Sample records for early applied upper

  1. Impact of early applied upper limb stimulation: the EXPLICIT-stroke programme design.

    PubMed

    Kwakkel, Gert; Meskers, Carel G M; van Wegen, Erwin E; Lankhorst, Guus J; Geurts, Alexander C H; van Kuijk, Annet A; Lindeman, Eline; Visser-Meily, Anne; de Vlugt, Erwin; Arendzen, J Hans

    2008-12-17

    Main claims of the literature are that functional recovery of the paretic upper limb is mainly defined within the first month post stroke and that rehabilitation services should preferably be applied intensively and in a task-oriented way within this particular time window. EXplaining PLastICITy after stroke (acronym EXPLICIT-stroke) aims to explore the underlying mechanisms of post stroke upper limb recovery. Two randomized single blinded trials form the core of the programme, investigating the effects of early modified Constraint-Induced Movement Therapy (modified CIMT) and EMG-triggered Neuro-Muscular Stimulation (EMG-NMS) in patients with respectively a favourable or poor probability for recovery of dexterity. 180 participants suffering from an acute, first-ever ischemic stroke will be recruited. Functional prognosis at the end of the first week post stroke is used to stratify patient into a poor prognosis group for upper limb recovery (N = 120, A2 project) and a group with a favourable prognosis (N = 60, A1 project). Both groups will be randomized to an experimental arm receiving respectively modified CIMT (favourable prognosis) or EMG-NMS (poor prognosis) for 3 weeks or to a control arm receiving usual care. Primary outcome variable will be the Action Research Arm Test (ARAT), assessed at 1,2,3,4,5, 8, 12 and 26 weeks post stroke. To study the impact of modified CIMT or EMG-NMS on stroke recovery mechanisms i.e. neuroplasticity, compensatory movements and upper limb neuromechanics, 60 patients randomly selected from projects A1 and A2 will undergo TMS, kinematical and haptic robotic measurements within a repeated measurement design. Additionally, 30 patients from the A1 project will undergo fMRI at baseline, 5 and 26 weeks post stroke. EXPLICIT stroke is a 5 year translational research programme which main aim is to investigate the effects of early applied intensive intervention for regaining dexterity and to explore the underlying mechanisms that are

  2. 43 CFR 10010.9 - Apply NEPA early.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Apply NEPA early. 10010.9 Section 10010.9... Initiating the NEPA Process § 10010.9 Apply NEPA early. (a) The Commission will initiate early consultation... early with interested private parties and organizations, including when the Commission's own involvement...

  3. 43 CFR 10010.9 - Apply NEPA early.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Apply NEPA early. 10010.9 Section 10010.9... Initiating the NEPA Process § 10010.9 Apply NEPA early. (a) The Commission will initiate early consultation and coordination with other Federal agencies having jurisdiction by law or special expertise with...

  4. 43 CFR 10010.9 - Apply NEPA early.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Apply NEPA early. 10010.9 Section 10010.9... Initiating the NEPA Process § 10010.9 Apply NEPA early. (a) The Commission will initiate early consultation and coordination with other Federal agencies having jurisdiction by law or special expertise with...

  5. 43 CFR 10010.9 - Apply NEPA early.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Apply NEPA early. 10010.9 Section 10010.9... Initiating the NEPA Process § 10010.9 Apply NEPA early. (a) The Commission will initiate early consultation and coordination with other Federal agencies having jurisdiction by law or special expertise with...

  6. 43 CFR 46.200 - Applying NEPA early.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Applying NEPA early. 46.200 Section 46.200... ENVIRONMENTAL POLICY ACT OF 1969 Initiating the NEPA Process § 46.200 Applying NEPA early. (a) For any... environmental impacts, bureaus must coordinate, as early as feasible, with: (1) Any other bureaus or Federal...

  7. 43 CFR 46.200 - Applying NEPA early.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Applying NEPA early. 46.200 Section 46.200... ENVIRONMENTAL POLICY ACT OF 1969 Initiating the NEPA Process § 46.200 Applying NEPA early. (a) For any... environmental impacts, bureaus must coordinate, as early as feasible, with: (1) Any other bureaus or Federal...

  8. 43 CFR 46.200 - Applying NEPA early.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Applying NEPA early. 46.200 Section 46.200... ENVIRONMENTAL POLICY ACT OF 1969 Initiating the NEPA Process § 46.200 Applying NEPA early. (a) For any... environmental impacts, bureaus must coordinate, as early as feasible, with: (1) Any other bureaus or Federal...

  9. 43 CFR 46.200 - Applying NEPA early.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Applying NEPA early. 46.200 Section 46.200... ENVIRONMENTAL POLICY ACT OF 1969 Initiating the NEPA Process § 46.200 Applying NEPA early. (a) For any... environmental impacts, bureaus must coordinate, as early as feasible, with: (1) Any other bureaus or Federal...

  10. [Laparoscopic Proximal Gastrectomy as a Surgical Treatment for Upper Third Early Gastric Cancer].

    PubMed

    Park, Do Joong; Park, Young Suk; Ahn, Sang Hoon; Kim, Hyung Ho

    2017-09-25

    Recently, the incidence of upper third gastric cancer has increased, and with it the number of endoscopic submucosal dissection (ESD) procedures performed has been increasing. However, if ESD is not indicated or non-curable, surgical treatment may be necessary. In the case of lower third gastric cancer, it is possible to preserve the upper part of the stomach; however, in the case of upper third gastric cancer, total gastrectomy is still the standard treatment option, regardless of the stage. This is due to the complications associated with upper third gastric cancer, such as gastroesophageal reflux after proximal gastrectomy rather than oncologic problems. Recently, the introduction of the double tract reconstruction method after proximal gastrectomy has become one of the surgical treatment methods for upper third early gastric cancer. However, since there has not been a prospective comparative study evaluating its efficacy, the ongoing multicenter prospective randomized controlled trial (KLASS-05) comparing laparoscopic proximal gastrectomy with double tract reconstruction and laparoscopic total gastrectomy is expected to be important for determining the future of treatment of upper third early gastric cancer.

  11. Are Upper-Body Axial Symptoms a Feature of Early Parkinson’s Disease?

    PubMed Central

    Moreau, Caroline; Baille, Guillaume; Delval, Arnaud; Tard, Céline; Perez, Thierry; Danel-Buhl, Nicolas; Seguy, David; Labreuche, Julien; Duhamel, Alain; Delliaux, Marie; Dujardin, Kathy; Defebvre, Luc

    2016-01-01

    Background Axial disorders are considered to appear late in the course of Parkinson’s disease (PD). The associated impact on quality of life (QoL) and survival and the lack of an effective treatment mean that understanding and treating axial disorders is a key challenge. However, upper-body axial disorders (namely dysarthria, swallowing and breathing disorders) have never been prospectively assessed in early-stage PD patients. Objectives To characterize upper-body axial symptoms and QoL in consecutive patients with early-stage PD. Methods We prospectively enrolled 66 consecutive patients with early-stage PD (less than 3 years of disease progression) and assessed dysarthria, dysphagia and respiratory function (relative to 36 controls) using both objective and patient-reported outcomes. Results The mean disease duration was 1.26 years and the mean UPDRS motor score was 19.4 out of 108. 74% of the patients presented slight dysarthria (primarily dysprosodia). Men appeared to be more severely affected (i.e. dysphonia). This dysfunction was strongly correlated with low swallowing speed (despite the absence of complaints about dysphagia), respiratory insufficiency and poor QoL. Videofluorography showed that oral-phase swallowing disorders affected 60% of the 31 tested patients and that pharyngeal-phase disorders affected 21%. 24% of the patients reported occasional dyspnea, which was correlated with anxiety in women but not in men. Marked diaphragmatic dysfunction was suspected in 42% of the patients (predominantly in men). Conclusion Upper body axial symptoms were frequent in men with early-stage PD, whereas women presented worst non-motor impairments. New assessment methods are required because currently available tools do not reliably detect these upper-body axial disorders. PMID:27654040

  12. Feasibility and Nutritional Benefits of Laparoscopic Proximal Gastrectomy for Early Gastric Cancer in the Upper Stomach.

    PubMed

    Kosuga, Toshiyuki; Ichikawa, Daisuke; Komatsu, Shuhei; Okamoto, Kazuma; Konishi, Hirotaka; Shiozaki, Atsushi; Fujiwara, Hitoshi; Otsuji, Eigo

    2015-12-01

    Laparoscopic proximal gastrectomy (LPG) has recently been applied for early gastric cancer (EGC) in the upper stomach as a minimally invasive and function-preserving surgery. This study aimed to clarify the feasibility and nutritional benefits of LPG over laparoscopic total gastrectomy (LTG). This was a retrospective study of 77 patients with clinical stage I gastric cancer in the upper stomach. Of these patients, 25 underwent LPG, while 52 underwent LTG. Surgical outcomes and postoperative nutritional status such as changes in body weight and blood chemistries were compared between LPG and LTG. Intraoperative blood loss and C-reactive protein levels at 3 and 7 days after surgery were significantly lower in LPG than in LTG (p = 0.018, 0.036, and 0.042, respectively). No significant differences were observed in postoperative early or late complication rates between LPG and LTG. The incidence of Los Angeles Grade B or more severe reflux esophagitis after LPG was 9.1 %, which was similar to that after LTG (9.3 %). Postoperative changes in body weight at 6 months and 1 and 2 years after surgery were consistently less in LPG than in LTG (p = 0.001, 0.022, and 0.001, respectively). Moreover, postoperative levels of hemoglobin and serum albumin and total lymphocyte count were also higher in LPG than in LTG. LPG may be a better choice for EGC in the upper stomach than LTG because it has distinct advantages in terms of surgical invasiveness and postoperative nutritional status.

  13. Early esophagogastroduodenoscopy is associated with better Outcomes in upper gastrointestinal bleeding: a nationwide study

    PubMed Central

    Garg, Sushil K.; Anugwom, Chimaobi; Campbell, James; Wadhwa, Vaibhav; Gupta, Nancy; Lopez, Rocio; Shergill, Sukhman; Sanaka, Madhusudhan R.

    2017-01-01

    Background and study aims We analyzed NIS (National Inpatient Sample) database from 2007 – 2013 to determine if early esophagogastroduodenoscopy (EGD) (24 hours) for upper gastrointestinal bleeding improved the outcomes in terms of mortality, length of stay and costs. Patients and methods Patients were classified as having upper gastrointestinal hemorrhage by querying all diagnostic codes for the ICD-9-CM codes corresponding to upper gastrointestinal bleeding. For these patients, performance of EGD during admission was determined by querying all procedural codes for the ICD-9-CM codes corresponding to EGD; early EGD was defined as having EGD performed within 24 hours of admission and late EGD was defined as having EGD performed after 24 hours of admission. Results A total of 1,789,532 subjects with UGIH were identified. Subjects who had an early EGD were less likely to have hypovolemia, acute renal failure and acute respiratory failure. On multivariable analysis, we found that subjects without EGD were 3 times more likely to die during the admission than those with early EGD. In addition, those with late EGD had 50 % higher odds of dying than those with an early EGD. Also, after adjusting for all factors in the model, hospital stay was on average 3 and 3.7 days longer for subjects with no or late EGD, respectively, then for subjects with early EGD. Conclusion Early EGD (within 24 hours) is associated with lower in-hospital mortality, morbidity, shorter length of stay and lower total hospital costs. PMID:28512647

  14. A simplified clinical risk score predicts the need for early endoscopy in non-variceal upper gastrointestinal bleeding.

    PubMed

    Tammaro, Leonardo; Buda, Andrea; Di Paolo, Maria Carla; Zullo, Angelo; Hassan, Cesare; Riccio, Elisabetta; Vassallo, Roberto; Caserta, Luigi; Anderloni, Andrea; Natali, Alessandro

    2014-09-01

    Pre-endoscopic triage of patients who require an early upper endoscopy can improve management of patients with non-variceal upper gastrointestinal bleeding. To validate a new simplified clinical score (T-score) to assess the need of an early upper endoscopy in non variceal bleeding patients. Secondary outcomes were re-bleeding rate, 30-day bleeding-related mortality. In this prospective, multicentre study patients with bleeding who underwent upper endoscopy were enrolled. The accuracy for high risk endoscopic stigmata of the T-score was compared with that of the Glasgow Blatchford risk score. Overall, 602 patients underwent early upper endoscopy, and 472 presented with non-variceal bleeding. High risk endoscopic stigmata were detected in 145 (30.7%) cases. T-score sensitivity and specificity for high risk endoscopic stigmata and bleeding-related mortality was 96% and 30%, and 80% and 71%, respectively. No statistically difference in predicting high risk endoscopic stigmata between T-score and Glasgow Blatchford risk score was observed (ROC curve: 0.72 vs. 0.69, p=0.11). The two scores were also similar in predicting re-bleeding (ROC curve: 0.64 vs. 0.63, p=0.4) and 30-day bleeding-related mortality (ROC curve: 0.78 vs. 0.76, p=0.3). The T-score appeared to predict high risk endoscopic stigmata, re-bleeding and mortality with similar accuracy to Glasgow Blatchford risk score. Such a score may be helpful for the prediction of high-risk patients who need a very early therapeutic endoscopy. Copyright © 2014 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.

  15. The effects of very early mirror therapy on functional improvement of the upper extremity in acute stroke patients.

    PubMed

    Yeldan, Ipek; Huseyınsınoglu, Burcu Ersoz; Akıncı, Buket; Tarakcı, Ela; Baybas, Sevim; Ozdıncler, Arzu Razak

    2015-11-01

    [Purpose] The aim of the study was to evaluate the effects of a very early mirror therapy program on functional improvement of the upper extremity in acute stroke patients. [Subjects] Eight stroke patients who were treated in an acute neurology unit were included in the study. [Methods] The patients were assigned alternatively to either the mirror therapy group receiving mirror therapy and neurodevelopmental treatment or the neurodevelopmental treatment only group. The primary outcome measures were the upper extremity motor subscale of the Fugl-Meyer Assessment, Motricity Index upper extremity score, and the Stroke Upper Limb Capacity Scale. Somatosensory assessment with the Ayres Southern California Sensory Integration Test, and the Barthel Index were used as secondary outcome measures. [Results] No statistically significant improvements were found for any measures in either group after the treatment. In terms of minimally clinically important differences, there were improvements in Fugl-Meyer Assessment and Barthel Index in both mirror therapy and neurodevelopmental treatment groups. [Conclusion] The results of this pilot study revealed that very early mirror therapy has no additional effect on functional improvement of upper extremity function in acute stroke patients. Multicenter trials are needed to determine the results of early application of mirror therapy in stroke rehabilitation.

  16. Surface wave tomography applied to the North American upper mantle

    NASA Astrophysics Data System (ADS)

    van der Lee, Suzan; Frederiksen, Andrew

    Tomographic techniques that invert seismic surface waves for 3-D Earth structure differ in their definitions of data and the forward problem as well as in the parameterization of the tomographic model. However, all such techniques have in common that the tomographic inverse problem involves solving a large and mixed-determined set of linear equations. Consequently these inverse problems have multiple solutions and inherently undefinable accuracy. Smoother and rougher tomographic models are found with rougher (confined to great circle path) and smoother (finite-width) sensitivity kernels, respectively. A powerful, well-tested method of surface wave tomography (Partitioned Waveform Inversion) is based on inverting the waveforms of wave trains comprising regional S and surface waves from at least hundreds of seismograms for 3-D variations in S wave velocity. We apply this method to nearly 1400 seismograms recorded by digital broadband seismic stations in North America. The new 3-D S-velocity model, NA04, is consistent with previous findings that are based on separate, overlapping data sets. The merging of US and Canadian data sets, adding Canadian recordings of Mexican earthquakes, and combining fundamental-mode with higher-mode waveforms provides superior resolution, in particular in the US-Canada border region and the deep upper mantle. NA04 shows that 1) the Atlantic upper mantle is seismically faster than the Pacific upper mantle, 2) the uppermost mantle beneath Precambrian North America could be one and a half times as rigid as the upper mantle beneath Meso- and Cenozoic North America, with the upper mantle beneath Paleozoic North America being intermediate in seismic rigidity, 3) upper-mantle structure varies laterally within these geologic-age domains, and 4) the distribution of high-velocity anomalies in the deep upper mantle aligns with lower mantle images of the subducted Farallon and Kula plates and indicate that trailing fragments of these subducted

  17. 7 CFR 1794.11 - Apply NEPA early in the planning process.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 12 2011-01-01 2011-01-01 false Apply NEPA early in the planning process. 1794.11... National Environmental Policy Act § 1794.11 Apply NEPA early in the planning process. The environmental review process requires early coordination with and involvement of RUS. Applicants should consult with...

  18. 7 CFR 1794.11 - Apply NEPA early in the planning process.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 12 2010-01-01 2010-01-01 false Apply NEPA early in the planning process. 1794.11... National Environmental Policy Act § 1794.11 Apply NEPA early in the planning process. The environmental review process requires early coordination with and involvement of RUS. Applicants should consult with...

  19. Upper limb robotics applied to neurorehabilitation: An overview of clinical practice.

    PubMed

    Duret, Christophe; Mazzoleni, Stefano

    2017-01-01

    During the last two decades, extensive interaction between clinicians and engineers has led to the development of systems that stimulate neural plasticity to optimize motor recovery after neurological lesions. This has resulted in the expansion of the field of robotics for rehabilitation. Studies in patients with stroke-related upper-limb paresis have shown that robotic rehabilitation can improve motor capacity. However, few other applications have been evaluated (e.g. tremor, peripheral nerve injuries or other neurological diseases). This paper presents an overview of the current use of upper limb robotic systems for neurorehabilitation, and highlights the rationale behind their use for the assessment and treatment of common neurological disorders. Rehabilitation robots are little integrated in clinical practice, except after stroke. Although few studies have been carried out to evaluate their effectiveness, evidence from the neurosciences and indications from pilot studies suggests that upper limb robotic rehabilitation can be applied safely in various other neurological conditions. Rehabilitation robots provide an intensity, quality and dose of treatment that exceeds therapist-mediated rehabilitation. Moreover, the use of force fields, multi-sensory environments, feedback etc. renders such rehabilitation engaging and motivating. Future studies should evaluate the effectiveness of rehabilitation robots in neurological pathologies other than stroke.

  20. Clinicopathological characteristics of clinical early gastric cancer in the upper-third stomach.

    PubMed

    Ichikawa, Daisuke; Komatsu, Shuhei; Kosuga, Toshiyuki; Konishi, Hirotaka; Okamoto, Kazuma; Shiozaki, Atsushi; Fujiwara, Hitoshi; Otsuji, Eigo

    2015-12-07

    To elucidate the clinicopathological characteristics of clinically early gastric cancer in the upper-third stomach and to clarify treatment precautions. A total of 683 patients with clinical early gastric cancer were enrolled in this retrospective study, 128 of whom had gastric cancer in the upper-third stomach (U group). All patients underwent a double contrast barium examination, endoscopy, and computed tomography (CT), and were diagnosed preoperatively based on the findings obtained. The clinicopathological features of these patients were compared with those of patients with gastric cancer in the middle- and lower-third stomach (ML group). We also compared clinicopathological factors between accurate-diagnosis and under-diagnosis groups in order to identify factors affecting the accuracy of a preoperative diagnosis of tumor depth. Patients in the U group were older (P = 0.029), had a higher ratio of males to females (P = 0.015), and had more histologically differentiated tumors (P = 0.007) than patients in the ML group. A clinical under-diagnosis occurred in 57 out of 683 patients (8.3%), and was more frequent in the U group than in the ML group (16.4% vs 6.3%, P < 0.0001). Therefore, the rates of lymph node metastasis and lymphatic invasion were slightly higher in the U group than in the ML group (P = 0.071 and 0.082, respectively). An under-diagnosis was more frequent in histologically undifferentiated tumors (P = 0.094) and in those larger than 4 cm (P = 0.024). The median follow-up period after surgery was 56 mo (range, 1-186 mo). Overall, survival and disease-specific survival rates were significantly lower in the U group than in the ML group (P = 0.016 and 0.020, respectively). However, limited operation-related cancer recurrence was not detected in the U group in the present study. Clinical early gastric cancer in the upper-third stomach has distinguishable characteristics that increase the risk of a clinical under-diagnosis, especially in patients with

  1. [Usefulness of upper gastrointestinal series to detect leaks in the early postoperative period of bariatric surgery].

    PubMed

    Medina, Francisco J; Miranda-Merchak, Andrés; Martínez, Alonso; Sánchez, Felipe; Bravo, Sebastián; Contreras, Juan Eduardo; Alliende, Isabel; Canals, Andrea

    2016-04-01

    Postoperative leaks are the most undesirable complication of bariatric surgery and upper gastrointestinal (GI) series are routinely ordered to rule them out. Despite the published literature recommending against its routine use, it is still being customarily used in Chile. To examine the usefulness of routine upper GI series using water-soluble iodinated contrast media for the detection of early postoperative leaks in patients undergoing bariatric surgery. A cohort of 328 patients subjected to bariatric surgery was followed from October 2012 to October 2013. Most of them underwent sleeve gastrectomy. Upper GI series on the first postoperative day were ordered to 308 (94%) patients. Postoperative leaks were observed in two patients, with an incidence of 0.6%. The sensitivity for upper GI series detection of leak was 0% and the negative predictive value was 99%. Routine upper GI series after bariatric surgery is not useful for the diagnosis of postoperative leak, given the low incidence of this complication and the low sensitivity of the technique.

  2. Applying Early Systems Engineering: Injecting Knowledge into the Capability Development Process

    DTIC Science & Technology

    2012-10-01

    involves early use of systems engi- neering and technical analyses to supplement the existing operational analysis techniques currently used in...complexity, and costs of systems now being developed require tight coupling between operational requirements stated in the CDD, system requirements...Fleischer » Keywords: Capability Development, Competitive Prototyping, Knowledge Points, Early Systems Engineering Applying Early Systems

  3. Cluster detection methods applied to the Upper Cape Cod cancer data.

    PubMed

    Ozonoff, Al; Webster, Thomas; Vieira, Veronica; Weinberg, Janice; Ozonoff, David; Aschengrau, Ann

    2005-09-15

    A variety of statistical methods have been suggested to assess the degree and/or the location of spatial clustering of disease cases. However, there is relatively little in the literature devoted to comparison and critique of different methods. Most of the available comparative studies rely on simulated data rather than real data sets. We have chosen three methods currently used for examining spatial disease patterns: the M-statistic of Bonetti and Pagano; the Generalized Additive Model (GAM) method as applied by Webster; and Kulldorff's spatial scan statistic. We apply these statistics to analyze breast cancer data from the Upper Cape Cancer Incidence Study using three different latency assumptions. The three different latency assumptions produced three different spatial patterns of cases and controls. For 20 year latency, all three methods generally concur. However, for 15 year latency and no latency assumptions, the methods produce different results when testing for global clustering. The comparative analyses of real data sets by different statistical methods provides insight into directions for further research. We suggest a research program designed around examining real data sets to guide focused investigation of relevant features using simulated data, for the purpose of understanding how to interpret statistical methods applied to epidemiological data with a spatial component.

  4. Losing All Interest in School: Social Participation as a Predictor of the Intention to Leave Upper Secondary School Early

    ERIC Educational Resources Information Center

    Frostad, Per; Pijl, Sip Jan; Mjaavatn, Per Egil

    2015-01-01

    Early school leaving in upper secondary education is a serious problem for both students and society. Several reviews have shown that there is no simple cause of early school leaving, but it seems to relate to demographic variables, social factors, academic achievement, and school factors. In this study, data from 2,045 students aged 16 from upper…

  5. Evaluation of the dosimetric impact of applying flattening filter-free beams in intensity-modulated radiotherapy for early-stage upper thoracic carcinoma of oesophagus

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

    Zhang, Wuzhe; Lin, Zhixiong; Yang, Zhining

    2015-06-15

    Flattening filter-free (FFF) radiation beams have recently become clinically available on modern linear accelerators in radiation therapy. This study aimed to evaluate the dosimetric impact of using FFF beams in intensity-modulated radiotherapy (IMRT) for early-stage upper thoracic oesophageal cancer. Eleven patients with primary stage upper thoracic oesophageal cancer were recruited. For each patient, two IMRT plans were computed using conventional beams (Con-P) and FFF beams (FFF-P), respectively. Both plans employed a five-beam arrangement and were prescribed with 64 Gy to (planning target volume) PTV1 and 54 Gy to PTV2 in 32 fractions using 6 MV photons. The dose parameters ofmore » the target volumes and organs at risks (OARs), and treatment parameters including the monitor units (MU) and treatment time (TT) for Con-P and FFF-P were recorded and compared. The mean D{sub 5} of PTV1 and PTV2 were higher in FFF-P than Con-P by 0.4 Gy and 0.3 Gy, respectively. For the OARs, all the dose parameters did not show significant difference between the two plans except the mean V{sub 5} and V{sub 10} of the lung in which the FFF-P was lower (46.7% vs. 47.3% and 39.1% vs. 39.6%, respectively). FFF-P required 54% more MU but 18.4% less irradiation time when compared to Con-P. The target volume and OARs dose distributions between the two plans were comparable. However, FFF-P was more effective in sparing the lung from low dose and reduced the mean TT compared with Con-P. Long-term clinical studies are suggested to evaluate the radiobiological effects of FFF beams.« less

  6. Early motor learning changes in upper-limb dynamics and shoulder complex loading during handrim wheelchair propulsion.

    PubMed

    Vegter, Riemer J K; Hartog, Johanneke; de Groot, Sonja; Lamoth, Claudine J; Bekker, Michel J; van der Scheer, Jan W; van der Woude, Lucas H V; Veeger, Dirkjan H E J

    2015-03-10

    To propel in an energy-efficient manner, handrim wheelchair users must learn to control the bimanually applied forces onto the rims, preserving both speed and direction of locomotion. Previous studies have found an increase in mechanical efficiency due to motor learning associated with changes in propulsion technique, but it is unclear in what way the propulsion technique impacts the load on the shoulder complex. The purpose of this study was to evaluate mechanical efficiency, propulsion technique and load on the shoulder complex during the initial stage of motor learning. 15 naive able-bodied participants received 12-minutes uninstructed wheelchair practice on a motor driven treadmill, consisting of three 4-minute blocks separated by two minutes rest. Practice was performed at a fixed belt speed (v = 1.1 m/s) and constant low-intensity power output (0.2 W/kg). Energy consumption, kinematics and kinetics of propulsion technique were continuously measured. The Delft Shoulder Model was used to calculate net joint moments, muscle activity and glenohumeral reaction force. With practice mechanical efficiency increased and propulsion technique changed, reflected by a reduced push frequency and increased work per push, performed over a larger contact angle, with more tangentially applied force and reduced power losses before and after each push. Contrary to our expectations, the above mentioned propulsion technique changes were found together with an increased load on the shoulder complex reflected by higher net moments, a higher total muscle power and higher peak and mean glenohumeral reaction forces. It appears that the early stages of motor learning in handrim wheelchair propulsion are indeed associated with improved technique and efficiency due to optimization of the kinematics and dynamics of the upper extremity. This process goes at the cost of an increased muscular effort and mechanical loading of the shoulder complex. This seems to be associated with an

  7. New Hydroxyproline Radiocarbon Dates from Sungir, Russia, Confirm Early Mid Upper Palaeolithic Burials in Eurasia

    PubMed Central

    Nalawade-Chavan, Shweta; McCullagh, James; Hedges, Robert

    2014-01-01

    Sungir (Russia) is a key Mid-Upper Palaeolithic site in Eurasia, containing several spectacular burials that disclose early evidence for complex burial rites in the form of a range of grave goods deposited along with the dead. Dating has been particularly challenging, with multiple radiocarbon dates ranging from 19,160±270 to 28,800±240 BP for burials that are believed to be closely similar in age. There are disparities in the radiocarbon dates of human bones, faunal remains and charcoal found on the floor of burials [1], [2], [3]. Our approach has been to develop compound-specific methods using High Performance Liquid Chromatography (HPLC) to separate single amino acids, such as hydroxyproline, and thereby avoid the known human contamination on the bones themselves. Previously, we applied this technique to obtain radiocarbon dates of ∼30,000 BP for Sungir 2, Sungir 3 and a mammoth bone from the occupation levels of the site [4]. The single amino acid radiocarbon dates were in good agreement with each other compared to all the dates previously reported, supporting their reliability. Here we report new hydroxyproline dates for two more human burials from the same site, Sungir 1 and Sungir 4. All five hydroxyproline dates reported are statistically indistinguishable and support an identical age for the group. The results suggest that compound-specific radiocarbon analysis should be considered seriously as the method of choice when precious archaeological remains are to be dated because they give a demonstrably contaminant-free radiocarbon age. The new ages are, together with the previously dated ‘Red Lady of Paviland’ human in the British Isles, the earliest for Mid Upper Palaeolithic burial behaviour in Eurasia, and point to the precocious appearance of this form of rite in Europe Russia. PMID:24416120

  8. New hydroxyproline radiocarbon dates from Sungir, Russia, confirm early Mid Upper Palaeolithic burials in Eurasia.

    PubMed

    Nalawade-Chavan, Shweta; McCullagh, James; Hedges, Robert

    2014-01-01

    Sungir (Russia) is a key Mid-Upper Palaeolithic site in Eurasia, containing several spectacular burials that disclose early evidence for complex burial rites in the form of a range of grave goods deposited along with the dead. Dating has been particularly challenging, with multiple radiocarbon dates ranging from 19,160±270 to 28,800±240 BP for burials that are believed to be closely similar in age. There are disparities in the radiocarbon dates of human bones, faunal remains and charcoal found on the floor of burials. Our approach has been to develop compound-specific methods using High Performance Liquid Chromatography (HPLC) to separate single amino acids, such as hydroxyproline, and thereby avoid the known human contamination on the bones themselves. Previously, we applied this technique to obtain radiocarbon dates of ∼30,000 BP for Sungir 2, Sungir 3 and a mammoth bone from the occupation levels of the site. The single amino acid radiocarbon dates were in good agreement with each other compared to all the dates previously reported, supporting their reliability. Here we report new hydroxyproline dates for two more human burials from the same site, Sungir 1 and Sungir 4. All five hydroxyproline dates reported are statistically indistinguishable and support an identical age for the group. The results suggest that compound-specific radiocarbon analysis should be considered seriously as the method of choice when precious archaeological remains are to be dated because they give a demonstrably contaminant-free radiocarbon age. The new ages are, together with the previously dated 'Red Lady of Paviland' human in the British Isles, the earliest for Mid Upper Palaeolithic burial behaviour in Eurasia, and point to the precocious appearance of this form of rite in Europe Russia.

  9. Knowledge, attitudes and practices of adolescents in Upper Egypt on gender-based violence, with a focus on early girls' marriage.

    PubMed

    Mahmoud, Alaa El Dine H

    2015-09-01

    A large proportion of the female population all over the world, particularly in developing countries, experience some form of gender-based violence (GBV) during their life. Early marriage, a form of GBV, is particularly highly prevalent in rural Upper Egypt. The aim of the current study was to assess the knowledge, attitudes and practices (KAP) of adolescents in Upper Egypt on domestic GBV, with a focus on early girls' marriage. The study was a cross-sectional descriptive household survey targeting 400 randomly selected adolescent boys and girls aged 11-16 years from five villages of Minya Governorate in Upper Egypt. The proportion of interviewed adolescents who could identify certain practices as forms of GBV was relatively low: the identified practices were mainly deprivation of work (9.0%), deprivation of inheritance (3.3%), arbitrary neglect and desertion (2.8%), and preventing from visiting relatives (0.5%). Abusive sexual behavior was not identified by any of the study participants as a form of domestic GBV. A total of 112 boys (56.0%) reported that they have been perpetrators in domestic GBV events at least once and 118 girls (59.0%) reported that they have been actual victims of domestic GBV. An overall 65.6% of study participants could correctly identify the legal age of marriage as 18 years, yet only 22.0% identified earlier ages of marriage as a form of domestic GBV. The vast majority of girls and boys reported that they would not agree to get married before the age of 18 years (91.0 and 87.0%, respectively). Adolescents in Upper Egypt demonstrated a less than satisfactory knowledge about the forms of GBV. Although early girls' marriage was not universally recognized by adolescents as a form of domestic GBV, they demonstrated satisfactory knowledge about the legal age of marriage, as well as a tendency to abandon the practice. Establishing a community-based awareness program for adolescents of both sexes about GBV with a focus on early girls' marriage is

  10. Late Wisconsin and Early Holocene runoff through the upper Ohio River basin

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

    Kite, J.S.

    A tentative absolute chronology is emerging from radiocarbon dates on glacial, alluvial and colluvial sediments in the upper Ohio River basin. Radiocarbon dates for Gallipolis Lock and Dam indicate the river eroded down to its present bedrock floor before 22,400 yr B.P. Data from several sites indicate aggradation began soon after 22,400 yr B.P., coincident with, or just before, a glacier advance into the upper Ohio basin. Sand and gravel aggraded in glaciated tributaries and the main valley, whereas silt, fine sand, and clay accumulated in unglaciated tributaries. Slope instability and colluvial deposition were extensive at this time. Aggradation continuedmore » until 25 to 40 m of sediments filled the Ohio River Valley. The paucity of radiocarbon dates prohibits precise determination of when peak aggradation occurred and how that peak related to glacial and climatic events. Although the Laurentide Ice Sheet retreated out of the basin by about 14,000 yr B.P., the river remained braided until at least 13,000 yr B.P., possibly because of slope instability in a cold late Wisconsin climate or the time required for the river to adjust to reduced outwash sediment supply. Coarse late-glacial channel deposits may reflect increased flood discharges after 13,000 B.P. and onset of the transition from a braided system to a meandering channel. However, the upper Ohio River seems not to have taken on its modern morphology until the early Holocene. Most dated overbank deposits on tributaries are younger than 10,000 yr B.P.; most on the Ohio River are younger than 8,500 yr B.P.« less

  11. Photodynamic therapy of early cancer in the upper aerodigestive tract and bronchi: instrumentation and clinical results

    NASA Astrophysics Data System (ADS)

    Wagnières, G.

    1990-01-01

    A complete instrumentation has been developed for photodynamic therapy (PDT) and combined PDT- hyperthermia in the upper aerodigestive tract and the bronchi. These instruments consist of several light distributors which permit optimal light dosage to "superficial" tumors, as well as an injector for laser beams into an optical fiber and a fiberoptic coupler for cw laser beam powers at least 100 Watts. PDT is carried out with HpD and Photofrin II at 630 nm, whereas occasional simultaneous hyperthermia is at 1.06 microns. PDT of 41 cases of "early" squamous cell carcinoma is reported with follow-up between 5 and 62 months. In the oesophagus and bronchi the results are good for cancers staged in situ or microinvasive at endoscopy (2 recurrences for 23 lesions treated). For more advanced cancers (submucosal in the oesopha- gus or invading the bronchial cartilage) the results are less satisfactory with 3 recurrences for 8 lesions treated. In the bronchi (1 case) and the oesophagus (1 case) the largest disease - free survival is now more than 5 years. We encountered 6 complications (3 cicatrical stenosis, 2 fistulae, 1 severe sunburn), most of them resulting from the lack of selectivity of PDT with these porphyrin mixtures at the applied conditions. These experiments show that PDT is efficient at destroying early squamous cell carcinomas in the pharynx, oesophagus and bronchi. Tumour selectivity of HpD and photofrin II is poor in the aerodigestive tract lined with squamous cell epithelium. The future lies in the synthesis of a more selective efficient photosensitizer.

  12. Agricultural production and stability of settlement systems in Upper Mesopotamia during the Early Bronze Age (third millennium BCE)

    NASA Astrophysics Data System (ADS)

    Kalayci, Tuna

    This study investigates the relationship between rainfall variation and rain-fed agricultural production in Upper Mesopotamia with a specific focus on Early Bronze Age urban settlements. In return, the variation in production is used to explore stability of urban settlement systems. The organization of the flow of agricultural goods is the key to sustaining the total settlement system. The vulnerability of a settlement system increases due to the increased demand for more output from agricultural lands. This demand is the key for the success of urbanization project. However, without estimating how many foodstuffs were available at the end of a production cycle, further discussions on the forces that shaped and sustained urban settlement systems will be lacking. While large scale fluctuations in the flow of agricultural products between settlements are not the only determinants of hierarchical structures, the total available agricultural yield for each urban settlement in a hierarchy must have influenced settlement relations. As for the methodology, first, Early Bronze Age precipitation levels are estimated by using modern day associations between the eastern Mediterranean coastal areas and the inner regions of Upper Mesopotamia. Next, these levels are integrated into a remote-sensing based biological growth model. Also, a CORONA satellite imagery based archaeological survey is conducted in order to map the Early Bronze Age settlement system in its entirety as well as the ancient markers of agricultural intensification. Finally, ancient agricultural production landscapes are modeled in a GIS. The study takes a critical position towards the traditionally held assumption that large urban settlements (cities) in Upper Mesopotamia were in a state of constant demand for food. The results from this study also suggest that when variations in ancient precipitation levels are translated into the variations in production levels, the impact of climatic aridification on ancient

  13. Virtual reality for upper extremity rehabilitation in early stroke: a pilot randomized controlled trial.

    PubMed

    Yin, Chan Wai; Sien, Ng Yee; Ying, Low Ai; Chung, Stephanie Fook-Chong Man; Tan May Leng, Dawn

    2014-11-01

    To investigate the effect of virtual reality (VR) rehabilitation on upper extremity motor performance of patients with early stroke. Pilot randomized controlled trial. Rehabilitation wards. Twenty three adults with stroke (mean age (SD) = 58.35 (13.45) years and mean time since stroke (SD) = 16.30 (7.44) days). Participants were randomly assigned to VR group (n=11) or control group (n=12). VR group received nine 30 minutes upper extremity VR therapy in standing (five weekdays in two weeks) plus conventional therapy, which included physical and occupational therapy. Control group received only conventional therapy, which was comparable to total training time received by VR group (mean training hours (SD):VR = 17.07 (2.86); control = 15.50 (2.79)). The main outcome measure was the Fugl-Meyer Assessment (FMA). Secondary outcomes included Action Research Arm Test, Motor Activity Log and Functional Independence Measure. Results were taken at baseline, post intervention and 1-month post intervention. Participants' feedback and adverse effects were recorded. All participants improved in FMA scores (mean change (SD) = 11.65 (8.56), P<.001). These effects were sustained at one month after intervention (mean (SD) change from baseline = 18.67 (13.26), P<.001). All other outcome measures showed similar patterns. There were no significant differences in improvement between both groups. Majority of the participants found VR training useful and enjoyable, with no serious adverse effects reported. Although additional VR training was not superior to conventional therapy alone, this study demonstrates the feasibility of VR training in early stroke. © The Author(s) 2014.

  14. An upper limit on Early Mars atmospheric pressure from small ancient craters

    NASA Astrophysics Data System (ADS)

    Kite, E. S.; Williams, J.; Lucas, A.; Aharonson, O.

    2012-12-01

    Planetary atmospheres brake, ablate, and disrupt small asteroids and comets, filtering out small hypervelocity surface impacts and causing fireballs, airblasts, meteors, and meteorites. Hypervelocity craters <1 km diameter on Earth are typically caused by irons (because stones are more likely to break up), and the smallest hypervelocity craters near sea-level on Earth are ~20 m in diameter. 'Zap pits' as small as 30 microns are known from the airless moon, but the other airy worlds show the effects of progressively thicker atmospheres:- the modern Mars atmosphere is marginally capable of removing >90% of the kinetic energy of >240 kg iron impactors; Titan's paucity of small craters is consistent with a model predicting atmospheric filtering of craters smaller than 6-8km; and on Venus, craters below ~20 km diameter are substantially depleted. Changes in atmospheric CO2 concentration are believed to be the single most important control on Mars climate evolution and habitability. Existing data requires an early epoch of massive atmospheric loss to space; suggests that the present-day rate of escape to space is small; and offers only limited evidence for carbonate formation. Existing evidence has not led to convergence of atmosphere-evolution models, which must balance poorly understood fluxes from volcanic degassing, surface weathering, and escape to space. More direct measurements are required in order to determine the history of CO2 concentrations. Wind erosion and tectonics exposes ancient surfaces on Mars, and the size-frequency distribution of impacts on these surfaces has been previously suggested as a proxy time series of Mars atmospheric thickness. We will present a new upper limit on Early Mars atmospheric pressure using the size-frequency distribution of 20-100m diameter ancient craters in Aeolis Dorsa, validated using HiRISE DTMs, in combination with Monte Carlo simulations of the effect of paleo-atmospheres of varying thickness on the crater flux. These

  15. Early Upper Paleolithic in Eastern Europe and implications for the dispersal of modern humans.

    PubMed

    Anikovich, M V; Sinitsyn, A A; Hoffecker, John F; Holliday, Vance T; Popov, V V; Lisitsyn, S N; Forman, Steven L; Levkovskaya, G M; Pospelova, G A; Kuz'mina, I E; Burova, N D; Goldberg, Paul; Macphail, Richard I; Giaccio, Biagio; Praslov, N D

    2007-01-12

    Radiocarbon and optically stimulated luminescence dating and magnetic stratigraphy indicate Upper Paleolithic occupation-probably representing modern humans-at archaeological sites on the Don River in Russia 45,000 to 42,000 years ago. The oldest levels at Kostenki underlie a volcanic ash horizon identified as the Campanian Ignimbrite Y5 tephra that is dated elsewhere to about 40,000 years ago. The occupation layers contain bone and ivory artifacts, including possible figurative art, and fossil shells imported more than 500 kilometers. Thus, modern humans appeared on the central plain of Eastern Europe as early as anywhere else in northern Eurasia.

  16. Chronological reassessment of the Middle to Upper Paleolithic transition and Early Upper Paleolithic cultures in Cantabrian Spain

    PubMed Central

    Rios-Garaizar, Joseba; Straus, Lawrence G.; Jones, Jennifer R.; de la Rasilla, Marco; González Morales, Manuel R.; Richards, Michael; Altuna, Jesús; Mariezkurrena, Koro; Ocio, David

    2018-01-01

    Methodological advances in dating the Middle to Upper Paleolithic transition provide a better understanding of the replacement of local Neanderthal populations by Anatomically Modern Humans. Today we know that this replacement was not a single, pan-European event, but rather it took place at different times in different regions. Thus, local conditions could have played a role. Iberia represents a significant macro-region to study this process. Northern Atlantic Spain contains evidence of both Mousterian and Early Upper Paleolithic occupations, although most of them are not properly dated, thus hindering the chances of an adequate interpretation. Here we present 46 new radiocarbon dates conducted using ultrafiltration pre-treatment method of anthropogenically manipulated bones from 13 sites in the Cantabrian region containing Mousterian, Aurignacian and Gravettian levels, of which 30 are considered relevant. These dates, alongside previously reported ones, were integrated into a Bayesian age model to reconstruct an absolute timescale for the transitional period. According to it, the Mousterian disappeared in the region by 47.9–45.1ka cal BP, while the Châtelperronian lasted between 42.6k and 41.5ka cal BP. The Mousterian and Châtelperronian did not overlap, indicating that the latter might be either intrusive or an offshoot of the Mousterian. The new chronology also suggests that the Aurignacian appears between 43.3–40.5ka cal BP overlapping with the Châtelperronian, and ended around 34.6–33.1ka cal BP, after the Gravettian had already been established in the region. This evidence indicates that Neanderthals and AMH co-existed <1,000 years, with the caveat that no diagnostic human remains have been found with the latest Mousterian, Châtelperronian or earliest Aurignacian in Cantabrian Spain. PMID:29668700

  17. Chronological reassessment of the Middle to Upper Paleolithic transition and Early Upper Paleolithic cultures in Cantabrian Spain.

    PubMed

    Marín-Arroyo, Ana B; Rios-Garaizar, Joseba; Straus, Lawrence G; Jones, Jennifer R; de la Rasilla, Marco; González Morales, Manuel R; Richards, Michael; Altuna, Jesús; Mariezkurrena, Koro; Ocio, David

    2018-01-01

    Methodological advances in dating the Middle to Upper Paleolithic transition provide a better understanding of the replacement of local Neanderthal populations by Anatomically Modern Humans. Today we know that this replacement was not a single, pan-European event, but rather it took place at different times in different regions. Thus, local conditions could have played a role. Iberia represents a significant macro-region to study this process. Northern Atlantic Spain contains evidence of both Mousterian and Early Upper Paleolithic occupations, although most of them are not properly dated, thus hindering the chances of an adequate interpretation. Here we present 46 new radiocarbon dates conducted using ultrafiltration pre-treatment method of anthropogenically manipulated bones from 13 sites in the Cantabrian region containing Mousterian, Aurignacian and Gravettian levels, of which 30 are considered relevant. These dates, alongside previously reported ones, were integrated into a Bayesian age model to reconstruct an absolute timescale for the transitional period. According to it, the Mousterian disappeared in the region by 47.9-45.1ka cal BP, while the Châtelperronian lasted between 42.6k and 41.5ka cal BP. The Mousterian and Châtelperronian did not overlap, indicating that the latter might be either intrusive or an offshoot of the Mousterian. The new chronology also suggests that the Aurignacian appears between 43.3-40.5ka cal BP overlapping with the Châtelperronian, and ended around 34.6-33.1ka cal BP, after the Gravettian had already been established in the region. This evidence indicates that Neanderthals and AMH co-existed <1,000 years, with the caveat that no diagnostic human remains have been found with the latest Mousterian, Châtelperronian or earliest Aurignacian in Cantabrian Spain.

  18. Applying cognitive training to target executive functions during early development.

    PubMed

    Wass, Sam V

    2015-01-01

    Developmental psychopathology is increasingly recognizing the importance of distinguishing causal processes (i.e., the mechanisms that cause a disease) from developmental outcomes (i.e., the symptoms of the disorder as it is eventually diagnosed). Targeting causal processes early in disordered development may be more effective than waiting until outcomes are established and then trying to reverse the pathogenic process. In this review, I evaluate evidence suggesting that neural and behavioral plasticity may be greatest at very early stages of development. I also describe correlational evidence suggesting that, across a number of conditions, early emerging individual differences in attentional control and working memory may play a role in mediating later-developing differences in academic and other forms of learning. I review the currently small number of studies that applied direct and indirect cognitive training targeted at young individuals and discuss methodological challenges associated with targeting this age group. I also discuss a number of ways in which early, targeted cognitive training may be used to help us understand the developmental mechanisms subserving typical and atypical cognitive development.

  19. Applying cognitive training to target executive functions during early development

    PubMed Central

    Wass, Sam V.

    2015-01-01

    Developmental psychopathology is increasingly recognizing the importance of distinguishing causal processes (i.e., the mechanisms that cause a disease) from developmental outcomes (i.e., the symptoms of the disorder as it is eventually diagnosed). Targeting causal processes early in disordered development may be more effective than waiting until outcomes are established and then trying to reverse the pathogenic process. In this review, I evaluate evidence suggesting that neural and behavioral plasticity may be greatest at very early stages of development. I also describe correlational evidence suggesting that, across a number of conditions, early emerging individual differences in attentional control and working memory may play a role in mediating later-developing differences in academic and other forms of learning. I review the currently small number of studies that applied direct and indirect cognitive training targeted at young individuals and discuss methodological challenges associated with targeting this age group. I also discuss a number of ways in which early, targeted cognitive training may be used to help us understand the developmental mechanisms subserving typical and atypical cognitive development. PMID:24511910

  20. Three-dimensional development of the upper dental arch in unilateral cleft lip and palate patients after early neonatal cheiloplasty.

    PubMed

    Hoffmannova, E; Moslerová, V; Dupej, J; Borský, J; Bejdová, Š; Velemínská, J

    2018-06-01

    This prospective morphometric study evaluated the growth of the upper dental arch in UCLP patients after early neonatal cheiloplasty and compared the selected dimensions with published data on non-cleft controls and on later operation protocol patients. The sample comprised 36 Czech children with nonsyndromic complete UCLP (cUCLP) and 20 Czech children with nonsyndromic incomplete UCLP (UCLP + b). 2-D and 3-D analyses of palatal casts were made at two time points: before neonatal cheiloplasty at the mean age of 3 days (±1 day), and 10 months after surgery at the mean age of 10 months (±1 month). The upper dental arch of cUCLP and UCLP + b patients showed similar developmental changes, but the cleft type influenced growth significantly. The initial high shape variability in cUCLP patients diminished after 10 months, and approached the variability in UCLP + b patients. Both the width and length dimensions increased after surgery. Important growth concerned the anterior ends of both segments. The width and length dimensions illustrated similar growth trends with non-cleft controls and UCLP patients who underwent later cheiloplasty. Early neonatal cheiloplasty caused no reduction in the length or width dimensions during the first year of life. Our data suggest a reconstructed lip has a natural formative effect on the actively growing anterior parts of upper dental arch segments, which cause narrowing of the alveolar cleft. Copyright © 2018 Elsevier B.V. All rights reserved.

  1. Complete major amputation of the upper extremity: Early results and initial treatment algorithm.

    PubMed

    Märdian, Sven; Krapohl, Björn D; Roffeis, Jana; Disch, Alexander C; Schaser, Klaus-Dieter; Schwabe, Philipp

    2015-03-01

    Traumatic major amputations of the upper extremity are devastating injuries. These injuries have a profound impact on patient's quality of life and pose a burden on social economy. The aims of the current study were to report about the initial management of isolated traumatic major upper limb amputation from the time of admission to definitive soft tissue closure and to establish a distinct initial management algorithm. We recorded data concerning the initial management of the patient and the amputated body part in the emergency department (ED) (time from admission to the operation, Injury Severity Score [ISS], cold ischemia time from injury to ED, and total cold ischemia time). The duration, amount of surgical procedures, the time to definitive soft tissue coverage, and the choice of flap were part of the documentation. All intraoperative and postoperative complications were recorded. All patients were successfully replanted (time from injury to ED, 59 ± 4 minutes; ISS16; time from admission to operating room 57 ± 10 minutes; total cold ischemia time 203 ± 20 minutes; total number of procedures 7.3 ± 2.5); definitive soft tissue coverage could be achieved 23 ± 14 days after injury. Two thromboembolic complications occurred, which could be treated by embolectomy during revision surgery, and we saw one early infection, which could be successfully managed by serial debridements in our series. The management of complete major amputations of the upper extremity should be reserved for large trauma centers with enough resources concerning technical, structural, and personnel infrastructure to meet the demands of surgical reconstruction as well as the postoperative care. Following a distinct treatment algorithm is mandatory to increase the rate of successful major replantations, thus laying the foundation for promising secondary functional reconstructive efforts. Therapeutic study, level V.

  2. The early Upper Paleolithic human skeleton from the Abrigo do Lagar Velho (Portugal) and modern human emergence in Iberia

    PubMed Central

    Duarte, Cidália; Maurício, João; Pettitt, Paul B.; Souto, Pedro; Trinkaus, Erik; van der Plicht, Hans; Zilhão, João

    1999-01-01

    The discovery of an early Upper Paleolithic human burial at the Abrigo do Lagar Velho, Portugal, has provided evidence of early modern humans from southern Iberia. The remains, the largely complete skeleton of a ≈4-year-old child buried with pierced shell and red ochre, is dated to ca. 24,500 years B.P. The cranium, mandible, dentition, and postcrania present a mosaic of European early modern human and Neandertal features. The temporal bone has an intermediate-sized juxtamastoid eminence. The mandibular mentum osseum and the dental size and proportions, supported by mandibular ramal features, radial tuberosity orientation, and diaphyseal curvature, as well as the pubic proportions align the skeleton with early modern humans. Body proportions, reflected in femorotibial lengths and diaphyseal robusticity plus tibial condylar displacement, as well as mandibular symphyseal retreat and thoracohumeral muscle insertions, align the skeleton with the Neandertals. This morphological mosaic indicates admixture between regional Neandertals and early modern humans dispersing into southern Iberia. It establishes the complexities of the Late Pleistocene emergence of modern humans and refutes strict replacement models of modern human origins. PMID:10377462

  3. Control of early-formed vesicle cylinders on upper crustal prismatic jointing in compound pāhoehoe lavas of Elephanta Island, western Deccan Traps, India

    NASA Astrophysics Data System (ADS)

    Sheth, Hetu; Patel, Vanit; Samant, Hrishikesh

    2017-08-01

    Upper crustal prismatic joints and vesicle cylinders, common in pāhoehoe lava flows, form early and late, respectively, and are therefore independent features. However, small-scale compound pāhoehoe lava lobes on Elephanta Island (western Deccan Traps, India), which resemble S-type (spongy) pāhoehoe in some aspects, contain vesicle cylinders which apparently controlled the locations of upper crustal prismatic joints. The lobes are decimeters thick, did not experience inflation after emplacement, and solidified rapidly. They have meter-scale areas that are exceptionally rich in vesicle cylinders (up to 68 cylinders in 1 m2, with a mean spacing of 12.1 cm), separated by cylinder-free areas, and pervasive upper crustal prismatic jointing with T, curved T, and quadruple joint intersections. A majority (≥76.5%) of the cylinders are located exactly on joints or at joint intersections, and were not simply captured by downward growing joints, as the cylinders show no deflection in vertical section. We suggest that large numbers of cylinders originated in a layer of bubble-rich residual liquid at the top of a basal diktytaxitic crystal mush zone which was formed very early (probably within the first few minutes of the emplacement history). The locations where the rising cylinders breached the crust provided weak points or mechanical flaws towards which any existing joints (formed by thermal contraction) propagated. New joints may also have propagated outwards from the cylinders and linked up laterally. Some cylinders breached the crust between the joints, and thus formed a little later than most others. The Elephanta Island example reveals that, whereas thermal contraction is undoubtedly valid as a standard mechanism for forming upper crustal prismatic joints, abundant mechanical flaws (such as large concentrations of early-formed, crust-breaching vesicle cylinders) can also control the joint formation process.

  4. Dental maturational sequence and dental tissue proportions in the early Upper Paleolithic child from Abrigo do Lagar Velho, Portugal

    PubMed Central

    Bayle, Priscilla; Macchiarelli, Roberto; Trinkaus, Erik; Duarte, Cidália; Mazurier, Arnaud; Zilhão, João

    2010-01-01

    Neandertals differ from recent and terminal Pleistocene human populations in their patterns of dental development, endostructural (internal structure) organization, and relative tissue proportions. Although significant changes in craniofacial and postcranial morphology have been found between the Middle Paleolithic and earlier Upper Paleolithic modern humans of western Eurasia and the terminal Pleistocene and Holocene inhabitants of the same region, most studies of dental maturation and structural morphology have compared Neandertals only to later Holocene humans. To assess whether earlier modern humans contrasted with later modern populations and possibly approached the Neandertal pattern, we used high-resolution microtomography to analyze the remarkably complete mixed dentition of the early Upper Paleolithic (Gravettian) child from Abrigo do Lagar Velho, Portugal, and compared it to a Neandertal sample, the late Upper Paleolithic (Magdalenian) child of La Madeleine, and a worldwide extant human sample. Some aspects of the dental maturational pattern and tooth endostructural organization of Lagar Velho 1 are absent from extant populations and the Magdalenian specimen and are currently documented only among Neandertals. Therefore, a simple Neandertal versus modern human dichotomy is inadequate to accommodate the morphostructural and developmental variation represented by Middle Paleolithic and earlier Upper Paleolithic populations. These data reinforce the complex nature of Neandertal-modern human similarities and differences, and document ongoing human evolution after the global establishment of modern human morphology. PMID:20080622

  5. Distribution of early life history stages of fishes in selected pools of the upper Mississippi River

    USGS Publications Warehouse

    Holland, L.E.

    1986-01-01

    Effective management of the fishery resources of the Upper Mississippi River and successful mitigation of the loss of critical habitat depend in part on an understanding of the reproductive and early life history requirements of the affected fishes. However, little is known about the use of nursery areas by fishes in the river. Of the nearly 130 species identified in the adult ichthyofauna, only a few are represented proportionally in the available data on early life stages because study designs have not included consideration of the early stages, collection gears have not adequately sampled the young, and eggs and larvae of some species are difficult to sample by conventional approaches. For the species collected, information is available on seasonal variations in total densities, composition, and catch among different habitat types. However, the data are most accurate for species with buoyant early life stages, such as freshwater drum (Aplodinotus grunniens) and gizzard shad (Dorosoma cepedianum). Eggs and larvae of freshwater drum dominate collections made in the main channel, whereas other larval fishes are usually most abundant in backwater habitats. The species found there usually deposit eggs on the substrate or on vegetation. Habitat preferences (as indicated by relative abundance) often shift as development proceeds and physical and behavioral changes occur in the larvae. Only limited information is available on the distribution of larvae within habitats, but it is clear that variations within habitats are significant.

  6. Stability of upper face sexual dimorphism in central European populations (Czech Republic) during the modern age.

    PubMed

    Bejdová, Šárka; Dupej, Ján; Krajíček, Václav; Velemínská, Jana; Velemínský, Petr

    2018-01-01

    One of the most fundamental issues in forensic anthropology is the determination of sex and population affinity based on various skeletal elements. Therefore, we compared the sexual dimorphism of the upper facial skeleton from a recent Czech population (twenty-first century) with that of a population from Early Modern Age Bohemia (sixteenth to eighteenth centuries). Methods of geometric morphometrics were applied. According to the results, sexual dimorphism in terms of size, shape, and form was statistically significant in both populations. The best results of sex estimation originated from analyses of form. Thus, both size and shape differences should be taken into account for determination of the sex. The accuracy of prediction achieved 91.1% for individuals in the recent population and 87.5% for individuals from the early modern population. Only minor differences were found between sexual dimorphism in the studied populations. We conclude that sexual dimorphism of the upper facial skeleton is stable during the relatively short time period.

  7. Early Upper Paleolithic colonization across Europe: Time and mode of the Gravettian diffusion

    PubMed Central

    Cascalheira, João; Gonçalves, Célia

    2017-01-01

    This study presents new models on the origin, speed and mode of the wave-of-advance leading to the definitive occupation of Europe’s outskirts by Anatomically Modern Humans, during the Gravettian, between c. 37 and 30 ka ago. These models provide the estimation for possible demic dispersal routes for AMH at a stable spread rate of c. 0.7 km/year, with the likely origin in Central Europe at the site of Geissenklosterle in Germany and reaching all areas of the European landscape. The results imply that: 1. The arrival of the Gravettian populations into the far eastern European plains and to southern Iberia found regions with very low human occupation or even devoid of hominins; 2. Human demography was likely lower than previous estimates for the Upper Paleolithic; 3. The likely early AMH paths across Europe followed the European central plains and the Mediterranean coast to reach to the ends of the Italian and Iberian peninsulas. PMID:28542642

  8. Petrology and diagenetic history of the upper shale member of the Late Devonian-Early Mississippian Bakken Formation, Williston Basin, North Dakota

    USGS Publications Warehouse

    Neil S. Fishman,; Sven O. Egenhoff,; Boehlke, Adam; Lowers, Heather A.

