changes could decrease the connectivity of the channel and the floodplain, decrease habitat availability, and potentially lower the ability of the river to assimilate wastewater treatment plant effluent. Our study illustrates the types of changes that river ecosystems might experience under future climates. Copyright ?? 2005 John Wiley & Sons, Ltd.

Using large-scale diagnostic quantities to investigate change in East Coast Lows

NASA Astrophysics Data System (ADS)

Ji, Fei; Evans, Jason P.; Argueso, Daniel; Fita, Lluis; Di Luca, Alejandro

2015-11-01

East Coast Lows (ECLs) are intense low-pressure systems that affect the eastern seaboard of Australia. They have attracted research interest for both their destructive nature and water supplying capability. Estimating the changes in ECLs in the future has a major impact on emergency response as well as water management strategies for the coastal communities on the east coast of Australia. In this study, ECLs were identified using two large-scale diagnostic quantities: isentropic potential vorticity (IPV) and geostrophic vorticity (GV), which were calculated from outputs of historical and future regional climate simulations from the NSW/ACT regional climate modelling (NARCliM) project. The diagnostic results for the historical period were evaluated against a subjective ECL event database. Future simulations using a high emission scenario were examined to estimate changes in frequency, duration, and intensity of ECLs. The use of a relatively high resolution regional climate model makes this the first study to examine future changes in ECLs while resolving the full range of ECL sizes which can be as small as 100-200 km in diameter. The results indicate that it is likely that there will be fewer ECLs, with weaker intensity in the future. There could also be a seasonal shift in ECLs from cool months to warm months. These changes have the potential to significantly impact the water security on the east coast of Australia.

The influence of coping styles on long-term employment in multiple sclerosis: A prospective study.

PubMed

Grytten, Nina; Skår, Anne Br; Aarseth, Jan Harald; Assmus, Jorg; Farbu, Elisabeth; Lode, Kirsten; Nyland, Harald I; Smedal, Tori; Myhr, Kjell Morten

2017-06-01

The aim was to investigate predictive values of coping styles, clinical and demographic factors on time to unemployment in patients diagnosed with multiple sclerosis (MS) during 1998-2002 in Norway. All patients ( N = 108) diagnosed with MS 1998-2002 in Hordaland and Rogaland counties, Western Norway, were invited to participate in the long-term follow-up study in 2002. Baseline recordings included disability scoring (Expanded Disability Status Scale (EDSS)), fatigue (Fatigue Severity Scale (FSS)), depression (Beck Depression Inventory (BDI)), and questionnaire assessing coping (the Dispositional Coping Styles Scale (COPE)). Logistic regression analysis was used to identify factors associated with unemployed at baseline, and Cox regression analysis to identify factors at baseline associated with time to unemployment during follow-up. In all, 41 (44%) were employed at baseline. After 13 years follow-up in 2015, mean disease duration of 22 years, 16 (17%) were still employed. Median time from baseline to unemployment was 6 years (±5). Older age at diagnosis, female gender, and depression were associated with patients being unemployed at baseline. Female gender, long disease duration, and denial as avoidant coping strategy at baseline predicted shorter time to unemployment. Avoidant coping style, female gender, and longer disease duration were associated with shorter time to unemployment. These factors should be considered when advising patients on MS and future employment.

Site differences in mild cognitive dysfunction (MCD) among patients with systemic lupus erythematosus (SLE).

PubMed

Kozora, E; Erkan, D; West, S G; Filley, C M; Zhang, L; Ramon, G; Duggan, E; Lockshin, M D

2013-01-01

Mild cognitive dysfunction (MCD) is common in patients with systemic lupus erythematosus (MCD-SLE) but few studies have investigated potential site differences. SLE patients from Denver, CO, and New York, NY, were enrolled in two different cognition studies employing similar screening methods. Using the resulting neuropsychological scores, cognitive impairment was calculated using a cognitive impairment index (CII). The rate of MCD-SLE was 24% at the Denver, CO, site and 60% at the New York, NY, site. The mean CII was 2.6 ± 2.3 versus 4.4 ± 2.7, respectively (p = 0.005). The NY participants had a significantly longer disease duration (p = 0.13) and higher American College of Rheumatology SLE criteria scores (p > 0.001). NY participants had a higher frequency of impairment in semantic verbal fluency (p = 0.005), visuomotor speed (p = 0.013), and motor sequencing (p = 0.001). A correlation was found between cognitive impairment and SLE disease duration (p = 0.03). The rate of MCD-SLE was greater in SLE patients from New York, NY, compared to patients in the Denver, CO, area. The greater duration of disease and higher prevalence of medical complications in the NY group might contribute to this difference. Findings suggest that MCD-SLE may differ by site, but future studies that better evaluate site or selection bias are recommended.

Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update.

PubMed

Skouteris, Helen; Bailey, Cate; Nagle, Cate; Hauck, Yvonne; Bruce, Lauren; Morris, Heather

2017-12-01

Worldwide, women seldom reach the recommended target of exclusive breastfeeding up to 6 months postpartum. The aim of the current study was to update a previously published review that presented a conceptual and methodological synthesis of interventions designed to promote exclusive breastfeeding up to 6 months in high-income countries. A systematic search of leading databases was conducted for scholarly, peer-reviewed, randomized controlled trials published from June 2013 to December 2016. Twelve new articles were identified as relevant; all were published in English and assessed exclusive breastfeeding with a follow-up period extending beyond 4 months postpartum. Articles were analyzed for overall quality of evidence in regard to duration of exclusive breastfeeding, using the Grading and Recommendations Assessment, Development, and Evaluation approach. A significant increase in the duration of exclusive breastfeeding was found in 4 of the 12 studies. All four successful interventions had long-duration postpartum programs, implemented by telephone, text message, or through a website. Some of the successful interventions also included prenatal education or in-hospital breastfeeding support. Results from this review update correspond closely with previous findings, in that all of the successful interventions had lengthy postnatal support or an education component. More studies assessed intervention fidelity than in the previous review; however, there was little discussion of maternal body-mass index. While a pattern of successful interventions is beginning to emerge, further research is needed to provide a robust evidence base to inform future interventions, particularly with overweight and obese women.

Maternal Leisure Time Physical Activity and Infant Birth Size.

PubMed

Badon, Sylvia E; Wander, Pandora L; Qiu, Chunfang; Miller, Raymond S; Williams, Michelle A; Enquobahrie, Daniel A

2016-01-01

Associations of maternal leisure time physical activity with birth size are inconsistent. Roles of infant sex and maternal prepregnancy body mass index (BMI) in these associations have not been studied. Participants (N = 3,310) in the Omega study, a cohort in Washington State (1996-2008), reported leisure time physical activity duration and energy expenditure in the year prepregnancy and in early pregnancy (mean 15 weeks gestation). Regression models estimated mean differences in infant head circumference, birthweight, and ponderal index (birthweight/length) across quartiles of pre- or early-pregnancy leisure time physical activity. We assessed effect modification by infant sex or prepregnancy overweight/obese status (BMI ≥ 25 kg/m). We observed positive associations between prepregnancy leisure time physical activity and head circumference overall and among male infants. Among males, each quartile increase in prepregnancy physical activity duration was associated with 0.14 cm (95% confidence interval = 0.046, 0.24; trend P = 0.004) greater head circumference. We did not observe associations between leisure time physical activity and birthweight or ponderal index overall. Each quartile increase in pre- or early-pregnancy physical activity duration was associated with 17-23 g lower birthweight among female infants and among women with normal prepregnancy BMI. We observed positive associations between prepregnancy leisure time physical activity and head circumference among male infants, and inverse associations of pre- and early-pregnancy physical activity with birthweight among female infants and women with normal prepregnancy BMI. Future studies should confirm results and elucidate mechanisms of observed associations.

Spatial Scaling of Global Rainfall and Flood Extremes

NASA Astrophysics Data System (ADS)

Devineni, Naresh; Lall, Upmanu; Xi, Chen; Ward, Philip

2014-05-01

Floods associated with severe storms are a significant source of risk for property, life and supply chains. These property losses tend to be determined as much by the duration and spatial extent of flooding as by the depth and velocity of inundation. High duration floods are typically induced by persistent rainfall (up to 30 day duration) as seen recently in Thailand, Pakistan, the Ohio and the Mississippi Rivers, France, and Germany. Events related to persistent and recurrent rainfall appear to correspond to the persistence of specific global climate patterns that may be identifiable from global, historical data fields, and also from climate models that project future conditions. In this paper, we investigate the statistical properties of the spatial manifestation of the rainfall exceedances and floods. We present the first ever results on a global analysis of the scaling characteristics of extreme rainfall and flood event duration, volumes and contiguous flooded areas as a result of large scale organization of long duration rainfall events. Results are organized by latitude and with reference to the phases of ENSO, and reveal surprising invariance across latitude. Speculation as to the potential relation to the dynamical factors is presented

Estimating pediatric general anesthesia exposure: Quantifying duration and risk.

PubMed

Bartels, Devan Darby; McCann, Mary Ellen; Davidson, Andrew J; Polaner, David M; Whitlock, Elizabeth L; Bateman, Brian T

2018-05-02

Understanding the duration of pediatric general anesthesia exposure in contemporary practice is important for identifying groups at risk for long general anesthesia exposures and designing trials examining associations between general anesthesia exposure and neurodevelopmental outcomes. We performed a retrospective cohort analysis to estimate pediatric general anesthesia exposure duration during 2010-2015 using the National Anesthesia Clinical Outcomes Registry. A total of 1 548 021 pediatric general anesthetics were included. Median general anesthesia duration was 57 minutes (IQR: 28-86) with 90th percentile 145 minutes. Children aged <1 year had the longest median exposure duration (79 minutes, IQR: 39-119) with 90th percentile 210 minutes, and 13.7% of this very young cohort was exposed for >3 hours. High ASA physical status and care at a university hospital were associated with longer exposure times. While the vast majority (94%) of children undergoing general anesthesia are exposed for <3 hours, certain groups may be at increased risk for longer exposures. These findings may help guide the design of future trials aimed at understanding neurodevelopmental impact of prolonged exposure in these high-risk groups. © 2018 John Wiley & Sons Ltd.

Music therapy for prisoners: pilot randomised controlled trial and implications for evaluating psychosocial interventions.

PubMed

Gold, Christian; Assmus, Jörg; Hjørnevik, Kjetil; Qvale, Liv Gunnhild; Brown, Fiona Kirkwood; Hansen, Anita Lill; Waage, Leif; Stige, Brynjulf

2014-12-01

Mental health problems are common among prison inmates. Music therapy has been shown to reduce mental health problems. It may also be beneficial in the rehabilitation of prisoners, but rigorous outcome research is lacking. We compared group music therapy with standard care for prisoners in a pilot randomised controlled trial that started with the establishment of music therapy services in a prison near Bergen in 2008. In all, 113 prisoners agreed to participate. Anxiety (STAI-State [State-Trait Anxiety Inventory], STAI-Trait), depression (HADS-D [Hospital Anxiety and Depression Scale]), and social relationships (Quality of Life Enjoyment and Satisfaction Questionnaire [Q-LES-Q]) were assessed at baseline; every 2 weeks in the experimental group; after 1, 3, and 6 months in the control group; and at release. No restrictions were placed on the frequency, duration, or contents of music therapy. Duration of stay in the institution was short (62% stayed less than 1 month). Only a minority reached clinical cutoffs for anxiety and depression at baseline. Between-group analyses of effects were not possible. Music therapy was well accepted and attractive among the prisoners. Post hoc analysis of within-group changes suggested a reduction of state anxiety after 2 weeks of music therapy (d = 0.33, p = .025). Short sentences and low baseline levels of psychological disturbance impeded the examination of effects in this study. Recommendations for planning future studies are given, concerning the careful choice of participants, interventions and settings, comparison condition and design aspects, choice of outcomes, and integration of research approaches. Thus, the present study has important implications for future studies evaluating interventions for improving prisoners' mental health. ISRCTN22518605. © The Author(s) 2013.

A New Model that Generates Lotka's Law.

ERIC Educational Resources Information Center

Huber, John C.

2002-01-01

Develops a new model for a process that generates Lotka's Law. Topics include measuring scientific productivity through the number of publications; rate of production; career duration; randomness; Poisson distribution; computer simulations; goodness-of-fit; theoretical support for the model; and future research. (Author/LRW)

Atmosphere Selection for Long-duration Manned Space Missions

NASA Technical Reports Server (NTRS)

Hirsch, David B.

2007-01-01

This viewgraph reviews the spacecraft environment for future human space exploration missions. The choice of a atmosphere mix will play a critical role in the ultimate safety, productivity, and cost. There are a multitude of factors involved in selection of spacecraft environments.

The Relationship between Resettlement and Birth Rates: The Case of Gambella, Ethiopia.

PubMed

Adugna, Aynalem; Kloos, Helmut

2016-07-01

This study aims to examine the possible impacts of resettlement on birth rates by using the length of stay variable in the 2000 Demographic and Health Survey (DHS). Data in all three rounds of Gambella Administrative Region's Demographic and Health Surveys (DHS) are analyzed. The neighboring administrative region of Benishangul-Gumuz is used as a control. The multivariate analysis of variance (MANOVA) is applied with duration of residence as a categorical independent variable. The statistical software SAS is used. In a univariate analysis of Gambella's DHS 2000, duration of residence has a significant effect on mothers' age at first birth (p < 0.001), the number of children born within the five years of the survey (p<0.001), and the total number of children ever born (P<0.001). In the MANOVA analysis, the duration effect on all three is also statistically significant (p<0.001). Resettlement had a disruptive effect on birth rates among females who were just coming into marriageable ages in places of origin but were resettled to Gambella. Although the disruptive effects waned over time, the initial shortfall resulted in reduced overall lifetime births for settler women who were not past the midpoint of their reproductive years at arrival. Based on the reproductive history of female settlers with different duration of residence in the resettlement schemes, we recommend the reinstatement of the length of residence question in future DHS surveys in Ethiopia to allow a longitudinal tracking of demographic trends among nonnative populations.

How will predicted land-use change affect waterfowl spring stopover ecology? Inferences from an individual-based model

USGS Publications Warehouse

Beatty, William; Kesler, Dylan C.; Webb, Elisabeth B.; Naylor, Luke W.; Raedeke, Andrew H.; Humburg, Dale D.; Coluccy, John M.; Soulliere, Gregory J.

2017-01-01

Habitat loss, habitat fragmentation, overexploitation and climate change pose familiar and new challenges to conserving natural populations throughout the world. One approach conservation planners may use to evaluate the effects of these challenges on wildlife populations is scenario planning.We developed an individual-based model to evaluate the effects of future land use and land cover changes on spring-migrating dabbling ducks in North America. We assessed the effects of three Intergovernmental Panel on Climate Change emission scenarios (A1B, A2 and B1) on dabbling duck stopover duration, movement distances and mortality. We specifically focused on migration stopover duration because previous research has demonstrated that individuals arriving earlier on the nesting grounds exhibit increased reproductive fitness.Compared to present conditions, all three scenarios increased stopover duration and movement distances of agent ducks.Although all three scenarios presented migrating ducks with increased amounts of wetland habitat, scenarios also contained substantially less cropland, which decreased overall carrying capacity of the study area.Synthesis and applications. Land-use change may increase waterfowl spring migration stopover duration in the midcontinent region of North America due to reduced landscape energetic carrying capacity. Climate change will alter spatial patterns of crop distributions with corn and rice production areas shifting to different regions. Thus, conservation planners will have to address population-level energetic implications of shifting agricultural food resources and increased uncertainty in yearly precipitation patterns within the next 50 years.

Bone and muscle - The structural system in long duration space missions

NASA Technical Reports Server (NTRS)

Buchanan, Paul

1987-01-01

Losses of bone mineral and muscle mass have been observed, and in varying degrees measured, following all long duration missions in space. These observations portend an unacceptable threat to the crews' ability to return to earth, without protracted rehabilitation, following periods of a year or more in microgravity. The impact to crew capabilities and productivity in space is not well understood. Past research has dealt with bone loss and muscle atrophy as two separate problems with little discernible relationship. This paper reviews the available information on both and suggests a combined structural approach for future research.

An overview of the on-orbit contamination of the Long Duration Exposure Facility (LDEF)

NASA Technical Reports Server (NTRS)

Stuckey, W. K.

1993-01-01

Contamination that leads to degradation of critical surfaces becomes a vital design issue for many spacecraft programs. One of the processes that must be considered is the on-orbit accumulation of contaminants. The Long Duration Exposure Facility (LDEF) has presented an opportunity to examine the deposits on surfaces returned from orbit in order to help in understanding the deposition processes and the current models used to predict spacecraft contamination levels. The results from various investigators on the contamination of LDEF have implications for material selection, contamination models, and contamination control plans for the design of future spacecraft.

Embedding Temporal Constraints For Coordinated Execution in Habitat Automation

NASA Technical Reports Server (NTRS)

Morris, Paul; Schwabacher, Mark; Dalal, Michael; Fry, Charles

2013-01-01

Future NASA plans call for long-duration deep space missions with human crews. Because of light-time delay and other considerations, increased autonomy will be needed. This will necessitate integration of tools in such areas as anomaly detection, diagnosis, planning, and execution. In this paper we investigate an approach that integrates planning and execution by embedding planner-derived temporal constraints in an execution procedure. To avoid the need for propagation, we convert the temporal constraints to dispatchable form. We handle some uncertainty in the durations without it affecting the execution; larger variations may cause activities to be skipped.

Long-duration orbital effects on optical coating materials

NASA Technical Reports Server (NTRS)

Herzig, Howard; Toft, Albert R.; Fleetwood, Charles M., Jr.

1993-01-01

We flew specimens of eight different optical coating materials in low earth orbit as part of the Long Duration Exposure Facility manifest to determine their ability to withstand exposure to the residual atomic 0 and other environmental effects at those altitudes. We included samples of Al, Au, Ir, Os, Pt, Al + MgF2, Al + SiO(x), and chemical-vapor-deposited SiC, representing reflective optical applications from the vacuum ultraviolet through the visible portions of the spectrum. We found that the majority of the materials suffered sufficient reflectance degradation to warrant careful consideration in the design of future space-flight instrumentation.

Space Physiology and Operational Space Medicine

NASA Technical Reports Server (NTRS)

Scheuring, Richard A.

2009-01-01

The objectives of this slide presentation are to teach a level of familiarity with: the effects of short and long duration space flight on the human body, the major medical concerns regarding future long duration missions, the environmental issues that have potential medical impact on the crew, the role and capabilities of the Space Medicine Flight Surgeon and the environmental impacts experienced by the Apollo crews. The main physiological effects of space flight on the human body reviewed in this presentation are: space motion sickness (SMS), neurovestibular, cardiovascular, musculoskeletal, immune/hematopoietic system and behavioral/psycho-social. Some countermeasures are discussed to these effects.

Invited review: what do we know about the effects of spaceflight on bone?

NASA Technical Reports Server (NTRS)

Turner, R. T.

2000-01-01

This review of the peer-reviewed literature focuses on the effects of spaceflight on bone. Studies performed in humans and laboratory animals have revealed abnormalities in bone and mineral metabolism that suggest that long-duration spaceflight will have detrimental effects on the skeleton. However, because of large gaps in our knowledge, it is not presently possible to estimate the magnitude of the health risk, individual variations in risk, effective countermeasures, or mechanism(s) of action. Specific recommendations are made for future research to ascertain risk and develop appropriate countermeasures.

Preliminary Investigations on Therapy Thresholds for Laser Dosimetry, Cryogen Spray Cooling Duration, and Treatment Cycles for Laser Cartilage Reshaping in the New Zealand White Rabbit Auricle

PubMed Central

Chlebicki, Cara A.; Protsenko, Dmitry E.; Wong, Brian J.

2014-01-01

Previous studies have demonstrated the feasibility of laser irradiation (λ=1.45 μm) in tandem with cryogen spray cooling (CSC) to reshape rabbit auricular cartilage using total energy density of 14 J/cm2. The aim of this study was to further explore and identify the dosimetry parameter space for laser output energy, CSC duration, and treatment cycles required to achieve shape change while limiting skin and cartilage injury. Ten New Zealand white rabbits were treated with the 1.45 μm diode laser combined with cryogen spray cooling (Candela Smoothbeam™, Candela Co., Wayland, MA). The ear's central portion was bent around a cylindrical jig and irradiated in consecutive spots of 6 mm diameter (13 J/cm2 or 14 J/cm2 per spot) along 3 rows encompassing the bend. CSC was delivered during irradiation in cycles consisting of 25-35 ms. At thin and thick portions of the ear, 4-7 and 6-10 treatment cycles were delivered, respectively. After surgery, ears were examined and splinted for 6 weeks. Treatment parameters resulting in acceptable (Grades 1 & 2) and unacceptable (Grade 3) skin injuries for thick and thin regions were identified and shape change was observed. Confocal and histological analysis of cartilage tissue revealed several outcomes correlating to laser dosimetry, CSC duration, and treatment cycles. These outcomes included expansion of cartilage layers (thickening), partial cartilage injuries, and full thickness cartilage injuries. We determined therapy thresholds for laser output energy, cryogen spray cooling duration, and treatment cycles in the rabbit auricular model. These parameters are a starting point for future clinical procedures aimed at correcting external ear deformities. PMID:24202858

Marital status, widowhood duration, gender and health outcomes: a cross-sectional study among older adults in India.

PubMed

Perkins, Jessica M; Lee, Hwa-Young; James, K S; Oh, Juhwan; Krishna, Aditi; Heo, Jongho; Lee, Jong-Koo; Subramanian, S V

2016-09-30

Previous research has demonstrated health benefits of marriage and the potential for worse outcomes during widowhood in some populations. However, few studies have assessed the relevance of widowhood and widowhood duration to a variety of health-related outcomes and chronic diseases among older adults in India, and even fewer have examined these relationships stratified by gender. Using a cross-sectional representative sample of 9,615 adults aged 60 years or older from 7 states in diverse regions of India, we examine the relationship between widowhood and self-rated health, psychological distress, cognitive ability, and four chronic diseases before and after adjusting for demographic characteristics, socioeconomic status, living with children, and rural-urban location for men and women, separately. We then assess these associations when widowhood accounts for duration. Being widowed as opposed to married was associated with worse health outcomes for women after adjusting for other explanatory factors. Widowhood in general was not associated with any outcomes for men except for cognitive ability, though men who were widowed within 0-4 years were at greater risk for diabetes compared to married men. Moreover, recently widowed women and women who were widowed long-term were more likely to experience psychological distress, worse self-rated health, and hypertension, even after adjusting for other explanatory variables, whereas women widowed 5-9 years were not, compared to married women. Gender, the duration of widowhood, and type of outcome are each relevant pieces of information when assessing the potential for widowhood to negatively impact health. Future research should explore how the mechanisms linking widowhood to health vary over the course of widowhood. Incorporating information about marital relationships into the design of intervention programs may help better target potential beneficiaries among older adults in India.

Work-Family Conflict and Employee Sleep: Evidence from IT Workers in the Work, Family and Health Study.

PubMed

Buxton, Orfeu M; Lee, Soomi; Beverly, Chloe; Berkman, Lisa F; Moen, Phyllis; Kelly, Erin L; Hammer, Leslie B; Almeida, David M

2016-10-01

Work-family conflict is a threat to healthy sleep behaviors among employees. This study aimed to examine how Work-to-Family Conflict (demands from work that interfere with one's family/personal life; WTFC) and Family-to-Work Conflict (demands from family/personal life that interfere with work; FTWC) are associated with several dimensions of sleep among information technology workers. Employees at a U.S. IT firm (n = 799) provided self-reports of sleep sufficiency (feeling rested upon waking), sleep quality, and sleep maintenance insomnia symptoms (waking up in the middle of the night or early morning) in the last month. They also provided a week of actigraphy for nighttime sleep duration, napping, sleep timing, and a novel sleep inconsistency measure. Analyses adjusted for work conditions (job demands, decision authority, schedule control, and family-supportive supervisor behavior), and household and sociodemographic characteristics. Employees who experienced higher WTFC reported less sleep sufficiency, poorer sleep quality, and more insomnia symptoms. Higher WTFC also predicted shorter nighttime sleep duration, greater likelihood of napping, and longer nap duration. Furthermore, higher WTFC was linked to greater inconsistency of nighttime sleep duration and sleep clock times, whereas higher FTWC was associated with more rigidity of sleep timing mostly driven by wake time. Results highlight the unique associations of WTFC/FTWC with employee sleep independent of other work conditions and household and sociodemographic characteristics. Our novel methodological approach demonstrates differential associations of WTFC and FTWC with inconsistency of sleep timing. Given the strong associations between WTFC and poor sleep, future research should focus on reducing WTFC. © 2016 Associated Professional Sleep Societies, LLC.

Preliminary investigations on therapy thresholds for laser dosimetry, cryogen spray cooling duration, and treatment cycles for laser cartilage reshaping in the New Zealand white rabbit auricle.