    2015-01-01

    The organic-rich upper shale member of the upper Devonian–lower Mississippian Bakken Formation (Williston Basin, North Dakota, USA) has undergone significant diagenetic alteration, irrespective of catagenesis related to hydrocarbon generation. Alteration includes precipitation of numerous cements, replacement of both detrital and authigenic minerals, multiple episodes of fracturing, and compaction. Quartz authigenesis occurred throughout much of the member, and is represented by multiple generations of microcrystalline quartz. Chalcedonic quartz fills radiolarian microfossils and is present in the matrix. Sulfide minerals include pyrite and sphalerite. Carbonate diagenesis is volumetrically minor and includes thin dolomite overgrowths and calcite cement. At least two generations of fractures are observed. Based on the authigenic minerals and their relative timing of formation, the evolution of pore waters can be postulated. Dolomite and calcite resulted from early postdepositional aerobic oxidation of some of the abundant organic material in the formation. Following aerobic oxidation, conditions became anoxic and sulfide minerals precipitated. Transformation of the originally opaline tests of radiolaria resulted in precipitation of quartz, and quartz authigenesis is most common in more distal parts of the depositional basin where radiolaria were abundant. Because quartz authigenesis is related to the distribution of radiolaria, there is a link between diagenesis and depositional environment. Furthermore, much of the diagenesis in the upper shale member preceded hydrocarbon generation, so early postdepositional processes were responsible for occlusion of significant original porosity in the member. Thus, diagenetic mineral precipitation was at least partly responsible for the limited ability of these mudstones to provide porosity for storage of hydrocarbons.

  9. 51. View of upper radar scanner switch in radar scanner ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    51. View of upper radar scanner switch in radar scanner building 105 from upper catwalk level showing emanating waveguides from upper switch (upper one-fourth of photograph) and emanating waveguides from lower radar scanner switch in vertical runs. - Clear Air Force Station, Ballistic Missile Early Warning System Site II, One mile west of mile marker 293.5 on Parks Highway, 5 miles southwest of Anderson, Anderson, Denali Borough, AK

  10. Clinical effects of joint application of β-sodium aescinate and mannitol in treating early swelling after upper limb trauma surgery.

    PubMed

    Wang, Bin; Yang, Ruixiang; Ju, Qing; Liu, Shaofeng; Zhang, Yongchun; Ma, Yong

    2016-11-01

    The aim of the present study was to examine the clinical merits of joint application of β-sodium aescinate and mannitol for the treatment of early swelling of upper limb trauma after surgery. We verified whether the expression of serum aquaporin 1 (AQP-1) was involved in swelling mechanism. A total of 102 patients with swelling after upper limb trauma surgery were enrolled into the study and divided randomly into 3 groups (n=34 cases per group). Group A was treated with β-sodium aescinate; group B was treated with with mannitol and group C was treated with both β-sodium aescinate and mannitol. The expression level of AQP-1, and clinical effects and complications before and after treatment were compared§. The time of swelling subsidence in group C was significantly shorter than that of the other two groups and differences were statistically significant (P<0.05). The recovery ratio and total efficiency in group C were significantly higher than those in other two groups and differences were statistically significant (P<0.05). Three and seven days after treatment, the AQP-1 levels in group A and group C were decreased and AQP-1 level decreased further with time. Differences of comparison within groups were statistically significant (P<0.05), although the differences of comparison between the groups showed no statistical significance (P>0.05). We also compared the AQP-1 level in group B before and after treatment, and the differences were not statistically significant (P>0.05). When the complication incidence in the 3 groups was compared, no statistical significance was detected (P>0.05). We concluded that the joint use of β-sodium aescinate and mannitol in treating early swelling after upper limb trauma surgery produced satisfactory outcomes. This might be related to reduction of the AQP-1 level.

  11. Lessons Learned from Ares I Upper Stage Structures and Thermal Design

    NASA Technical Reports Server (NTRS)

    Ahmed, Rafiq

    2012-01-01

    The Ares 1 Upper Stage was part of the vehicle intended to succeed the Space Shuttle as the United States manned spaceflight vehicle. Although the Upper Stage project was cancelled, there were many lessons learned that are applicable to future vehicle design. Lessons learned that are briefly detailed in this Technical Memorandum are for specific technical areas such as tank design, common bulkhead design, thrust oscillation, control of flight and slosh loads, purge and hazardous gas system. In addition, lessons learned from a systems engineering and vehicle integration perspective are also included, such as computer aided design and engineering, scheduling, and data management. The need for detailed systems engineering in the early stages of a project is emphasized throughout this report. The intent is that future projects will be able to apply these lessons learned to keep costs down, schedules brief, and deliver products that perform to the expectations of their customers.

  12. Educational Discourse and the Making of Educational Legislation in Early Upper Canada

    ERIC Educational Resources Information Center

    Di Mascio, Anthony

    2010-01-01

    The educational history of Upper Canada is commonly written as the succession of an elite group of educational reformers who advocated a centralized system of mass schooling. However, the recent shift in research on Upper Canada away from the narrative of prominent individuals who controlled the social, political, and economic development of the…

  13. Effects of Robot-Assisted Therapy for the Upper Limb After Stroke.

    PubMed

    Veerbeek, Janne M; Langbroek-Amersfoort, Anneli C; van Wegen, Erwin E H; Meskers, Carel G M; Kwakkel, Gert

    2017-02-01

    Robot technology for poststroke rehabilitation is developing rapidly. A number of new randomized controlled trials (RCTs) have investigated the effects of robot-assisted therapy for the paretic upper limb (RT-UL). To systematically review the effects of poststroke RT-UL on measures of motor control of the paretic arm, muscle strength and tone, upper limb capacity, and basic activities of daily living (ADL) in comparison with nonrobotic treatment. Relevant RCTs were identified in electronic searches. Meta-analyses were performed for measures of motor control (eg, Fugl-Meyer Assessment of the arm; FMA arm), muscle strength and tone, upper limb capacity, and basic ADL. Subgroup analyses were applied for the number of joints involved, robot type, timing poststroke, and treatment contrast. Forty-four RCTs (N = 1362) were included. No serious adverse events were reported. Meta-analyses of 38 trials (N = 1206) showed significant but small improvements in motor control (~2 points FMA arm) and muscle strength of the paretic arm and a negative effect on muscle tone. No effects were found for upper limb capacity and basic ADL. Shoulder/elbow robotics showed small but significant effects on motor control and muscle strength, while elbow/wrist robotics had small but significant effects on motor control. RT-UL allows patients to increase the number of repetitions and hence intensity of practice poststroke, and appears to be a safe therapy. Effects on motor control are small and specific to the joints targeted by RT-UL, whereas no generalization is found to improvements in upper limb capacity. The impact of RT-UL started in the first weeks poststroke remains unclear. These limited findings could mainly be related to poor understanding of robot-induced motor learning as well as inadequate designing of RT-UL trials, by not applying an appropriate selection of stroke patients with a potential to recovery at baseline as well as the lack of fixed timing of baseline assessments and

  14. Applying the technique of volume-modulated arc radiotherapy to upper esophageal carcinoma.

    PubMed

    Ma, Pan; Wang, Xiaozhen; Xu, Yingjie; Dai, Jianrong; Wang, Luhua

    2014-05-08

    This study aims to evaluate the possibility of using the technique of volume-modulated arc therapy (VMAT) to combine the advantages of simplified intensity-modulated radiation therapy (sIMRT) with that of regular intensity-modulated radiation therapy (IMRT) in upper esophageal cancer. Ten patients with upper esophageal carcinoma were randomly chosen in this retrospective study. sIMRT, IMRT, and VMAT plans were generated to deliver 60 Gy in 30 fractions to the planning target volume (PTV). For each patient, with the same clinical requirements (target dose prescription, and dose/dose-volume constraints to organs at risk (OARs)), three plans were designed for sIMRT (five equispaced coplanar beams), IMRT (seven equispaced coplanar beams), and VMAT (two complete arcs). Comparisons were performed for dosimetric parameters of PTV and of OARs (lungs, spinal cord PRV, heart and normal tissue (NT)). All the plans were delivered to a phantom to evaluate the treatment time. The Wilcoxon matched-pairs, signed-rank test was used for intragroup comparison. For all patients, compared to sIMRT plans, VMAT plans statistically provide: a) significant improvement in HI and CI for PTV; b) significant decrease in delivery time, lung V20, MLD, heart V30 and spinal cord PRV D1cc; c) significant increase in NT V5; and d) no significant reduction in lung V5, V10, and heart MD. For all patients, compared to IMRT plans, VMAT plans statistically provide: a) significant improvement in CI for PTV; b) significant decrease in delivery time, lung V20, MLD, NT and spinal cord PRV D1cc; c) significant increase in NT V5; and d) no significant reduction in HI for PTV, lung V5, V10, heart V30 and heart MD. For patients with upper esophageal carcinoma, using VMAT significantly reduces the delivery time and the dose to the lungs compared with IMRT, and consequently saves as much treatment time as sIMRT. Considering those significant advantages, compared to sIMRT and IMRT, VMAT is the first choice of

  15. 34 CFR 694.14 - What requirements apply to a State that served students under the National Early Intervention...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 34 Education 3 2010-07-01 2010-07-01 false What requirements apply to a State that served students under the National Early Intervention Scholarship and Partnership program (NEISP) and that receives a... students under the National Early Intervention Scholarship and Partnership program (NEISP) and that...

  16. Upper ocean moored current and density profiler applied to winter conditions near Bermuda

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

    Eriksen, C.C.; Dahlen, J.M.; Shillingford, J.T. Jr.

    1982-09-20

    A new moored instrument which makes repeated high vertical resolution profiles of current, temperature, and salinity in the upper ocean over extended periods was used to observe midwinter conditions near Bermuda. The operation and performance of the instrument, called the profiling current meter (PCM), in the surface wave environment of winter storms is reported here. The PCM profiles along the upper portion of a slightly subsurface mooring by adjusting its buoyancy under computer control. This design decouples the instrument from vertical motions of the mooring induced by surface waves, so that its electromagnetic current sensor operates in a favorable mean-to-fluctuatingmore » flow regime. Current, temperature, and electrical conductivity are (vector) averaged into contiguous preselected bins several meters wide over the possible profile range of 20- to 250-m depth. The PCM is capable of collecting 1000--4000 profiles in a 6- to 12-month period, depending on depth range and ambient currents. A variety of baroclinic motions are evident in the Bermuda observations. Upper ocean manifestations of both Kelvin and superinertial island-trapped waves dominate longshore currents. Vertical coherence of onshore current and temperature suggest that internal wave vertical wave number energy distribution is independent of frequency but modified by island bathymetry. Kinetic energy in shear integrated over a 115.6-m-thick layer in the upper ocean is limited to values less than or equal to the potential energy required to mix the existing stratification. Mixing events occur when kinetic energy associated with shear drives the bulk Richardson number (defined by the ratio of energy integrals over the range profiles) to unity, where it remains while shear and stratification disappear together.« less

  17. Upper Eyelid Fractional CO2 Laser Resurfacing With Incisional Blepharoplasty.

    PubMed

    Kotlus, Brett S; Schwarcz, Robert M; Nakra, Tanuj

    2016-01-01

    Laser resurfacing, performed at the same time as blepharoplasty, has most commonly been applied to the lower eyelid skin but can effectively be used on the upper eyelid to reduce rhytidosis and improve skin quality. The authors evaluate the safety and efficacy of this procedure. Fractional CO2 laser resurfacing was performed in conjunction with incisional upper blepharoplasty. The ultrapulsed laser energy was applied to the sub-brow skin, the upper medial canthal skin, and the pretarsal skin in 30 patients. Photos were obtained preoperatively and at 3 months. All patients demonstrated reduction in upper eyelid rhytidosis without any serious complications. Independent rhytidosis grading (0-4) showed a mean improvement of 42%. One patient experienced wound dehiscence that satisfactorily resolved without intervention. Upper eyelid laser resurfacing is effective and can be safely performed at the same time as upper blepharoplasty. This approach reduces or eliminates the need for medial incisions to address medial canthal skin redundancy and rhytidosis and it directly treats upper eyelid wrinkles on residual eyelid and infra-brow skin during blepharoplasty.

  18. Feasibility and nutritional impact of laparoscopy-assisted subtotal gastrectomy for early gastric cancer in the upper stomach.

    PubMed

    Kosuga, Toshiyuki; Hiki, Naoki; Nunobe, Souya; Noma, Hisashi; Honda, Michitaka; Tanimura, Shinya; Sano, Takeshi; Yamaguchi, Toshiharu

    2014-06-01

    Laparoscopy-assisted total gastrectomy (LATG) is commonly performed for early gastric cancer (EGC) in the upper stomach; however, the incidence of anastomotic complications remains high, and postoperative nutritional status is not satisfactory. This study aimed to evaluate the feasibility and nutritional impact of a novel surgical procedure, laparoscopy-assisted subtotal gastrectomy (LAsTG). This was a retrospective study of 167 patients with EGC in the upper stomach. Of these, 57 patients underwent LAsTG, while 110 patients underwent LATG. Postoperative change in body weight, and serum concentration of albumin (Alb) and total protein (TP) were compared between the LAsTG and LATG groups. Analysis of covariance (ANCOVA) was used to assess the influence of potential confounding factors. Frequency of anastomotic complications was significantly higher in the LATG group (16.3 %) than in the LAsTG group (5.3 %, P = 0.040). Postoperative recovery of body weight at 12 months after surgery was significantly better in the LAsTG group (89.8 ± 1.4 %) than in the LATG group (82.1 ± 1.0 %, P < 0.001). By ANCOVA, adjusted mean differences of Alb and TP at 12 months after surgery between the LAsTG and LATG groups were 0.226 g/dl (95 % CI 0.141-0.312; P < 0.001) and 0.380 g/dl (95 % CI 0.265-0.495; P < 0.001); thus, the surgical procedure was significantly associated with the postoperative Alb and TP levels. LAsTG could be a better choice than LATG for EGC in the upper stomach as a result of improvements in the incidence of anastomotic complications and postoperative nutritional status.

  19. Novel mechanisms of early upper and lower urinary tract patterning regulated by RetY1015 docking tyrosine in mice

    PubMed Central

    Hoshi, Masato; Batourina, Ekatherina; Mendelsohn, Cathy; Jain, Sanjay

    2012-01-01

    Mutations in the receptor tyrosine kinase RET are associated with congenital anomalies of kidneys or urinary tract (CAKUT). RET tyrosine Y1015 is the docking site for PLCγ, a major regulator of RET signaling. Abrogating signaling via Y1015 causes CAKUT that are markedly different than renal agenesis in Ret-null or RetY1062F mutant mice. We performed analysis of Y1015F mutant upper and lower urinary tracts in mice to delineate its molecular and developmental roles during early urinary tract formation. We found that the degeneration of the common nephric ducts (CND), the caudal-most Wolffian duct (WD) segment, depends on Y1015 signals. The CNDs in Y1015F mutants persist owing to increased proliferation and reduced apoptosis, and showed abundance of phospho-ERK-positive cells. In the upper urinary tract, the Y1015 signals are required for proper patterning of the mesonephros and metanephros. Timely regression of mesonephric mesenchyme and proper demarcation of mesonephric and metanephric mesenchyme from the WD depends on RetY1015 signaling. We show that the mechanism of de novo ectopic budding is via increased ERK activity due to abnormal mesenchymal GDNF expression. Although reduction in GDNF dosage improved CAKUT it did not affect delayed mesenchyme regression. Experiments using whole-mount immunofluorescence confocal microscopy and explants cultures of early embryos with ERK-specific inhibitors suggest an imbalance between increased proliferation, decreased apoptosis and increased ERK activity as a mechanism for WD defects in RetY1015F mice. Our work demonstrates novel inhibitory roles of RetY1015 and provides a possible mechanistic explanation for some of the confounding broad range phenotypes in individuals with CAKUT. PMID:22627285

  20. Radiocarbon chronology of Manot Cave, Israel and Upper Paleolithic dispersals

    PubMed Central

    Alex, Bridget; Barzilai, Omry; Hershkovitz, Israel; Marder, Ofer; Berna, Francesco; Caracuta, Valentina; Abulafia, Talia; Davis, Lauren; Goder-Goldberger, Mae; Lavi, Ron; Mintz, Eugenia; Regev, Lior; Bar-Yosef Mayer, Daniella; Tejero, José-Miguel; Yeshurun, Reuven; Ayalon, Avner; Bar-Matthews, Mira; Yasur, Gal; Frumkin, Amos; Latimer, Bruce; Hans, Mark G.; Boaretto, Elisabetta

    2017-01-01

    The timing of archeological industries in the Levant is central for understanding the spread of modern humans with Upper Paleolithic traditions. We report a high-resolution radiocarbon chronology for Early Upper Paleolithic industries (Early Ahmarian and Levantine Aurignacian) from the newly excavated site of Manot Cave, Israel. The dates confirm that the Early Ahmarian industry was present by 46,000 calibrated years before the present (cal BP), and the Levantine Aurignacian occurred at least between 38,000 and 34,000 cal BP. This timing is consistent with proposed migrations or technological diffusions between the Near East and Europe. Specifically, the Ahmarian could have led to the development of the Protoaurignacian in Europe, and the Aurignacian in Europe could have spread back to the Near East as the Levantine Aurignacian. PMID:29152566

  1. Radiocarbon chronology of Manot Cave, Israel and Upper Paleolithic dispersals.

    PubMed

    Alex, Bridget; Barzilai, Omry; Hershkovitz, Israel; Marder, Ofer; Berna, Francesco; Caracuta, Valentina; Abulafia, Talia; Davis, Lauren; Goder-Goldberger, Mae; Lavi, Ron; Mintz, Eugenia; Regev, Lior; Bar-Yosef Mayer, Daniella; Tejero, José-Miguel; Yeshurun, Reuven; Ayalon, Avner; Bar-Matthews, Mira; Yasur, Gal; Frumkin, Amos; Latimer, Bruce; Hans, Mark G; Boaretto, Elisabetta

    2017-11-01

    The timing of archeological industries in the Levant is central for understanding the spread of modern humans with Upper Paleolithic traditions. We report a high-resolution radiocarbon chronology for Early Upper Paleolithic industries (Early Ahmarian and Levantine Aurignacian) from the newly excavated site of Manot Cave, Israel. The dates confirm that the Early Ahmarian industry was present by 46,000 calibrated years before the present (cal BP), and the Levantine Aurignacian occurred at least between 38,000 and 34,000 cal BP. This timing is consistent with proposed migrations or technological diffusions between the Near East and Europe. Specifically, the Ahmarian could have led to the development of the Protoaurignacian in Europe, and the Aurignacian in Europe could have spread back to the Near East as the Levantine Aurignacian.

  2. Early diagenesis driven by widespread meteoric infiltration of a Central European carbonate ramp: A reinterpretation of the Upper Muschelkalk

    NASA Astrophysics Data System (ADS)

    Adams, Arthur; Diamond, Larryn W.

    2017-12-01

    Meteoric diagenesis of carbonate ramps is often difficult to interpret and can commonly be confused with other coinciding diagenetic processes. The Middle Triassic Upper Muschelkalk of Switzerland provides an insightful case in which the effects of several overprinting diagenetic environments, including matrix dolomitization, can be clearly unravelled. Previous studies suggested that diagenesis took place in connate marine waters, with later meteoric waters being invoked to explain recrystallization of dolomite. In this study, diagenetic analyses (C-O stable isotope ratios, thin-section point counting, cathodoluminescence and UV-fluorescence microscopy) of calcitic bioclastic samples have revealed that early diagenesis (pre-stylolitization) and the accompanying porosity evolution did not occur exclusively in the presence of marine fluids. Five sequential stages of diagenesis have been identified: marine, shallow burial, mixing-zone, meteoric and dolomitization. Marine diagenesis induced precipitation of bladed and inclusion-rich syntaxial cements that fluoresce strongly under UV-light. Both cements account for a mean 7.5 vol% reduction in the porosity of bioclastic beds. Shallow burial diagenesis likely induced mouldic porosity and associated fluorescent dog-tooth cementation. Based on light oxygen isotope and elevated strontium isotope ratios, matrix aragonite-calcite neomorphism is interpreted to have occurred in a mixture of marine and meteoric fluids. The combination of shallow burial and mixing-zone processes reduced porosity on average by 4.8 vol%. Evidence for subsequent meteoric diagenesis is found in abundant dog-tooth and blocky calcite cements that have mean δ18OVPDB of - 9.36‰ and no signs of recrystallization. These meteoric cements reduced porosity by a further 13.4 vol%. Percolation of meteoric water through the ramp was driven by hydraulic gradients on an adjacent basement high, which was exposed by a cycle of early Ladinian regressions

  3. The accuracy and precision of radiostereometric analysis in upper limb arthroplasty.

    PubMed

    Ten Brinke, Bart; Beumer, Annechien; Koenraadt, Koen L M; Eygendaal, Denise; Kraan, Gerald A; Mathijssen, Nina M C

    2017-06-01

    Background and purpose - Radiostereometric analysis (RSA) is an accurate method for measurement of early migration of implants. Since a relation has been shown between early migration and future loosening of total knee and hip prostheses, RSA plays an important role in the development and evaluation of prostheses. However, there have been few RSA studies of the upper limb, and the value of RSA of the upper limb is not yet clear. We therefore performed a systematic review to investigate the accuracy and precision of RSA of the upper limb. Patients and methods - PRISMA guidelines were followed and the protocol for this review was published online at PROSPERO under registration number CRD42016042014. A systematic search of the literature was performed in the databases Embase, Medline, Cochrane, Web of Science, Scopus, Cinahl, and Google Scholar on April 25, 2015 based on the keywords radiostereometric analysis, shoulder prosthesis, elbow prosthesis, wrist prosthesis, trapeziometacarpal joint prosthesis, humerus, ulna, radius, carpus. Articles concerning RSA for the analysis of early migration of prostheses of the upper limb were included. Quality assessment was performed using the MINORS score, Downs and Black checklist, and the ISO RSA Results - 23 studies were included. Precision values were in the 0.06-0.88 mm and 0.05-10.7° range for the shoulder, the 0.05-0.34 mm and 0.16-0.76° range for the elbow, and the 0.16-1.83 mm and 11-124° range for the TMC joint. Accuracy data from marker- and model-based RSA were not reported in the studies included. Interpretation - RSA is a highly precise method for measurement of early migration of orthopedic implants in the upper limb. However, the precision of rotation measurement is poor in some components. Challenges with RSA in the upper limb include the symmetrical shape of prostheses and the limited size of surrounding bone, leading to over-projection of the markers by the prosthesis. We recommend higher adherence to

  4. Solar Wind Interaction with the Martian Upper Atmosphere at Early Mars/Extreme Solar Conditions

    NASA Astrophysics Data System (ADS)

    Dong, C.; Bougher, S. W.; Ma, Y.; Toth, G.; Lee, Y.; Nagy, A. F.; Tenishev, V.; Pawlowski, D. J.; Combi, M. R.

    2014-12-01

    The investigation of ion escape fluxes from Mars, resulting from the solar wind interaction with its upper atmosphere/ionosphere, is important due to its potential impact on the long-term evolution of Mars atmosphere (e.g., loss of water) over its history. In the present work, we adopt the 3-D Mars cold neutral atmosphere profiles (0 ~ 300 km) from the newly developed and validated Mars Global Ionosphere Thermosphere Model (M-GITM) and the 3-D hot oxygen profiles (100 km ~ 5 RM) from the exosphere Monte Carlo model Adaptive Mesh Particle Simulator (AMPS). We apply these 3-D model output fields into the 3-D BATS-R-US Mars multi-fluid MHD (MF-MHD) model (100 km ~ 20 RM) that can simulate the interplay between Mars upper atmosphere and solar wind by considering the dynamics of individual ion species. The multi-fluid MHD model solves separate continuity, momentum and energy equations for each ion species (H+, O+, O2+, CO2+). The M-GITM model together with the AMPS exosphere model take into account the effects of solar cycle and seasonal variations on both cold and hot neutral atmospheres. This feature allows us to investigate the corresponding effects on the Mars upper atmosphere ion escape by using a one-way coupling approach, i.e., both the M-GITM and AMPS model output fields are used as the input for the multi-fluid MHD model and the M-GITM is used as input into the AMPS exosphere model. In this study, we present M-GITM, AMPS, and MF-MHD calculations (1-way coupled) for 2.5 GYA conditions and/or extreme solar conditions for present day Mars (high solar wind velocities, high solar wind dynamic pressure, and high solar irradiance conditions, etc.). Present day extreme conditions may result in MF-MHD outputs that are similar to 2.5 GYA cases. The crustal field orientations are also considered in this study. By comparing estimates of past ion escape rates with the current ion loss rates to be returned by the MAVEN spacecraft (2013-2016), we can better constrain the

  5. Pattern recognition applied to infrared images for early alerts in fog

    NASA Astrophysics Data System (ADS)

    Boucher, Vincent; Marchetti, Mario; Dumoulin, Jean; Cord, Aurélien

    2014-09-01

    Fog conditions are the cause of severe car accidents in western countries because of the poor induced visibility. Its forecast and intensity are still very difficult to predict by weather services. Infrared cameras allow to detect and to identify objects in fog while visibility is too low for eye detection. Over the past years, the implementation of cost effective infrared cameras on some vehicles has enabled such detection. On the other hand pattern recognition algorithms based on Canny filters and Hough transformation are a common tool applied to images. Based on these facts, a joint research program between IFSTTAR and Cerema has been developed to study the benefit of infrared images obtained in a fog tunnel during its natural dissipation. Pattern recognition algorithms have been applied, specifically on road signs which shape is usually associated to a specific meaning (circular for a speed limit, triangle for an alert, …). It has been shown that road signs were detected early enough in images, with respect to images in the visible spectrum, to trigger useful alerts for Advanced Driver Assistance Systems.

  6. [Therapeutic effect of early applying hydrotherapy with Chinese drugs on children hypoxic ischemic encephalopathy].

    PubMed

    Ma, Yun-Zhi; Zhai, Hong-Yin; Su, Chun-Ya

    2009-02-01

    To observe the therapeutic effect of hydrotherapy with Chinese drugs (HT-C) in early intervention on children hypoxic ischemic encephalopathy (HIE). HIE children were assigned to the treatment group and the control group, 50 in each, at random depending on the willingness of patients' parents. Both groups received the conventional functional training, according to the "0 -3-year-old early intervention outline", but for the treatment group, HT-C was applied additionally. Indexes for quality of sleep, gross motor function, severity of spasm and intellectual development were observed and compared before and after treatment to assess the therapeutic effects. Therapeutic effect in the treatment group was better than that in the control group in all the indexes observed, showing statistical significance (all P <0.05). Early intervention of HT-C could improve clinical symptom, promote the functional recovery and intellectual development in children HIE, and also could reduce or prevent the sequelae occurrence of the nervous system in them.

  7. Upper stage alternatives for the shuttle era

    NASA Technical Reports Server (NTRS)

    1981-01-01

    The status and general characteristics of Space Shuttle upper stages now in use or in development, as well as new vehicle possibilities are examined. Upper stage requirements for both civil and Department of Defense missions, categorized generally into near-term (early and mid-1980's), mid-term (late 1980's to mid-1990's), and far-term (late 1990's and beyond) are discussed. Finally, the technical, schedule and cost impact of alternative ways in which these requirements could be met are examined, and a number of conclusions and recommendations are reached.

  8. The upper limit of vulnerability of the heart

    NASA Astrophysics Data System (ADS)

    Mazeh, Nachaat

    Fibrillation is a major cause of death worldwide and it affects a very large part of the population. Its mechanism is not fully understood and the immediate remedy is to defibrillate. While defibrillation has been very successful, defibrillators apply a shock strength that could itself reinduce fibrillation. There exists an upper limit of vulnerability above which a shock does not induce reentry and therefore does not expose the patient to the reinduction of fibrillation. This upper limit of vulnerability has been predicted theoretically and observed experimentally, but the mechanism of the upper limit has not been well understood. This work will investigate the upper limit of vulnerability using a computer simulation. The bidomain model of the cardiac tissue has been used extensively for the past thirty years. The Beeler-Reuter model of the membrane kinetics has also been used in conjunction with the bidomain. This computer simulation of the bidomain and the Beeler-Reuter model will allow us to investigate the response of the induced virtual electrodes necessary to produce reentry. We will look at the vulnerable window and investigate the upper limit above which defibrillators can safely apply any shock strength to stop a fibrillation. One main conclusion is that widespread, random heterogeneities must be included in our model of cardiac tissue in order to predict an upper limit of vulnerability.

  9. The Aucellina biostratigraphy of the Upper Albian (Early Cretaceous) of the Kirchrode I cored borehole, Hannover-Kirchrode, northern Germany

    NASA Astrophysics Data System (ADS)

    Wood, Christopher J.

    2016-12-01

    The Aucellina biostratigraphy of the Upper Albian Kirchrode Marls Member succession in the Kirchrode I (1/91) cored borehole is described and the fauna illustrated. The borehole commenced at an unknown depth below the Early Cenomanian marls of the Bemerode Member, but higher beds of the Kirchrode Marls and the basal beds of the Bemerode Member were exposed in the Mittellandkanal and its Stichkanal extension at Misburg. The borehole and surface exposures permit a virtually complete Late Albian succession of Aucellina species to be observed. Published Aucellina range data from the borehole are reassessed and it is suggested that the lower part of the recorded range is based partly on misidentifications of fragments of thin-shelled bivalves such as Syncyclonema and Amussium. Aucellina appears in the borehole succession within the upper part of the Callihoplites auritus ammonite Subzone (Mortoniceras inflatum Zone) and continues to the top of the borehole succession within the Preaeschloenbachia briacensis ammonite Subzone (Stoliczkaia spp. Zone). Aucellina from higher in the briacensis Subzone collected from the Misburg Mittellandkanal section are also discussed and illustrated. There is some evidence that Aucellina occurs typically at levels in the borehole containing predominantly Boreal European Province ammonites, supporting the general inference that Aucellina lived in cooler northern waters. In contrast, Aucellina is poorly represented in intervals with Tethyan ammonites and thin-shelled inoceramids (e.g. the Mortoniceras (Durnovarites) perinflatum Subzone, Stoliczkaia spp. Zone). The briacensis Subzone, with an admixture of Tethyan (Stoliczkaia) and Boreal ammonites contains a distinctive, taxonomically highly diverse Aucellina assemblage. Relevant taxonomic research on European Late Albian and Early Cenomanian Aucellina faunas is reviewed. The Late Albian Aucellina succession in the borehole differs from that established from partially correlative successions

  10. Elongated uvula and diagnostic utility of spirometry in upper airway obstruction

    PubMed Central

    Paliwal, Rajiv; Patel, Satish; Patel, Purvesh; Soni, Hiren

    2010-01-01

    Elongated uvula is relatively an uncommon condition. Upper airway obstruction is often a missed complication of such a rare condition. Clinical presentations of upper airway obstruction often mimic asthma. Hence it is very easily mis-diagnosed as asthma. Spirometry offers a very simple test to diagnose upper airway obstruction very early and easily. Once diagnosed, the management of elongated uvula, almost exclusively, is surgical excision leading to total cure. Here is a case report of such a rare condition. PMID:20539769

  11. Effectiveness of Functional Electrical Stimulation in Improving Clinical Outcomes in the Upper Arm following Stroke: A Systematic Review and Meta-Analysis

    PubMed Central

    Vafadar, Amir K.; Côté, Julie N.; Archambault, Philippe S.

    2015-01-01

    Background. Different therapeutic methods are being used to prevent or decrease long-term impairments of the upper arm in stroke patients. Functional electrical stimulation (FES) is one of these methods, which aims to stimulate the nerves of the weakened muscles so that the resulting muscle contractions resemble those of a functional task. Objectives. The objective of this study was to review the evidence for the effect of FES on (1) shoulder subluxation, (2) pain, and (3) upper arm motor function in stroke patients, when added to conventional therapy. Methods. From the 727 retrieved articles, 10 (9 RCTs, 1 quasi-RCT) were selected for final analysis and were rated based on the PEDro (Physiotherapy Evidence Database) scores and the Sackett's levels of evidence. A meta-analysis was performed for all three considered outcomes. Results. The results of the meta-analyses showed a significant difference in shoulder subluxation in experimental groups compared to control groups, only if FES was applied early after stroke. No effects were found on pain or motor function outcomes. Conclusion. FES can be used to prevent or reduce shoulder subluxation early after stroke. However, it should not be used to reduce pain or improve upper arm motor function after stroke. PMID:25685805

  12. Evolutionary trends of stature in upper Paleolithic and Mesolithic Europe.

    PubMed

    Formicola, V; Giannecchini, M

    1999-03-01

    Long bone lengths of all available European Upper Paleolithic (41 males, 25 females) and Mesolithic (171 males, 118 females) remains have been transformed into stature estimates by means of new regression equations derived from Early Holocene skeletal samples using "Fully's anatomical stature" and the major axis regression technique (Formicola & Franceschi, 1996). Statistical analysis of the data, with reference both to time and space parameters, indicates that: (1) Early Upper Paleolithic samples (pre-Glacial Maximum) are very tall; (2) Late Upper Paleolithic groups (post-Glacial Maximum) from Western Europe, compared to their ancestors, show a marked decrease in height; (3) a further, although not significant, reduction of stature affects Western Mesolithics; (4) no regional differences have been observed during both phases of the Upper Paleolithic; (5) a high level of homogeneity has also been found in the Mesolithic, both in Western and Eastern Europe; (6) the internal homogeneity found during the Mesolithic in Western and Eastern Europe is associated with marked inter-regional variability, with populations of the latter region showing systematically significantly greater stature than their Western contemporaries. Evaluation of possible causes for the great stature of the Early Upper Paleolithic samples points to high nutritional standards as the most important factor. Results obtained on later groups clearly indicate that the Last Glacial Maximum, rather than the Mesolithic transition, is the critical phase in the negative trend affecting Western European populations. While changes in the quality of the diet, and in particular decreased protein intake, provide a likely explanation for that trend, variations in levels of gene flow probably also played a role. Reasons for the West-East Mesolithic dichotomy remain unclear and lack of information for the Late Upper Paleolithic of Eastern Europe prevents insight into the remote origins of this phenomenon. Analysis

  13. Upper Elementary Teachers' Self-Efficacy and Spelling Instruction: A Qualitative Study

    ERIC Educational Resources Information Center

    Fernandes, Brian E.

    2017-01-01

    A great deal of research has been conducted regarding spelling instruction at the early childhood and lower elementary levels, but not at the upper elementary level. This qualitative study explored the perceptions and experiences of upper elementary teachers to gain a better understanding of how they instruct spelling and their related…

  14. Does the addition of deep breathing exercises to physiotherapy-directed early mobilisation alter patient outcomes following high-risk open upper abdominal surgery? Cluster randomised controlled trial.

    PubMed

    Silva, Y R; Li, S K; Rickard, M J F X

    2013-09-01

    To investigate whether the inclusion of deep breathing exercises in physiotherapy-directed early mobilisation confers any additional benefit in reducing postoperative pulmonary complications (PPCs) when patients are treated once daily after elective open upper abdominal surgery. This study also compared postoperative outcomes following early and delayed mobilisation. Cluster randomised controlled trial. Single-centre study in a teaching hospital. Eighty-six high-risk patients undergoing elective open upper abdominal surgery. Three groups: early mobilisation (Group A), early mobilisation plus breathing exercises (Group B), and delayed mobilisation (mobilised from third postoperative day) plus breathing exercises (Group C). PPCs and postoperative outcomes [number of days until discharge from physiotherapy, physiotherapy input and length of stay (LOS)]. There was no significant difference in PPCs between Groups A and B. The LOS for Group A {mean 10.7 [standard deviation (SD) 5.0] days} was significantly shorter than the LOS for Groups B [mean 16.7 (SD 9.7) days] and C [mean 15.2 (SD 9.8) days; P=0.036]. The greatest difference was between Groups A and B (mean difference -5.93, 95% confidence interval -10.22 to -1.65; P=0.008). Group C had fewer smokers (26%) and patients with chronic obstructive pulmonary disease (0%) compared with Group B (53% and 14%, respectively). This may have led to fewer PPCs in Group C, but the difference was not significant. Despite Group C having fewer PPCs and less physiotherapy input, the number of days until discharge from physiotherapy and LOS were similar to Group B. The addition of deep breathing exercises to physiotherapy-directed early mobilisation did not further reduce PPCs compared with mobility alone. PPCs can be reduced with once-daily physiotherapy if the patients are mobilised to a moderate level of exertion. Delayed mobilisation tended to increase physiotherapy input and the number of days until discharge from physiotherapy

  15. Assessment of upper airway mechanics during sleep.

    PubMed

    Farré, Ramon; Montserrat, Josep M; Navajas, Daniel

    2008-11-30

    Obstructive sleep apnea, which is the most prevalent sleep breathing disorder, is characterized by recurrent episodes of upper airway collapse and reopening. However, the mechanical properties of the upper airway are not directly measured in routine polysomnography because only qualitative sensors (thermistors for flow and thoraco-abdominal bands for pressure) are used. This review focuses on two techniques that quantify upper airway obstruction during sleep. A Starling model of collapsible conduit allows us to interpret the mechanics of the upper airway by means of two parameters: the critical pressure (Pcrit) and the upstream resistance (Rup). A simple technique to measure Pcrit and Rup involves the application of different levels of continuous positive airway pressure (CPAP) during sleep. The forced oscillation technique is another non-invasive procedure for quantifying upper airway impedance during the breathing cycle in sleep studies. The latest developments in these two methods allow them to be easily applied on a routine basis in order to more fully characterize upper airway mechanics in patients with sleep breathing disorders.

  16. Congenital bilateral upper eyelid eversion: report of a case.

    PubMed

    Cingü, Abdullah Kürşat; Sahin, Alparslan; Yüksel, Harun; Ozkök, Ahmet; Arı, Seyhmus; Caça, Ihsan

    2014-01-01

    Congenital bilateral upper eyelid eversion is a rare condition and the definite cause is not known. It is often seen in Black babies or babies with Down's syndrome. With early diagnosis and appropriate treatment, the condition can be managed without surgery. We report a case of congenital upper eyelid eversion in an otherwise healthy Caucasian neonate, born by normal vaginal delivery. The case responded well to conservative treatment, including eyelid repositioning, lubricants, antibiotic ointment, and eyelid patching.

  17. Upper gastrointestinal bleeding in patients with CKD.

    PubMed

    Liang, Chih-Chia; Wang, Su-Ming; Kuo, Huey-Liang; Chang, Chiz-Tzung; Liu, Jiung-Hsiun; Lin, Hsin-Hung; Wang, I-Kuan; Yang, Ya-Fei; Lu, Yueh-Ju; Chou, Che-Yi; Huang, Chiu-Ching

    2014-08-07

    Patients with CKD receiving maintenance dialysis are at risk for upper gastrointestinal bleeding. However, the risk of upper gastrointestinal bleeding in patients with early CKD who are not receiving dialysis is unknown. The hypothesis was that their risk of upper gastrointestinal bleeding is negatively linked to renal function. To test this hypothesis, the association between eGFR and risk of upper gastrointestinal bleeding in patients with stages 3-5 CKD who were not receiving dialysis was analyzed. Patients with stages 3-5 CKD in the CKD program from 2003 to 2009 were enrolled and prospectively followed until December of 2012 to monitor the development of upper gastrointestinal bleeding. The risk of upper gastrointestinal bleeding was analyzed using competing-risks regression with time-varying covariates. In total, 2968 patients with stages 3-5 CKD who were not receiving dialysis were followed for a median of 1.9 years. The incidence of upper gastrointestinal bleeding per 100 patient-years was 3.7 (95% confidence interval, 3.5 to 3.9) in patients with stage 3 CKD, 5.0 (95% confidence interval, 4.8 to 5.3) in patients with stage 4 CKD, and 13.9 (95% confidence interval, 13.1 to 14.8) in patients with stage 5 CKD. Higher eGFR was associated with a lower risk of upper gastrointestinal bleeding (P=0.03), with a subdistribution hazard ratio of 0.93 (95% confidence interval, 0.87 to 0.99) for every 5 ml/min per 1.73 m(2) higher eGFR. A history of upper gastrointestinal bleeding (P<0.001) and lower serum albumin (P=0.004) were independently associated with higher upper gastrointestinal bleeding risk. In patients with CKD who are not receiving dialysis, lower renal function is associated with higher risk for upper gastrointestinal bleeding. The risk is higher in patients with previous upper gastrointestinal bleeding history and low serum albumin. Copyright © 2014 by the American Society of Nephrology.

  18. Hormonal and Neuromuscular Responses to Mechanical Vibration Applied to Upper Extremity Muscles

    PubMed Central

    Di Giminiani, Riccardo; Fabiani, Leila; Baldini, Giuliano; Cardelli, Giovanni; Giovannelli, Aldo; Tihanyi, Jozsef

    2014-01-01

    Objective To investigate the acute residual hormonal and neuromuscular responses exhibited following a single session of mechanical vibration applied to the upper extremities among different acceleration loads. Methods Thirty male students were randomly assigned to a high vibration group (HVG), a low vibration group (LVG), or a control group (CG). A randomized double-blind, controlled-parallel study design was employed. The measurements and interventions were performed at the Laboratory of Biomechanics of the University of L'Aquila. The HVG and LVG participants were exposed to a series of 20 trials ×10 s of synchronous whole-body vibration (WBV) with a 10-s pause between each trial and a 4-min pause after the first 10 trials. The CG participants assumed an isometric push-up position without WBV. The outcome measures were growth hormone (GH), testosterone, maximal voluntary isometric contraction during bench-press, maximal voluntary isometric contraction during handgrip, and electromyography root-mean-square (EMGrms) muscle activity (pectoralis major [PM], triceps brachii [TB], anterior deltoid [DE], and flexor carpi radialis [FCR]). Results The GH increased significantly over time only in the HVG (P = 0.003). Additionally, the testosterone levels changed significantly over time in the LVG (P = 0.011) and the HVG (P = 0.001). MVC during bench press decreased significantly in the LVG (P = 0.001) and the HVG (P = 0.002). In the HVG, the EMGrms decreased significantly in the TB (P = 0.006) muscle. In the LVG, the EMGrms decreased significantly in the DE (P = 0.009) and FCR (P = 0.006) muscles. Conclusion Synchronous WBV acutely increased GH and testosterone serum concentrations and decreased the MVC and their respective maximal EMGrms activities, which indicated a possible central fatigue effect. Interestingly, only the GH response was dependent on the acceleration with respect to the subjects' responsiveness. PMID:25368995

  19. Hormonal and neuromuscular responses to mechanical vibration applied to upper extremity muscles.

    PubMed

    Di Giminiani, Riccardo; Fabiani, Leila; Baldini, Giuliano; Cardelli, Giovanni; Giovannelli, Aldo; Tihanyi, Jozsef

    2014-01-01

    To investigate the acute residual hormonal and neuromuscular responses exhibited following a single session of mechanical vibration applied to the upper extremities among different acceleration loads. Thirty male students were randomly assigned to a high vibration group (HVG), a low vibration group (LVG), or a control group (CG). A randomized double-blind, controlled-parallel study design was employed. The measurements and interventions were performed at the Laboratory of Biomechanics of the University of L'Aquila. The HVG and LVG participants were exposed to a series of 20 trials ×10 s of synchronous whole-body vibration (WBV) with a 10-s pause between each trial and a 4-min pause after the first 10 trials. The CG participants assumed an isometric push-up position without WBV. The outcome measures were growth hormone (GH), testosterone, maximal voluntary isometric contraction during bench-press, maximal voluntary isometric contraction during handgrip, and electromyography root-mean-square (EMGrms) muscle activity (pectoralis major [PM], triceps brachii [TB], anterior deltoid [DE], and flexor carpi radialis [FCR]). The GH increased significantly over time only in the HVG (P = 0.003). Additionally, the testosterone levels changed significantly over time in the LVG (P = 0.011) and the HVG (P = 0.001). MVC during bench press decreased significantly in the LVG (P = 0.001) and the HVG (P = 0.002). In the HVG, the EMGrms decreased significantly in the TB (P = 0.006) muscle. In the LVG, the EMGrms decreased significantly in the DE (P = 0.009) and FCR (P = 0.006) muscles. Synchronous WBV acutely increased GH and testosterone serum concentrations and decreased the MVC and their respective maximal EMGrms activities, which indicated a possible central fatigue effect. Interestingly, only the GH response was dependent on the acceleration with respect to the subjects' responsiveness.

  20. Ornaments of the earliest Upper Paleolithic: New insights from the Levant

    PubMed Central

    Kuhn, Steven L.; Stiner, Mary C.; Reese, David S.; Güleç, Erksin

    2001-01-01

    Two sites located on the northern Levantine coast, Üçağızlı Cave (Turkey) and Ksar 'Akil (Lebanon) have yielded numerous marine shell beads in association with early Upper Paleolithic stone tools. Accelerator mass spectrometry (AMS) radiocarbon dates indicate ages between 39,000 and 41,000 radiocarbon years (roughly 41,000–43,000 calendar years) for the oldest ornament-bearing levels in Üçağızlı Cave. Based on stratigraphic evidence, the earliest shell beads from Ksar 'Akil may be even older. These artifacts provide some of the earliest evidence for traditions of personal ornament manufacture by Upper Paleolithic humans in western Asia, comparable in age to similar objects from Eastern Europe and Africa. The new data show that the initial appearance of Upper Paleolithic ornament technologies was essentially simultaneous on three continents. The early appearance and proliferation of ornament technologies appears to have been contingent on variable demographic or social conditions. PMID:11390976

  1. Environmental, depositional and cultural changes in the upper Pleistocene and early Holocene; the Cinglera del Capello Sequence (Capellades, Spain)

    USGS Publications Warehouse

    Vaquero, Manuel; Allué, Ethel; Bischoff, James L.; Burjachs, Francesc; Vallverdú, Josep

    2013-01-01

    The correlation between environmental and cultural changes is one of the primary archeological and paleoanthropological research topics. Analysis of ice and marine cores has yielded a high-resolution record of millennial-scale changes during the Late Pleistocene and Holocene eras. However, cultural changes are documented in low-resolution continental deposits; thus, their correlation with the millennial-scale climatic sequence is often difficult. In this paper, we present a rare occurrence in which a thick archeological sequence is associated with a high-resolution environmental record. The Cinglera del Capello is a tufa-draped cliff located in the northeastern Iberian Peninsula, 50 km west of Barcelona. This cliff harbors several rock-shelters with Late Pleistocene and Early Holocene deposits. Together, the deposits of four rock-shelters span from 7000 to 70,000 years ago and provide a high-resolution record of the environmental and human dynamics during this timespan. This record allows the correlation of the cultural and environmental changes. The multiproxy approach to the Cinglera evidence indicates that the main cultural stages of the Late Pleistocene and Early Holocene (Middle Paleolithic, Upper Paleolithic and Mesolithic) are associated with significant changes in the environmental and depositional contexts.

  2. 42 CFR 447.512 - Drugs: Aggregate upper limits of payment.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ...: Aggregate upper limits of payment. (a) Multiple source drugs. Except for brand name drugs that are certified... applies. (b) Other drugs. The agency payments for brand name drugs certified in accordance with paragraph... brand name drugs. (1) The upper limit for payment for multiple source drugs for which a specific limit...

  3. Dynamic depositional and early diagenetic processes in a deep-water shelf setting, upper cretaceous Austin Chalk, North Texas

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

    Hovorka, S.D.; Nance, H.S.

    1994-12-31

    The Austin Chalk of north Texas was deposited on a deep-water shelf north of the Sea Marcos Platform during a worldwide Coniacian and Santonian sea-level highstand. Transgressive (lowermost lower Austin Chalk), highstand (uppermost lower Austin Chalk), and regressive (middle and upper Austin Chalk) phases of cyclic chalk and marl sedimentation are recognized in excavations and tunnels created in Ellis County for the Superconducting Super Collider provide new evidence of sediment transport during Austin Chalk deposition. During transgression, bottom currents syndepositionally reworked nannoplankton oozes, incising channels as much as 120 ft across and 8 ft deep. Weakly burrowed channel fills havingmore » preservation of fine lamination document rapid infilling. Channel fills are composed of pyritized and carbonized wood and Inoceramus lag deposits, pellets, echinoderm fragments, and globigerinid grainstones, and coccolith ooze. During maximum highstand, bottom reworking was suppressed. Detrital content of highstand marls is low (>20 percent); organic content is high (1.4 to 3.5 percent). Coccolith preservation is excellent because of minimal diagenetic alteration. Regression is marked by resumed channel cutting and storm-bed winnowing in the middle and upper Austin Chalk. Suppressed resistivity log response and recessive weathering characteristics of the middle Austin Chalk are not primarily related to depositional environment but rather to increased input of volcanic ash during the accumulation of this interval. Early stabilization of ash produced clay-coated microfabrics in sediments that are otherwise similar to the transgressive deposits.« less

  4. Apply radiomics approach for early stage prognostic evaluation of ovarian cancer patients: a preliminary study

    NASA Astrophysics Data System (ADS)

    Danala, Gopichandh; Wang, Yunzhi; Thai, Theresa; Gunderson, Camille; Moxley, Katherine; Moore, Kathleen; Mannel, Robert; Liu, Hong; Zheng, Bin; Qiu, Yuchen

    2017-03-01

    Predicting metastatic tumor response to chemotherapy at early stage is critically important for improving efficacy of clinical trials of testing new chemotherapy drugs. However, using current response evaluation criteria in solid tumors (RECIST) guidelines only yields a limited accuracy to predict tumor response. In order to address this clinical challenge, we applied Radiomics approach to develop a new quantitative image analysis scheme, aiming to accurately assess the tumor response to new chemotherapy treatment, for the advanced ovarian cancer patients. During the experiment, a retrospective dataset containing 57 patients was assembled, each of which has two sets of CT images: pre-therapy and 4-6 week follow up CT images. A Radiomics based image analysis scheme was then applied on these images, which is composed of three steps. First, the tumors depicted on the CT images were segmented by a hybrid tumor segmentation scheme. Then, a total of 115 features were computed from the segmented tumors, which can be grouped as 1) volume based features; 2) density based features; and 3) wavelet features. Finally, an optimal feature cluster was selected based on the single feature performance and an equal-weighed fusion rule was applied to generate the final predicting score. The results demonstrated that the single feature achieved an area under the receiver operating characteristic curve (AUC) of 0.838+/-0.053. This investigation demonstrates that the Radiomic approach may have the potential in the development of high accuracy predicting model for early stage prognostic assessment of ovarian cancer patients.

  5. Stratigraphy and sedimentology of the Upper Cretaceous (Campanian) Anacacho Limestone, Texas, USA

    USGS Publications Warehouse

    Swezey, C.S.; Sullivan, E.C.

    2004-01-01

    The Upper Cretaceous Anacacho Limestone is exposed in outcrops between the cities of San Antonio and Del Rio, Texas. A detailed study of four outcrops (Blanco Creek section, Sabinal River section, Seco Creek section, Hondo Creek section) shows that the Anacacho Limestone rests on the Upson Clay (which contains fauna of early Campanian age) and is overlain by the Corsicana Marl (which contains fauna of early Maastrichtian age). An unconformity within the Anacacho Limestone is used herein to separate the limestone into a lower member and an upper member. The lower Anacacho member contains fauna of early Campanian age, whereas the upper Anacacho member contains fauna of middle Campanian age. The lower Anacacho member consists predominantly of wackestones to packstones, which are overlain by packstones to grainstones capped by the unconformity. This unconformity is interpreted as a marine flooding surface, delineating a transition from carbonate grainstones deposited in shallow water (<30 m depth) to a chalk deposited in deeper water. Above the unconformity, the upper Anacacho member is characterized by a chalk, overlain by wackestones and packstones. The uppermost section of the Anacacho Limestone consists of packstones and grainstones with abundant and diverse fossils. Most of the Anacacho Limestone developed in relatively shallow water (<50 m depth) leeward of a large carbonate build-up (possibly a rudistid reef) that now comprises the Anacacho Mountains. The environment, however, was open to marine water throughout deposition of the Anacacho Limestone. ?? 2004 Elsevier Ltd. All rights reserved.

  6. Upper D region chemical kinetic modeling of LORE relaxation times

    NASA Astrophysics Data System (ADS)

    Gordillo-Vázquez, F. J.; Luque, A.; Haldoupis, C.

    2016-04-01

    The recovery times of upper D region electron density elevations, caused by lightning-induced electromagnetic pulses (EMP), are modeled. The work was motivated from the need to understand a recently identified narrowband VLF perturbation named LOREs, an acronym for LOng Recovery Early VLF events. LOREs associate with long-living electron density perturbations in the upper D region ionosphere; they are generated by strong EMP radiated from large peak current intensities of ±CG (cloud to ground) lightning discharges, known also to be capable of producing elves. Relaxation model scenarios are considered first for a weak enhancement in electron density and then for a much stronger one caused by an intense lightning EMP acting as an impulsive ionization source. The full nonequilibrium kinetic modeling of the perturbed mesosphere in the 76 to 92 km range during LORE-occurring conditions predicts that the electron density relaxation time is controlled by electron attachment at lower altitudes, whereas above 79 km attachment is balanced totally by associative electron detachment so that electron loss at these higher altitudes is controlled mainly by electron recombination with hydrated positive clusters H+(H2O)n and secondarily by dissociative recombination with NO+ ions, a process which gradually dominates at altitudes >88 km. The calculated recovery times agree fairly well with LORE observations. In addition, a simplified (quasi-analytic) model build for the key charged species and chemical reactions is applied, which arrives at similar results with those of the full kinetic model. Finally, the modeled recovery estimates for lower altitudes, that is <79 km, are in good agreement with the observed short recovery times of typical early VLF events, which are known to be associated with sprites.

  7. Management of Early Carcinoma of the Ovary

    PubMed Central

    Chapman, George W.

    1988-01-01

    Ovarian cancer represents a formidable challenge to physicians. Early symptoms are nonspecific, and are usually attributed to disorders of the upper gastrointestinal tract. Especially important is suspicion of this neoplasm in its early stage. This article discusses the epidemiology, clinical features, evaluation, and treatment of early carcinomas of the ovary. PMID:3071612

  8. Effect of salinity on the upper lethal temperature tolerance of early-juvenile red drum.

    PubMed

    McDonald, Dusty; Bumguardner, Britt; Cason, Paul

    2015-10-01

    Previous work investigating the temperature tolerance of juvenile red drum ranging 18-50mm TL found evidence for positive size dependence (smaller fish less tolerant to higher temperatures) suggesting smaller size classes (<18mm TL) potentially may succumb to extreme summer water temperatures. Here, we explored the upper lethal temperature tolerance (ULT) in smaller-sized red drum which ranged from 10 to 20mm TL across multiple salinities to further understand the thermal limitations of this propagated game fish. In order to investigate the combined effect of temperature and salinity on ULT, temperature trials were conducted under three levels of salinity which commonly occur along the coast of Texas (25, 35, and 45ppt). The rate of temperature increase (+0.25°C/h) was designed to mimic a natural temperature increase of a summer day in Texas. We determined that the lethal temperature at 50% (LT50) did not differ between the three salinities examined statistically; median lethal temperature for individuals exposed to 25ppt ranged from 36.4 to 37.7°C, 35ppt ranged from 36.4 to 37.7°C, and 45ppt ranged from 36.1 to 37.4°C. Further, LT50 data obtained here for early-juvenile red drum did not differ from data of a similar experiment examining 25mm TL sized fish. Published by Elsevier Ltd.

  9. Motor impairments related to brain injury timing in early hemiparesis. Part II: abnormal upper extremity joint torque synergies.

    PubMed

    Sukal-Moulton, Theresa; Krosschell, Kristin J; Gaebler-Spira, Deborah J; Dewald, Julius P A

    2014-01-01

    Extensive neuromotor development occurs early in human life, and the timing of brain injury may affect the resulting motor impairment. In Part I of this series, it was demonstrated that the distribution of weakness in the upper extremity depended on the timing of brain injury in individuals with childhood-onset hemiparesis. The goal of this study was to characterize how timing of brain injury affects joint torque synergies, or losses of independent joint control. Twenty-four individuals with hemiparesis were divided into 3 groups based on the timing of their injury: before birth (PRE-natal, n = 8), around the time of birth (PERI-natal, n = 8), and after 6 months of age (POST-natal, n = 8). Individuals with hemiparesis and 8 typically developing peers participated in maximal isometric shoulder, elbow, wrist, and finger torque generation tasks while their efforts were recorded by a multiple degree-of-freedom load cell. Motor output in 4 joints of the upper extremity was concurrently measured during 8 primary torque generation tasks to quantify joint torque synergies. There were a number of significant coupling patterns identified in individuals with hemiparesis that differed from the typically developing group. POST-natal differences were most noted in the coupling of shoulder abductors with elbow, wrist, and finger flexors, while the PRE-natal group demonstrated significant distal joint coupling with elbow flexion. The torque synergies measured provide indirect evidence for the use of bulbospinal pathways in the POST-natal group, while those with earlier injury may use relatively preserved ipsilateral corticospinal motor pathways.

  10. WATER FORMATION IN THE UPPER ATMOSPHERE OF THE EARLY EARTH

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

    Fleury, Benjamin; Carrasco, Nathalie; Marcq, Emmanuel

    2015-07-10

    The water concentration and distribution in the early Earth's atmosphere are important parameters that contribute to the chemistry and the radiative budget of the atmosphere. If the atmosphere above the troposphere is generally considered as dry, photochemistry is known to be responsible for the production of numerous minor species. Here we used an experimental setup to study the production of water in conditions simulating the chemistry above the troposphere of the early Earth with an atmospheric composition based on three major molecules: N{sub 2}, CO{sub 2}, and H{sub 2}. The formation of gaseous products was monitored using infrared spectroscopy. Watermore » was found as the major product, with approximately 10% of the gas products detected. This important water formation is discussed in the context of the early Earth.« less

  11. Middle to Upper Jurassic sedimentary sequences and marine biota of the early Indian Ocean (Southwest Madagascar): some biostratigraphic, palaeoecologic and palaeobiogeographic conclusions

    NASA Astrophysics Data System (ADS)

    Mette, Wolfgang

    2004-03-01

    As part of an intradisciplinary project which was concerned with the early rifting processes between Madagascar and East Africa, the Middle to Upper Jurassic sedimentary sequences of the Morondava Basin in Southwest Madagascar has been investigated with respect to biostratigraphy, sedimentary facies and palaeoecology. The transgressive sedimentary sections in the Bajocian and Callovian-Oxfordian yield rich macro- and microfossil assemblages which improved the biostratigraphic framework and gave some important information about the palaeoenvironments. Palaeogeographic distribution patterns of the Bajocian ostracod Paradoxorhyncha are suggestive of a migration along the southern shores of Gondwana between Madagascar, Australia and South America. The Callovian ostracods show strong affinities to the Indian faunas, indicating existence of a free migration route for shallow marine benthic organisms between Madagascar and India. Significant faunal differences between Madagascar and Tanzania suggest a physical or environmental migration barrier between Madagascar and East Africa during the Callovian to Kimmeridgian interval. The Upper Jurassic ostracods from the northern and eastern margin of Gondwana show a very high degree of endemism and they can be assigned to two faunal provinces in North Gondwana (Arabia, Near East, North Africa) and South Gondwana (India, Madagascar, East Africa).

  12. Salinity Processes in the Upper Ocean Regional Study (SPURS)

    NASA Image and Video Library

    2012-09-04

    University of Washington Applied Physics Laboratory Senior Oceanographer Andrey Shcherbina, left, and University of Washington Applied Physics Laboratory Senior Principal Oceanographer Jason Gobat work one of their instruments onboard the Woods Hole Oceanographic Institution's research vessel Knorr on Tuesday, Sept. 4, 2012, in Woods Hole, Mass. Knorr is scheduled to depart on Sept. 6 to take part in the Salinity Processes in the Upper Ocean Regional Study (SPURS). The NASA-sponsored expedition will sail to the North Atlantic's saltiest spot to get a detailed, 3-D picture of how salt content fluctuates in the ocean's upper layers and how these variations are related to shifts in rainfall patterns around the planet. Photo Credit: (NASA/Bill Ingalls)

  13. Salinity Processes in the Upper Ocean Regional Study (SPURS)

    NASA Image and Video Library

    2012-09-04

    University of Washington Applied Physics Laboratory Senior Oceanographer Andrey Shcherbina, left, and University of Washington Applied Physics Laboratory Senior Principal Oceanographer Jason Gobat carry one of their instruments onboard the Woods Hole Oceanographic Institution's research vessel Knorr on Tuesday, Sept. 4, 2012, in Woods Hole, Mass. Knorr is scheduled to depart on Sept. 6 to take part in the Salinity Processes in the Upper Ocean Regional Study (SPURS). The NASA-sponsored expedition will sail to the North Atlantic's saltiest spot to get a detailed, 3-D picture of how salt content fluctuates in the ocean's upper layers and how these variations are related to shifts in rainfall patterns around the planet. Photo Credit: (NASA/Bill Ingalls)

  14. New biostratigraphic data on an Upper Hauterivian–Upper Barremian ammonite assemblage from the Dolomites (Southern Alps, Italy)

    PubMed Central

    Lukeneder, Alexander

    2012-01-01

    A biostratigraphic subdivision, based on ammonites, is proposed for the Lower Cretaceous pelagic to hemipelagic succession of the Puez area (Southern Alps, Italy). Abundant ammonites enable recognition of recently established Mediterranean ammonite zones from the upper Hauterivian Balearites balearis Zone (Crioceratites krenkeli Subzone) to the upper Barremian Gerhardtia sartousiana Zone (Gerhardtia sartousiana Subzone). Ammonites are restricted to the lowermost part of the Puez Formation, the Puez Limestone Member (ca. 50 m; marly limestones; Hauterivian–Barremian). Numerous ammonite specimens are documented for the first time from the Southern Alps (e.g., Dolomites). Ammonite abundances are clearly linked to sea-level changes from Late Hauterivian to mid Late Barremian times. Abundance and diversity peaks occur during phases of high sea-level pulses and the corresponding maximum flooding surfaces (P. mortilleti/P. picteti and G. sartousiana zones). The ammonite composition of the Puez Formation sheds light on the Early Cretaceous palaeobiogeography of the Dolomites. It also highlights the palaeoenvironmental evolution of basins and plateaus and provides insights into the faunal composition and distribution within the investigated interval. The intermittent palaeogeographic situation of the Puez locality during the Early Cretaceous serves as a key for understanding Mediterranean ammonite distribution. PMID:27087716

  15. 43 CFR 46.200 - Applying NEPA early.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... environmental impacts, bureaus must coordinate, as early as feasible, with: (1) Any other bureaus or Federal agencies, State, local, and tribal governments having jurisdiction by law or special expertise; and (2) Appropriate Federal, State, local, and tribal governments authorized to develop and enforce environmental...

  16. Upper thermal tolerances of early life stages of freshwater mussels

    USGS Publications Warehouse

    Pandolfo, Tamara J.; Cope, W. Gregory; Arellano, Consuelo; Bringolf, Robert B.; Barnhart, M. Christopher; Hammer, E

    2010-01-01

    Freshwater mussels (order Unioniformes) fulfill an essential role in benthic aquatic communities, but also are among the most sensitive and rapidly declining faunal groups in North America. Rising water temperatures, caused by global climate change, industrial discharges, drought, or land development, could further challenge imperiled unionid communities. The aim of our study was to determine the upper thermal tolerances of the larval (glochidia) and juvenile life stages of freshwater mussels. Glochidia of 8 species of mussels were tested: Lampsilis siliquoidea, Potamilus alatus, Ligumia recta, Ellipsaria lineolata,Lasmigona complanata, Megalonaias nervosa, Alasmidonta varicosa, and Villosa delumbis. Seven of these species also were tested as juveniles. Survival trends were monitored while mussels held at 3 acclimation temperatures (17, 22, and 27°C) were exposed to a range of common and extreme water temperatures (20–42°C) in standard acute laboratory tests. The average median lethal temperature (LT50) among species in 24-h tests with glochidia was 31.6°C and ranged from 21.4 to 42.7°C. The mean LT50 in 96-h juvenile tests was 34.7°C and ranged from 32.5 to 38.8°C. Based on comparisons of LT50s, thermal tolerances differed among species for glochidia, but not for juveniles. Acclimation temperature did not affect thermal tolerance for either life stage. Our results indicate that freshwater mussels already might be living close to their upper thermal tolerances in some systems and, thus, might be at risk from rising environmental temperatures.

  17. Physiologically Relevant Prosthetic Limb Movement Feedback for Upper and Lower Extremity Amputees

    DTIC Science & Technology

    2016-10-01

    upper arm (elbow movement), Upper leg (knee movement) and lower leg ( ankle movement) to provide a physiologically relevant sense of limb movement...Additionally a BOA cable tensioning system is passed through these plates and anchored to the external surface of the socket. When tension is applied the

  18. Lymphoedema of the upper limb: a rare complication of thyroid surgery?

    PubMed Central

    Stephen, Christopher; Munnoch, David Alexander

    2016-01-01

    A 40-year-old woman underwent an elective thyroidectomy for a non-toxic, multinodular goitre. In the early postoperative period, the patient developed a significant unilateral swelling of the right upper limb, which was subsequently confirmed to be lymphoedema. This was eventually treated successfully using liposuction and compression garment therapies. We report the case due to its rarity and present a possible explanation for such an unexpected complication based on known anatomical variations of lymphatic drainage of the upper limb. PMID:27090542

  19. Motor-Life-Skills of Toddlers--A Comparative Study of Norwegian and British Boys and Girls Applying the Early Years Movement Skills Checklist

    ERIC Educational Resources Information Center

    Moser, Thomas; Reikerås, Elin

    2016-01-01

    This article discusses motor-life-skills in a sample (n?=?1083) of 33 months (2.9-year-old) children in Norwegian early childhood education and care institutions (ECEC-institutions) and to compare the findings with the results from a similar British sample. The Early Years Movement Skills Checklist (EYMSC) (Chambers and Sugden 2006) was applied.…

  20. Initial Assessment and Resuscitation in Nonvariceal Upper Gastrointestinal Bleeding.

    PubMed

    Simon, Tracey G; Travis, Anne C; Saltzman, John R

    2015-07-01

    Acute nonvariceal upper gastrointestinal bleeding remains an important cause of hospital admission with an associated mortality of 2-14%. Initial patient evaluation includes rapid hemodynamic assessment, large-bore intravenous catheter insertion and volume resuscitation. A hemoglobin transfusion threshold of 7 g/dL is recommended, and packed red blood cell transfusion may be necessary to restore intravascular volume and improve tissue perfusion. Patients should be risk stratified into low- and high-risk categories, using validated prognostic scoring systems such as the Glasgow-Blatchford, AIMS65 or Rockall scores. Effective early management of acute, nonvariceal upper gastrointestinal hemorrhage is critical for improving patient outcomes. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. APPLYING THE ECOSYSTEM SERVICES CONCEPT FOR ENVIRONMENTAL MANAGEMENT IN THE UPPER SAN PEDRO BASIN, ARIZONA

    EPA Science Inventory

    The Upper San Pedro River flows intermittently north from Sonora, Mexico into southeastern Arizona and is one of the last few large unimpounded rivers in the American Southwest. The remaining perennial reaches support a desert riparian ecosystem that is a rare remnant of what ...

  2. Upper Girdle Imaging in Facioscapulohumeral Muscular Dystrophy

    PubMed Central

    Tasca, Giorgio; Monforte, Mauro; Iannaccone, Elisabetta; Laschena, Francesco; Ottaviani, Pierfrancesco; Leoncini, Emanuele; Boccia, Stefania; Galluzzi, Giuliana; Pelliccioni, Marco; Masciullo, Marcella; Frusciante, Roberto; Mercuri, Eugenio; Ricci, Enzo

    2014-01-01

    Background In Facioscapulohumeral muscular dystrophy (FSHD), the upper girdle is early involved and often difficult to assess only relying on physical examination. Our aim was to evaluate the pattern and degree of involvement of upper girdle muscles in FSHD compared with other muscle diseases with scapular girdle impairment. Methods We propose an MRI protocol evaluating neck and upper girdle muscles. One hundred-eight consecutive symptomatic FSHD patients and 45 patients affected by muscular dystrophies and myopathies with prominent upper girdle involvement underwent this protocol. Acquired scans were retrospectively analyzed. Results The trapezius (100% of the patients) and serratus anterior (85% of the patients) were the most and earliest affected muscles in FSHD, followed by the latissimus dorsi and pectoralis major, whilst spinati and subscapularis (involved in less than 4% of the patients) were consistently spared even in late disease stages. Asymmetry and hyperintensities on short-tau inversion recovery (STIR) sequences were common features, and STIR hyperintensities could also be found in muscles not showing signs of fatty replacement. The overall involvement appears to be disease-specific in FSHD as it significantly differed from that encountered in the other myopathies. Conclusions The detailed knowledge of single muscle involvement provides useful information for correctly evaluating patients' motor function and to set a baseline for natural history studies. Upper girdle imaging can also be used as an additional tool helpful in supporting the diagnosis of FSHD in unclear situations, and may contribute with hints on the currently largely unknown molecular pathogenesis of this disease. PMID:24932477

  3. Preliminary stratigraphy and facies analysis of the Upper Cretaceous Kaguyak Formation, including a brief summary of newly discovered oil stain, upper Alaska Peninsula

    USGS Publications Warehouse

    Wartes, Marwan A.; Decker, Paul L.; Stanley, Richard G.; Herriott, Trystan M.; Helmold, Kenneth P.; Gillis, Robert J.

    2013-01-01

    The Alaska Division of Geological and Geophysical Surveys has an ongoing program aimed at evaluating the Mesozoic forearc stratigraphy, structure, and petroleum systems of lower Cook Inlet. Most of our field studies have focused on the Jurassic component of the petroleum system (this report). However, in late July and early August of 2012, we initiated a study of the stratigraphy and reservoir potential of the Upper Cretaceous Kaguyak Formation. The Kaguyak Formation is locally well exposed on the upper Alaska Peninsula (fig. 25) and was named by Keller and Reiser (1959) for a sequence of interbedded siltstone and sandstone of upper Campanian to Maastrichtian age that they estimated to be 1,450 m thick.Subsequent work by Detterman and Miller (1985) examined 900 m of section and interpreted the unit as the record of a prograding submarine fan.This interpretation of deep-water deposition contrasts with other Upper Cretaceous rocks exposed along the Alaska Peninsula and lower Cook Inlet that are generally described as nonmarine to shallow marine (Detterman and others, 1996; LePain and others, 2012).Based on foraminifera and palynomorphs from the COST No. 1 well, Magoon (1986) concluded that the Upper Cretaceous rocks were deposited in a variety of water depths and environments ranging from upper bathyal to nonmarine. During our recent fieldwork west and south of Fourpeaked Mountain, we similarly encountered markedly varying lithofacies in the Kaguyak Formation (fig. 25), and we also found oil-stained rocks that are consistent with the existence of an active petroleum system in Upper Cretaceous rocks on the upper Alaska Peninsula and in lower Cook Inlet. These field observations are summarized below.

  4. Management of work-relevant upper limb disorders: a review.

    PubMed

    Burton, A Kim; Kendall, Nicholas A S; Pearce, Brian G; Birrell, Lisa N; Bainbridge, L Christopher

    2009-01-01

    Upper limb disorders (ULDs) are clinically challenging and responsible for considerable work loss. There is a need to determine effective approaches for their management. To determine evidence-based management strategies for work-relevant ULDs and explore whether a biopsychosocial approach is appropriate. Literature review using a best evidence synthesis. Data from articles identified through systematic searching of electronic databases and citation tracking were extracted into evidence tables. The information was synthesized into high-level evidence statements, which were ordered into themes covering classification/diagnosis, epidemiology, associations/risks and management/treatment, focusing on return to work or work retention and taking account of distinctions between non-specific complaints and specific diagnoses. Neither biomedical treatment nor ergonomic workplace interventions alone offer an optimal solution; rather, multimodal interventions show considerable promise, particularly for occupational outcomes. Early return to work, or work retention, is an important goal for most cases and may be facilitated, where necessary, by transitional work arrangements. The emergent evidence indicates that successful management strategies require all the players to be on side and acting in a coordinated fashion; this requires engaging employers and workers to participate. The biopsychosocial model applies: biological considerations should not be ignored, but psychosocial factors are more influential for occupational outcomes. Implementation of interventions that address the full range of psychosocial issues will require a cultural shift in the way the relationship between upper limb complaints and work is conceived and handled. Dissemination of evidence-based messages can contribute to the needed cultural shift.

  5. Endoscopic submucosal dissection for early gastric cancer on the lesser curvature in upper third of the stomach is a risk factor for postoperative delayed gastric emptying.

    PubMed

    Yoshizaki, Tetsuya; Obata, Daisuke; Aoki, Yasuhiro; Okamoto, Norihiro; Hashimura, Hiroki; Kano, Chise; Matsushita, Megumi; Kanamori, Atsushi; Matsumoto, Kei; Tsujimae, Masahiro; Momose, Kenji; Eguchi, Takaaki; Okuyama, Shunsuke; Yamashita, Hiroshi; Fujita, Mikio; Okada, Akihiko

    2018-02-07

    Advances in Endoscopic submucosal dissection (ESD) technology have established ESD for early gastric cancer as a safe and stable technique. However, ESD may induce delayed gastric emptying and the cause of food residue retention in the stomach after ESD is not clear. This study aimed to clarify risk factors for delayed gastric emptying with food retention after gastric ESD. We retrospectively examined for food residue in the stomach 1 week after ESD was performed for early gastric carcinoma at Osaka Saiseikai Nakatsu Hospital from February 2008 to November 2016. Food residue was observed in 68 (6.1%) of 1114 patients who underwent gastric ESD. The percentage of lesions located on the lesser curvature of the upper third of the stomach was 45.6% (31/68) in the food residue group and 3.5% (37/1046) in the non-food residue group, which was significantly different (P < 0.01). Multivariate logistic regression analysis revealed that lesions on the lesser curvature of the upper third of the stomach (Odds ratio [OR] 23.31, 95% confidence interval [CI] 12.60-43.61, P < 0.01), post-ESD bleeding (OR 4.25, 95%CI 1.67-9.80, P < 0.01), submucosal invasion (OR 2.80, 95%CI 1.34-5.63, P < 0.01), and age over 80 years (OR 2.34, 95%CI 1.28-4.22, P < 0.01) were independent risk factors for food retention after gastric ESD. Of the 68 patients, 3 had food residue in the stomach on endoscopic examination for follow-up observation after the ESD ulcer had healed. Delayed gastric emptying with food retention after gastric ESD was associated with lesions located in the lesser curvature of the upper stomach, submucosal invasion of the lesion, age older than 80 years, and post-ESD bleeding, though it was temporary in most cases.

  6. Enzymatic debridement for the treatment of severely burned upper extremities - early single center experiences.

    PubMed

    Cordts, Tomke; Horter, Johannes; Vogelpohl, Julian; Kremer, Thomas; Kneser, Ulrich; Hernekamp, Jochen-Frederick

    2016-06-24

    Severe burns of hands and arms are complex and challenging injuries. The Standard of care (SOC) - necrosectomy with skin grafting - is often associated with poor functional or aesthetic outcome. Enzymatic debridement (ED) is considered one promising alternative but, until recently, results proved to be highly variable. Between 04/2014 and 04/2015, 16 patients with deep partial- to full-thickness burns of the upper extremities underwent enzymatic debridement (ED) in our Burn Center and were evaluated for extent of additional surgery, wound healing, pain management and functional parameters. Following ED, no further surgical intervention was required in 53.8 % of the study population. In patients who required surgical treatment, the the skin-grafted area could be reduced by 37.0 % when compared to initial assessment. Time from injury to ED was 24.4 h and patients were able to start physical therapy after 2.0 days but suffered from prolonged wound closure (28.0 days). Regionally administered anesthesia proved to be superior to pain medication alone as pain levels and consumed morphine-equivalent were lower. Post-demission follow-up showed good functional results and pain levels with low scores in two self-report questionnaires (DASH, PRWE-G) but 3 patients reported increased susceptibility to shear stress. Based on these early experiences, we developed a 3-step algorithm for consecutive patients allowing appropriate and individualized treatment selection. We see a potential benefit for ED in the treatment of severely burned hands and forearms but further investigations and proper prospective, randomized controlled trials are needed to statistically support any outlined assumptions.

  7. Differential growth and development of the upper and lower human thorax.

    PubMed

    Bastir, Markus; García Martínez, Daniel; Recheis, Wolfgang; Barash, Alon; Coquerelle, Michael; Rios, Luis; Peña-Melián, Angel; García Río, Francisco; O'Higgins, Paul

    2013-01-01

    The difficulties in quantifying the 3D form and spatial relationships of the skeletal components of the ribcage present a barrier to studies of the growth of the thoracic skeleton. Thus, most studies to date have relied on traditional measurements such as distances and indices from single or few ribs. It is currently known that adult-like thoracic shape is achieved early, by the end of the second postnatal year, with the circular cross-section of the newborn thorax transforming into the ovoid shape of adults; and that the ribs become inclined such that their anterior borders come to lie inferior to their posterior. Here we present a study that revisits growth changes using geometric morphometrics applied to extensive landmark data taken from the ribcage. We digitized 402 (semi) landmarks on 3D reconstructions to assess growth changes in 27 computed tomography-scanned modern humans representing newborns to adults of both sexes. Our analyses show a curved ontogenetic trajectory, resulting from different ontogenetic growth allometries of upper and lower thoracic units. Adult thoracic morphology is achieved later than predicted, by diverse modifications in different anatomical regions during different ontogenetic stages. Besides a marked increase in antero-posterior dimensions, there is an increase in medio-lateral dimensions of the upper thorax, relative to the lower thorax. This transforms the pyramidal infant thorax into the barrel-shaped one of adults. Rib descent is produced by complex changes in 3D curvature. Developmental differences between upper and lower thoracic regions relate to differential timings and rates of maturation of the respiratory and digestive systems, the spine and the locomotor system. Our findings are relevant to understanding how changes in the relative rates of growth of these systems and structures impacted on the development and evolution of modern human body shape.

  8. Differential Growth and Development of the Upper and Lower Human Thorax

    PubMed Central

    Bastir, Markus; García Martínez, Daniel; Recheis, Wolfgang; Barash, Alon; Coquerelle, Michael; Rios, Luis; Peña-Melián, Ángel; García Río, Francisco; O’Higgins, Paul

    2013-01-01

    The difficulties in quantifying the 3D form and spatial relationships of the skeletal components of the ribcage present a barrier to studies of the growth of the thoracic skeleton. Thus, most studies to date have relied on traditional measurements such as distances and indices from single or few ribs. It is currently known that adult-like thoracic shape is achieved early, by the end of the second postnatal year, with the circular cross-section of the newborn thorax transforming into the ovoid shape of adults; and that the ribs become inclined such that their anterior borders come to lie inferior to their posterior. Here we present a study that revisits growth changes using geometric morphometrics applied to extensive landmark data taken from the ribcage. We digitized 402 (semi) landmarks on 3D reconstructions to assess growth changes in 27 computed tomography-scanned modern humans representing newborns to adults of both sexes. Our analyses show a curved ontogenetic trajectory, resulting from different ontogenetic growth allometries of upper and lower thoracic units. Adult thoracic morphology is achieved later than predicted, by diverse modifications in different anatomical regions during different ontogenetic stages. Besides a marked increase in antero-posterior dimensions, there is an increase in medio-lateral dimensions of the upper thorax, relative to the lower thorax. This transforms the pyramidal infant thorax into the barrel-shaped one of adults. Rib descent is produced by complex changes in 3D curvature. Developmental differences between upper and lower thoracic regions relate to differential timings and rates of maturation of the respiratory and digestive systems, the spine and the locomotor system. Our findings are relevant to understanding how changes in the relative rates of growth of these systems and structures impacted on the development and evolution of modern human body shape. PMID:24073239

  9. Static investigation of the circulation control wing/upper surface blowing concept applied to the quiet short haul research aircraft

    NASA Technical Reports Server (NTRS)

    Eppel, J. C.; Shovlin, M. D.; Jaynes, D. N.; Englar, R. J.; Nichols, J. H., Jr.

    1982-01-01

    Full scale static investigations were conducted on the Quiet Short Haul Research Aircraft (QSRA) to determine the thrust deflecting capabilities of the circulation control wing/upper surface blowing (CCW/USB) concept. This scheme, which combines favorable characteristics of both the A-6/CCW and QSRA, employs the flow entrainment properties of CCW to pneumatically deflect engine thrust in lieu of the mechanical USB flap system. Results show that the no moving parts blown system produced static thrust deflections in the range of 40 deg to 97 deg (depending on thrust level) with a CCW pressure of 208,900 Pa (30.3 psig). In addition, the ability to vary horizontal forces from thrust to drag while maintaining a constant vertical (or lift) value was demonstrated by varying the blowing pressure. The versatility of the CCW/USB system, if applied to a STOL aircraft, was confirmed, where rapid conversion from a high drag approach mode to a thrust recovering waveoff or takeoff configuration could be achieved by nearly instantaneous blowing pressure variation.

  10. Repeated measures of recent headache, neck and upper back pain in Australian adolescents.

    PubMed

    Grimmer, K; Nyland, L; Milanese, S

    2006-07-01

    The epidemiological and clinical literature identifies strong associations between adult headache, cervical and thoracic spine dysfunction and spinal posture. This paper reports on the prevalence and incidence of headache, neck and upper back pain which occurred in the previous week, in urban Australians aged 13-17 years. Commencing in 1999, we followed a cohort of South Australian students through 5 years of secondary schooling. Of our commencing cohort of students, 132 (30%) provided data on bodily pain every year. For both girls and boys, there was a significantly decreasing prevalence of headache over the study period, while neck pain and upper back pain increased. There was a significantly increasing trend over time for boys with upper back pain. Twenty percent of girls and boys consistently reported headache, neck pain or upper back pain over 5 years. The progression of early adolescent headaches to mid-adolescent neck and upper back pain potentially reflects the adolescents' biomechanical responses to intrinsic and extrinsic imposts. This requires further investigation to understand the causes of adolescent headache, neck and upper thoracic pain.

  11. The influence of premature loss of temporary upper molars on permanent molars.

    PubMed

    Cernei, E R; Maxim, Dana Cristiana; Zetu, Irina Nicoleta

    2015-01-01

    Premature loss of primary molars due to dental caries and their complications has been associated with space loss and eruptive difficulties, especially when the loss occurs early. The aim of our study was to determine the impact of premature loss of temporary upper molars upon the longitudinal axis of the first and second upper permanent molar. The study group included 64 patients 6-9 years old with premature loss of primary molars and a control group of 48 patients with intact temporary teeth. It was evaluated the angle between longitudinal axis of first and second upper permanent molars and occlusal plane. The sofware used is Easy Dent 4 Viewer®.The data were analyzed by using the Statistical Package for the Social Sciences (version 20.0; SPSS, Chicago, III). It was observed that premature loss of upper second deciduous molars modifies greater the vertical axis of the permanent molars than the premature loss of first upper primary molar. First upper primary molar loss cause an acceleration eruption of first premolar, which will produce a distal inclintion of the both permanent molars. The use of space maintainers after premature loss of the second upper temporary molar is a last solution in preventing tridimensional lesions in the dental arch and occlusion.

  12. Seismic stratigraphy of the Mississippi-Alabama shelf and upper continental slope

    USGS Publications Warehouse

    Kindinger, J.L.

    1988-01-01

    The Mississippi-Alabama shelf and upper continental slope contain relatively thin Upper Pleistocene and Holocene deposits. Five stages of shelf evolution can be identified from the early Wisconsinan to present. The stages were controlled by glacioeustatic or relative sea-level changes and are defined by the stratigraphic position of depositional and erosional episodes. The stratigraphy was identified on seismic profiles by means of geomorphic pattern, high-angle clinoform progradational deposits, buried stream entrenchments, planar conformities, and erosional unconformities. The oldest stage (stage 1) of evolution occurred during the early Wisconsinan lowstand; the subaerially exposed shelf was eroded to a smooth seaward-sloping surface. This paleosurface is overlain by a thin (< 10 m) drape of transgressive deposits (stage 2). Stage 3 occurred in three phases as the late Wisconsinan sea retreated: (1) fluvial channel systems eroded across the shelf, (2) deposited a thick (90 m) shelf-margin delta, and (3) contemporaneously deposited sediments on the upper slope. Stage 4 included the rapid Holocene sea-level rise that deposited a relatively thin transgressive facies over parts of the shelf. The last major depositional episode (stage 5) was the progradation of the St. Bernard delta over the northwestern and central parts of the area. A depositional hiatus has occurred since the St. Bernard progradation. These Upper Quaternary shelf and slope deposits provide models for analogous deposits in the geologic record. Primarily, they are examples of cyclic sedimentation caused by changes in sea level and may be useful in describing short-term, sandy depositional episodes in prograding shelf and slope sequences. ?? 1988.

  13. Climatic-oceanic forcing on the organic accumulation across the shelf during the Early Cambrian (Age 2 through 3) in the mid-upper Yangtze Block, NE Guizhou, South China

    NASA Astrophysics Data System (ADS)

    Yeasmin, Rumana; Chen, Daizhao; Fu, Yong; Wang, Jianguo; Guo, Zenghui; Guo, Chuan

    2017-02-01

    The organic-rich sediments were widely deposited over the entire Yangtze Block during the Early Cambrian (late Nemakit-Daldynian to Botomian). In the mid-upper Yangtze region, northeastern Guizhou, South China, they comprise, in ascending order, the Niutitang, Jiumenchong and lower Bianmachong formations which are dominated by black shales except the middle one characterized by interbedded shales-limestones. Three third-order depositional sequences are identified in the two studied sections located on the upper slope to basin of the open shelf. The organic-rich sediments were mostly deposited notably during transgressions on the shallower upper slope-margin (TOC up to 25 wt.%) where they are characterized by co-increases in C, P, Fe, and Ba concentrations, indicating the highest organic productivity and coupled C, P and Fe cycling there. In contrast, in the shelf basin, the concomitant organic-rich sediments yield lower organic (TOC <10 wt.% mostly) and Ba abundances, and generally show antithetic relationship of TOC with P and Fe variations, indicative of a relatively low organic productivity and transient decoupled C, P and Fe cycling in the deeper basin. This spatial difference in C, P, Fe and Ba cycling as a whole thus indicate that the highest organic productivity wedge on the shallower shelf upper slope-margin was likely induced by the oceanic upwelling from the restricted basin where the P and Fe nutrients were transiently depleted without timely renewal. Meanwhile, multiple redox proxies, including V/Al, Ni/Al and Cr/Al ratios vs. TOC contents, together with V/(V + Ni) and V/Cr ratios, generally characterize a more severe euxinic water wedge localized on the shallower upper slope-margin of shelf where the organic production culminated, but a nonsulfidic (ferruginous) anoxic state in the basin due to the relatively low sulfate level. Meanwhile, episodic depletion of trace elements in the deeper basin during the higher organic productivity also reconciles the

  14. Early Learning and Early Identification Follow-Up Study: Transition from the Early to the Later Childhood Grades, 1990-93.

    ERIC Educational Resources Information Center

    Marcon, Rebecca A.

    As follow-up to an in-depth study of the District of Columbia's early learning programs and their impact, this study provided data on the transition of previously studied children from primary education to upper elementary grades. Academic progress of the original group of pre-kindergarten and Head Start children was studied during years 5 and 6…

  15. Robot-Assisted Versus Laparoscopy-Assisted Proximal Gastrectomy for Early Gastric Cancer in the Upper Location: Comparison of Oncological Outcomes, Surgical Stress, and Nutritional Status.

    PubMed

    Zhang, Kecheng; Huang, Xiaohui; Gao, Yunhe; Liang, Wenquan; Xi, Hongqing; Cui, Jianxin; Li, Jiyang; Zhu, Minghua; Liu, Guoxiao; Zhao, Huazhou; Hu, Chong; Liu, Yi; Qiao, Zhi; Wei, Bo; Chen, Lin

    2018-01-01

    An increasing amount of attention has been paid to minimally invasive function-preserving gastrectomy, with an increase in incidence of early gastric cancer in the upper stomach. This study aimed to compare oncological outcomes, surgical stress, and nutritional status between robot-assisted proximal gastrectomy (RAPG) and laparoscopy-assisted proximal gastrectomy (LAPG). Eighty-nine patients were enrolled in this retrospective study between November 2011 and December 2013. Among them, 27 patients underwent RAPG and 62 underwent LAPG. Perioperative parameters, surgical stress, nutritional status, disease-free survival, and overall survival were compared between the 2 groups. Sex, age, and comorbidity were similar in the RAPG and LAPG groups. There were also similar perioperative outcomes regarding operation time, complications, and length of hospital stay between the groups. The reflux esophagitis rates following RAPG and LAPG were 18.5% and 14.5%, respectively ( P = .842). However, patients in the RAPG group had less blood loss ( P = .024), more harvested lymph nodes ( P = .021), and higher costs than those in the LAPG group ( P < .001). With regard to surgical stress, no significant differences were observed in C-reactive protein concentrations and white blood cell count on postoperative days 1, 3, and 7 between the groups ( Ps > .05). There appeared to be higher hemoglobin levels at 6 months ( P = .053) and a higher body mass index at 12 months ( P = .056) postoperatively in patients in the RAPG group compared with those in the LAPG group, but this difference was not significant. Similar disease-free survival and overall survival rates were observed between the groups. RAPG could be an alternative to LAPG for patients with early gastric cancer in the upper stomach with comparable oncological safety and nutritional status. Further well-designed, prospective, large-scale studies are needed to validate these results.

  16. Early retirement among Danish female cleaners and shop assistants according to work environment characteristics and upper extremity complaints: an 11-year follow-up study.

    PubMed

    Jensen, Lone Donbæk; Bonde, Jens Peter Ellekilde; Christensen, Michael Victor; Maribo, Thomas

    2016-05-04

    Studies have shown a negative social gradient in the incidence of early retirement. To prevent undesired early retirement, there is a need for knowledge of specific predictors in addition to social factors with a limited potential for change. The main purpose of this study was to examine musculoskeletal complaints and working conditions as predictors of early retirement among Danish female cleaners. Using Cox regression with an adjustment for extraneous factors, we compared the risk of disability pension and retirement before the nominal retirement age (65 years) in an 11-year cohort study with registry-based follow-up of 1430 female cleaners and 579 shop assistants. In subsequent analyses of female cleaners, disability pension and voluntary early retirement were modeled according to work characteristics and upper extremity complaints. The adjusted hazard rate (HR) for disability pension among cleaners compared to the control group was 2.27 (95% CI 1.58 to 3.28) and, for voluntary early retirement, 1.01 (95% CI 0.85 to 1.20). In the subset of cleaners, the predictors of disability pension were persistent shoulder pain HR: 1.98 (95% CI 1.47 to 2.67), elbow pain HR: 1.41 (95% CI 1.02 to 1.94) and symptoms of nerve entrapment of the hand HR: 1.58 (95% CI 1.14 to 2.20). Predictors of voluntary early retirement were persistent shoulder pain HR: 1.40 (95% CI 1.16 to 1.67) and floor mopping for more than 10 h per week HR: 1.20 (95% CI 1.03 to 1.40). Cleaners have a twofold higher risk of disability pension compared to the control group. Risk factors for disability pension among cleaners were persistent shoulder and elbow pain together with symptoms of nerve entrapment of the hand. The findings of specific health related predictors of early retirement could be used in secondary prevention with targeted temporary reduced workload.

  17. Land Snails as a Diet Diversification Proxy during the Early Upper Palaeolithic in Europe

    PubMed Central

    Fernández-López de Pablo, Javier; Badal, Ernestina; Ferrer García, Carlos; Martínez-Ortí, Alberto; Sanchis Serra, Alfred

    2014-01-01

    Despite the ubiquity of terrestrial gastropods in the Late Pleistocene and Holocene archaeological record, it is still unknown when and how this type of invertebrate resource was incorporated into human diets. In this paper, we report the oldest evidence of land snail exploitation as a food resource in Europe dated to 31.3-26.9 ka yr cal BP from the recently discovered site of Cova de la Barriada (eastern Iberian Peninsula). Mono-specific accumulations of large Iberus alonensis land snails (Ferussac 1821) were found in three different archaeological levels in association with combustion structures, along with lithic and faunal assemblages. Using a new analytical protocol based on taphonomic, microX-Ray Diffractometer (DXR) and biometric analyses, we investigated the patterns of selection, consumption and accumulation of land snails at the site. The results display a strong mono-specific gathering of adult individuals, most of them older than 55 weeks, which were roasted in ambers of pine and juniper under 375°C. This case study uncovers new patterns of invertebrate exploitation during the Gravettian in southwestern Europe without known precedents in the Middle Palaeolithic nor the Aurignacian. In the Mediterranean context, such an early occurrence contrasts with the neighbouring areas of Morocco, France, Italy and the Balkans, where the systematic nutritional use of land snails appears approximately 10,000 years later during the Iberomaurisian and the Late Epigravettian. The appearance of this new subsistence activity in the eastern and southern regions of Spain was coeval to other demographically driven transformations in the archaeological record, suggesting different chronological patterns of resource intensification and diet broadening along the Upper Palaeolithic in the Mediterranean basin. PMID:25141047

  18. Land snails as a diet diversification proxy during the early upper palaeolithic in Europe.

    PubMed

    Fernández-López de Pablo, Javier; Badal, Ernestina; Ferrer García, Carlos; Martínez-Ortí, Alberto; Sanchis Serra, Alfred

    2014-01-01

    Despite the ubiquity of terrestrial gastropods in the Late Pleistocene and Holocene archaeological record, it is still unknown when and how this type of invertebrate resource was incorporated into human diets. In this paper, we report the oldest evidence of land snail exploitation as a food resource in Europe dated to 31.3-26.9 ka yr cal BP from the recently discovered site of Cova de la Barriada (eastern Iberian Peninsula). Mono-specific accumulations of large Iberus alonensis land snails (Ferussac 1821) were found in three different archaeological levels in association with combustion structures, along with lithic and faunal assemblages. Using a new analytical protocol based on taphonomic, microX-Ray Diffractometer (DXR) and biometric analyses, we investigated the patterns of selection, consumption and accumulation of land snails at the site. The results display a strong mono-specific gathering of adult individuals, most of them older than 55 weeks, which were roasted in ambers of pine and juniper under 375°C. This case study uncovers new patterns of invertebrate exploitation during the Gravettian in southwestern Europe without known precedents in the Middle Palaeolithic nor the Aurignacian. In the Mediterranean context, such an early occurrence contrasts with the neighbouring areas of Morocco, France, Italy and the Balkans, where the systematic nutritional use of land snails appears approximately 10,000 years later during the Iberomaurisian and the Late Epigravettian. The appearance of this new subsistence activity in the eastern and southern regions of Spain was coeval to other demographically driven transformations in the archaeological record, suggesting different chronological patterns of resource intensification and diet broadening along the Upper Palaeolithic in the Mediterranean basin.

  19. New observations of the early land plant Eocooksonia Doweld from the Pridoli (Upper Silurian) of Xinjiang, China

    NASA Astrophysics Data System (ADS)

    Xue, Jinzhuang; Wang, Qi; Wang, Deming; Wang, Yi; Hao, Shougang

    2015-04-01

    As an early land plant previously reported from the Upper Silurian (Pridoli) of Xinjiang, Northwest China and Central Kazakhstan, the circumscription of Eocooksonia sphaerica (Senkevitsch) Doweld remains ill-defined because of the paucity of specimens and poor preservation in marine deposits. New specimens of this plant are described from the Pridoli-aged Wutubulake Formation of the Junggar Basin, Xinjiang. New observations and comparisons with the type material from Kazakhstan confirm the pseudomonopodial branching pattern, which forms an apparent main axis with lateral dichotomously branching systems. Our specimens demonstrate that the terminal sporangia of Eocooksonia Doweld consist of a central body and a border with four to eight elongate-triangular emergences, a character shown in the published illustrations of the type material but not mentioned in the original diagnosis. Eocooksonia may be close to Cooksonia Lang and Pertonella Fanning, Edwards et Richardson in affinities, particularly to the latter that has terminal discoidal sporangia with spiny emergences. It is deduced that the sporangial central body of Eocooksonia contains sporogenous tissues, which are covered by a distal surface wall with radiated emergences. One sporangium specimen of an unnamed plant is also described from the Wutubulake Formation of Xinjiang; it shows a central body with a wide border lacking emergences, and represents a taxon superficially similar to Eocooksonia.

  20. Assessing Upper-Level Winds on Day-of-Launch

    NASA Technical Reports Server (NTRS)

    Bauman, William H., III; Wheeler, Mark M.

    2012-01-01

    On the day-or-launch. the 45th Weather Squadron Launch Weather Officers (LWOS) monitor the upper-level winds for their launch customers to include NASA's Launch Services Program (LSP). During launch operations, the payload launch team sometimes asks the LWO if they expect the upper level winds to change during the countdown but the LWOs did not have the capability to quickly retrieve or display the upper-level observations and compare them to the numerical weather prediction model point forecasts. The LWOs requested the Applied Meteorology Unit (AMU) develop a capability in the form of a graphical user interface (GUI) that would allow them to plot upper-level wind speed and direction observations from the Kennedy Space Center Doppler Radar Wind Profilers and Cape Canaveral Air Force Station rawinsondes and then overlay model point forecast profiles on the observation profiles to assess the performance of these models and graphically display them to the launch team. The AMU developed an Excel-based capability for the LWOs to assess the model forecast upper-level winds and compare them to observations. They did so by creating a GUI in Excel that allows the LWOs to first initialize the models by comparing the O-hour model forecasts to the observations and then to display model forecasts in 3-hour intervals from the current time through 12 hours.

  1. A New Observation Technique Applied to Early/Fast VLF Scattering Events

    NASA Astrophysics Data System (ADS)

    Kotovsky, D. A.; Moore, R. C.

    2012-12-01

    Early/fast very low frequency (VLF, 3-30 kHz) events are understood to result from ionospheric conductivity changes associated with lightning. Early/fast amplitude and phase perturbations have been observed coincidentally with various optical observations of transient luminous events (TLEs), including elves, sprites, and sprite halos, each of which can have temporal characteristics consistent with those of early/fast VLF events. It is yet unresolved, however, whether a specific type of TLE is directly related to the ionospheric conductivity changes responsible for the typical early/fast event. In this paper, we present spread spectrum VLF scattering observations of early/fast events. The spread spectrum analysis technique determines the amplitude and phase of a subionospherically propagating VLF signal as a function of time during the early/fast event and as a function of frequency across the 200 Hz bandwidth of the VLF transmission. VLF scattering observations, each identified with causative lightning logged by the National Lightning Detection Network (NLDN), are compared with the predictions of the Long-Wave Propagation Capability (LWPC) code, a three-dimensional earth-ionosphere waveguide propagation and scattering model. Theoretical predictions for VLF scattering from ionization changes associated with elves are compared with those associated with sprite halos, and each are compared with experimental observations. Results indicate that the observed frequency dependence of VLF scattering during early/fast events results from the combination of scattering source properties and Earth-ionosphere waveguide propagation effects. Observations are more consistent with the modeled amplitude perturbations associated with sprite halos than those with elves.

  2. Evaluation with mTHPC of early squamous cell carcinomas of the cheek pouch mucosa of Golden Syrian hamsters as a model for clinical PDT of early cancers in the upper aerodigestive tract, the esophag

    NASA Astrophysics Data System (ADS)

    Glanzmann, Thomas M.; Theumann, Jean-Francois; Forrer, Martin; Braichotte, Daniel; Wagnieres, Georges A.; van den Bergh, Hubert; Andrejevic-Blant, Snezana; Savary, Jean-Francois; Monnier, Philippe

    1995-03-01

    Golden Syrian hamsters are evaluated as an animal model for light induced fluorescence (LIF) photodetection and phototherapy of early squamous cell carcinomas of the upper aerodigestive tract, the esophagus, and the traecheo-bronchial tree. Carcinomas of this type are induced on the hamster cheek pouch mucosa by the application of the carcinogen 7,12-DMBA. For phototherapeutic experiments on the animals we utilized meso-(tetrahydoxyphenyl) chlorin (mTHPC). This drug is currently in phase I and II clinical trials for ENT patients presenting superficial `early' squamous cell carcinomas. By means of LIF we measured in vivo the kinetics of the uptake and removal of mTHPC in the normal and tumoral cheek mucosa and in the skin. The photodynamic therapy (PDT) reaction of the tissue after excitation of the photosensitizer with laser light at 652 nm was studied. Both pharmacokinetics and PDT efficacy are compared between animal model and clinical results with special emphasis on selectivity between normal and tumoral mucosa. These first experiments show that this tumor model in the hamster cheek pouch seems to be suitable for testing new photosensitizers preceding their clinical application as well as for optimization of the multiple parameters of clinical PDT.

  3. Drought drove forest decline and dune building in eastern upper Michigan, USA, as the upper Great Lakes became closed basins

    USGS Publications Warehouse

    Loope, Walter L.; Loope, Henry M.; Goble, Ronald J.; Fisher, Timothy G.; Lytle, David E.; Legg, Robert J.; Wysocki, Douglas A.; Hanson, Paul R.; Young, Aaron R.

    2012-01-01

    Current models of landscape response to Holocene climate change in midcontinent North America largely reconcile Earth orbital and atmospheric climate forcing with pollen-based forest histories on the east and eolian chronologies in Great Plains grasslands on the west. However, thousands of sand dunes spread across 12,000 km2 in eastern upper Michigan (EUM), more than 500 km east of the present forest-prairie ecotone, present a challenge to such models. We use 65 optically stimulated luminescence (OSL) ages on quartz sand deposited in silt caps (n = 8) and dunes (n = 57) to document eolian activity in EUM. Dune building was widespread ca. 10–8 ka, indicating a sharp, sustained decline in forest cover during that period. This decline was roughly coincident with hydrologic closure of the upper Great Lakes, but temporally inconsistent with most pollen-based models that imply canopy closure throughout the Holocene. Early Holocene forest openings are rarely recognized in pollen sums from EUM because faint signatures of non-arboreal pollen are largely obscured by abundant and highly mobile pine pollen. Early Holocene spikes in nonarboreal pollen are recorded in cores from small ponds, but suggest only a modest extent of forest openings. OSL dating of dune emplacement provides a direct, spatially explicit archive of greatly diminished forest cover during a very dry climate in eastern midcontinent North America ca. 10–8 ka.

  4. Delayed prescribing for upper respiratory tract infections: a qualitative study of GPs' views and experiences

    PubMed Central

    Høye, Sigurd; Frich, Jan; Lindbœk, Morten

    2010-01-01

    Background Delayed prescribing has been promoted as a strategy that meets patients' expectations and helps to avoid unnecessary use of antibiotics in upper respiratory tract infections. Aim To explore GPs' views on and experiences with delayed prescribing in patients with acute upper respiratory tract infections. Design of study Qualitative study involving focus groups. Setting Norwegian general practice. Method Qualitative analysis of data collected from five focus groups comprising 33 GPs who took part in a quality-improvement programme of antibiotic prescribing. Results The views of GPs differed on the usefulness of delayed prescribing. GPs who endorsed the strategy emphasised shared decision making and the creation of opportunities for educating patients, whereas GPs who were negative applied the strategy mainly when being pressed to prescribe. Mild and mainly harmless conditions of a possible bacterial origin, such as acute sinusitis and acute otitis, were considered most suitable for delayed prescribing. A key argument for issuing a wait-and-see prescription was that it helped patients avoid seeking after-hours care. For issuing a wait-and-see prescription, the GPs required that the patient was ‘knowledgeable’, able to understand the indications for antibiotics, and motivated for shared decision making. GPs emphasised that patients should be informed thoroughly when receiving a wait-and-see prescription. Conclusion Not all GPs endorse delayed prescribing; however, it appears to be a feasible approach for managing patients with early symptoms of mild upper respiratory tract infections of a possible bacterial origin. Informing the patients properly while issuing wait-and-see prescriptions is essential. PMID:21144201

  5. Engaging Students in Applied Electromagnetics at the University of San Diego

    ERIC Educational Resources Information Center

    Lumori, M. L. D.; Kim, E. M.

    2010-01-01

    Two possible topical approaches that have been applied to teaching an upper-division undergraduate electrical engineering applied electromagnetics course are presented. Each approach was applied to one of two offerings of the course, taught in different semesters. In either case, the course includes the study of electromagnetic theory and…

  6. Comparison of different morphological parameters with duration of obstruction created experimentally in unilateral upper ureters: an animal model.

    PubMed

    Panda, Shasanka Shekhar; Bajpai, Minu; Mallick, Saumyaranjan; Sharma, Mehar C

    2014-01-01

    The objective of the following study is to determine and to compare the different morphological parameters with duration of obstruction created experimentally in unilateral upper ureters of rats. Unilateral upper ureteric obstruction was created in 60 adult Wistar rats that were reversed after predetermined intervals. Rats were sacrificed and ipsilateral kidneys were subjected for analysis of morphological parameters such as renal height, cranio-caudal diameter, antero-posterior diameter, lateral diameter, volume of the pelvis and average cortical thickness: Renal height. Renal height and cranio-caudal diameter of renal pelvis after ipsilateral upper ureteric obstruction started rising as early as 7 days of creating obstruction and were affected earlier than antero-posterior and lateral diameter and also were reversed earlier than other parameters after reversal of obstruction. Renal cortical thickness and volume of the pelvis were affected after prolonged obstruction (> 3 weeks) and were the late parameters to be reversed after reversal of obstruction. Cranio-caudal diameter and renal height were the early morphological parameters to be affected and reversed after reversal of obstruction in experimentally created ipsilateral upper ureteric obstruction.

  7. ON COMPUTING UPPER LIMITS TO SOURCE INTENSITIES

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

    Kashyap, Vinay L.; Siemiginowska, Aneta; Van Dyk, David A.

    2010-08-10

    upper limits that applies to all detection algorithms.« less

  8. Early upper paleolithic shell beads at Üçağızlı Cave I (Turkey): technology and the socioeconomic context of ornament life-histories.

    PubMed

    Stiner, Mary C; Kuhn, Steven L; Güleç, Erksin

    2013-05-01

    Ten early Upper Paleolithic layers in Üçağızlı Cave I (41-29 uncalibrated ky BP) on the Hatay coast of southern Turkey preserve a rich and varied record of early Upper Paleolithic life, including the production and use of large numbers of shell ornaments. This study examines shell bead production, use, and discard in relation to site function and the diversity of on-site human activities. Four factors are expected to contribute to variation in the ornament assemblages, one environmental and three behavioral. The behavioral factors relate to winnowing for quality as a function of distance from the raw material source, changes in the size of user groups, and symbol standardization. The accumulation rates for shell beads, bones, and stone tools paralleled one another through time, indicating that ornament discard followed the pulse of daily life at this site. All stages of manufacture and use are well represented in each assemblage, and half or more of the ornaments show evidence of extended use. Changes in the local marine environment do not explain much of the variation in the assemblages, pointing instead to behavioral causes. The richness of shell types that were collected as raw material correlates to greater exploitation of edible marine shellfish and greater occupation intensity. Much of this variation in the ornament raw material was eliminated during the manufacture stage, almost certainly reflecting the influence of cultural norms. A focus on basket-shaped shells changed remarkably little over thousands of years, despite significant changes in other domains of technology. This last result suggests that beads were the most irreducible and conservative elements of more complex design traditions. Copyright © 2013 Elsevier Ltd. All rights reserved.

  9. The Middle-to-Upper Palaeolithic transition in Cova Gran (Catalunya, Spain) and the extinction of Neanderthals in the Iberian Peninsula.

    PubMed

    Martínez-Moreno, Jorge; Mora, Rafael; de la Torre, Ignacio

    2010-03-01

    The excavations carried out in Cova Gran de Santa Linya (Southeastern PrePyrenees, Catalunya, Spain) have unearthed a new archaeological sequence attributable to the Middle Palaeoloithic/Upper Palaeolithic (MP/UP) transition. This article presents data on the stratigraphy, archaeology, and (14)C AMS dates of three Early Upper Palaeolithic and four Late Middle Palaeolithic levels excavated in Cova Gran. All these archaeological levels fall within the 34-32 ka time span, the temporal frame in which major events of Neanderthal extinction took place. The earliest Early Upper Palaeolithic (497D) and the latest Middle Palaeolithic (S1B) levels in Cova Gran are separated by a sterile gap and permit pinpointing the time period in which the Mousterian disappeared from Northeastern Spain. Technological differences between the Early Upper Palaeolithic and Late Middle Palaeolithic industries in Cova Gran support a cultural rupture between the two periods. A series of 12 (14)C AMS dates prompts reflections on the validity of reconstructions based on radiocarbon data. Thus, results from excavations in Cova Gran lead us to discuss the scenarios relating the MP/UP transition in the Iberian Peninsula, a region considered a refuge of late Neanderthal populations. Copyright 2009 Elsevier Ltd. All rights reserved.

  10. Early literacy and early numeracy: the value of including early literacy skills in the prediction of numeracy development.

    PubMed

    Purpura, David J; Hume, Laura E; Sims, Darcey M; Lonigan, Christopher J

    2011-12-01

    The purpose of this study was to examine whether early literacy skills uniquely predict early numeracy skills development. During the first year of the study, 69 3- to 5-year-old preschoolers were assessed on the Preschool Early Numeracy Skills (PENS) test and the Test of Preschool Early Literacy Skills (TOPEL). Participants were assessed again a year later on the PENS test and on the Applied Problems and Calculation subtests of the Woodcock-Johnson III Tests of Achievement. Three mixed effect regressions were conducted using Time 2 PENS, Applied Problems, and Calculation as the dependent variables. Print Knowledge and Vocabulary accounted for unique variance in the prediction of Time 2 numeracy scores. Phonological Awareness did not uniquely predict any of the mathematics domains. The findings of this study identify an important link between early literacy and early numeracy development. Copyright © 2011 Elsevier Inc. All rights reserved.

  11. A simple way to intrude overerupted upper second molars with miniscrews.

    PubMed

    Cao, Yang; Liu, Chufeng; Wang, Chunxian; Yang, Xiaoyu; Duan, Peijia; Xu, Chenrong

    2013-12-01

    Various methods of using skeletal anchorage for the intrusion of overerupted maxillary molars have been reported; however, it is difficult to intrude the overerupted upper second molars because of the low bone density in the region of the tuberosity. This article illustrates a new treatment method using partial fixed edgewise appliances and miniscrews to intrude the overerupted upper second molars. The miniscrews were applied to reinforce the anchorage of the upper first molar. The intrusive force was generated by the Ni-Ti wire. The clinical results showed a significant intrusion effect without root resorption or periodontal problems. This report demonstrates that the combination of partial conventional fixed appliances with miniscrews is a simple and effective treatment option to intrude overerupted upper second molars, especially in situations where miniscrews cannot be inserted directly next to the second molar. © 2013 by the American College of Prosthodontists.

  12. The first megatheropod tracks from the Lower Jurassic upper Elliot Formation, Karoo Basin, Lesotho

    PubMed Central

    Bordy, E. M.; Abrahams, M.; Knoll, F.; McPhee, B. W.

    2017-01-01

    A palaeosurface with one megatheropod trackway and several theropod tracks and trackways from the Lower Jurassic upper Elliot Formation (Stormberg Group, Karoo Supergroup) in western Lesotho is described. The majority of the theropod tracks are referable to either Eubrontes or Kayentapus based on their morphological characteristics. The larger megatheropod tracks are 57 cm long and have no Southern Hemisphere equivalent. Morphologically, they are more similar to the Early Jurassic Kayentapus, as well as the much younger Upper Cretaceous ichnogenus Irenesauripus, than to other contemporaneous ichnogenera in southern Africa. Herein they have been placed within the ichnogenus Kayentapus and described as a new ichnospecies (Kayentapus ambrokholohali). The tracks are preserved on ripple marked, very fine-grained sandstone of the Lower Jurassic upper Elliot Formation, and thus were made after the end-Triassic mass extinction event (ETE). This new megatheropod trackway site marks the first occurrence of very large carnivorous dinosaurs (estimated body length >8–9 meters) in the Early Jurassic of southern Gondwana, an evolutionary strategy that was repeatedly pursued and amplified in the following ~135 million years, until the next major biotic crisis at the end-Cretaceous. PMID:29069093

  13. Upper non-variceal gastrointestinal bleeding - review the effectiveness of endoscopic hemostasis methods

    PubMed Central

    Szura, Mirosław; Pasternak, Artur

    2015-01-01

    Upper non-variceal gastrointestinal bleeding is a condition that requires immediate medical intervention and has a high associated mortality rate (exceeding 10%). The vast majority of upper gastrointestinal bleeding cases are due to peptic ulcers. Helicobacter pylori infection, non-steroidal anti-inflammatory drugs and aspirin are the main risk factors for peptic ulcer disease. Endoscopic therapy has generally been recommended as the first-line treatment for upper gastrointestinal bleeding as it has been shown to reduce recurrent bleeding, the need for surgery and mortality. Early endoscopy (within 24 h of hospital admission) has a greater impact than delayed endoscopy on the length of hospital stay and requirement for blood transfusion. This paper aims to review and compare the efficacy of the types of endoscopic hemostasis most commonly used to control non-variceal gastrointestinal bleeding by pooling data from the literature. PMID:26421105

  14. Infrared light sensor applied to early detection of tooth decay

    NASA Astrophysics Data System (ADS)

    Benjumea, Eberto; Espitia, José; Díaz, Leonardo; Torres, Cesar

    2017-08-01

    The approach dentistry to dental care is gradually shifting to a model focused on early detection and oral-disease prevention; one of the most important methods of prevention of tooth decay is opportune diagnosis of decay and reconstruction. The present study aimed to introduce a procedure for early diagnosis of tooth decay and to compare result of experiment of this method with other common treatments. In this setup, a laser emitting infrared light is injected in core of one bifurcated fiber-optic and conduced to tooth surface and with the same bifurcated fiber the radiation reflected for the same tooth is collected and them conduced to surface of sensor that measures thermal and light frequencies to detect early signs of decay below a tooth surface, where demineralization is difficult to spot with x-ray technology. This device will can be used to diagnose tooth decay without any chemicals and rays such as high power lasers or X-rays.

  15. 2D seismic interpretation and characterization of the Hauterivian-Early Barremian source rock in Al Baraka oil field, Komombo Basin, Upper Egypt

    NASA Astrophysics Data System (ADS)

    Ali, Moamen; Darwish, M.; Essa, Mahmoud A.; Abdelhady, A.

    2018-03-01

    Komombo Basin is located in Upper Egypt about 570 km southeast of Cairo; it is an asymmetrical half graben and the first oil producing basin in Upper Egypt. The Six Hills Formation is of Early Cretaceous age and subdivided into seven members from base to top (A-G); meanwhile the B member is of Hauterivian-Early Barremian and it is the only source rock of Komombo Basin. Therefore, a detailed study of the SR should be carried out, which includes the determination of the main structural elements, thickness, facies distribution and characterization of the B member SR which has not been conducted previously in the study area. Twenty 2D seismic lines were interpreted with three vertical seismic profiles (VSP) to construct the depth structure-tectonic map on the top of the B member and to highlight the major structural elements. The interpretation of depth structure contour map shows two main fault trends directed towards the NW-SE and NE to ENE directions. The NW-SE trend is the dominant one, creating a major half-graben system. Also the depth values range from -8400 ft at the depocenter in the eastern part to -4800 ft at the shoulder of the basin in the northwestern part of the study area. Meanwhile the Isopach contour map of the B member shows a variable thickness ranging between 300 ft to 750 ft. The facies model shows that the B member SR is composed mainly of shale with some sandstone streaks. The B member rock samples were collected from Al Baraka-1 and Al Baraka SE-1 in the eastern part of Komombo Basin. The results indicate that the organic matter content (TOC) has mainly good to very good (1-3.36 wt %), The B member samples have HI values in the range 157-365 (mg HC/g TOC) and dominated by Type II/III kerogen, and is thus considered to be oil-gas prone based on Rock-Eval pyrolysis, Tmax values between 442° and 456° C therefore interpreted to be mature for hydrocarbon generation. Based on the measured vitrinite equivalent reflectance values, the B member SR

  16. Powder Keg on the Upper Missouri: Sources of Blackfeet Hostility, 1730-1810.

    ERIC Educational Resources Information Center

    Judy, Mark A.

    1987-01-01

    Evaluates reasons why Blackfeet Indians were bitterly hostile toward white fur traders in the upper Missouri River basin during the early 1800s. Explains causes of internal tribal turmoil including rapid adaptation of horses to tribal culture, devastating effects of disease, and guns disrupting the balance of power among tribes. (JHZ)

  17. Total Hydrogen Budget of the Equatorial Upper Stratosphere

    DTIC Science & Technology

    2010-02-24

    series show quasi- biennial ( QBO ) variations which peak near 2.2 hPa in the equatorial upper stratosphere due to the large vertical gradients in CH4...Cordero et al., 1997] and directly relate to the observed QBO variations in H2O through CH4 oxidation. An increase in H2O mixing ratios during the early...by calculating the amplitudes of the QBO , annual, and semiannual cycles as function of pressure determined by a least squares regression fit to the

  18. Computing the proton aurora at early Mars

    NASA Astrophysics Data System (ADS)

    Lovato, K.; Gronoff, G.; Curry, S.; Simon Wedlund, C.; Moore, W. B.

    2017-12-01

    In the early Solar System, ( 4 Gyr ago) our Sun was 70% less luminous than what is seen today but much more active. Indeed, for young stars, solar flares occurs more frequently and therefore so do coronal mass ejections and solar energetic particle events. With an increase in solar events, the flux of protons becomes extremely high, and affects planetary atmosphere in a more extreme way as today. Proton precipitation on planets has an impact on the energy balance of their upper atmospheres, can affect the photochemistry and create auroral emissions. Understanding the protons precipitation at the early Mars can help in understanding occurring chemical process as well as atmospheric evolution and escape. We concentrated our effort on the proton up to a MeV since they have the most important influence on the upper atmosphere. Using scaling laws, we estimated the proton flux for the Early Mars up to a MeV. A kinetic 1D code, validated for the current Mars, was used to compute the effects of the low energy protons precipitation on the Early Mars. This model solves the coupled H+/H multi-stream dissipative transport equation as well as the transport of the secondary electron. For the Early Mars, it allowed to compute the magnitude of the proton Aurora, as well as the corresponding upwards H flux.

  19. Bayesian approach for counting experiment statistics applied to a neutrino point source analysis

    NASA Astrophysics Data System (ADS)

    Bose, D.; Brayeur, L.; Casier, M.; de Vries, K. D.; Golup, G.; van Eijndhoven, N.

    2013-12-01

    In this paper we present a model independent analysis method following Bayesian statistics to analyse data from a generic counting experiment and apply it to the search for neutrinos from point sources. We discuss a test statistic defined following a Bayesian framework that will be used in the search for a signal. In case no signal is found, we derive an upper limit without the introduction of approximations. The Bayesian approach allows us to obtain the full probability density function for both the background and the signal rate. As such, we have direct access to any signal upper limit. The upper limit derivation directly compares with a frequentist approach and is robust in the case of low-counting observations. Furthermore, it allows also to account for previous upper limits obtained by other analyses via the concept of prior information without the need of the ad hoc application of trial factors. To investigate the validity of the presented Bayesian approach, we have applied this method to the public IceCube 40-string configuration data for 10 nearby blazars and we have obtained a flux upper limit, which is in agreement with the upper limits determined via a frequentist approach. Furthermore, the upper limit obtained compares well with the previously published result of IceCube, using the same data set.

  20. Improvement of Subsonic Basic Research Tunnel Flow Quality as Applied to Wall Mounted Testing

    NASA Technical Reports Server (NTRS)

    Howerton, Brian M.