PubMed

Chlebicki, Cara A; Protsenko, Dmitry E; Wong, Brian J

2014-05-01

Previous studies have demonstrated the feasibility of laser irradiation (λ = 1.45 μm) in tandem with cryogen spray cooling (CSC) to reshape rabbit auricular cartilage using a total energy density of 14 J/cm(2). The aim of this study was to further explore and identify the dosimetry parameter space for laser output energy, CSC duration, and treatment cycles required to achieve shape change while limiting skin and cartilage injury. Ten New Zealand white rabbits were treated with the 1.45 μm diode laser combined with cryogen spray cooling (Candela Smoothbeam™, Candela Co., Wayland, MA, USA). The ear's central portion was bent around a cylindrical jig and irradiated in consecutive spots of 6 mm diameter (13 or 14 J/cm(2) per spot) along three rows encompassing the bend. CSC was delivered during irradiation in cycles consisting of 25-35 ms. At thin and thick portions of the ear, 4-7 and 6-10 treatment cycles were delivered, respectively. After surgery, ears were examined and splinted for 6 weeks. Treatment parameters resulting in acceptable (grades 1 and 2) and unacceptable (grade 3) skin injuries for thick and thin regions were identified, and shape change was observed. Confocal and histological analysis of cartilage tissue revealed several outcomes correlating to laser dosimetry, CSC duration, and treatment cycles. These outcomes included expansion of cartilage layers (thickening), partial cartilage injuries, and full-thickness cartilage injuries. We determined therapy thresholds for laser output energy, cryogen spray cooling duration, and treatment cycles in the rabbit auricular model. These parameters are a starting point for future clinical procedures aimed at correcting external ear deformities.

Work-Family Conflict and Employee Sleep: Evidence from IT Workers in the Work, Family and Health Study

PubMed Central

Buxton, Orfeu M.; Lee, Soomi; Beverly, Chloe; Berkman, Lisa F.; Moen, Phyllis; Kelly, Erin L.; Hammer, Leslie B.; Almeida, David M.

2016-01-01

Study Objectives: Work-family conflict is a threat to healthy sleep behaviors among employees. This study aimed to examine how Work-to-Family Conflict (demands from work that interfere with one's family/personal life; WTFC) and Family-to-Work Conflict (demands from family/personal life that interfere with work; FTWC) are associated with several dimensions of sleep among information technology workers. Methods: Employees at a U.S. IT firm (n = 799) provided self-reports of sleep sufficiency (feeling rested upon waking), sleep quality, and sleep maintenance insomnia symptoms (waking up in the middle of the night or early morning) in the last month. They also provided a week of actigraphy for nighttime sleep duration, napping, sleep timing, and a novel sleep inconsistency measure. Analyses adjusted for work conditions (job demands, decision authority, schedule control, and family-supportive supervisor behavior), and household and sociodemographic characteristics. Results: Employees who experienced higher WTFC reported less sleep sufficiency, poorer sleep quality, and more insomnia symptoms. Higher WTFC also predicted shorter nighttime sleep duration, greater likelihood of napping, and longer nap duration. Furthermore, higher WTFC was linked to greater inconsistency of nighttime sleep duration and sleep clock times, whereas higher FTWC was associated with more rigidity of sleep timing mostly driven by wake time. Conclusions: Results highlight the unique associations of WTFC/FTWC with employee sleep independent of other work conditions and household and sociodemographic characteristics. Our novel methodological approach demonstrates differential associations of WTFC and FTWC with inconsistency of sleep timing. Given the strong associations between WTFC and poor sleep, future research should focus on reducing WTFC. Citation: Buxton OM, Lee S, Beverly C, Berkman LF, Moen P, Kelly EL, Hammer LB, Almeida DM. Work-family conflict and employee sleep: evidence from IT workers in the Work, Family and Health Study. SLEEP 2016;39(10):1871–1882. PMID:27568810

Increased duration of dual pegylated interferon and ribavirin therapy for genotype 1 hepatitis C post-liver transplantation increases sustained virologic response: a retrospective review.

PubMed

Wells, Malcolm M; Roth, Lee S; Marotta, Paul; Levstik, Mark; Mason, Andrew L; Bain, Vincent G; Chandok, Natasha; Aljudaibi, Bandar M

2013-01-01

In patients with advanced post-transplant hepatitis C virus (HCV) recurrence, antiviral treatment (AVT) with interferon and ribavirin is indicated to prevent graft failure. The aim of this study was to determine and report Canadian data with respect to the safety, efficacy, and spontaneous virologic response (SVR) predictors of AVT among transplanted patients with HCV recurrence. A retrospective chart review was performed on patients transplanted in London, Ontario and Edmonton, Alberta from 2002 to 2012 who were treated for HCV. Demographic, medical, and treatment information was collected and analyzed. A total of 85 patients with HCV received pegylated interferon with ribavirin post-liver transplantation and 28 of the 65 patients (43%) with genotype 1 achieved SVR. Of the patients having genotype 1 HCV who achieved SVR, there was a significantly lower stage of fibrosis (1.37 ± 0.88 vs. 1.89 ± 0.96; P = 0.03), increased ribavirin dose (total daily dose 1057 ± 230 vs. 856 ± 399 mg; P = 0.02), increased rapid virologic response (RVR) (6/27 vs. 0/31; P = 0.05), increased early virologic response (EVR) (28/28 vs. 18/35; P = 0.006), and longer duration of therapy (54.7 ± 13.4 weeks vs. 40.2 ± 18.7; P = 0.001). A logistic regression model using gender, age, RVR, EVR, anemia, duration of therapy, viral load, years' post-transplant, and type of organ (donation after cardiac death vs. donation after brain death) significantly predicted SVR (P < 0.001), with duration of therapy having a significant odds ratio of 1.078 (P = 0.007). This study identified factors that predict SVR in HCV-positive patients who received dual therapy post-transplantation. Extending therapy from 48 weeks to 72 weeks of dual therapy is associated with increased SVR rates. Future studies examining the role of extended therapy are needed to confirm these findings, since the current study is a retrospective one.

The impact of sleep on female sexual response and behavior: a pilot study.

PubMed

Kalmbach, David A; Arnedt, J Todd; Pillai, Vivek; Ciesla, Jeffrey A

2015-05-01

The etiological role of sleep disturbance in sexual difficulties has been largely overlooked. Research suggests that short sleep duration and poor sleep quality lead to poor female sexual response. However, prior research consists of cross-sectional studies, and the influence of sleep on sexual functioning and behavior has not been prospectively examined. We sought to examine the influence of nightly sleep duration, sleep quality, and sleep onset latency on daily female sexual response and activity. This study used a longitudinal design to study 171 women free of antidepressants and with reliable Internet access who were recruited from a university setting in the United States. Participants first completed baseline measures in a laboratory, and then completed web-delivered surveys at their habitual wake time for 14 consecutive days. All outcome measures were modified for daily recall. Participants completed the Profile of Female Sexual Function's desire, subjective arousal, and orgasmic functioning scales and the Female Sexual Function Index's genital arousal scale, and indicated whether they engaged in partnered sexual activity or self-stimulation in response to dichotomous items. Analyses revealed that longer sleep duration was related to greater next-day sexual desire (b = 0.32, P = 0.02), and that a 1-hour increase in sleep length corresponded to a 14% increase in odds of engaging in partnered sexual activity (odds ratio = 1.14, P < 0.05). In contrast, sleeping longer predicted poorer next-day genital arousal (b = -0.19, P < 0.01). However, results showed that women with longer average sleep duration reported better genital arousal than women with shorter average sleep length (b = 0.54, P = 0.03). Obtaining sufficient sleep is important to the promotion of healthy sexual desire and genital response, as well as the likelihood of engaging in partnered sexual activity. These relationships were independent of daytime affect and fatigue. Future directions may investigate sleep disorders as risk factors for sexual dysfunction. © 2015 International Society for Sexual Medicine.

Man in space: The use of animal models

NASA Astrophysics Data System (ADS)

Ballard, Rodney W.; Souza, Kenneth A.

Animals have traditionally preceded man into space. During animal and human travels in space over the past almost 30 years, numerous anatomical, physiological, and biochemical changes have been observed. In order to safely qualify humans for extended duration space missions, scientific research needs to be performed. It may be possible to achieve many of these research goals with flight crews serving as experimental subjects; however, to do this with human subjects alone is impractical. Therefore, the use of animal surrogates as experimental subjects is essential to provide the missing information on the effects of spaceflights, to validate countermeasures, and to test medical treatment techniques which will be necessary for long duration missions. This research to assure human health, safety, and productivity in future extended duration space flights will include flights on NASA's Space Shuttle, unmanned biosatellites, and the Space Station Freedom.

Man in space: the use of animal models.

PubMed

Ballard, R W; Souza, K A

1991-01-01

Animals have traditionally preceded man into space. During animal and human travels in space over the past almost 30 years, numerous anatomical, physiological, and biochemical changes have been observed. In order to safely qualify humans for extended duration space missions, scientific research needs to be performed. It may be possible to achieve many of these research goals with flight crews serving as experimental subjects; however, to do this with human subjects alone is impractical. Therefore, the use of animal surrogates as experimental subjects is essential to provide the missing information on the effects of spaceflights, to validate countermeasures, and to test medical treatment techniques which will be necessary for long duration missions. This research to assure human health, safety, and productivity in future extended duration space flights will include flights on NASA's Space Shuttle, unmanned biosatellites, and the Space Station Freedom.

Effects of Epidural Labor Analgesia With Low Concentrations of Local Anesthetics on Obstetric Outcomes: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

PubMed

Wang, Ting-Ting; Sun, Shen; Huang, Shao-Qiang

2017-05-01

Low concentrations of local anesthetics (LCLAs) are increasingly popular for epidural labor analgesia. The effects of epidural analgesia with low concentrations of anesthetics on the duration of the second stage of labor and the instrumental birth rate, however, remain controversial. A systematic review was conducted to compare the effects of epidural analgesia with LCLAs with those of nonepidural analgesia on obstetric outcomes. The databases of PubMed, Embase, and the Cochrane controlled trials register were independently searched by 2 researchers, and randomized controlled trials that compared epidural labor analgesia utilizing LCLAs with nonepidural analgesia were retrieved. The primary outcomes were the duration of the second stage of labor and the instrumental birth rate; secondary outcomes included the cesarean delivery rate, the spontaneous vaginal delivery rate, and the duration of the first stage of labor. Ten studies (1809 women) were included. There was no significant difference between groups in the duration of the second stage of labor (mean difference = 5.71 minutes, 95% confidence interval [CI], -6.14 to 17.83; P = .36) or the instrumental birth rate (risk ratio [RR] = 1.52, 95% CI, 0.97-2.4; P = .07). There was no significant difference between groups in the cesarean delivery rate (RR = 0.8, 95% CI, 0.6-1.05; P = .11), the spontaneous vaginal delivery rate (RR = 0.98, 95% CI, 0.91-1.06; P = .62), or the duration of the first stage of labor (mean difference = 17.34 minutes, 95% CI, -5.89 to 40.56; P = .14). Compared with nonepidural analgesia, epidural analgesia with LCLAs is not associated with a prolonged duration of the second stage of labor or an increased instrumental birth rate. The results of this meta-analysis are based on small trials of low quality. These conclusions require confirmation by large-sample and high-quality trials in the future.

Robotics for Human Exploration

NASA Technical Reports Server (NTRS)

Fong, Terrence; Deans, Mathew; Bualat, Maria

2013-01-01

Robots can do a variety of work to increase the productivity of human explorers. Robots can perform tasks that are tedious, highly repetitive or long-duration. Robots can perform precursor tasks, such as reconnaissance, which help prepare for future human activity. Robots can work in support of astronauts, assisting or performing tasks in parallel. Robots can also perform "follow-up" work, completing tasks designated or started by humans. In this paper, we summarize the development and testing of robots designed to improve future human exploration of space.

Development of a New Generation of High-Temperature Thermoelectric Unicouples for Space Applications

NASA Technical Reports Server (NTRS)

Caillat, Thierry; Gogna, P.; Sakamoto, J.; Jewell, A.; Cheng, J.; Blair, R.; Fleurial, J. -P.; Ewell, R.

2006-01-01

RTG's have enabled surface and deep space missions since 1961: a) 26 flight missions without any RTG failures; and b) Mission durations in excess of 25 years. Future NASA missions require RTG s with high specific power and high efficiency, while retaining long life (> 14 years) and high reliability, (i.e. 6-8 W/kg, 10-15% efficiency). JPL in partnership with NASA-GRC, NASA-MSFC, DOE, Universities and Industry is developing advanced thermoelectric materials and converters to meet future NASA needs.

Intermittent Versus Daily Pulmonary Tuberculosis Treatment Regimens: A Meta-Analysis

PubMed Central

Kasozi, Samuel; Clark, Justin; Doi, Suhail A. R.

2015-01-01

Background Several systematic reviews suggest that intermittent pulmonary tuberculosis (TB) chemotherapy is effective, but intensity (daily versus intermittent) and duration of rifampicin use (intensive phase only versus both phases) have not been distinguished. In addition, the various outcomes (success, failure, relapse, and default) have only selectively been evaluated. Methods We conducted a meta-analysis of proportions using all four outcomes as multi-category proportions to examine the effectiveness of WHO category 1 TB treatment regimens. Database searches of studies reporting treatment outcomes of HIV negative subjects were included and stratified by intensity of therapy and duration of rifampicin therapy. Using a bias-adjusted statistical model, we pooled proportions of the four treatment outcome categories using a method that handles multi-category proportions. Results A total of 27 studies comprising of 48 data sets with 10,624 participants were studied. Overall, treatment success was similar among patients treated with intermittent (I/I) (88%) (95% CI, 81–92) and daily (D/D) (90%) (95% CI, 84–95) regimens. Default was significantly less with I/I (0%) (95% CI, 0–2) compared to D/D regimens (5%) (95% CI, 1–9). Nevertheless, I/I relapse rates (7%) (95% CI, 3–11) were higher than D/D relapse rates (1%) (95% CI, 0–3). Conclusion Treatment regimens that are offered completely intermittently versus completely daily are associated with a trade-off between treatment relapse and treatment default. There is a possibility that I/I regimens can be improved by increasing treatment duration, and this needs to be urgently addressed by future studies. PMID:26056374

Interventions designed to promote exclusive breastfeeding in high-income countries: a systematic review.

PubMed

Skouteris, Helen; Nagle, Cate; Fowler, Michelle; Kent, Bridie; Sahota, Pinki; Morris, Heather

2014-04-01

Worldwide, women fail to reach the recommended exclusive breastfeeding target of 6 months postpartum. The objective of this study was to present a conceptual and methodological synthesis of interventions designed to promote exclusive breastfeeding to 6 months in high-income countries. A systematic search of leading databases was conducted for scholarly peer-reviewed randomized trials published between January 2000 and June 2013. Seventeen articles were identified as relevant; all were published in English and assessed exclusive breastfeeding with a follow-up period extending beyond 4 months postpartum. Articles were analyzed for overall quality of evidence, regarding duration of exclusive breastfeeding, using the Grading and Recommendations Assessment, Development, and Evaluation approach. A significant increase in the duration of exclusive breastfeeding was found in eight of the 17 studies, with most interventions using supportive or educational approaches. Interventions in pregnancy focused on educating mothers on the benefits of exclusive breastfeeding. Fifteen interventions took place, at least in part, in the postnatal period and provided educational and emotional support to mothers. Of the eight successful interventions, five took part in the postnatal period in the mothers' own homes. The quality of the evidence for duration of exclusive breastfeeding was moderate. The most successful interventions were conducted in the postnatal period and over a long period of time; however, the findings were inconsistent. No study assessed intervention fidelity, and only two studies noted maternal body mass index, a variable known to affect exclusive breastfeeding rates. Further research is needed to provide a robust evidence base to inform future interventions.

Long-term Recall of Pregnancy-related Events.

PubMed

Chin, Helen B; Baird, Donna D; McConnaughey, D Robert; Weinberg, Clarice R; Wilcox, Allen J; Jukic, Anne Marie

2017-07-01

Early-life factors can be associated with future health outcomes and are often measured by maternal recall. We used data from the North Carolina Early Pregnancy Study and Follow-up to characterize long-term maternal recall. We used data from the Early Pregnancy Study as the gold standard to evaluate the accuracy of prepregnancy weight, early pregnancy behaviors, symptoms and duration of pregnancy, and child's birthweight reported at follow-up, for 109 women whose study pregnancies had resulted in a live birth. Most (81%) participants reported a prepregnancy weight at follow-up that correctly classified them by BMI category. Women reported experiencing pregnancy symptoms later at follow-up than what they reported in the Early Pregnancy Study. Accuracy of reporting of early pregnancy behaviors varied based on exposure. Overall, women who had abstained from a behavior were more likely to be classified correctly. Sensitivity of reporting was 0.14 for antibiotics, 0.30 for wine, 0.71 for brewed coffee, and 0.82 for vitamins. Most misclassification at follow-up was due to false-negative reporting. Among women who gave birth to singletons, 94% could report their child's correct birthweight within ½ pound and 86% could report duration of pregnancy within 7 days at follow-up. Self-report of prepregnancy weight, duration of pregnancy, and child's birthweight after almost 30 years was good, whereas self-reported pregnancy-related exposures resulted in higher levels of reporting error. Social desirability appeared to influence women's report of their behaviors at follow-up. Self-reported assessment of confidence in the recalled information was unrelated to accuracy.

Sleep patterns and sugar-sweetened beverage consumption among children from around the world.

PubMed

Chaput, Jean-Philippe; Tremblay, Mark S; Katzmarzyk, Peter T; Fogelholm, Mikael; Hu, Gang; Maher, Carol; Maia, Jose; Olds, Timothy; Onywera, Vincent; Sarmiento, Olga L; Standage, Martyn; Tudor-Locke, Catrine; Sampasa-Kanyinga, Hugues

2018-04-23

To examine the relationships between objectively measured sleep patterns (sleep duration, sleep efficiency and bedtime) and sugar-sweetened beverage (SSB) consumption (regular soft drinks, energy drinks, sports drinks and fruit juice) among children from all inhabited continents of the world. Multinational, cross-sectional study. The International Study of Childhood Obesity, Lifestyle and the Environment (ISCOLE). Children (n 5873) 9-11 years of age. Sleep duration was 12 min per night shorter in children who reported consuming regular soft drinks 'at least once a day' compared with those who reported consuming 'never' or 'less than once a week'. Children were more likely to sleep the recommended 9-11 h/night if they reported lower regular soft drink consumption or higher sports drinks consumption. Children who reported consuming energy drinks 'once a week or more' reported a 25-min earlier bedtime than those who reported never consuming energy drinks. Children who reported consuming sports drinks '2-4 d a week or more' also reported a 25-min earlier bedtime compared with those who reported never consuming sports drinks. The associations between sleep efficiency and SSB consumption were not significant. Similar associations between sleep patterns and SSB consumption were observed across all twelve study sites. Shorter sleep duration was associated with higher intake of regular soft drinks, while earlier bedtimes were associated with lower intake of regular soft drinks and higher intake of energy drinks and sports drinks in this international study of children. Future work is needed to establish causality and to investigate underlying mechanisms.

Mitigating passive fatigue during monotonous drives with thermal stimuli: Insights into the effect of different stimulation durations.

PubMed

Schmidt, Elisabeth; Bullinger, Angelika C

2017-12-12

Driving on monotonous roads has been shown to cause passive fatigue as even non-sleep-deprived drivers suffer from the lack of stimuli. Consequently, alertness is reduced and the risk of accidents increases. To counteract this risk, measures need to be taken to mitigate driver fatigue. While in the past, some studies have been focused on the potential of thermal stimuli to reduce fatigue, their results seem inconclusive. Examining the study conditions in which the thermal stimuli were studied, it becomes obvious that the duration of the thermal stimulus strongly affects perceived fatigue. To better understand this relation, a driving simulator study (n=33) was conducted investigating both a 2min and a 4min thermal stimulus (15öC), where air was circulated on non-sleep-deprived drivers. For the 4min stimulus, patterns of increased sympathetic activity (i.e. significant pupil dilatation and bradycardia) were recorded. Furthermore, participants subjectively rated fatigue significantly lower when the stimuli were applied, and preferred driving with the stimulus. The superior performance of the 4min stimulus can be derived from a longer effect on the physiological data as well as even lower subjective fatigue ratings. Results also point to the limits of thermal stimulation: 6min after the stimuli, the participants no longer feel an effect (based on subjective ratings). Future research on passive fatigue countermeasures should hence build on the identified effect of a 4min cooling stimulus to increase physiological arousal and focus on the opportunities to increase effect duration. Copyright © 2017 Elsevier Ltd. All rights reserved.

Intraindividual variability of sleep/wake patterns in relation to child and adolescent functioning: A systematic review.

PubMed

Becker, Stephen P; Sidol, Craig A; Van Dyk, Tori R; Epstein, Jeffery N; Beebe, Dean W

2017-08-01

Substantial research attention has been devoted to understanding the importance and impact of sleep in children and adolescents. Traditionally, this has focused on mean sleep variables (e.g., a child's "typical" or average sleep duration), yet research increasingly suggests that intraindividual variability (IIV) of sleep/wake patterns (sometimes referred to as sleep variability or night-to-night variability) regularly occurs and may have implications for adjustment. A systematic search of five electronic databases identified 52 empirical studies published between 2000 and 2015 that examined correlates of sleep IIV in children and adolescents, with a recent increase in the publication rate of such studies. Identified studies were often atheoretical and included post hoc analyses, though IIV in select aspects of sleep does appear to be associated with increasing age/pubertal status, non-White race, physical and neurodevelopmental conditions (e.g., attention-deficit/hyperactivity disorder; autism), psychopathology symptoms (e.g., anxiety, depression, inattention), body weight, stress, aspects of cognitive functioning, and poorer sleep functioning/habits. The limited intervention work examining sleep IIV in adolescents is promising, though studies are needed using more rigorous intervention designs. Clinical sleep recommendations may not only need to address overall sleep duration and sleep habits but also the stability of sleep duration and timing. It will be important for future research examining sleep IIV in children and adolescents to use a developmental framework in advancing theory pertaining to the causes, mechanisms, moderators, and outcomes of sleep IIV in youth, and a conceptual model is proposed to help guide such efforts. Copyright © 2016 Elsevier Ltd. All rights reserved.

How will Mahanarva spectabilis (Hemiptera: Cercopidae) Respond to Global Warming?

PubMed

Fonseca, M G; Auad, A M; Resende, T T; Hott, M C; Borges, C A V

2016-01-01

The aim of this study was to determine the favorable constant temperature range for Mahanarva spectabilis(Distant) (Hemiptera: Cercopidae) development as well as to generate geographic distribution maps of this insect pest for future climate scenarios. M. spectabilis eggs were reared on two host plants (Brachiaria ruziziensis(Germain and Edvard) and Pennisetum purpureum(Schumach)), with individual plants kept at temperatures of 16, 20, 24, 28, and 32 °C. Nymphal stage duration, nymphal survival, adult longevity, and egg production were recorded for each temperature*host plant combination. Using the favorable temperature ranges for M. spectabilis development, it was possible to generate geographic distribution. Nymphal survival was highest at 24.4 °C, with estimates of 44 and 8% on Pennisetum and Brachiaria, respectively. Nymphal stage duration was greater on Brachiaria than on Pennisetum at 20 and 24 °C but equal at 28 °C. Egg production was higher on Pennisetum at 24 and 28 °C than at 20 °C, and adult longevity on Pennisetum was higher at 28 °C than at 20 °C, whereas adult longevity at 24 °C did not differ from that at 20 and 28 °C. With these results, it was possible to predict a reduction in M. spectabilis densities in most regions of Brazil in future climate scenarios. © The Author 2016. Published by Oxford University Press on behalf of the Entomological Society of America.

Increased core body temperature in astronauts during long-duration space missions.

PubMed

Stahn, Alexander C; Werner, Andreas; Opatz, Oliver; Maggioni, Martina A; Steinach, Mathias; von Ahlefeld, Victoria Weller; Moore, Alan; Crucian, Brian E; Smith, Scott M; Zwart, Sara R; Schlabs, Thomas; Mendt, Stefan; Trippel, Tobias; Koralewski, Eberhard; Koch, Jochim; Choukèr, Alexander; Reitz, Günther; Shang, Peng; Röcker, Lothar; Kirsch, Karl A; Gunga, Hanns-Christian

2017-11-23

Humans' core body temperature (CBT) is strictly controlled within a narrow range. Various studies dealt with the impact of physical activity, clothing, and environmental factors on CBT regulation under terrestrial conditions. However, the effects of weightlessness on human thermoregulation are not well understood. Specifically, studies, investigating the effects of long-duration spaceflight on CBT at rest and during exercise are clearly lacking. We here show that during exercise CBT rises higher and faster in space than on Earth. Moreover, we observed for the first time a sustained increased astronauts' CBT also under resting conditions. This increase of about 1 °C developed gradually over 2.5 months and was associated with augmented concentrations of interleukin-1 receptor antagonist, a key anti-inflammatory protein. Since even minor increases in CBT can impair physical and cognitive performance, both findings have a considerable impact on astronauts' health and well-being during future long-term spaceflights. Moreover, our findings also pinpoint crucial physiological challenges for spacefaring civilizations, and raise questions about the assumption of a thermoregulatory set point in humans, and our evolutionary ability to adapt to climate changes on Earth.

[Socioeconomic position and duration of disability benefit due to work-related musculoskeletal disorders].

PubMed

Souza, Norma Suely Souto; Santana, Vilma Sousa

2012-02-01

This study estimated the effect of socioeconomic position on the duration of disability benefits due to musculoskeletal disorders affecting the neck and/or upper limbs. A cohort study including 563 insured workers from the city of Salvador, Bahia, Brazil, registered in the General Social Security System and who received temporary disability benefits due to musculoskeletal disorders affecting the neck and/or upper limbs, was performed in 2008 using data from the National Social Security Institute. The results show that among union member workers with high psychosocial demands at work, those with low socioeconomic status are almost twice as likely to receive benefit for a shorter period of time compared to those with a higher socioeconomic position (RR = 1.89; 95%CI: 1.25-2.87). These results reveal an inequitable situation or unnecessary use of insurance for workers with a higher socioeconomic position. Future research aimed at elucidating the differences in the use of benefits are needed so that social insurance system managers may take the appropriate steps to resolve this issue.

Impact of future climate change on wheat production in relation to plant-available water capacity in a semiaridenvironment

NASA Astrophysics Data System (ADS)

Yang, Yanmin; Liu, De Li; Anwar, Muhuddin Rajin; Zuo, Heping; Yang, Yonghui

2014-02-01

Conceptions encompassing climate change are irreversible rise of atmospheric carbon dioxide (CO2) concentration, increased temperature, and changes in rainfall both in spatial- and temporal-scales worldwide. This will have a major impact on wheat production, particularly if crops are frequently exposed to a sequence, frequency, and intensity of specific weather events like high temperature during growth period. However, the process of wheat response to climate change is complex and compounded by interactions among atmospheric CO2 concentration, climate variables, soil, nutrition, and agronomic management. In this study, we use the Agricultural Production Systems sIMulator (APSIM)-wheat model, driven by statistically downscaled climate projections of 18 global circulation models (GCMs) under the 2007 Intergovernmental Panel on Climate Change (IPCC) Special Report on Emission Scenarios (SRES) A2 CO2 emission scenario to examine impact on future wheat yields across key wheat growing regions considering different soil types in New South Wales (NSW) of Australia. The response of wheat yield, yield components, and phenology vary across sites and soil types, but yield is closely related to plant available water capacity (PAWC). Results show a decreasing yield trend during the period of 2021-2040 compared to the baseline period of 1961-1990. Across different wheat-growing regions in NSW, grain yield difference in the future period (2021-2040) over the baseline (1961-1990) varies from +3.4 to -14.7 %, and in most sites, grain number is decreased, while grain size is increased in future climate. Reduction of wheat yield is mainly due to shorter growth duration, where average flowering and maturing time are advanced by an average of 11 and 12 days, respectively. In general, larger negative impacts of climate change are exhibited in those sites with higher PAWC. Current wheat cultivars with shorter growing season properties are viable in the future climate, but breading for early sowing wheat varieties with longer growing duration will be a desirable adaptation strategy for mitigating the impact of changing climate on wheat yield.

U.S. view of human problems to be addressed for long duration space flights. [physiological and psychological effects

NASA Technical Reports Server (NTRS)

Berry, C. A.

1973-01-01

The Russian and American space programs have consisted of several thousands of hours of exposure of man to the space environment. In spite of numerous biological phenomena of adaptation observed, the space travellers have displayed, after their return, no enduring pathological effect. Although the usable data remain too limited to reflect fully the effects of space flight, it is possible to sketch the biological responses in the absence of gravity and to define the work bases for the future. Beyond its basic physiological effects, weightlessness has operational consequences in the daily life of the astronauts. These consequences will be still more evident during missions of long duration. The conclusions drawn in flight as well as on the ground are reviewed, and future requirements concerning prolonged flights are outlined. The gaps in actual knowledge are discussed and solutions are suggested. The problems of habitability are considered, particularly those which remain at present without satisfactory solutions: psychological responses to a confined life, cleaning, hygiene, and used material.

Systematic studies of modified vocalization: speech production changes during a variation of metronomic speech in persons who do and do not stutter.

PubMed

Davidow, Jason H; Bothe, Anne K; Ye, Jun

2011-06-01

The most common way to induce fluency using rhythm requires persons who stutter to speak one syllable or one word to each beat of a metronome, but stuttering can also be eliminated when the stimulus is of a particular duration (e.g., 1 second [s]). The present study examined stuttering frequency, speech production changes, and speech naturalness during rhythmic speech that alternated 1s of reading with 1s of silence. A repeated-measures design was used to compare data obtained during a control reading condition and during rhythmic reading in 10 persons who stutter (PWS) and 10 normally fluent controls. Ratings for speech naturalness were also gathered from naïve listeners. Results showed that mean vowel duration increased significantly, and the percentage of short phonated intervals decreased significantly, for both groups from the control to the experimental condition. Mean phonated interval length increased significantly for the fluent controls. Mean speech naturalness ratings during the experimental condition were approximately "7" on a 1-9 scale (1=highly natural; 9=highly unnatural), and these ratings were significantly correlated with vowel duration and phonated intervals for PWS. The findings indicate that PWS may be altering vocal fold vibration duration to obtain fluency during this rhythmic speech style, and that vocal fold vibration duration may have an impact on speech naturalness during rhythmic speech. Future investigations should examine speech production changes and speech naturalness during variations of this rhythmic condition. The reader will be able to: (1) describe changes (from a control reading condition) in speech production variables when alternating between 1s of reading and 1s of silence, (2) describe which rhythmic conditions have been found to sound and feel the most natural, (3) describe methodological issues for studies about alterations in speech production variables during fluency-inducing conditions, and (4) describe which fluency-inducing conditions have been shown to involve a reduction in short phonated intervals. Copyright © 2011 Elsevier Inc. All rights reserved.

Future Heat Waves in Paris Metropolitan Area

NASA Astrophysics Data System (ADS)

Beaulant, A.; Lemonsu, A.; Somot, S.; Masson, V.

2010-12-01

Cities are particularly vulnerable to heat waves, firstly because they concentrate the majority of the population and, secondly because the heat island that characterizes the urban climate exacerbates heat wave effects. This work is part of the interdisciplinary VURCA project (Vulnerability of cities to heat waves), which deals with the evolution of heat wave events in the context of global warming, urban vulnerability and adaptation strategies. The aim of this study is to analyse urban heat wave events in present climate (1950-2009) and their evolution in an enhanced greenhouse gazes future climate (2010-2100). We used daily observations of temperature from several stations covering Paris metropolitan area and climate projections following three different IPCC-SRES scenarios (B1, A1B, A2) and issued from several ENSEMBLES regional climate models. The heat wave definition is based on the indexes of the operational French warning system. A heat wave is detected within observed or simulated time-series by a heat wave peak, when the temperatures exceed the value of the 99.9th percentile. Its duration is determined by all adjacent days to this peak, for which the temperatures are not durably smaller than the 99.9th percentile value minus 2 °C. The 99.9th percentile threshold is inferred from quantile-quantile plots produced for each climate model in comparison with observations for the reference period 1950-2000. Heat waves have been extracted within observations and 12 climatic simulations. The number of heat wave events and cumulated HW days per year have been calculated, the maximum being seven heat waves cumulating more than 60 HW days in one year in the case of the A2 scenario and until 50 days in the case of the more moderate A1B scenario. From 2050, the occurrence of three or four HW events per year is becoming the norm all scenarios taken together. The evolution of heat wave features has been analysed, highlighting the large variability of the climatic simulations, but also an overall trend to an increase in frequency and duration but less significantly in intensity. Further work will be carried out in order to assess the sensitivity of the Paris urban climate to different future heat wave events. Synthetic HW events will be built from future HW features as duration and intensity, and will be simulated using a urban-weather model. Then, the impacts in terms of energy consumption and bioclimatic comfort will be analysed and adaptation strategies will be proposed.

Atmospheric River Tracking Method Intercomparison Project (ARTMIP): Science Goals and Preliminary Analysis

NASA Astrophysics Data System (ADS)

Shields, C. A.; Rutz, J. J.; Wehner, M. F.; Ralph, F. M.; Leung, L. R.

2017-12-01

The Atmospheric River Tracking Method Intercomparison Project (ARTMIP) is a community effort whose purpose is to quantify uncertainties in atmospheric river (AR) research solely due to different identification and tracking techniques. Atmospheric rivers transport significant amounts of moisture in long, narrow filamentary bands, typically travelling from the subtropics to the mid-latitudes. They are an important source of regional precipitation impacting local hydroclimate, and in extreme cases, cause severe flooding and infrastructure damage in local communities. Our understanding of ARs, from forecast skill to future climate projections, all hinge on how we define ARs. By comparing a diverse set of detection algorithms, the uncertainty in our definition of ARs, (including statistics and climatology), and the implications of those uncertainties, can be analyzed and quantified. ARTMIP is divided into two broad phases that aim to answer science questions impacted by choice of detection algorithm. How robust are AR metrics such as climatology, storm duration, and relationship to extreme precipitation? How are the AR metrics in future climate projections impacted by choice of algorithm? Some algorithms rely on threshold values for water vapor. In a warmer world, the background state, by definition, is moister due to the Clausius-Clapeyron relationship, and could potentially skew results. Can uncertainty bounds be accurately placed on each metric? Tier 1 participants will apply their algorithms to a high resolution common dataset (MERRA2) and provide the greater group AR metrics (frequency, location, duration, etc). Tier 2 research will encompass sensitivity studies regarding resolution, reanalysis choice, and future climate change scenarios. ARTMIP is currently in the Tier 1 Phase and will begin Tier 2 in 2018. Preliminary metrics and analysis from Tier 1 will be presented.

Current and Future Status of Extracorporeal Cardiopulmonary Resuscitation for In-Hospital Cardiac Arrest.

PubMed

Singal, Rohit K; Singal, Deepa; Bednarczyk, Joseph; Lamarche, Yoan; Singh, Gurmeet; Rao, Vivek; Kanji, Hussein D; Arora, Rakesh C; Manji, Rizwan A; Fan, Eddy; Nagpal, A Dave

2017-01-01

Numerous series, propensity-matched trials, and meta-analyses suggest that appropriate use of extracorporeal cardiopulmonary resuscitation (E-CPR) for in-hospital cardiac arrest (IHCA) can be lifesaving. Even with an antecedent cardiopulmonary resuscitation (CPR) duration in excess of 45 minutes, 30-day survival with favourable neurologic outcome using E-CPR is approximately 35%-45%. Survival may be related to age, duration of CPR, or etiology. Associated complications include sepsis, renal failure, limb and neurologic complications, hemorrhage, and thrombosis. However, methodological biases-including small sample size, selection bias, publication bias, and inability to control for confounders-in these series prevent definitive conclusions. As such, the 2015 American Heart Association Advanced Cardiac Life Support guidelines update recommended E-CPR as a Level of Evidence IIb recommendation in appropriate cases. The absence of high-quality evidence presents an opportunity for clinician/scientists to generate practice-defining data through collaborative investigation and prospective trials. A multidisciplinary dialogue is required to standardize the field and promote multicentre investigation of E-CPR with data sharing and the development of a foundation for high-quality trials. The objectives of this review are to (1) provide an overview of the strengths and limitations of currently available studies investigating the use of E-CPR in patients with IHCA and highlight knowledge gaps; (2) create a framework for the standardization of terminology, clinical practice, data collection, and investigation of E-CPR for patients with IHCA that will help ensure congruence in future work in this area; and (3) propose suggestions to guide future research by the cardiovascular community to advance this important field. Copyright © 2016 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

Validity and Reliability of Field-Based Measures for Assessing Movement Skill Competency in Lifelong Physical Activities: A Systematic Review.

PubMed

Hulteen, Ryan M; Lander, Natalie J; Morgan, Philip J; Barnett, Lisa M; Robertson, Samuel J; Lubans, David R

2015-10-01

It has been suggested that young people should develop competence in a variety of 'lifelong physical activities' to ensure that they can be active across the lifespan. The primary aim of this systematic review is to report the methodological properties, validity, reliability, and test duration of field-based measures that assess movement skill competency in lifelong physical activities. A secondary aim was to clearly define those characteristics unique to lifelong physical activities. A search of four electronic databases (Scopus, SPORTDiscus, ProQuest, and PubMed) was conducted between June 2014 and April 2015 with no date restrictions. Studies addressing the validity and/or reliability of lifelong physical activity tests were reviewed. Included articles were required to assess lifelong physical activities using process-oriented measures, as well as report either one type of validity or reliability. Assessment criteria for methodological quality were adapted from a checklist used in a previous review of sport skill outcome assessments. Movement skill assessments for eight different lifelong physical activities (badminton, cycling, dance, golf, racquetball, resistance training, swimming, and tennis) in 17 studies were identified for inclusion. Methodological quality, validity, reliability, and test duration (time to assess a single participant), for each article were assessed. Moderate to excellent reliability results were found in 16 of 17 studies, with 71% reporting inter-rater reliability and 41% reporting intra-rater reliability. Only four studies in this review reported test-retest reliability. Ten studies reported validity results; content validity was cited in 41% of these studies. Construct validity was reported in 24% of studies, while criterion validity was only reported in 12% of studies. Numerous assessments for lifelong physical activities may exist, yet only assessments for eight lifelong physical activities were included in this review. Generalizability of results may be more applicable if more heterogeneous samples are used in future research. Moderate to excellent levels of inter- and intra-rater reliability were reported in the majority of studies. However, future work should look to establish test-retest reliability. Validity was less commonly reported than reliability, and further types of validity other than content validity need to be established in future research. Specifically, predictive validity of 'lifelong physical activity' movement skill competency is needed to support the assertion that such activities provide the foundation for a lifetime of activity.

Defining Chronic Cough: A Systematic Review of the Epidemiological Literature

PubMed Central

Song, Woo-Jung; Chang, Yoon-Seok; Faruqi, Shoaib; Kang, Min-Koo; Kim, Ju-Young; Kang, Min-Gyu; Kim, Sujeong; Jo, Eun-Jung; Lee, Seung-Eun; Kim, Min-Hye; Plevkova, Jana; Park, Heung-Woo

2016-01-01

Purpose Recent evidence suggests a global burden of chronic cough in general populations. However, the definitions vary greatly among epidemiological studies, and none have been validated for clinical relevance. We aimed to examine previous epidemiological definitions in detail and explore the operational characteristics. Methods A systematic review was conducted for epidemiological surveys that reported the prevalence of chronic cough in general adult populations during the years 1980 to 2013. A literature search was performed on Pubmed and Embase without language restriction. Epidemiological definitions for chronic cough were classified according to their components, such as cutoff duration. Meta-analyses were performed for the male-to-female ratio of chronic cough prevalence to explore operational characteristics of epidemiological definitions. Results A total of 70 studies were included in the systematic review. The most common epidemiological definition was identified as 'cough ≥3 months' duration without specification of phlegm (n=50); however, it conflicted with the cutoff duration in current clinical guidelines (cough ≥8 weeks). Meta-analyses were performed for the male-to-female ratio of chronic cough among 28 studies that reported sex-specific prevalence using the most common definition. The pooled male-to-female odds ratio was 1.26 (95% confidence interval 0.92-1.73) with significant heterogeneity (I2=96%, P<0.001), which was in contrast to clinical observations of female predominance from specialist clinics. Subgroup analyses did not reverse the ratio or reduce the heterogeneity. Conclusions This study identified major issues in defining chronic cough in future epidemiological studies. The conflict between epidemiological and clinical diagnostic criteria needs to be resolved. The unexpected difference in the gender predominance between the community and clinics warrants further studies. Clinical validation of the existing definition is required. PMID:26739408

The effect of 30 Hz vs. 50 Hz passive vibration and duration of vibration on skin blood flow in the arm.

PubMed

Maloney-Hinds, Colleen; Petrofsky, Jerrold Scott; Zimmerman, Grenith

2008-03-01

Recently, researchers have demonstrated that Whole Body Vibration (WBV) results in significant increases in skin blood flow (SBF). No study has determined if a specific frequency or a specific duration is better at optimizing SBF. Two studies were conducted to determine, 1) if there is a difference in SBF due to passive vibration of the forearm at 30 Hz vs. 50 Hz, 2) if one frequency is superior, and 3) if there is an optimal duration. In the first study, 18 subjects (mean age 20.3+/-2.9 years) were randomly placed into a 30 Hz or 50 Hz vibration group, and in the second, seven subjects (mean age 23.3+/-3.8 years) participated in both 30 and 50 Hz vibration. Each subject's arm was passively vibrated for 10 minutes. SBF was examined during vibration and for 15 minutes of recovery. Both frequencies produced significant increases in SBF (p<0.05) within the first four minutes of vibration. Peak SBFs were obtained by the fifth minute. SBF remained high for minutes 4 through 10 of vibration in the second study. In the first study, SBF remained high for minutes 4 through 9. During recovery, 30 Hz vibration produced SBFs below baseline values while 50 Hz SBFs remained above baseline. Statistically one frequency was not superior to the other. Five minutes of 30 Hz or 50 Hz vibration produced significant increases in SBF. Clinically, 50 Hz has additional benefits because SBF increased more rapidly and did not result in vasoconstriction during the recovery period. Future studies should be done to determine if these increases in SBF could be of benefit to populations with low circulation such as those with diabetes.

How timely closure can reduce outbreak duration: gastroenteritis in care homes in North West England, 2012-2016.

PubMed

Inns, Thomas; Keenan, Alex; Huyton, Rita; Harris, John; Iturriza-Gomara, Miren; O'Brien, Sarah J; Vivancos, Roberto

2018-04-12

Data on outbreaks of infectious gastroenteritis in care homes have been collected using an internet-based surveillance system in North West England since 2012. We analysed the burden and characteristics of care home outbreaks to inform future public health decision-making. We described characteristics of care homes and summary measures of the outbreaks such as attack rate, duration and pathogen identified. The primary analysis outcome was duration of closure following an outbreak. We used negative binomial regression to estimate Incidence Rate Ratios (IRR) and confidence intervals (CI) for each explanatory variable. We recorded 795 outbreaks from 379 care homes (37.1 outbreaks per 100 care homes per year). In total 11,568 cases, 75 hospitalisations and 29 deaths were reported. Closure within three days of the first case (IRR = 0.442, 95%CI 0.366-0.534) was significantly associated with reduced duration of closure. The total size of the home (IRR = 1.426, 95%CI = 1.275-1.595) and the total attack rate (IRR = 1.434, 95%CI = 1.257-1.595) were significantly associated with increased duration of closure. Care homes that closed promptly had outbreaks of shorter duration. Care home providers, and those advising them on infection control, should aim to close homes quickly to prevent lengthy disruption to services.

The Longer You Stay, the Worse Your Health? A Critical Review of the Negative Acculturation Theory among Asian Immigrants

PubMed Central

Ro, Annie

2014-01-01

Researchers have become increasingly interested in the health patterns of immigrants with longer residence in the United States, as this reveals the health consequences of integration processes. The negative acculturation effect has been the dominant interpretation of duration patterns, despite empirical and theoretical uncertainties about this assumption. This theory assumes that immigrant health declines with longer residence in the United States because of poorer health behaviors and health risks that reflect Americanized lifestyles. This paper reviews the empirical support for the negative acculturation theory among Asian immigrants to determine if and when it is an appropriate interpretation for duration patterns. I conclude that empirical inconsistencies and methodological issues limit the negative acculturation theory as the primary interpretation for duration patterns. First, there is no consistent evidence that health behaviors decline with time. There is also substantial group heterogeneity in duration patterns as well as heterogeneity across health outcomes. The literature has not adequately addressed methodological shortcomings, such as confounding by cohort effects or non-linear duration patterns. Length of residence in the United States is still an important aspect of Asian immigrant health, but the mechanisms of this relationship are still understudied. I propose alternative frameworks between duration and health that consider environmental influences and end with future research directions to explore research gaps. PMID:25111874

Effect of soil property uncertainties on permafrost thaw projections: A calibration-constrained analysis

DOE PAGES

Harp, Dylan R.; Atchley, Adam L.; Painter, Scott L.; ...

2016-02-11

Here, the effect of soil property uncertainties on permafrost thaw projections are studied using a three-phase subsurface thermal hydrology model and calibration-constrained uncertainty analysis. The Null-Space Monte Carlo method is used to identify soil hydrothermal parameter combinations that are consistent with borehole temperature measurements at the study site, the Barrow Environmental Observatory. Each parameter combination is then used in a forward projection of permafrost conditions for the 21more » $$^{st}$$ century (from calendar year 2006 to 2100) using atmospheric forcings from the Community Earth System Model (CESM) in the Representative Concentration Pathway (RCP) 8.5 greenhouse gas concentration trajectory. A 100-year projection allows for the evaluation of intra-annual uncertainty due to soil properties and the inter-annual variability due to year to year differences in CESM climate forcings. After calibrating to borehole temperature data at this well-characterized site, soil property uncertainties are still significant and result in significant intra-annual uncertainties in projected active layer thickness and annual thaw depth-duration even with a specified future climate. Intra-annual uncertainties in projected soil moisture content and Stefan number are small. A volume and time integrated Stefan number decreases significantly in the future climate, indicating that latent heat of phase change becomes more important than heat conduction in future climates. Out of 10 soil parameters, ALT, annual thaw depth-duration, and Stefan number are highly dependent on mineral soil porosity, while annual mean liquid saturation of the active layer is highly dependent on the mineral soil residual saturation and moderately dependent on peat residual saturation. By comparing the ensemble statistics to the spread of projected permafrost metrics using different climate models, we show that the effect of calibration-constrained uncertainty in soil properties, although significant, is less than that produced by structural climate model uncertainty for this location.« less

Effect of soil property uncertainties on permafrost thaw projections: A calibration-constrained analysis

DOE PAGES

Harp, D. R.; Atchley, A. L.; Painter, S. L.; ...

2015-06-29

The effect of soil property uncertainties on permafrost thaw projections are studied using a three-phase subsurface thermal hydrology model and calibration-constrained uncertainty analysis. The Null-Space Monte Carlo method is used to identify soil hydrothermal parameter combinations that are consistent with borehole temperature measurements at the study site, the Barrow Environmental Observatory. Each parameter combination is then used in a forward projection of permafrost conditions for the 21st century (from calendar year 2006 to 2100) using atmospheric forcings from the Community Earth System Model (CESM) in the Representative Concentration Pathway (RCP) 8.5 greenhouse gas concentration trajectory. A 100-year projection allows formore » the evaluation of intra-annual uncertainty due to soil properties and the inter-annual variability due to year to year differences in CESM climate forcings. After calibrating to borehole temperature data at this well-characterized site, soil property uncertainties are still significant and result in significant intra-annual uncertainties in projected active layer thickness and annual thaw depth-duration even with a specified future climate. Intra-annual uncertainties in projected soil moisture content and Stefan number are small. A volume and time integrated Stefan number decreases significantly in the future climate, indicating that latent heat of phase change becomes more important than heat conduction in future climates. Out of 10 soil parameters, ALT, annual thaw depth-duration, and Stefan number are highly dependent on mineral soil porosity, while annual mean liquid saturation of the active layer is highly dependent on the mineral soil residual saturation and moderately dependent on peat residual saturation. As a result, by comparing the ensemble statistics to the spread of projected permafrost metrics using different climate models, we show that the effect of calibration-constrained uncertainty in soil properties, although significant, is less than that produced by structural climate model uncertainty for this location.« less

Effect of soil property uncertainties on permafrost thaw projections: a calibration-constrained analysis

NASA Astrophysics Data System (ADS)

Harp, D. R.; Atchley, A. L.; Painter, S. L.; Coon, E. T.; Wilson, C. J.; Romanovsky, V. E.; Rowland, J. C.

2015-06-01

The effect of soil property uncertainties on permafrost thaw projections are studied using a three-phase subsurface thermal hydrology model and calibration-constrained uncertainty analysis. The Null-Space Monte Carlo method is used to identify soil hydrothermal parameter combinations that are consistent with borehole temperature measurements at the study site, the Barrow Environmental Observatory. Each parameter combination is then used in a forward projection of permafrost conditions for the 21st century (from calendar year 2006 to 2100) using atmospheric forcings from the Community Earth System Model (CESM) in the Representative Concentration Pathway (RCP) 8.5 greenhouse gas concentration trajectory. A 100-year projection allows for the evaluation of intra-annual uncertainty due to soil properties and the inter-annual variability due to year to year differences in CESM climate forcings. After calibrating to borehole temperature data at this well-characterized site, soil property uncertainties are still significant and result in significant intra-annual uncertainties in projected active layer thickness and annual thaw depth-duration even with a specified future climate. Intra-annual uncertainties in projected soil moisture content and Stefan number are small. A volume and time integrated Stefan number decreases significantly in the future climate, indicating that latent heat of phase change becomes more important than heat conduction in future climates. Out of 10 soil parameters, ALT, annual thaw depth-duration, and Stefan number are highly dependent on mineral soil porosity, while annual mean liquid saturation of the active layer is highly dependent on the mineral soil residual saturation and moderately dependent on peat residual saturation. By comparing the ensemble statistics to the spread of projected permafrost metrics using different climate models, we show that the effect of calibration-constrained uncertainty in soil properties, although significant, is less than that produced by structural climate model uncertainty for this location.

Enhancing assertiveness in district nurse specialist practice.