    1995-01-01

    A survey to determine the characteristics of a boundary layer that forms on the wall of the Subsonic Basic Research Tunnel has been performed. Early results showed significant differences in the velocity profiles as measured spanwise across the wall. An investigation of the flow in the upstream contraction revealed the presence of a separation bubble at the beginning of the contraction which caused much of the observed unsteadiness. Vortex generators were successfully applied to the contraction inlet to alleviate the separation. A final survey of the wall boundary layer revealed variations in the displacement and momentum thicknesses to be less than +/- 5% for all but the most upper portion of the wall. The flow quality was deemed adequate to continue the planned follow-on tests to help develop the semi-span test technique.

  1. Interactive wearable systems for upper body rehabilitation: a systematic review.

    PubMed

    Wang, Qi; Markopoulos, Panos; Yu, Bin; Chen, Wei; Timmermans, Annick

    2017-03-11

    The development of interactive rehabilitation technologies which rely on wearable-sensing for upper body rehabilitation is attracting increasing research interest. This paper reviews related research with the aim: 1) To inventory and classify interactive wearable systems for movement and posture monitoring during upper body rehabilitation, regarding the sensing technology, system measurements and feedback conditions; 2) To gauge the wearability of the wearable systems; 3) To inventory the availability of clinical evidence supporting the effectiveness of related technologies. A systematic literature search was conducted in the following search engines: PubMed, ACM, Scopus and IEEE (January 2010-April 2016). Forty-five papers were included and discussed in a new cuboid taxonomy which consists of 3 dimensions: sensing technology, feedback modalities and system measurements. Wearable sensor systems were developed for persons in: 1) Neuro-rehabilitation: stroke (n = 21), spinal cord injury (n = 1), cerebral palsy (n = 2), Alzheimer (n = 1); 2) Musculoskeletal impairment: ligament rehabilitation (n = 1), arthritis (n = 1), frozen shoulder (n = 1), bones trauma (n = 1); 3) Others: chronic pulmonary obstructive disease (n = 1), chronic pain rehabilitation (n = 1) and other general rehabilitation (n = 14). Accelerometers and inertial measurement units (IMU) are the most frequently used technologies (84% of the papers). They are mostly used in multiple sensor configurations to measure upper limb kinematics and/or trunk posture. Sensors are placed mostly on the trunk, upper arm, the forearm, the wrist, and the finger. Typically sensors are attachable rather than embedded in wearable devices and garments; although studies that embed and integrate sensors are increasing in the last 4 years. 16 studies applied knowledge of result (KR) feedback, 14 studies applied knowledge of performance (KP) feedback and 15 studies applied both in

  2. Hemostatic powder TC-325 in the management of upper and lower gastrointestinal bleeding: a two-year experience at a single institution.

    PubMed

    Chen, Yen-I; Barkun, Alan; Nolan, Sabrina

    2015-02-01

    TC-325 is a novel endoscopic hemostatic powder. Our aim was to describe a single-center experience with the use of TC-325 in the upper and lower gastrointestinal tract, while for the first time attempting to determine how long the powder remains on a lesion. The charts of consecutive patients receiving TC-325 therapy between July 2011 and July 2013 were reviewed retrospectively. Primary endpoints included immediate hemostasis and early rebleeding (≤ 72 hours). Overall, 60 patients received 67 treatments with TC-325: 21 for nonmalignant nonvariceal upper gastrointestinal bleeding, 19 for malignant upper gastrointestinal bleeding, 11 for lower gastrointestinal bleeding, and 16 for intra-procedural bleeding. Immediate hemostasis was achieved in 66 cases (98.5 %), with 6 cases (9.5 %) of early rebleeding. No serious adverse events were noted. No TC-325 powder was identified in the 11 patients who underwent second-look endoscopy, performed within 24 hours in 4 patients. TC-325 appears safe and effective for managing bleeding in the upper and lower gastrointestinal tract with a variety of causes. The time during which the powder remains in the gastrointestinal tract is short, with complete elimination from the gastrointestinal tract as early as within 24 hours after use. © Georg Thieme Verlag KG Stuttgart · New York.

  3. Upper Face: Clinical Anatomy and Regional Approaches with Injectable Fillers.

    PubMed

    Sykes, Jonathan M; Cotofana, Sebastian; Trevidic, Patrick; Solish, Nowell; Carruthers, Jean; Carruthers, Alastair; Moradi, Amir; Swift, Arthur; Massry, Guy G; Lambros, Val; Remington, B Kent

    2015-11-01

    The use of facial fillers has been rapidly increased as the range of injectable products and indications continues to expand. Complications may arise from improper placement or technique. This article highlights the importance of anatomic knowledge when using injectable fillers in the face. A detailed review of the clinical anatomy of the upper face is performed. Regional approaches are described using the applied anatomy to efficiently and safely augment the different subunits of the upper face. Key aspects of safe and successful injection of fillers in the upper face include a thorough knowledge of the location of fat compartments and neurovascular structures. Awareness of these structures enables the practitioner to maximize injections, while avoiding damage to important nerves and vessels. A detailed knowledge of the anatomy and properties of the product is paramount to maximize the efficacy while minimizing the risk of complications.

  4. Radiolarian biochronology of upper Anisian to upper Ladinian (Middle Triassic) blocks and tectonic slices of volcano-sedimentary successions in the Mersin Mélange, southern Turkey: New insights for the evolution of Neotethys

    NASA Astrophysics Data System (ADS)

    Tekin, U. Kagan; Bedi, Yavuz; Okuyucu, Cengiz; Göncüoglu, M. Cemal; Sayit, Kaan

    2016-12-01

    The Mersin Ophiolitic Complex located in southern Turkey comprises two main structural units; the Mersin Mélange, and a well-developed ophiolite succession with its metamorphic sole. The Mersin Mélange is a sedimentary complex including blocks and tectonic slices of oceanic litosphere and continental crust in different sizes. Based on different fossil groups (Radiolaria, Conodonta, Foraminifera and Ammonoidea), the age of these blocks ranges from Early Carboniferous to early Late Cretaceous. Detailed fieldwork in the central part of the Mersin Mélange resulted in identification of a number of peculiar blocks of thick basaltic pillow-and massive lava sequences alternating with pelagic-clastic sediments and radiolarian cherts. The oldest ages obtained from the radiolarian assemblages from the pelagic sediments transitional to the volcano-sedimentary succession in some blocks are middle to late Late Anisian. These pelagic sediments are overlain by thick sandstones of latest Anisian to middle Early Ladinian age. In some blocks, sandstones are overlain by clastic and pelagic sediments with lower Upper to middle Upper Ladinian radiolarian fauna. Considering the litho- and biostratigraphical data from Middle Triassic successions in several blocks in the Mersin Mélange, it is concluded that they correspond mainly to the blocks/slices of the Beysehir-Hoyran Nappes, which were originated from the southern margin of the Neotethyan Izmir-Ankara Ocean. As the pre-Upper Anisian basic volcanics are geochemically evaluated as back-arc basalts, this new age finding suggest that a segment of the Izmir-Ankara branch of the Neotethys was already open prior to Middle Triassic and was the site of intraoceanic subduction.

  5. Nature and Dynamics of Peer Violence in Polish Upper Secondary Schools

    ERIC Educational Resources Information Center

    Zych, Izabela; Ortega-Ruiz, Rosario; Llorent, Vicente J.

    2017-01-01

    The number of studies on school violence and bullying is increasing but research on the topic in Poland and other Central and Eastern European countries is in its early stages. This survey was answered by 904 Polish adolescents from six upper secondary schools in three cities. The results showed that victimization of any type was suffered by 18.7%…

  6. Stress fractures of the ribs and upper extremities: causation, evaluation, and management.

    PubMed

    Miller, Timothy L; Harris, Joshua D; Kaeding, Christopher C

    2013-08-01

    Stress fractures are common troublesome injuries in athletes and non-athletes. Historically, stress fractures have been thought to predominate in the lower extremities secondary to the repetitive stresses of impact loading. Stress injuries of the ribs and upper extremities are much less common and often unrecognized. Consequently, these injuries are often omitted from the differential diagnosis of rib or upper extremity pain. Given the infrequency of this diagnosis, few case reports or case series have reported on their precipitating activities and common locations. Appropriate evaluation for these injuries requires a thorough history and physical examination. Radiographs may be negative early, requiring bone scintigraphy or MRI to confirm the diagnosis. Nonoperative and operative treatment recommendations are made based on location, injury classification, and causative activity. An understanding of the most common locations of upper extremity stress fractures and their associated causative activities is essential for prompt diagnosis and optimal treatment.

  7. Hydrological Impacts of Mesquite Encroachment in the Upper San Pedro Watershed

    EPA Science Inventory

    Invasion of mesquite into grassland occurs in water-limited ecosystems throughout the world. To assess hydrological consequences of mesquite invasion, the Soil and Water Assessment Tool (SWAT) was applied to simulate idealized progressive mesquite encroachments in the upper San P...

  8. Learning to Apply Models of Materials While Explaining Their Properties

    ERIC Educational Resources Information Center

    Karpin, Tiia; Juuti, Kalle; Lavonen, Jari

    2014-01-01

    Background: Applying structural models is important to chemistry education at the upper secondary level, but it is considered one of the most difficult topics to learn. Purpose: This study analyses to what extent in designed lessons students learned to apply structural models in explaining the properties and behaviours of various materials.…

  9. Evaluation of Periodontal Changes Adjacent to Extraction Sites during Upper Canine Retraction.

    PubMed

    Al-Jundi, Azzam; Sabbagh, Basem Al; Baskaradoss, Jagan K

    2017-02-01

    There is an intimate relationship between orthodontic therapy and the periodontal changes that occur during tooth movement. This prospective clinical trial aims at investigating the movement of both the free and attached gingiva, as well as the movement of the alveolar bone in the extraction site of the upper 1st premolars during the retraction of the upper canines. In this study, 17 patients (10 female, 7 male) requiring 1st premolar extraction before orthodontic tooth movement were selected and treated at the Department of Orthodontics in the Faculty of Dentistry in University of Hama, Hama, Syria. The upper 1st premolars were extracted, and the implant AutoTacs were applied on the alveolar bone afterward. Then, measurements between the center of the implant AutoTacs and the L-shape wire were taken, utilizing digital Vernier caliper. After 3 weeks of extraction, tattooing marked points were placed on the free and the attached gingival, and the measurements were taken using the same digital Vernier caliper. Closed coil springs made of nickel-titanium were used to retract the upper canines, and a force of 150 gm was applied. The results of this study showed significant differences between the movement of both the free and attached gingiva and the movement of the corresponding upper canines (p < 0.001). The movement of the free gingiva had formed about 77% of the amount of the movement of the upper canine retraction. No significant differences were detected between the place of implant AutoTac X1 and the L-shaped wire (W) during the retraction of the upper canine. On the contrary, significant differences were noticed between the place of implant AutoTac X2 and the L-shaped wire (W) during the retraction of the upper canine (p < 0.001). There is significant movement of hard and soft tissues during and after premolar extraction and orthodontic therapy. The movement of supporting tissues of the teeth along with the alveolar bone during canine retraction is an important

  10. Kinematic MRI study of upper-airway biomechanics using electrical muscle stimulation

    NASA Astrophysics Data System (ADS)

    Brennick, Michael J.; Margulies, Susan S.; Ford, John C.; Gefter, Warren B.; Pack, Allan I.

    1997-05-01

    We have developed a new and powerful method to study the movement and function of upper airway muscles. Our method is to use direct electrical stimulation of individual upper airway muscles, while performing state of the art high resolution magnetic resonance imaging (MRI). We have adapted a paralyzed isolated UA cat model so that positive or negative static pressure in the UA can be controlled at specific levels while electrical muscle stimulation is applied during MRI. With these techniques we can assess the effect of muscle stimulation on airway cross-sectional area compliance and soft tissue motion. We are reporting the preliminary results and MRI techniques which have enabled us to examine changes in airway dimensions which result form electrical stimulation of specific upper airway dilator muscles. The results of this study will be relevant to the development of new clinical treatments for obstructive sleep apnea by providing new information as to exactly how upper airway muscles function to dilate the upper airway and the strength of stimulation required to prevent the airway obstruction when overall muscle tone may not be sufficient to maintain regular breathing.

  11. Furniture dimensions and postural overload for schoolchildren's head, upper back and upper limbs.

    PubMed

    Batistão, Mariana Vieira; Sentanin, Anna Cláudia; Moriguchi, Cristiane Shinohara; Hansson, Gert-Åke; Coury, Helenice Jane Cote Gil; de Oliveira Sato, Tatiana

    2012-01-01

    The aim of this study was to evaluate how the fixed furniture dimensions match with students' anthropometry and to describe head, upper back and upper limbs postures and movements. Evaluation was performed in 48 students from a Brazilian state school. Furniture dimensions were measured with metric tape, movements and postures by inclinometers (Logger Tecknologi, Åkarp, Sweden). Seat height was high for 21% and low for 36% of the students; seat length was short for 45% and long for 9% and table height was high for 53% and low for 28%. Regression analysis showed that seat/popliteal height quotient is explained by 90th percentile of upper back inclination (β=0.410) and 90th percentile of right upper arm elevation (β=-0.293). For seat/thigh length quotient the significant variables were 90th percentile of upper back velocity (β=-0.282) and 90th percentile of right upper arm elevation (β=0.410). This study showed a relationship between furniture mismatch and postural overload. When the seat height is low students increase upper back left inclination and right upper arm elevation; when the seat is short students decrease the upper back flexion velocity and increase right upper arm elevation.

  12. Novel single-nucleotide polymorphism markers confirm successful spawning of endangered pallid sturgeon in the upper Missouri River Basin

    USGS Publications Warehouse

    Eichelberger, Jennifer S.; Braaten, P. J.; Fuller, D. B.; Krampe, Matthew S.; Heist, Edward J.

    2014-01-01

    Spawning of the federally endangered Pallid Sturgeon Scaphirhynchus albus is known to occur in the upper Missouri River basin, but progeny from natural reproductive events have not been observed and recruitment to juvenile or adult life stages has not been documented in recent decades. Identification of Pallid Sturgeon progeny is confounded by the fact that Shovelnose Sturgeon S. platorynchus occurs throughout the entire range of Pallid Sturgeon and the two species are essentially indistinguishable (morphometrically and meristically) during early life stages. Moreover, free embryos of sympatric Paddlefish Polyodon spathula are very similar to the two sturgeon species. In this study, three single-nucleotide polymorphism (SNP) assays were employed to screen acipenseriform free embryos and larvae collected from the upper Missouri River basin in 2011, 2012, and 2013. A mitochondrial DNA SNP discriminates Paddlefish from sturgeon, and specific multilocus genotypes at two nuclear DNA SNPs occurred in 98.9% of wild adult Pallid Sturgeon but only in 3% of Shovelnose Sturgeon sampled in the upper Missouri River. Individuals identified as potential Pallid Sturgeon based on SNP genotypes were further analyzed at 19 microsatellite loci for species discrimination. Out of 1,423 free embryos collected over 3 years of sampling, 971 Paddlefish, 446 Shovelnose Sturgeon, and 6 Pallid Sturgeon were identified. Additionally, 249 Scaphirhynchus spp. benthic larvae were screened, but no Pallid Sturgeon were detected. These SNP markers provide an efficient method of screening acipenseriform early life stages for the presence of Pallid Sturgeon in the Missouri River basin. Detection of wild Pallid Sturgeon free embryos in the upper Missouri and Yellowstone rivers supports the hypothesis that the failure of wild Pallid Sturgeon to recruit to the juvenile life stage in the upper Missouri River basin is caused by early life stage mortality rather than by lack of successful spawning.

  13. Upper-Secondary Agricultural Course. A Suggested Three-Year Teacher's Guide. InfoTVE 13.

    ERIC Educational Resources Information Center

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This teacher's guide provides syllabi for a 3-year program for upper secondary agricultural programs in rural agricultural schools. Part 1 contains an introduction, recommendations for early morning practical classes, and suggestions for scheduling of theoretical classes. Part 2 consists of the syllabi. Each syllabus offers a content outline. The…

  14. Sedimentology and Reservoir Characteristics of Early Cretaceous Fluvio-Deltaic and Lacustrine Deposits, Upper Abu Gabra Formation, Sufyan Sub-basin, Muglad Rift Basin, Sudan

    NASA Astrophysics Data System (ADS)

    Yassin, Mohamed; Abdullatif, Osman; Hariri, Mustafa

    2017-04-01

    Sufyan Sub-basin is an East-West trending Sub-basin located in the northwestern part of the Muglad Basin (Sudan), in the eastern extension of the West and Central Africa Rift System (WCARS). The Early Cretaceous Abu Gabra Formation considered as the main source rock in the Muglad Basin. In Sufyan Sub-basin the Early Cretaceous Upper Abu Gabra Formation is the main oil-producing reservoir. It is dominated by sandstone and shales deposited in fluvio-deltaic and lacustrine environment during the first rift cycle in the basin. Depositional and post-depositional processes highly influenced the reservoir quality and architecture. This study investigates different scales of reservoir heterogeneities from macro to micro scale. Subsurface facies analysis was analyzed based on the description of six conventional cores from two wells. Approaches include well log analysis, thin sections and scanning electron microscope (SEM) investigations, grain-size, and X-ray diffraction (XRD) analysis of the Abu Gabra sandstone. The cores and well logs analyses revealed six lithofacies representing fluvio-deltaic and lacustrine depositional environment. The sandstone is medium to coarse-grained, poorly to moderately sorted and sub-angular to subrounded, Sub-feldspathic arenite to quartz arenite. On macro-scale, reservoir quality varies within Abu Gabra reservoir where it shows progressive coarsening upward tendencies with different degrees of connectivity. The upper part of the reservoir showed well connected and amalgamated sandstone bodies, the middle to lower parts, however, have moderate to low sandstone bodies' connectivity and amalgamation. On micro-scale, sandstone reservoir quality is directly affected by textures and diagenesis.The XRD and SEM analyses show that kaolinite and chlorite clay are the common clay minerals in the studied samples. Clay matrix and quartz overgrowth have significantly reduced the reservoir porosity and permeability, while the dissolution of feldspars

  15. Oncoplastic Surgery for Upper/Upper Inner Quadrant Breast Cancer.

    PubMed

    Lin, Joseph; Chen, Dar-Ren; Wang, Yu-Fen; Lai, Hung-Wen

    2016-01-01

    Tumors located in the upper/upper inner quadrant of the breast warrant more attention. A small lesion relative to the size of breast in this location may be resolved by performing a level I oncoplastic technique. However, a wide excision may significantly reduce the overall quality of the breast shape by distorting the visible breast line. From June 2012 to April 2015, 36 patients with breast cancer located in the upper/upper inner quadrant underwent breast-conservation surgery with matrix rotation mammoplasty. According to the size and location of the tumor relative to the nipple-areola complex, 11 patients underwent matrix rotation with periareolar de-epithelialization (donut group) and the other 25 underwent matrix rotation only (non-donut group). The cosmetic results were self-assessed by questionnaires. The average weights of the excised breast lumps in the donut and non-donut groups were 104.1 and 84.5 g, respectively. During the 3-year follow-up period, local recurrence was observed in one case and was managed with nipple-sparing mastectomy followed by breast reconstruction with prosthetic implants. In total, 31 patients (88.6%) ranked their postoperative result as either acceptable or satisfactory. The treated breasts were also self-evaluated by 27 patients (77.1%) to be nearly identical to or just slightly different from the untreated side. Matrix rotation is an easy breast-preserving technique for treating breast cancer located in the upper/upper inner quadrant of the breast that requires a relatively wide excision. With this technique, a larger breast tumor could be removed without compromising the breast appearance.

  16. Wood plenty, grass good, water none: Vegetation changes in Arizona's upper Verde River watershed from 1850 to 1997

    Treesearch

    Harley G. Shaw

    2006-01-01

    The purpose of this study was to compare current woodland density and distribution in and around the dry upper Verde River watershed in northwestern Arizona with conditions prior to Anglo settlement. Historic conditions were assessed using early photographs and early diaries and reports. The expedition led by Amiel Weeks Whipple was retraced and areas described in 1854...

  17. Time-Resolved IR-Absorption Spectroscopy of Hot-Electron Dynamics in Satellite and Upper Conduction Bands in GaP

    NASA Technical Reports Server (NTRS)

    Cavicchia, M. A.; Alfano, R. R.

    1995-01-01

    The relaxation dynamics of hot electrons in the X6 and X7 satellite and upper conduction bands in GaP was directly measured by femtosecond UV-pump-IR-probe absorption spectroscopy. From a fit to the induced IR-absorption spectra the dominant scattering mechanism giving rise to the absorption at early delay times was determined to be intervalley scattering of electrons out of the X7 upper conduction-band valley. For long delay times the dominant scattering mechanism is electron-hole scattering. Electron transport dynamics of the upper conduction band of GaP has been time resolved.

  18. Production and recycling of oceanic crust in the early Earth

    NASA Astrophysics Data System (ADS)

    van Thienen, P.; van den Berg, A. P.; Vlaar, N. J.

    2004-08-01

    Because of the strongly different conditions in the mantle of the early Earth regarding temperature and viscosity, present-day geodynamics cannot simply be extrapolated back to the early history of the Earth. We use numerical thermochemical convection models including partial melting and a simple mechanism for melt segregation and oceanic crust production to investigate an alternative suite of dynamics which may have been in operation in the early Earth. Our modelling results show three processes that may have played an important role in the production and recycling of oceanic crust: (1) Small-scale ( x×100 km) convection involving the lower crust and shallow upper mantle. Partial melting and thus crustal production takes place in the upwelling limb and delamination of the eclogitic lower crust in the downwelling limb. (2) Large-scale resurfacing events in which (nearly) the complete crust sinks into the (eventually lower) mantle, thereby forming a stable reservoir enriched in incompatible elements in the deep mantle. New crust is simultaneously formed at the surface from segregating melt. (3) Intrusion of lower mantle diapirs with a high excess temperature (about 250 K) into the upper mantle, causing massive melting and crustal growth. This allows for plumes in the Archean upper mantle with a much higher excess temperature than previously expected from theoretical considerations.

  19. Bleeding and starving: fasting and delayed refeeding after upper gastrointestinal bleeding.

    PubMed

    Fonseca, Jorge; Meira, Tânia; Nunes, Ana; Santos, Carla Adriana

    2014-01-01

    Early refeeding after nonvariceal upper gastrointestinal bleeding is safe and reduces hospital stay/costs. The aim of this study was obtaining objective data on refeeding after nonvariceal upper gastrointestinal bleeding. From 1 year span records of nonvariceal upper gastrointestinal bleeding patients that underwent urgent endoscopy: clinical features; rockall score; endoscopic data, including severity of lesions and therapy; feeding related records of seven days: liquid diet prescription, first liquid intake, soft/solid diet prescription, first soft/solid intake. From 133 patients (84 men) Rockall classification was possible in 126: 76 score ≥5, 50 score <5. One persistent bleeding, eight rebled, two underwent surgery, 13 died. Ulcer was the major bleeding cause, 63 patients underwent endoscopic therapy. There was 142/532 possible refeeding records, no record 37% patients. Only 16% were fed during the first day and half were only fed on third day or later. Rockall <5 patients started oral diet sooner than Rockall ≥5. Patients that underwent endoscopic therapy were refed earlier than those without endotherapy. Most feeding records are missing. Data reveals delayed refeeding, especially in patients with low-risk lesions who should have been fed immediately. Nonvariceal upper gastrointestinal bleeding patients must be refed earlier, according to guidelines.

  20. Depositional environment and organic matter accumulation of Upper Ordovician–Lower Silurian marine shale in the Upper Yangtze Platform, South China

    USGS Publications Warehouse

    Li, Yangfang; Zhang, Tongwei; Ellis, Geoffrey S.; Shao, Deyong

    2017-01-01

    The main controlling factors of organic matter accumulation in the Upper Ordovician Wufeng–Lower Silurian Longmaxi Formations are complex and remain highly controversial. This study investigates the vertical variation of total organic carbon (TOC) content as well as major and trace element concentrations of four Ordovician–Silurian transition sections from the Upper Yangtze Platform of South China to reconstruct the paleoenvironment of these deposits and to improve our understanding of those factors that have influenced organic matter accumulation in these deposits.The residual TOC content of the Wufeng Formation averages 3.2% and ranges from 0.12 to 6.0%. The overlying lower Longmaxi Formation displays higher TOC content (avg. 4.4%), followed upsection by consistent and lower values that average 1.6% in the upper Longmaxi Formation. The concentration and covariation of redox-sensitive trace elements (Mo, U and V) suggest that organic-rich intervals of the Wufeng Formation accumulated under predominantly anoxic conditions. Organic-rich horizons of the lower Longmaxi Formation were deposited under strongly anoxic to euxinic conditions, whereas organic-poor intervals of the upper Longmaxi Formation accumulated under suboxic conditions. Positive correlations between redox proxies and TOC contents suggest that organic matter accumulation was predominantly controlled by preservation. Barium excess (Baxs) values indicate high paleoproductivity throughout the entire depositional sequence, with an increase in the lower Longmaxi Formation. Increased productivity may have been induced by enhanced P recycling, as evidenced by elevated Corg/Ptot ratios. Mo–U covariation and Mo/TOC values reveal that the Wufeng Formation was deposited under extremely restricted conditions, whereas the Longmaxi Formation accumulated under moderately restricted conditions. During the Late Ordovician, the extremely restricted nature of ocean circulation on the Upper Yangtze Platform in

  1. The late early Miocene Sabine River

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

    Manning, E.

    Work on a new late early Miocene vertebrate fossil site, in a paleochannel deposit of the upper Carnahan Bayou Member of the lower Fleming Formation, has revealed unexpected data on the course and nature of the Sabine River of that time. Screen washing for smaller vertebrate remains at the site, just west of the Sabine River in Newton County, central eastern Texas, has resulted in the recovery of early Permian, Early Cretaceous, Late Cretaceous (Maestrichtian), Paleocene/Eocene, late Eocene, and Oligocene/Miocene fossils, in addition to the main early Miocene fauna. The reworked fossils, as well as distinctive mineral grains, show thatmore » the late early Miocene Sabine River was connected to the Texas/Oklahoma/Arkansas boundary section of the Red River, as well as to rivers draining the southern Ouachita Mountains. These rivers must have joined the Texas/Louisiana boundary section of the Sabine River somewhere in northwest Louisiana at that time. This suggests that the Louisiana section of the present Red River pirated the Texas/Oklahoma/Arkansas boundary section of the river some time after the early Miocene. The preservation of recognizable fossils transported hundreds of miles in a large river itself requires explanation. It is speculated here that the late early Miocene Sabine River incorporated a large amount of the then recently deposited volcanic ash from the Trans-Pecos Volcanic Field. Montmorillonite clay from the altered volcanic ash would have made the river very turbid, which could have allowed coarse sand-sized particles to be carried in the suspended load of the river, rather than in its bed load (where they would have been destroyed by the rolling chert gravel). Additional evidence for such long-distance fossil transport in the late early Miocene rivers of the western Gulf Coastal Plain comes from the abundant Cretaceous fossils of the upper Oakville Formation of southeast Texas and the Siphonina davisi zone of the southeast Texas subsurface.« less

  2. Population dynamics modeling of introduced smallmouth bass in the upper Colorado River basin

    USGS Publications Warehouse

    Breton, André R.; Winkelman, Dana L.; Bestgen, Kevin R.; Hawkins, John A.

    2014-01-01

    The purpose of these analyses was to identify an effective control strategy to further reduce smallmouth bass in the upper Colorado River basin from the current level. Our simulation results showed that “the surge”, an early to mid-summer increase in electrofishing effort targeting nest-guarding male smallmouth bass, should be made a core component of any future smallmouth bass management strategy in the upper basin. Immigration from off channel reservoirs is supporting smallmouth bass popualtions in the Yampa River and our modeling analyses suggest that smallmouth bass  in Little Yampa Canyon might go extinct in a few years under the present level of exploitation.

  3. Water Quality Conditions in Upper Klamath and Agency Lakes, Oregon, 2006

    USGS Publications Warehouse

    Lindenberg, Mary K.; Hoilman, Gene; Wood, Tamara M.

    2008-01-01

    Upper Klamath Lake revealed few differences in water quality dynamics. Median daily temperatures were higher in nearshore areas, and dissolved oxygen concentrations were periodically higher as well during periods of high AFA bloom. Differences between the two areas in water quality conditions potentially harmful to fish were not statistically significant (p < 0.05). Chlorophyll a concentrations varied temporally and spatially throughout Upper Klamath Lake. Chlorophyll a concentrations indicated an algal bloom in late June and early July that was followed by an algae bloom decline in late July and early August and a subsequent recovery in mid-August. Sites in the deepest part of the lake, where some of the highest chlorophyll a concentrations were observed, were the same sites where the lowest dissolved oxygen concentrations and the highest un-ionized ammonia concentrations were recorded during the bloom decline, indicating cell senescence. Total phosphorus concentrations limited the initial algal bloom in late June and early July. The rate of net dissolved oxygen production (that is, production in excess of community respiration) and consumption (due to community respiration) in the lake water column as measured in light and dark bottles, respectively, ranged from 2.79 to -2.14 milligrams of oxygen per liter per hour. Net production rate generally correlated positively with chlorophyll a concentration, except episodically at a few sites where high chlorophyll a concentrations resulted in self-shading that inhibited photosynthesis. The depth of photic zone was inversely correlated with chlorophyll a concentration. Calculations of a 24-hour change in dissolved oxygen concentration indicated that oxygen-consuming processes predominated at the deep trench sites and oxygen-producing processes predominated at the shallow sites. In addition, calculations of the 24-hour change in dissolved oxygen indicate that oxygen-consuming processes in the water column di

  4. Direct dating of Neanderthal remains from the site of Vindija Cave and implications for the Middle to Upper Paleolithic transition.

    PubMed

    Devièse, Thibaut; Karavanić, Ivor; Comeskey, Daniel; Kubiak, Cara; Korlević, Petra; Hajdinjak, Mateja; Radović, Siniša; Procopio, Noemi; Buckley, Michael; Pääbo, Svante; Higham, Tom

    2017-10-03

    Previous dating of the Vi-207 and Vi-208 Neanderthal remains from Vindija Cave (Croatia) led to the suggestion that Neanderthals survived there as recently as 28,000-29,000 B.P. Subsequent dating yielded older dates, interpreted as ages of at least ∼32,500 B.P. We have redated these same specimens using an approach based on the extraction of the amino acid hydroxyproline, using preparative high-performance liquid chromatography (Prep-HPLC). This method is more efficient in eliminating modern contamination in the bone collagen. The revised dates are older than 40,000 B.P., suggesting the Vindija Neanderthals did not live more recently than others across Europe, and probably predate the arrival of anatomically modern humans in Eastern Europe. We applied zooarchaeology by mass spectrometry (ZooMS) to find additional hominin remains. We identified one bone that is Neanderthal, based on its mitochondrial DNA, and dated it directly to 46,200 ± 1,500 B.P. We also attempted to date six early Upper Paleolithic bone points from stratigraphic units G 1 , Fd/d+G 1 and Fd/d, Fd. One bone artifact gave a date of 29,500 ± 400 B.P., while the remainder yielded no collagen. We additionally dated animal bone samples from units G 1 and G 1 -G 3 These dates suggest a co-occurrence of early Upper Paleolithic osseous artifacts, particularly split-based points, alongside the remains of Neanderthals is a result of postdepositional mixing, rather than an association between the two groups, although more work is required to show this definitively.

  5. A rare disease in an atypical location-Kimura's Disease of the upper extremity.

    PubMed

    Lam, Alan Cheuk Si; Au Yeung, Rex Kwok Him; Lau, Vince Wing Hang

    2015-12-01

    Kimura's disease is a rare chronic inflammatory disorder predominantly affecting young Asian male patients, occurring mainly in the head and neck regions. Kimura's disease of the upper extremity is extremely rare, and previous case reports in the literature show similar imaging characteristics with consistent location at the medial epitrochlear region, predominantly with unilateral involvement. We present the first reported case of Kimura's disease affecting the anterolateral aspect of the upper arm, sparing the medial epitrochlear region, illustrating that with typical MR appearance and serology, the involvement of this rare disease in an atypical location still warrants consideration of this diagnosis. There was also bilateral asymmetrical involvement in our patient, suggesting the possibility of a propensity for Kimura's disease affecting the upper extremities to have bilateral involvement, which may necessitate imaging of the clinically asymptomatic contralateral limb in these patients for early lesion identification and treatment.

  6. Upper Palaeolithic genomes reveal deep roots of modern Eurasians.

    PubMed

    Jones, Eppie R; Gonzalez-Fortes, Gloria; Connell, Sarah; Siska, Veronika; Eriksson, Anders; Martiniano, Rui; McLaughlin, Russell L; Gallego Llorente, Marcos; Cassidy, Lara M; Gamba, Cristina; Meshveliani, Tengiz; Bar-Yosef, Ofer; Müller, Werner; Belfer-Cohen, Anna; Matskevich, Zinovi; Jakeli, Nino; Higham, Thomas F G; Currat, Mathias; Lordkipanidze, David; Hofreiter, Michael; Manica, Andrea; Pinhasi, Ron; Bradley, Daniel G

    2015-11-16

    We extend the scope of European palaeogenomics by sequencing the genomes of Late Upper Palaeolithic (13,300 years old, 1.4-fold coverage) and Mesolithic (9,700 years old, 15.4-fold) males from western Georgia in the Caucasus and a Late Upper Palaeolithic (13,700 years old, 9.5-fold) male from Switzerland. While we detect Late Palaeolithic-Mesolithic genomic continuity in both regions, we find that Caucasus hunter-gatherers (CHG) belong to a distinct ancient clade that split from western hunter-gatherers ∼45 kya, shortly after the expansion of anatomically modern humans into Europe and from the ancestors of Neolithic farmers ∼25 kya, around the Last Glacial Maximum. CHG genomes significantly contributed to the Yamnaya steppe herders who migrated into Europe ∼3,000 BC, supporting a formative Caucasus influence on this important Early Bronze age culture. CHG left their imprint on modern populations from the Caucasus and also central and south Asia possibly marking the arrival of Indo-Aryan languages.

  7. [Gastrointestinal bleeding--concepts of surgical therapy in the upper gastrointestinal tract].

    PubMed

    Knoefel, W T; Rehders, A

    2006-02-01

    Bleeding of the upper gastrointestinal tract is the main symptom of a variety of possible conditions and still results in considerable mortality. Endoscopy is the first diagnostic modality, enabling rapid therapeutic intervention. In case of intractable or relapsing bleeding, surgery is often inevitable. However, emergency operations result in significantly higher mortality rates. Therefore the option of early elective surgical intervention should be considered for patients at increased risk of relapsing bleeding. If bleeding is symptomatic due to a complex underlying condition such as hemosuccus pancreaticus or hemobilia, angiography is now recognized as the definitive investigation. Angiographic hemostasis can be achieved in most cases. Due to the underlying condition, surgical management still remains the mainstay in treating these patients. This paper reviews surgical strategy in handling upper gastrointestinal bleeding.

  8. Preterit Loss in Early Modern Nuremberg

    ERIC Educational Resources Information Center

    Bagwell, Angela Catania

    2013-01-01

    This study investigates "Prateritumschwund," one of the most salient developments in the Upper German dialect area during the Early Modern period. Drawing on a wide range of text types originating in Nuremberg and its surrounding areas from the 13th to the 17th centuries, this study tests various hypotheses put forward as alleged causes…

  9. Ares I Crew Launch Vehicle Upper Stage/Upper Stage Engine Element Overview

    NASA Technical Reports Server (NTRS)

    McArthur, J. Craig

    2008-01-01

    The Ares I upper stage is an integral part of the Constellation Program transportation system. The upper stage provides guidance, navigation and control (GN and C) for the second stage of ascent flight for the Ares I vehicle. The Saturn-derived J-2X upper stage engine will provide thrust and propulsive impulse for the second stage of ascent flight for the Ares I launch vehicle. Additionally, the upper stage is responsible for the avionics system of the the entire Ares I. This brief presentation highlights the requirements, design, progress and production of the upper stage. Additionally, test facilities to support J-2X development are discussed and an overview of the operational and manufacturing flows are provided. Building on the heritage of the Apollo and Space Shuttle Programs, the Ares I Us and USE teams are utilizing extensive lessons learned to place NASA and the US into another era of space exploration. The NASA, Boeing and PWR teams are integrated and working together to make progress designing and building the Ares I upper stage to minimize cost, technical and schedule risks.

  10. About the Lung and Upper Aerodigestive Cancer Research Group | Division of Cancer Prevention

    Cancer.gov

    The Lung and Upper Aerodigestive Cancer Research Group conducts and supports research on the prevention and early detection of lung and head and neck cancers, as well as new approaches to clinical prevention studies including cancer immunoprevention.Phase 0/I/II Cancer Prevention Clinical Trials ProgramThe group jointly administers the Phase 0/I/II Cancer Prevention Clinical

  11. ENVIRONMENTAL SCREENING MODELING OF MERCURY IN THE UPPER EVERGLADES OF SOUTH FLORIDA

    EPA Science Inventory

    This screening modeling analysis examines mercury sources and fate in the upper canals of the South Florida Everglades. Mass balance modeling techniques are applied along with available data to examine the relative importance of external sources and internal cycling of mercury an...

  12. Three-dimensional circumferential liposuction of the overweight or obese upper arm.

    PubMed

    Hong, Yoon Gi; Sim, Hyung Bo; Lee, Mu Young; Seo, Sang Won; Chang, Choong Hyun; Yeo, Kwan Koo; Kim, June-kyu

    2012-06-01

    Due to recent trends in liposuction, anatomic consideration of the body's fatty layers is essential. Based on this knowledge, a circumferential approach to achieving maximal aesthetic results is highlighted. In the upper arm, aspiration of fat from only the posterolateral region can result in skin flaccidity and disharmony of the overall balance of the upper arm contour. Different suction techniques were applied depending on the degree of fat accumulation. If necessary, the operation area was extended around the axillary and scapular regions to overcome the limitations of the traditional method and to achieve optimal effects. To maximize skin contracture and redraping, the authors developed three-dimensional circumferential liposuction (3D-CL) based on two concepts: circumferential aspiration of the upper arm, to which was applied different fluid infiltration and liposuction techniques in three anatomic compartments (anteromedial, anterolateral, and posterolateral), and extension of liposuction to the periaxillar and parascarpular areas. A total of 57 female patients underwent liposuction of their excess arm fat using this technique. The authors achieved their aesthetic goals of a straightened inferior brachial border and a more slender body contour. Complications occurred for five patients including irregularity, incision-site scar, and transient pigmentation. Through 3D-CL, the limitations of traditional upper arm liposuction were overcome, and a slender arm contour with a straightened inferior brachial border was produced. This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors at http://www.springer.com/00266.

  13. Early Onset of Type 1 Diabetes and Educational Field at Upper Secondary and University Level: Is Own Experience an Asset for a Health Care Career?

    PubMed Central

    Steen Carlsson, Katarina

    2017-01-01

    Ill health in early life has a significant negative impact on school grades, grade repetition, educational level, and labor market outcomes. However, less is known about qualitative socio-economic consequences of a health shock in childhood or adolescence. We investigate the relationship between onset of type 1 diabetes up to age 15 and the probability of choosing and completing a health-oriented path at upper secondary and university level of education. We analyze the Swedish Childhood Diabetes Register, the National Educational Register, and other population registers in Sweden for 2756 people with type 1 diabetes and 10,020 matched population controls. Educational decisions are modeled as unsorted series of binary choices to assess the choice of educational field as a potential mechanism linking early life health to adult outcomes. The analyses reject the hypothesis of no systematic differences in choice of educational field between people with and without type 1 diabetes at both levels. The results are robust to selection on ability proxies and across sensitivity analysis. We conclude that the observed pro health-oriented educational choices among people with type 1 diabetes in our data are consistent with disease onset in childhood and adolescence having qualitative impact on life-course choices. PMID:28665347

  14. Early Onset of Type 1 Diabetes and Educational Field at Upper Secondary and University Level: Is Own Experience an Asset for a Health Care Career?

    PubMed

    Lovén, Ida; Steen Carlsson, Katarina

    2017-06-30

    Ill health in early life has a significant negative impact on school grades, grade repetition, educational level, and labor market outcomes. However, less is known about qualitative socio-economic consequences of a health shock in childhood or adolescence. We investigate the relationship between onset of type 1 diabetes up to age 15 and the probability of choosing and completing a health-oriented path at upper secondary and university level of education. We analyze the Swedish Childhood Diabetes Register, the National Educational Register, and other population registers in Sweden for 2756 people with type 1 diabetes and 10,020 matched population controls. Educational decisions are modeled as unsorted series of binary choices to assess the choice of educational field as a potential mechanism linking early life health to adult outcomes. The analyses reject the hypothesis of no systematic differences in choice of educational field between people with and without type 1 diabetes at both levels. The results are robust to selection on ability proxies and across sensitivity analysis. We conclude that the observed pro health-oriented educational choices among people with type 1 diabetes in our data are consistent with disease onset in childhood and adolescence having qualitative impact on life-course choices.

  15. Neodymium isotope evolution of NW Tethyan upper ocean waters throughout the Cretaceous

    NASA Astrophysics Data System (ADS)

    Pucéat, Emmanuelle; Lécuyer, Christophe; Reisberg, Laurie

    2005-08-01

    Neodymium isotope compositions of twenty-four fish teeth, nineteen from the NW Tethys and five from different locations within the Tethys, are interpreted to reflect the evolution of Tethyan upper ocean water composition during the Cretaceous and used to track changes in erosional inputs to the NW Tethys and in oceanic circulation throughout the Cretaceous. The rather high ɛNd (up to - 7.6) of the NW Tethyan upper ocean waters recorded from the Late Berriasian to the Early Aptian and the absence of negative excursions during this interval support the presence of a permanent westward flowing Tethys Circumglobal Current (TCC). This implies that temperature variations during this time period, inferred from the oxygen isotope analysis of fish tooth enamel, were not driven by changes in surface oceanic currents, but rather by global climatic changes. The results presented here represent a significant advance over previously published Cretaceous seawater Nd isotope records. Our newly acquired data now allow the identification of two stages of low ɛNd values in the NW Tethys, during the Early Albian-Middle Albian interval (down to - 10) and the Santonian-Early Campanian (down to - 11.4), which alternate with two stages of higher ɛNd values (up to - 9) during the Late Albian-Turonian interval and the Maastrichtian. Used in conjunction with the oxygen isotope record, the fluctuations of ɛNd values can be related to major climatic, oceanographic, and tectonic events that appeared in the western Tethyan domain.

  16. A national survey on the initial management of upper gastrointestinal bleeding.

    PubMed

    Liang, Peter S; Saltzman, John R

    2014-01-01

    To evaluate the initial management of upper gastrointestinal (GI) bleeding in the United States. Various guidelines have addressed the initial management of upper GI bleeding, but the extent to which these guidelines are followed in clinical practice is unknown. We conducted a national survey of emergency physicians, internists, and gastroenterologists practicing in hospitals affiliated with an ACGME-accredited gastroenterology fellowship. Participants rated their agreement and adherence to 9 preendoscopic quality indicators for the initial management of upper GI bleeding. Awareness, use, and barriers to the use of early prognostic risk scores were also assessed. A total of 1402 surveys were completed, with an estimated response rate of 11.3%. Gastroenterologists and trainees agreed with the quality indicators more than nongastroenterologists and attending physicians, respectively. There was no difference in the application of the quality indicators by specialty or clinical position. Among all physicians, 53% had ever heard of and 30% had ever used an upper GI bleeding risk score. More gastroenterologists than nongastroenterologists had heard of (82% vs. 44%, P<0.001) and used (51% vs. 23%, P<0.001) a risk score. There was no difference between attending physicians and trainees. Gastroenterologists and attending physicians more often cited lack of utility as a reason to not use risk scores, whereas nongastroenterologists and trainees more often cited lack of knowledge. Among emergency physicians, internists, and gastroenterologists in the United States, agreement with upper GI bleeding initial management guidelines was high but adherence--especially pertaining to the use of risk scores--was low.

  17. Accuracy of a disability instrument to identify workers likely to develop upper extremity musculoskeletal disorders.

    PubMed

    Stover, Bert; Silverstein, Barbara; Wickizer, Thomas; Martin, Diane P; Kaufman, Joel

    2007-06-01

    Work related upper extremity musculoskeletal disorders (MSD) result in substantial disability, and expense. Identifying workers or jobs with high risk can trigger intervention before workers are injured or the condition worsens. We investigated a disability instrument, the QuickDASH, as a workplace screening tool to identify workers at high risk of developing upper extremity MSDs. Subjects included workers reporting recurring upper extremity MSD symptoms in the past 7 days (n = 559). The QuickDASH was reasonably accurate at baseline with sensitivity of 73% for MSD diagnosis, and 96% for symptom severity. Specificity was 56% for diagnosis, and 53% for symptom severity. At 1-year follow-up sensitivity and specificity for MSD diagnosis was 72% and 54%, respectively, as predicted by the baseline QuickDASH score. For symptom severity, sensitivity and specificity were 86% and 52%. An a priori target sensitivity of 70% and specificity of 50% was met by symptom severity, work pace and quality, and MSD diagnosis. The QuickDASH may be useful for identifying jobs or workers with increased risk for upper extremity MSDs. It may provide an efficient health surveillance screening tool useful for targeting early workplace intervention for prevention of upper extremity MSD problems.

  18. Numerosity processing in early visual cortex.

    PubMed

    Fornaciai, Michele; Brannon, Elizabeth M; Woldorff, Marty G; Park, Joonkoo

    2017-08-15

    While parietal cortex is thought to be critical for representing numerical magnitudes, we recently reported an event-related potential (ERP) study demonstrating selective neural sensitivity to numerosity over midline occipital sites very early in the time course, suggesting the involvement of early visual cortex in numerosity processing. However, which specific brain area underlies such early activation is not known. Here, we tested whether numerosity-sensitive neural signatures arise specifically from the initial stages of visual cortex, aiming to localize the generator of these signals by taking advantage of the distinctive folding pattern of early occipital cortices around the calcarine sulcus, which predicts an inversion of polarity of ERPs arising from these areas when stimuli are presented in the upper versus lower visual field. Dot arrays, including 8-32dots constructed systematically across various numerical and non-numerical visual attributes, were presented randomly in either the upper or lower visual hemifields. Our results show that neural responses at about 90ms post-stimulus were robustly sensitive to numerosity. Moreover, the peculiar pattern of polarity inversion of numerosity-sensitive activity at this stage suggested its generation primarily in V2 and V3. In contrast, numerosity-sensitive ERP activity at occipito-parietal channels later in the time course (210-230ms) did not show polarity inversion, indicating a subsequent processing stage in the dorsal stream. Overall, these results demonstrate that numerosity processing begins in one of the earliest stages of the cortical visual stream. Copyright © 2017 Elsevier Inc. All rights reserved.

  19. Short-duration therapeutic massage reduces postural upper trapezius muscle activity.

    PubMed

    Domingo, Antoinette R; Diek, Melissa; Goble, Kathleen M; Maluf, Katrina S; Goble, Daniel J; Baweja, Harsimran S

    2017-01-18

    Massage therapy has historically been used as a therapeutic treatment to help reduce pain and promote relaxation. The aim of this study was to investigate the effect of therapeutic massage on the upper trapezius muscles, which are commonly associated with increased muscle tension. This was a randomized crossover study. Seventeen healthy individuals (nine women; 24.5±4.0 years) participated in the study. All individuals participated in two sessions that were held 24 h apart. In one of the sessions, the participants received a moderate pressure massage applied to the shoulders and neck. In the other session, participants sat quietly. The order of the sessions was counterbalanced across participants. Muscle activity, as measured by surface electromyography, of the upper trapezius muscles was recorded. The amount of muscle activity change following massage was compared with the change in muscle activity following quiet sitting. Muscle activity of the upper trapezius reduced significantly (19.3%; P=0.004) following massage compared with muscle activity following quiet sitting (1.0%). Our findings suggest that short-duration moderate pressure massage leads to a reduction in upper trapezius muscle activity. This result has potential implications for clinical populations such as those with chronic neck pain.

  20. J-2X Upper Stage Engine: Hardware and Testing 2009

    NASA Technical Reports Server (NTRS)

    Buzzell, James C.

    2009-01-01

    Mission: Common upper stage engine for Ares I and Ares V. Challenge: Use proven technology from Saturn X-33, RS-68 to develop the highest Isp GG cycle engine in history for 2 missions in record time . Key Features: LOX/LH2 GG cycle, series turbines (2), HIP-bonded MCC, pneumatic ball-sector valves, on-board engine controller, tube-wall regen nozzle/large passively-cooled nozzle extension, TEG boost/cooling . Development Philosophy: proven hardware, aggressive schedule, early risk reduction, requirements-driven.

  1. ARES I Upper Stage Subsystems Design and Development

    NASA Technical Reports Server (NTRS)

    Frate, David T.; Senick, Paul F.; Tolbert, Carol M.

    2011-01-01

    From 2005 through early 2011, NASA conducted concept definition, design, and development of the Ares I launch vehicle. The Ares I was conceived to serve as a crew launch vehicle for beyond-low-Earth-orbit human space exploration missions as part of the Constellation Program Architecture. The vehicle was configured with a single shuttle-derived solid rocket booster first stage and a new liquid oxygen/liquid hydrogen upper stage, propelled by a single, newly developed J-2X engine. The Orion Crew Exploration Vehicle was to be mated to the forward end of the Ares I upper stage through an interface with fairings and a payload adapter. The vehicle design passed a Preliminary Design Review in August 2008, and was nearing the Critical Design Review when efforts were concluded as a result of the Constellation Program s cancellation. At NASA Glenn Research Center, four subsystems were developed for the Ares I upper stage. These were thrust vector control (TVC) for the J-2X, electrical power system (EPS), purge and hazardous gas (P&HG), and development flight instrumentation (DFI). The teams working each of these subsystems achieved 80 percent or greater design completion and extensive development testing. These efforts were extremely successful representing state-of-the-art technology and hardware advances necessary to achieve Ares I reliability, safety, availability, and performance requirements. This paper documents the designs, development test activity, and results.

  2. Transcatheter arterial embolization for upper gastrointestinal tract bleeding

    PubMed Central

    Širvinskas, Audrius; Smolskas, Edgaras; Brimienė, Vilma; Brimas, Gintautas

    2017-01-01

    Introduction Transcatheter arterial embolization is a possible treatment for patients with recurrent bleeding from the upper gastrointestinal tract after failed endoscopic management and is also an alternative to surgical treatment. Aim To analyze the outcomes of transcatheter arterial embolization and identify the clinical and technical factors that influenced the rates of morbidity and mortality. Material and methods A retrospective analysis was carried out, based on the data of 36 patients who underwent transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding in 2013 to 2015 in our center. An analysis was performed between early rebleeding rates, mortality and the following factors: patient sex, age, number of units of packed red blood cells and packed plasma administered to the patients, length of hospital stay, therapeutic or prophylactic embolization. Results The technical success rate of the embolization procedure was 100%. There were 15 (41.70%) therapeutic embolizations and 21 (58.3%) prophylactic embolizations. There was a 77.8% clinical success rate. Following embolization, 10 (27.80%) patients had repeated bleeding and 9 (25.0%) patients died. Significant associations were found between rebleeding and prophylactic embolization (OR = 10.53; p = 0.04) and between mortality and prophylactic embolization (OR = 10.53; p = 0.04) and units of packed red blood cells (OR = 1.25; p < 0.01). Conclusions In our experience, transcatheter arterial embolization is a safe treatment method for acute nonvariceal upper gastrointestinal bleeding and a possible alternative to surgery for high-risk patients. PMID:29362654

  3. Wave-mean flow interactions in the upper atmosphere

    NASA Technical Reports Server (NTRS)

    Lindzen, R. S.

    1973-01-01

    The nature of internal gravity waves is described with special emphasis on their ability to transport energy and momentum. The conditions under which these fluxes interact with the mean state of the atmosphere are described and the results are applied to various problems of the upper atmosphere, including the quasi-biennial oscillation, the heat budget of the thermosphere, the general circulation of the mesosphere, turbulence in the mesosphere, and the 4-day circulation of the Venusian atmosphere.

  4. Bleeding after expandable nitinol stent placement in patients with esophageal and upper gastrointestinal obstruction: incidence, management, and predictors.

    PubMed

    Oh, Se Jin; Song, Ho-Young; Nam, Deok Ho; Ko, Heung Kyu; Park, Jung-Hoon; Na, Han Kyu; Lee, Jong Jin; Kang, Min Kyoung

    2014-11-01

    Placement of self-expandable nitinol stents is useful for the treatment of esophageal and upper gastrointestinal (GI) obstruction. However, complications such as stent migration, tumor overgrowth, and bleeding occur. Although stent migration and tumor overgrowth are well documented in previous studies, the occurrence of bleeding has not been fully evaluated. To evaluate the incidence, management strategies, and predictors of bleeding after placement of self-expandable nitinol stents in patients with esophageal and upper GI obstruction. We retrospectively reviewed the medical records and results of computed tomography and endoscopy of 1485 consecutive patients with esophageal and upper GI obstructions who underwent fluoroscopically guided stent placement. Bleeding occurred in 25 of 1485 (1.7%) patients 0 to 348 days after stent placement. Early stent-related bleeding occurred in 10 patients (40%) and angiographic embolization was used for 5/10. Late bleeding occurred in 15 patients (60%) and endoscopic hemostasis was used for 7/15. Twenty-two of 25 (88%) patients with bleeding had received prior radiotherapy and/or chemotherapy. Bleeding is a rare complication after placement of expandable nitinol stents in patients with esophageal and upper GI obstruction, but patients with early bleeding may require embolization for control. Care must be exercised on placing stents in patients who have received prior radiotherapy or chemotherapy. © The Foundation Acta Radiologica 2013 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  5. A low-cost video game applied for training of upper extremity function in children with cerebral palsy: a pilot study.

    PubMed

    Jannink, Michiel J A; van der Wilden, Gelske J; Navis, Dorine W; Visser, Gerben; Gussinklo, Jeanine; Ijzerman, Maarten

    2008-02-01

    The aim of the present study was to determine the user satisfaction of the EyeToy for the training of the upper limb in children with cerebral palsy (CP). User satisfaction was measured in 12 children with CP, using a postexperience questionnaire, primarily based on a presence questionnaire. In general, children with CP were satisfied with and motivated by the EyeToy training. In addition, a first evaluation study was performed to determine the effect of this training method on the upper limb function. Ten children with CP were randomly assigned to the intervention (mean age 11 years, 9 months; SD 2,3) and the control group (mean age 12 years, 3 months; SD 3,2). After a treatment period of 6 weeks, the intervention group completed a user satisfaction questionnaire. Functional outcome was measured using the Melbourne Assessment scores. Percentage scores of the Melbourne Assessment of 7 of the 10 children were the same or changed only 1% to 2% from baseline to followup. However, in the experimental group, two children improved more, 9% and 13% respectively. In conclusion, it can be said that the EyeToy is a motivational training tool for the training of children with CP and has the potential to improve upper extremity function.

  6. Review of hardware cost estimation methods, models and tools applied to early phases of space mission planning

    NASA Astrophysics Data System (ADS)

    Trivailo, O.; Sippel, M.; Şekercioğlu, Y. A.

    2012-08-01

    The primary purpose of this paper is to review currently existing cost estimation methods, models, tools and resources applicable to the space sector. While key space sector methods are outlined, a specific focus is placed on hardware cost estimation on a system level, particularly for early mission phases during which specifications and requirements are not yet crystallised, and information is limited. For the space industry, cost engineering within the systems engineering framework is an integral discipline. The cost of any space program now constitutes a stringent design criterion, which must be considered and carefully controlled during the entire program life cycle. A first step to any program budget is a representative cost estimate which usually hinges on a particular estimation approach, or methodology. Therefore appropriate selection of specific cost models, methods and tools is paramount, a difficult task given the highly variable nature, scope as well as scientific and technical requirements applicable to each program. Numerous methods, models and tools exist. However new ways are needed to address very early, pre-Phase 0 cost estimation during the initial program research and establishment phase when system specifications are limited, but the available research budget needs to be established and defined. Due to their specificity, for vehicles such as reusable launchers with a manned capability, a lack of historical data implies that using either the classic heuristic approach such as parametric cost estimation based on underlying CERs, or the analogy approach, is therefore, by definition, limited. This review identifies prominent cost estimation models applied to the space sector, and their underlying cost driving parameters and factors. Strengths, weaknesses, and suitability to specific mission types and classes are also highlighted. Current approaches which strategically amalgamate various cost estimation strategies both for formulation and validation

  7. 47 CFR 27.1303 - Upper 700 MHz D Block license conditions.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... as the Commission may require or allow, into the Network Sharing Agreement (NSA) that has been... the NSA and such other agreements as the Commission may require or allow. (c) The Upper 700 MHz D... specified in the NSA. (f) These conditions and requirements will apply to any related entities that the...

  8. 47 CFR 27.1303 - Upper 700 MHz D Block license conditions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... as the Commission may require or allow, into the Network Sharing Agreement (NSA) that has been... the NSA and such other agreements as the Commission may require or allow. (c) The Upper 700 MHz D... specified in the NSA. (f) These conditions and requirements will apply to any related entities that the...

  9. Comparative evaluation of existing expendable upper stages for space shuttle

    NASA Technical Reports Server (NTRS)

    Weyers, V. J.; Sagerman, G. D.; Borsody, J.; Lubick, R. J.

    1974-01-01

    The use of existing expendable upper stages in the space shuttle during its early years of operation is evaluated. The Burner 2, Scout, Delta, Agena, Transtage, and Centaur were each studied under contract by their respective manufacturers to determine the extent and cost of the minimum modifications necessary to integrate the stage with the shuttle orbiter. A comparative economic analysis of thirty-five different families of these stages is discussed. Results show that the overall transportation system cost differences between many of the families are quite small. However, by considering several factors in addition to cost, it is possible to select one family as being representative of the capability of the minimum modification existing stage approach. The selected family meets all of the specified mission requirements during the early years of shuttle operation.

  10. [The new potentials of magneto-laser therapy and electrostimulation in children with cleft palate and upper lip].

    PubMed

    Gerasimenko, M Iu; Filatova, E V; Borisenko, O V; Levchenkova, V D; Grishina, N V; Spiridonova, N Z; Shevchenko, E Iu; Goncharenko, L L

    2000-01-01

    The paper presents rationale for design of new procedures of physiotherapy in children with expanded palate and upper lip; morphofunctional features of prenatal and early postnatal formation of central nervous system; a multilayer technique of magneto-laser radiation to the projection of the anterior central gyrus and the technique of electrostimulation by the system of the wink reflex which can influence central mechanisms of regulation and adaptation before and early after uranoplasty and cheiloplasty.

  11. TMI-2 upper-core particle bed thermal behavior

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

    Kuan, P.