PubMed

Green, Julie

2016-08-02

District nurse (DN) care delivery has undergone substantial change in recent years due to changing demographics and service delivery demands that have called for a move of care delivery from secondary to primary care. The title District Nurse is recorded with the Nursing and Midwifery Council (NMC) on completion of the Specialist Practice Qualification in District Nursing (SPQ DN), which purports to be a 'transformational' course that prepares future caseload holders to manage their team and prioritise care delivery effectively. This article explores the need for assertiveness skills in this role in response to Australian research, and outlines the pedagogic interventions implemented during the SPQ DN course to enhance this skill. Assertiveness scores were monitored for the duration of the course and demonstrated a significant increase-a topic that is now the subject of a future, funded study.

A Bright Future for Serial Femtosecond Crystallography with XFELs.

PubMed

Johansson, Linda C; Stauch, Benjamin; Ishchenko, Andrii; Cherezov, Vadim

2017-09-01

X-ray free electron lasers (XFELs) have the potential to revolutionize macromolecular structural biology due to the unique combination of spatial coherence, extreme peak brilliance, and short duration of X-ray pulses. A recently emerged serial femtosecond (fs) crystallography (SFX) approach using XFEL radiation overcomes some of the biggest hurdles of traditional crystallography related to radiation damage through the diffraction-before-destruction principle. Intense fs XFEL pulses enable high-resolution room-temperature structure determination of difficult-to-crystallize biological macromolecules, while simultaneously opening a new era of time-resolved structural studies. Here, we review the latest developments in instrumentation, sample delivery, data analysis, crystallization methods, and applications of SFX to important biological questions, and conclude with brief insights into the bright future of structural biology using XFELs. Copyright © 2017 Elsevier Ltd. All rights reserved.

Towards sub-100 fs multi-GW pulses directly emitted from a Thulium-doped fiber CPA system

NASA Astrophysics Data System (ADS)

Gaida, C.; Gebhardt, M.; Stutzki, F.; Jauregui, C.; Limpert, J.; Tünnermann, A.

2017-02-01

Experimental demonstrations of Tm-doped fiber amplifiers (typically in CW- or narrow-band pulsed operation) span a wavelength range going from about 1700 nm to well beyond 2000 nm. Thus, it should be possible to obtain a bandwidth of more than 100 nm, which would enable sub-100 fs pulse duration in an efficient, linear amplification scheme. In fact, this would allow the emission of pulses with less than 20 optical cycles directly from a Tm-doped fiber system, something that seems to be extremely challenging for other dopants in a fused silica fiber. In this contribution, we summarize the current development of our Thulium-doped fiber CPA system, demonstrate preliminary experiments for further scaling and discuss important design factors for the next steps. The current single-channel laser system presented herein delivers a pulse-peak power of 2 GW and a nearly transform-limited pulse duration of 200 fs in combination with 28.7 W of average power. Special care has been taken to reduce the detrimental impact of water vapor absorption by placing the whole system in a dry atmosphere housing (<0.1% rel. humidity) and by using a sufficiently long wavelength (1920-1980 nm). The utilization of a low-pressure chamber in the future will allow for the extension of the amplification bandwidth. Preliminary experiments demonstrating a broader amplification bandwidth that supports almost 100 fs pulse duration and average power scaling to < 100W have already been performed. Based on these results, a Tm-doped fiber CPA with sub-100 fs pulse duration, multi-GW pulse peak power and >100 W average power can be expected in the near future.

Multipass Target Search in Natural Environments

PubMed Central

Otte, Michael W.; Sofge, Donald; Gupta, Satyandra K.

2017-01-01

Consider a disaster scenario where search and rescue workers must search difficult to access buildings during an earthquake or flood. Often, finding survivors a few hours sooner results in a dramatic increase in saved lives, suggesting the use of drones for expedient rescue operations. Entropy can be used to quantify the generation and resolution of uncertainty. When searching for targets, maximizing mutual information of future sensor observations will minimize expected target location uncertainty by minimizing the entropy of the future estimate. Motion planning for multi-target autonomous search requires planning over an area with an imperfect sensor and may require multiple passes, which is hindered by the submodularity property of mutual information. Further, mission duration constraints must be handled accordingly, requiring consideration of the vehicle’s dynamics to generate feasible trajectories and must plan trajectories spanning the entire mission duration, something which most information gathering algorithms are incapable of doing. If unanticipated changes occur in an uncertain environment, new plans must be generated quickly. In addition, planning multipass trajectories requires evaluating path dependent rewards, requiring planning in the space of all previously selected actions, compounding the problem. We present an anytime algorithm for autonomous multipass target search in natural environments. The algorithm is capable of generating long duration dynamically feasible multipass coverage plans that maximize mutual information using a variety of techniques such as ϵ-admissible heuristics to speed up the search. To the authors’ knowledge this is the first attempt at efficiently solving multipass target search problems of such long duration. The proposed algorithm is based on best first branch and bound and is benchmarked against state of the art algorithms adapted to the problem in natural Simplex environments, gathering the most information in the given search time. PMID:29099087

Optimal future liver remnant in patients treated with extensive preoperative chemotherapy for colorectal liver metastases.

PubMed

Shindoh, Junichi; Tzeng, Ching-Wei D; Aloia, Thomas A; Curley, Steven A; Zimmitti, Giuseppe; Wei, Steven H; Huang, Steven Y; Mahvash, Armeen; Gupta, Sanjay; Wallace, Michael J; Vauthey, Jean-Nicolas

2013-08-01

Patients with colorectal liver metastases (CLM) are increasingly treated with preoperative chemotherapy. Chemotherapy associated liver injury is associated with postoperative hepatic insufficiency (PHI) and mortality. The adequate minimum future liver remnant (FLR) volume in patients treated with extensive chemotherapy remains unknown. All patients with standardized FLR > 20 %, who underwent extended right hepatectomy for CLM from 1993-2011, were divided into three cohorts by chemotherapy duration: no chemotherapy (NC, n = 30), short duration (SD, ≤12 weeks, n = 78), long duration (LD, >12 weeks, n = 86). PHI and mortality were compared by using uni-/multivariate analyses. Optimal FLR for LD chemotherapy was determined using a minimum p-value approach. A total of 194 patients met inclusion criteria. LD chemotherapy was significantly associated with PHI (NC + SD 3.7 vs. LD 16.3%, p = 0.006). Ninety-day mortality rates were 0 % in NC, 1.3 % in SD, and 2.3% in LD patients, respectively (p = 0.95). In patients with FLR > 30 %, PHI occurred in only two patients (both LD, 2/20, 10 %), but all patients with FLR > 30 % survived. The best cutoff of FLR for preventing PHI after chemotherapy >12 weeks was estimated as >30 %. Both LD chemotherapy (odds ratio [OR] 5.4, p = 0.004) and FLR ≤ 30 % (OR 6.3, p = 0.019) were independent predictors of PHI. Preoperative chemotherapy >12 weeks increases the risk of PHI after extended right hepatectomy. In patients treated with long-duration chemotherapy, FLR > 30 % reduces the rate of PHI and may provide enough functional reserve for clinical rescue if PHI develops.

US pivotal studies of irinotecan in colorectal carcinoma.

PubMed

Pitot, H C

1998-08-01

Phase I trials of irinotecan (CPT-11 [Camptosar]), conducted at Johns Hopkins and the University of Texas, San Antonio, demonstrated some activity in patients with refractory advanced cancer. Three pivotal phase II studies of irinotecan in advanced colorectal carcinoma were conducted at The University of Texas, San Antonio, Mayo/North Central Cancer Treatment Group (NCCTG), and the CPT-11 Study Group in a total of 304 patients. All patients had received prior fluorouracil (5-FU) chemotherapy, and over 90% had progressed while on treatment within the last 6 months. The initial starting dose of irinotecan ranged from 100 to 150 mg/m2. The overall response rate was 12.8% (95% confidence interval, 9.1% to 16.6%) with a 15% response rate at a recommended starting dose of 125 mg/m2. The response durations and overall median survivals were similar in the three studies. The principal toxicities included diarrhea, nausea, vomiting, and neutropenia. Severe diarrhea was limited by use of an intensive loperamide regimen and appropriate dose modification. The three pivotal studies of irinotecan in advanced colorectal carcinoma demonstrate consistent response rates and duration, with manageable toxicity. Future studies will focus on the use of irinotecan in chemotherapeutically naive colorectal carcinoma, the adjuvant treatment of colon carcinoma, combination chemotherapeutic regimens, and treatment of other malignant diseases.

Long-duration space exploration and emotional health: Recommendations for conceptualizing and evaluating risk

NASA Astrophysics Data System (ADS)

Alfano, Candice A.; Bower, Joanne L.; Cowie, Jennifer; Lau, Simon; Simpson, Richard J.

2018-01-01

Spaceflight to Mars will by far exceed the duration of any previous mission. Although behavioral health risks are routinely highlighted among the most serious threats to crew safety, understanding of specific emotional responses most likely to occur and interfere with mission success has lagged in comparison to other risk domains. Even within the domain of behavioral health, emotional constructs remain to be 'unpacked' to the same extent as other factors such as attention and fatigue. The current paper provides a review of previous studies that have examined emotional responses in isolated, confined, extreme environments (ICE) toward informing a needed research agenda. We include research conducted during space flight, long-duration space simulation analogs, and polar environments and utilize a well-established model of emotion and emotion regulation to conceptualize specific findings. Lastly, we propose four specific directions for future research: (1) use of a guiding theoretical framework for evaluating emotion responses in ICE environments; (2) leveraging multi-method approaches to improve the reliability of subjective reports of emotional health; (3) a priori selection of precise emotional constructs to guide measure selection; and (4) focusing on positive in addition to negative emotion in order to provide a more complete understanding of individual risk and resilience.

Relationships Among Daytime Napping and Fatigue, Sleep Quality, and Quality of Life in Cancer Patients.

PubMed

Sun, Jia-Ling; Lin, Chia-Chin

2016-01-01

The relationships among napping and sleep quality, fatigue, and quality of life (QOL) in cancer patients are not clearly understood. The aim of the study was to determine whether daytime napping is associated with nighttime sleep, fatigue, and QOL in cancer patients. In total, 187 cancer patients were recruited. Daytime napping, nighttime self-reported sleep, fatigue, and QOL were assessed using a questionnaire. Objective sleep parameters were collected using a wrist actigraph. According to waking-after-sleep-onset measurements, patients who napped during the day experienced poorer nighttime sleep than did patients who did not (t = -2.44, P = .02). Daytime napping duration was significantly negatively correlated with QOL. Patients who napped after 4 PM had poorer sleep quality (t = -1.93, P = .05) and a poorer Short-Form Health Survey mental component score (t = 2.06, P = .04) than did patients who did not. Fatigue, daytime napping duration, and sleep quality were significant predictors of the mental component score and physical component score, accounting for 45.7% and 39.3% of the variance, respectively. Daytime napping duration was negatively associated with QOL. Napping should be avoided after 4 PM. Daytime napping affects the QOL of cancer patients. Future research can determine the role of napping in the sleep hygiene of cancer patients.

A pilot investigation to optimise methods for a future satiety preload study.

PubMed

Hobden, Mark R; Guérin-Deremaux, Laetitia; Commane, Daniel M; Rowland, Ian; Gibson, Glenn R; Kennedy, Orla B

2017-01-01

Preload studies are used to investigate the satiating effects of foods and food ingredients. However, the design of preload studies is complex, with many methodological considerations influencing appetite responses. The aim of this pilot investigation was to determine acceptability, and optimise methods, for a future satiety preload study. Specifically, we investigated the effects of altering (i) energy intake at a standardised breakfast (gender-specific or non-gender specific), and (ii) the duration between mid-morning preload and ad libitum lunch meal, on morning appetite scores and energy intake at lunch. Participants attended a single study visit. Female participants consumed a 214-kcal breakfast ( n  = 10) or 266-kcal breakfast ( n  = 10), equivalent to 10% of recommended daily energy intakes for females and males, respectively. Male participants ( n  = 20) consumed a 266-kcal breakfast. All participants received a 250-ml orange juice preload 2 h after breakfast. The impact of different study timings was evaluated in male participants, with 10 males following one protocol (protocol 1) and 10 males following another (protocol 2). The duration between preload and ad libitum lunch meal was 2 h (protocol 1) or 2.5 h (protocol 2), with the ad libitum lunch meal provided at 12.00 or 13.00, respectively. All female participants followed protocol 2. Visual analogue scale (VAS) questionnaires were used to assess appetite responses and food/drink palatability. Correlation between male and female appetite scores was higher with the provision of a gender-specific breakfast, compared to non-gender-specific breakfast (Pearson correlation of 0.747 and 0.479, respectively). No differences in subjective appetite or ad libitum energy intake were found between protocols 1 and 2. VAS mean ratings of liking, enjoyment, and palatability were all > 66 out of 100 mm for breakfast, preload, and lunch meals. The findings of this pilot study confirm the acceptability of this methodology for future satiety preload studies. Appetite scores increased from preload to ad libitum lunch meal; however, no specific differences were found between protocols. The results highlight the importance of considering energy intake prior to preload provision, with a gender-specific breakfast improving the correlation between male and female appetite score responses to a morning preload.

Menu driven heat treatment control of thin walled bodies

DOEpatents

Kothmann, Richard E.; Booth, Jr., Russell R.; Grimm, Noel P.; Batenburg, Abram; Thomas, Vaughn M.

1992-01-01

A process for controlling the heating of a thin-walled body according to a predetermined temperature program by means of electrically controllable heaters, comprising: disposing the heaters adjacent one surface of the body such that each heater is in facing relation with a respective zone of the surface; supplying heat-generating power to each heater and monitoring the temperature at each surface zone; and for each zone: deriving (16,18,20), on the basis of the temperature values obtained in the monitoring step, estimated temperature values of the surface at successive time intervals each having a first selected duration; generating (28), on the basis of the estimated temperature values derived in each time interval, representations of the temperature, THSIFUT, which each surface zone will have, based on the level of power presently supplied to each heater, at a future time which is separated from the present time interval by a second selected duration; determining (30) the difference between THSIFUT and the desired temperature, FUTREFTVZL, at the future time which is separated from the present time interval by the second selected duration; providing (52) a representation indicating the power level which sould be supplied to each heater in order to reduce the difference obtained in the determining step; and adjusting the power level supplied to each heater by the supplying step in response to the value of the representation provided in the providing step.

Worklife expectancies of fixed-term Finnish employees in 1997-2006.

PubMed

Nurminen, Markku

2008-04-01

Fixed-term employment is prevalent in the Finnish labor force. This form of employment contract is marked by fragmentary work periods, demands for flexibility in workhours, and concern for multiple insecurities. A nonpermanent employee may also incur adverse health consequences. Yet there exist no exact statistics on the duration of fixed-term employment. This paper estimated the future duration of the time that a Finn is expected to be engaged in irregular work. Multistate regression modeling and stochastic analysis were applied to aggregated data from surveys conducted among the labor force by Statistics Finland in 1997-2006. In 2006, a Finnish male was expected to work a total of 3.8 years in fixed-term employment, combined over consecutive or separate time spans; this time amounts to 8% of his remaining work career from entry into the work force until final retirement. For a woman the expectancy was greater, 6.5 years or 13%. For the age interval 20-29 years, the total was 16% for men and 23% for women. The type and duration of employment is influenced by security factors and economic cycles, both of which affect men and women differently. Over the past decade, fixed-term employment increased consistently in the female labor contingent, and it was more pronounced during economic slowdowns. This labor market development calls for standards for flexibility and guarantees for security in the fragmented future worklives of fixed-term employees.

Data collection on retinopathy as a public health tool: The Hubble telescope equivalent of looking back in time.

PubMed

Constantino, Maria I; Molyneaux, Lynda; Wu, Ted; Twigg, Stephen M; Wong, Jencia; Yue, Dennis K

2017-04-01

To test whether the rate of diabetic retinopathy development in a population calculated from the prevalence of retinopathy and duration of diabetes can be used to assess their prior glycemic control. 9281 patients with type 2 diabetes (T2DM) were grouped by duration of diabetes and plotted against the % of retinopathy in each band. The slope was used to calculate retinopathy development/year (RD/y). We correlated the RD/y with updated HbA1c within groups of different ethnicity, age of diabetes onset, year of the eye examination, socio-economic status and fluency in English. Differences in ethnicity, age of diabetes onset and year of the eye examination affect RD/y to a degree predictable from their respective updated HbA1c. No such relationship with updated HbA1c was evident when a factor has no apparent effect on RD/y. This relationship between prevalence of retinopathy and duration of diabetes can be used to assess future retinopathy burden. Perhaps more intriguing, the camera can be reversed to allow an estimate of prior glycemic control of a population from its retinopathy prevalence. Health care organizations can use this method to project future needs and to assess adequacy of prior glycemic control. Copyright © 2017 Elsevier Inc. All rights reserved.

Effects of centrifugation on gonadal and adrenocortical steroids in rats

NASA Technical Reports Server (NTRS)

Kakihana, R.; Butte, J. C.

1980-01-01

Many endocrine systems are sensitive to external changes in the environment. Both the pituitary adrenal and pituitary gonadal systems are affected by stress including centrifugation stress. The effect of centrifugation on the pituitary gonadal and pituitary adrenocortical systems was examined by measuring the gonadal and adrenal steroids in the plasma and brain following different duration and intensity of centrifugation stress in rats. Two studies were completed and the results are presented. The second study was carried out to describe the developmental changes of brain, plasma and testicular testosterone and dihydrotestosterone in Sprague Dawley rats so that the effect of centrifugation stress on the pituitary gonadal syatem could be better evaluated in future studies.

Projected changes to precipitation extremes over the Canadian Prairies using multi-RCM ensemble

NASA Astrophysics Data System (ADS)

Masud, M. B.; Khaliq, M. N.; Wheater, H. S.

2016-12-01

Information on projected changes to precipitation extremes is needed for future planning of urban drainage infrastructure and storm water management systems and to sustain socio-economic activities and ecosystems at local, regional and other scales of interest. This study explores the projected changes to seasonal (April-October) precipitation extremes at daily, hourly and sub-hourly scales over the Canadian Prairie Provinces of Alberta, Saskatchewan, and Manitoba, based on the North American Regional Climate Change Assessment Program multi-Regional Climate Model (RCM) ensemble and regional frequency analysis. The performance of each RCM is evaluated regarding boundary and performance errors to study various sources of uncertainties and the impact of large-scale driving fields. In the absence of RCM-simulated short-duration extremes, a framework is developed to derive changes to extremes of these durations. Results from this research reveal that the relative changes in sub-hourly extremes are higher than those in the hourly and daily extremes. Overall, projected changes in precipitation extremes are larger for southeastern parts of this region than southern and northern areas, and smaller for southwestern and western parts of the study area. Keywords: climate change, precipitation extremes, regional frequency analysis, NARCCAP, Canadian Prairie provinces

Does comorbid Social Anxiety Disorder impact the clinical presentation of principal Major Depressive Disorder?

PubMed

Dalrymple, Kristy L; Zimmerman, Mark

2007-06-01

Although previous research has examined comorbidity in principal Social Anxiety Disorder (SAD), few studies have examined the disorders for which those with comorbid SAD seek treatment. Further, studies have shown that depressive disorders often are associated with SAD, but few have examined the clinical characteristics of patients with this particular comorbidity. The current study examined the prevalence of various principal Axis I disorders in 577 individuals diagnosed with comorbid SAD. Consistent with previous research, Major Depressive Disorder (MDD) was the most frequent principal diagnosis in patients with comorbid SAD. Those with principal MDD and comorbid SAD (MDD-SAD) were compared to those with MDD without SAD (MDD) on demographic and clinical characteristics. Patients with MDD-SAD versus those with MDD were more severe in terms of social functioning, duration of depressive episode, suicidal ideation, time out of work, presence of current alcohol abuse/dependence, and age of onset of MDD. Social functioning, duration of episode, suicidal ideation, and age of onset of MDD remained significant even after controlling for additional comorbid disorders. Findings suggest the need for future research to determine how treatments could be adapted for this commonly occurring comorbidity.

Analysis of impact/impulse noise for predicting noise induced hearing loss

NASA Astrophysics Data System (ADS)

Vipperman, Jeffrey S.; Prince, Mary M.; Flamm, Angela M.

2003-04-01

Studies indicate that the statistical properties and temporal structure of the sound signal are important in determining the extent of hearing hazard. As part of a pilot study to examine hearing conservation program effectiveness, NIOSH collected noise samples of impact noise sources in an automobile stamping plant, focusing on jobs with peak sound levels (Lpk) of greater than 120 dB. Digital tape recordings of sounds were collected using a Type I Precision Sound Level Meter and microphone connected to a DAT tape recorder. The events were archived and processed as .wav files to extract single events of interest on CD-R media and CD audio media. A preliminary analysis of sample wavelet files was conducted to characterize each event using metrics such as the number of impulses per unit time, the repetition rate or temporal pattern of these impulses, index of peakedness, crest factor, kurtosis, coefficient of kurtosis, rise time, fall time, and peak time. The spectrum, duration, and inverse of duration for each waveform were also computed. Finally, the data were evaluated with the Auditory Hazard Assessment Algorithm (AHAAH). Improvements to data collection for a future study examining different strategies for evaluating industrial noise exposure will be discussed.

[Tuberculous pneumothorax: Diagnosis and treatment].

PubMed

Ben Saad, S; Melki, B; Douik El Gharbi, L; Soraya, F; Chaouch, N; Aouina, H; Cherif, J; Hamzaoui, A; Merghli, A; Daghfous, H; Tritar, F

2018-04-01

Pneumothorax is a serious complication of cavitary pulmonary tuberculosis. The aim of this study was to describe clinical futures, to highlight challenges of its management. A retrospective multicentric and descriptive study including 65 patients treated for PT (1999-2015) was conducted to figure out clinical futures and its work-up. The mean age was 37.8 years. The sex ratio was 3.6. Smoking history and incarceration were noted respectively in 67.6 and 15.3% of cases. Acute respiratory failure and cachexia were reported in 26.1 and 10.7% of cases. The PT was inaugural in 41.5% of cases. Pyo-pneumothorax was noted in 69.2% of cases. The duration of antituberculous treatment ranged from 6 to 15 months for susceptible TB and was at least 12 months for resistant TB (4 cases). Thoracic drainage was performed in 90.7% patients. Its average length was 47 days. The drain drop was noted in 20% of cases. Bronchopleural fistula was diagnosed in 6 cases and pleural infection in 5 of cases. Surgery treatment was necessary in 6 cases. Mean time to surgery was 171 days. Six patients had pleural decortication associated with pulmonary resection in 4 cases. Persistent chronic PT was noted in 12.6% and chronic respiratory failure in 3% of cases and death in 15.3% of cases. The diagnosis of the PT is often easy. Its treatment encounters multiples difficulties. Duration of thoracic drainage and anti-TB treatment are usually long. Surgery is proposed lately. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

Expert - Non-expert differences in visual behaviour during alpine slalom skiing.

PubMed

Decroix, Marjolein; Wazir, Mohd Rozilee Wazir Norjali; Zeuwts, Linus; Deconinck, Frederik F J A; Lenoir, Matthieu; Vansteenkiste, Pieter

2017-10-01

The aim of this study was to investigate visual behaviour of expert and non-expert ski athletes during an alpine slalom. Fourteen non-experts and five expert slalom skiers completed an alpine slalom course in an indoor ski slope while wearing a head-mounted eye tracking device. Experts completed the slalom clearly faster than non-experts, but no significant difference was found in timing and position of the turn initiation. Although both groups already looked at future obstacles approximately 0,5s before passing the upcoming pole, the higher speed of experts implied that they shifted gaze spatially earlier in the bend than non-experts. Furthermore, experts focussed more on the second next pole while non-expert slalom skiers looked more to the snow surface immediately in front of their body. No difference was found in the fixation frequency, average fixation duration, and quiet eye duration between both groups. These results suggest that experts focus on the timing of their actions while non-experts still need to pay attention to the execution of these actions. These results also might suggest that ski trainers should instruct non-experts and experts to focus on the next pole and, shift their gaze to the second next pole shortly before reaching it. Based on the current study it seems unadvisable to instruct slalom skiers to look several poles ahead during the actual slalom. However, future research should test if these results still hold on a real outdoor slope, including multiple vertical gates. Copyright © 2017 Elsevier B.V. All rights reserved.

Nutrition and Gaelic football: review, recommendations, and future considerations.

PubMed

Beasley, Kevin J

2015-02-01

Gaelic football is the second most popular team sport in Ireland in terms of participation. However, very little research exists on the nutritional considerations for elite male Gaelic footballers. Gaelic football is an intermittent type field game played by two teams of fifteen players. Although amateurs, elite players may train and compete 4-5 times per week and may play for several teams. Research suggests that elite footballers are similar anthropometrically and in fitness to professional soccer players. Work-rate analysis shows that footballers experience longer durations of high-intensity (HI) activity (5-7s) and shorter rest durations than soccer players. Recent data suggests that half-forward/backs perform a greater amount of HI work during games than players in other positions. Fatigue is apparent between the first and second halves and the first and fourth quarters. The limited amount of nutritional studies conducted implies that footballers may be deficient in energy intake and may be at the lower end of recommended carbohydrate intakes to support training. A wide variety of sweat rates have been measured during training, demonstrating the importance of individual hydration strategies. Ergogenic aids such as creatine and caffeine may prove beneficial to performance, although data are extrapolated from other sports. Due to the lack of research in Gaelic football, further population specific studies are required. Future areas of research on the impact of nutrition on Gaelic football performance are examined. In particular, the creation of a test protocol mimicking the activity patterns and intensity of a Gaelic football game is warranted.

Development of experimental techniques for the characterization of ultrashort photon pulses of extreme ultraviolet free-electron lasers

NASA Astrophysics Data System (ADS)

Düsterer, S.; Rehders, M.; Al-Shemmary, A.; Behrens, C.; Brenner, G.; Brovko, O.; DellAngela, M.; Drescher, M.; Faatz, B.; Feldhaus, J.; Frühling, U.; Gerasimova, N.; Gerken, N.; Gerth, C.; Golz, T.; Grebentsov, A.; Hass, E.; Honkavaara, K.; Kocharian, V.; Kurka, M.; Limberg, Th.; Mitzner, R.; Moshammer, R.; Plönjes, E.; Richter, M.; Rönsch-Schulenburg, J.; Rudenko, A.; Schlarb, H.; Schmidt, B.; Senftleben, A.; Schneidmiller, E. A.; Siemer, B.; Sorgenfrei, F.; Sorokin, A. A.; Stojanovic, N.; Tiedtke, K.; Treusch, R.; Vogt, M.; Wieland, M.; Wurth, W.; Wesch, S.; Yan, M.; Yurkov, M. V.; Zacharias, H.; Schreiber, S.

2014-12-01

One of the most challenging tasks for extreme ultraviolet, soft and hard x-ray free-electron laser photon diagnostics is the precise determination of the photon pulse duration, which is typically in the sub 100 fs range. Nine different methods, able to determine such ultrashort photon pulse durations, were compared experimentally at FLASH, the self-amplified spontaneous emission free-electron laser at DESY in Hamburg, in order to identify advantages and disadvantages of different methods. Radiation pulses at a wavelength of 13.5 and 24.0 nm together with the corresponding electron bunch duration were measured by indirect methods like analyzing spectral correlations, statistical fluctuations, and energy modulations of the electron bunch and also by direct methods like autocorrelation techniques, terahertz streaking, or reflectivity changes of solid state samples. In this paper, we present a comprehensive overview of the various techniques and a comparison of the individual experimental results. The information gained is of utmost importance for the future development of reliable pulse duration monitors indispensable for successful experiments with ultrashort extreme ultraviolet pulses.

Orbital debris and meteoroids: Results from retrieved spacecraft surfaces

NASA Astrophysics Data System (ADS)

Mandeville, J. C.

1993-08-01

Near-Earth space contains natural and man-made particles, whose size distribution ranges from submicron sized particles to cm sized objects. This environment causes a grave threat to space missions, mainly for future manned or long duration missions. Several experiments devoted to the study of this environment have been recently retrieved from space. Among them several were located on the NASA Long Duration Exposure Facility (LDEF) and on the Russian MIR Space Station. Evaluation of hypervelocity impact features gives valuable information on size distribution of small dust particles present in low Earth orbit. Chemical identification of projectile remnants is possible in many instances, thus allowing a discrimination between extraterrestrial particles and man-made orbital debris. A preliminary comparison of flight data with current modeling of meteoroids and space debris shows a fair agreement. However impact of particles identified as space debris on the trailing side of LDEF, not predicted by the models, could be the result of space debris in highly excentric orbits, probably associated with GTO objects.

Does breast-feeding reduce offspring junk food consumption during childhood? Examinations by socio-economic status and race/ethnicity.

PubMed

Jackson, Dylan B; Johnson, Kecia R

2017-06-01

To examine whether breast-feeding duration and socio-economic status (SES) interact to predict junk food consumption among offspring and whether the interaction differs across racial/ethnic groups. Survey research using a longitudinal panel design. Hierarchical linear regression was used to analyse the data. In-home interviews with the child's parents over a 5-year period across the USA. Approximately 10 000 American children from the Early Childhood Longitudinal Study: Birth Cohort (ECLS-B). The findings revealed that longer breast-feeding durations correspond to lower levels of junk food consumption, but that this relationship emerges consistently only among low-SES blacks. Efforts to promote breast-feeding among low-SES black women may have the added benefit of reducing their children's junk food intake, and may thereby promote their general health and well-being. Future research should seek to explore the mechanisms by which breast-feeding might benefit the dietary habits of low-SES black children.

Precision CMB Measurements from Long Duration Stratospheric Balloons: Towards B-modes and Inflation

NASA Astrophysics Data System (ADS)

Jones, William C.

2013-01-01

Observations of the Cosmic Microwave Background (CMB) have played a leading role in establishing an understanding of the structure and evolution of the Universe on the largest scales. This achievement has been enabled by a series of extremely successful experiments, coupled with the simplicity of the relationship between the cosmological theory and data. Antarctic experiments, including both balloon-borne telescopes and instruments at the South Pole, have played a key role in realizing the scientific potential of the CMB, from the characterization of the temperature anisotropies to the detection and study of the polarized component. Current and planned Antarctic long duration balloon experiments will extend this heritage of discovery to test theories of cosmic genesis through sensitive polarized surveys of the millimeter-wavelength sky. In this paper we will review the pivotal role that Antarctic balloon borne experiments have played in transforming our understanding of the Universe, and describe the scientific goals and technical approach of current and future missions.

Decreases in self-reported sleep duration among U.S. adolescents 2009-2015 and association with new media screen time.

PubMed

Twenge, Jean M; Krizan, Zlatan; Hisler, Garrett

2017-11-01

Insufficient sleep among adolescents carries significant health risks, making it important to determine social factors that change sleep duration. We sought to determine whether the self-reported sleep duration of U.S. adolescents changed between 2009 and 2015 and examine whether new media screen time (relative to other factors) might be responsible for changes in sleep. We drew from yearly, nationally representative surveys of sleep duration and time use among adolescents conducted since 1991 (Monitoring the Future) and 2007 (Youth Risk Behavior Surveillance System of the Centers for Disease Control; total N = 369,595). Compared to 2009, adolescents in 2015 were 16%-17% more likely to report sleeping less than 7 h a night on most nights, with an increase in short sleep duration after 2011-2013. New media screen time (electronic device use, social media, and reading news online) increased over this time period and was associated with increased odds of short sleep duration, with a clear exposure-response relationship for electronic devices after 2 or more hours of use per day. Other activities associated with short sleep duration, such as homework time, working for pay, and TV watching, were relatively stable or reduced over this time period, making it unlikely that these activities caused the sudden increase in short sleep duration. Increased new media screen time may be involved in the recent increases (from 35% to 41% and from 37% to 43%) in short sleep among adolescents. Public health interventions should consider electronic device use as a target of intervention to improve adolescent health. Copyright © 2017 Elsevier B.V. All rights reserved.

Structural Health Management for Future Aerospace Vehicles

NASA Technical Reports Server (NTRS)

Prosser, W. H.; Allison, S. G.; Woodard, S. E.; Wincheski, R. A.; Cooper, E. G.; Price, D. C.; Hedley, M.; Prokopenko, M.; Scott, D. A.; Tessler, A.

2004-01-01

Structural Health Management (SHM) will be of critical importance to provide the safety, reliability and affordability necessary for the future long duration space missions described in America's Vision for Space Exploration. Long duration missions to the Moon, Mars and beyond cannot be accomplished with the current paradigm of periodic, ground based structural integrity inspections. As evidenced by the Columbia tragedy, this approach is also inadequate for the current Shuttle fleet, thus leading to its initial implementation of on-board SHM sensing for impact detection as part of the return to flight effort. However, future space systems, to include both vehicles as well as structures such as habitation modules, will require an integrated array of onboard in-situ sensing systems. In addition, advanced data systems architectures will be necessary to communicate, store and process massive amounts of SHM data from large numbers of diverse sensors. Further, improved structural analysis and design algorithms will be necessary to incorporate SHM sensing into the design and construction of aerospace structures, as well as to fully utilize these sensing systems to provide both diagnosis and prognosis of structural integrity. Ultimately, structural integrity information will feed into an Integrated Vehicle Health Management (IVHM) system that will provide real-time knowledge of structural, propulsion, thermal protection and other critical systems for optimal vehicle management and mission control. This paper will provide an overview of NASA research and development in the area of SHM as well as to highlight areas of technology improvement necessary to meet these future mission requirements.

Persistent cold air outbreaks over North America in a warming climate

DOE PAGES

Gao, Yang; Leung, L. Ruby; Lu, Jian; ...

2015-03-30

This study examines future changes of cold air outbreaks (CAO) using a multi-model ensemble of global climate simulations from the Coupled Model Intercomparison Project Phase 5 as well as regional high resolution climate simulations. In the future, while robust decrease of CAO duration dominates in most regions, the magnitude of decrease over northwestern U.S. is much smaller than the surrounding regions. We identified statistically significant increases in sea level pressure during CAO events centering over Yukon, Alaska, and Gulf of Alaska that advects continental cold air to northwestern U.S., leading to blocking and CAO events. Changes in large scale circulationmore » contribute to about 50% of the enhanced sea level pressure anomaly conducive to CAO in northwestern U.S. in the future. High resolution regional simulations revealed potential contributions of increased existing snowpack to increased CAO in the near future over the Rocky Mountain, southwestern U.S., and Great Lakes areas through surface albedo effects, despite winter mean snow water equivalent decreases in the future. Overall, the multi-model projections emphasize that cold extremes do not completely disappear in a warming climate. Concomitant with the relatively smaller reduction in CAO events in northwestern U.S., the top 5 most extreme CAO events may still occur in the future, and wind chill warning will continue to have societal impacts in that region.« less

Group-based social skills interventions for adolescents with higher-functioning autism spectrum disorder: a review and looking to the future

PubMed Central

McMahon, Camilla M; Lerner, Matthew D; Britton, Noah

2013-01-01

In this paper, we synthesize the current literature on group-based social skills interventions (GSSIs) for adolescents (ages 10–20 years) with higher-functioning autism spectrum disorder and identify key concepts that should be addressed in future research on GSSIs. We consider the research participants, the intervention, the assessment of the intervention, and the research methodology and results to be integral and interconnected components of the GSSI literature, and we review each of these components respectively. Participant characteristics (eg, age, IQ, sex) and intervention characteristics (eg, targeted social skills, teaching strategies, duration and intensity) vary considerably across GSSIs; future research should evaluate whether participant and intervention characteristics mediate/moderate intervention efficacy. Multiple assessments (eg, parent-report, child-report, social cognitive assessments) are used to evaluate the efficacy of GSSIs; future research should be aware of the limitations of current measurement approaches and employ more accurate, sensitive, and comprehensive measurement approaches. Results of GSSIs are largely inconclusive, with few consistent findings across studies (eg, high parent and child satisfaction with the intervention); future research should employ more rigorous methodological standards for evaluating efficacy. A better understanding of these components in the current GSSI literature and a more sophisticated and rigorous analysis of these components in future research will lend clarity to key questions regarding the efficacy of GSSIs for individuals with autism spectrum disorder. PMID:23956616

Eurasian Winter Storm Activity at the End of the Century: A CMIP5 Multi-model Ensemble Projection

NASA Astrophysics Data System (ADS)

Basu, Soumik; Zhang, Xiangdong; Wang, Zhaomin

2018-01-01

Extratropical cyclone activity over Eurasia has exhibited a weakening trend in the recent decade. Extratropical cyclones bring precipitation and hence supply fresh water for winter crops in the mid- and high-latitude regions of Eurasia. Any changes in extratropical cyclone activity over Eurasia in the future may have a critical impact on winter agriculture and the economies of affected communities. However, potential future changes in regional storm activity over Eurasia have not been studied in detail. Therefore, in this study, we investigate anticipated changes in extratropical storm activity by the end of the century through a detailed examination of the historical and future emission scenarios from six different models from CMIP5. A statistical analysis of different parameters of storm activity using a storm identification and tracking algorithm reveals a decrease in the number of storms over mid-latitude regions. However, intense storms with longer duration are projected over high latitude Eurasia. A further examination of the physical mechanism for these changes reveals that a decrease in the meridional temperature gradient and a weakening of the vertical wind shear over the mid-latitudes are responsible for these changes in storm activity.

Air puff-induced 22-kHz calls in F344 rats.

PubMed

Inagaki, Hideaki; Sato, Jun

2016-03-01

Air puff-induced ultrasonic vocalizations in adult rats, termed "22-kHz calls," have been applied as a useful animal model to develop psychoneurological and psychopharmacological studies focusing on human aversive affective disorders. To date, all previous studies on air puff-induced 22-kHz calls have used outbred rats. Furthermore, newly developed gene targeting technologies, which are essential for further advancement of biomedical experiments using air puff-induced 22-kHz calls, have enabled the production of genetically modified rats using inbred rat strains. Therefore, we considered it necessary to assess air puff-induced 22-kHz calls in inbred rats. In this study, we assessed differences in air puff-induced 22-kHz calls between inbred F344 rats and outbred Wistar rats. Male F344 rats displayed similar total (summed) duration of air puff-induced 22 kHz vocalizations to that of male Wistar rats, however, Wistar rats emitted fewer calls of longer duration, while F344 rats emitted higher number of vocalizations of shorter duration. Additionally, female F344 rats emitted fewer air puff-induced 22-kHz calls than did males, thus confirming the existence of a sex difference that was previously reported for outbred Wistar rats. The results of this study could confirm the reliability of air puff stimulus for induction of a similar amount of emissions of 22-kHz calls in different rat strains, enabling the use of air puff-induced 22-kHz calls in inbred F344 rats and derived genetically modified animals in future studies concerning human aversive affective disorders. Copyright © 2015 Elsevier Inc. All rights reserved.

Personal Rotorcraft Design and Performance with Electric Hybridization

NASA Technical Reports Server (NTRS)

Snyder, Christopher A.

2017-01-01

Recent and projected improvements for more or all-electric aviation propulsion systems can enable greater personal mobility, while also reducing environmental impact (noise and emissions). However, all-electric energy storage capability is significantly less than present, hydrocarbon-fueled systems. A system study was performed exploring design and performance assuming hybrid propulsion ranging from traditional hydrocarbon-fueled cycles (gasoline Otto and diesel) to all-electric systems using electric motors generators, with batteries for energy storage and load leveling. Study vehicles were a conventional, single-main rotor (SMR) helicopter and an advanced vertical takeoff and landing (VTOL) aircraft. Vehicle capability was limited to two or three people (including pilot or crew); the design range for the VTOL aircraft was set to 150 miles (about one hour total flight). Search and rescue (SAR), loiter, and cruise-dominated missions were chosen to illustrate each vehicle and degree of hybrid propulsion strengths and weaknesses. The traditional, SMR helicopter is a hover-optimized design; electric hybridization was performed assuming a parallel hybrid approach by varying degree of hybridization. Many of the helicopter hybrid propulsion combinations have some mission capabilities that might be effective for short range or on-demand mobility missions. However, even for 30 year technology electrical components, all hybrid propulsion systems studied result in less available fuel, lower maximum range, and reduced hover and loiter duration than the baseline vehicle. Results for the VTOL aircraft were more encouraging. Series hybrid combinations reflective of near-term systems could improve range and loiter duration by 30. Advanced, higher performing series hybrid combinations could double or almost triple the VTOL aircrafts range and loiter duration. Additional details on the study assumptions and work performed are given, as well as suggestions for future study effort.

Comparison of SPI and SPEI indices for Drought Characterization under Climate Change Scenario in India

NASA Astrophysics Data System (ADS)

Gupta, V.; Jain, M. K.

2017-12-01

Many drought indices are available for quantifying and characterizing the drought events. Selection of a particular drought index could influence the outcome of the study. In this study, we compared two drought indices namely, Standardized precipitation index (SPI) and Standardized Precipitation-Evapotranspiration Index (SPEI) under climate change condition. Data from 7 RCM models namely, CCCma-CanESM2, CERFACS-CNRM-CM5, GFDL-ESM2M, MOHC-HadGEM2, MIROC-MIROC5, MPI-ESM-LR and MPI-ESM-MR for RCP 4.5 scenario have been used to calculate 12 month SPI and SPEI values. L-moments which provides robust distribution parameter estimation, have been used to identify best fit distribution for projected data at each grid point for each month. Mann-Kendall and Sen's slope test have been used to detect trends in drought severity, duration, peak, and interval between drought events. Results of this study reveal that SPI shows decreasing trends in drought severity, duration and peak with negative Sen's slope, however, the SPEI shows increasing trends of severity, duration and peak with a positive Sen's slope for almost all over India. The analysis reveals that projected percentage of drought affected area based on SPI in the first half of the 21st century is higher compared to those obtained using SPEI, however for the second half of the 21st century, the projected drought affected computed using SPEI is higher compared to the corresponding area obtained using SPI. Decrease in droughts severity, duration and peaks in SPI analysis could be attributed to projected increase in monsoon rainfall in Indian Subcontinent during second half of 21st century however, SPI was found incapable to account the increase in temperature thus neglecting the drying due to increased evapotranspiration whereas SPEI shows significant drying in Indian subcontinent on account of increasing trend in temperature observed in projected future RCM scenarios.

Objective definition of rainfall intensity-duration thresholds for the initiation of post-fire debris flows in southern California

USGS Publications Warehouse

Staley, Dennis; Kean, Jason W.; Cannon, Susan H.; Schmidt, Kevin M.; Laber, Jayme L.

2012-01-01

Rainfall intensity–duration (ID) thresholds are commonly used to predict the temporal occurrence of debris flows and shallow landslides. Typically, thresholds are subjectively defined as the upper limit of peak rainstorm intensities that do not produce debris flows and landslides, or as the lower limit of peak rainstorm intensities that initiate debris flows and landslides. In addition, peak rainstorm intensities are often used to define thresholds, as data regarding the precise timing of debris flows and associated rainfall intensities are usually not available, and rainfall characteristics are often estimated from distant gauging locations. Here, we attempt to improve the performance of existing threshold-based predictions of post-fire debris-flow occurrence by utilizing data on the precise timing of debris flows relative to rainfall intensity, and develop an objective method to define the threshold intensities. We objectively defined the thresholds by maximizing the number of correct predictions of debris flow occurrence while minimizing the rate of both Type I (false positive) and Type II (false negative) errors. We identified that (1) there were statistically significant differences between peak storm and triggering intensities, (2) the objectively defined threshold model presents a better balance between predictive success, false alarms and failed alarms than previous subjectively defined thresholds, (3) thresholds based on measurements of rainfall intensity over shorter duration (≤60 min) are better predictors of post-fire debris-flow initiation than longer duration thresholds, and (4) the objectively defined thresholds were exceeded prior to the recorded time of debris flow at frequencies similar to or better than subjective thresholds. Our findings highlight the need to better constrain the timing and processes of initiation of landslides and debris flows for future threshold studies. In addition, the methods used to define rainfall thresholds in this study represent a computationally simple means of deriving critical values for other studies of nonlinear phenomena characterized by thresholds.

Short duration repetitive transcranial magnetic stimulation for tinnitus treatment: a prospective Asian study.

PubMed

Ting, S K S; Chan, Y M; Cheong, P W T; Wong, M; Fook-Chong, S; Lo, Y L

2011-09-01

Tinnitus is a subjective auditory perception of sounds or noise not triggered by external auditory stimuli. To date, treatment in severe cases is generally unsatisfactory. Characteristic functional brain imaging changes associated with tinnitus include hyperactivity encompassing both the primary auditory cortex (AC) and the secondary or associative cortex. Brief repetitive transcranial magnetic stimulation (rTMS) trains applied to the scalp overlying the hyperactive left AC is known to produce moderate tinnitus attenuation. Although Western studies have documented the value of rTMS in tinnitus treatment, we evaluate the efficacy of a short duration rTMS protocol for the first time in the Asian setting. Consecutive patients were recruited at our tinnitus clinic. Detailed history, examination, audiogram and baseline tinnitus scales were recorded. RTMS consisted of 1000 pulses/day at 1 Hz and 110% of the motor threshold, for five consecutive days over the left temporoparietal cortex. Tinnitus ratings were determined weekly for 4 weeks after rTMS. Fifteen patients completed the trial; none experienced significant side effects. Repeated measures ANOVA showed significant linear decrease in Tinnitus Handicap Inventory (THI) scores over the time period (F((1,14))=4.7, p=0.04). However, none of the other parameters (severity, annoyance, effect on lifestyle and overall impression: visual analogue scale) showed beneficial outcomes. Our findings point to a positive effect of short duration rTMS in tinnitus treatment using the THI. However, no significant benefits were demonstrated for other subjective patient ratings. Although well tolerated and convenient, short duration rTMS may prove inadequate for modulating maladaptive plastic changes at the cortical level, and our results suggest the need for delivery of more stimuli. Future studies will utilize at least 2000 pulses/day, in line with previous experience in Western settings. Copyright © 2011 Elsevier B.V. All rights reserved.

Lifetime Duration of Depressive Disorders in Patients With Type 2 Diabetes

PubMed Central

Crick, Kent A.; Long, Molly; Saha, Chandan; Shubrook, Jay H.

2016-01-01

OBJECTIVE Depression in patients with type 2 diabetes (T2D) is associated with long-term complications, disability, and early mortality. No studies have systematically examined the length of episodes and remission in adults with major depressive disorder (MDD) and T2D. This study examined the course of depressive disorders in patients with T2D and MDD. RESEARCH DESIGN AND METHODS Participants (N = 50) enrolled in a behavioral intervention for adults with T2D and MDD were interviewed using the Structured Clinical Interview for DSM-IV-TR to assess history of depressive disorders at baseline (lifetime history), postintervention, and 3-month follow-up. Onset and remission dates were recorded for all Axis I depressive disorders from birth to final interview. RESULTS Average number of MDD episodes was 1.8 with a mean duration of 23.4 months (SD 31.9; range 0.5–231.3). Over the life course, mean exposure to MDD was 43.1 months (SD 46.5; range 0.5–231.3). Kaplan-Meier survival curve analysis indicated median episode duration decreased with subsequent episodes (14 months, first episode; 9 months, second episode; P < 0.002). In patients with multiple depressive episodes, recovery time was shorter with each subsequent episode (P = 0.002). No differences in length of episode or remission were observed based on chronology of T2D diagnosis. CONCLUSIONS The overall exposure to depression in this sample of adults with T2D represents a substantial period of time that can contribute to negative medical and psychiatric outcomes. Recurrent episodes decrease in duration as do recovery periods, resulting in a waxing and waning pattern. Findings from this study underscore the need to effectively diagnose and treat depression in patients with T2D to minimize risk of future depressive episodes. PMID:27729427

Long-term variation analysis of a tropical river's annual streamflow regime over a 50-year period

NASA Astrophysics Data System (ADS)

Seyam, Mohammed; Othman, Faridah

2015-07-01

Studying the long-term changes of streamflow is an important tool for enhancing water resource and river system planning, design, and management. The aim of this work is to identify the long-term variations in annual streamflow regime over a 50-year period from 1961 to 2010 in the Selangor River, which is one of the main tropical rivers in Malaysia. Initially, the data underwent preliminary independence, normality, and homogeneity testing using the Pearson correlation coefficient and Shapiro-Wilk and Pettitt's tests, respectively. The work includes a study and analysis of the changes through nine variables describing the annual streamflow and variations in the yearly duration of high and low streamflows. The analyses were conducted via two time scales: yearly and sub-periodic. The sub-periods were obtained by segmenting the 50 years into seven sub-periods by two techniques, namely the change-point test and direct method. Even though analysis revealed nearly negligible changes in mean annual flow over the study period, the maximum annual flow generally increased while the minimum annual flow significantly decreased with respect to time. It was also observed that the variables describing the dispersion in streamflow continually increased with respect to time. An obvious increase was detected in the yearly duration of danger level of streamflow, a slight increase was noted in the yearly duration of warning and alert levels, and a slight decrease in the yearly duration of low streamflow was found. The perceived changes validate the existence of long-term changes in annual streamflow regime, which increase the probability of floods and droughts occurring in future. In light of the results, attention should be drawn to developing water resource management and flood protection plans in order to avert the harmful effects potentially resulting from the expected changes in annual streamflow regime.

Effects of curcumin consumption on human chronic diseases: A narrative review of the most recent clinical data.

PubMed

Mantzorou, Maria; Pavlidou, Eleni; Vasios, George; Tsagalioti, Eftychia; Giaginis, Constantinos

2018-06-01

Numerous clinical trials have investigated the potential beneficial effects of curcumin supplementation against several human chronic diseases. Up to now, it has been claimed that curcumin consumption may exert beneficial effects against several chronic diseases by promoting human health and preventing diseases. In this aspect, the present review aims to critically collect and in-depth summarize the most recent, well-designed clinical studies evaluating the potential beneficial effects of curcumin consumption on human health promotion and disease prevention. According to recent and well-designed clinical studies, curcumin consumption may benefit against obesity, metabolic syndrome, and diabetes. Moreover, curcumin consumption seems to exert a positive effect on people suffering from various types of cancer, fatty liver disease, depression, arthritis, skin diseases, gut inflammation, and symptoms of premenstrual syndrome. Due to the strong heterogeneity among the clinical studies concerning the exact effective curcumin dose and formulation, as well as the recommended treatment duration for each chronic disease, no precise and definitive conclusions could be drawn. Further large-scale prospective studies are strongly recommended, being well-designed as far as follow-up times, dosage, formulation, and duration of curcumin supplementation are concerned. Moreover, potential confounders in each specific chronic disease should carefully be taken into account in future studies. Copyright © 2018 John Wiley & Sons, Ltd.