    1987-08-01

    Models of dryout heat fluxes of particle beds believed to be applicable to the TMI-2 upper-core particle bed are reviewed and developed. A simplified Lipinski model and a model based on flooding are shown to agree between themselves and with experiments. These models are applied to the calculation of the dryout heat flux of the TMI-2 upper-core particle bed. The TMI-2 upper-core particle bed is shown to be: (a) coolable, if little heat is transferred to it from the consolidated region below, (b) only marginally coolable, if not uncoolable, before material relocation from the consolidated region, if most of themore » heat in the consolidiated region is transferred to it, and (c) coolable, after the relocation, regardless of heat transfer from the remaining consolidated region. Based on an analogy to quenching experiments, which show that the heat flux during the quench of a particle bed is approximately equal to the dryout heat flux, the time required to quench the TMI-2 upper-core particle bed from 2000 K to the saturation temperature of water during the accident is estimated. The bed was either quenched by 225 min after the initiation of the accident (assuming no heat was transferred to it from the consolidated region) or, at the latest, by 245 min (20 min after molten material relocation to the lower plenum from the consolidated region; assuming most of the heat generated in the consolidated region, both before and after the relocation, was transferred to the particle bed).« less

  12. An investigation of the processes controlling ozone in the upper stratosphere

    NASA Technical Reports Server (NTRS)

    Patten, Kenneth O., Jr.; Connell, Peter S.; Kinnison, Douglas E.; Wuebbles, Donald J.; Waters, Joe; Froidevaux, Lucien; Slanger, Tom G.

    1994-01-01

    Photolysis of vibrationally excited oxygen produced by ultraviolet photolysis of ozone in the upper stratosphere is incorporated into the Lawrence Livermore National Laboratory 2-D zonally averaged chemical-radiative-transport model of the troposphere and stratosphere. The importance of this potential contributor of odd oxygen to the concentration of ozone is evaluated based upon recent information on vibrational distributions of excited oxygen and upon preliminary studies of energy transfer from the excited oxygen. When the energy transfer rate constants of previous work are assumed, increases in model ozone concentrations of up to 40 percent in the upper stratosphere are found, and the ozone concentrations of the model agree with measurements, including data from the Upper Atmosphere Research Satellite. However, the increase is about 0.4 percent when the larger energy transfer rate constants suggested by more recent experimental work are applied in the model. This indicates the importance of obtaining detailed information on vibrationally excited oxygen properties to evaluation of this process for stratospheric modelling.

  13. The biomechanics of upper extremity kinematic and kinetic modeling: applications to rehabilitation engineering.

    PubMed

    Slavens, Brooke A; Harris, Gerald F

    2008-01-01

    Human motion analysis has evolved from the lower extremity to the upper extremity. Rehabilitation engineering is reliant upon three-dimensional biome-chanical models for a thorough understanding of upper body motions and forces in order to improve treatment methods, rehabilitation strategies and to prevent injury. Due to the complex nature of upper body movements, a standard biomechanical model does not exist. This paper reviews several kinematic and kinetic rehabilitation engineering models from the literature. These models may capture a single joint; multijoints such as the shoulder, elbow and wrist; or a combination of joints and an ambulatory aid, which serves as the extension of the upper arm. With advances in software and hardware, new models continuously arise due to the clinical questions at hand. When designing a biomechanical upper extremity model, several key components must be determined. These include deciding on the anatomic segments of the model, the number of markers and placement on bony landmarks, the definition of joint coordinate systems, and the description of the joint motions. It is critical to apply the proper model to further our understanding of pathologic populations.

  14. Finite-Frequency Seismic Imaging of Upper-Mantle Velocity Structures Beneath the South China Continent

    NASA Astrophysics Data System (ADS)

    Qu, P.; Chen, Y. J.; Yu, Y.

    2017-12-01

    South China Continent is major formed from the Paleo-South China plate. The continent has experienced complicated tectonic history after Neoproterozoic. Previous studies suggested some possible model for the collision between South China Continent and North China Continent. Body wave tomography and surface wave tomography are widely used to inverse upper mantle velocity structure. In our study, finite frequency tomography were carried on to get explanation more correctly. We gathered nearly 60000 pieces of teleseismic event records by 166 broad band seismic stations with Mw > 5.5. Here sensitive kernel of ak135 velocity structure was calculated, which is based on Born approximation, and then we applied multi-channel cross-correlation to pick arrival time difference under 3 frequency band. Combining with crust thickness correct from receiver function, we solve the inversion matrix by LSQR method, and get accurate upper mantle structure of P, S velocity. For more accurate results, we apply a method to calculate Vp/Vs ratio, to help to verify the velocity anomaly. The result in this research shows: 1. A strong velocity anomaly exists in the northern of South China Continent, in an area 31°N between 112°-118°E. The anomaly is about . We suggest that, this anomaly is related to the collision from North China Continent. It implies the collision underthrusted to southward. 2. A clearly slow velocity anomaly exists in the northern of Cathaysia block. This low velocity anomaly exist on the boundary of Yangtz block and Cathysian block, it is related to the left over of block collision in early phanerozoic. 3. We recognized some little velocity anomaly exit in the research area. Comparing these velocity anomaly with U-Pb zircon ages, we suggest complicated orogenesis in Phanerozoic is the cause of the formation of these little anomaly. The result in our study support the collision model, which shows the underthrust direction is southward, on the south of Qinling

  15. Hemispheric differences in recognizing upper and lower facial displays of emotion.

    PubMed

    Prodan, C I; Orbelo, D M; Testa, J A; Ross, E D

    2001-01-01

    To determine if there are hemispheric differences in processing upper versus lower facial displays of emotion. Recent evidence suggests that there are two broad classes of emotions with differential hemispheric lateralization. Primary emotions (e.g. anger, fear) and associated displays are innate, are recognized across all cultures, and are thought to be modulated by the right hemisphere. Social emotions (e.g., guilt, jealousy) and associated "display rules" are learned during early child development, vary across cultures, and are thought to be modulated by the left hemisphere. Display rules are used by persons to alter, suppress or enhance primary emotional displays for social purposes. During deceitful behaviors, a subject's true emotional state is often leaked through upper rather than lower facial displays, giving rise to facial blends of emotion. We hypothesized that upper facial displays are processed preferentially by the right hemisphere, as part of the primary emotional system, while lower facial displays are processed preferentially by the left hemisphere, as part of the social emotional system. 30 strongly right-handed adult volunteers were tested tachistoscopically by randomly flashing facial displays of emotion to the right and left visual fields. The stimuli were line drawings of facial blends with different emotions displayed on the upper versus lower face. The subjects were tested under two conditions: 1) without instructions and 2) with instructions to attend to the upper face. Without instructions, the subjects robustly identified the emotion displayed on the lower face, regardless of visual field presentation. With instructions to attend to the upper face, for the left visual field they robustly identified the emotion displayed on the upper face. For the right visual field, they continued to identify the emotion displayed on the lower face, but to a lesser degree. Our results support the hypothesis that hemispheric differences exist in the

  16. Direct dating of Neanderthal remains from the site of Vindija Cave and implications for the Middle to Upper Paleolithic transition

    PubMed Central

    Karavanić, Ivor; Comeskey, Daniel; Kubiak, Cara; Korlević, Petra; Hajdinjak, Mateja; Radović, Siniša; Procopio, Noemi; Buckley, Michael; Pääbo, Svante; Higham, Tom

    2017-01-01

    Previous dating of the Vi-207 and Vi-208 Neanderthal remains from Vindija Cave (Croatia) led to the suggestion that Neanderthals survived there as recently as 28,000–29,000 B.P. Subsequent dating yielded older dates, interpreted as ages of at least ∼32,500 B.P. We have redated these same specimens using an approach based on the extraction of the amino acid hydroxyproline, using preparative high-performance liquid chromatography (Prep-HPLC). This method is more efficient in eliminating modern contamination in the bone collagen. The revised dates are older than 40,000 B.P., suggesting the Vindija Neanderthals did not live more recently than others across Europe, and probably predate the arrival of anatomically modern humans in Eastern Europe. We applied zooarchaeology by mass spectrometry (ZooMS) to find additional hominin remains. We identified one bone that is Neanderthal, based on its mitochondrial DNA, and dated it directly to 46,200 ± 1,500 B.P. We also attempted to date six early Upper Paleolithic bone points from stratigraphic units G1, Fd/d+G1 and Fd/d, Fd. One bone artifact gave a date of 29,500 ± 400 B.P., while the remainder yielded no collagen. We additionally dated animal bone samples from units G1 and G1–G3. These dates suggest a co-occurrence of early Upper Paleolithic osseous artifacts, particularly split-based points, alongside the remains of Neanderthals is a result of postdepositional mixing, rather than an association between the two groups, although more work is required to show this definitively. PMID:28874524

  17. 21 CFR 868.5115 - Device to relieve acute upper airway obstruction.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... the event of choking on a foreign body, can be applied to the abdomen and pushed upward to generate... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Device to relieve acute upper airway obstruction. 868.5115 Section 868.5115 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN...

  18. 21 CFR 868.5115 - Device to relieve acute upper airway obstruction.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Device to relieve acute upper airway obstruction. 868.5115 Section 868.5115 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT OF HEALTH AND HUMAN... the event of choking on a foreign body, can be applied to the abdomen and pushed upward to generate...

  19. A Hybrid Sport Education-Games for Understanding Striking/Fielding Unit for Upper Elementary Pupils

    ERIC Educational Resources Information Center

    Curtner-Smith, Matthew

    2004-01-01

    This article describes a hybrid Sport Education-Games for Understanding unit through which upper elementary pupils can learn to play basic striking/fielding games. The unit is written for a class of 30 pupils. The twenty-five lesson unit is described in detail within 10 stages: (1) Getting started and early skill, strategy, rule, and role work…

  20. Education Pays Off! On Transition to Work for 25 Year Olds in Norway with Upper Secondary Education or Lower as Their Highest Educational Level

    ERIC Educational Resources Information Center

    Markussen, Eifred

    2017-01-01

    In this article we examine the relationship between educational level and position in the labour market at age 25 for those who have completed upper secondary education or lower as their highest educational level. Whilst completion of upper secondary education is widely regarded as being important, we find that early and lasting work experience…

  1. Water-Quality Data from Upper Klamath and Agency Lakes, Oregon, 2007-08

    USGS Publications Warehouse

    Kannarr, Kristofor E.; Tanner, Dwight Q.; Lindenberg, Mary K.; Wood, Tamara M.

    2010-01-01

    Significant Findings The U.S. Geological Survey Upper Klamath Lake water-quality monitoring program collected data from multiparameter continuous water-quality monitors, weekly water-quality samples, and meteorological stations during May-November 2007 and 2008. The results of these measurements and sample analyses are presented in this report for 29 stations on Upper Klamath Lake and 2 stations on Agency Lake, as well as quality-assurance data for the water-quality samples. Some of the significant findings from 2007 and 2008 are listed below. In 2007-08, ammonia concentrations were at or near the detection limit at all stations during the second week in June, after which they began to increase, with peak concentrations occurring from July through November. The concentration of un-ionized ammonia, which can be toxic to aquatic life, first began to increase in mid-June and peaked in July or August at most sites. Concentrations of un-ionized ammonia measured in the Upper Klamath Lake in 2007-08 did not reach concentrations that would have been potentially lethal to suckers. Samples collected for the analysis of dissolved organic carbon (DOC) late in the 2007 season showed no evidence of an increase in DOC subsequent to the breaching of the Williamson River Delta levees on October 30. In 2007-08, the lakewide daily median of dissolved oxygen concentration began to increase in early June, and peaked in mid- to late June. The lakewide daily median pH began to increase from early June and peaked in late June (2007) or early July (2008). Lakewide daily median pH slowly decreased during the rest of both seasons. The 2007 lakewide daily median specific conductance values first peaked on July 1, coincident with a peak in dissolved oxygen concentration and pH, followed by a decrease through mid-July. Specific conductance then remained relatively stable until mid-October when a sharp increase began that continued until the end of the season. Lakewide specific conductance

  2. Upper limb stroke rehabilitation: the effectiveness of Stimulation Assistance through Iterative Learning (SAIL).

    PubMed

    Meadmore, Katie L; Cai, Zhonglun; Tong, Daisy; Hughes, Ann-Marie; Freeman, Chris T; Rogers, Eric; Burridge, Jane H

    2011-01-01

    A novel system has been developed which combines robotic therapy with electrical stimulation (ES) for upper limb stroke rehabilitation. This technology, termed SAIL: Stimulation Assistance through Iterative Learning, employs advanced model-based iterative learning control (ILC) algorithms to precisely assist participant's completion of 3D tracking tasks with their impaired arm. Data is reported from a preliminary study with unimpaired participants, and also from a single hemiparetic stroke participant with reduced upper limb function who has used the system in a clinical trial. All participants completed tasks which involved moving their (impaired) arm to follow an image of a slowing moving sphere along a trajectory. The participants' arm was supported by a robot and ES was applied to the triceps brachii and anterior deltoid muscles. During each task, the same tracking trajectory was repeated 6 times and ILC was used to compute the stimulation signals to be applied on the next iteration. Unimpaired participants took part in a single, one hour training session and the stroke participant undertook 18, 1 hour treatment sessions composed of tracking tasks varying in length, orientation and speed. The results reported describe changes in tracking ability and demonstrate feasibility of the SAIL system for upper limb rehabilitation. © 2011 IEEE

  3. Upper Secondary School Physical Science Curricula in New Zealand after the National Qualifications Framework Reforms

    ERIC Educational Resources Information Center

    Vlaardingerbroek, Barend; Taylor, T. G. Neil

    2007-01-01

    The recent structural reforms in New Zealand education have given schools and teachers unprecedented freedom in curricular design and delivery. Using official educational award statistics for 2004 and data arising from a study of 23 schools' upper secondary science curricula in the same year, this study represents an early monitoring of the impact…

  4. FAST INdiCATE Trial protocol. Clinical efficacy of functional strength training for upper limb motor recovery early after stroke: neural correlates and prognostic indicators.

    PubMed

    Pomeroy, Valerie M; Ward, Nick S; Johansen-Berg, Heidi; van Vliet, Paulette; Burridge, Jane; Hunter, Susan M; Lemon, Roger N; Rothwell, John; Weir, Christopher J; Wing, Alan; Walker, Andrew A; Kennedy, Niamh; Barton, Garry; Greenwood, Richard J; McConnachie, Alex

    2014-02-01

    Functional strength training in addition to conventional physical therapy could enhance upper limb recovery early after stroke more than movement performance therapy plus conventional physical therapy. To determine (a) the relative clinical efficacy of conventional physical therapy combined with functional strength training and conventional physical therapy combined with movement performance therapy for upper limb recovery; (b) the neural correlates of response to conventional physical therapy combined with functional strength training and conventional physical therapy combined with movement performance therapy; (c) whether any one or combination of baseline measures predict motor improvement in response to conventional physical therapy combined with functional strength training or conventional physical therapy combined with movement performance therapy. Randomized, controlled, observer-blind trial. The sample will consist of 288 participants with upper limb paresis resulting from a stroke that occurred within the previous 60 days. All will be allocated to conventional physical therapy combined with functional strength training or conventional physical therapy combined with movement performance therapy. Functional strength training and movement performance therapy will be undertaken for up to 1·5 h/day, five-days/week for six-weeks. Measurements will be undertaken before randomization, six-weeks thereafter, and six-months after stroke. Primary efficacy outcome will be the Action Research Arm Test. Explanatory measurements will include voxel-wise estimates of brain activity during hand movement, brain white matter integrity (fractional anisotropy), and brain-muscle connectivity (e.g. latency of motor evoked potentials). The primary clinical efficacy analysis will compare treatment groups using a multilevel normal linear model adjusting for stratification variables and for which therapist administered the treatment. Effect of conventional physical therapy combined

  5. Upper-limb robot-assisted therapy in rehabilitation of acute stroke patients: focused review and results of new randomized controlled trial.

    PubMed

    Masiero, Stefano; Armani, Mario; Rosati, Giulio

    2011-01-01

    The successful motor rehabilitation of stroke patients requires early intensive and task-specific therapy. A recent Cochrane Review, although based on a limited number of randomized controlled trials (RCTs), showed that early robotic training of the upper limb (i.e., during acute or subacute phase) can enhance motor learning and improve functional abilities more than chronic-phase training. In this article, a new subacute-phase RCT with the Neuro-Rehabilitation-roBot (NeReBot) is presented. While in our first study we used the NeReBot in addition to conventional therapy, in this new trial we used the same device in substitution of standard proximal upper-limb rehabilitation. With this protocol, robot patients achieved similar reductions in motor impairment and enhancements in paretic upper-limb function to those gained by patients in a control group. By analyzing these results and those of previous studies, we hypothesize a new robotic protocol for acute and subacute stroke patients based on both treatment modalities (in addition and in substitution).

  6. Upper triassic continental margin strata of the central alaska range: Implications for paleogeographic reconstruction

    USGS Publications Warehouse

    Till, A.B.; Harris, A.G.; Wardlaw, B.R.; Mullen, M.

    2007-01-01

    Reexamination of existing conodont collections from the central Alaska Range indicates that Upper Triassic marine slope and basin rocks range in age from at least as old as the late Carnian to the early middle Norian. The conodont assemblages typical of these rocks are generally cosmopolitan and do not define a distinct paleogeographic faunal realm. One collection, however, containsEpigondolella multidentata sensu Orchard 1991c, which appears to be restricted to western North American autochthonous rocks. Although paleogeographic relations cannot be determined with specificity, the present distribution of biofaces within the Upper Triassic sequence could not have been the result of simple accordion-style collapse of the Late Triassic margin.

  7. Pre-eruptive intracoronal resorption in a third upper molar: clinical, tomographic and histological analysis.

    PubMed

    Lenzi, R; Marceliano-Alves, M F; Alves, Frf; Pires, F R; Fidel, S

    2017-06-01

    Radiolucent or hypodense lesions in the crown of unerupted teeth may be due to pre-eruptive intracoronal resorption. Clinicians must be aware of this risk so that they can diagnose and appropriately treat this condition. The purpose of this study is to present a well-documented clinical case of pre-eruptive intracoronal resorption in an impacted third upper left molar of a 63 year old female patient. This was an unexpected finding, which occurred after cone-beam computed tomography was used to investigate the first upper left molar, which had an acute periradicular abscess. A multidisciplinary team followed up the case to describe clinical, radiographic and histological findings. The available treatment options were discussed, and the tooth extraction was the option chosen. Previous case studies describing such resorption in third upper molars have not been reported. This case shows that all permanent teeth in a pre-eruptive stage must be analysed radiographically to detect early pre-eruptive intracoronal resorption. © 2016 Australian Dental Association.

  8. The "Othering" of Men in Early Childhood Education: Applying Covey's Seven Habits

    ERIC Educational Resources Information Center

    McGowan, Kevin

    2016-01-01

    How do early childhood educators, parents, and administrators really feel about men working with young children? Should men work as teachers of young children from birth through 8 years of age? Is this women's work? Does explicitly and implicitly excluding men from the early childhood education workforce benefit the early childhood community's…

  9. Applying Technology to Inquiry-Based Learning in Early Childhood Education

    ERIC Educational Resources Information Center

    Wang, Feng; Kinzie, Mable B.; McGuire, Patrick; Pan, Edward

    2009-01-01

    Children naturally explore and learn about their environments through inquiry, and computer technologies offer an accessible vehicle for extending the domain and range of this inquiry. Over the past decade, a growing number of interactive games and educational software packages have been implemented in early childhood education and addressed a…

  10. Switchgrass as a biofuels crop for the upper Southeast

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

    Parrish, D.J.; Wolf, D.D.

    1993-12-31

    Switchgrass (Panicum virgatum) has been identified in DOE-sponsored studies as a widely adapted, productive herbaceous candidate for biofuels cropping. It is a perennial that has been planted using no-till procedures, and it appears to have positive effects on the soils in which it grows. We have been looking at this species as a potential fuelcrop (as well as a valuable forage) for several years. In this presentation, we note several {open_quotes}lessons learned{close_quotes} about switchgrass establishment and management as an energy crop. Data include results from recent plantings in the upper Southeast USA and from cutting management studies. Six varieties ofmore » switchgrass (Alamo, Cave-in-Rock, Kanlow, Shelter, and two breeder`s lines) varied markedly in the success of their no-till establishment at eight locations across the upper Southeast. Better weed control, which was achieved at later planting dates, seemed to be the key. Yields obtained in the establishment stands revealed that two harvests per season are more productive (by 2 to 3 Mg/ha) than one, but the date of first cutting is crucial. First cutting should be from late-June to mid-July. A two-cut system may not be economically advantageous, however. Another cutting-management study detected losses of standing biomass at the end of the growing season. As much as 15% of the above-ground biomass present in early-September was no longer harvestable in early-November. We think this loss results from translocation of dry matter to below-ground parts.« less

  11. First Early Hominin from Central Africa (Ishango, Democratic Republic of Congo)

    PubMed Central

    Crevecoeur, Isabelle; Skinner, Matthew M.; Bailey, Shara E.; Gunz, Philipp; Bortoluzzi, Silvia; Brooks, Alison S.; Burlet, Christian; Cornelissen, Els; De Clerck, Nora; Maureille, Bruno; Semal, Patrick; Vanbrabant, Yves; Wood, Bernard

    2014-01-01

    Despite uncontested evidence for fossils belonging to the early hominin genus Australopithecus in East Africa from at least 4.2 million years ago (Ma), and from Chad by 3.5 Ma, thus far there has been no convincing evidence of Australopithecus, Paranthropus or early Homo from the western (Albertine) branch of the Rift Valley. Here we report the discovery of an isolated upper molar (#Ish25) from the Western Rift Valley site of Ishango in Central Africa in a derived context, overlying beds dated to between ca. 2.6 to 2.0 Ma. We used µCT imaging to compare its external and internal macro-morphology to upper molars of australopiths, and fossil and recent Homo. We show that the size and shape of the enamel-dentine junction (EDJ) surface discriminate between Plio-Pleistocene and post-Lower Pleistocene hominins, and that the Ishango molar clusters with australopiths and early Homo from East and southern Africa. A reassessment of the archaeological context of the specimen is consistent with the morphological evidence and suggest that early hominins were occupying this region by at least 2 Ma. PMID:24427292

  12. Spectroscopic Studies on Organic Matter from Triassic Reptile Bones, Upper Silesia, Poland

    PubMed Central

    Surmik, Dawid; Boczarowski, Andrzej; Balin, Katarzyna; Dulski, Mateusz; Szade, Jacek; Kremer, Barbara; Pawlicki, Roman

    2016-01-01

    Fossil biomolecules from an endogenous source were previously identified in Cretaceous to Pleistocene fossilized bones, the evidence coming from molecular analyses. These findings, however, were called into question and an alternative hypothesis of the invasion of the bone by bacterial biofilm was proposed. Herewith we report a new finding of morphologically preserved blood-vessel-like structures enclosing organic molecules preserved in iron-oxide-mineralized vessel walls from the cortical region of nothosaurid and tanystropheid (aquatic and terrestrial diapsid reptiles) bones. These findings are from the Early/Middle Triassic boundary (Upper Roetian/Lowermost Muschelkalk) strata of Upper Silesia, Poland. Multiple spectroscopic analyses (FTIR, ToF-SIMS, and XPS) of the extracted "blood vessels" showed the presence of organic compounds, including fragments of various amino acids such as hydroxyproline and hydroxylysine as well as amides, that may suggest the presence of collagen protein residues. Because these amino acids are absent from most proteins other than collagen, we infer that the proteinaceous molecules may originate from endogenous collagen. The preservation of molecular signals of proteins within the "blood vessels" was most likely made possible through the process of early diagenetic iron oxide mineralization. This discovery provides the oldest evidence of in situ preservation of complex organic molecules in vertebrate remains in a marine environment. PMID:26977600

  13. Spectroscopic Studies on Organic Matter from Triassic Reptile Bones, Upper Silesia, Poland.

    PubMed

    Surmik, Dawid; Boczarowski, Andrzej; Balin, Katarzyna; Dulski, Mateusz; Szade, Jacek; Kremer, Barbara; Pawlicki, Roman

    2016-01-01

    Fossil biomolecules from an endogenous source were previously identified in Cretaceous to Pleistocene fossilized bones, the evidence coming from molecular analyses. These findings, however, were called into question and an alternative hypothesis of the invasion of the bone by bacterial biofilm was proposed. Herewith we report a new finding of morphologically preserved blood-vessel-like structures enclosing organic molecules preserved in iron-oxide-mineralized vessel walls from the cortical region of nothosaurid and tanystropheid (aquatic and terrestrial diapsid reptiles) bones. These findings are from the Early/Middle Triassic boundary (Upper Roetian/Lowermost Muschelkalk) strata of Upper Silesia, Poland. Multiple spectroscopic analyses (FTIR, ToF-SIMS, and XPS) of the extracted "blood vessels" showed the presence of organic compounds, including fragments of various amino acids such as hydroxyproline and hydroxylysine as well as amides, that may suggest the presence of collagen protein residues. Because these amino acids are absent from most proteins other than collagen, we infer that the proteinaceous molecules may originate from endogenous collagen. The preservation of molecular signals of proteins within the "blood vessels" was most likely made possible through the process of early diagenetic iron oxide mineralization. This discovery provides the oldest evidence of in situ preservation of complex organic molecules in vertebrate remains in a marine environment.

  14. Upper GI Bleeding in Children

    MedlinePlus

    Upper GI Bleeding in Children What is upper GI Bleeding? Irritation and ulcers of the lining of the esophagus, stomach or duodenum can result in upper GI bleeding. When this occurs the child may vomit ...

  15. The early cretaceous evolution of carbonate platforms from northern Oman

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

    Masse, J.P.; Borgomano, J.; Maskiry, S.Al.

    1993-09-01

    In northern Oman (Jebel Akhdar and foothills) Hauterivian to early Aptian shallow carbonate platforms are widely extending and pass laterally to slope and basin environments in the Nakhl zone. Progradational geometries are identified in that zone where significant correlation between thickness and sediment types supports a prominent tectonic control. The platform records four main sedimentary breaks (drowning events). Early Barremian (lower Lekhwair Formation), Late Barremian (basal Kharaib Formation), lowermost early Aptian (upper Kharaib Formation) and middle Aptian (Shuaiba-Al Hassanat formations boundary). The late Aptian-early Albian hiatus (pre-Nahr Umr unconformity) is regarded as an early Albian tectonically driven erosion. In themore » Nakhl zone, coral-rudist limestones of late Aptian-early Albian (lower Al Hassanat Formation) document an east-west ribbon platform, the southward extension of which was obscured by the middle Albian erosions and rudist limestones of middle to late Albian (upper Al Hassanat Formation), a lateral equivalent of the Nahr Umr circa littoral shaly sediments, document an east-west-trending linear platform. The foregoing points out a northward progradation coeval with a southward transgressive major trend for the Hauterivian-early Aptian interval, a faulted margin corresponding with the Nakhl zone active during the Aptian-Albian, a late Aptian ribbon platform coeval with the Bab basin initiation southward, a regional uplifting and truncation during the early-Albian (Austrian phase), whereas shallow-water carbonates are still forming at the edge of the former platform, and an active linear platform at the northern edge of the Nahr Umr basin, the corresponding drowning contemporaneous with the onset of the Cenomanian platform eastward.« less

  16. Transposed brachial-basilic arteriovenous fistulas versus prosthetic upper limb grafts: a meta-analysis.

    PubMed

    Lazarides, M K; Georgiadis, G S; Papasideris, C P; Trellopoulos, G; Tzilalis, V D

    2008-11-01

    Controversy exists regarding the best type of arteriovenous (AV) fistula to be formed in secondary and tertiary access procedures when primary fistulas have failed. This meta-analysis aimed to compare transposed brachial-basilic AV fistulas (BBAVFs) with upper limb AV prosthetic grafts. A literature search of the MEDLINE and SCOPUS databases was performed to identify comparative studies reporting outcomes for both BBAVFs with upper limb AV prosthetic grafts. Meta-analysis techniques were applied to identify differences in outcomes between the two groups regarding primary and secondary 1-year failure rates. Eleven relevant studies, involving 1509 patients, met the inclusion criteria and were incorporated in the final analysis; however, only one was randomised controlled trial. The pooled odds' ratio (OR) estimate for the primary and secondary failure rates at 1 year was 0.67 (CI 0.41-1.09) and 0.88 (CI 0.69-1.12), respectively, showing no difference in the outcome between the two groups. The re-intervention rate was higher for prosthetic grafts (0.54 per BBAVF versus 1.32 per graft). In a small subgroup of two studies comparing BBAVFs with forearm grafts the pooled estimate for 1-year primary failure rate was in favour of the BBAVF group (OR 0.3, CI 0.15-0.58, p=0.0004) suggesting that forearm grafts were inferior having a 3-fold risk of failure at 1 year. This analysis supports the use of BBAVF early in difficult access cases prior to the use of prosthetic grafts. However, the latter conclusion is debatable due to heterogeneity, small size and non-randomised design of the included studies.

  17. Upper Palaeolithic genomes reveal deep roots of modern Eurasians

    PubMed Central

    Jones, Eppie R.; Gonzalez-Fortes, Gloria; Connell, Sarah; Siska, Veronika; Eriksson, Anders; Martiniano, Rui; McLaughlin, Russell L.; Gallego Llorente, Marcos; Cassidy, Lara M.; Gamba, Cristina; Meshveliani, Tengiz; Bar-Yosef, Ofer; Müller, Werner; Belfer-Cohen, Anna; Matskevich, Zinovi; Jakeli, Nino; Higham, Thomas F. G.; Currat, Mathias; Lordkipanidze, David; Hofreiter, Michael; Manica, Andrea; Pinhasi, Ron; Bradley, Daniel G.

    2015-01-01

    We extend the scope of European palaeogenomics by sequencing the genomes of Late Upper Palaeolithic (13,300 years old, 1.4-fold coverage) and Mesolithic (9,700 years old, 15.4-fold) males from western Georgia in the Caucasus and a Late Upper Palaeolithic (13,700 years old, 9.5-fold) male from Switzerland. While we detect Late Palaeolithic–Mesolithic genomic continuity in both regions, we find that Caucasus hunter-gatherers (CHG) belong to a distinct ancient clade that split from western hunter-gatherers ∼45 kya, shortly after the expansion of anatomically modern humans into Europe and from the ancestors of Neolithic farmers ∼25 kya, around the Last Glacial Maximum. CHG genomes significantly contributed to the Yamnaya steppe herders who migrated into Europe ∼3,000 BC, supporting a formative Caucasus influence on this important Early Bronze age culture. CHG left their imprint on modern populations from the Caucasus and also central and south Asia possibly marking the arrival of Indo-Aryan languages. PMID:26567969

  18. Bimodal tholeiitic-dacitic magmatism and the Early Precambrian crust

    USGS Publications Warehouse

    Barker, F.; Peterman, Z.E.

    1974-01-01

    Interlayered plagioclase-quartz gneisses and amphibolites from 2.7 to more than 3.6 b.y. old form much of the basement underlying Precambrian greenstone belts of the world; they are especially well-developed and preserved in the Transvaal and Rhodesian cratons. We postulate that these basement rocks are largely a metamorphosed, volcanic, bimodal suite of tholeiite and high-silica low-potash dacite-compositionally similar to the 1.8-b.y.-old Twilight Gneiss - and partly intrusive equivalents injected into the lower parts of such volcanic piles. We speculate that magmatism in the Early Precambrian involved higher heat flow and more hydrous conditions than in the Phanerozoic. Specifically, we suggest that the early degassing of the Earth produced a basaltic crust and pyrolitic upper mantle that contained much amphibole, serpentine, and other hydrous minerals. Dehydration of the lower parts of a downgoing slab of such hydrous crust and upper mantle would release sufficient water to prohibit formation of andesitic liquid in the upper part of the slab. Instead, a dacitic liquid and a residuum of amphibole and other silica-poor phases would form, according to Green and Ringwood's experimental results. Higher temperatures farther down the slab would cause total melting of basalt and generation of the tholeiitic member of the suite. This type of magma generation and volcanism persisted until the early hydrous lithosphere was consumed. An implication of this hypothesis is that about half the present volume of the oceans formed before about 2.6 b.y. ago. ?? 1974.

  19. Occupational Therapy Treatment to Improve Upper Extremity Function in Individuals with Early Systemic Sclerosis: A Pilot Study.

    PubMed

    Murphy, Susan L; Barber, Mary; Homer, Kristen; Dodge, Carole; Cutter, Gary; Khanna, Dinesh

    2018-01-30

    To determine feasibility and preliminary effects of an occupational therapy treatment to improve upper extremity (UE) function in patients with early systemic sclerosis (SSc) who have UE contractures. A one-arm pilot clinical rehabilitation trial was conducted at a university health system. Participants with SSc and ≥ 1 UE contracture (n = 21) participated in a total of 8 weekly in-person occupational therapy sessions. The therapy consisted of thermal modalities, tissue mobilization, and UE mobility. Between sessions, participants were instructed to complete UE home exercises. Feasibility was measured by percent enrollment and session attendance and duration. The primary outcome measure was the QuickDASH, secondary and exploratory outcomes included PROMIS physical function, objective UE measures, and skin thickening. Linear mixed models were performed to determine treatment effects on primary and secondary outcomes. Fifty percent (24/48) of potentially eligible participants were interested. Of those, 88% (21/24) enrolled; and nineteen out of 21 (91%) completed all sessions. The mean (SD) age was 47.9 years (± 16.1); 100% had diffuse SSc, and mean disease duration was 3.1 years. At 8 weeks, participants reported statistically significant improvement on QuickDASH and PROMIS physical function measures (p =.0012 and p = .004). Forty-seven and 53% percent of the sample achieved improvements that exceeded minimally important differences. In-person treatment sessions were feasible for individuals with SSc and demonstrated statistically significant and clinically meaningful improvements on UE and physical function. Future studies need to examine effects against a control condition and examine durability of treatment effects. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  20. Specific and non-specific upper extremity musculoskeletal disorder syndromes in automobile manufacturing workers

    PubMed Central

    d'Errico, Angelo; Katz, Jeffrey N.; Gore, Rebecca; Punnett, Laura

    2009-01-01

    Objective A longitudinal cohort of automobile manufacturing workers (n = 1214) was examined for: 1) prevalence and persistence of specific upper extremity musculoskeletal disorders (UEMSDs) such as lateral epicondylitis and de Quervain's disease, and non-specific disorders (NSDs) defined in symptomatic individuals without any specific disorder, and 2) disorder prognoses based on symptom characteristics and other factors. Methods Eight specific disorders were identified through case definitions based on upper extremity physical examinations and symptom surveys administered on three occasions over six years. Results At baseline, 41% of the cohort reported upper extremity symptoms; 18% (n = 214) of these had NSDs. In each survey, tendon-related conditions accounted for over half of the specific morbidity. Twenty-five percent had UEMSDs in multiple anatomical sites, and most with hand/wrist disorders had two or more hand/wrist UEMSDs. Persistence for all specific disorders decreased with length of follow-up. Specific UEMSDs were characterized by greater pain severity and functional impairment, and more lost work days than NSDs. Conclusions Upper extremity symptoms and diagnoses vary over time. NSDs may be the early stages of conditions that will eventually become more specific. NSDs and overlapping specific UEMSDs should be taken into account in UEMSD classification. PMID:19016265

  1. Specific and non-specific upper extremity musculoskeletal disorder syndromes in automobile manufacturing workers.

    PubMed

    Gold, Judith E; d'Errico, Angelo; Katz, Jeffrey N; Gore, Rebecca; Punnett, Laura

    2009-02-01

    A longitudinal cohort of automobile manufacturing workers (n = 1,214) was examined for: (1) prevalence and persistence of specific upper extremity musculoskeletal disorders (UEMSDs) such as lateral epicondylitis and de Quervain's disease, and non-specific disorders (NSDs) defined in symptomatic individuals without any specific disorder, and (2) disorder prognoses based on symptom characteristics and other factors. Eight specific disorders were identified through case definitions based on upper extremity physical examinations and symptom surveys administered on three occasions over 6 years. At baseline, 41% of the cohort reported upper extremity symptoms; 18% (n = 214) of these had NSDs. In each survey, tendon-related conditions accounted for over half of the specific morbidity. Twenty-five percent had UEMSDs in multiple anatomical sites, and most with hand/wrist disorders had two or more hand/wrist UEMSDs. Persistence for all specific disorders decreased with length of follow-up. Specific UEMSDs were characterized by greater pain severity and functional impairment, and more lost work days than NSDs. Upper extremity symptoms and diagnoses vary over time. NSDs may be the early stages of conditions that will eventually become more specific. NSDs and overlapping specific UEMSDs should be taken into account in UEMSD classification. Am. J. Ind. Med. 52:124-132, 2009. (c) 2008 Wiley-Liss, Inc.

  2. Understanding Families: Applying Family Systems Theory to Early Childhood Practice

    ERIC Educational Resources Information Center

    Christian, Linda Garris

    2006-01-01

    Working with families is one of the most important aspects of being an early childhood professional, yet it is an area in which many educators have received little preparation (Nieto 2004). Teachers spend hours learning about child development, developmentally appropriate practices, health and safety, playgrounds, and play. At times it seems that…

  3. Social impact of the tangaye (upper volta) photovoltaic demostrtion

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

    Roberts, A.F.

    1983-06-01

    The Tangaye (Upper Volta) Solar Energy Demonstration was implemented in early 1979 by the US Agency for International Development and the NASA Lewis Research Center. It is the only longitudinal field study of a developing country's renewable energy project, and continues to provide its services of water-pumping and grain-grinding to Tangaye villagers. The demonstration has two research foci: the reliability of a photovoltaic (PV) power system in harsh environmental conditions, and the appropriateness of PV technology from a social perspective as villagers mobilize to manage the system and integrate its services into their lives.

  4. Study of a High-Energy Upper Stage for Future Shuttle Missions

    NASA Technical Reports Server (NTRS)

    Dressler, Gordon A.; Matuszak, Leo W.; Stephenson, David D.

    2003-01-01

    Space Shuttle Orbiters are likely to remain in service to 2020 or beyond for servicing the International Space Station and for launching very high value spacecraft. There is a need for a new STS-deployable upper stage that can boost certain Orbiter payloads to higher energy orbits, up to and including Earth-escape trajectories. The inventory of solid rocket motor Inertial Upper Stages has been depleted, and it is unlikely that a LOX/LH2-fueled upper stage can fly on Shuttle due to safety concerns. This paper summarizes the results of a study that investigated a low cost, low risk approach to quickly developing a new large upper stage optimized to fly on the existing Shuttle fleet. Two design reference missions (DRMs) were specified: the James Webb Space Telescope (JWST) and the Space Interferometry Mission (SIM). Two categories of upper stage propellants were examined in detail: a storable liquid propellant and a storable gel propellant. Stage subsystems 'other than propulsion were based largely on heritage hardware to minimize cost, risk and development schedule span. The paper presents the ground rules and guidelines for conducting the study, the preliminary conceptual designs margins, assessments of technology readiness/risk, potential synergy with other programs, and preliminary estimates of development and production costs and schedule spans. Although the Orbiter Columbia was baselined for the study, discussion is provided to show how the results apply to the remaining STS Orbiter fleet.

  5. Upper bounds on secret-key agreement over lossy thermal bosonic channels

    NASA Astrophysics Data System (ADS)

    Kaur, Eneet; Wilde, Mark M.

    2017-12-01

    Upper bounds on the secret-key-agreement capacity of a quantum channel serve as a way to assess the performance of practical quantum-key-distribution protocols conducted over that channel. In particular, if a protocol employs a quantum repeater, achieving secret-key rates exceeding these upper bounds is evidence of having a working quantum repeater. In this paper, we extend a recent advance [Liuzzo-Scorpo et al., Phys. Rev. Lett. 119, 120503 (2017), 10.1103/PhysRevLett.119.120503] in the theory of the teleportation simulation of single-mode phase-insensitive Gaussian channels such that it now applies to the relative entropy of entanglement measure. As a consequence of this extension, we find tighter upper bounds on the nonasymptotic secret-key-agreement capacity of the lossy thermal bosonic channel than were previously known. The lossy thermal bosonic channel serves as a more realistic model of communication than the pure-loss bosonic channel, because it can model the effects of eavesdropper tampering and imperfect detectors. An implication of our result is that the previously known upper bounds on the secret-key-agreement capacity of the thermal channel are too pessimistic for the practical finite-size regime in which the channel is used a finite number of times, and so it should now be somewhat easier to witness a working quantum repeater when using secret-key-agreement capacity upper bounds as a benchmark.

  6. Upper Tract Urological Laparoendoscopic Single-Site Surgery (LESS)

    PubMed Central

    Tugcu, Volkan; Sahin, Selcuk; Seker, Gokhan; Kargi, Taner; Tasci, Ali Ihsan

    2015-01-01

    Background and Objectives: Our objective is to report intermediate-term outcomes for patients who have undergone upper tract urologic laparoendoscopic single-site surgery (LESS) at a single institution. Methods: From January 1, 2008, through November 30, 2012, 107 cases treated with LESS were identified, including pyeloplasty (n = 30), ureterolithotomy (n = 32), nephrectomy (n = 35; simple = 31, partial = 4), and cyst decortication (n = 10). Perioperative data were reviewed, and conversion and complication rates were noted. Results: The median follow-up was 21.5 months for pyeloplasty, 20.5 for ureterolithotomy, 28.0 for simple nephrectomy, 14.0 for partial nephrectomy, and 19.0 for cyst decortication. Major complications were encountered in 8 patients, including 3 intraoperative complications (2 bowel injury with serosal tearing and 1 intraoperative bleeding), which were recognized and repaired with LESS or conversion to conventional laparoscopy (CL). During the intermediate postoperative period (30–90 days) major complications occurred in 5 patients: 4 ureteral strictures (Clavien-Dindo grade [CG] IIIb) and 1 urinoma formation (CG IIIa). During the early postoperative period (<30 days), the most common minor complications were flank pain (CG I) in 16 patients and urinary tract infection (CG II) in 11, followed by urinary leakage (CG I) in 8. Conclusions: Intermediate-term functional outcomes of this single-center study confirm that upper tract LESS is a challenging procedure that can be safe and effective when performed by an experienced team. Prospective studies with longer follow-up periods are needed to investigate the safety of LESS in the treatment of various upper urinary tract conditions. PMID:26648679

  7. Safety and Mission Assurance for In-House Design Lessons Learned from Ares I Upper Stage

    NASA Technical Reports Server (NTRS)

    Anderson, Joel M.

    2011-01-01

    This viewgraph presentation identifies lessons learned in the course of the Ares I Upper Stage design and in-house development effort. The contents include: 1) Constellation Organization; 2) Upper Stage Organization; 3) Presentation Structure; 4) Lesson-Importance of Systems Engineering/Integration; 5) Lesson-Importance of Early S&MA Involvement; 6) Lesson-Importance of Appropriate Staffing Levels; 7) Lesson-Importance S&MA Team Deployment; 8) Lesson-Understanding of S&MA In-Line Engineering versus Assurance; 9) Lesson-Importance of Close Coordination between Supportability and Reliability/Maintainability; 10) Lesson-Importance of Engineering Data Systems; 11) Lesson-Importance of Early Development of Supporting Databases; 12) Lesson-Importance of Coordination with Safety Assessment/Review Panels; 13) Lesson-Implementation of Software Reliability; 14) Lesson-Implementation of S&MA Technical Authority/Chief S&MA Officer; 15) Lesson-Importance of S&MA Evaluation of Project Risks; 16) Lesson-Implementation of Critical Items List and Government Mandatory Inspections; 17) Lesson-Implementation of Critical Items List Mandatory Inspections; 18) Lesson-Implementation of Test Article Safety Analysis; and 19) Lesson-Importance of Procurement Quality.

  8. Water Demand Management Strategies and Challenges in the Upper Colorado River Basin

    NASA Astrophysics Data System (ADS)

    Kuhn, R. E.

    2016-12-01

    Under the 1922 Colorado River Compact, the Upper Basin (Colorado, New Mexico, Utah, and Wyoming) has flow obligations at Lee Ferry to downstream states and Mexico. The Colorado River Storage Project Act (CRSPA) of 1956 led to the construction of four large storage reservoirs. These provide river regulation to allow the Upper Basin to meet its obligations. Lake Powell, the largest and most important, and Lake Mead are now operated in a coordinated manner under the 2007 Interim Guidelines. Studies show that at current demand levels and if the hydrologic conditions the Basin has experienced since the mid-1980s continue or get drier, reservoir operations, alone, may not provide the necessary water to meet the Upper Basin's obligations. Therefore, the Upper Basin states are now studying demand management strategies that will reduce consumptive uses when total system reservoir storage reaches critically low levels. Demand management has its own economic, political and technical challenges and limitations and will provide new opportunities for applied research. This presentation will discuss some of those strategies, their challenges, and the kinds of information that research could provide to inform demand management.

  9. Ground-water quality of the Upper Floridan Aquifer near an abandoned manufactured gas plant in Albany, Georgia

    USGS Publications Warehouse

    Chapman, M.J.

    1993-01-01

    Manufactured gas plants produced gas for heating and lighting in the United States from as early as 1816 into the 1960's. By-products including, but not limited to, oil residues and tar, were generated during the gas-manufacturing process. Organic compounds (hydrocarbons) were detected in water in the upper water-bearing zone of the Upper Floridan aquifer near an abandoned manufactured gas plant (MGP) in Albany, Georgia, during an earlier investigation in 1990. Chemical analyses of ground-water samples collected from five existing monitoring wells in 1991 verify the presence of hydrocarbons and metals in the upper water-beating zone of the Upper Floridan aquifer. One well was drilled into the lower water-beating zone of the Upper Floridan aquifer in 1991 for water-quality sampling and water-level monitoring. Analyses of ground water sampled from this well did not show evidence of benzene, toluene, xylene, napthalene, acenaphthlene, or other related compounds detected in the upper water-bearing zone in the study area. Low concentrations of tetrachloroethane, trichloromethane, and l,2-cisdichloroethene were detected in a water sample from the deeper well; however, these compounds were not detected in the upper water-bearing zone in the study area. Inorganic constituent concentrations also were substantially lower in the deeper well. Overall, ground water sampled from the lower water-bearing zone had lower specific conductance and alkalinity; and lower concentrations of dissolved solids, iron, and manganese compared to ground water sampled from the upper water-bearing zone. Water levels for the upper and lower water-bearing zones were similar throughout the study period.

  10. The Contribution of Upper Body Movements to Dynamic Balance Regulation during Challenged Locomotion

    PubMed Central

    Boström, Kim J.; Dirksen, Tim; Zentgraf, Karen; Wagner, Heiko

    2018-01-01

    Recent studies suggest that in addition to movements between ankle and hip joints, movements of the upper body, in particular of the arms, also significantly contribute to postural control. In line with these suggestions, we analyzed regulatory movements of upper and lower body joints supporting dynamic balance regulation during challenged locomotion. The participants walked over three beams of varying width and under three different verbally conveyed restrictions of arm posture, to control the potential influence of arm movements on the performance: The participants walked (1) with their arms stretched out perpendicularly in the frontal plane, (2) spontaneously, i.e., without restrictions to the arm movements, and (3) with their hands on their thighs. After applying an inverse-dynamics analysis to the measured joint kinematics, we investigated the contribution of upper and lower body joints to balance regulation in terms of torque amplitude and variation. On the condition with the hands on the thighs, the contribution of the upper body remains significantly lower than the contribution of the lower body irrespective of beam widths. For spontaneous arm movements and for outstretched arms we find that the upper body (including the arms) contributes to the balancing to a similar extent as the lower body. Moreover, when the task becomes more difficult, i.e., for narrower beam widths, the contribution of the upper body increases, while the contribution of the lower body remains nearly constant. These findings lend further support to the hypothetical existence of an “upper body strategy” complementing the ankle and hip strategies especially during challenging dynamic balance tasks. PMID:29434544

  11. Faculty Forum: Applying Motivation Theory to Real-World Problems

    ERIC Educational Resources Information Center

    Harpine, Elaine Clanton

    2007-01-01

    This article examines the effectiveness of incorporating an applied learning experience in an upper level undergraduate motivation theory class. In this 3-part course requirement, students (a) participated in a 2-hr field experience, (b) completed a homework assignment based on their participation, and (c) worked in groups to develop a deeper…

  12. Numerical analysis of THz radiation wave using upper hybrid wave wiggler

    NASA Astrophysics Data System (ADS)

    Malik, Pratibha; Sharma, Suresh C.; Panwar, Jyotsna; Sharma, Rinku

    2018-03-01

    A theory for upper hybrid wave induced by relativistic electron beam in magnetized plasma emits tuneable and coherent terahertz radiation. The nonlinear interaction with REB is used to generate terahertz radiation. The enhancement in the amplitude of THz wave is also observed when pre-bunched REB is used. The ponderomotive force applied on beam electrons due to radiation wave and upper wave wiggler modifies the dispersion relation. By solving the dispersion relation, we have derived the growth rate of the radiation wave. Numerical studies indicate that by increasing the beam energy the growth rate of the radiation wave decreases, while it increases with wiggler frequency. Besides this, the growth rate of the radiation wave increases with beam density and decreases with radiation frequency and static magnetic field.

  13. Applying Contemporary Developmental and Movement Science Theories and Evidence to Early Intervention Practice

    ERIC Educational Resources Information Center

    Hickman, Robbin; McCoy, Sarah Westcott; Long, Toby M.; Rauh, Mitchell J.

    2011-01-01

    Changes in early childhood science, theory, and best practices for improving outcomes of children with motor delay or dysfunction and their families have evolved rapidly since EI began. Changes in daily early intervention (EI) practice have been more elusive. Closing the gap between knowledge and practice requires EI providers to piece together…

  14. Crustal and Upper Mantle Velocity and Q Structures of Mainland China

    DTIC Science & Technology

    1979-11-01

    CLASIFICATION OFTHIS PAGE(117..t- [).(t ntred) with identical source-receiver geometry. The generalized surface wave inversion technique was applied...in the recent past. A particularly unusual crustal and upper mantle structure is found underlying the Tibet Dlateau. AOceSIon For DDC TAB Ubazmnounced...the AIR FORCE OFFICE OF SCIENTIFIC RESEARCH by the GEOPHYSICAL LABORATORY UNIVERSITY OF SOUTHERN CALIFORNIA Contractor: University of Southern

  15. Studying Upper-Limb Amputee Prosthesis Use to Inform Device Design

    DTIC Science & Technology

    2016-10-01

    study of the resulting videos led to a new prosthetics-use taxonomy that is generalizable to various levels of amputation and terminal devices. The...taxonomy was applied to classification of the recorded videos via custom tagging software with midi controller interface. The software creates...a motion capture studio and video cameras to record accurate and detailed upper body motion during a series of standardized tasks. These tasks are

  16. Hunters of the Ice Age: The biology of Upper Paleolithic people.

    PubMed

    Holt, Brigitte M; Formicola, Vincenzo

    2008-01-01

    The Upper Paleolithic represents both the phase during which anatomically modern humans appeared and the climax of hunter-gatherer cultures. Demographic expansion into new areas that took place during this period and the diffusion of burial practices resulted in an unprecedented number of well-preserved human remains. This skeletal record, dovetailed with archeological, environmental, and chronological contexts, allows testing of hypotheses regarding biological processes at the population level. In this article, we review key studies about the biology of Upper Paleolithic populations based primarily on European samples, but integrating information from other areas of the Old World whenever possible. Data about cranial morphology, skeletal robusticity, stature, body proportions, health status, diet, physical activity, and genetics are evaluated in Late Pleistocene climatic and cultural contexts. Various lines of evidence delineate the Last Glacial Maximum (LGM) as a critical phase in the biological and cultural evolution of Upper Paleolithic populations. The LGM, a long phase of climatic deterioration culminating around 20,000 BP, had a profound impact on the environment, lifestyle, and behavior of human groups. Some of these effects are recorded in aspects of skeletal biology of these populations. Groups living before and after the LGM, Early Upper Paleolithic (EUP) and Late Upper Paleolithic (LUP), respectively, differ significantly in craniofacial dimensions, stature, robusticity, and body proportions. While paleopathological and stable isotope data suggest good health status throughout the Upper Paleolithic, some stress indicators point to a slight decline in quality of life in LUP populations. The intriguing and unexpected incidence of individuals affected by congenital disorders probably indicates selective burial practices for these abnormal individuals. While some of the changes observed can be explained through models of biocultural or environmental

  17. Numerical Solution of the Electron Transport Equation in the Upper Atmosphere

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

    Woods, Mark Christopher; Holmes, Mark; Sailor, William C

    A new approach for solving the electron transport equation in the upper atmosphere is derived. The problem is a very stiff boundary value problem, and to obtain an accurate numerical solution, matrix factorizations are used to decouple the fast and slow modes. A stable finite difference method is applied to each mode. This solver is applied to a simplifieed problem for which an exact solution exists using various versions of the boundary conditions that might arise in a natural auroral display. The numerical and exact solutions are found to agree with each other to at least two significant digits.

  18. Temporal variations of mobile carbohydrates in Abies fargesii at the upper tree limits.

    PubMed

    Dang, H S; Zhang, K R; Zhang, Q F; Xu, Y M

    2015-01-01

    Low temperatures are associated high-altitude treelines, but the functional mechanism of treeline formation remains controversial. The relative contributions of carbon limitation (source activity) and growth limitation (sink activity) require more tests across taxa and regions. We examined temporal variations of mobile carbon supply in different tissues of Abies fargesii across treeline ecotones on north- and south-facing slopes of the Qinling Mountains, China. Non-structural carbohydrate (NSC) concentrations in tissues along the altitudinal gradient on both slopes changed significantly in the early and late growing season, but not in the mid-growing season, indicating the season-dependent carbon supply status. Late in the growing season on both slopes, trees at the upper limits had the highest NSC concentrations and total soluble sugars and lowest starch concentrations compared to trees at the lower elevations. NSC concentrations tended to increase in needles and branches throughout the growing season with increasing elevation on both slopes, but declined in roots and stems. NSC concentrations across sampling dates also indicated increases in needles and branches, and decreases in roots and stem with increasing elevation. Overall altitudinal trends of NSC in A. fargesii revealed no depletion of mobile carbon reserves at upper elevation limits, suggesting limitation of sink activity dominates tree life across treeline ecotones in both north- and south-facing slopes. Carbon reserves in storage tissues (especially roots) in the late growing season might also play an important role in winter survival and early growth in spring at upper elevations on both slopes, which define the uppermost limit of A. fargesii. © 2014 German Botanical Society and The Royal Botanical Society of the Netherlands.

  19. Spatial characteristics of early successional habitat across the Upper Great Lakes states

    Treesearch

    Brian G. Tavernia; Mark D. Nelson; James D. Garner; Charles H. (Hobie) Perry

    2016-01-01

    Creation and management of early successional forest (ESF) is needed to halt and reverse declines of bird species dependent on pioneering plant species or young forests. ESF-dependent bird species require specific structural forest classes and are sensitive to forest age (a surrogate for forest structure), patch size, proximity to patch edges, and the juxtaposition of...

  20. Learning to apply models of materials while explaining their properties

    NASA Astrophysics Data System (ADS)

    Karpin, Tiia; Juuti, Kalle; Lavonen, Jari

    2014-09-01

    Background:Applying structural models is important to chemistry education at the upper secondary level, but it is considered one of the most difficult topics to learn. Purpose:This study analyses to what extent in designed lessons students learned to apply structural models in explaining the properties and behaviours of various materials. Sample:An experimental group is 27 Finnish upper secondary school students and control group included 18 students from the same school. Design and methods:In quasi-experimental setting, students were guided through predict, observe, explain activities in four practical work situations. It was intended that the structural models would encourage students to learn how to identify and apply appropriate models when predicting and explaining situations. The lessons, organised over a one-week period, began with a teacher's demonstration and continued with student experiments in which they described the properties and behaviours of six household products representing three different materials. Results:Most students in the experimental group learned to apply the models correctly, as demonstrated by post-test scores that were significantly higher than pre-test scores. The control group showed no significant difference between pre- and post-test scores. Conclusions:The findings indicate that the intervention where students engage in predict, observe, explain activities while several materials and models are confronted at the same time, had a positive effect on learning outcomes.

  1. Eustatic and far-field tectonic control on the development of an intra-platform carbonate-shoal complex: upper tongue of the Tanglewood Member, Upper Ordovician Lexington Limestone, central Kentucky, U.S.A.

    NASA Astrophysics Data System (ADS)

    Koirala, Dibya Raj; Ettensohn, Frank R.; Clepper, Marta L.

    2016-11-01

    The Lexington or Trenton Limestone is an Upper Ordovician (Chatfieldian-Edenian; upper Sandbian-lower Katian), temperate-water unit, averaging about 60-m thick, that was deposited in relatively shallow waters across the Lexington Platform in east-central United States during the Taconian Orogeny. Lexington/Trenton shallow-water deposition ended across most of the platform in late Chatfieldian time and from that point deepened upward into the more shale-rich Clays Ferry, Point Pleasant and Kope formations due to apparent sea-level rise. In central Kentucky, however, deposition of the Lexington Limestone continued into early Edenian time and includes up to 50 m of additional coarse calcarenites and calcirudites at the top, which form the Tanglewood buildup and reflect locally regressive conditions, apparently related to local structural uplift. Consequently, in central Kentucky, the Lexington is more than 100-m thick, and Lexington deposition on the buildup continued into early Edenian time as an intra-platform shoal complex that tongues out into deeper-water units in all directions. In an attempt to understand how this shoal complex developed, we examined the last major body of coarse skeletal sands in the central Kentucky Lexington Limestone, the upper tongue of the Tanglewood Member, a 12-m-thick succession of fossiliferous calcarenite and calcirudite that occurs across an area of 5200 km2 near the center of the Lexington Platform. Although relatively homogeneous, the upper Tanglewood is divisible into five, small-scale, fining-upward, sequence-like cycles, which contain prominent, widespread deformed horizons. Facies analysis indicates that four lithofacies, which reflect distinct depositional environments, comprise the sequences across the shoal complex. Lithofacies were correlated across the shoal complex by integrating cyclicity and widespread deformed horizons in order to delineate the locations of major depositional environments. Facies analysis shows that

  2. Functional electrical stimulation enhancement of upper extremity functional recovery during stroke rehabilitation: a pilot study.

    PubMed

    Alon, Gad; Levitt, Alan F; McCarthy, Patricia A

    2007-01-01

    To test if functional electrical stimulation (FES) can enhance the recovery of upper extremity function during early stroke rehabilitation. Open-label block-randomized trial, begun during inpatient rehabilitation and continued at the patients' home. Patients were assigned to either FES combined with task-specific upper extremity rehabilitation (n = 7) or a control group that received task-specific therapy alone (n = 8) over 12 weeks. Outcome measures . Hand function (Box & Blocks, B & B; Jebsen-Taylor light object lift, J-T) and motor control (modified Fugl-Meyer, mF-M) were video-recorded for both upper extremities at baseline, 4, 8, and 12 weeks. B&B mean score at 12 weeks favored (P = .049) the FES group (42.3 +/- 16.6 blocks) over the control group (26.3 +/- 11.0 blocks). The FES group J-T task was 6.7 +/- 2.9 seconds and faster (P = .049) than the 11.8 +/- 5.4 seconds of the control group. Mean mF-M score of the FES group at 12 weeks was 49.3 +/- 5.1 points out of 54, compared to the control group that scored 40.6 +/- 8.2 points (P = .042). All patients regained hand function. Upper extremity task-oriented training that begins soon after stroke that incorporates FES may improve upper extremity functional use in patients with mild/moderate paresis more than task-oriented training without FES.