Progress in the development of a transcutaneously powered axial flow blood pump ventricular assist system.

PubMed

Parnis, S M; Conger, J L; Fuqua, J M; Jarvik, R K; Inman, R W; Tamez, D; Macris, M P; Moore, S; Jacobs, G; Sweeney, M J; Frazier, O H

1997-01-01

Development of the Jarvik 2000 intraventricular assist system for long-term support is ongoing. The system integrates the Jarvik 2000 axial flow blood pump with a microprocessor based automatic motor controller to provide response to physiologic demands. Nine devices have been evaluated in vivo (six completed, three ongoing) with durations in excess of 26 weeks. Instrumented experiments include implanted transit-time ultrasonic flow probes and dual micromanometer LV/AoP catheters. Treadmill exercise and heart pacing studies are performed to evaluate control system response to increased heart rates. Pharmacologically induced cardiac dysfunction studies are performed in awake and anesthetized calves to demonstrate control response to simulated heart failure conditions. No deleterious effects or events were encountered during any physiologic studies. No hematologic, renal, hepatic, or pulmonary complications have been encountered in any study. Plasma free hemoglobin levels of 7.0 +/- 5.1 mg/dl demonstrate no device related hemolysis throughout the duration of all studies. Pathologic analysis at explant showed no evidence of thromboembolic events. All pump surfaces were free of thrombus except for a minimal ring of fibrin, (approximately 1 mm) on the inflow bearing. Future developments for permanent implantation will include implanted physiologic control systems, implanted batteries, and transcutaneous energy and data transmission systems.

Projected effects of vegetation feedbacks on drought characteristics with SPEI over West Africa using the RegCM-CLM-CN-DV

NASA Astrophysics Data System (ADS)

Jaehyeong, L.; Kim, Y.; Erfanian, A.; Wang, G.; Um, M. J.

2017-12-01

This study utilizes the Standardized Precipitation-Evapotranspiration Index (SPEI) to investigate the projected effect of vegetation feedbacks on drought in West Africa using the Regional Climate Model coupled to the NCAR Community Land Model with both the Carbon and Nitrogen module (CN) and Dynamic Vegetation module (DV) activated (RegCM-CLM-CN-DV). The role of vegetation feedbacks is examined based on simulations with and without dynamic vegetation. The four different future climate scenarios from CCSM, GFDL, MIROC and MPI are used as the boundary conditions of RegCM for two historical and future periods, i.e., for 1981 to 2000 and for 2081 to 2100, respectively. Using SPEI, the duration, frequency, severity and spatial extents are quantified over West Africa and analyzed for two regions of the Sahel and the Gulf of Guinea. In this study, we find that the estimated annual SPEIs clearly indicate that the projected future droughts over the Sahel are enhanced and prolonged when DV is activated. The opposite is shown over the Gulf of Guinea in general. AcknowledgementsThis work was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (2015R1C1A2A01054800), by the Korea Meteorological Administration R&D Program under Grant KMIPA 2015-6180 and by the Yonsei University Future-leading Research Initiative of 2015(2016-22-0061).

Psychology and culture during long-duration space missions

NASA Astrophysics Data System (ADS)

Kanas, N.; Sandal, G.; Boyd, J. E.; Gushin, V. I.; Manzey, D.; North, R.; Leon, G. R.; Suedfeld, P.; Bishop, S.; Fiedler, E. R.; Inoue, N.; Johannes, B.; Kealey, D. J.; Kraft, N.; Matsuzaki, I.; Musson, D.; Palinkas, L. A.; Salnitskiy, V. P.; Sipes, W.; Stuster, J.; Wang, J.

2009-04-01

The objective of this paper is twofold: (a) to review the current knowledge of cultural, psychological, psychiatric, cognitive, interpersonal, and organizational issues that are relevant to the behavior and performance of astronaut crews and ground support personnel and (b) to make recommendations for future human space missions, including both transit and planetary surface operations involving the Moon or Mars. The focus will be on long-duration missions lasting at least six weeks, when important psychological and interpersonal factors begin to take their toll on crewmembers. This information is designed to provide guidelines for astronaut selection and training, in-flight monitoring and support, and post-flight recovery and re-adaptation.

Southern Ocean Control of Glacial AMOC Stability and Dansgaard-Oeschger Interstadial Duration

NASA Astrophysics Data System (ADS)

Buizert, C.; Schmittner, A.

2016-12-01

Glacial periods exhibit abrupt Dansgaard-Oeschger (DO) climatic oscillations that are thought to be linked to instabilities in the Atlantic meridional overturning circulation (AMOC). Great uncertainty remains regarding the dynamics of the DO cycle, as well as controls on the timing and duration of individual events. Using ice core data we show that the duration of warm (interstadial) periods is strongly correlated with Antarctic climate, and presumably with Southern Ocean (SO) temperature and the position of the Southern Hemisphere (SH) westerlies. We propose a SO control on AMOC stability and interstadial duration via the rate of Antarctic bottom water formation, meridional density/pressure gradients, Agulhas Leakage, and SO adiabatic upwelling. This hypothesis is supported by climate model experiments that demonstrate SO warming leads to a stronger AMOC that is less susceptible to freshwater perturbations. In the AMOC stability diagram, SO warming and strengthening of the SH westerlies both shift the vigorous AMOC branch toward higher freshwater values, thus raising the threshold for AMOC collapse. The proposed mechanism could provide a consistent explanation for several diverse observations, including maximum DO activity during intermediate ice volume/SH temperature, and successively shorter DO durations within each Bond cycle. It may further have implications for the fate of the AMOC under future global warming.

Energy-related influences on variation in breastfeeding duration among indigenous Maya women from Guatemala.

PubMed

McKerracher, Luseadra J; Collard, Mark; Altman, Rachel M; Sellen, Daniel; Nepomnaschy, Pablo A

2017-04-01

The causes of variation in breastfeeding duration in humans are poorly understood, but life history factors related to maternal energetics drive much of the variation in lactation duration in nonhuman animals. With this in mind, we investigated whether four energy-related factors influence variation in breastfeeding duration in a non-industrial human population: (1) mortality risk during mother's development (assessed via mother's adult height), (2) reliance on nutrient-dense weaning foods, (3) access to and need for help with infant feeding and care ("allomaternal care"), and (4) maternal tradeoffs between current and future reproduction (measured via child's birth order). The data pertain to 51 Kakchiquel-speaking Maya mothers and 283 children from a village in rural Guatemala. We developed a linear mixed model to evaluate the relationships between breastfeeding duration and the energy-related factors. Duration of breastfeeding was associated with two of the energy-related factors in the ways we predicted but not with the other two. Contrary to predictions, taller mothers breastfed for shorter periods and we found no evidence that weanling diet quality impacts breastfeeding duration. As predicted, women who had more help with infants breastfed for shorter periods, and later-born infants breastfed longer than earlier-born ones. The results regarding allomaternal care suggest that help reduces mothers' lactation demands. The energy saved may be redirected to increasing fecundity or investment in other children. The birth order result suggests that children born to mothers nearing reproductive senescence receive higher levels of investment, which likely impacts children's fitness. © 2016 Wiley Periodicals, Inc.

Stress and sleep duration predict headache severity in chronic headache sufferers.

PubMed

Houle, Timothy T; Butschek, Ross A; Turner, Dana P; Smitherman, Todd A; Rains, Jeanetta C; Penzien, Donald B

2012-12-01

The objective of this study was to evaluate the time-series relationships between stress, sleep duration, and headache pain among patients with chronic headaches. Sleep and stress have long been recognized as potential triggers of episodic headache (<15 headache days/month), though prospective evidence is inconsistent and absent in patients diagnosed with chronic headaches (≥15 days/month). We reanalyzed data from a 28-day observational study of chronic migraine (n=33) and chronic tension-type headache (n=22) sufferers. Patients completed the Daily Stress Inventory and recorded headache and sleep variables using a daily sleep/headache diary. Stress ratings, duration of previous nights' sleep, and headache severity were modeled using a series of linear mixed models with random effects to account for individual differences in observed associations. Models were displayed using contour plots. Two consecutive days of either high stress or low sleep were strongly predictive of headache, whereas 2 days of low stress or adequate sleep were protective. When patterns of stress or sleep were divergent across days, headache risk was increased only when the earlier day was characterized by high stress or poor sleep. As predicted, headache activity in the combined model was highest when high stress and low sleep occurred concurrently during the prior 2 days, denoting an additive effect. Future research is needed to expand on current findings among chronic headache patients and to develop individualized models that account for multiple simultaneous influences of headache trigger factors. Copyright © 2012 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.

Acoustic and Perceptual Profiles of Swallowing Sounds in Children: Normative Data for 4-36 Months from a Cross-Sectional Study Cohort.

PubMed

Frakking, Thuy T; Chang, Anne B; O'Grady, Kerry-Ann F; Yang, Julie; David, Michael; Weir, Kelly A

2017-04-01

Limited data on cervical auscultation (CA) sounds during the transitional feeding period of 4-36 months in healthy children exist. This study examined the acoustic and perceptual parameters of swallowing sounds in children aged 4-36 months over a range of food and fluid consistencies. Using CA, swallowing sounds were recorded from a microphone as children ate or drank. Acoustic parameters of duration, peak frequency and peak intensity were determined. Perceptual parameters of swallowing/breath sounds heard pre-, during and post-swallow were rated ('present', 'absent', 'cannot be determined') for each texture. 74 children (35 males; mean age = 17.1 months [SD 10.0]) demonstrated mean swallow durations of <1 s. Increasing age correlated to reduced peak frequency on puree (r = -0.48, 95 % CI -0.66, -0.24). Age correlated to peak amplitude when swallowing puree (r = 0.27, 95 % CI 0.02, 0.49), chewable solids (r = 0.31, 95 % CI 0.02, 0.56) and thin fluids (r = 0.48, 95 % CI 0.27, 0.64). The bolus transit sound was present in all swallows. A majority of children had normal breathing sounds and coordinated swallows. A swallow duration of <1 s and the presence of a quick bolus transit sound with normal breathing sounds were found in healthy children. The normative data reported in this study provide a platform for future comparison to abnormal swallowing sounds in children.

Working and Living in Northern vs Southern Ontario Is Associated with the Duration of Compensated Time off Work: A Retrospective Cohort Study.

PubMed

Senthanar, S; Kristman, V L; Hogg-Johnson, S

2015-07-01

Northern Ontario, Canada has a larger elder population, more resource-based employment, and limited access to physicians and specialists compared to southern Ontario. Given these important differences, it is possible that work disability rates will vary between the two Ontario jurisdictions. To determine the association between time lost due to workplace injuries and illnesses occurring in northern vs southern Ontario and work disability duration from 2006--2011. The study base included all lost-time claims approved by the Workplace Safety and Insurance Board in Ontario, Canada for workplace injury or illness compensation occurring between January 1, 2006 and December 31, 2011. All eligible participants had to be 18 years of age or older at the time of making the claim and participants were excluded if one of the three variables used to determine location (claimant home postal code, workplace geographical code, and WSIB firm location) were missing. Multivariable proportional hazards regression models were used to estimate hazard ratios and 95% confidence intervals adjusted for sex, age, occupation, part of body, and nature of injury relating Ontario geographical location to compensated time off work. A total of 156 453 lost-time claims were approved over the study period. Injured and ill workers from northern Ontario were 16% less likely to return to work than those from southern Ontario. Adjustment for potential confounding factors had no effect. The disability duration in northern Ontario is longer than that in southern Ontario. Future research should focus on assessing the relevant factors associated with this observation to identify opportunities for intervention.

Social relationships and the sleep-health nexus in adolescence: evidence from a comprehensive model with bi-directional effects.

PubMed

Maume, David J

2017-08-01

The goal of this study was to assess the bi-directional effects of sleep and health (body mass index [BMI], depression, and substance use) among adolescents in the presence of comprehensive controls for social relationships and daily stressors and supports. Longitudinal survey. Data were obtained from the Study of Early Child Care and Youth Development, a longitudinal survey designed and administered by the Eunice Kennedy Shriver National Institute of Child Health and Human Development. At total of 974 adolescents ages 12-15; 50% girls. Total sleep time was derived from difference between usual bedtime and arise time; youths self-reported the frequency of using alcohol, tobacco, and marijuana, and most of the predictors of sleep-health (e.g., parental monitoring, school and peer attachment); youth's body mass index and physical development (i.e., Tanner stage score) were assessed in clinics. Teen sleep duration declined and health deteriorated from age 12-15, but results from a 2-stage least squares analysis showed and that sleep duration was among the strongest predictors of teen health; by contrast, BMI, depression, and substance use had no effect on sleep duration. Youth sleep and health were both determined by changes in family structure, income, parental monitoring, school and peer attachment, time spent in homework and on the computer, and physical development (health only). The constellation of teens' social ties and daily stressors affects the sleep-health nexus, and future studies should account for this complexity and diversity of teens' lives. Copyright © 2017 National Sleep Foundation. Published by Elsevier Inc. All rights reserved.

Associations between sociodemographic characteristics and perceptions of the built environment with the frequency, type, and duration of physical activity among trail users.

PubMed

Maslow, Andréa L; Reed, Julian A; Price, Anna E; Hooker, Steven P

2012-01-01

Rail trails are elements of the built environment that support the Task Force on Community Preventive Services' recommendation to create, or enhance access to, places for physical activity (PA). The purpose of this study was to examine the associations between sociodemographic characteristics and perceptions of the built environment with the frequency, type, and duration of PA among users of an urban, paved rail trail segment. Interviewers conducted intercept surveys with 431 rail trail users and analyzed data by using logistic regression to estimate odds ratios between sociodemographic characteristics and perceptions of the built environment on the frequency, type, and duration of PA performed on the trail. Adults who used the trail in the cool months, traveled to the trail by a motorized vehicle, used the trail with others, and had some graduate school education visited the trail less often. Younger adults, men, whites, and those with some graduate school education were more likely to engage in vigorous activities on the trail. Adults who traveled to the trail by a motorized vehicle spent more time engaged in PA on the trail. Our results suggest that the most frequent users of a rail trail for PA are those who use the trail alone and travel to the trail by bicycle or on foot. Trails are an aspect of the built environment that supports active lifestyles, and future studies should evaluate different types of trails among more diverse populations and locations.

Stress and Sleep Duration Predict Headache Severity in Chronic Headache Sufferers

PubMed Central

Houle, Timothy T.; Butschek, Ross A.; Turner, Dana P.; Smitherman, Todd A.; Rains, Jeanetta C.; Penzien, Donald B.

2013-01-01

The objective of this study was to evaluate the time-series relationships between stress, sleep duration, and headache pain among patients with chronic headaches. Sleep and stress have long been recognized as potential triggers of episodic headache (< 15 headache days/month), though prospective evidence is inconsistent and absent in patients diagnosed with chronic headaches (≥ 15 days/month). We reanalyzed data from a 28-day observational study of chronic migraine (n = 33) and chronic tension-type headache (n = 22) sufferers. Patients completed the Daily Stress Inventory and recorded headache and sleep variables using a daily sleep/headache diary. Stress ratings, duration of previous nights' sleep, and headache severity were modeled using a series of linear mixed models with random effects to account for individual differences in observed associations. Models were displayed using contour plots. Two consecutive days of either high stress or low sleep were strongly predictive of headache, whereas two days of low stress or adequate sleep were protective. When patterns of stress or sleep were divergent across days, headache risk was increased only when the earlier day was characterized by high stress or poor sleep. As predicted, headache activity in the combined model was highest when high stress and low sleep occurred concurrently during the prior 2 days denoting an additive effect. Future research is needed to expand on current findings among chronic headache patients and to develop individualized models that account for multiple simultaneous influences of headache trigger factors. PMID:23073072

Estimation of cyclic interstory drift capacity of steel framed structures and future applications for seismic design.

PubMed

Bojórquez, Edén; Reyes-Salazar, Alfredo; Ruiz, Sonia E; Terán-Gilmore, Amador

2014-01-01

Several studies have been devoted to calibrate damage indices for steel and reinforced concrete members with the purpose of overcoming some of the shortcomings of the parameters currently used during seismic design. Nevertheless, there is a challenge to study and calibrate the use of such indices for the practical structural evaluation of complex structures. In this paper, an energy-based damage model for multidegree-of-freedom (MDOF) steel framed structures that accounts explicitly for the effects of cumulative plastic deformation demands is used to estimate the cyclic drift capacity of steel structures. To achieve this, seismic hazard curves are used to discuss the limitations of the maximum interstory drift demand as a performance parameter to achieve adequate damage control. Then the concept of cyclic drift capacity, which incorporates information of the influence of cumulative plastic deformation demands, is introduced as an alternative for future applications of seismic design of structures subjected to long duration ground motions.

Estimation of Cyclic Interstory Drift Capacity of Steel Framed Structures and Future Applications for Seismic Design

PubMed Central

Bojórquez, Edén; Reyes-Salazar, Alfredo; Ruiz, Sonia E.; Terán-Gilmore, Amador

2014-01-01

Several studies have been devoted to calibrate damage indices for steel and reinforced concrete members with the purpose of overcoming some of the shortcomings of the parameters currently used during seismic design. Nevertheless, there is a challenge to study and calibrate the use of such indices for the practical structural evaluation of complex structures. In this paper, an energy-based damage model for multidegree-of-freedom (MDOF) steel framed structures that accounts explicitly for the effects of cumulative plastic deformation demands is used to estimate the cyclic drift capacity of steel structures. To achieve this, seismic hazard curves are used to discuss the limitations of the maximum interstory drift demand as a performance parameter to achieve adequate damage control. Then the concept of cyclic drift capacity, which incorporates information of the influence of cumulative plastic deformation demands, is introduced as an alternative for future applications of seismic design of structures subjected to long duration ground motions. PMID:25089288

Parametric Analysis of Life Support Systems for Future Space Exploration Missions

NASA Technical Reports Server (NTRS)

Swickrath, Michael J.; Anderson, Molly S.; Bagdigian, Bob M.

2011-01-01

The National Aeronautics and Space Administration is in a process of evaluating future targets for space exploration. In order to maintain the welfare of a crew during future missions, a suite of life support technology is responsible for oxygen and water generation, carbon dioxide control, the removal of trace concentrations of organic contaminants, processing and recovery of water, and the storage and reclamation of solid waste. For each particular life support subsystem, a variety competing technologies either exist or are under aggressive development efforts. Each individual technology has strengths and weaknesses with regard to launch mass, power and cooling requirements, volume of hardware and consumables, and crew time requirements for operation. However, from a system level perspective, the favorability of each life support architecture is better assessed when the sub-system technologies are analyzed in aggregate. In order to evaluate each specific life support system architecture, the measure of equivalent system mass (ESM) was employed to benchmark system favorability. Moreover, the results discussed herein will be from the context of loop-closure with respect to the air, water, and waste sub-systems. Specifically, closure relates to the amount of consumables mass that crosses the boundary of the vehicle over the lifetime of a mission. As will be demonstrated in this manuscript, the optimal level of loop closure is heavily dependent upon mission requirements such as duration and the level of extra-vehicular activity (EVA) performed. Sub-system level trades were also considered as a function of mission duration to assess when increased loop closure is practical. Although many additional factors will likely merit consideration in designing life support systems for future missions, the ESM results described herein provide a context for future architecture design decisions toward a flexible path program.

Physical Activity, Mind Wandering, Affect, and Sleep: An Ecological Momentary Assessment.

PubMed

Fanning, Jason; Mackenzie, Michael; Roberts, Sarah; Crato, Ines; Ehlers, Diane; McAuley, Edward

2016-08-31

A considerable portion of daily thought is spent in mind wandering. This behavior has been related to positive (eg, future planning, problem solving) and negative (eg, unhappiness, impaired cognitive performance) outcomes. Based on previous research suggesting future-oriented (ie, prospective) mind wandering may support autobiographical planning and self-regulation, this study examined associations between hourly mind wandering and moderate-to-vigorous physical activity (MVPA), and the impact of affect and daily sleep on these relations. College-aged adults (N=33) participated in a mobile phone-delivered ecological momentary assessment study for 1 week. Sixteen hourly prompts assessing mind wandering and affect were delivered daily via participants' mobile phones. Perceived sleep quality and duration was assessed during the first prompt each day, and participants wore an ActiGraph accelerometer during waking hours throughout the study week. Study findings suggest present-moment mind wandering was positively associated with future MVPA (P=.03), and this relationship was moderated by affective state (P=.04). Moreover, excessive sleep the previous evening was related to less MVPA across the following day (P=.007). Further, mind wandering was positively related to activity only among those who did not oversleep (P=.007). Together, these results have implications for multiple health behavior interventions targeting physical activity, affect, and sleep. Researchers may also build on this work by studying these relationships in the context of other important behaviors and psychosocial factors (eg, tobacco use, depression, loneliness).

The consequences of unemployment on diet composition and purchase behaviour: a longitudinal study from Denmark.

PubMed

Smed, Sinne; Tetens, Inge; Bøker Lund, Thomas; Holm, Lotte; Ljungdalh Nielsen, Annemette

2018-02-01

To explore and describe quantitatively the effect over time of unemployment on food purchase behaviour and diet composition. Longitudinal data from 2008-2012, with monthly food purchase data aligned with register data on unemployment measured as a dichotomous indicator as well as a trend accounting for the duration. A household panel which registers daily food purchases combined with detailed nutritional information and registration of the duration of unemployment at individual level. The structure of the data set facilitates the detection of effects or associations between duration of unemployment and diet composition, purchase behaviour in terms of food expenditure, and share of food purchased on offer and in discounters while controlling for important confounding factors. Danish households of working age (n 3440) adjusted to household equivalents. We use fixed-effects econometric methods to control for unobserved heterogeneity. In the short run, unemployment led to substitution in favour of discount stores and increases in food expenditure and in consumption of saturated fat, total fat and protein due to increased consumption of animal-based foods. In the medium run food expenditure declined together with consumption of fresh animal-based foods and saturated fat, total fat and protein. In the even longer run these nutrients were substituted by carbohydrates and added sugar. Unemployment has a substantial influence on diet composition, but effects vary with duration of the unemployment period, which may have potential health implications. This ought to be taken into consideration in evaluations of existing reforms and in future reforms of welfare systems.

Prolonging the expression duration of ultrasound-mediated gene transfection using PEI nanoparticles.

PubMed

Lee, Jyun-Lin; Lo, Chia-Wen; Ka, Shuk-Man; Chen, Ann; Chen, Wen-Shiang

2012-05-30

Ultrasound (US) irradiation has been found to facilitate the inward transport of genetic materials across cell membranes (sonoporation). However, its transfection efficiency is generally low, and the expression duration of transfected gene is short. Polyethylenimine (PEI), a cationic polymer, has been shown to aggregate plasmid DNA and facilitate its internalization. The purpose of this study is to determine whether PEI can also prolong the expression duration after US-mediated transfection. A mixture of pCMViLUC and 22-kDa linear PEI was transfected to cultured cells or mouse muscle by exposure to 1-MHz pulsed US. The duration of expression was assessed periodically following US treatment. As expected, strong expression of luciferase could be found 30days after the treatment of DNA-PEI complex with US exposure, both in vitro and in vivo. However, without US, only very low transfection level could be obtained in vivo. The DNA/PEI complex showed protective effect against digestion of DNase I enzymes as compared with groups without PEI or to which PEI was added following the mixing of plasmid DNA with DNase I. PEI enhanced the US transfection efficiency by increasing both the intracellular uptake of plasmid DNA and the percentage of transfected cells. Most of the DNA uptake occurred at 3h after US exposure, suggesting that endocytosis took place. Moreover, the PEI-facilitated US gene transfection depended on the ratio of PEI and DNA (N/P ratio), which was different for in-vitro and in-vivo conditions. This system could be applied in future human gene therapies. Copyright © 2012 Elsevier B.V. All rights reserved.

New development of laser ion source for highly charged ion beam production at Institute of Modern Physics (invited).

PubMed

Zhao, H Y; Zhang, J J; Jin, Q Y; Liu, W; Wang, G C; Sun, L T; Zhang, X Z; Zhao, H W

2016-02-01

A laser ion source based on Nd:YAG laser has been being studied at the Institute of Modern Physics for the production of high intensity high charge state heavy ion beams in the past ten years, for possible applications both in a future accelerator complex and in heavy ion cancer therapy facilities. Based on the previous results for the production of multiple-charged ions from a wide range of heavy elements with a 3 J/8 ns Nd:YAG laser [Zhao et al., Rev. Sci. Instrum. 85, 02B910 (2014)], higher laser energy and intensity in the focal spot are necessary for the production of highly charged ions from the elements heavier than aluminum. Therefore, the laser ion source was upgraded with a new Nd:YAG laser, the maximum energy of which is 8 J and the pulse duration can be adjusted from 8 to 18 ns. Since then, the charge state distributions of ions from various elements generated by the 8 J Nd:YAG laser were investigated for different experimental conditions, such as laser energy, pulse duration, power density in the focal spot, and incidence angle. It was shown that the incidence angle is one of the most important parameters for the production of highly charged ions. The capability of producing highly charged ions from the elements lighter than silver was demonstrated with the incidence angle of 10° and laser power density of 8 × 10(13) W cm(-2) in the focal spot, which makes a laser ion source complementary to the superconducting electron cyclotron resonance ion source for the future accelerator complex especially in terms of the ion beam production from some refractory elements. Nevertheless, great efforts with regard to the extraction of intense ion beams, modification of the ion beam pulse duration, and reliability of the ion source still need to be made for practical applications.