  3. Compression force on the upper jaw during neonatal intubation: mannequin study.

    PubMed

    Doreswamy, Srinivasa Murthy; Almannaei, Khaled; Fusch, Chris; Shivananda, Sandesh

    2015-03-01

    Neonatal intubation is a technically challenging procedure, and pressure-related injuries to surrounding structures have been reported. The primary objective of this study was to determine the pressure exerted on the upper jaw during tracheal intubation using a neonatal mannequin. Multidisciplinary care providers working at a neonatal intensive care unit were requested to intubate a neonatal mannequin using the standard laryngoscope and 3.0-mm (internal diameter) endotracheal tube. Compression force exerted was measured by using pressure-sensitive film taped on the upper jaw before every intubation attempt. Pressure, area under pressure and time taken to intubate were compared between the different types of health-care professionals. Thirty care providers intubated the mannequin three times each. Pressure impressions were observed on the developer film after every intubation attempt (n = 90). The mean pressure exerted during intubation across all health-care providers was 568 kPa (SD 78). The mean area placed under pressure was 142 mm(2) (SD 45), and the mean time taken for intubation was 14.7 s (SD 4.3). There was no difference in pressure exerted on the upper jaw between frequent and less frequent intubators. It was found that pressure greater than 400 kPa was inadvertently applied on the upper jaw during neonatal intubation, far exceeding the 250 kPa shown to cause tissue injury in animal models. The upper jaw is exposed to a significant compression force during intubation. Although such exposure is brief, it has the potential to cause tissue injury. Contact of the laryngoscope blade with the upper jaw occurred in all intubation attempts with the currently used design of laryngoscope. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  4. Reduced hemoglobin and increased C-reactive protein are associated with upper gastrointestinal bleeding.

    PubMed

    Tomizawa, Minoru; Shinozaki, Fuminobu; Hasegawa, Rumiko; Togawa, Akira; Shirai, Yoshinori; Ichiki, Noboru; Motoyoshi, Yasufumi; Sugiyama, Takao; Yamamoto, Shigenori; Sueishi, Makoto

    2014-02-07

    To investigate the early upper gastrointestinal endoscopy (endoscopy) significantly reduces mortality resulting from upper gastrointestinal (GI) bleeding. Upper GI bleeding was defined as 1a, 1b, 2a, and 2b according to the Forrest classification. The hemoglobin (Hb), and C-reactive protein (CRP) were examined at around the day of endoscopy and 3 mo prior to endoscopy. The rate of change was calculated as follows: (the result of blood examination on the day of endoscopy - the results of blood examination 3 mo prior to endoscopy)/(results of blood examination 3 mo prior to endoscopy). Receiver operating characteristic curves were created to determine threshold values. Seventy-nine men and 77 women were enrolled. There were 17 patients with upper GI bleeding: 12 with a gastric ulcer, 3 with a duodenal ulcer, 1 with an acute gastric mucosal lesion, and 1 with gastric cancer. The area under the curve (AUC), threshold, sensitivity, and specificity of Hb around the day of endoscopy were 0.902, 11.7 g/dL, 94.1%, and 77.1%, respectively, while those of CRP were 0.722, 0.5 mg/dL, 70.5%, and 73%, respectively. The AUC, threshold, sensitivity, and specificity of the rate of change of Hb were 0.851, -21.3%, 76.4%, and 82.6%, respectively, while those of CRP were 0.901, 100%, 100%, and 82.5%, respectively. Predictors for upper GI bleeding were Hb < 11.7 g/dL, reduction rate in the Hb > 21.3% and an increase in the CRP > 100%, 3 mo before endoscopy.

  5. Pre-, syn-, and postcollisional stratigraphic framework and provenance of upper triassic-upper cretaceous strata in the northwestern talkeetna mountains, alaska

    USGS Publications Warehouse

    Hampton, B.A.; Ridgway, K.D.; O'Neill, J. M.; Gehrels, G.E.; Schmidt, J.; Blodgett, R.B.

    2007-01-01

    Mesozoic strata of the northwestern Talkeetna Mountains are located in a regional suture zone between the allochthonous Wrangellia composite terrane and the former Mesozoic continental margin of North America (i.e., the Yukon-Tanana terrane). New geologic mapping, measured stratigraphic sections, and provenance data define a distinct three-part stratigraphy for these strata. The lowermost unit is greater than 290 m thick and consists of Upper Triassic-Lower Jurassic mafic lavas, fossiliferous limestone, and a volcaniclastic unit that collectively we informally refer to as the Honolulu Pass formation. The uppermost 75 m of the Honolulu Pass formation represent a condensed stratigraphic interval that records limited sedimentation over a period of up to ca. 25 m.y. during Early Jurassic time. The contact between the Honolulu Pass formation and the overlying Upper Jurassic-Lower Cretaceous clastic marine strata of the Kahiltna assemblage represents a ca. 20 m.y. depositional hiatus that spans the Middle Jurassic and part of Late Jurassic time. The Kahiltna assemblage may to be up to 3000 m thick and contains detrital zircons that have a robust U-Pb peak probability age of 119.2 Ma (i.e., minimum crystallization age/maximum depositional age). These data suggest that the upper age of the Kahiltna assemblage may be a minimum of 10-15 m.y. younger than the previously reported upper age of Valanginian. Sandstone composition (Q-43% F-30% L-27%-Lv-71% Lm-18% Ls-11%) and U-Pb detrital zircon ages suggest that the Kahiltna assemblage received igneous detritus mainly from the active Chisana arc, remnant Chitina and Talkeetna arcs, and Permian-Triassic plutons (Alexander terrane) of the Wrangellia composite terrane. Other sources of detritus for the Kahiltna assemblage were Upper Triassic-Lower Jurassic plutons of the Taylor Mountains batholith and Devonian-Mississippian plutons; both of these source areas are part of the Yukon-Tanana terrane. The Kahiltna assemblage is overlain

  6. Art and the Middle-to-Upper Paleolithic transition in Europe: comments on the archaeological arguments for an early Upper Paleolithic antiquity of the Grotte Chauvet art.

    PubMed

    Pettitt, Paul

    2008-11-01

    The spectacular art of the Grotte Chauvet stands out among all other examples of Aurignacian art, which are restricted to a handful of sites in other regions of western and Central Europe, which take the form of sophisticated carvings on organic materials and of simple engravings on rockshelter walls. Given its sophistication, Chauvet has understandably come to feature prominently in debates as to the nature of human symbolic origins, the behavioral capacities of Homo sapiens, the nature of the dispersal of modern humans across Europe, and the possibly contemporary extinction of Homo neanderthalensis. Significant objections to such an antiquity have, however, been made in recent years on the grounds of the style, themes, and technical practice of the art itself, and on the grounds of the AMS radiocarbon dating program that was first seen to suggest an early Upper Paleolithic age. To date, no attention has been paid to claims for an Aurignacian age on specifically archaeological grounds. Here, I undertake a critical examination of the archaeology of the cave and its wider region, as well as attempts to verify the antiquity of the art on the basis of comparison with well-dated Aurignacian art elsewhere. I conclude that none of the archaeological arguments withstand scrutiny and that many can be rejected as they are either incorrect or tautologous. By contrast, hypotheses that the art is of Gravettian-Magdalenian age have not been successfully eliminated. The age of the art of the Grotte Chauvet should be seen as a scientific problem, not an established fact. While it may prove impossible to prove an Aurignacian age for some of the Chauvet art I suggest a set of expectations that would, in combination, strengthen the robusticity of the 'long chronology' argument. The onus is upon Chauvet long chronologists to do this, and until they do, we must conclude that the art of the Grotte Chauvet is not dated, and very possibly much younger than claimed.

  7. Assessment of the upper motor neuron in amyotrophic lateral sclerosis.

    PubMed

    Huynh, William; Simon, Neil G; Grosskreutz, Julian; Turner, Martin R; Vucic, Steve; Kiernan, Matthew C

    2016-07-01

    Clinical signs of upper motor neuron (UMN) involvement are an important component in supporting the diagnosis of amyotrophic lateral sclerosis (ALS), but are often not easily appreciated in a limb that is concurrently affected by muscle wasting and lower motor neuron degeneration, particularly in the early symptomatic stages of ALS. Whilst recent criteria have been proposed to facilitate improved detection of lower motor neuron impairment through electrophysiological features that have improved diagnostic sensitivity, assessment of upper motor neuron involvement remains essentially clinical. As a result, there is often a significant diagnostic delay that in turn may impact institution of disease-modifying therapy and access to other optimal patient management. Biomarkers of pathological UMN involvement are also required to ensure patients with suspected ALS have timely access to appropriate therapeutic trials. The present review provides an analysis of current and recently developed assessment techniques, including novel imaging and electrophysiological approaches used to study corticomotoneuronal pathology in ALS. Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.

  8. Reproduction and early-age survival of manatees at Blue Spring, Upper St. Johns River, Florida

    USGS Publications Warehouse

    O'Shea, Thomas J.; Hartley, W.C.; O'Shea, Thomas J.; Ackerman, B.B.; Percival, H. Franklin

    1995-01-01

    We summarize reproduction of adults and survival of calves and subadult Florida manatees (Trichechus manatus latirostris) that were identified in winter at Blue Spring on the upper St. Johns River in Florida. Some records span more than 20 years, but most are from 15-year continuous annual observations during winter 1978-79 through winter 1992-93. Fifty-seven, first-year calves were identified; 55 litter sizes were one, and one consisted oftwins (1.79% of all births). Sex ratios of first-year calves did notsignificantly differfrom 1:1. Based on 21 of35 sighted females (15 individuals) that appeared pregnant and returned with calves during the subsequent winter, we estimated an early (neonatal to about 6 months) calf survival of 0.600. Based on estimations with a minimum-number-known-alive method, calf survival from the first to the second winter was at least 0.822, and subadult survival was 0.903 to the third, 0.958 to the fourth, 1.00 to the fifth, and 1.00 to the sixth winters. Seven females were observed from year of birth to their first winter with a nursing calf; the mean age at parturition to the first calf that survived to the next winter was 5.4 + 0.98 (SD) years. The estimated ages at first conception ranged from 3 to 6 years. The proportion of adult pregnant females was 0.410/year. Weaning was not observed in winter. Intervals between births averaged 2.60 + 0.81 years. The pooled proportion of adult females nursing first-winter calves was 0.303; the proportion of adult females nursing calves of any age was 0.407. These values do not significantly differ from those ofmanatees from the Crystal River or Atlantic Coast study areas. Anecdotal accounts are provided that suggested the existence of a pseudo estrus, an 11 to 13-month gestation, suppression of parturition in winter, and giving birth in quiet backwaters and canals. A female from Blue Spring produced at least seven calves during the 22 years since first observed and died giving birth at an estimated

  9. Advanced upper limb prosthetic devices: implications for upper limb prosthetic rehabilitation.

    PubMed

    Resnik, Linda; Meucci, Marissa R; Lieberman-Klinger, Shana; Fantini, Christopher; Kelty, Debra L; Disla, Roxanne; Sasson, Nicole

    2012-04-01

    The number of catastrophic injuries caused by improvised explosive devices in the Afghanistan and Iraq Wars has increased public, legislative, and research attention to upper limb amputation. The Department of Veterans Affairs (VA) has partnered with the Defense Advanced Research Projects Agency and DEKA Integrated Solutions to optimize the function of an advanced prosthetic arm system that will enable greater independence and function. In this special communication, we examine current practices in prosthetic rehabilitation including trends in adoption and use of prosthetic devices, financial considerations, and the role of rehabilitation team members in light of our experiences with a prototype advanced upper limb prosthesis during a VA study to optimize the device. We discuss key challenges in the adoption of advanced prosthetic technology and make recommendations for service provision and use of advanced upper limb prosthetics. Rates of prosthetic rejection are high among upper limb amputees. However, these rates may be reduced with sufficient training by a highly specialized, multidisciplinary team of clinicians, and a focus on patient education and empowerment throughout the rehabilitation process. There are significant challenges emerging that are unique to implementing the use of advanced upper limb prosthetic technology, and a lack of evidence to establish clinical guidelines regarding prosthetic prescription and treatment. Finally, we make recommendations for future research to aid in the identification of best practices and development of policy decisions regarding insurance coverage of prosthetic rehabilitation. Copyright © 2012 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  10. Investigations into the Early Life-history of Naturally Produced Spring Chinook Salmon and Summer Steelhead in the Grande Ronde River Basin, Annual Report 2001.

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

    Reischauer, Alyssa; Monzyk, Frederick; Van Dyke, Erick

    2003-06-01

    We determined migration timing and abundance of juvenile spring chinook salmon Oncorhynchus tshawytscha and juvenile steelhead/rainbow trout Oncorhynchus mykiss using rotary screw traps on four streams in the Grande Ronde River basin during the 2001 migratory year (MY 2001) from 1 July 2000 through 30 June 2001. Based on migration timing and abundance, two distinct life-history strategies of juvenile spring chinook and O. mykiss could be distinguished. An 'early' migrant group left upper rearing areas from 1 July 2000 through 29 January 2001 with a peak in the fall. A 'late' migrant group descended from upper rearing areas from 30more » January 2001 through 30 June 2001 with a peak in the spring. The migrant population of juvenile spring chinook salmon in the upper Grande Ronde River in MY 2001 was very low in comparison to previous migratory years. We estimated 51 juvenile spring chinook migrated out of upper rearing areas with approximately 12% of the migrant population leaving as early migrants to overwinter downstream. In the same migratory year, we estimated 16,067 O. mykiss migrants left upper rearing areas with approximately 4% of these fish descending the upper Grande Ronde River as early migrants. At the Catherine Creek trap, we estimated 21,937 juvenile spring chinook migrants in MY 2001. Of these migrants, 87% left upper rearing areas early to overwinter downstream. We also estimated 20,586 O. mykiss migrants in Catherine Creek with 44% leaving upper rearing areas early to overwinter downstream. At the Lostine River trap, we estimated 13,610 juvenile spring chinook migrated out of upper rearing areas with approximately 77% migrating early. We estimated 16,690 O. mykiss migrated out of the Lostine River with approximately 46% descending the river as early migrants. At the Minam River trap, we estimated 28,209 juvenile spring chinook migrated out of the river with 36% migrating early. During the same period, we estimated 28,113 O. mykiss with

  11. Upper gastrointestinal bleeding.

    PubMed

    Feinman, Marcie; Haut, Elliott R

    2014-02-01

    Upper gastrointestinal (GI) bleeding remains a commonly encountered diagnosis for acute care surgeons. Initial stabilization and resuscitation of patients is imperative. Stable patients can have initiation of medical therapy and localization of the bleeding, whereas persistently unstable patients require emergent endoscopic or operative intervention. Minimally invasive techniques have surpassed surgery as the treatment of choice for most upper GI bleeding. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. Pathogen Transport and Fate Modeling in the Upper Salem River Watershed using SWAT Model

    EPA Science Inventory

    SWAT (Soil and Water Assessment Tool) is a dynamic watershed model that is applied to simulate the impact of land management practices on water quality over a continuous period. The Upper Salem River, located in Salem County New Jersey, is listed by the New Jersey Department of ...

  13. Pathogen Transport and Fate Modeling in the Upper Salem River Watershed Using SWAT Model

    EPA Science Inventory

    SWAT (Soil and Water Assessment Tool) is a dynamic watershed model that is applied to simulate the impact of land management practices on water quality over a continuous period. The Upper Salem River, located in Salem County New Jersey, is listed by the New Jersey Department of ...

  14. An aegialodontid upper molar and the evolution of mammal dentition.

    PubMed

    Lopatin, Alexey V; Averianov, Alexander O

    2006-08-25

    The most obvious key synapomorphy of the therian mammals is the tribosphenic pattern of their molars. Tribosphenic teeth are capable of both shearing and grinding, which substantially increase effectiveness of food processing and, in turn, permit evolution of a wide range of dietary specializations. Functional tribospheny developed repeatedly during mammalian evolution but was successful only in the Boreosphenida. The earliest stage in the development of boreosphenidan tribospheny has remained poorly understood, being documented only by lower molars of aegialodontids. Here, we report a known upper molar of an aegialodontid mammal, Kielantherium, from the Early Cretaceous of Mongolia.

  15. Efficacy of ankaferd blood stopper application on non-variceal upper gastrointestinal bleeding

    PubMed Central

    Gungor, Gokhan; Goktepe, M Hakan; Biyik, Murat; Polat, Ilker; Tuna, Tuncer; Ataseven, Huseyin; Demir, Ali

    2012-01-01

    AIM: To prospectively assess the hemostatic efficacy of the endoscopic topical use of ankaferd blood stopper (ABS) in active non-variceal upper gastrointestinal system (GIS) bleeding. METHODS: Endoscopy was performed on 220 patients under suspiciency of GIS bleeding. Patients with active non-variceal upper gastrointestinal bleeding (NVUGIB) with a spurting or oozing type were included. Firstly, 8-10 cc of isotonic saline was sprayed to bleeding lesions. Then, 8 cc of ABS was applied on lesions in which bleeding continued after isotonic saline application. The other endoscopic therapeutic methods were applied on the lesions in which the bleeding did not stop after ABS. RESULTS: Twenty-seven patients had an active NVUGIB with a spurting or oozing type and 193 patients were excluded from the study since they did not have non-variceal active bleeding. 8 cc of ABS was sprayed on to the lesions of 26 patients whose bleeding continued after isotonic saline and in 19 of them, bleeding stopped after ABS. Other endoscopic treatment methods were applied to the remaining patients and the bleeding was stopped with these interventions in 6 of 7 patients. CONCLUSION: ABS is an effective method on NVUGIB, particularly on young patients with no coagulopathy. ABS may be considered as part of a combination treatment with other endoscopic methods. PMID:23293725

  16. Sedimentology and palaeontology of upper Karoo aeolian strata (Early Jurassic) in the Tuli Basin, South Africa

    NASA Astrophysics Data System (ADS)

    Bordy, Emese M.; Catuneanu, Octavian

    2002-08-01

    The Karoo Supergroup in the Tuli Basin (South Africa) consists of a sedimentary sequence composed of four stratigraphic units, namely the Basal, Middle and Upper units, and Clarens Formation. The units were deposited in continental settings from approximately Late Carboniferous to Middle Jurassic. This paper focuses on the Clarens Formation, which was examined in terms of sedimentary facies and palaeo-environments based on evidence provided by primary sedimentary structures, palaeo-flow measurements and palaeontological findings. Two main facies associations have been identified: (i) massive and large-scale planar cross-bedded sandstones of aeolian origin; and (ii) horizontally and cross-stratified sandstones of fluvial origin. Most of the sandstone lithofacies of the Clarens Formation were generated as transverse aeolian dunes produced by northwesterly winds in a relatively wet erg milieu. Direct evidence of aquatic subenvironments comes from local small ephemeral stream deposits, whereas palaeontological data provide indirect evidence. Fossils of the Clarens Formation include petrified logs of Agathoxylon sp. wood type and several trace fossils which were produced by insects and vertebrates. The upper part of the Clarens Formation lacks both direct and indirect evidence of aquatic conditions, and this suggests aridification that led to the dominance of dry sand sea conditions.

  17. Laparoscopic nephroureterectomy: making management of upper-tract transitional-cell carcinoma entirely minimally invasive.

    PubMed

    Keeley, F X; Tolley, D A

    1998-04-01

    Endoscopic treatment of upper-tract transitional-cell carcinoma (TCC) is well established. Nevertheless, many patients still required major ablative surgery. We have applied our experience with laparoscopic nephrectomy to the performance of laparoscopic nephroureterectomy in order to make the management of upper-tract TCC entirely minimally invasive. Since 1993, we have performed 22 laparoscopic nephroureterectomies for upper-tract TCC. Initially, we excluded patients with tumors below the pelvic brim, but we now offer a trial of laparoscopy to all patients. We describe the evolution of our technique, which involves resecting the ureteral orifice prior to laparoscopic dissection of the kidney and ureter. We have had to convert three cases to open surgery, one each for bleeding, failure to progress, and unappreciated tumor extent. Operative times averaged 156 minutes, which compares well with contemporary times for open nephroureterectomy. Complication rates, transfusion requirements, and length of stay, although higher than those of laparoscopic nephrectomy, were all reduced in comparison with open nephroureterectomy.

  18. Variability in Early Ahmarian lithic technology and its implications for the model of a Levantine origin of the Protoaurignacian.

    PubMed

    Kadowaki, Seiji; Omori, Takayuki; Nishiaki, Yoshihiro

    2015-05-01

    This paper re-examines lithic technological variability of the Early Ahmarian, one of the early Upper Palaeolithic cultural entities in the Levant, which has often been regarded as a precursor of the Protoaurignacian (the early Upper Palaeolithic in Europe) in arguments for the occurrence of a cultural spread in association with the dispersal of Homo sapiens from the Levant to Europe. Using quantitative data on several lithic techno-typological attributes, we demonstrate that there is a significant degree of variability in the Early Ahmarian between the northern and southern Levant, as previously pointed out by several researchers. In addition, we suggest that the technology similar to the southern Early Ahmarian also existed in the northern Levant, i.e., the Ksar Akil Phase 4 group (the KA 4 group), by introducing new Upper Palaeolithic assemblages from Wadi Kharar 16R, inland Syria. We then review currently available stratigraphic records and radiocarbon dates (including a new date from Wadi Kharar 16R), with special attention to their methodological background. As a result, we propose alternative chronological scenarios, including one that postulates that the southern Early Ahmarian and the KA 4 group appeared later than the northern Early Ahmarian with little or no overlap. On the basis of the alternative scenarios of chronological/geographical patterns of the Early Ahmarian variability, we propose four possible relationships between the Protoaurignacian and the Early Ahmarian, including a new scenario that the appearance of the Protoaurignacian preceded those of similar technological entities in the Levant, i.e., the southern Early Ahmarian and the KA 4 group. If the last hypothesis is substantiated, it requires us to reconsider the model of a Levantine origin of the Protoaurignacian and its palaeoanthropological implications. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

  19. The J-2X Upper Stage Engine: From Heritage to Hardware

    NASA Technical Reports Server (NTRS)

    Byrd, THomas

    2008-01-01

    NASA's Global Exploration Strategy requires safe, reliable, robust, efficient transportation to support sustainable operations from Earth to orbit and into the far reaches of the solar system. NASA selected the Ares I crew launch vehicle and the Ares V cargo launch vehicle to provide that transportation. Guiding principles in creating the architecture represented by the Ares vehicles were the maximum use of heritage hardware and legacy knowledge, particularly Space Shuttle assets, and commonality between the Ares vehicles where possible to streamline the hardware development approach and reduce programmatic, technical, and budget risks. The J-2X exemplifies those goals. It was selected by the Exploration Systems Architecture Study (ESAS) as the upper stage propulsion for the Ares I Upper Stage and the Ares V Earth Departure Stage (EDS). The J-2X is an evolved version ofthe historic J-2 engine that successfully powered the second stage of the Saturn I launch vehicle and the second and third stages of the Saturn V launch vehicle. The Constellation architecture, however, requires performance greater than its predecessor. The new architecture calls for larger payloads delivered to the Moon and demands greater loss of mission reliability and numerous other requirements associated with human rating that were not applied to the original J-2. As a result, the J-2X must operate at much higher temperatures, pressures, and flow rates than the heritage J-2, making it one of the highest performing gas generator cycle engines ever built, approaching the efficiency of more complex stage combustion engines. Development is focused on early risk mitigation, component and subassembly test, and engine system test. The development plans include testing engine components, including the subscale injector, main igniter, powerpack assembly (turbopumps, gas generator and associated ducting and structural mounts), full-scale gas generator, valves, and control software with hardware

  20. Bachelor of Applied Sciences: Outcomes Evaluation. Research Report No. 13-6

    ERIC Educational Resources Information Center

    Washington State Board for Community and Technical Colleges, 2013

    2013-01-01

    Community and technical colleges (CTCs) play an important role in producing baccalaureate degree graduates in Washington State. Baccalaureate degrees that build upon the professional-technical associate degree provide expanded opportunities for both graduates and employers by providing the upper-division coursework in an applied field. Programs…

  1. Predictive Value of Upper Limb Muscles and Grasp Patterns on Functional Outcome in Cervical Spinal Cord Injury.

    PubMed

    Velstra, Inge-Marie; Bolliger, Marc; Krebs, Jörg; Rietman, Johan S; Curt, Armin

    2016-05-01

    To determine which single or combined upper limb muscles as defined by the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI); upper extremity motor score (UEMS) and the Graded Redefined Assessment of Strength, Sensibility, and Prehension (GRASSP), best predict upper limb function and independence in activities of daily living (ADLs) and to assess the predictive value of qualitative grasp movements (QlG) on upper limb function in individuals with acute tetraplegia. As part of a Europe-wide, prospective, longitudinal, multicenter study ISNCSCI, GRASSP, and Spinal Cord Independence Measure (SCIM III) scores were recorded at 1 and 6 months after SCI. For prediction of upper limb function and ADLs, a logistic regression model and unbiased recursive partitioning conditional inference tree (URP-CTREE) were used. Results: Logistic regression and URP-CTREE revealed that a combination of ISNCSCI and GRASSP muscles (to a maximum of 4) demonstrated the best prediction (specificity and sensitivity ranged from 81.8% to 96.0%) of upper limb function and identified homogenous outcome cohorts at 6 months. The URP-CTREE model with the QlG predictors for upper limb function showed similar results. Prediction of upper limb function can be achieved through a combination of defined, specific upper limb muscles assessed in the ISNCSCI and GRASSP. A combination of a limited number of proximal and distal muscles along with an assessment of grasping movements can be applied for clinical decision making for rehabilitation interventions and clinical trials. © The Author(s) 2015.

  2. Environmental fate of mercury discharged into the upper Wisconsin River

    USGS Publications Warehouse

    Rada, R.G.; Findley, J.E.; Wiener, J.G.

    1986-01-01

    The authors studied the distribution of Hg in sediments, fish, and crayfish in a 60 km reach of the Upper Wisconsin River that formerly received Hg in discharges from pulp and paper mills. The most heavily contaminated strata of sediments were deposited during the 1950s and early 1960s and buried under subsequent deposits; however, surficial sediments remained substantially enriched at certain sites in 1981. Median concentrations of Hg in surficial sediments, adjusted for grain size, were at least 10-fold greater at the main study area than at an upstream reference site. Total concentrations exceeded 1.0 mu g g super(-1) wet weight in axial muscle tissue in only 2 of 173 fish analyzed from the study area; however, historical comparisons revealed that Hg contamination of fish (common carp Cyprinus carpio and walleye Stizostedion vitreum vitreum ) and crayfish (Orconectes ) in the river had not decreased since the early 1970s.

  3. Teleseismic tomography for imaging Earth's upper mantle

    NASA Astrophysics Data System (ADS)

    Aktas, Kadircan

    Teleseismic tomography is an important imaging tool in earthquake seismology, used to characterize lithospheric structure beneath a region of interest. In this study I investigate three different tomographic techniques applied to real and synthetic teleseismic data, with the aim of imaging the velocity structure of the upper mantle. First, by applying well established traveltime tomographic techniques to teleseismic data from southern Ontario, I obtained high-resolution images of the upper mantle beneath the lower Great Lakes. Two salient features of the 3D models are: (1) a patchy, NNW-trending low-velocity region, and (2) a linear, NE-striking high-velocity anomaly. I interpret the high-velocity anomaly as a possible relict slab associated with ca. 1.25 Ga subduction, whereas the low-velocity anomaly is interpreted as a zone of alteration and metasomatism associated with the ascent of magmas that produced the Late Cretaceous Monteregian plutons. The next part of the thesis is concerned with adaptation of existing full-waveform tomographic techniques for application to teleseismic body-wave observations. The method used here is intended to be complementary to traveltime tomography, and to take advantage of efficient frequency-domain methodologies that have been developed for inverting large controlled-source datasets. Existing full-waveform acoustic modelling and inversion codes have been modified to handle plane waves impinging from the base of the lithospheric model at a known incidence angle. A processing protocol has been developed to prepare teleseismic observations for the inversion algorithm. To assess the validity of the acoustic approximation, the processing procedure and modelling-inversion algorithm were tested using synthetic seismograms computed using an elastic Kirchhoff integral method. These tests were performed to evaluate the ability of the frequency-domain full-waveform inversion algorithm to recover topographic variations of the Moho under a

  4. Patients with mild cognitive impairment have an abnormal upper-alpha event-related desynchronization/synchronization (ERD/ERS) during a task of temporal attention.

    PubMed

    Caravaglios, Giuseppe; Muscoso, Emma Gabriella; Di Maria, Giulia; Costanzo, Erminio

    2015-03-01

    There are several evidences indicating that an impairment in attention-executive functions is present in prodromal Alzheimer's disease and predict future global cognitive decline. In particular, the issue of temporal orienting of attention in patients with mild cognitive impairment (MCI) due to Alzheimer's disease has been overlooked. The present research aimed to explore whether subtle deficits of cortical activation are present in these patients early in the course of the disease. We studied the upper-alpha event-related synchronization/desynchronization phenomenon during a paradigm of temporal orientation of attention. MCI patients (n = 27) and healthy elderly controls (n = 15) performed a task in which periodically omitted tones had to be predicted and their virtual onset time had to be marked by pressing a button. Single-trial responses were measured, respectively, before and after the motor response. Then, upper-alpha responses were compared to upper-alpha power during eyes-closed resting state. The time course of the task was characterized by two different behavioral conditions: (1) a pre-event epoch, in which the subject awaited the virtual onset of the omitted tone, (2) a post-event epoch (after button pressing), in which the subject was in a post-motor response condition. The principal findings are: (1) during the waiting epoch, only healthy elderly had an upper-alpha ERD at the level of both temporal and posterior brain regions; (2) during the post-motor epoch, the aMCI patients had a weaker upper-alpha ERS on prefrontal regions; (3) only healthy elderly showed a laterality effect: (a) during the waiting epoch, the upper-alpha ERD was greater at the level of the right posterior-temporal lead; during the post-motor epoch, the upper alpha ERS was greater on the left prefrontal lead. The relevance of these findings is that the weaker upper-alpha response observed in aMCI patients is evident even if the accuracy of the behavioral performance (i.e., button

  5. Sex, stress and sleep apnoea: Decreased susceptibility to upper airway muscle dysfunction following intermittent hypoxia in females.

    PubMed

    O'Halloran, Ken D; Lewis, Philip; McDonald, Fiona

    2017-11-01

    Obstructive sleep apnoea syndrome (OSAS) is a devastating respiratory control disorder more common in men than women. The reasons for the sex difference in prevalence are multifactorial, but are partly attributable to protective effects of oestrogen. Indeed, OSAS prevalence increases in post-menopausal women. OSAS is characterized by repeated occlusions of the pharyngeal airway during sleep. Dysfunction of the upper airway muscles controlling airway calibre and collapsibility is implicated in the pathophysiology of OSAS, and sex differences in the neuro-mechanical control of upper airway patency are described. It is widely recognized that chronic intermittent hypoxia (CIH), a cardinal feature of OSAS due to recurrent apnoea, drives many of the morbid consequences characteristic of the disorder. In rodents, exposure to CIH-related redox stress causes upper airway muscle weakness and fatigue, associated with mitochondrial dysfunction. Of interest, in adults, there is female resilience to CIH-induced muscle dysfunction. Conversely, exposure to CIH in early life, results in upper airway muscle weakness equivalent between the two sexes at 3 and 6 weeks of age. Ovariectomy exacerbates the deleterious effects of exposure to CIH in adult female upper airway muscle, an effect partially restored by oestrogen replacement therapy. Intriguingly, female advantage intrinsic to upper airway muscle exists with evidence of substantially greater loss of performance in male muscle during acute exposure to severe hypoxic stress. Sex differences in upper airway muscle physiology may have relevance to human OSAS. The oestrogen-oestrogen receptor α axis represents a potential therapeutic target in OSAS, particularly in post-menopausal women. Copyright © 2016 Elsevier B.V. All rights reserved.

  6. Brachial plexus injury management through upper extremity amputation with immediate postoperative prostheses.

    PubMed

    Malone, J M; Leal, J M; Underwood, J; Childers, S J

    1982-02-01

    Management of patients with brachial plexus injuries requires a team approach so that all aspects of their care are addressed simultaneously. This report examines elective amputation and prosthetic rehabilitation in a patient with brachial plexus avulsion of the left arm. The best possibility for good prosthetic rehabilitation is the early application of prosthetic devices with intensive occupational therapy. Using this type of approach, we have achieved significant improvement in amputation rehabilitation of upper extremity amputees treated with immediate postoperative conventional electric and myoelectric prostheses.

  7. Effect of Upper Limb Deformities on Gross Motor and Upper Limb Functions in Children with Spastic Cerebral Palsy

    ERIC Educational Resources Information Center

    Park, Eun Sook; Sim, Eun Geol; Rha, Dong-wook

    2011-01-01

    The aims of this study were to investigate the nature and extent of upper limb deformities via the use of various classifications, and to analyze the relationship between upper limb deformities and gross motor or upper limb functionality levels. Upper extremity data were collected from 234 children with spastic cerebral palsy (CP) who were…

  8. Revised direct radiocarbon dating of the Vindija G1 Upper Paleolithic Neandertals.

    PubMed

    Higham, Tom; Ramsey, Christopher Bronk; Karavanić, Ivor; Smith, Fred H; Trinkaus, Erik

    2006-01-17

    The 1998/1999 direct dating of two Neandertal specimens from level G(1) of Vindija Cave in Croatia to approximately 28,000 and approximately 29,000 radiocarbon ((14)C) years ago has led to interpretations concerning the late survival of Neandertals in south-central Europe, patterns of interaction between Neandertals and in-dispersing early modern humans in Europe, and complex biocultural scenarios for the earlier phases of the Upper Paleolithic. Given improvements, particularly in sample pretreatment techniques for bone radiocarbon samples, especially ultrafiltration of collagen samples, these Vindija G(1) Neandertal fossils are redated to approximately 32,000-33,000 (14)C years ago and possibly earlier. These results and the recent redating of a number of purportedly old modern human skeletal remains in Europe to younger time periods highlight the importance of fine chronological control when studying this biocultural time period and the tenuous nature of monolithic scenarios for the establishment of modern humans and earlier phases of the Upper Paleolithic in Europe.

  9. Free style perforator based propeller flaps: Simple solutions for upper extremity reconstruction!

    PubMed

    Panse, Nikhil; Sahasrabudhe, Parag

    2014-01-01

    The introduction of perforator flaps by Koshima et al. was met with much animosity in the plastic surgery fraternity. The safety concerns of these flaps following the intentional twist of the perforators have prevented widespread adoption of this technique. Use of perforator based propeller flaps in the lower extremity is gradually on the rise, but their use in upper extremity reconstruction is infrequently reported, especially in the Indian subcontinent. We present a retrospective series of 63 free style perforator flaps used for soft tissue reconstruction of the upper extremity from November 2008 to June 2013. Flaps were performed by a single surgeon for various locations and indications over the upper extremity. Patient demographics, surgical indication, defect features, complications and clinical outcome are evaluated and presented as an uncontrolled case series. 63 free style perforator based propeller flaps were used for soft tissue reconstruction of 62 patients for the upper extremity from November 2008 to June 2013. Of the 63 flaps, 31 flaps were performed for trauma, 30 for post burn sequel, and two for post snake bite defects. We encountered flap necrosis in 8 flaps, of which there was complete necrosis in 4 flaps, and partial necrosis in four flaps. Of these 8 flaps, 7 needed a secondary procedure, and one healed secondarily. Although we had a failure rate of 12-13%, most of our failures were in the early part of the series indicative of a learning curve associated with the flap. Free style perforator based propeller flaps are a reliable option for coverage of small to moderate sized defects. Therapeutic IV.

  10. The efficacy of SMART Arm training early after stroke for stroke survivors with severe upper limb disability: a protocol for a randomised controlled trial.

    PubMed

    Brauer, Sandra G; Hayward, Kathryn S; Carson, Richard G; Cresswell, Andrew G; Barker, Ruth N

    2013-07-02

    Recovery of upper limb function after stroke is poor. The acute to subacute phase after stroke is the optimal time window to promote the recovery of upper limb function. The dose and content of training provided conventionally during this phase is however, unlikely to be adequate to drive functional recovery, especially in the presence of severe motor disability. The current study concerns an approach to address this shortcoming, through evaluation of the SMART Arm, a non-robotic device that enables intensive and repetitive practice of reaching by stroke survivors with severe upper limb disability, with the aim of improving upper limb function. The outcomes of SMART Arm training with or without outcome-triggered electrical stimulation (OT-stim) to augment movement and usual therapy will be compared to usual therapy alone. A prospective, assessor-blinded parallel, three-group randomised controlled trial is being conducted. Seventy-five participants with a first-ever unilateral stroke less than 4 months previously, who present with severe arm disability (three or fewer out of a possible six points on the Motor Assessment Scale [MAS] Item 6), will be recruited from inpatient rehabilitation facilities. Participants will be randomly allocated to one of three dose-matched groups: SMART Arm training with OT-stim and usual therapy; SMART Arm training without OT-stim and usual therapy; or usual therapy alone. All participants will receive 20 hours of upper limb training over four weeks. Blinded assessors will conduct four assessments: pre intervention (0-weeks), post intervention (4-weeks), 26 weeks and 52 weeks follow-up. The primary outcome measure is MAS item 6. All analyses will be based on an intention-to-treat principle. By enabling intensive and repetitive practice of a functional upper limb task during inpatient rehabilitation, SMART Arm training with or without OT-stim in combination with usual therapy, has the potential to improve recovery of upper limb function

  11. Flood of June 11, 2010, in the Upper Little Missouri River watershed, Arkansas

    USGS Publications Warehouse

    Holmes, Robert R.; Wagner, Daniel M.

    2011-01-01

    Catastrophic flash flooding occurred in the early morning hours of June 11, 2010, in the upper Little Missouri River and tributary streams in southwest Arkansas. The flooding, which resulted in 20 fatalities and substantial property damage, was caused by as much as 4.7 inches of rain falling in the upper Little Missouri River watershed in 3 hours. The 4.7 inches of rain in 3 hours corresponds to estimated annual exceedance probability of approximately 2 percent for a 3-hour duration storm. The maximum total estimated rainfall in the upper Missouri River watershed was 5.3 inches in 6 hours. Peak streamflows and other hydraulic properties were determined at five ungaged locations and one gaged location in the upper Little Missouri River watershed.The peak streamflow for the Little Missouri River at Albert Pike, Arkansas was 40,100 cubic feet per second, estimated to have occurred between 4:00 AM and 4:30 AM the morning of June 11, 2010. The peak streamflow resulted in average water depths in the nearby floodplain (Area C of the Albert Pike Campground) of 7 feet flowing at velocities potentially as great as 11 feet per second. Peak streamflow 9.1 miles downstream on the Little Missouri at the U.S. Geological Survey streamgage near Langley, Arkansas was 70,800 cubic feet per second, which corresponds to an estimated annual exceedance probability of less than 1 percent.

  12. Applying an Evidence-Based Framework to the Early Childhood Coaching Literature

    ERIC Educational Resources Information Center

    Artman-Meeker, Kathleen; Fettig, Angel; Barton, Erin E.; Penney, Ashley; Zeng, Songtian

    2015-01-01

    Professional development (PD) is a critical pathway for promoting the use of evidence-based intervention practices in early childhood (EC) settings. Coaching has been proposed as a type of PD that is especially promising for job-embedded learning. A lack of consensus exists regarding evidence-based EC coaching strategies and what types of support…

  13. Gravity compensation of an upper extremity exoskeleton.

    PubMed

    Moubarak, S; Pham, M T; Moreau, R; Redarce, T

    2010-01-01

    This paper presents a new gravity compensation method for an upper extremity exoskeleton mounted on a wheel chair. This new device is dedicated to regular and efficient rehabilitation training for post-stroke and injured people without the continuous presence of a therapist. The exoskeleton is a wearable robotic device attached to the human arm. The user provides information signals to the controller by means of the force sensors around the wrist and the arm, and the robot controller generates the appropriate control signals for different training strategies and paradigms. This upper extremity exoskeleton covers four basic degrees of freedom of the shoulder and the elbow joints with three additional adaptability degrees of freedom in order to match the arm anatomy of different users. For comfortable and efficient rehabilitation, a new heuristic method have been studied and applied on our prototype in order to calculate the gravity compensation model without the need to identify the mass parameters. It is based on the geometric model of the robot and accurate torque measurements of the prototype's actuators in a set of specifically chosen joint positions. The weight effect has been successfully compensated so that the user can move his arm freely while wearing the exoskeleton without feeling its mass.

  14. Physical Activity and School Performance: A Survey among Students Not Qualified for Upper Secondary School

    ERIC Educational Resources Information Center

    Ericsson, Ingegerd; Cederberg, Margareta

    2015-01-01

    Background: Many students leave compulsory school without being qualified to apply for national upper secondary school programmes. Despite efforts, the number of unqualified students in Sweden has increased. Grades from compulsory school have direct implications for students' educational futures and the requirement to qualify for an upper…

  15. Brief overview of historical non-timber forest product use in the U.S. Pacific Northwest and Upper Midwest

    Treesearch

    Marla Emery; Shandra L. O' Halek

    2001-01-01

    Non-timber forest products (NTFPs) have sustained indigenous and immigrant populations alike since their arrival in North America. This brief overview focuses on the historical use of NTFPs in the U.S. Pacific Northwest and Upper Midwest. Drawing on sources as diverse as accounts by early European arrivals, archaeological evidence, and contemporary ethnobotanical...

  16. Directional selection in the evolution of elongated upper canines in clouded leopards and sabre-toothed cats.

    PubMed

    Harano, Tomohiro; Kutsukake, Nobuyuki

    2018-06-14

    Extremely developed or specialised traits such as the elongated upper canines of extinct sabre-toothed cats are often not analogous to those of any extant species, which limits our understanding of their evolutionary cause. However, an extant species may have undergone directional selection for a similar extreme phenotype. Among living felids, the clouded leopard, Neofelis nebulosa, has exceptionally long upper canines for its body size. We hypothesised that directional selection generated the elongated upper canines of clouded leopards in a manner similar to the process in extinct sabre-toothed cats. To test this, we developed an approach that compared the effect of directional selection among lineages in a phylogeny using a simulation of trait evolution and approximate Bayesian computation. This approach was applied to analyse the evolution of upper canine length in the Felidae phylogeny. Our analyses consistently showed directional selection favouring longer upper canines in the clouded leopard lineage and a lineage leading to the sabre-toothed cat with the longest upper canines, Smilodon. Most of our analyses detected an effect of directional selection for longer upper canines in the lineage leading to another sabre-toothed cat, Homotherium, although this selection may have occurred exclusively in the primitive species. In all the analyses, the clouded leopard and Smilodon lineages showed comparable directional selection. This implies that clouded leopards share a selection advantage with sabre-toothed cats in having elongated upper canines. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  17. Observations of Highly Variable Deuterium in the Martian Upper Atmosphere

    NASA Astrophysics Data System (ADS)

    Clarke, John T.; Mayyasi-Matta, Majd A.; Bhattacharyya, Dolon; Chaufray, Jean-Yves; Chaffin, Michael S.; Deighan, Justin; Schneider, Nicholas M.; Jain, Sonal; Jakosky, Bruce

    2017-10-01

    One of the key pieces of evidence for historic high levels of water on Mars is the present elevated ratio of deuterium/hydrogen (D/H) in near-surface water. This can be explained by the loss of large amounts of water into space, with the lighter H atoms escaping faster than D atoms. Understanding the specific physical processes and controlling factors behind the present escape of H and D is the key objective of the MAVEN IUVS echelle channel. This knowledge can then be applied to an accurate extrapolation back in time to understand the water history of Mars. Observations of D in the martian upper atmosphere over the first martian year of the MAVEN mission have shown highly variable amounts of D, with a short-lived maximum just after perihelion and during southern summer. The timing and nature of this increase provide constraints on its possible origin. These results will be presented and compared with other measurements of the upper atmosphere of Mars.

  18. New tools for investigating student learning in upper-division electrostatics

    NASA Astrophysics Data System (ADS)

    Wilcox, Bethany R.

    Student learning in upper-division physics courses is a growing area of research in the field of Physics Education. Developing effective new curricular materials and pedagogical techniques to improve student learning in upper-division courses requires knowledge of both what material students struggle with and what curricular approaches help to overcome these struggles. To facilitate the course transformation process for one specific content area --- upper-division electrostatics --- this thesis presents two new methodological tools: (1) an analytical framework designed to investigate students' struggles with the advanced physics content and mathematically sophisticated tools/techniques required at the junior and senior level, and (2) a new multiple-response conceptual assessment designed to measure student learning and assess the effectiveness of different curricular approaches. We first describe the development and theoretical grounding of a new analytical framework designed to characterize how students use mathematical tools and techniques during physics problem solving. We apply this framework to investigate student difficulties with three specific mathematical tools used in upper-division electrostatics: multivariable integration in the context of Coulomb's law, the Dirac delta function in the context of expressing volume charge densities, and separation of variables as a technique to solve Laplace's equation. We find a number of common themes in students' difficulties around these mathematical tools including: recognizing when a particular mathematical tool is appropriate for a given physics problem, mapping between the specific physical context and the formal mathematical structures, and reflecting spontaneously on the solution to a physics problem to gain physical insight or ensure consistency with expected results. We then describe the development of a novel, multiple-response version of an existing conceptual assessment in upper-division electrostatics

  19. Cascade reservoir flood control operation based on risk grading and warning in the Upper Yellow River

    NASA Astrophysics Data System (ADS)

    Xuejiao, M.; Chang, J.; Wang, Y.

    2017-12-01

    Flood risk reduction with non-engineering measures has become the main idea for flood management. It is more effective for flood risk management to take various non-engineering measures. In this paper, a flood control operation model for cascade reservoirs in the Upper Yellow River was proposed to lower the flood risk of the water system with multi-reservoir by combining the reservoir flood control operation (RFCO) and flood early warning together. Specifically, a discharge control chart was employed to build the joint RFCO simulation model for cascade reservoirs in the Upper Yellow River. And entropy-weighted fuzzy comprehensive evaluation method was adopted to establish a multi-factorial risk assessment model for flood warning grade. Furthermore, after determining the implementing mode of countermeasures with future inflow, an intelligent optimization algorithm was used to solve the optimization model for applicable water release scheme. In addition, another model without any countermeasure was set to be a comparative experiment. The results show that the model developed in this paper can further decrease the flood risk of water system with cascade reservoirs. It provides a new approach to flood risk management by coupling flood control operation and flood early warning of cascade reservoirs.

  20. Vlasov Simulations of Ionospheric Heating Near Upper Hybrid Resonance

    NASA Astrophysics Data System (ADS)

    Najmi, A. C.; Eliasson, B. E.; Shao, X.; Milikh, G. M.; Papadopoulos, K.

    2014-12-01

    It is well-known that high-frequency (HF) heating of the ionosphere can excite field- aligned density striations (FAS) in the ionospheric plasma. Furthermore, in the neighborhood of various resonances, the pump wave can undergo parametric instabilities to produce a variety of electrostatic and electromagnetic waves. We have used a Vlasov simulation with 1-spatial dimension, 2-velocity dimensions, and 2-components of fields, to study the effects of ionospheric heating when the pump frequency is in the vicinity of the upper hybrid resonance, employing parameters currently available at ionospheric heaters such as HAARP. We have found that by seeding theplasma with a FAS of width ~20% of the simulation domain, ~10% depletion, and by applying a spatially uniform HF dipole pump electric field, the pump wave gives rise to a broad spectrum of density fluctuations as well as to upper hybrid and lower hybrid oscillating electric fields. We also observe collisionless bulk-heating of the electrons that varies non-linearly with the amplitude of the pump field.

  1. NASA Ares I Crew Launch Vehicle Upper Stage Overview

    NASA Technical Reports Server (NTRS)

    Davis, Daniel J.

    2008-01-01

    By incorporating rigorous engineering practices, innovative manufacturing processes and test techniques, a unique multi-center government/contractor partnership, and a clean-sheet design developed around the primary requirements for the International Space Station (ISS) and Lunar missions, the Upper Stage Element of NASA's Crew Launch Vehicle (CLV), the "Ares I," is a vital part of the Constellation Program's transportation system. Constellation's exploration missions will include Ares I and Ares V launch vehicles required to place crew and cargo in low-Earth orbit (LEO), crew and cargo transportation systems required for human space travel, and transportation systems and scientific equipment required for human exploration of the Moon and Mars. Early Ares I configurations will support ISS re-supply missions. A self-supporting cylindrical structure, the Ares I Upper Stage will be approximately 84' long and 18' in diameter. The Upper Stage Element is being designed for increased supportability and increased reliability to meet human-rating requirements imposed by NASA standards. The design also incorporates state-of-the-art materials, hardware, design, and integrated logistics planning, thus facilitating a supportable, reliable, and operable system. With NASA retiring the Space Shuttle fleet in 2010, the success of the Ares I Project is essential to America's continued leadership in space. The first Ares I test flight, called Ares 1-X, is scheduled for 2009. Subsequent test flights will continue thereafter, with the first crewed flight of the Crew Exploration Vehicle (CEV), "Orion," planned for no later than 2015. Crew transportation to the ISS will follow within the same decade, and the first Lunar excursion is scheduled for the 2020 timeframe.

  2. NASA Ares I Crew Launch Vehicle Upper Stage Overview

    NASA Technical Reports Server (NTRS)

    McArthur, J. Craig

    2008-01-01

    By incorporating rigorous engineering practices, innovative manufacturing processes and test techniques, a unique multi-center government/contractor partnership, and a clean-sheet design developed around the primary requirements for the International Space Station (ISS) and Lunar missions, the Upper Stage Element of NASA's Crew Launch Vehicle (CLV), the "Ares I," is a vital part of the Constellation Program's transportation system. Constellation's exploration missions will include Ares I and Ares V launch vehicles required to place crew and cargo in low-Earth orbit (LEO), crew and cargo transportation systems required for human space travel, and transportation systems and scientific equipment required for human exploration of the Moon and Mars. Early Ares I configurations will support ISS re-supply missions. A self-supporting cylindrical structure, the Ares I Upper Stage will be approximately 84' long and 18' in diameter. The Upper Stage Element is being designed for increased supportability and increased reliability to meet human-rating requirements imposed by NASA standards. The design also incorporates state-of-the-art materials, hardware, design, and integrated logistics planning, thus facilitating a supportable, reliable, and operable system. With NASA retiring the Space Shuttle fleet in 2010, the success of the Ares I Project is essential to America's continued leadership in space. The first Ares I test flight, called Ares I-X, is scheduled for 2009. Subsequent test flights will continue thereafter, with the first crewed flight of the Crew Exploration Vehicle (CEV), "Orion," planned for no later than 2015. Crew transportation to the ISS will follow within the same decade, and the first Lunar excursion is scheduled for the 2020 timeframe.

  3. Potentiometric surface of the upper Floridan aquifer in Florida and in parts of Georgia, South Carolina, and Alabama, May 1985

    USGS Publications Warehouse

    Bush, Peter W.; Barr, G. Lynn; Clarke, John S.; Johnston, Richard H.

    1987-01-01

    A map, constructed as a part of the Floridan Regional Aquifer-System Analysis (RASA), shows the potentiometric surface of the Upper Floridan aquifer for May 1985. It is based on measurements of water level or artesian pressure made in about 2 ,500 wells during the period May 13 to 24, 1985. Only measurements from tightly cased wells open exclusively to the Upper Floridan aquifer were used to make the map. These included 1,425 wells in Florida, 924 in Georgia, 133 in South Carolina, and 21 in Alabama. The potentiometric surface of the Upper Floridan aquifer changed little between 1980 and 1985. Significant water level declines were observed only in southwest Georgia and west-central Florida. Low rainfall during early 1985 and associated pumping for irrigation caused the declines in both areas. (Lantz-PTT)

  4. Improving early detection of gastric cancer: a novel systematic alphanumeric-coded endoscopic approach.

    PubMed

    Emura, Fabian; Gralnek, Ian; Baron, Todd H

    2013-01-01

    Despite extensive worldwide use of standard esophagogastroduodenoscopy (EGD) examinations, gastric cancer (GC) is one of the most common forms of cancer and ranks as the most common malignant tumor in East Asia, Eastern Europe and parts of Latin America. Current limitations of using non systematic examination during standard EGD could be at least partially responsible for the low incidence of early GC diagnosis in countries with a high prevalence of the disease. Originally proposed by Emura et al., systematic alphanumeric-coded endoscopy (SACE) is a novel method that facilitates complete examination of the upper GI tract based on sequential systematic overlapping photo-documentation using an endoluminal alphanumeric-coded nomenclature comprised of eight regions and 28 areas covering the entire surface upper GI surface. For precise localization or normal or abnormal areas, SACE incorporates a simple coordinate system based on the identification of certain natural axes, walls, curvatures and anatomical endoluminal landmarks. Efectiveness of SACE was recently demonstrated in a screening study that diagnosed early GC at a frequency of 0.30% (2/650) in healthy, average-risk volunteer subjects. Such a novel approach, if uniformly implemented worldwide, could significantly change the way we practice upper endoscopy in our lifetimes.

  5. Compositional variability in Mediterranean archaeofaunas from Upper Paleolithic Southwest Europe

    NASA Astrophysics Data System (ADS)

    Jones, Emily Lena

    2018-03-01

    Recent meta-analyses of Upper Paleolithic Southwestern European archaeofaunas (Jones, 2015, 2016) have identified a consistent "Mediterranean" cluster from the Last Glacial Maximum through the early Holocene, suggesting similarities in environment and/or consistency in hunting strategy across this region through time despite radical changes in climate. However, while these archaeofaunas from this cluster all derive from sites located within today's Mediterranean bioclimatic region, many of them are from locations far from the Mediterranean Sea - Atlantic Portugal, the Spanish Meseta - which today differ significantly from each other in biotic composition. In this paper, I explore clustering (through cluster analysis and non-metric multidimensional scaling) within the Mediterranean archaeofaunal group. I test for the influence of sample size as well as the geographic variables of site elevation, latitude, and longitude on variability in the large mammal portions of archaeofaunal assemblages. ANOVA shows no relationship between cluster-defined groups and site elevation or longitude; instead, site latitude appears to be a primary contributor to patterning. However, the overall compositional similarity of the Mediterranean archaeofaunas in this dataset suggests more consistency than variability in Upper Paleolithic hunting strategy in this region.

  6. The Influence of Altering Push Force Effectiveness on Upper Extremity Demand during Wheelchair Propulsion

    PubMed Central

    Rankin, Jeffery W.; Kwarciak, Andrew M.; Richter, W. Mark; Neptune, Richard R.

    2010-01-01

    Manual wheelchair propulsion has been linked to a high incidence of overuse injury and pain in the upper extremity, which may be caused by the high load requirements and low mechanical efficiency of the task. Previous studies have suggested that poor mechanical efficiency may be due to a low effective handrim force (i.e. applied force that is not directed tangential to the handrim). As a result, studies attempting to reduce upper extremity demand have used various measures of force effectiveness (e.g. fraction effective force, FEF) as a guide for modifying propulsion technique, developing rehabilitation programs and configuring wheelchairs. However, the relationship between FEF and upper extremity demand is not well understood. The purpose of this study was to use forward dynamics simulations of wheelchair propulsion to determine the influence of FEF on upper extremity demand by quantifying individual muscle stress, work and handrim force contributions at different values of FEF. Simulations maximizing and minimizing FEF resulted in higher average muscle stresses (23% and 112%) and total muscle work (28% and 71%) compared to a nominal FEF simulation. The maximal FEF simulation also shifted muscle use from muscles crossing the elbow to those at the shoulder (e.g. rotator cuff muscles), placing greater demand on shoulder muscles during propulsion. The optimal FEF value appears to represent a balance between increasing push force effectiveness to increase mechanical efficiency and minimizing upper extremity demand. Thus, care should be taken in using force effectiveness as a metric to reduce upper extremity demand. PMID:20674921

  7. A ROBUST DESIGN FOR THE ASSESSMENT OF A GREAT RIVER, ENVIRONMENTAL MONITORING, AND ASSESSMENT PROGRAM - UPPER MISSOURI RIVER (EMAP-UMR)

    EPA Science Inventory

    Great Rivers and reservoirs are complex, trans-border resources that are difficult and expensive to assess, monitor and manage. EMAP-UMR is a five-year effort to develop the methodology for Great River assessments, using the Upper Missouri as a test case. A major early achievemen...

  8. Rare upper gastrointestinal hemorrhage of cetuximab: A case report.

    PubMed

    Duan, Shi-Jie; Gao, Zi-Ming; Wang, Peng-Liang; Gong, Bao-Cheng; Huang, Han-Wei; Luo, Lei; Wang, Xin; Xing, Ya-Nan; Xu, Hui-Mian; Liu, Fu-Nan

    2017-12-01

    cetuximab, an epidermal growth factor receptor inhibitor, is a targeted therapeutic regimen of colorectal cancers. Several common adverse effects have been found, such as cutaneous or gastrointestinal toxicity. However, according to the articles had been published, upper gastrointestinal bleeding (UGIB) is considered to be rare and its mechanism remains unclear. In this report, we presented a 42-year-old male patient with advanced recto-sigmoid cancer. After palliative operation, the patient suffered from complete upper gastrointestinal (GI) obstruction, which was induced by extensive abdominal metastasis of the tumor. Considering his poor condition, we chose the targeted drug, cetuximab, as his further treatment. But after the application of cetuximab, the UGIB immediately happened twice in this patient. UGIB, as a rare complication of cetuximab, occured to the patient. We stopped the bleeding with thrombin, hemocoagulase and somatostatin and suspended the subsequent treatment plan of cetuximab. At the same time, anti-shock treatment was given immediately. He was died of respiratory and circulatory failure caused by UGIB and advanced tumor eventually. UGIB should be considered as a rare but severe complication of cetuximab. When cetuximab is applied for patients with advanced colon tumors, more cautions should be required if the patients are accompanied by upper gastrointestinal obstruction. In addition, for those patients who suffered from UGIB recently, cetuximab should be prohibited if the Rockall score ranged > 5 points. Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. All rights reserved.

  9. The Upper Mississippi River System—Topobathy

    USGS Publications Warehouse

    Stone, Jayme M.; Hanson, Jenny L.; Sattler, Stephanie R.

    2017-03-23

    The Upper Mississippi River System (UMRS), the navigable part of the Upper Mississippi and Illinois Rivers, is a diverse ecosystem that contains river channels, tributaries, shallow-water wetlands, backwater lakes, and flood-plain forests. Approximately 10,000 years of geologic and hydrographic history exist within the UMRS. Because it maintains crucial wildlife and fish habitats, the dynamic ecosystems of the Upper Mississippi River Basin and its tributaries are contingent on the adjacent flood plains and water-level fluctuations of the Mississippi River. Separate data for flood-plain elevation (lidar) and riverbed elevation (bathymetry) were collected on the UMRS by the U.S. Army Corps of Engineers’ (USACE) Upper Mississippi River Restoration (UMRR) Program. Using the two elevation datasets, the U.S. Geological Survey (USGS) Upper Midwest Environmental Sciences Center (UMESC) developed a systemic topobathy dataset.

  10. Upper internals arrangement for a pressurized water reactor

    DOEpatents

    Singleton, Norman R; Altman, David A; Yu, Ching; Rex, James A; Forsyth, David R

    2013-07-09

    In a pressurized water reactor with all of the in-core instrumentation gaining access to the core through the reactor head, each fuel assembly in which the instrumentation is introduced is aligned with an upper internals instrumentation guide-way. In the elevations above the upper internals upper support assembly, the instrumentation is protected and aligned by upper mounted instrumentation columns that are part of the instrumentation guide-way and extend from the upper support assembly towards the reactor head in hue with a corresponding head penetration. The upper mounted instrumentation columns are supported laterally at one end by an upper guide tube and at the other end by the upper support plate.