New development of laser ion source for highly charged ion beam production at Institute of Modern Physics (invited)

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

Zhao, H. Y., E-mail: zhaohy@impcas.ac.cn; Zhang, J. J.; Jin, Q. Y.

2016-02-15

A laser ion source based on Nd:YAG laser has been being studied at the Institute of Modern Physics for the production of high intensity high charge state heavy ion beams in the past ten years, for possible applications both in a future accelerator complex and in heavy ion cancer therapy facilities. Based on the previous results for the production of multiple-charged ions from a wide range of heavy elements with a 3 J/8 ns Nd:YAG laser [Zhao et al., Rev. Sci. Instrum. 85, 02B910 (2014)], higher laser energy and intensity in the focal spot are necessary for the production ofmore » highly charged ions from the elements heavier than aluminum. Therefore, the laser ion source was upgraded with a new Nd:YAG laser, the maximum energy of which is 8 J and the pulse duration can be adjusted from 8 to 18 ns. Since then, the charge state distributions of ions from various elements generated by the 8 J Nd:YAG laser were investigated for different experimental conditions, such as laser energy, pulse duration, power density in the focal spot, and incidence angle. It was shown that the incidence angle is one of the most important parameters for the production of highly charged ions. The capability of producing highly charged ions from the elements lighter than silver was demonstrated with the incidence angle of 10° and laser power density of 8 × 10{sup 13} W cm{sup −2} in the focal spot, which makes a laser ion source complementary to the superconducting electron cyclotron resonance ion source for the future accelerator complex especially in terms of the ion beam production from some refractory elements. Nevertheless, great efforts with regard to the extraction of intense ion beams, modification of the ion beam pulse duration, and reliability of the ion source still need to be made for practical applications.« less

Analysis of landing site attributes for future missions targeting the rim of the lunar South Pole Aitken basin

NASA Astrophysics Data System (ADS)

Koebel, David; Bonerba, Michele; Behrenwaldt, Daniel; Wieser, Matthias; Borowy, Carsten

2012-11-01

For the South polar lunar region between -85 and -90° Latitude an updated analyses of the solar illumination and ground station visibility conditions has been performed in the frame of a feasibility study for an ESA Lunar Lander mission. The analyses are based on the refined lunar digital elevation model provided by the Japanese Kaguya/Selene mission, originating from its LASER altimeter instrument. For the South polar region maps of integral solar illumination are presented for a mission epoch in 2016. The analysis modelling was validated with the help of a Kaguya High Definition video. The solar illumination is driving for the power subsystems of any robotic lander craft or manned lunar outpost, in case they rely on conventional photovoltaic power generation with battery buffering of shadowed periods. In addition the visibility of the terrain from a terrestrial ESA ground station was analysed. The results are presented as an integral ground contact duration map, being crucial for the operations of any lunar outpost. Considering these two quality criteria, several possible landing sites for a future lunar mission have been pre-selected. For these sites a detailed analysis of quasi-continuous illumination conditions is presented. This includes magnified maps of the pre-selected areas, showing any location's longest illumination intervals that are allowed to be interrupted by shadows with limited duration only. As a final quality criterion, the terrain topology has been analysed for its impact on the landing trajectory. From a trade-off between the three quality criteria the connecting ridge between the Shackleton and the de Gerlache was determined to provide the most favourable landing site quality. This site is located at 89°28' South, 136°40' West, and 1947 m altitude, and features and integral illumination of 85.7%. With battery energy to sustain shadows of 120 h, total mission duration of 9.37 sidereal months can be guaranteed.

Predictors of mental health-related acute service utilisation and treatment costs in the 12 months following an acute psychiatric admission.

PubMed

Siskind, Dan; Harris, Meredith; Diminic, Sandra; Carstensen, Georgia; Robinson, Gail; Whiteford, Harvey

2014-11-01

A key step in informing mental health resource allocation is to identify the predictors of service utilisation and costs. This project aims to identify the predictors of mental health-related acute service utilisation and treatment costs in the year following an acute public psychiatric hospital admission. A dataset containing administrative and routinely measured outcome data for 1 year before and after an acute psychiatric admission for 1757 public mental health patients was analysed. Multivariate regression models were developed to identify patient- and treatment-related predictors of four measures of service utilisation or cost: (a) duration of index admission; and, in the year after discharge from the index admission (b) acute psychiatric inpatient bed-days; (c) emergency department (ED) presentations; and (d) total acute mental health service costs. Split-sample cross-validation was used. A diagnosis of psychosis, problems with living conditions and prior acute psychiatric inpatient bed-days predicted a longer duration of index admission, while prior ED presentations and self-harm predicted a shorter duration. A greater number of acute psychiatric inpatient bed-days in the year post-discharge were predicted by psychosis diagnosis, problems with living conditions and prior acute psychiatric inpatient admissions. The number of future ED presentations was predicted by past ED presentations. For total acute care costs, diagnosis of psychosis was the strongest predictor. Illness acuity and prior acute psychiatric inpatient admission also predicted higher costs, while self-harm predicted lower costs. The development of effective models for predicting acute mental health treatment costs using existing administrative data is an essential step towards a workable activity-based funding model for mental health. Future studies would benefit from the inclusion of a wider range of variables, including ethnicity, clinical complexity, cognition, mental health legal status, electroconvulsive therapy, problems with activities of daily living and community contacts. © The Royal Australian and New Zealand College of Psychiatrists 2014.

A pilot randomised controlled trial of negative pressure wound therapy to treat grade III/IV pressure ulcers [ISRCTN69032034

PubMed Central

2012-01-01

Background Negative pressure wound therapy (NPWT) is widely promoted as a treatment for full thickness wounds; however, there is a lack of high-quality research evidence regarding its clinical and cost effectiveness. A trial of NPWT for the treatment of grade III/IV pressure ulcers would be worthwhile but premature without assessing whether such a trial is feasible. The aim of this pilot randomised controlled trial was to assess the feasibility of conducting a future full trial of NPWT for the treatment of grade III and IV pressure ulcers and to pilot all aspects of the trial. Methods This was a two-centre (acute and community), pilot randomised controlled trial. Eligible participants were randomised to receive either NPWT or standard care (SC) (spun hydrocolloid, alginate or foam dressings). Outcome measures were time to healing of the reference pressure ulcer, recruitment rates, frequency of treatment visits, resources used and duration of follow-up. Results Three hundred and twelve patients were screened for eligibility into this trial over a 12-month recruitment period and 12/312 participants (3.8%) were randomised: 6 to NPWT and 6 to SC. Only one reference pressure ulcer healed (NPWT group) during follow-up (time to healing 79 days). The mean number of treatment visits per week was 3.1 (NPWT) and 5.7 (SC); 6/6 NPWT and 1/6 SC participants withdrew from their allocated trial treatment. The mean duration of follow-up was 3.8 (NPWT) and 5.0 (SC) months. Conclusions This pilot trial yielded vital information for the planning of a future full study including projected recruitment rate, required duration of follow-up and extent of research nurse support required. Data were also used to inform the cost-effectiveness and value of information analyses, which were conducted alongside the pilot trial. Trial registration Current Controlled Trials ISRCTN69032034. PMID:22839453

Investigation of temperature and its indices under climate change scenarios over different regions of Rajasthan state in India

NASA Astrophysics Data System (ADS)

Sharma, Aditya; Sharma, Devesh; Panda, S. K.; Dubey, Swatantra Kumar; Pradhan, Rajani K.

2018-02-01

The ongoing increases in concentrations of atmospheric greenhouse gas will most likely affect global climate for the rest of this century. Global warming brings a huge provocation to society and human beings. Single extreme events and increased climate variability have a greater impact than long-term changes in the mean of climatic variables. This study analyzed the temperature projections for Rajasthan state, India using data obtain from two General Circulation Models (GFCM21 and HadCM3) for three Intergovernmental Panel on Climate Change (IPCC) Special Range of Emission Scenarios (SRES) A1B, A2, and B1. A 30 years of maximum (Tmax) and minimum (Tmin) temperature for the period 1976-2005 has been obtained from India Meteorological Department (IMD) and by using LARS-WG5 to generate the long-term weather series for three different periods i.e. 2011-2040 (2025s), 2041-2070 (2055s), and 2071-2100 (2085s). Further to determine the changes in extreme temperature events, the data for the baseline period and the future periods was represented by eight extreme temperature indices. Results illustrate that an increase in minimum and the maximum temperature are observed in all the three future periods. The average mean temperature for base period and three future periods over four regions of Rajasthan was observed highest in region 3 which shows an incessantly increased in mean temperature about 2.6 °C i.e. north-east and north-west part of Rajasthan. Two GCMs depicts that the incessant temperatures may be increase in the future and future maximum temperature in all the seasons varies from 2.43 °C to 4.27 °C in the direction from south to north of Rajasthan during 2071-2100. While for minimum temperature, the range of temperature changes varies from 0.23 °C to 1.42 °C from south-east to north-west of Rajasthan during 2011-2040. In the temperature indices, the number of tropical nights (TR20), warmest day (TX90p), warmest night (TN90p) and summer days (SU25) is expected to increase during all three future periods. The maximum changes was found in region 2 (39.4 days) and region 1 (38.8 days) during the 2071-2100 periods, followed by 2041-2070 and 2011-2040. In all the four regions, the annual occurrence of Cold Spells Duration Indicator (CSDI) decreased and Warm Spells Duration Indicator (WSDI) increased for all three future periods.

Future directions for LDEF ionizing radiation modeling and assessments

NASA Technical Reports Server (NTRS)

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

1993-01-01

A calculational program utilizing data from radiation dosimetry measurements aboard the Long Duration Exposure Facility (LDEF) satellite to reduce the uncertainties in current models defining the ionizing radiation environment is in progress. Most of the effort to date has been on using LDEF radiation dose measurements to evaluate models defining the geomagnetically trapped radiation, which has provided results applicable to radiation design assessments being performed for Space Station Freedom. Plans for future data comparisons, model evaluations, and assessments using additional LDEF data sets (LET spectra, induced radioactivity, and particle spectra) are discussed.

Bold endeavors: behavioral lessons from polar and space exploration

NASA Technical Reports Server (NTRS)

Stuster, J. W.

2000-01-01

Anecdotal comparisons frequently are made between expeditions of the past and space missions of the future. Spacecraft are far more complex than sailing ships, but from a psychological perspective, the differences are few between confinement in a small wooden ship locked in the polar ice cap and confinement in a small high-technology ship hurtling through interplanetary space. This paper discusses some of the behavioral lessons that can be learned from previous expeditions and applied to facilitate human adjustment and performance during future space expeditions of long duration.

Integrated System Design for Air Revitalization in Next Generation Crewed Spacecraft

NASA Technical Reports Server (NTRS)

Mulloth, Lila; Perry, Jay; LeVan, Douglas

2004-01-01

The capabilities of NASA's existing environmental control and life support (ECLS) system designs are inadequate for future human space initiatives that involve long-duration space voyages and interplanetary missions. This paper discusses the concept of an integrated system of CO2 removal and trace contaminant control units that utilizes novel gas separation and purification techniques and optimized thermal and mechanical design, for future spacecraft. The integration process will enhance the overall life and economics of the existing systems by eliminating multiple mechanical devices with moving parts.

Space immunology - Past, present and future

NASA Technical Reports Server (NTRS)

Coulter, Gary R.; Taylor, Gerald R.; Sonnenfeld, Gerald

1989-01-01

Research results on the causes and mechanisms of change in immune systems during spaceflight are briefly reviewed. The most reliable conclusion from the sparse existing data is that postflight crew members exhibit a transient neutrophilia, eosinopenia, monocytopenia, reduced numbers of circulating T cells, and an often pronounced decrease in the ability of their T cells to respond to mitogen stimulation. Clinically, no direct predictive relationship between any of these measurements and increased health risk or disease has been established. Future areas of research are suggested in light of NASA's emerging requirements to support long-duration missions.

The human quest in space; Proceedings of the Twenty-fourth Goddard Memorial Symposium, Greenbelt, MD, Mar. 20, 21, 1986

NASA Technical Reports Server (NTRS)

Burdett, Gerald L. (Editor); Soffen, Gerald A. (Editor)

1987-01-01

Papers are presented on the Space Station, materials processing in space, the status of space remote sensing, the evolution of space infrastructure, and the NASA Teacher Program. Topics discussed include visionary technologies, the effect of intelligent machines on space operations, future information technology, and the role of nuclear power in future space missions. Consideration is given to the role of humans in space exploration; medical problems associated with long-duration space flights; lunar and Martian settlements, and Biosphere II (the closed ecology project).

Vehicle health management for guidance, navigation and control systems

NASA Technical Reports Server (NTRS)

Radke, Kathleen; Frazzini, Ron; Bursch, Paul; Wald, Jerry; Brown, Don

1993-01-01

The objective of the program was to architect a vehicle health management (VHM) system for space systems avionics that assures system readiness for launch vehicles and for space-based dormant vehicles. The platforms which were studied and considered for application of VHM for guidance, navigation and control (GN&C) included the Advanced Manned Launch System (AMLS), the Horizontal Landing-20/Personnel Launch System (HL-20/PLS), the Assured Crew Return Vehicle (ACRV) and the Extended Duration Orbiter (EDO). This set was selected because dormancy and/or availability requirements are driving the designs of these future systems.

Building a Shared Definitional Model of Long Duration Human Spaceflight

NASA Technical Reports Server (NTRS)

Orr, M.; Whitmire, A.; Sandoval, L.; Leveton, L.; Arias, D.

2011-01-01

In 1956, on the eve of human space travel Strughold first proposed a simple classification of the present and future stages of manned flight that identified key factors, risks and developmental stages for the evolutionary journey ahead. As we look to optimize the potential of the ISS as a gateway to new destinations, we need a current shared working definitional model of long duration human space flight to help guide our path. Initial search of formal and grey literature augmented by liaison with subject matter experts. Search strategy focused on both the use of term long duration mission and long duration spaceflight, and also broader related current and historical definitions and classification models of spaceflight. The related sea and air travel literature was also subsequently explored with a view to identifying analogous models or classification systems. There are multiple different definitions and classification systems for spaceflight including phase and type of mission, craft and payload and related risk management models. However the frequently used concepts of long duration mission and long duration spaceflight are infrequently operationally defined by authors, and no commonly referenced classical or gold standard definition or model of these terms emerged from the search. The categorization (Cat) system for sailing was found to be of potential analogous utility, with its focus on understanding the need for crew and craft autonomy at various levels of potential adversity and inability to gain outside support or return to a safe location, due to factors of time, distance and location.

How long do most seizures last? A systematic comparison of seizures recorded in the epilepsy monitoring unit.

PubMed

Jenssen, Sigmund; Gracely, Edward J; Sperling, Michael R

2006-09-01

More information is needed regarding how long seizures typically last, since this influences treatment decisions. Seizure type and other factors could influence seizure duration. Data were collected from a random sample of patients being evaluated with continuous video and scalp EEG. Seizure duration was defined as time from early sign of seizure (clinical or EEG) until the end of seizure on EEG. Seizures were categorized as simple partial (SPS), complex partial (CPS), secondarily generalized tonic-clonic (SGTCS), primary generalized tonic-clonic (PGTCS) and tonic (TS). SGTCS were divided into a complex partial part (SGTCS/CP) and a tonic-clonic part (SGTCS/TC). Median and longest duration of each seizure type in each individual were used. Comparisons of seizure types, first and last seizure, area of onset, and state of onset were performed. Five hundred seventy-nine seizures were recorded in 159 adult patients. Seizures with partial onset spreading to both hemispheres had the longest duration. SGTCS were unlikely to last more than 660 s, CPS more than 600 s, and SPS more than 240 s. PGTCS and TS had shorter durations, but the number of subjects with those two types was small. CPS did not differ in duration according to sleep state at onset nor side of origin. A working definition of status epilepticus in adults with cryptogenic or symptomatic epilepsy can be drawn from these data for purposes of future epidemiologic research. More information is needed for the idiopathic epilepsies and in children.

Disparities in Attention to HIV-Prevention Information

PubMed Central

Crause, Candi; Vaid, Awais; Albarracín, Dolores

2016-01-01

Compared to European-Americans, African-Americans have greater probability of becoming infected with HIV, as well as worse outcomes when they become infected. Therefore, adequate health communications should ensure that they capture the attention of African-Americans and do not perpetuate disadvantages relative to European-Americans. The objective of this report was to examine if racial disparities in attention to health information parallel racial disparities in health outcomes. Participants were clients of a public health clinic (Study 1 n = 64; Study 2 n = 55). Unobtrusive observation in a public health waiting room, message reading times, and response-time on a modified flanker task were used to examine attention to HIV- and flu-information across racial groups. In Study 1, participants were observed for the duration of their time in a public health clinic waiting room (average duration 31 minutes). In Study 2, participants completed tasks in a private room at the public health clinic (average duration 21 minutes). Across all attention measures, results suggest an interaction between race and information type on attention to health information. In particular, African-Americans differentially attended to information as a function of information type, with decreased attention to HIV versus flu information. In contrast, European-Americans attended equally to both HIV and flu information. As such, disparities in attention yielded less access to certain health information for African- than European-Americans in a health setting. The identified disparities in attention are particularly problematic because they disadvantage African-Americans at a time of great effort to correct racial disparities. Modifying the framing of health information in ways that ensure attention by all racial groups may be a strategy to increase attention, and thereby reduce disparities in health outcomes. Future research should find solutions that increase attentional access to health communications for all groups. PMID:26279308

Influence of Vehicle Speed on the Characteristics of Driver's Eye Movement at a Highway Tunnel Entrance during Day and Night Conditions: A Pilot Study.

PubMed

Qin, Li; Dong, Li-Li; Xu, Wen-Hai; Zhang, Li-Dong; Leon, Arturo S

2018-04-02

The aim of this study was to investigate how vehicle speed influences the characteristics of driver's eye movement at highway tunnel entrances during day and night. In this study, six drivers' eye movement data (from 200 m before tunnel entrance to 200 m inside tunnel entrance) under five predetermined vehicle speeds (40, 50, 60, 70 and 80 km/h) in the daytime and three predetermined vehicle speeds (40, 60 and 80 km/h) in the nighttime were recorded using the non-intrusive Dikablis Professional eye-tracking system. Pupil size, the average fixation duration time and the average number of fixation were analyzed and then the influence of the vehicle speed on these parameters was evaluated by means of IBM SPSS Statistics 20.0. The results for pupil size in daytime increased when approaching the tunnel entrance, while as for nighttime, pupil size decreased when approaching the tunnel entrance and then increased after entering the tunnel. The pupil size in daytime has a significant negative correlation with vehicle speed, while the pupil size in nighttime did not show a significant association with vehicle speed. Furthermore, the average fixation duration in daytime increased when entering the tunnel, and had a significant negative correlation with vehicle speed. Also, the average number of fixations in daytime decreased when entering the tunnel and has a significant negative correlation with vehicle speed. However, the average fixation duration and the average number of fixations in nighttime did not show any significant association with vehicle speed. Moreover, limitations and future directions of the study are discussed for the further investigation.

Mental health predictors of breastfeeding initiation and continuation among HIV infected and uninfected women in a South African birth cohort study.

PubMed

Thomas, Eileen; Kuo, Caroline; Cohen, Sophie; Hoare, Jacqueline; Koen, Natassja; Barnett, Whitney; Zar, Heather J; Stein, Dan J

2017-09-01

Breastfeeding is a cost-effective, yet underutilized strategy to promote maternal and infant health in low and middle income countries (LMICs). Breastfeeding remains challenging for mothers living with HIV in LMICs, yet few studies have examined mental health predictors of breastfeeding initiation and continuation. We investigated breastfeeding among mothers by HIV status in South Africa, evaluating predictors of breastfeeding initiation and continuation to identify intervention-targets. Breastfeeding patterns were investigated in a subsample of 899 breastfeeding mothers from the Drakenstein Child Health Study; a prospective birth cohort of 1225 pregnant women, between March 2012 and March 2015 in a peri-urban area. Breastfeeding was assessed at 5 time-points between 6weeks and 24months' infant age. Cox proportional hazard models evaluated breastfeeding initiation and duration. Logistic regression models with breastfeeding non-initiation as the outcome parameter were performed to determine associations with maternal sociodemographic, psychosocial factors and gestational outcomes. More HIV-uninfected mothers initiated breastfeeding (n=685, 97%) than HIV-infected mothers (n=87, 45%). Median duration of exclusive breastfeeding was short (2months), but HIV-infected mothers engaged in exclusive breastfeeding for longer duration than uninfected mothers (3 vs 2months). Despite concerning high rates, mental disorders were not significant predictors of breastfeeding behaviour. Employment and HIV diagnosis during pregnancy predicted a lower likelihood of breastfeeding initiation among HIV-infected mothers, while employment was associated with earlier breastfeeding-discontinuation in HIV-uninfected mothers. Findings indicate that future interventions should target sub-populations such as HIV-infected women because of distinct needs. Workplace interventions appear particularly key for mothers in our study. Copyright © 2017 Elsevier Inc. All rights reserved.

Disparities in attention to HIV-prevention information.

PubMed

Earl, Allison; Crause, Candi; Vaid, Awais; Albarracín, Dolores

2016-01-01

Compared to European-Americans, African-Americans have greater probability of becoming infected with HIV, as well as worse outcomes when they become infected. Therefore, adequate health communications should ensure that they capture the attention of African-Americans and do not perpetuate disadvantages relative to European-Americans. The objective of this report was to examine if racial disparities in attention to health information parallel racial disparities in health outcomes. Participants were clients of a public health clinic (Study 1 n = 64; Study 2 n = 55). Unobtrusive observation in a public health waiting room, message reading times, and response-time on a modified flanker task were used to examine attention to HIV- and flu-information across racial groups. In Study 1, participants were observed for the duration of their time in a public health clinic waiting room (average duration: 31 min). In Study 2, participants completed tasks in a private room at the public health clinic (average duration: 21 min). Across all attention measures, results suggest an interaction between race and information type on attention to health information. In particular, African-Americans differentially attended to information as a function of information type, with decreased attention to HIV- versus flu-information. In contrast, European-Americans attended equally to both HIV- and flu-information. As such, disparities in attention yielded less access to certain health information for African- than European-Americans in a health setting. The identified disparities in attention are particularly problematic because they disadvantage African-Americans at a time of great effort to correct racial disparities. Modifying the framing of health information in ways that ensure attention by all racial groups may be a strategy to increase attention, and thereby reduce disparities in health outcomes. Future research should find solutions that increase attentional access to health communications for all groups.

Interplay between singing and cortical processing of music: a longitudinal study in children with cochlear implants.

PubMed

Torppa, Ritva; Huotilainen, Minna; Leminen, Miika; Lipsanen, Jari; Tervaniemi, Mari

2014-01-01

Informal music activities such as singing may lead to augmented auditory perception and attention. In order to study the accuracy and development of music-related sound change detection in children with cochlear implants (CIs) and normal hearing (NH) aged 4-13 years, we recorded their auditory event-related potentials twice (at T1 and T2, 14-17 months apart). We compared their MMN (preattentive discrimination) and P3a (attention toward salient sounds) to changes in piano tone pitch, timbre, duration, and gaps. Of particular interest was to determine whether singing can facilitate auditory perception and attention of CI children. It was found that, compared to the NH group, the CI group had smaller and later timbre P3a and later pitch P3a, implying degraded discrimination and attention shift. Duration MMN became larger from T1 to T2 only in the NH group. The development of response patterns for duration and gap changes were not similar in the CI and NH groups. Importantly, CI singers had enhanced or rapidly developing P3a or P3a-like responses over all change types. In contrast, CI non-singers had rapidly enlarging pitch MMN without enlargement of P3a, and their timbre P3a became smaller and later over time. These novel results show interplay between MMN, P3a, brain development, cochlear implantation, and singing. They imply an augmented development of neural networks for attention and more accurate neural discrimination associated with singing. In future studies, differential development of P3a between CI and NH children should be taken into account in comparisons of these groups. Moreover, further studies are needed to assess whether singing enhances auditory perception and attention of children with CIs.

Association of Breast Feeding and Birth Weight with Anthropometric Measures and Blood Pressure in Children and Adolescents: The CASPIAN-IV Study.

PubMed

Djalalinia, Shirin; Qorbani, Mostafa; Heshmat, Ramin; Motlagh, Mohammad Esmaeil; Ardalan, Gelayol; Bazyar, Nima; Taheri, Majzoubeh; Asayesh, Hamid; Kelishadi, Roya

2015-10-01

Noncommunicable diseases (NCDs) and their risk factors are major health threats especially for developing countries. The aim of this study was to assess the association between breast feeding (BF) and birth weight (BW) with anthropometric measures and blood pressure (BP) in a nationally-representative sample of Iranian children and adolescents. In this national survey, 14,880 children and adolescents, aged 6-18 years, were selected using a multistage, cluster sampling method from rural and urban areas of 30 provinces of Iran. BF duration and BW were assessed by validated questionnaires completed by parents. The study participants were 13,486 students (participation rate of 90.6%). They consisted of 49.24% girls, 75.6% urban residents, with a mean age of 12.5 years (95% confidence interval: 12.3-12.6). The family history of obesity had a significant association with BW (p < 0.001). A substantial association was found between BF duration and the order of children in the family, both in boys (p < 0.001) and girls (p < 0.001). The mean values for height, weight, body mass index, as well as waist, wrist, and hip circumferences were higher in those with higher BW categories (p for trend < 0.001). As BW increased, there was a linear decrease in underweight (p for trend < 0.001) and a linear increase in the prevalence of generalized obesity (p for trend < 0.001) was documented. BW was associated with a higher prevalence in general obesity and a lower prevalence of being underweight. Duration of BF had no significant association with anthropometric measures and BP. Future longitudinal studies are necessary to determine the clinical implications of these findings. Copyright © 2015. Published by Elsevier B.V.

Influence of Vehicle Speed on the Characteristics of Driver’s Eye Movement at a Highway Tunnel Entrance during Day and Night Conditions: A Pilot Study

PubMed Central

Dong, Li-Li; Xu, Wen-Hai; Zhang, Li-Dong; Leon, Arturo S.

2018-01-01

The aim of this study was to investigate how vehicle speed influences the characteristics of driver’s eye movement at highway tunnel entrances during day and night. In this study, six drivers’ eye movement data (from 200 m before tunnel entrance to 200 m inside tunnel entrance) under five predetermined vehicle speeds (40, 50, 60, 70 and 80 km/h) in the daytime and three predetermined vehicle speeds (40, 60 and 80 km/h) in the nighttime were recorded using the non-intrusive Dikablis Professional eye-tracking system. Pupil size, the average fixation duration time and the average number of fixation were analyzed and then the influence of the vehicle speed on these parameters was evaluated by means of IBM SPSS Statistics 20.0. The results for pupil size in daytime increased when approaching the tunnel entrance, while as for nighttime, pupil size decreased when approaching the tunnel entrance and then increased after entering the tunnel. The pupil size in daytime has a significant negative correlation with vehicle speed, while the pupil size in nighttime did not show a significant association with vehicle speed. Furthermore, the average fixation duration in daytime increased when entering the tunnel, and had a significant negative correlation with vehicle speed. Also, the average number of fixations in daytime decreased when entering the tunnel and has a significant negative correlation with vehicle speed. However, the average fixation duration and the average number of fixations in nighttime did not show any significant association with vehicle speed. Moreover, limitations and future directions of the study are discussed for the further investigation. PMID:29614793

APOLLO I: Anticoagulation control in atrial fibrillation.

PubMed

Pinho-Costa, Luís; Moreira, Sónia; Azevedo, Cristiana; Azevedo, Pedro; Castro, Elisabete; Sousa, Hélder; Melo, Miguel

2015-05-01

Anticoagulation control as assessed by time in therapeutic range (TTR) correlates positively with the safety and efficacy of thromboprophylaxis in atrial fibrillation. We set out to assess TTR in our unit and to investigate determinants of better control. This was a case series study of atrial fibrillation patients anticoagulated with warfarin or acenocoumarol at the Family Health Unit of Fânzeres. Sociodemographic and clinical data were collected and TTR was calculated by the Rosendaal method, based on international normalized ratio tests performed in external laboratories in the preceding six months. SPSS 21.0 was used for the statistical analysis, with descriptive statistics, Spearman's correlation, and the Mann-Whitney U and Kruskal-Wallis tests. Of the 106 eligible patients, 70% participated in the study. Median TTR was 65.3% (P25=48.3%, P75=86.8%). We found a positive association between this variable and duration of atrial fibrillation (ρ=0.477, p<0.001, r(2)=0.116) and with duration of anticoagulation (ρ=0.5, p<0.001, r(2)=0.087). No association was found with age, gender, educational level or existence of a caregiver (p>0.05). Median TTR in our unit is similar to that in southern European countries and close to the good control threshold (70%) proposed by the European Society of Cardiology. The duration of atrial fibrillation and of anticoagulation explains only a small part of the measure's variability. Other determinants of anticoagulation control must be investigated in future studies and comparative studies should be carried out in family health units monitoring anticoagulation on the premises. Copyright © 2014 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

Reproductive Factors and Incidence of Heart Failure Hospitalization in the Women’s Health Initiative

PubMed Central

Hall, Philip S.; Nah, Gregory; Howard, Barbara V.; Lewis, Cora E.; Allison, Matthew A.; Sarto, Gloria E.; Waring, Molly E.; Jacobson, Lisette T.; Manson, JoAnn E.; Klein, Liviu; Parikh, Nisha I.

2017-01-01

BACKGROUND Reproductive factors reflective of endogenous sex hormone exposure might have an effect on cardiac remodeling and the development of heart failure (HF). OBJECTIVES This study examined the association between key reproductive factors and the incidence of HF. METHODS Women from a cohort of the Women’s Health Initiative were systematically evaluated for the incidence of HF hospitalization from study enrollment through 2014. Reproductive factors (number of live births, age at first pregnancy, and total reproductive duration [time from menarche to menopause]) were self-reported at study baseline in 1993 to 1998. We employed Cox proportional hazards regression analysis in age- and multivariable-adjusted models. RESULTS Among 28,516 women, with an average age of 62.7 ± 7.1 years at baseline, 1,494 (5.2%) had an adjudicated incident HF hospitalization during an average follow-up of 13.1 years. After adjusting for covariates, total reproductive duration in years was inversely associated with incident HF: hazard ratios (HRs) of 0.99 per year (95% confidence interval [CI]: 0.98 to 0.99 per year) and 0.95 per 5 years (95% CI: 0.91 to 0.99 per 5 years). Conversely, early age at first pregnancy and nulliparity were significantly associated with incident HF in age-adjusted models, but not after multivariable adjustment. Notably, nulliparity was associated with incident HF with preserved ejection fraction in the fully adjusted model (HR: 2.75; 95% CI: 1.16 to 6.52). CONCLUSIONS In postmenopausal women, shorter total reproductive duration was associated with higher risk of incident HF, and nulliparity was associated with higher risk for incident HF with preserved ejection fraction. Whether exposure to endogenous sex hormones underlies this relationship should be investigated in future studies. PMID:28521890

Modeling climate change impacts on combined sewer overflow using synthetic precipitation time series.

PubMed

Bendel, David; Beck, Ferdinand; Dittmer, Ulrich

2013-01-01

In the presented study climate change impacts on combined sewer overflows (CSOs) in Baden-Wuerttemberg, Southern Germany, were assessed based on continuous long-term rainfall-runoff simulations. As input data, synthetic rainfall time series were used. The applied precipitation generator NiedSim-Klima accounts for climate change effects on precipitation patterns. Time series for the past (1961-1990) and future (2041-2050) were generated for various locations. Comparing the simulated CSO activity of both periods we observe significantly higher overflow frequencies for the future. Changes in overflow volume and overflow duration depend on the type of overflow structure. Both values will increase at simple CSO structures that merely divide the flow, whereas they will decrease when the CSO structure is combined with a storage tank. However, there is a wide variation between the results of different precipitation time series (representative for different locations).

Lunar base habitat designs: Characterizing the environment, and selecting habitat designs for future trade-offs

NASA Technical Reports Server (NTRS)

Ganapathi, Gani B.; Ferrall, Joseph; Seshan, P. K.

1993-01-01

A survey of distinct conceptual lunar habitat designs covering the pre- and post-Apollo era is presented. The impact of the significant lunar environmental challenges such as temperature, atmosphere, radiation, soil properties, meteorites, and seismic activity on the habitat design parameters are outlined. Over twenty habitat designs were identified and classified according to mission type, crew size; total duration of stay, modularity, environmental protection measures, and emplacement. Simple selection criteria of (1) post-Apollo design, (2) uniqueness of the habitat design, (3) level of thoroughness in design layout, (4) habitat dimensions are provided, and (5) materials of construction for the habitat shell are specified, are used to select five habitats for future trade studies. Habitat emplacement scenarios are created to examine the possible impact of emplacement of the habitat in different locations, such as lunar poles vs. equatorial, above ground vs. below ground, etc.

Quality of red blood cells isolated from umbilical cord blood stored at room temperature.

PubMed

Zhurova, Mariia; Akabutu, John; Acker, Jason

2012-01-01

Red blood cells (RBCs) from cord blood contain fetal hemoglobin that is predominant in newborns and, therefore, may be more appropriate for neonatal transfusions than currently transfused adult RBCs. Post-collection, cord blood can be stored at room temperature for several days before it is processed for stem cells isolation, with little known about how these conditions affect currently discarded RBCs. The present study examined the effect of the duration cord blood spent at room temperature and other cord blood characteristics on cord RBC quality. RBCs were tested immediately after their isolation from cord blood using a broad panel of quality assays. No significant decrease in cord RBC quality was observed during the first 65 hours of storage at room temperature. The ratio of cord blood to anticoagulant was associated with RBC quality and needs to be optimized in future. This knowledge will assist in future development of cord RBC transfusion product.

Ice Roughness in Short Duration SLD Icing Events

NASA Technical Reports Server (NTRS)

McClain, Stephen T.; Reed, Dana; Vargas, Mario; Kreeger, Richard E.; Tsao, Jen-Ching

2014-01-01

Ice accretion codes depend on models of roughness parameters to account for the enhanced heat transfer during the ice accretion process. While mitigating supercooled large droplet (SLD or Appendix O) icing is a significant concern for manufacturers seeking future vehicle certification due to the pending regulation, historical ice roughness studies have been performed using Appendix C icing clouds which exhibit mean volumetric diameters (MVD) much smaller than SLD clouds. Further, the historical studies of roughness focused on extracting parametric representations of ice roughness using multiple images of roughness elements. In this study, the ice roughness developed on a 21-in. NACA 0012 at 0deg angle of attack exposed to short duration SLD icing events was measured in the Icing Research Tunnel at the NASA Glenn Research Center. The MVD's used in the study ranged from 100 micrometer to 200 micrometers, in a 67 m/s flow, with liquid water contents of either 0.6 gm/cubic meters or 0.75 gm/cubic meters. The ice surfaces were measured using a Romer Absolute Arm laser scanning system. The roughness associated with each surface point cloud was measured using the two-dimensional self-organizing map approach developed by McClain and Kreeger (2013) resulting in statistical descriptions of the ice roughness.

Social ranking effects on tooth-brushing behaviour.

PubMed

Maltby, John; Paterson, Kevin; Day, Liz; Jones, Ceri; Kinnear, Hayley; Buchanan, Heather

2016-05-01

A tooth-brushing social rank hypothesis is tested suggesting tooth-brushing duration is influenced when individuals position their behaviour in a rank when comparing their behaviour with other individuals. Study 1 used a correlation design, Study 2 used a semi-experimental design, and Study 3 used a randomized intervention design to examine the tooth-brushing social rank hypothesis in terms of self-reported attitudes, cognitions, and behaviour towards tooth-brushing duration. Study 1 surveyed participants to examine whether the perceived health benefits of tooth-brushing duration could be predicted from the ranking of each person's tooth-brushing duration. Study 2 tested whether manipulating the rank position of the tooth-brushing duration influenced participant-perceived health benefits of tooth-brushing duration. Study 3 used a longitudinal intervention method to examine whether messages relating to the rank positions of tooth-brushing durations causally influenced the self-report tooth-brushing duration. Study 1 demonstrates that perceptions of the health benefits from tooth-brushing duration are predicted by the perceptions of how that behaviour ranks in comparison to other people's behaviour. Study 2 demonstrates that the perceptions of the health benefits of tooth-brushing duration can be manipulated experimentally by changing the ranked position of a person's tooth-brushing duration. Study 3 experimentally demonstrates the possibility of increasing the length of time for which individuals clean their teeth by focusing on how they rank among their peers in terms of tooth-brushing duration. The effectiveness of interventions using social-ranking methods relative to those that emphasize comparisons made against group averages or normative guidelines are discussed. What is already known on this subject? Individual make judgements based on social rank information. Social rank information has been shown to influence positive health behaviours such as exercise. What does this study add? The health benefits of tooth-brushing are predicted by how tooth-brushing duration ranks within a distribution. Focussing on how teeth-cleaning duration ranks among others produces longer teeth-cleaning durations. © 2015 The British Psychological Society.

Transgenerational deleterious effects of ocean acidification on the reproductive success of a keystone crustacean (Gammarus locusta).

PubMed

Borges, Francisco O; Figueiredo, Cátia; Sampaio, Eduardo; Rosa, Rui; Grilo, Tiago F

2018-07-01

Ocean acidification (OA) poses a global threat to marine biodiversity. Notwithstanding, marine organisms may maintain their performance under future OA conditions, either through acclimation or evolutionary adaptation. Surprisingly, the transgenerational effects of high CO 2 exposure in crustaceans are still poorly understood. For the first time, the present study investigated the transgenerational effect of OA, from hatching to maturity, of a key amphipod species (Gammarus locusta). Negative transgenerational effects were observed on survival of the acidified lineage, resulting in significant declines (10-15%) compared to the control groups in each generation. Mate-guarding duration was also significantly reduced under high CO 2 and this effect was not alleviated by transgenerational acclimation, indicating that precopulatory behaviours can be disturbed under a future high CO 2 scenario. Although OA may initially stimulate female investment, transgenerational exposure led to a general decline in egg number and fecundity. Overall, the present findings suggest a potential fitness reduction of natural populations of G. locusta in a future high CO 2 ocean, emphasizing the need of management tools towards species' sustainability. Copyright © 2018 Elsevier Ltd. All rights reserved.

The prognostic importance of duration of AKI: a systematic review and meta-analysis.

PubMed

Mehta, Swati; Chauhan, Kinsuk; Patel, Achint; Patel, Shanti; Pinotti, Rachel; Nadkarni, Girish N; Parikh, Chirag R; Coca, Steven G

2018-04-19

Acute kidney injury (AKI), as defined by peak increase in serum creatinine, is independently associated with increased risk of mortality and length of stay. Studies have suggested that the duration of AKI may be an important additional or independent prognostic marker of increased mortality in patients with AKI across clinical settings. We performed a systematic review and meta-analysis of published studies to assess the impact of duration of AKI on outcomes. Various bibliographic databases (MEDLINE, Embase, Cochrane Library, CINAHL and Web of Science) were searched through database inception to December 2015. Human, longitudinal studies with patients aged 18 or above describing outcomes of duration of AKI were included. Duration of AKI categorized as "Short" if AKI duration was ≤2 days or labeled as "transient AKI"; "Medium" for AKI durations 3-6 days and "Long" for AKI duration of ≥7 days or "non-recovered". Various outcomes looked at were Long term mortality, cardiovascular events, chronic kidney disease (CKD). Eighteen studies were deemed eligible for the systematic review. The outcome of long-term mortality with duration of AKI was reported in 8 studies. The pooled Risk Ratio (RR) for long-term mortality generally was higher for longer duration of AKI: short duration of AKI (n = 8 studies, RR 1.42, 95% CI 1.21-1.66), medium duration (n = 4 studies, RR 1.92, 95% CI 1.34-2.75), and long duration (n = 8 studies, RR 2.28, 95% CI 1.77-2.94) duration of AKI. Further, Duration of AKI was independently associated with higher risk of cardiovascular outcomes and incident CKD Stage 3 when stratified within each stage of AKI. Duration of AKI was independently associated with long term mortality, cardiovascular(CV) events, and development of incident CKD Stage 3.

Exploration Health Risks: Probabilistic Risk Assessment

NASA Technical Reports Server (NTRS)

Rhatigan, Jennifer; Charles, John; Hayes, Judith; Wren, Kiley

2006-01-01

Maintenance of human health on long-duration exploration missions is a primary challenge to mission designers. Indeed, human health risks are currently the largest risk contributors to the risks of evacuation or loss of the crew on long-duration International Space Station missions. We describe a quantitative assessment of the relative probabilities of occurrence of the individual risks to human safety and efficiency during space flight to augment qualitative assessments used in this field to date. Quantitative probabilistic risk assessments will allow program managers to focus resources on those human health risks most likely to occur with undesirable consequences. Truly quantitative assessments are common, even expected, in the engineering and actuarial spheres, but that capability is just emerging in some arenas of life sciences research, such as identifying and minimize the hazards to astronauts during future space exploration missions. Our expectation is that these results can be used to inform NASA mission design trade studies in the near future with the objective of preventing the higher among the human health risks. We identify and discuss statistical techniques to provide this risk quantification based on relevant sets of astronaut biomedical data from short and long duration space flights as well as relevant analog populations. We outline critical assumptions made in the calculations and discuss the rationale for these. Our efforts to date have focussed on quantifying the probabilities of medical risks that are qualitatively perceived as relatively high risks of radiation sickness, cardiac dysrhythmias, medically significant renal stone formation due to increased calcium mobilization, decompression sickness as a result of EVA (extravehicular activity), and bone fracture due to loss of bone mineral density. We present these quantitative probabilities in order-of-magnitude comparison format so that relative risk can be gauged. We address the effects of conservative and nonconservative assumptions on the probability results. We discuss the methods necessary to assess mission risks once exploration mission scenarios are characterized. Preliminary efforts have produced results that are commensurate with earlier qualitative estimates of risk probabilities in this and other operational contexts, indicating that our approach may be usefully applied in support of the development of human health and performance standards for long-duration space exploration missions. This approach will also enable mission-specific probabilistic risk assessments for space exploration missions.

The distribution of first-passage times and durations in FOREX and future markets

NASA Astrophysics Data System (ADS)

Sazuka, Naoya; Inoue, Jun-ichi; Scalas, Enrico

2009-07-01

Possible distributions are discussed for intertrade durations and first-passage processes in financial markets. The view-point of renewal theory is assumed. In order to represent market data with relatively long durations, two types of distributions are used, namely a distribution derived from the Mittag-Leffler survival function and the Weibull distribution. For the Mittag-Leffler type distribution, the average waiting time (residual life time) is strongly dependent on the choice of a cut-off parameter tmax, whereas the results based on the Weibull distribution do not depend on such a cut-off. Therefore, a Weibull distribution is more convenient than a Mittag-Leffler type if one wishes to evaluate relevant statistics such as average waiting time in financial markets with long durations. On the other hand, we find that the Gini index is rather independent of the cut-off parameter. Based on the above considerations, we propose a good candidate for describing the distribution of first-passage time in a market: The Weibull distribution with a power-law tail. This distribution compensates the gap between theoretical and empirical results more efficiently than a simple Weibull distribution. It should be stressed that a Weibull distribution with a power-law tail is more flexible than the Mittag-Leffler distribution, which itself can be approximated by a Weibull distribution and a power-law. Indeed, the key point is that in the former case there is freedom of choice for the exponent of the power-law attached to the Weibull distribution, which can exceed 1 in order to reproduce decays faster than possible with a Mittag-Leffler distribution. We also give a useful formula to determine an optimal crossover point minimizing the difference between the empirical average waiting time and the one predicted from renewal theory. Moreover, we discuss the limitation of our distributions by applying our distribution to the analysis of the BTP future and calculating the average waiting time. We find that our distribution is applicable as long as durations follow a Weibull law for short times and do not have too heavy a tail.

Development Overview of the Revised NASA Ultra Long Duration Balloon

NASA Technical Reports Server (NTRS)

Cathey, H. M.; Gregory, D; Young, L.; Pierce, D.

2006-01-01

The development of the National Aeronautics and Space Administration s (NASA) Ultra Long Duration Balloon (ULDB) has made significant strides in addressing the deployment issues experienced in the scaling up of the balloon structure. This paper concentrates on the super-pressure balloon developments that have been, and are currently being planned by the NASA Balloon Program Office at Goddard Space Flight Center s Wallops Flight Facility. The goal of the NASA ULDB development project is to attempt to extend the potential flight durations for large scientific balloon payloads. A summary of the February 2005 test flight from Ft. Sumner, New Mexico will be presented. This test flight spurred a number of investigations and advancements for this project. The development path has pursued some new approaches in the design, analysis, and testing of the balloons. New issues have been ideEti6ed throu& both analysis md testing. These have been addressed in the design stage before the next balloon construction was begun. This paper will give an overview of the recent history for this effort and the development approach pursued for ULDB. A description of the balloon design, including the modifications made as a result of the lessons learned, will be presented. Areas to be presented include the design approach, deployment issues that have been encountered and the proposed solutions, ground testing, photogrammetry, and an analysis overview. Test flight planning and considerations will be presented including test flight safety. An extended duration test flight of the National Aeronautics and Space Administration s Ultra Long Duration Balloon is planned for the May/June 2006 time frame. This flight is expected to fly from Sweden to either Canada or Alaska. Preliminary results of this flight will be presented as available. Future plans for both ground testing and additional test flights will also be presented. Goals of the future test flights, which are staged in increments of increasing suspended load and altitude, will be presented. This will include the projected balloon volumes, payload capabilities, test flight locations, and proposed flight schedule.

Process-related factors associated with disciplinary board decisions

PubMed Central

2013-01-01

Background In most health care systems disciplinary boards have been organised in order to process patients’ complaints about health professionals. Although, the safe-guarding of the legal rights of the involved parties is a crucial concern, there is limited knowledge about what role the complaint process plays with regard to board decision outcomes. Using complaint cases towards general practitioners, the aim of this study was to identify what process factors are statistically associated with disciplinary actions as seen from the party of the complainant and the defendant general practitioner, respectively. Methods Danish Patient Complaints Board decisions concerning general practitioners completed in 2007 were examined. Information on process factors was extracted from the case files and included complaint delay, complainant’s lawyer involvement, the number of general practitioners involved, event duration, expert witness involvement, case management duration and decision outcome (discipline or no discipline). Multiple logistic regression analyses were performed on compound case decisions eventually involving more general practitioners (as seen from the complainant’s side) and on separated decisions (as seen from the defendant general practitioner’s side). Results From the general practitioner’s side, when the number of general practitioners involved in a complaint case increased, odds of being disciplined significantly decreased (OR=0.661 per additional general practitioner involved, p<0.001). Contrarily, from the complainant’s side, no association could be detected between complaining against a plurality of general practitioners and the odds of at least one general practitioner being disciplined. From both sides, longer case management duration was associated with higher odds of discipline (OR=1.038 per additional month, p=0.010). No association could be demonstrated with regard to complaint delay, lawyer involvement, event duration, or expert witness involvement. There was lawyer involvement in 5% of cases and expert witness involvement in 92% of cases. The mean complaint delay was 3 months and 18 days and the mean case management duration was 14 months and 7 days. Conclusions Certain complaint process factors might be statistically associated with decision outcomes. However, the impact diverges as seen from the different parties. Future studies are merited in order to uncover the judicial mechanisms lying behind. PMID:23294599

Workflow and intervention times of MR-guided focused ultrasound - Predicting the impact of new techniques.

PubMed

Loeve, Arjo J; Al-Issawi, Jumana; Fernandez-Gutiérrez, Fabiola; Langø, Thomas; Strehlow, Jan; Haase, Sabrina; Matzko, Matthias; Napoli, Alessandro; Melzer, Andreas; Dankelman, Jenny

2016-04-01

Magnetic resonance guided focused ultrasound surgery (MRgFUS) has become an attractive, non-invasive treatment for benign and malignant tumours, and offers specific benefits for poorly accessible locations in the liver. However, the presence of the ribcage and the occurrence of liver motion due to respiration limit the applicability MRgFUS. Several techniques are being developed to address these issues or to decrease treatment times in other ways. However, the potential benefit of such improvements has not been quantified. In this research, the detailed workflow of current MRgFUS procedures was determined qualitatively and quantitatively by using observation studies on uterine MRgFUS interventions, and the bottlenecks in MRgFUS were identified. A validated simulation model based on discrete events simulation was developed to quantitatively predict the effect of new technological developments on the intervention duration of MRgFUS on the liver. During the observation studies, the duration and occurrence frequencies of all actions and decisions in the MRgFUS workflow were registered, as were the occurrence frequencies of motion detections and intervention halts. The observation results show that current MRgFUS uterine interventions take on average 213min. Organ motion was detected on average 2.9 times per intervention, of which on average 1.0 actually caused a need for rework. Nevertheless, these motion occurrences and the actions required to continue after their detection consumed on average 11% and up to 29% of the total intervention duration. The simulation results suggest that, depending on the motion occurrence frequency, the addition of new technology to automate currently manual MRgFUS tasks and motion compensation could potentially reduce the intervention durations by 98.4% (from 256h 5min to 4h 4min) in the case of 90% motion occurrence, and with 24% (from 5h 19min to 4h 2min) in the case of no motion. In conclusion, new tools were developed to predict how intervention durations will be affected by future workflow changes and by the introduction of new technology. Copyright © 2016 Elsevier Inc. All rights reserved.