  11. Upper ocean O2 trends: 1958-2015

    NASA Astrophysics Data System (ADS)

    Ito, Takamitsu; Minobe, Shoshiro; Long, Matthew C.; Deutsch, Curtis

    2017-05-01

    Historic observations of dissolved oxygen (O2) in the ocean are analyzed to quantify multidecadal trends and variability from 1958 to 2015. Additional quality control is applied, and the resultant oxygen anomaly field is used to quantify upper ocean O2 trends at global and hemispheric scales. A widespread negative O2 trend is beginning to emerge from the envelope of interannual variability. Ocean reanalysis data are used to evaluate relationships with changes in ocean heat content (OHC) and oxygen solubility (O2,sat). Global O2 decline is evident after the 1980s, accompanied by an increase in global OHC. The global upper ocean O2 inventory (0-1000 m) changed at the rate of -243 ± 124 T mol O2 per decade. Further, the O2 inventory is negatively correlated with the OHC (r = -0.86; 0-1000 m) and the regression coefficient of O2 to OHC is approximately -8.2 ± 0.66 nmol O2 J-1, on the same order of magnitude as the simulated O2-heat relationship typically found in ocean climate models. Variability and trends in the observed upper ocean O2 concentration are dominated by the apparent oxygen utilization component with relatively small contributions from O2,sat. This indicates that changing ocean circulation, mixing, and/or biochemical processes, rather than the direct thermally induced solubility effects, are the primary drivers for the observed O2 changes. The spatial patterns of the multidecadal trend include regions of enhanced ocean deoxygenation including the subpolar North Pacific, eastern boundary upwelling systems, and tropical oxygen minimum zones. Further studies are warranted to understand and attribute the global O2 trends and their regional expressions.

  12. Impact of upper-level fine-scale structures in the deepening of a Mediterranean "hurricane"

    NASA Astrophysics Data System (ADS)

    Claud, C.; Chaboureau, J.-P.; Argence, S.; Lambert, D.; Richard, E.; Gauthier, N.; Funatsu, B.; Arbogast, P.; Maynard, K.; Hauchecorne, A.

    2009-09-01

    Subsynoptic scale vortices that have been likened to tropical cyclones or polar lows (Medicanes) are occasionally observed over the Mediterranean Sea. They are usually associated with strong winds and heavy precipitation and thus can have highly destructive effects in densely-populated regions. Only a precise forecasting of such systems could mitigate these effects. In this study, the role of an approaching upper-level Potential Vorticity (PV) maximum close to the vicinity of a Medicane which appeared early in the morning of 26 September 2006 over the Ionian Sea and moved north-eastwards affecting Apulia, is evaluated using the anelastic non-hydrostatic model Méso-NH initialized with forecasts from ARPEGE, the French operational forecasting system. To this end, in a first step, high resolution PV fields have been determined using a semi-Lagrangian advection model, MIMOSA (Modelisation Isentrope du transport Meso-echelle de l'Ozone Stratospherique par Advection). MIMOSA PV fields at and around 320 K for 25 September 2006 at 1800 UTC clearly show a stratospheric intrusion under the form of a filament crossing UK, western Europe and the Tyrrhenian Sea. MIMOSA fields show a number of details that do not appear in ECMWF analysed PV fields, and in particular an area of high PV values just west of Italy over the Tyrrhenian Sea. While the overall structure of the filament is well described by ARPEGE analysis, the high PV values in the Tyrrhenian Sea close to the coast of Italy are missing. In order to take into account these differences, ARPEGE upper-level fields have been corrected after a PV inversion guided by MIMOSA fields. Modifications of PV in ARPEGE lead to a deepest system and improved rain fields (both in location and intensity), when evaluated against ground-based observations. In a second step, Meso-NH simulations coupled with corrected and non-corrected ARPEGE forecasts have been performed. The impact of the corrections on the intensity, the trajectory and

  13. Prevailing climatic trends and runoff response from Hindukush-Karakoram-Himalaya, upper Indus basin

    NASA Astrophysics Data System (ADS)

    Hasson, S.; Böhner, J.; Lucarini, V.

    2015-03-01

    Largely depending on meltwater from the Hindukush-Karakoram-Himalaya, withdrawals from the upper Indus basin (UIB) contribute to half of the surface water availability in Pakistan, indispensable for agricultural production systems, industrial and domestic use and hydropower generation. Despite such importance, a comprehensive assessment of prevailing state of relevant climatic variables determining the water availability is largely missing. Against this background, we present a comprehensive hydro-climatic trend analysis over the UIB, including for the first time observations from high-altitude automated weather stations. We analyze trends in maximum, minimum and mean temperatures (Tx, Tn, and Tavg, respectively), diurnal temperature range (DTR) and precipitation from 18 stations (1250-4500 m a.s.l.) for their overlapping period of record (1995-2012), and separately, from six stations of their long term record (1961-2012). We apply Mann-Kendall test on serially independent time series to assess existence of a trend while true slope is estimated using Sen's slope method. Further, we statistically assess the spatial scale (field) significance of local climatic trends within ten identified sub-regions of UIB and analyze whether the spatially significant (field significant) climatic trends qualitatively agree with a trend in discharge out of corresponding sub-region. Over the recent period (1995-2012), we find a well agreed and mostly field significant cooling (warming) during monsoon season i.e. July-October (March-May and November), which is higher in magnitude relative to long term trends (1961-2012). We also find general cooling in Tx and a mixed response in Tavg during the winter season and a year round decrease in DTR, which are in direct contrast to their long term trends. The observed decrease in DTR is stronger and more significant at high altitude stations (above 2200 m a.s.l.), and mostly due to higher cooling in Tx than in Tn. Moreover, we find a field

  14. Physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity: a nested mixed-methods randomised-controlled study.

    PubMed

    Boden, Ianthe; El-Ansary, Doa; Zalucki, Nadia; Robertson, Iain K; Browning, Laura; Skinner, Elizabeth H; Denehy, Linda

    2018-06-01

    To (1) assess memorability and treatment fidelity of pre-operative physiotherapy education prior to elective upper abdominal surgery and, (2) to explore patient opinions on pre-operative education. Mixed-methods analysis of a convenience sample within a larger parallel-group, double-blinded, randomised controlled trial with concealed allocation and intention-to-treat analysis. Tertiary Australian hospital. Twenty-nine patients having upper abdominal surgery attending pre-admission clinic within six-weeks of surgery. The control group received an information booklet about preventing pulmonary complications with early ambulation and breathing exercises. The experimental group received an additional face-to-face 30-minute physiotherapy education and training session on pulmonary complications, early ambulation, and breathing exercises. Primary outcome was proportion of participants who remembered the taught breathing exercises following surgery. Secondary outcomes were recall of information sub-items and attainment of early ambulation goals. These were measured using standardised scoring of a semi-scripted digitally-recorded interview on the 5th postoperative day, and the attainment of early ambulation goals over the first two postoperative days. Experimental group participants were six-times more likely to remember the breathing exercises (95%CI 1.7 to 22) and 11-times more likely (95%CI 1.6 to 70) to report physiotherapy as the most memorable part of pre-admission clinic. Participants reported physiotherapy education content to be detailed, interesting, and of high value. Some participants reported not reading the booklet and professed a preference for face-to-face information delivery. Face-to-face pre-operative physiotherapy education and training prior to upper abdominal surgery is memorable and has high treatment fidelity. ACTRN-12613000664741. Copyright © 2017 Chartered Society of Physiotherapy. All rights reserved.

  15. Study of the upper airway of obstructive sleep apnea patient using fluid structure interaction.

    PubMed

    Liu, Yang; Mitchell, Jennifer; Chen, Yitung; Yim, Woosoon; Chu, Wenxiao; Wang, Robert C

    2018-02-01

    Up to 14% of the U.S. population is estimated to have obstructive sleep apnea (OSA), while the outcomes of the treatments have variable results. In the current study, a three-dimensional fluid-structure interaction modeling was applied to simulate the upper airway to identify the precise location, severity, and characteristic of airway collapse. This was accomplished using Simpleware ® and ANSYS ® software applied to a 3-D rendering of the airway in a real patient with severe OSA. During this simulation, areas which are prone to collapse and precipitate apneic episodes were identified at the tip of the soft palate and the base of the tongue, with intrathoracic pressure as low as -1370 Pa. These results are consistent with anatomical structures currently indicated and targeted in the treatment of OSA. This improved FSI modeling simulation, which is the first to completely model the whole upper airway without consideration of the nasal cavity in OSA, and can allow virtual modification of the airway prior to actual treatment by doctors. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Upper limb grafts for hemodialysis access.

    PubMed

    Shemesh, David; Goldin, Ilya; Verstandig, Anthony; Berelowitz, Daniel; Zaghal, Ibrahim; Olsha, Oded

    2015-01-01

    Arteriovenous (AV) grafts are required for hemodialysis access when options for native fistulas have been fully exhausted, where they continue to play an important role in hemodialysis patients, offering a better alternative to central vein catheters. When planning autogenous accesses using Doppler ultrasound, adequate arterial inflow and venous outflow must be consciously preserved for future access creation with grafts. Efforts to improve graft patency include changing graft configuration, graft biology and hemodynamics. Industry offers early cannulation grafts to reduce central catheter use and a bioengineered graft is undergoing clinical studies. Although the outcome of AV grafts is inferior to fistulas, grafts can provide long-term hemodialysis access that is a better alternative to central venous catheters. AV grafts have significant drawbacks, mainly poor patency, infection and cost but also have some advantages: early maturation, ease of creation and needling and widespread availability. The outcome of AV graft surgery is variable from center to center. The primary patency rate for AV grafts is 58% at 6 months and the secondary patency rate is 76% at 6 months and 55% at 18 months. There are centers of excellence that report a 1 year secondary patency rate of up to 91%. In this review of the use of AV grafts for hemodialysis access in the upper extremities, technical issues involved in planning the access and performing the surgery in its different configurations are discussed and the role of surveillance and maintenance with their attendant surgical and radiological interventions is described.

  17. Nebraska: Early Head Start Initiative

    ERIC Educational Resources Information Center

    Center for Law and Social Policy, Inc. (CLASP), 2012

    2012-01-01

    Since 1999, Nebraska's Early Head Start Infant/Toddler Quality Initiative has supported Early Head Start (EHS) and community child care partnerships to improve the quality and professionalism of infant and toddler care. EHS programs apply to receive funding to establish partnerships with center-based or home-based child care.The initiative has…

  18. Osmium isotopes suggest fast and efficient mixing in the oceanic upper mantle.

    NASA Astrophysics Data System (ADS)

    Bizimis, Michael; Salters, Vincent

    2010-05-01

    The depleted upper mantle (DUM; the source of MORB) is thought to represent the complementary reservoir of continental crust extraction. Previous studies have calculated the "average" DUM composition based on the geochemistry of MORB. However the Nd isotope compositions of abyssal peridotites have been shown to extend to more depleted compositions than associated MORB. While this argues for the presence of both relatively depleted and enriched material within the upper mantle, the extent of compositional variability, length scales of heterogeneity and timescales of mixing in the upper mantle are not well constrained. Model calculations show that 2Ga is a reasonable mean age of depletion for DUM while Hf - Nd isotopes show the persistence of a depleted terrestrial reservoir by the early Archean (3.5-3.8Ga). U/Pb zircon ages of crustal rocks show three distinct peaks at 1.2, 1.9, and 2.7Ga and these are thought to represent the ages of three major crustal growth events. A fundamental question therefore is whether the present day upper mantle retains a memory of multiple ancient depletion events, or has been effectively homogenized. This has important implications for the nature of convection and time scales of survival of heterogeneities in the upper mantle. Here we compare published Os isotope data from abyssal peridotites and ophiolitic Os-Ir alloys with new data from Hawaiian spinel peridotite xenoliths. The Re-Os isotope system has been shown to yield useful depletion age information in peridotites, so we use it here to investigate the distribution of Re-depletion ages (TRD) in these mantle samples as a proxy for the variability of DUM. The probability density functions (PDF) of TRD from osmiridiums, abyssal and Hawaiian peridotites are all remarkably similar and show a distinct peak at 1.2-1.3 Ga (errors for TRD are set at 0.2Ga to suppress statistically spurious age peaks). The Hawaiian peridotites further show a distinct peak at 1.9-2Ga, but no oceanic mantle

  19. Early Childhood Education: A Workbook for Administrators.

    ERIC Educational Resources Information Center

    Hewes, Dorothy; Hartman, Barbara

    Business management theory and principles as applied to the administration of early childhood programs are presented in this workbook. Following a brief survey of the historical background of early childhood education and current early childhood programs, information and guidance to help plan, operate, and evaluate program facilities are provided.…

  20. The upper critical field of filamentary Nb3Sn conductors

    NASA Astrophysics Data System (ADS)

    Godeke, A.; Jewell, M. C.; Fischer, C. M.; Squitieri, A. A.; Lee, P. J.; Larbalestier, D. C.

    2005-05-01

    We have examined the upper critical field of a large and representative set of present multifilamentary Nb3Sn wires and one bulk sample over a temperature range from 1.4 K up to the zero-field critical temperature. Since all present wires use a solid-state diffusion reaction to form the A15 layers, inhomogeneities with respect to Sn content are inevitable, in contrast to some previously studied homogeneous samples. Our study emphasizes the effects that these inevitable inhomogeneities have on the field-temperature phase boundary. The property inhomogeneities are extracted from field-dependent resistive transitions which we find broaden with increasing inhomogeneity. The upper 90%-99% of the transitions clearly separates alloyed and binary wires but a pure, Cu-free binary bulk sample also exhibits a zero-temperature critical field that is comparable to the ternary wires. The highest μ0Hc2 detected in the ternary wires are remarkably constant: The highest zero-temperature upper critical fields and zero-field critical temperatures fall within 29.5±0.3 and 17.8±0.3K, respectively, independent of the wire layout. The complete field-temperature phase boundary can be described very well with the relatively simple Maki-DeGennes model using a two-parameter fit, independent of composition, strain state, sample layout, or applied critical state criterion.

  1. [Influence of occupational factors on the bone and joint functional state in the upper extremities and cervical spine in female workers of clothing manufacture].

    PubMed

    Druzhinin, V N; Shardakova, É F; Cherniĭ, A N

    2014-01-01

    The studies using multiple X-ray methods covered influence of complex containing working process and occupational environment factors on locomotory apparatus of upper limbs and cervical spine in female seamers engaged into various productions. Comparative analysis involved results of regular (standard X-ray) and special X-ray methods (stereoroentgenography, high definition roentgenography, roentgen densitometry, roentgenogrammetry) in 370 examinees with early and moderate clinical symptoms of occupationally mediated diseases of the stated areas. X-ray studies of locomotory apparatus of upper limbs and cervical spine in clothing manufacture workers, with special diagnostic methods, enabled to determine incidence and severity of functional and structural changes more reliably than via standard examination. The changes revealed were assigned mostly in "early" and "moderate" categories and matched with occupational peculiarities of the workers examined.

  2. Cluster-based upper body marker models for three-dimensional kinematic analysis: Comparison with an anatomical model and reliability analysis.

    PubMed

    Boser, Quinn A; Valevicius, Aïda M; Lavoie, Ewen B; Chapman, Craig S; Pilarski, Patrick M; Hebert, Jacqueline S; Vette, Albert H

    2018-04-27

    Quantifying angular joint kinematics of the upper body is a useful method for assessing upper limb function. Joint angles are commonly obtained via motion capture, tracking markers placed on anatomical landmarks. This method is associated with limitations including administrative burden, soft tissue artifacts, and intra- and inter-tester variability. An alternative method involves the tracking of rigid marker clusters affixed to body segments, calibrated relative to anatomical landmarks or known joint angles. The accuracy and reliability of applying this cluster method to the upper body has, however, not been comprehensively explored. Our objective was to compare three different upper body cluster models with an anatomical model, with respect to joint angles and reliability. Non-disabled participants performed two standardized functional upper limb tasks with anatomical and cluster markers applied concurrently. Joint angle curves obtained via the marker clusters with three different calibration methods were compared to those from an anatomical model, and between-session reliability was assessed for all models. The cluster models produced joint angle curves which were comparable to and highly correlated with those from the anatomical model, but exhibited notable offsets and differences in sensitivity for some degrees of freedom. Between-session reliability was comparable between all models, and good for most degrees of freedom. Overall, the cluster models produced reliable joint angles that, however, cannot be used interchangeably with anatomical model outputs to calculate kinematic metrics. Cluster models appear to be an adequate, and possibly advantageous alternative to anatomical models when the objective is to assess trends in movement behavior. Copyright © 2018 Elsevier Ltd. All rights reserved.

  3. Influence of first-time mothers' early employment on severe early childhood caries in their child.

    PubMed

    Plutzer, Kamila; Keirse, Marc J N C

    2012-01-01

    Aim. To examine whether mothers' early employment status is related to the development of severe early childhood caries in their child. Methods. Questionnaire survey of 429 first-time mothers in metropolitan Adelaide, South Australia, and dental examinations of their child at 20 months of age. Results. At 20 ± 2.5 months of age, 5.6% of children exhibited caries defined as one or more demineralized or cavitated lesions on the upper incisors. Of the mothers, 52.2% had no paid employment, 39.6% were part-time and 8.2% full-time employed. Overall, mothers' participation in the workforce had no influence on the frequency of severe early childhood caries in their child, but there was a significant interaction with family structure. For mothers without employment there was no difference between single, and two-parent families, but children with an employed single mother more frequently had caries than those with a working mother in a two-parent family (P < 0.04). However, there were no significant differences in children's reported general health. Conclusions. The data indicate a need to explore strategies that may assist single mothers and especially those in the workforce to prevent severe early childhood caries in their child.

  4. 49 CFR 572.125 - Upper and lower torso assemblies and torso flexion test procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... of the dummy, the pull cable, and the load cell as shown in Figure N5. (7) Apply a tension force in the midsagittal plane to the pull cable as shown in Figure N5 at any upper torso deflection rate... determine the stiffness effects of the lumbar spine (drawing 127-3002), including cable (drawing 127-8095...

  5. 49 CFR 572.145 - Upper and lower torso assemblies and torso flexion test procedure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... permits the upper half of the torso, as measured at the posterior surface of the torso reference plane shown in Figure P5 of this subpart, to translate in angular motion in the midsagittal plane 45 ±0.5 degrees relative to the vertical transverse plane, at which time the pulling force applied must not be...

  6. Leading Critically: A Grounded Theory of Applied Critical Thinking in Leadership Studies

    ERIC Educational Resources Information Center

    Jekins, Daniel M.; Cutchens, Amanda B.

    2011-01-01

    This study describes the development of a grounded theory of applied critical thinking in leadership studies and examines how student-centered experiential learning in leadership education bridged critical thinking with action. Over three semester undergraduate students in an upper level leadership studies course at a large four-year public…

  7. Association Between Early Life Growth and Blood Pressure Trajectories in Black South African Children.

    PubMed

    Kagura, Juliana; Adair, Linda S; Munthali, Richard J; Pettifor, John M; Norris, Shane A

    2016-11-01

    Early growth is associated with blood pressure measured on one occasion, but whether early life growth patterns are associated with longitudinal blood pressure trajectories is under-researched. Therefore, we sought to examine the association between early growth and blood pressure trajectories from childhood to adulthood. Blood pressure was measured on 7 occasions between ages 5 and 18 years in the Birth to Twenty cohort study, and conditional variables for growth in infancy and mid-childhood were computed from anthropometric measures (n=1937, 52% girls). We used a group-based trajectory modeling approach to identify distinct height-adjusted blood pressure trajectories and then tested their association with growth between birth and mid-childhood adjusting for several covariates. Three trajectory groups were identified for systolic and diastolic blood pressure: lower, middle, and upper in boys and girls, separately. In boys, predictors of the middle or upper systolic blood pressure trajectories versus the lower trajectory were in birth weight (odds ratio 0.75 [95% confidence interval 0.58-0.96] per SD) and relative weight gain in infancy (4.11 [1.25-13.51] per SD). In girls, greater relative weight gain and linear growth in both infancy and mid-childhood were consistently associated with an almost 2-fold higher likelihood of being in the upper versus lower systolic blood pressure trajectory. The associations for the diastolic blood pressure trajectories were inconsistent. These findings emphasize the importance of identifying children at risk of progression to high blood pressure. Accelerated growth in infancy and mid-childhood may be a key target for early life intervention in prevention of elevated blood pressure progression. © 2016 American Heart Association, Inc.

  8. Muscle power output properties using the stretch-shortening cycle of the upper limb and their relationships with a one-repetition maximum bench press.

    PubMed

    Miyaguchi, Kazuyoshi; Demura, Shinichi

    2006-05-01

    The purpose of this study was to examine the output properties of muscle power by the dominant upper limb using SSC, and the relationships between the power output by SSC and a one-repetition maximum bench press (1 RM BP) used as a strength indicator of the upper body. Sixteen male athletes (21.4+/-0.9 yr) participated in this study. They pulled a load of 40% of maximum voluntary contraction (MVC) at a stretch by elbow flexion of the dominant upper limb in the following three preliminary conditions: static relaxed muscle state (SR condition), isometric muscle contraction state (ISO condition), and using SSC (SSC condition). The velocity with a wire load via a pulley during elbow flexion was measured accurately using a power instrument with a rotary encoder, and the muscle power curve was drawn from the product of the velocity and load. Significant differences were found among all evaluation parameters of muscle power exerted from the above three conditions and the parameters regarding early power output during concentric contraction were larger in the SSC condition than the SR and ISO conditions. The parameters on initial muscle contraction velocity when only using SSC significantly correlated with 1 RM BP (r=0.60-0.62). The use of SSC before powerful elbow flexion may contribute largely to early explosive power output during concentric contraction. Bench press capacity relates to a development of the above early power output when using SSC.

  9. Characterizing hydroclimatic variability in tributaries of the Upper Colorado River Basin—WY1911-2001

    NASA Astrophysics Data System (ADS)

    Matter, Margaret A.; Garcia, Luis A.; Fontane, Darrell G.; Bledsoe, Brian

    2010-01-01

    SummaryMountain snowpack is the main source of water in the semi-arid Colorado River Basin (CRB), and while the demands for water are increasing, competing and often conflicting, the supply is limited and has become increasingly variable over the 20th Century. Greater variability is believed to contribute to lower accuracy in water supply forecasts, plus greater variability violates the assumption of stationarity, a fundamental assumption of many methods used in water resources engineering planning, design and management. Thus, it is essential to understand the underpinnings of hydroclimatic variability in order to accurately predict effects of climate changes and effectively meet future water supply challenges. A new methodology was applied to characterized time series of temperature, precipitation, and streamflow (i.e., historic and reconstructed undepleted flows) according to the three climate regimes that occurred in CRB during the 20th Century. Results for two tributaries in the Upper CRB show that hydroclimatic variability is more deterministic than previously thought because it entails complementary temperature and precipitation patterns associated with wetter or drier conditions on climate regime and annual scales. Complementary temperature and precipitation patterns characterize climate regime type (e.g., cool/wet and warm/dry), and the patterns entail increasing or decreasing temperatures and changes in magnitude and timing of precipitation according to the climate regime type. Accompanying each climate regime on annual scales are complementary temperature ( T) and precipitation ( P) patterns that are associated with upcoming precipitation and annual basin yield (i.e., total annual flow volume at a streamflow gauge). Annual complementary T and P patterns establish by fall, are detectable as early as September, persist to early spring, are related to the relative magnitude of upcoming precipitation and annual basin yield, are unique to climate regime type

  10. NASAL-Geom, a free upper respiratory tract 3D model reconstruction software

    NASA Astrophysics Data System (ADS)

    Cercos-Pita, J. L.; Cal, I. R.; Duque, D.; de Moreta, G. Sanjuán

    2018-02-01

    The tool NASAL-Geom, a free upper respiratory tract 3D model reconstruction software, is here described. As a free software, researchers and professionals are welcome to obtain, analyze, improve and redistribute it, potentially increasing the rate of development, and reducing at the same time ethical conflicts regarding medical applications which cannot be analyzed. Additionally, the tool has been optimized for the specific task of reading upper respiratory tract Computerized Tomography scans, and producing 3D geometries. The reconstruction process is divided into three stages: preprocessing (including Metal Artifact Reduction, noise removal, and feature enhancement), segmentation (where the nasal cavity is identified), and 3D geometry reconstruction. The tool has been automatized (i.e. no human intervention is required) a critical feature to avoid bias in the reconstructed geometries. The applied methodology is discussed, as well as the program robustness and precision.

  11. Water Quality Conditions in Upper Klamath and Agency Lakes, Oregon, 2005

    USGS Publications Warehouse

    Hoilman, Gene R.; Lindenberg, Mary K.; Wood, Tamara M.

    2008-01-01

    During June-October 2005, water quality data were collected from Upper Klamath and Agency Lakes in Oregon, and meteorological data were collected around and within Upper Klamath Lake. Data recorded at two continuous water quality monitors in Agency Lake showed similar temperature patterns throughout the field season, but data recorded at the northern site showed more day-to-day variability for dissolved oxygen concentration and saturation after late June and more day-to-day variability for pH and specific conductance values after mid-July. Data recorded from the northern and southern parts of Agency Lake showed more comparable day-to-day variability in dissolved oxygen concentrations and pH from September through the end of the monitoring period. For Upper Klamath Lake, seasonal (late July through early August) lows of dissolved oxygen concentrations and saturation were coincident with a seasonal low of pH values and seasonal highs of ammonia and orthophosphate concentrations, specific conductance values, and water temperatures. Patterns in these parameters, excluding water temperature, were associated with bloom dynamics of the cyanobacterium (blue-green alga) Aphanizomenon flos-aquae in Upper Klamath Lake. In Upper Klamath Lake, water temperature in excess of 28 degrees Celsius (a high stress threshold for Upper Klamath Lake suckers) was recorded only once at one site during the field season. Large areas of Upper Klamath Lake had periods of dissolved oxygen concentration of less than 4 milligrams per liter and pH value greater than 9.7, but these conditions were not persistent throughout days at most sites. Dissolved oxygen concentrations in Upper Klamath Lake on time scales of days and months appeared to be influenced, in part, by bathymetry and prevailing current flow patterns. Diel patterns of water column stratification were evident, even at the deepest sites. This diel pattern of stratification was attributable to diel wind speed patterns and the shallow

  12. A tight upper bound for quadratic knapsack problems in grid-based wind farm layout optimization

    NASA Astrophysics Data System (ADS)

    Quan, Ning; Kim, Harrison M.

    2018-03-01

    The 0-1 quadratic knapsack problem (QKP) in wind farm layout optimization models possible turbine locations as nodes, and power loss due to wake effects between pairs of turbines as edges in a complete graph. The goal is to select up to a certain number of turbine locations such that the sum of selected node and edge coefficients is maximized. Finding the optimal solution to the QKP is difficult in general, but it is possible to obtain a tight upper bound on the QKP's optimal value which facilitates the use of heuristics to solve QKPs by giving a good estimate of the optimality gap of any feasible solution. This article applies an upper bound method that is especially well-suited to QKPs in wind farm layout optimization due to certain features of the formulation that reduce the computational complexity of calculating the upper bound. The usefulness of the upper bound was demonstrated by assessing the performance of the greedy algorithm for solving QKPs in wind farm layout optimization. The results show that the greedy algorithm produces good solutions within 4% of the optimal value for small to medium sized problems considered in this article.

  13. On the chemistry of Jupiter's upper atmosphere

    USGS Publications Warehouse

    Saslaw, W.C.; Wildey, R.L.

    1967-01-01

    We conduct a first investigation into the ion-molecule chemistry of the upper Jovian atmosphere. Experimental results show that intense ultraviolet radiation reacts with the constituents of the Jovian atmosphere to produce C2H4, C2H6, C3H8, and higher polymers. The general procedure for calculating both equilibrium and nonequilibrium abundances of these products is formulated and applied to the case of the surface passage of a satellite shadow. A specific example is made of ethylene, for which an analytical approximation gives 1010 molecules in an atmospheric column of 1 cm2 cross section after a very rapid rise to equilibrium. Such a concentration of ethylene does not substantially affect the infrared radiation in the shadow. ?? 1967.

  14. Management of upper extremity dysfunction in people with Parkinson disease and Huntington disease: facilitating outcomes across the disease lifespan.

    PubMed

    Quinn, Lori; Busse, Monica; Dal Bello-Haas, Vanina

    2013-01-01

    Parkinson Disease (PD) and Huntington Disease (HD) are degenerative neurological diseases, which can result in impairments and activity limitations affecting the upper extremities from early in the disease process. The progressive nature of these diseases poses unique challenges for therapists aiming to effectively maximize physical functioning and minimize participation restrictions in these patient groups. Research is underway in both diseases to develop effective disease-modifying agents and pharmacological interventions, as well as mobility-focused rehabilitation protocols. Rehabilitation, and in particular task-specific interventions, has the potential to influence the upper extremity functional abilities of patients with these degenerative conditions. However to date, investigations of interventions specifically addressing upper extremity function have been limited in both PD, and in particular HD. In this paper, we provide an update of the known pathological features of PD and HD as they relate to upper extremity function. We further review the available literature on the use of outcome measures, and the clinical management of upper extremity function in both conditions. Due to the currently limited evidence base in both diseases, we recommend utilization of a clinical management framework specific for degenerative conditions that can serve as a guideline for disease management. Copyright © 2013. Published by Elsevier Inc.

  15. Observed Evolution of the Upper-level Thermal Structure in Tropical Cyclones

    NASA Astrophysics Data System (ADS)

    Rivoire, L.; Birner, T.; Knaff, J. A.

    2016-12-01

    Tropical cyclones (TCs) are associated with tropopause-level cooling above the well-known tropospheric warm core. While the investigation of tropopause-level structures started as early as 1951, there is no clear consensus on the mechanisms involved. In addition, the large-scale average vertical and radial structure of the tropopause-level cooling is yet to be examined. Tropopause-level cooling destabilizes the upper atmosphere to convection, which potentially allows existing convection to reach higher altitudes. This is of particular importance during the early stages of tropical cyclogenesis. Other important characteristics of the tropopause-level cooling include its amplitude, its position relative to that of the warm core, its radial extent, and its evolution during the lifetime of TCs. These potentially influence TC structure, surface pressure gradients and maximum winds, intensity evolution, and outflow entropy. We use the 322 hurricane-strength TCs from the best-track archive in 2007-2014, along with high vertical resolution temperature measurements from the Constellation Observing System for Meteorology, Ionosphere, and Climate (COSMIC). These measurements are composited about the Lifetime Maximum Intensity (LMI) to examine the evolution of the fine-scale upper-level thermal structure inside TCs. We find that the tropopause-cooling has an amplitude similar to that of the warm core. Relative to the far-field structure (the area average between 1300-1500 km radii), tropopause-level cooling is found to occur several days before the warm core is established. Cold anomalies extend up to 1000 km away from the storm center, and may take part in a large-scale poleward transport of cold, dry air in the UTLS. Lastly, cold air masses move away from the storm center (and warm core) after LMI, and their remains lie around the 400-700 km radius -essentially inward of the radius of maximum tangential anticyclonic winds in the outflow layer. We discuss these results in the

  16. Are Two Systemic Fish Assemblage Sampling Programmes on the Upper Mississippi River Telling Us the Same Thing?

    EPA Science Inventory

    We applied an Index of Biotic Integrity (IBI) used on the Upper Mississippi River (UMR) to compare data from three sampling programs. Ability to use multiple sampling programs could greatly extend spatial and temporal coverage of river assessment and monitoring efforts. We an...

  17. Acoustic Observation of Living Organisms Reveals the Upper Limit of the Oxygen Minimum Zone

    PubMed Central

    Bertrand, Arnaud; Ballón, Michael; Chaigneau, Alexis

    2010-01-01

    Background Oxygen minimum zones (OMZs) are expanding in the World Ocean as a result of climate change and direct anthropogenic influence. OMZ expansion greatly affects biogeochemical processes and marine life, especially by constraining the vertical habitat of most marine organisms. Currently, monitoring the variability of the upper limit of the OMZs relies on time intensive sampling protocols, causing poor spatial resolution. Methodology/Principal Findings Using routine underwater acoustic observations of the vertical distribution of marine organisms, we propose a new method that allows determination of the upper limit of the OMZ with a high precision. Applied in the eastern South-Pacific, this original sampling technique provides high-resolution information on the depth of the upper OMZ allowing documentation of mesoscale and submesoscale features (e.g., eddies and filaments) that structure the upper ocean and the marine ecosystems. We also use this information to estimate the habitable volume for the world's most exploited fish, the Peruvian anchovy (Engraulis ringens). Conclusions/Significance This opportunistic method could be implemented on any vessel geared with multi-frequency echosounders to perform comprehensive high-resolution monitoring of the upper limit of the OMZ. Our approach is a novel way of studying the impact of physical processes on marine life and extracting valid information about the pelagic habitat and its spatial structure, a crucial aspect of Ecosystem-based Fisheries Management in the current context of climate change. PMID:20442791

  18. Congenital Median Upper Lip Fistula

    PubMed Central

    al Aithan, Bandar

    2012-01-01

    Congenital median upper lip fistula (MULF) is an extremely rare condition resulting from abnormal fusion of embryologic structures. We present a new case of congenital medial upper lip fistula located in the midline of the philtrum of a 6 year old girl. PMID:22953305

  19. Dipolar sources of the early scalp somatosensory evoked potentials to upper limb stimulation. Effect of increasing stimulus rates.

    PubMed

    Valeriani, M; Restuccia, D; Di Lazzaro, V; Le Pera, D; Barba, C; Tonali, P; Mauguiere, F

    1998-06-01

    Brain electrical source analysis (BESA) of the scalp electroencephalographic activity is well adapted to distinguish neighbouring cerebral generators precisely. Therefore, we performed dipolar source modelling in scalp medium nerve somatosensory evoked potentials (SEPs) recorded at 1.5-Hz stimulation rate, where all the early components should be identifiable. We built a four-dipole model, which was issued from the grand average, and applied it also to recordings from single individuals. Our model included a dipole at the base of the skull and three other perirolandic dipoles. The first of the latter dipoles was tangentially oriented and was active at the same latencies as the N20/P20 potential and, with opposite polarity, the P24/N24 response. The second perirolandic dipole showed an initial peak of activity slightly earlier than that of the N20/P20 dipolar source and, later, it was active at the same latency as the central P22 potential. Lastly, the third perirolandic dipole explaining the fronto-central N30 potential scalp distribution was constantly more posterior than the first one. In order to evaluate the effect of an increasing repetition frequency on the activity of SEP dipolar sources, we applied the model built from 1.5-Hz SEPs to traces recorded at 3-Hz and 10-Hz repetition rates. We found that the 10-Hz stimulus frequency reduced selectively the later of the two activity phases of the first perirolandic dipole. The decrement in strength of this dipolar source can be explained if we assume that: (a) the later activity of the first perirolandic dipole can represent the inhibitory phase of a "primary response"; (b) two different clusters of cells generate the opposite activities of the tangential perirolandic dipole. An additional finding in our model was that two different perirolandic dipoles contribute to the centro-parietal N20 potential generation.

  20. Foraminiferal biostratigraphy of Upper Cretaceous (Campanian - Maastrichtian) sequences in the Peri-Tethys basin; Moghan area, NW Iran

    NASA Astrophysics Data System (ADS)

    Omidvar, Mahboobeh; Safari, Amrollah; Vaziri-Moghaddam, Hossain; Ghalavand, Hormoz

    2018-04-01

    The Upper Cretaceous sediments in the Moghan area, NW Iran, contain diverse planktonic and benthic foraminifera, with a total of 33 genera and 53 species (17 genera and 38 species of planktonic foraminifera and 16 genera and 15 species from benthic foraminifera), which led to the identification of six biozones spanning the middle Campanian to late Maastrichtian. A detailed paleontological study and biostratigraphic zonation of these sequences has been carried out in four surface sections. This study shows that there are two different facies in the Moghan area, based on the faunal content. A deep open marine condition exists in the Molok, Selenchai and Nasirkandi sections. In these sections, Upper Cretaceous sequences have diverse planktonic foraminiferal species including the Globotruncana ventricosa (middle to late Campanian), Globotruncanella havanensis (late Campanian), Globotruncana aegyptiaca (latest Campanian), Gansserina gansseri (latest Campanian to early Maastrichtian), Contusotruncana contusa- Racemiguembelina fructicosa (early to late Maastrichtian) and Abathomphalus mayaroensis (late Maastrichtian) zones. This deep open marine setting grades laterally into shallower marine condition dominated by large benthic foraminifera such as Orbitoides media, Orbitoides gruenbachensis, Orbitoides cf. apiculata, Lepidorbitoides minor, Pseudosiderolites sp., Siderolites praecalcitrapoides, Siderolites aff. calcitrapoides and Siderolites calcitrapoides. This facies is mainly recorded in the Hovay section. A detailed biostratigraphic zonation scheme is presented for the studied sections and correlated with the results of other studies in the Tethyan realm. This is the first biozonation scheme for Upper Cretaceous sequences of the Moghan area that can be used as a basis for ongoing studies in this area and other parts of Tethys basin.

  1. Psychological and social consequences after reconstruction of upper extremity trauma: methods of detection and management.

    PubMed

    Galanakos, Spyridon P; Bot, Arjan G J; Zoubos, Aristides B; Soucacos, Panayotis N

    2014-03-01

    Upper extremity trauma and resulting disability is a stressful event and can affect a patient's personality. Several studies have shown that this injury type has serious psychological and/or social consequences. We systematically reviewed the evidence on the consequences of disability after a complex trauma (combination of soft tissue, osseous, vascular, and nerve involvement) of the upper extremity. We tried to find out the potential crucial factors that could determine the final hand function. In addition, we considered the challenges that need to be addressed to eliminate the adverse or negative effects that arise from upper limb trauma. In the literature, there is a growing interest to study changes in patients' quality of life and return to work. Psychological morbidity is an important part of patients' perceived general health. These issues could play an important role in the final functional outcome of the therapy. An early identification and treatment of trauma-related distress in patients may prevent progression of psychological pathology and mitigate negative effects on general health status. It may be important to evaluate the amount of psychological distress when caring for patients with hand injuries. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  2. The Upper Limit of Energy Density of Nanoporous Materials Functionalized Liquid

    NASA Astrophysics Data System (ADS)

    Han, Aijie; Punyamurtula, Venkata K.; Kim, Taewan; Qiao, Yu

    2008-06-01

    In this article, we report the experimental result of energy dissipation of a mobil crystalline material (MCM) 41 in mercury. The MCM41 contains a large volume fraction of nanometer-sized pores. As the applied pressure is relatively high, the nanopore surfaces are exposed to mercury. Due to the large nanopore surface area and the large solid-liquid interfacial tension, the energy dissipation effectiveness of this system is ultrahigh, representing the upper limit that can be achieved by the pressure-induced infiltration technique.

  3. Early Career Teachers' Emotional Experiences and Development--A Norwegian Case Study

    ERIC Educational Resources Information Center

    Jakhelln, Rachel

    2011-01-01

    Emotional experiences that are an integral part of the process of becoming teachers have been insufficiently explored in the research literature. The early experiences of three new teachers in a Norwegian upper secondary school are analysed using a collective case-study design and a socio-cultural theoretical framework. Emotions arising in the…

  4. 40 CFR 63.74 - Demonstration of early reduction.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 9 2011-07-01 2011-07-01 false Demonstration of early reduction. 63.74... Governing Compliance Extensions for Early Reductions of Hazardous Air Pollutants § 63.74 Demonstration of early reduction. (a) An owner or operator applying for an alternative emission limitation shall...

  5. The upper respiratory pyramid: early factors and later treatment utilization in World Trade Center exposed firefighters.

    PubMed

    Niles, Justin K; Webber, Mayris P; Liu, Xiaoxue; Zeig-Owens, Rachel; Hall, Charles B; Cohen, Hillel W; Glaser, Michelle S; Weakley, Jessica; Schwartz, Theresa M; Weiden, Michael D; Nolan, Anna; Aldrich, Thomas K; Glass, Lara; Kelly, Kerry J; Prezant, David J

    2014-08-01

    We investigated early post 9/11 factors that could predict rhinosinusitis healthcare utilization costs up to 11 years later in 8,079 World Trade Center-exposed rescue/recovery workers. We used bivariate and multivariate analytic techniques to investigate utilization outcomes; we also used a pyramid framework to describe rhinosinusitis healthcare groups at early (by 9/11/2005) and late (by 9/11/2012) time points. Multivariate models showed that pre-9/11/2005 chronic rhinosinusitis diagnoses and nasal symptoms predicted final year healthcare utilization outcomes more than a decade after WTC exposure. The relative proportion of workers on each pyramid level changed significantly during the study period. Diagnoses of chronic rhinosinusitis within 4 years of a major inhalation event only partially explain future healthcare utilization. Exposure intensity, early symptoms and other factors must also be considered when anticipating future healthcare needs. © 2014 Wiley Periodicals, Inc.

  6. The Upper Respiratory Pyramid: Early Factors and Later Treatment Utilization in World Trade Center Exposed Firefighters

    PubMed Central

    Niles, Justin K.; Webber, Mayris P.; Liu, Xiaoxue; Zeig-Owens, Rachel; Hall, Charles B.; Cohen, Hillel W.; Glaser, Michelle S.; Weakley, Jessica; Schwartz, Theresa M.; Weiden, Michael D.; Nolan, Anna; Aldrich, Thomas K.; Glass, Lara; Kelly, Kerry J.; Prezant, David J.

    2015-01-01

    Background We investigated early post 9/11 factors that could predict rhinosinusitis healthcare utilization costs up to 11 years later in 8,079 World Trade Center-exposed rescue/recovery workers. Methods We used bivariate and multivariate analytic techniques to investigate utilization outcomes; we also used a pyramid framework to describe rhinosinusitis healthcare groups at early (by 9/11/2005) and late (by 9/11/2012) time points. Results Multivariate models showed that pre-9/11/2005 chronic rhinosinusitis diagnoses and nasal symptoms predicted final year healthcare utilization outcomes more than a decade after WTC exposure. The relative proportion of workers on each pyramid level changed significantly during the study period. Conclusions Diagnoses of chronic rhinosinusitis within 4 years of a major inhalation event only partially explain future healthcare utilization. Exposure intensity, early symptoms and other factors must also be considered when anticipating future healthcare needs. PMID:24898816

  7. Reproductive ecology and early life history traits of the brooding coral, Porites astreoides, from shallow to mesophotic zones

    NASA Astrophysics Data System (ADS)

    Goodbody-Gringley, Gretchen; Wong, Kevin H.; Becker, Danielle M.; Glennon, Keegan; de Putron, Samantha J.

    2018-06-01

    Early life history traits of brooding corals are often affected by the environmental conditions experienced by parental colonies. Such parental effects can impact offspring survival, which influences the overall success of a population as well as resilience to environmental challenges. This study examines the reproductive ecology and early life history traits of the brooding coral Porites astreoides across a depth gradient in Bermuda. Fecundity, larval size, larval Symbiodinium density, and settlement success, as well as post-metamorphic juvenile survival, growth, and Symbiodinium density were compared across three reef sites representing an inshore patch reef (2-5 m), an offshore rim reef (8-10 m), and an upper-mesophotic reef (30-33 m). Although fecundity did not differ across sites, larvae produced by colonies on the patch reef site were smaller, had lower Symbiodinium densities, and had lower rates of settlement and juvenile survival compared to larvae from colonies on the rim and upper-mesophotic reef sites. Larvae produced by colonies from the rim and upper-mesophotic sites did not differ in size or Symbiodinium densities; however, rates of settlement, growth, and survival were higher for larvae from the upper-mesophotic site compared to those from the rim reef site. These results indicate that offspring quality and success vary among sites with differing environmental conditions and may imply higher recruitment potential and resilience for upper-mesophotic corals.

  8. Sedimentary facies of the upper Cambrian (Furongian; Jiangshanian and Sunwaptan) Tunnel City Group, Upper Mississippi Valley: new insight on the old stormy debate

    USGS Publications Warehouse

    Eoff, Jennifer D.

    2014-01-01

    New data from detailed measured sections permit a comprehensive revision of the sedimentary facies of the Furongian (upper Cambrian; Jiangshanian and Sunwaptan stages) Tunnel City Group (Lone Rock Formation and Mazomanie Formation) of Wisconsin and Minnesota. Heterogeneous sandstones, comprising seven lithofacies along a depositional transect from shoreface to transitional-offshore environments, record sedimentation in a storm-dominated, shallow-marine epicontinental sea. The origin of glauconite in the Birkmose Member and Reno Member of the Lone Rock Formation was unclear, but its formation and preserved distribution are linked to inferred depositional energy rather than just net sedimentation rate. Flat-pebble conglomerate, abundant in lower Paleozoic strata, was associated with the formation of a condensed section during cratonic flooding. Hummocky cross-stratification was a valuable tool used to infer depositional settings and relative paleobathymetry, and the model describing formation of this bedform is expanded to address flow types dominant during its genesis, in particular the importance of an early unidirectional component of combined flow. The depositional model developed here for the Lone Rock Formation and Mazomanie Formation is broadly applicable to other strata common to the early Paleozoic that document sedimentation along flooded cratonic interiors or shallow shelves.

  9. Congenital Upper Eyelid Coloboma: Clinical and Surgical Management

    PubMed Central

    Ortega Molina, José María; Mora Horna, Eduardo Ramón; Salgado Miranda, Andrés David; Rubio, Rosa; Solans Pérez de Larraya, Ana; Salcedo Casillas, Guillermo

    2015-01-01

    Purpose. The goal was to describe our experience in the surgical management and treatment of four patients with congenital upper eyelid colobomas. Methods. A descriptive, observational, retrospective study was performed including patients with congenital eyelid colobomas referred to Asociación para Evitar la Ceguera en México I.A.P. “Dr. Luis Sánchez Bulnes” between 2004 and 2014 and assessed by the Oculoplastics and Orbit Service. Results. The four cases required surgical treatment of the eyelid defects before one year of age and their evolution was monitored from the time of referral to the present day. One of the patients needed a second surgical procedure to repair the eyelid defect and correct the strabismus. Conclusions. Eyelid colobomas are a potential threat to vision at an early age, which requires close monitoring of the visual development of patients. PMID:26366313

  10. Congenital Upper Eyelid Coloboma: Clinical and Surgical Management.

    PubMed

    Ortega Molina, José María; Mora Horna, Eduardo Ramón; Salgado Miranda, Andrés David; Rubio, Rosa; Solans Pérez de Larraya, Ana; Salcedo Casillas, Guillermo

    2015-01-01

    Purpose. The goal was to describe our experience in the surgical management and treatment of four patients with congenital upper eyelid colobomas. Methods. A descriptive, observational, retrospective study was performed including patients with congenital eyelid colobomas referred to Asociación para Evitar la Ceguera en México I.A.P. "Dr. Luis Sánchez Bulnes" between 2004 and 2014 and assessed by the Oculoplastics and Orbit Service. Results. The four cases required surgical treatment of the eyelid defects before one year of age and their evolution was monitored from the time of referral to the present day. One of the patients needed a second surgical procedure to repair the eyelid defect and correct the strabismus. Conclusions. Eyelid colobomas are a potential threat to vision at an early age, which requires close monitoring of the visual development of patients.

  11. Throwing in the Middle and Upper Paleolithic: inferences from an analysis of humeral retroversion.

    PubMed

    Rhodes, Jill A; Churchill, Steven E

    2009-01-01

    When in evolutionary history did long-range projectile weapons become an important component of hunting toolkits? The archeological evidence for the development of projectile weaponry is complex and generally indirect, and has led to different conclusions about the origin and spread of this technology. Lithic evidence from the Middle Stone Age (MSA) has led some researchers to suggest that true long- range projectile weaponry developed in Africa perhaps as early as 80,000 years ago, and was part of the subsistence toolkit carried by modern humans who expanded out of Africa after 50,000 years ago. Alternatively, temporal patterns in the morphology of pointed lithics has led others to posit an independent, convergent origin of projectile weaponry in Africa, the Near East, and Europe during the interval between 50,000-40,000 years ago. By either scenario, projectile weapons would not have been a component of the hunting arsenal of Neandertals, but may have been in use by European early modern humans and thus, projectile technology may have entered into the competitive dynamics that existed between these two groups. The origins of projectile weapons can be addressed, in part, through analyses of the skeletal remains of the prehistoric humans who made and used them. Habitual behavior patterns--including those related to the production and use of technology--can be imprinted on the skeleton through both genetic and epigenetic pathways. Recent studies in the field of sports medicine indicate that individuals who engage in habitual throwing have increased humeral retroversion angles in their throwing arms and a greater degree of bilateral asymmetry in retroversion angles than do non-throwers. This contribution investigates humeral torsion through analysis of the retroversion angle in samples of Eurasian Neandertals, European early modern humans of the middle and late Upper Paleolithic, and comparative samples of recent humans. This analysis was conducted under the

  12. Superconductivity with extremely large upper critical fields in Nb2Pd0.81S5

    PubMed Central

    Zhang, Q.; Li, G.; Rhodes, D.; Kiswandhi, A.; Besara, T.; Zeng, B.; Sun, J.; Siegrist, T.; Johannes, M. D.; Balicas, L.

    2013-01-01

    Here, we report the discovery of superconductivity in a new transition metal-chalcogenide compound, i.e. Nb2Pd0.81S5, with a transition temperature Tc ≅ 6.6 K. Despite its relatively low Tc, it displays remarkably high and anisotropic superconducting upper critical fields, e.g. μ0Hc2 (T → 0 K) > 37 T for fields applied along the crystallographic b-axis. For a field applied perpendicularly to the b-axis, μ0Hc2 shows a linear dependence in temperature which coupled to a temperature-dependent anisotropy of the upper critical fields, suggests that Nb2Pd0.81S5 is a multi-band superconductor. This is consistent with band structure calculations which reveal nearly cylindrical and quasi-one-dimensional Fermi surface sheets having hole and electron character, respectively. The static spin susceptibility as calculated through the random phase approximation, reveals strong peaks suggesting proximity to a magnetic state and therefore the possibility of unconventional superconductivity. PMID:23486091

  13. Titan's Upper Atmosphere from Cassini/UVIS Solar Occultations

    NASA Astrophysics Data System (ADS)

    Capalbo, Fernando J.; Bénilan, Yves; Yelle, Roger V.; Koskinen, Tommi T.

    2015-12-01

    Titan’s atmosphere is composed mainly of molecular nitrogen, methane being the principal trace gas. From the analysis of 8 solar occultations measured by the Extreme Ultraviolet channel of the Ultraviolet Imaging Spectrograph (UVIS) on board Cassini, we derived vertical profiles of N2 in the range 1100-1600 km and vertical profiles of CH4 in the range 850-1300 km. The correction of instrument effects and observational effects applied to the data are described. We present CH4 mole fractions, and average temperatures for the upper atmosphere obtained from the N2 profiles. The occultations correspond to different times and locations, and an analysis of variability of density and temperature is presented. The temperatures were analyzed as a function of geographical and temporal variables, without finding a clear correlation with any of them, although a trend of decreasing temperature toward the north pole was observed. The globally averaged temperature obtained is (150 ± 1) K. We compared our results from solar occultations with those derived from other UVIS observations, as well as studies performed with other instruments. The observational data we present confirm the atmospheric variability previously observed, add new information to the global picture of Titan’s upper atmosphere composition, variability, and dynamics, and provide new constraints to photochemical models.

  14. Shoulder Strength Requirements for Upper Limb Functional Tasks: Do Age and Rotator Cuff Tear Status Matter?

    PubMed

    Santago, Anthony C; Vidt, Meghan E; Li, Xiaotong; Tuohy, Christopher J; Poehling, Gary G; Freehill, Michael T; Saul, Katherine R

    2017-12-01

    Understanding upper limb strength requirements for daily tasks is imperative for early detection of strength loss that may progress to disability due to age or rotator cuff tear. We quantified shoulder strength requirements for 5 upper limb tasks performed by 3 groups: uninjured young adults and older adults, and older adults with a degenerative supraspinatus tear prior to repair. Musculoskeletal models were developed for each group representing age, sex, and tear-related strength losses. Percentage of available strength used was quantified for the subset of tasks requiring the largest amount of shoulder strength. Significant differences in strength requirements existed across tasks: upward reach 105° required the largest average strength; axilla wash required the largest peak strength. However, there were limited differences across participant groups. Older adults with and without a tear used a larger percentage of their shoulder elevation (p < .001, p < .001) and external rotation (p < .001, p = .017) strength than the young adults, respectively. Presence of a tear significantly increased percentage of internal rotation strength compared to young (p < .001) and uninjured older adults (p = .008). Marked differences in strength demand across tasks indicate the need for evaluating a diversity of functional tasks to effectively detect early strength loss, which may lead to disability.

  15. Effects of modified constraint-induced movement therapy with trunk restraint in early stroke patients: A single-blinded, randomized, controlled, pilot trial.

    PubMed

    Bang, Dae-Hyouk; Shin, Won-Seob; Choi, Ho-Suk

    2018-01-01

    Reducing compensatory strategies during repetitive upper-limb training may be helpful in relearning motor skills. To explore the effects of modified constraint-induced movement therapy (mCIMT), additionally modified by adding trunk restraint (TR), on upper-limb function and activities of daily living (ADLs) in early post-stroke patients. Twenty-four participants with early stroke were randomly assigned to mCIMT combined with TR (mCIMT + TR) or mCIMT alone. Each group underwent twenty sessions (1 h/d, 5 d/wk for 4 weeks). Patients were assessed with the action research arm test (ARAT), the Fugl-Meyer Assessment-Upper extremity (FMA-UE), the Modified Barthel index (MBI), the Maximal elbow extension angle during reaching (MEEAR), and Motor Activity Logs (MAL-AOU and MAL-QOM). The mCIMT + TR group exhibited greater improvement in the ARAT, FMA-UE, MBI, MEEAR, and MAL-AOU, and MAL-QOM than the mCIMT group. Statistical analyses showed significant differences in ARAT (P = 0.003), FMA-UE (P = 0.042), MBI (P = 0.001), MEEAR (P = 0.002), and MAL-AOU (P = 0.005) between the groups. Modified CIMT combined with TR may be more effective than mCIMT alone in improving upper-limb function and ADLs in patients with early stroke.

  16. Switchgrass Cultivar/Ecotype Selection and Management for Biofuels in the Upper Southeast USA

    PubMed Central

    Parrish, David J.; Wolf, Dale D.

    2014-01-01

    Switchgrass (Panicum virgatum L.), a perennial warm-season grass indigenous to the eastern USA, has potential as a biofuels feedstock. The objective of this study was to investigate the performance of upland and lowland switchgrass cultivars under different environments and management treatments. Four cultivars of switchgrass were evaluated from 2000 to 2001 under two management regimes in plots established in 1992 at eight locations in the upper southeastern USA. Two management treatments included 1) a single annual harvest (in late October to early November) and a single application of 50 kg N/ha/yr and 2) two annual harvests (in midsummer and November) and a split application of 100 kg N/ha/yr. Biomass yields averaged 15 Mg/ha/yr and ranged from 10 to 22 Mg/ha/yr across cultivars, managements, locations, and years. There was no yield advantage in taking two harvests of the lowland cultivars (Alamo and Kanlow). When harvested twice, upland cultivars (Cave-in-Rock and Shelter) provided yields equivalent to the lowland ecotypes. Tiller density was 36% lower in stands cutting only once per year, but the stands appeared vigorous after nine years of such management. Lowland cultivars and a one-cutting management (after the tops have senesced) using low rates of applied N (50 kg/ha) are recommended. PMID:25105170

  17. Switchgrass Cultivar/Ecotype Selection and Management for Biofuels in the Upper Southeast USA

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

    Lemus, Rocky; Parrish, David J.; Wolf, Dale D.

    Switchgrass ( Panicum virgatum L.), a perennial warm-season grass indigenous to the eastern USA, has potential as a biofuels feedstock. The objective of this study was to investigate the performance of upland and lowland switchgrass cultivars under different environments and management treatments. Four cultivars of switchgrass were evaluated from 2000 to 2001 under two management regimes in plots established in 1992 at eight locations in the upper southeastern USA. Two management treatments included 1) a single annual harvest (in late October to early November) and a single application of 50 kg N/ha/yr and 2) two annual harvests (in midsummer and November)more » and a split application of 100 kg N/ha/yr. Biomass yields averaged 15 Mg/ha/yr and ranged from 10 to 22 Mg/ha/yr across cultivars, managements, locations, and years. There was no yield advantage in taking two harvests of the lowland cultivars (Alamo and Kanlow). When harvested twice, upland cultivars (Cave-in-Rock and Shelter) provided yields equivalent to the lowland ecotypes. Tiller density was 36% lower in stands cutting only once per year, but the stands appeared vigorous after nine years of such management. Lowland cultivars and a one-cutting management (after the tops have senesced) using low rates of applied N (50 kg/ha) are recommended.« less

  18. Switchgrass Cultivar/Ecotype Selection and Management for Biofuels in the Upper Southeast USA

    DOE PAGES

    Lemus, Rocky; Parrish, David J.; Wolf, Dale D.

    2014-01-01

    Switchgrass ( Panicum virgatum L.), a perennial warm-season grass indigenous to the eastern USA, has potential as a biofuels feedstock. The objective of this study was to investigate the performance of upland and lowland switchgrass cultivars under different environments and management treatments. Four cultivars of switchgrass were evaluated from 2000 to 2001 under two management regimes in plots established in 1992 at eight locations in the upper southeastern USA. Two management treatments included 1) a single annual harvest (in late October to early November) and a single application of 50 kg N/ha/yr and 2) two annual harvests (in midsummer and November)more » and a split application of 100 kg N/ha/yr. Biomass yields averaged 15 Mg/ha/yr and ranged from 10 to 22 Mg/ha/yr across cultivars, managements, locations, and years. There was no yield advantage in taking two harvests of the lowland cultivars (Alamo and Kanlow). When harvested twice, upland cultivars (Cave-in-Rock and Shelter) provided yields equivalent to the lowland ecotypes. Tiller density was 36% lower in stands cutting only once per year, but the stands appeared vigorous after nine years of such management. Lowland cultivars and a one-cutting management (after the tops have senesced) using low rates of applied N (50 kg/ha) are recommended.« less

  19. Non-contact versus contact-based sensing methodologies for in-home upper arm robotic rehabilitation.

    PubMed

    Howard, Ayanna; Brooks, Douglas; Brown, Edward; Gebregiorgis, Adey; Chen, Yu-Ping

    2013-06-01

    In recent years, robot-assisted rehabilitation has gained momentum as a viable means for improving outcomes for therapeutic interventions. Such therapy experiences allow controlled and repeatable trials and quantitative evaluation of mobility metrics. Typically though these robotic devices have been focused on rehabilitation within a clinical setting. In these traditional robot-assisted rehabilitation studies, participants are required to perform goal-directed movements with the robot during a therapy session. This requires physical contact between the participant and the robot to enable precise control of the task, as well as a means to collect relevant performance data. On the other hand, non-contact means of robot interaction can provide a safe methodology for extracting the control data needed for in-home rehabilitation. As such, in this paper we discuss a contact and non-contact based method for upper-arm rehabilitation exercises that enables quantification of upper-arm movements. We evaluate our methodology on upper-arm abduction/adduction movements and discuss the advantages and limitations of each approach as applied to an in-home rehabilitation scenario.

  20. Advancing Early Detection of Autism Spectrum Disorder by Applying an Integrated Two-Stage Screening Approach

    ERIC Educational Resources Information Center

    Oosterling, Iris J.; Wensing, Michel; Swinkels, Sophie H.; van der Gaag, Rutger Jan; Visser, Janne C.; Woudenberg, Tim; Minderaa, Ruud; Steenhuis, Mark-Peter; Buitelaar, Jan K.

    2010-01-01

    Background: Few field trials exist on the impact of implementing guidelines for the early detection of autism spectrum disorders (ASD). The aims of the present study were to develop and evaluate a clinically relevant integrated early detection programme based on the two-stage screening approach of Filipek et al. (1999), and to expand the evidence…

  1. Quantile regression applied to spectral distance decay

    USGS Publications Warehouse

    Rocchini, D.; Cade, B.S.

    2008-01-01

    Remotely sensed imagery has long been recognized as a powerful support for characterizing and estimating biodiversity. Spectral distance among sites has proven to be a powerful approach for detecting species composition variability. Regression analysis of species similarity versus spectral distance allows us to quantitatively estimate the amount of turnover in species composition with respect to spectral and ecological variability. In classical regression analysis, the residual sum of squares is minimized for the mean of the dependent variable distribution. However, many ecological data sets are characterized by a high number of zeroes that add noise to the regression model. Quantile regressions can be used to evaluate trend in the upper quantiles rather than a mean trend across the whole distribution of the dependent variable. In this letter, we used ordinary least squares (OLS) and quantile regressions to estimate the decay of species similarity versus spectral distance. The achieved decay rates were statistically nonzero (p < 0.01), considering both OLS and quantile regressions. Nonetheless, the OLS regression estimate of the mean decay rate was only half the decay rate indicated by the upper quantiles. Moreover, the intercept value, representing the similarity reached when the spectral distance approaches zero, was very low compared with the intercepts of the upper quantiles, which detected high species similarity when habitats are more similar. In this letter, we demonstrated the power of using quantile regressions applied to spectral distance decay to reveal species diversity patterns otherwise lost or underestimated by OLS regression. ?? 2008 IEEE.

  2. Progressive upper limb prosthetics.

    PubMed

    Lake, Chris; Dodson, Robert

    2006-02-01

    The field of upper extremity prosthetics is a constantly changing arena as researchers and prosthetists strive to bridge the gap between prosthetic reality and upper limb physiology. With the further development of implantable neurologic sensing devices and targeted muscle innervation (discussed elsewhere in this issue), the challenge of limited input to control vast outputs promises to become a historical footnote in the future annals of upper limb prosthetics. Soon multidextrous terminal devices, such as that found in the iLimb system(Touch EMAS, Inc., Edinburgh, UK), will be a clinical reality (Fig. 22). Successful prosthetic care depends on good communication and cooperation among the surgeon, the amputee, the rehabilitation team, and the scientists harnessing the power of technology to solve real-life challenges. If the progress to date is any indication, amputees of the future will find their dreams limited only by their imagination.

  3. Mozambique upper fan: origin of depositional units

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

    Droz, L.; Mougenot, D.

    1987-11-01

    The upper Mozambique Fan includes a stable down-stream region, with a north-south channel flanked by thick (1.5 sec two-way traveltime) asymmetric levees, and a migrating upstream region where at least two main feeding paths have been successively dominant. From the Oligocene to early Miocene, the north-south Serpa Pinto Valley acted as the main conduit for the north Mozambique terrigenous sediments. From the middle Miocene, the west-east Zambezi Valley became the dominant path and supplied the fan with sediments transported by the Zambezi River from the central part of Mozanbique. The transfer from one sediment-feeding system to the other is relatedmore » to the abandonment of the Serpa Pinto Valley because of graben formation along the Davie Ridge, which trapped the sediments, and the increase of the Zambezi River sediment supply because of the creation and erosion of the East African Rift. 13 figures.« less

  4. Congenital hand anomalies in Upper Egypt

    PubMed Central

    Abulezz, Tarek; Talaat, Mohamed; Elsani, Asem; Allam, Karam

    2016-01-01

    Background: Congenital hand anomalies are numerous and markedly variant. Their significance is attributed to the frequent occurrence and their serious social, psychological and functional impacts on patient's life. Patients and Methods: This is a follow-up study of 64 patients with hand anomalies of variable severity. All patients were presented to Plastic Surgery Department of Sohag University Hospital in a period of 24 months. Results: This study revealed that failure of differentiation and duplication deformities were the most frequent, with polydactyly was the most common anomaly encountered. The mean age of presentation was 6 years and female to male ratio was 1.46:1. Hand anomalies were either isolated, associated with other anomalies or part of a syndrome. Conclusion: Incidence of congenital hand anomalies in Upper Egypt is difficult to be estimated due to social and cultural concepts, lack of education, poor registration and deficient medical survey. Management of hand anomalies should be individualised, carefully planned and started as early as possible to achieve the best outcome. PMID:27833283

  5. Non-completion of upper secondary school among female and male young adults in an Arctic sociocultural context; the NAAHS study.

    PubMed

    Bania, Elisabeth Valmyr; Lydersen, Stian; Kvernmo, Siv

    2016-09-13

    Education is closely associated with health. Non-completion of upper secondary school influences academic achievement, employment, income and personal well-being. The purpose of the study is to explore predictors of non-completion of upper secondary school among female and male young adults in relation to mental health and educational factors in a socio-cultural, Arctic context. The Norwegian Arctic Adolescent Health Study (NAAHS) is a cross-sectional, school-based survey that was conducted in 2003-2005. Eighty-three percent of the population of 5,877 10th graders participated; 49.1%females, 450 reported indigenous Sami ethnicity, and 304 reported Laestadian affiliation. Data from NAAHS were merged with registry data from the National Education Database (NUDB) Norway for 3,987 adolescents who gave their consent for follow-up studies. Non-completion of upper secondary school was 36.9 % among females and 36.6 % among males. Among females, predictors for non-completion were related to mental health symptoms, and among males, to residency in the northernmost and remote areas and self-reported functional difficulties at school, home and in leisure activities due to mental health problems. There was marginal significance between ethnicity and non-completion of upper secondary school, measured at 41.3 % for Sami and 36.8 % for non-Sami, respectively. The gender differences found in this study emphasize the need for gender-specific interventions in preventing non-completion of upper secondary school. There is a need to recognize and treat extensive pro-social behaviour and social problems in young females. Young males from remote areas and those who in early adolescence struggle with functional impairment due to mental health problems need early interventions in lower secondary school. Enhancing parents' and teachers' ability to detect symptoms and problems as well as low-threshold health services starting in primary school can be effective means. Education, mental

  6. On-plant movement and feeding of western bean cutworm (Lepidoptera: Noctuidae) early instars on corn.

    PubMed

    Paula-Moraes, S V; Hunt, T E; Wright, R J; Hein, G L; Blankenship, E E

    2012-12-01

    Western bean cutworm, Striacosta albicosta (Smith), has undergone a recent eastward expansion from the western U.S. Corn Belt to Pennsylvania and parts of Canada. Little is known about its ecology and behavior, particularly during the early instars, on corn (Zea mays L.). There is a narrow treatment window for larvae, and early detection of the pest in the field is essential. An understanding of western bean cutworm larval feeding and early-instar dispersal is essential to understand larval survival and establishment in corn. Studies were conducted in 2009 through 2011 in Nebraska to determine the feeding and dispersal of early-instar western bean cutworm on corn. The treatment design was a factorial with three corn stages (pretassel, tassel, and posttassel) and five corn plant zones (tassel, above ear, primary ear, secondary ear, and below ear) in a randomized complete block design. The effects of different corn tissues on larval survival and development were investigated in laboratory studies in a randomized complete block design during 2009 and 2011. Treatments were different corn tissues (leaf alone, leaf with developing tassel, pollen, pollen plus silk, and silk alone). Results demonstrated that neonate larvae move to the upper part of the plant, independent of corn stage. Larval growth was optimal when fed on tassel tissue. Overall results indicated a selective benefit for movement of the early instar to upper part of the plant.

  7. Pathwise upper semi-continuity of random pullback attractors along the time axis

    NASA Astrophysics Data System (ADS)

    Cui, Hongyong; Kloeden, Peter E.; Wu, Fuke

    2018-07-01

    The pullback attractor of a non-autonomous random dynamical system is a time-indexed family of random sets, typically having the form {At(ṡ) } t ∈ R with each At(ṡ) a random set. This paper is concerned with the nature of such time-dependence. It is shown that the upper semi-continuity of the mapping t ↦At(ω) for each ω fixed has an equivalence relationship with the uniform compactness of the local union ∪s∈IAs(ω) , where I ⊂ R is compact. Applied to a semi-linear degenerate parabolic equation with additive noise and a wave equation with multiplicative noise we show that, in order to prove the above locally uniform compactness and upper semi-continuity, no additional conditions are required, in which sense the two properties appear to be general properties satisfied by a large number of real models.

  8. Development and Function of the Mucosal Immune System in the Upper Respiratory Tract of Neonatal Calves.

    PubMed

    Osman, Rahwa; Malmuthuge, Nilusha; Gonzalez-Cano, Patricia; Griebel, Philip

    2018-02-15

    Respiratory infections remain the second most common cause of clinical disease and mortality in newborn calves, which has led to increased interest in using vaccines early in life to mitigate this risk. Intranasal vaccination of neonatal calves can be an effective strategy to circumvent vaccine interference by maternal antibody, but this raises questions regarding onset of immune competence in the upper respiratory tract (URT) following birth. Little is known, however, about the development and function of mucosa-associated lymphoid tissue (MALT) in the URT of newborn calves and what factors, including the commensal microbiome, contribute to this early development. We review the structure, development, and function of MALT in the bovine URT during the first six weeks of life and identify knowledge gaps regarding this early developmental time. This information is critical when designing vaccination programs for young calves, especially when targeting respiratory pathogens that may reside within the commensal microbiome.

  9. Beryllium and boron constraints on an early Galactic bright phase

    NASA Technical Reports Server (NTRS)

    Fields, Brian D.; Schramm, David N.; Truran, James W.

    1993-01-01

    The recent observations of Be and B in metal-deficient halo dwarfs are used to constrain a 'bright phase' of enhanced cosmic-ray flux in the early Galaxy. Assuming that this Be and B arises from cosmic-ray spallation in the early Galaxy, limits are placed on the intensity of the early (Population II) cosmic-ray flux relative to the present (Population I) flux. A simple estimate of bounds on the flux ratio is 1 - 40. This upper bound would restrict galaxies like our own from producing neutrino fluxes that would be detectable in any currently proposed detectors. It is found that the relative enhancement of the early flux varies inversely with the relative time of enhancement. It is noted that associated gamma-ray production via pp - pi sup 0 pp may be a significant contribution to the gamma-ray background above 100 MeV.

  10. Superposed folding in the Neogene series of the northeastern Tunisia: precision of the upper Miocene compression and geodynamic significance

    NASA Astrophysics Data System (ADS)

    Ramzi, Azizi; Lassaad, Chihi

    2017-09-01

    New field observations carried out in northeastern Tunisia (Kechabta Neogene basin) allowed us to clarify and pinpoint the chronology of the folding phases which had been the subject of contradictions in previous studies. To better understand the folding in the study area, a set of structural, lithostratigraphic and cartographic arguments are given in order to confirm the Atlassic folding phase (upper Tortonian) affecting rheologically weak and incompetent materials of the Neogene layers. In the Kechabta Neogene basin, the upper Tortonian folding is materialized by an unconformity between the Kechabta (Tortonian) and the Oued Bel Khedim (Messinian) formations. The highlight of this event allows us to identify the current fold structure of the study area as a superposition of two major folding episodes: The first one occurred during the upper Tortonian, and the second in the Early Quaternary (post-Villafranchian). The chronological consistency of the upper Tortonian folding in the Kechabta basin with the rest of the Tunisian chains allows for a better understanding of the collision context (Miocene to the Quaternary) which dominated the western Mediterranean Sea and steered the structural evolution of Tunisia.

  11. Upper Ocean Workshop, held Timberline Lodge, Oregon - 3-5 March 1980.

    DTIC Science & Technology

    1980-04-10

    7 A095G 518 WASHINGTON UNIV SEATTLE APPLIED PHYSICS LAB F/6 8/37 PER OCEAN WORKSHOP, HELD TIMBERLINE LODGE , OREGON - 3-5 MARCHN-ETC(U) APR 80 M C...5 March 1980 at Timberline Lodge , Oregon. The emphasis was on ideas for future research, including that work concerned with the direct i response of...Dete Oftelgi K9 I Upper Qcean Workshop Timberline Lodge , Oregon - 3-5 March 1980. I2 I |" ..~..,,)Summary Re ,t •- April 10918 I ... I I.Prepared by

  12. Archean upper crust transition from mafic to felsic marks the onset of plate tectonics.

    PubMed

    Tang, Ming; Chen, Kang; Rudnick, Roberta L

    2016-01-22

    The Archean Eon witnessed the production of early continental crust, the emergence of life, and fundamental changes to the atmosphere. The nature of the first continental crust, which was the interface between the surface and deep Earth, has been obscured by the weathering, erosion, and tectonism that followed its formation. We used Ni/Co and Cr/Zn ratios in Archean terrigenous sedimentary rocks and Archean igneous/metaigneous rocks to track the bulk MgO composition of the Archean upper continental crust. This crust evolved from a highly mafic bulk composition before 3.0 billion years ago to a felsic bulk composition by 2.5 billion years ago. This compositional change was attended by a fivefold increase in the mass of the upper continental crust due to addition of granitic rocks, suggesting the onset of global plate tectonics at ~3.0 billion years ago. Copyright © 2016, American Association for the Advancement of Science.

  13. Crossing Boundaries: Exploring Black Middle and Upper Class Preservice Teachers' Perceptions of Teaching and Learning in High Poverty Urban Schools

    ERIC Educational Resources Information Center

    Lewis, Andrea D.

    2012-01-01

    The intent of this study was to explore the perceptions of Black middle and upper class preservice teachers as they relate to teaching and learning in high poverty urban schools. Participants included 11 senior early childhood education preservice teachers at a historically Black college in the southeast region of the United States. The study was…

  14. A new archaic baleen whale Toipahautea waitaki (early Late Oligocene, New Zealand) and the origins of crown Mysticeti

    NASA Astrophysics Data System (ADS)

    Tsai, Cheng-Hsiu; Fordyce, R. Ewan

    2018-04-01

    A new genus and species of extinct baleen whale †Toipahautea waitaki (Late Oligocene, New Zealand) is based on a skull and associated bones, from the lower Kokoamu Greensand, about 27.5 Ma (local upper Whaingaroan Stage, early Chattian). The upper jaw includes a thin, elongate and apparently toothless maxilla, with evidence of arterial supply for baleen. Open sutures with the premaxilla suggest a flexible (kinetic) upper jaw. The blowhole is well forward. The mandible is bowed laterally and slightly dorsally; unlike the Eomysticetidae, there are no mandibular alveoli, and the coronoid process is tapered and curved laterally. Jaw structure is consistent with baleen-assisted gulp-feeding. The age of early Chattian makes †Toipahautea a very early, if not the oldest named, toothless and baleen-bearing mysticete, suggesting that the full transition from toothed to baleen-bearing probably occurred in the Early Oligocene. Late Oligocene mysticetes vary considerably in jaw form and kinesis, tooth form and function, and development of baleen, implying a wide range of raptorial, suctorial and filter-feeding behaviour. More study may elucidate the function of jaws, teeth and baleen in terms of opportunist/generalist feeding, as in modern gray whales, versus specialized feeding. We here propose that early mysticetes, when transitioned from toothed to baleen-bearing, were generalists and opportunists instead of specializing in any forms of feeding strategies. In addition, two different phylogenetic analyses placed †Toipahautea either in a polytomy including crown Mysticeti, or immediately basal to the crown, and above †Eomysticetidae in both cases. Because the †Toipahautea waitaki holotype is an immature individual, it may plot more basally in phylogeny than its true position.

  15. Danger and Usefulness Are Detected Early in Auditory Lexical Processing: Evidence from Electroencephalography

    ERIC Educational Resources Information Center

    Kryuchkova, Tatiana; Tucker, Benjamin V.; Wurm, Lee H.; Baayen, R. Harald

    2012-01-01

    Visual emotionally charged stimuli have been shown to elicit early electrophysiological responses (e.g., Ihssen, Heim, & Keil, 2007; Schupp, Junghofer, Weike, & Hamm, 2003; Stolarova, Keil, & Moratti, 2006). We presented isolated words to listeners, and observed, using generalized additive modeling, oscillations in the upper part of the delta…

  16. Very early Archean crustal-accretion complexes preserved in the North Atlantic craton

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

    Nutman, A.P.; Collerson, K.D.

    1991-08-01

    The North Atlantic craton contains very early Archean supracrustal rocks, orthogneisses, and massive ultramafic rocks. Most units of supracrustal rocks are dominated by mafic volcanic rocks, layered gabbros, and banded iron formations, bust some also contain abundant felsic volcanic-sedimentary rocks, quartzites, and marbles. Some quartzites contain detrital zircons derived from rocks identical in age to felsic volcanic-sedimentary rocks in these sequences (ca. 3800 Ma) and also from older (ca. 3850 Ma) sources. The presence of the ca. 3850 Ma detrital zircons suggests that the supracrustal units containing them were deposited on, or close to, ca. 3850 Ma sialic crust. Themore » massive ultramafic rocks have chemical affinities to upper mantle rocks. The voluminous suites of tonalitic gneisses are dominated by 3700-3730 Ma bodies that intrude the supracrustal sequences, but they also locally contain components with ages between 3820 and 3920 Ma. The diverse supracrustal units, upper mantle rocks, and {ge} 3820 Ma components in the gneisses were tectonically interleaved in very early Archean convergent plate boundaries, giving rise to accretion complexes. In the period 3700-3730 Ma, voluminous tonalitic magmas produced by partial melting of predominantly mafic rocks in the base of the accretion complexes were emplaced at higher levels, forming juvenile continental crust and leaving behind a refractory lower crustal to upper mantle substrate.« less

  17. Regulating N application for rice yield and sustainable eco-agro development in the upper reaches of Yellow River basin, China.

    PubMed

    Zhang, Aiping; Liu, Ruliang; Gao, Ji; Yang, Shiqi; Chen, Zhe

    2014-01-01

    High N fertilizer and flooding irrigation applied to rice on anthropogenic-alluvial soil often result in N leaching and low recovery of applied fertilizer N from the rice fields in Ningxia irrigation region in the upper reaches of the Yellow River, which threatens ecological environment, food security, and sustainable agricultural development. This paper reported the regulating N application for rice yield and sustainable Eco-Agro development in the upper reaches of Yellow River basin. The results showed that reducing and postponing N application could maintain crop yields while substantially reducing N leaching losses to the environment and improving the nitrogen use efficiency. Considering the high food production, the minimum environmental threat, and the low labor input, we suggested that regulating N application is an important measure to help sustainable agricultural development in this region.

  18. Upper gastrointestinal bleeding - state of the art.

    PubMed

    Szura, Mirosław; Pasternak, Artur

    2014-01-01

    Upper gastrointestinal (GI) bleeding is a condition requiring immediate medical intervention, with high associated mortality exceeding 10%. The most common cause of upper GI bleeding is peptic ulcer disease, which largely corresponds to the intake of NSAIDs and Helicobacter pylori infection. Endoscopy is the essential tool for the diagnosis and treatment of active upper GI hemorrhage. Endoscopic therapy together with proton pump inhibitors and eradication of Helicobacter pylori significantly reduces rebleeding rates, mortality and number of emergency surgical interventions. This paper presents contemporary data on the diagnosis and treatment of upper gastrointestinal bleeding.

  19. Optimal and safe upper limits of iodine intake for early pregnancy in iodine-sufficient regions: a cross-sectional study of 7190 pregnant women in China.

    PubMed

    Shi, Xiaoguang; Han, Cheng; Li, Chenyan; Mao, Jinyuan; Wang, Weiwei; Xie, Xiaochen; Li, Chenyang; Xu, Bin; Meng, Tao; Du, Jianling; Zhang, Shaowei; Gao, Zhengnan; Zhang, Xiaomei; Fan, Chenling; Shan, Zhongyan; Teng, Weiping

    2015-04-01

    The WHO Technical Consultation recommends urinary iodine concentrations (UIC) from 250 to 499 μg/L as more-than-adequate iodine intake and UIC ≥ 500 μg/L as excessive iodine for pregnant and lactating women, but scientific evidence for this is weak. We investigated optimal and safe ranges of iodine intake during early pregnancy in an iodine-sufficient region of China. Seven thousand one hundred ninety pregnant women at 4-8 weeks gestation were investigated and their UIC, serum thyroid stimulating hormone (TSH), free thyroxine (FT4), thyroid-peroxidase antibody (TPOAb), thyroglobulin antibody (TgAb), and thyroglobulin (Tg) were measured. The prevalence of overt hypothyroidism was lowest in the group with UIC 150-249 μg/L, which corresponded to the lowest serum Tg concentration (10.18 μg/L). Prevalences of subclinical hypothyroidism (2.4%) and isolated hypothyroxinemia (1.7%) were lower in the group with UIC 150-249 μg/L. Multivariate logistic regression indicated that more-than-adequate iodine intake (UIC 250-499 μg/L) and excessive iodine intake (UIC ≥ 500 μg/L) were associated with a 1.72-fold and a 2.17-fold increased risk of subclinical hypothyroidism, respectively. Meanwhile, excessive iodine intake was associated with a 2.85-fold increased risk of isolated hypothyroxinemia. Moreover, the prevalence of TPOAb positivity and TgAb positivity presented a U-shaped curve, ranging from mild iodine deficiency to iodine excess. The upper limit of iodine intake during early pregnancy in an iodine-sufficient region should not exceed UIC 250 μg/L, because this is associated with a significantly high risk of subclinical hypothyroidism, and a UIC of 500 μg/L should not be exceeded, as it is associated with a significantly high risk of isolated hypothyroxinemia.

  20. Upper limb load as a function of repetitive task parameters: part 1--a model of upper limb load.

    PubMed

    Roman-Liu, Danuta

    2005-01-01

    The aim of the study was to develop a theoretical indicator of upper limb musculoskeletal load based on repetitive task parameters. As such the dimensionless parameter, Integrated Cycle Load (ICL) was accepted. It expresses upper limb load which occurs during 1 cycle. The indicator is based on a model of a repetitive task, which consists of a model of the upper limb, a model of basic types of upper limb forces and a model of parameters of a repetitive task such as length of the cycle, length of periods of the cycle and external force exerted during each of the periods of the cycle. Calculations of the ICL parameter were performed for 12 different variants of external load characterised by different values of repetitive task parameters. A comparison of ICL, which expresses external load with a physiological indicator of upper limb load, is presented in Part 2 of the paper.

  1. Upper bounds of deformation in the Upper Rhine Graben from GPS data - First results from GURN (GNSS Upper Rhine Graben Network)

    NASA Astrophysics Data System (ADS)

    Masson, Frederic; Knoepfler, Andreas; Mayer, Michael; Ulrich, Patrice; Heck, Bernhard

    2010-05-01

    In September 2008, the Institut de Physique du Globe de Strasbourg (Ecole et Observatoire des Sciences de la Terre, EOST) and the Geodetic Institute (GIK) of Karlsruhe University (TH) established a transnational cooperation called GURN (GNSS Upper Rhine Graben Network). Within the GURN initiative these institutions are cooperating in order to establish a highly precise and highly sensitive network of permanently operating GNSS sites for the detection of crustal movements in the Upper Rhine Graben region. At the beginning, the network consisted of the permanently operating GNSS sites of SAPOS®-Baden-Württemberg, different data providers in France (e.g. EOST, Teria, RGP) and some further sites (e.g. IGS). In July 2009, the network was extended to the South when swisstopo (Switzerland) and to the North when SAPOS®-Rheinland-Pfalz joined GURN. Therefore, actually the GNSS network consists of approx. 80 permanently operating reference sites. The presentation will discuss the actual status of GURN, main research goals, and will present first results concerning the data quality as well as time series of a first reprocessing of all available data since 2002 using GAMIT/GLOBK (EOST working group) and the Bernese GPS Software (GIK working group). Based on these time series, the velocity as well as strain fields will be calculated in the future. The GURN initiative is also aiming for the estimation of the upper bounds of deformation in the Upper Rhine Graben region.

  2. Effect of Virtual Reality-based Bilateral Upper Extremity Training on Upper Extremity Function after Stroke: A Randomized Controlled Clinical Trial.

    PubMed

    Lee, Suhyun; Kim, Yumi; Lee, Byoung-Hee

    2016-12-01

    In the present study, we aimed to investigate the effect of virtual reality-based bilateral upper extremity training (VRBT) on paretic upper limb function and muscle strength in patients with stroke. Eighteen stroke survivors were assigned to either the VRBT group (n = 10) or the bilateral upper limb training group (BT, n = 8). Patients in the VRBT group performed bilateral upper extremity exercises in a virtual reality environment, whereas those in the BT group performed conventional bilateral upper extremity exercises. All training was conducted for 30 minutes day -1 , 3 days a week, for a period of 6 weeks. Patients were assessed for upper extremity function and hand strength. Compared with the BT group, the VRBT group exhibited significant improvements in upper extremity function and muscle strength (p < 0.05) after the 6-week training programme. The Box and Block test results revealed that upper extremity function and elbow flexion in hand strength were significantly improved in terms of group, time and interaction effect of group by time. Furthermore, the VRBT group demonstrated significant improvements in upper extremity function, as measured by the Jebsen Hand Function Test and Grooved Pegboard test, and in the hand strength test, as measured by elbow extension, grip, palmar pinch, lateral pinch and tip pinch, in both time and the interaction effect of group by time. These results suggest that VRBT is a feasible and beneficial means of improving upper extremity function and muscle strength in individuals following stroke. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

  3. An unusual occurrence of arsenic-bearing pyrite in the Upper Freeport coal bed, West-Central Pennsylvania

    USGS Publications Warehouse

    Ruppert, L.F.; Minkin, J.A.; McGee, J.J.; Cecil, C.B.

    1992-01-01

    Scanning electron microscopy and electron microprobe analysis were used to identify a rare type of As-bearing pyrite in selected specific gravity separates from the Pennsylvanian age Upper Freeport coal bed, west-central Pennsylvania. Arsenic was detected mainly in cell-wall replacement pyrite where concentrations ranged from nondetectable to 1.9 wt %. Although the majority of arsenic-bearing pyrite in the Upper Freeport coal bed is concentrated in massive and late diagenetic pyrite morphologies, the rarer As-bearing cell-replacement pyrite was observed in both light and heavy gravity separates from the three coal facies examined. Arsenic was occasionally detected in cell-filling replacement pyrite, but this As appears to be an artifact produced by signals from underlying and/or adjacent As-bearing cell-wall replacement pyrite. It is postulated that some plants of the Upper Freeport paleoswamp may have biomethylated As, which later could have been converted to dimethylarsine or other volatile organoarsenic compounds by either biologically or chemically driven processes. Once liberated, the arsenic may have been incorporated into pyrite during pyritization of the cell walls. The As incorporation occurred early, before significant compaction of the peat, because the pyritized cell walls are not compacted.

  4. Acid phosphatase patterns in microfilariae of Onchocerca volvulus s.l. from the Upper Orinoco Basin, Venezuela.

    PubMed

    Yarzàbal, L; Petralanda, I; Arango, M; Lobo, L; Botto, C

    1983-06-01

    The patterns of acid phosphatase in strains of Onchocerca volvulus s.l. which parasitize an Amerindian population (Yanomami) in Venezuela's Upper Orinoco Basin were examined by using the naphthol AS-TR phosphate method. The study sample consisted of 40 Yanomami inhabiting a savannah area at 950 m above sea level and 21 Yanomami residents of a tropical rainforest area at an altitude of 250 m. Stained intrauterine microfilariae, still within the egg case, exhibited a diffuse distribution of the enzyme in the early stages of embryonic development and a negative reaction at a more developed stage. Four of the five enzyme staining patterns described by Omar (1978) were found in the 3157 microfilariae examined from skin snips. Their distribution was: Type I--17.2%, Type III--0.5%, Type IV--75.6% and Type V--6.6%. No examples of Type II were observed. The results indicate that acid phosphatase patterns of the Upper Orinoco Onchocerca strain most resemble those of strains from Guatemala and Yemen, and are different from the African strains found in Upper Volta and Liberia. The relative frequency of acid phosphatase patterns was modified by cryopreservation of microfilariae.

  5. XUV-Exposed, Non-Hydrostatic Hydrogen-Rich Upper Atmospheres of Terrestrial Planets. Part I: Atmospheric Expansion and Thermal Escape

    PubMed Central

    Lammer, Helmut; Odert, Petra; Kulikov, Yuri N.; Kislyakova, Kristina G.; Khodachenko, Maxim L.; Güdel, Manuel; Hanslmeier, Arnold; Biernat, Helfried

    2013-01-01

    Abstract The recently discovered low-density “super-Earths” Kepler-11b, Kepler-11f, Kepler-11d, Kepler-11e, and planets such as GJ 1214b represent the most likely known planets that are surrounded by dense H/He envelopes or contain deep H2O oceans also surrounded by dense hydrogen envelopes. Although these super-Earths are orbiting relatively close to their host stars, they have not lost their captured nebula-based hydrogen-rich or degassed volatile-rich steam protoatmospheres. Thus, it is interesting to estimate the maximum possible amount of atmospheric hydrogen loss from a terrestrial planet orbiting within the habitable zone of late main sequence host stars. For studying the thermosphere structure and escape, we apply a 1-D hydrodynamic upper atmosphere model that solves the equations of mass, momentum, and energy conservation for a planet with the mass and size of Earth and for a super-Earth with a size of 2 REarth and a mass of 10 MEarth. We calculate volume heating rates by the stellar soft X-ray and extreme ultraviolet radiation (XUV) and expansion of the upper atmosphere, its temperature, density, and velocity structure and related thermal escape rates during the planet's lifetime. Moreover, we investigate under which conditions both planets enter the blow-off escape regime and may therefore experience loss rates that are close to the energy-limited escape. Finally, we discuss the results in the context of atmospheric evolution and implications for habitability of terrestrial planets in general. Key Words: Stellar activity—Low-mass stars—Early atmospheres—Earth-like exoplanets—Energetic neutral atoms—Ion escape—Habitability. Astrobiology 13, 1011–1029. PMID:24251443

  6. Early Otitis Media Among Minnesota American Indians: The Little Ears Study

    PubMed Central

    Daly, Kathleen A.; Pirie, Phyllis L.; Rhodes, Kristine L.; Hunter, Lisa L.; Davey, Cynthia S.

    2007-01-01

    Objectives. We examined relationships between otitis media risk factors, sociodemographic characteristics, and maternal knowledge and attitudes and early onset of otitis media. Methods. Pregnant women from Minnesota American Indian reservations and an urban clinic were enrolled in our study between 1998 and 2001. Follow-up was performed on enrollees’ infants until the children were 2 years old. Research nurses collected data by ear examination, from interviews and questionnaires given to enrolled mothers, and otitis media episodes that were abstracted from medical records. Results. Sixty-three percent of infants had experienced an otitis media episode by 6 months of age. Logistic regression analyses showed that maternal otitis media history, infant history of upper respiratory infection, and compliance with study visits were significantly related to early otitis media onset. Although high percentages of infants were exposed to cigarette smoke and other children and were formula fed, these factors were not related to otitis media. Mothers’ prenatal awareness of otitis media risks associated with environmental tobacco smoke exposure and formula feeding did not predict their postpartum behaviors. Conclusions. We found that infant history of upper respiratory infection and maternal otitis media history are risk factors for early otitis media in American Indian infants. Mothers’ prepartum knowledge and attitudes regarding otitis media did not predict their postpartum avoidance of risk behaviors. PMID:17194873

  7. Medicinal exploitation of inorganic substances in the Levant in the Medieval and early Ottoman periods.

    PubMed

    Lev, Efraim

    2002-11-01

    Various minerals, metals, clays, and rocks were among the natural medicinal substances used by physicians and pharmacists in early times in different cultures, for example, the ancient civilizations of Egypt and Mesopotamia. Classical physicians such as Hippocrates and Dioscorides mention tens of inorganic medicinal substances in their writings. Many references to minerals and chemicals are also found in the Muslim medical literature of the Eastern and Western Caliphates. The historical research presented in this article focuses on the inorganic substances applied as remedies by the medieval and early Ottoman (7th-17th) inhabitants of the Levant. The article is based upon a literature review covering tens of different historical sources, from the medieval and early Ottoman periods. Relevant information was found in the works of physicians such as al-Tamimi, Benevenutus, Ibn al-Baytar, Daud al-Antaki, and Hayyim Vital. The research revealed evidences of the medicinal uses of fifteen inorganic substances: Alum, Arsenic, Sulphide, Asphalt, Jew's stone, Earth sp., Galena, Haematite, iron, Lead, Pyrite, Salt, Sulphur, Thermal water, Green Vitriol, and Zinc. Inorganic materials comprise 5.2% of the list of medicinal substances. The geographic origin of most of these substances is the Levant, in which two geo-historical centers have been recorded: the Rift Valley and the northern region of the Levant, including upper Galilee, Mount Lebanon and Mount Hermon. A notable tendency to use these substances for treating diseases of the skin, the eyes, the sexual organs, and haemorrhoids was detected.

  8. Numerical investigation of the early flight phase in ski-jumping.

    PubMed

    Gardan, N; Schneider, A; Polidori, G; Trenchard, H; Seigneur, J M; Beaumont, F; Fourchet, F; Taiar, R

    2017-07-05

    The purpose of this study is to develop a numerical methodology based on real data from wind tunnel experiments to investigate the effect of the ski jumper's posture and speed on aerodynamic forces in a wide range of angles of attack. To improve our knowledge of the aerodynamic behavior of the ski jumper and his equipment during the early flight phase of the ski jump, we applied CFD methodology to evaluate the influence of angle of attack (α=14°, 21.5°, 29°, 36.5° and 44°) and speed (u=23, 26 and 29m/s) on aerodynamic forces in the situation of stable attitude of the ski jumper's body and skis. The standard k-ω turbulence model was used to investigate both the influence of the ski jumper's posture and speed on aerodynamic performance during the early flight phase. Numerical results show that the ski jumper's speed has very little impact on the lift and drag coefficients. Conversely, the lift and drag forces acting on the ski jumper's body during the early flight phase of the jump are strongly influenced by the variations of the angle of attack. The present results suggest that the greater the ski jumper's angle of inclination, with respect to the relative flow, the greater the pressure difference between the lower and upper parts of the skier. Further studies will focus on the dependency of the parameters with both the angle of attack α and the body-ski angle β as control variables. It will be possible to test and optimize different ski jumping styles in different ski jumping hills and investigate different environmental conditions such as temperature, altitude or crosswinds. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. Planar covariance of upper and lower limb elevation angles during hand-foot crawling in healthy young adults.

    PubMed

    MacLellan, M J; Catavitello, G; Ivanenko, Y P; Lacquaniti, F

    2017-11-01

    Habitual quadrupeds have been shown to display a planar covariance of segment elevation angle waveforms in the fore and hind limbs during many forms of locomotion. The purpose of the current study was to determine if humans generate similar patterns in the upper and lower limbs during hand-foot crawling. Nine healthy young adults performed hand-foot crawling on a treadmill at speeds of 1, 2, and 3 km/h. A principal component analysis (PCA) was applied to the segment elevation angle waveforms for the upper (upper arm, lower arm, and hand) and lower (thigh, shank, and foot) limbs separately. The planarity of the elevation angle waveforms was determined using the sum of the variance explained by the first two PCs and the orientation of the covariance plane was quantified using the direction cosines of the eigenvector orthogonal to the plane, projected upon each of the segmental semi-axes. Results showed that planarity of segment elevation angles was maintained in the upper and lower limbs (explained variance >97%), although a slight decrease was present in the upper limb when crawling at 3 km/h. The orientation of the covariance plane was highly limb-specific, consistent with animal studies and possibly related to the functional neural control differences between the upper and lower limbs. These results may suggest that the motor patterns stored in the central nervous system for quadrupedal locomotion may be retained through evolution and may still be exploited when humans perform such tasks.

  10. Correction Technique for Raman Water Vapor Lidar Signal-Dependent Bias and Suitability for Water Wapor Trend Monitoring in the Upper Troposphere

    NASA Technical Reports Server (NTRS)

    Whiteman, D. N.; Cadirola, M.; Venable, D.; Calhoun, M.; Miloshevich, L; Vermeesch, K.; Twigg, L.; Dirisu, A.; Hurst, D.; Hall, E.; hide

    2012-01-01

    The MOHAVE-2009 campaign brought together diverse instrumentation for measuring atmospheric water vapor. We report on the participation of the ALVICE (Atmospheric Laboratory for Validation, Interagency Collaboration and Education) mobile laboratory in the MOHAVE-2009 campaign. In appendices we also report on the performance of the corrected Vaisala RS92 radiosonde measurements during the campaign, on a new radiosonde based calibration algorithm that reduces the influence of atmospheric variability on the derived calibration constant, and on other results of the ALVICE deployment. The MOHAVE-2009 campaign permitted the Raman lidar systems participating to discover and address measurement biases in the upper troposphere and lower stratosphere. The ALVICE lidar system was found to possess a wet bias which was attributed to fluorescence of insect material that was deposited on the telescope early in the mission. Other sources of wet biases are discussed and data from other Raman lidar systems are investigated, revealing that wet biases in upper tropospheric (UT) and lower stratospheric (LS) water vapor measurements appear to be quite common in Raman lidar systems. Lower stratospheric climatology of water vapor is investigated both as a means to check for the existence of these wet biases in Raman lidar data and as a source of correction for the bias. A correction technique is derived and applied to the ALVICE lidar water vapor profiles. Good agreement is found between corrected ALVICE lidar measurments and those of RS92, frost point hygrometer and total column water. The correction is offered as a general method to both quality control Raman water vapor lidar data and to correct those data that have signal-dependent bias. The influence of the correction is shown to be small at regions in the upper troposphere where recent work indicates detection of trends in atmospheric water vapor may be most robust. The correction shown here holds promise for permitting useful upper

  11. Upper bounds on superpartner masses from upper bounds on the Higgs boson mass.

    PubMed

    Cabrera, M E; Casas, J A; Delgado, A

    2012-01-13

    The LHC is putting bounds on the Higgs boson mass. In this Letter we use those bounds to constrain the minimal supersymmetric standard model (MSSM) parameter space using the fact that, in supersymmetry, the Higgs mass is a function of the masses of sparticles, and therefore an upper bound on the Higgs mass translates into an upper bound for the masses for superpartners. We show that, although current bounds do not constrain the MSSM parameter space from above, once the Higgs mass bound improves big regions of this parameter space will be excluded, putting upper bounds on supersymmetry (SUSY) masses. On the other hand, for the case of split-SUSY we show that, for moderate or large tanβ, the present bounds on the Higgs mass imply that the common mass for scalars cannot be greater than 10(11)  GeV. We show how these bounds will evolve as LHC continues to improve the limits on the Higgs mass.

  12. Matched-filtering line search methods applied to Suzaku data

    NASA Astrophysics Data System (ADS)

    Miyazaki, Naoto; Yamada, Shin'ya; Enoto, Teruaki; Axelsson, Magnus; Ohashi, Takaya

    2016-12-01

    A detailed search for emission and absorption lines and an assessment of their upper limits are performed for Suzaku data. The method utilizes a matched-filtering approach to maximize the signal-to-noise ratio for a given energy resolution, which could be applicable to many types of line search. We first applied it to well-known active galactic nuclei spectra that have been reported to have ultra-fast outflows, and find that our results are consistent with previous findings at the ˜3σ level. We proceeded to search for emission and absorption features in two bright magnetars 4U 0142+61 and 1RXS J1708-4009, applying the filtering method to Suzaku data. We found that neither source showed any significant indication of line features, even using long-term Suzaku observations or dividing their spectra into spin phases. The upper limits on the equivalent width of emission/absorption lines are constrained to be a few eV at ˜1 keV and a few hundreds of eV at ˜10 keV. This strengthens previous reports that persistently bright magnetars do not show proton cyclotron absorption features in soft X-rays and, even if they exist, they would be broadened or much weaker than below the detection limit of X-ray CCD.

  13. Driving ability following upper limb amputation.

    PubMed

    Burger, Helena; Marincek, Crt

    2013-10-01

    In the existing literature, there is scarce information about subjects with upper limb amputation and driving. The aim of this study was to find out how frequently subjects following upper limb amputation have problems when driving; most frequently proposed adaptations and, when possible, factors that influence driving ability. Retrospective clinical study. Medical records were reviewed of all subjects following upper limb amputation who had been amputated in the last 5 years and those with congenital upper limb deficiency who in the last 5 years turned 17. Out of 37 subjects, 7 did not attend the clinic for assessment of driving abilities. They were significantly older at the time of the amputation (p < 0.001). To the remaining 30 who attended driving assessment, zero to four car adaptations (two on average) were proposed. There were no correlations between the number of suggested car adaptations and the age at the time of the amputation, amputation level, education and severity of phantom limb pain. Type of prosthesis also did not influence the number of car adaptations. Most people following upper limb amputation need at least one car adaptation for safe driving.

  14. New evidence for late mesozoic-early Cenozoic evolution of the Chilean Andes in the upper Tinguiririca valley (35 °S), central Chile

    NASA Astrophysics Data System (ADS)

    Charrier, Reynaldo; Wyss, AndréR.; Flynn, John J.; Swisher, Carl C.; Norell, Mark A.; Zapatta, Franyo; McKenna, Malcolm C.; Novacek, Michael J.

    1996-11-01

    New geologic, paleontologic and isotopic geochronometric results from the Termas del Flaco region in the upper Tinguiririca River valley in central Chile demand considerable revision of the accepted geotectonic history of the Andean Main Range in this region. A diverse, transitional Eocene-Oligocene aged, land-mammal fauna was recovered from several sites in volcaniclastic sediments of the Coya-Machalí (=Abanico) Formation. Major results of our study include: 1) The 1000 + m thick studied deposits, previously attributed to the Cretaceous Colimapu Formation, belong to the Coya-Machalí (=Abanico) Formation. Radioisotopic data from levels immediately above (31.5 Ma) and below (37.S Ma) the fossiliferous horizon indicate a latest Eocene to early Oligocene age for the basal part of the formation and the fauna contained in it. 2) The fossiliferous unit rests with slight angular offset on different Mesozoic units: "Brownish-red Clastic Unit" (BRCU) and Baños del Flaco Formation; in a limited area it also overlies a white tuff dated at 104 Ma. 3) The contacts just discussed (none of which is attributable to faulting), demonstrate the existence of two, or possibly three, unconformities in the region. 4) Sedimentological criteria argue against reference of the BRCU to the Colimapu Formation, and imply correlation of the former unit to basal levels with in the late Cretaceous Neuquén Group of western Argentina. 5) The Coya-Machalí Formation, previously viewed as representing the western volcanic equivalent of Riográndico Supercycle deposits of western Argentino, is likely coeval to much younger units in that region such as the Agua de la Piedra Formation. 6) Paleomagnetic results from the fossil producing horizon indicate about 20 ° of post-early Oligocene, counterclockwise rotation. 7) Fossil mammals from the Coya-Machalí Formation near Termas del Flaco represent a distinct biochronologic interval not heretofore clearly recognized from elsewhere on the continent

  15. Diagnosis and management of nonvariceal upper gastrointestinal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline.

    PubMed

    Gralnek, Ian M; Dumonceau, Jean-Marc; Kuipers, Ernst J; Lanas, Angel; Sanders, David S; Kurien, Matthew; Rotondano, Gianluca; Hucl, Tomas; Dinis-Ribeiro, Mario; Marmo, Riccardo; Racz, Istvan; Arezzo, Alberto; Hoffmann, Ralf-Thorsten; Lesur, Gilles; de Franchis, Roberto; Aabakken, Lars; Veitch, Andrew; Radaelli, Franco; Salgueiro, Paulo; Cardoso, Ricardo; Maia, Luís; Zullo, Angelo; Cipolletta, Livio; Hassan, Cesare

    2015-10-01

    This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It addresses the diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH). Main Recommendations MR1. ESGE recommends immediate assessment of hemodynamic status in patients who present with acute upper gastrointestinal hemorrhage (UGIH), with prompt intravascular volume replacement initially using crystalloid fluids if hemodynamic instability exists (strong recommendation, moderate quality evidence). MR2. ESGE recommends a restrictive red blood cell transfusion strategy that aims for a target hemoglobin between 7 g/dL and 9 g/dL. A higher target hemoglobin should be considered in patients with significant co-morbidity (e. g., ischemic cardiovascular disease) (strong recommendation, moderate quality evidence). MR3. ESGE recommends the use of the Glasgow-Blatchford Score (GBS) for pre-endoscopy risk stratification. Outpatients determined to be at very low risk, based upon a GBS score of 0 - 1, do not require early endoscopy nor hospital admission. Discharged patients should be informed of the risk of recurrent bleeding and be advised to maintain contact with the discharging hospital (strong recommendation, moderate quality evidence). MR4. ESGE recommends initiating high dose intravenous proton pump inhibitors (PPI), intravenous bolus followed by continuous infusion (80 mg then 8 mg/hour), in patients presenting with acute UGIH awaiting upper endoscopy. However, PPI infusion should not delay the performance of early endoscopy (strong recommendation, high quality evidence). MR5. ESGE does not recommend the routine use of nasogastric or orogastric aspiration/lavage in patients presenting with acute UGIH (strong recommendation, moderate quality evidence). MR6. ESGE recommends intravenous erythromycin (single dose, 250 mg given 30 - 120 minutes prior to upper gastrointestinal [GI] endoscopy) in patients with clinically severe

  16. Oblique reactivation of lithosphere-scale lineaments controls rift physiography - the upper-crustal expression of the Sorgenfrei-Tornquist Zone, offshore southern Norway

    NASA Astrophysics Data System (ADS)

    Phillips, Thomas B.; Jackson, Christopher A.-L.; Bell, Rebecca E.; Duffy, Oliver B.

    2018-04-01

    Pre-existing structures within sub-crustal lithosphere may localise stresses during subsequent tectonic events, resulting in complex fault systems at upper-crustal levels. As these sub-crustal structures are difficult to resolve at great depths, the evolution of kinematically and perhaps geometrically linked upper-crustal fault populations can offer insights into their deformation history, including when and how they reactivate and accommodate stresses during later tectonic events. In this study, we use borehole-constrained 2-D and 3-D seismic reflection data to investigate the structural development of the Farsund Basin, offshore southern Norway. We use throw-length (T-x) analysis and fault displacement backstripping techniques to determine the geometric and kinematic evolution of N-S- and E-W-striking upper-crustal fault populations during the multiphase evolution of the Farsund Basin. N-S-striking faults were active during the Triassic, prior to a period of sinistral strike-slip activity along E-W-striking faults during the Early Jurassic, which represented a hitherto undocumented phase of activity in this area. These E-W-striking upper-crustal faults are later obliquely reactivated under a dextral stress regime during the Early Cretaceous, with new faults also propagating away from pre-existing ones, representing a switch to a predominantly dextral sense of motion. The E-W faults within the Farsund Basin are interpreted to extend through the crust to the Moho and link with the Sorgenfrei-Tornquist Zone, a lithosphere-scale lineament, identified within the sub-crustal lithosphere, that extends > 1000 km across central Europe. Based on this geometric linkage, we infer that the E-W-striking faults represent the upper-crustal component of the Sorgenfrei-Tornquist Zone and that the Sorgenfrei-Tornquist Zone represents a long-lived lithosphere-scale lineament that is periodically reactivated throughout its protracted geological history. The upper-crustal component of

  17. Near-Inertial and Thermal Upper Ocean Response to Atmospheric Forcing in the North Atlantic Ocean

    DTIC Science & Technology

    2010-06-01

    meridional transport of heat (Hoskins and Valdes, 1990). Formation of North Atlantic Subtropical Mode Water is thought to take place during the...North Atlantic Ocean MIT/WHOI Joint Program in Oceanography/ Applied Ocean Science and Engineering Massachusetts Institute of Technology Woods Hole...Oceanographic Institution MITIWHOI 2010-16 Near-inertial and Thermal Upper Ocean Response to Atmospheric Forcing in the North Atlantic Ocean by

  18. Estimating formation properties from early-time oscillatory water levels in a pumped well

    USGS Publications Warehouse

    Shapiro, A.M.; Oki, D.S.

    2000-01-01

    mathematical model is applied to estimate formation properties from a singlewell test conducted near Waialua, Oahu, Hawaii. At this site, both the drawdown and recovery showed oscillatory water levels in the pumped well, and a step-drawdown test showed that approximately 86% of the drawdown is attributed to turbulent head losses. Analyses at this site using late-time drawdown data were confounded by the noise present in the measured water levels due primarily to nearby irrigation wells and ocean tides. By analyzing the early-time oscillatory recovery data at the Waialua site, upper and lower bounds were placed on the transmissivity, T, storage coefficient, S, and the leakance of the confining unit, K′/B′. The upper and lower bounds on T differ by a factor of 2. Upper and lower bounds on S and K′/B′ are much larger, because drawdown stabilized relatively quickly after the onset of pumping.

  19. Upper-normal waist circumference is a risk marker for metabolic syndrome in normal-weight subjects.

    PubMed

    Okada, R; Yasuda, Y; Tsushita, K; Wakai, K; Hamajima, N; Matsuo, S

    2016-01-01

    To elucidate implication of upper-normal waist circumference (WC), we examined whether the normal range of WC still represents a risk of metabolic syndrome (MetS) or non-adipose MetS components among normal-weight subjects. A total of 173,510 persons (100,386 men and 73,124 women) with normal WC (<90/80 cm in men/women) and body mass index (BMI) of 18.5-24.9 were included. Subjects were categorized as having low, moderate, and upper-normal WC for those with WC < 80, 80-84, and 85-89 cm in men and <70, 70-74, and 75-79 cm in women, respectively. The prevalence of all the non-adipose MetS components (e.g. prediabetes and borderline dyslipidemia) was significantly higher in subjects with upper-normal WC on comparison with those with low WC. Overall, the prevalence of MetS (having three or more of four non-adipose MetS components) gradually increased with increasing WC (12%, 21%, and 27% in men and 11%, 14%, and 19% in women for low, moderate, and upper-normal WC, respectively). Moreover, the risk of having a greater number of MetS components increased in subjects with upper-normal WC compared with those with low WC (odds ratios for the number of one, two, three, and four MetS components: 1.29, 1.81, 2.53, and 2.47 in men and 1.16, 1.55, 1.49, and 2.20 in women, respectively). Upper-normal WC represents a risk for acquiring a greater number of MetS components and the early stage of MetS components (prediabetes and borderline dyslipidemia), after adjusting for BMI, in a large general population with normal WC and BMI. Copyright © 2015 The Italian Society of Diabetology, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition, and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.

  20. Optimization of the Upper Surface of Hypersonic Vehicle Based on CFD Analysis

    NASA Astrophysics Data System (ADS)

    Gao, T. Y.; Cui, K.; Hu, S. C.; Wang, X. P.; Yang, G. W.

    2011-09-01

    For the hypersonic vehicle, the aerodynamic performance becomes more intensive. Therefore, it is a significant event to optimize the shape of the hypersonic vehicle to achieve the project demands. It is a key technology to promote the performance of the hypersonic vehicle with the method of shape optimization. Based on the existing vehicle, the optimization to the upper surface of the Simplified hypersonic vehicle was done to obtain a shape which suits the project demand. At the cruising condition, the upper surface was parameterized with the B-Spline curve method. The incremental parametric method and the reconstruction technology of the local mesh were applied here. The whole flow field was been calculated and the aerodynamic performance of the craft were obtained by the computational fluid dynamic (CFD) technology. Then the vehicle shape was optimized to achieve the maximum lift-drag ratio at attack angle 3°, 4° and 5°. The results will provide the reference for the practical design.

  1. Neogene stratigraphy, foraminifera, diatoms, and depositional history of Maria Madre Island, Mexico: Evidence of early Neogene marine conditions in the southern Gulf of California

    USGS Publications Warehouse

    McCloy, C.; Ingle, J.C.; Barron, J.A.

    1988-01-01

    Foraminifera and diatoms have been analyzed from an upper Miocene through Pleistocene(?) sequence of marine sediments exposed on Maria Madre Island, largest of the Tre??s Marias Islands off the Pacific coast of Mexico. The Neogene stratigraphic sequence exposed on Maria Madre Island includes a mid-Miocene(?) non-marine and/or shallow marine sandstone unconformably overlain by a lower upper Miocene to uppermost Miocene upper to middle bathyal laminated and massive diatomite, mudstone, and siltstone unit. This unit is unconformably overlain by lower Pliocene middle to lower bathyal sandstones and siltstones which, in turn, are unconformably overlain by upper Pliocene through Pleistocene(?) upper bathyal to upper middle bathyal foraminiferal limestones and siltstones. These beds are unconformably capped by Pleistocene terrace deposits. Basement rocks on the island include Cretaceous granite and granodiorite, and Tertiary(?) andesites and rhyolites. The upper Miocene diatomaceous unit contains a low diversity foraminiferal fauna dominated by species of Bolivina indicating low oxygen conditions in the proto-Gulf Maria Madre basin. The diatomaceous unit grades into a mudstone that contains a latest Miocene upper to middle bathyal biofacies characterized by Baggina californica and Uvigerina hootsi along with displaced neritic taxa. An angular unconformity separates the upper Miocene middle bathyal sediments from overlying lower Pliocene siltstones and mudstones that contain a middle to lower bathyal biofacies and abundant planktonic species including Neogloboquadrina acostaensis and Pulleniatina primalis indicating an early Pliocene age. Significantly, this Pliocene unit contains common occurrences of benthic species restricted to Miocene sediments in California including Bulimina uvigerinaformis. Pliocene to Pleistocene(?) foraminiferal limestones and siltstones characterize submarine bank accumulations formed during uplift of the Tre??s Marias Island area, and include

  2. Tall guys and fat ladies: Grimaldi's Upper Paleolithic burials and figurines in an historical perspective.

    PubMed

    Formicola, Vincenzo; Holt, Brigitte

    2015-07-20

    The importance of the Grimaldi complex of caves and rock shelters is twofold: scientific and historical. Scientifically, it is one of the major Upper Paleolithic sites, considering the variety of mobiliary and parietal art, the number of single and multiple burials and associated grave goods, and the abundant lithic and fauna remains. Historically, the documentation of activity that took place in this site starting from the second half of the 19 th century and the studies carried out on the materials that have been recovered in the decades between 1870s-1910s, provide instructive examples of methods and goals of Paleolithic archeology and anthropology of the epoch. This paper combines the scientific and the historic interest of the site through a chronicle of the events that took place during the period of the most sensational discoveries, i.e. beginning with the identification in 1872 of the first Upper Paleolithic burial and ending with the results of the excavations carried out in 1901 at Grotte des Enfants published in four volumes a few years later. The paper discusses early interpretations and modern views on the different findings and documents changes in perspectives and goals of paleoanthropological research in over a century, raising some of the major issues of contemporary Upper Paleolithic studies.

  3. Endoscopic mucosal resection for early gastric cancer. A case report.

    PubMed

    Gheorghe, Cristian; Sporea, Ioan; Becheanu, Gabriel; Gheorghe, Liana

    2002-03-01

    European experience in endoscopic mucosal resection (EMR) for early gastric cancer is still relatively low, since early stomach cancer is diagnosed at a much lower rate in Europe than in Japan and generally operable patients are referred to surgery for radical resection. Endoscopic mucosal resection or mucosectomy was developed as a promising technology to diagnose and treat mucosal lesions in the esophagus, stomach and colon. In contrast to surgical resection, EMR allows "early cancers" to be removed with a minimal cost, morbidity and mortality. We present the case of a patient with hepatic cirrhosis incidentally diagnosed with an elevated-type IIa early gastric cancer. Echoendoscopy was performed in order to assess the depth of invasion into the gastric wall confirming the only mucosal involvement. We performed an EMR using "cup and suction" method. After the procedure, the patient experienced an acute upper gastrointestinal bleeding from the ulcer bed requiring argon plasma coagulation. The histopathological examination confirmed an early cancer, without involvement of muscularis mucosae. The patient has had an uneventful evolution being well at six months after the procedure

  4. Portable upper extremity robotics is as efficacious as upper extremity rehabilitative therapy: a randomized controlled pilot trial.

    PubMed

    Page, Stephen J; Hill, Valerie; White, Susan

    2013-06-01

    To compare the efficacy of a repetitive task-specific practice regimen integrating a portable, electromyography-controlled brace called the 'Myomo' versus usual care repetitive task-specific practice in subjects with chronic, moderate upper extremity impairment. Sixteen subjects (7 males; mean age 57.0 ± 11.02 years; mean time post stroke 75.0 ± 87.63 months; 5 left-sided strokes) exhibiting chronic, stable, moderate upper extremity impairment. Subjects were administered repetitive task-specific practice in which they participated in valued, functional tasks using their paretic upper extremities. Both groups were supervised by a therapist and were administered therapy targeting their paretic upper extremities that was 30 minutes in duration, occurring 3 days/week for eight weeks. One group participated in repetitive task-specific practice entirely while wearing the portable robotic, while the other performed the same activity regimen manually. The upper extremity Fugl-Meyer, Canadian Occupational Performance Measure and Stroke Impact Scale were administered on two occasions before intervention and once after intervention. After intervention, groups exhibited nearly identical Fugl-Meyer score increases of ≈2.1 points; the group using robotics exhibited larger score changes on all but one of the Canadian Occupational Performance Measure and Stroke Impact Scale subscales, including a 12.5-point increase on the Stroke Impact Scale recovery subscale. Findings suggest that therapist-supervised repetitive task-specific practice integrating robotics is as efficacious as manual practice in subjects with moderate upper extremity impairment.

  5. Vandenberg Air Force Base Upper Level Wind Launch Weather Constraints

    NASA Technical Reports Server (NTRS)

    Shafer, Jaclyn A.; Wheeler, Mark M.

    2012-01-01

    The 30th Operational Support Squadron Weather Flight (30 OSSWF) provides comprehensive weather services to the space program at Vandenberg Air Force Base (VAFB) in California. One of their responsibilities is to monitor upper-level winds to ensure safe launch operations of the Minuteman III ballistic missile. The 30 OSSWF tasked the Applied Meteorology Unit (AMU) to analyze VAFB sounding data with the goal of determining the probability of violating (PoV) their upper-level thresholds for wind speed and shear constraints specific to this launch vehicle, and to develop a tool that will calculate the PoV of each constraint on the day of launch. In order to calculate the probability of exceeding each constraint, the AMU collected and analyzed historical data from VAFB. The historical sounding data were retrieved from the National Oceanic and Atmospheric Administration Earth System Research Laboratory archive for the years 1994-2011 and then stratified into four sub-seasons: January-March, April-June, July-September, and October-December. The maximum wind speed and 1000-ft shear values for each sounding in each subseason were determined. To accurately calculate the PoV, the AMU determined the theoretical distributions that best fit the maximum wind speed and maximum shear datasets. Ultimately it was discovered that the maximum wind speeds follow a Gaussian distribution while the maximum shear values follow a lognormal distribution. These results were applied when calculating the averages and standard deviations needed for the historical and real-time PoV calculations. In addition to the requirements outlined in the original task plan, the AMU also included forecast sounding data from the Rapid Refresh model. This information provides further insight for the launch weather officers (LWOs) when determining if a wind constraint violation will occur over the next few hours on day of launch. The interactive graphical user interface (GUI) for this project was developed in

  6. Incidence and socioeconomic determinants of abortion in rural Upper Egypt.

    PubMed

    Yassin, K M

    2000-07-01

    Because of a growing cultural and religious sensitivity and controversy over reproductive health issues, particularly abortion, this area remains relatively unexplored in Egypt. This study was conducted using a participatory approach to determine the morbidity and determinants of abortion in rural Upper Egypt. In all, 1025 women from six villages in Upper Egypt were included in the study. Information regarding the incidence of abortion, patterns of health care utilization and risk factors was obtained using a structured interview format. The local dialect was used in formulating questions and they were revised and amended by a panel of local leaders, interviewers and representatives of the study population. Interviewers were local educated (secondary or university level) female volunteers. Information about exposure to 17 risk factors was also collected and statistical analysis was done by estimating the odds ratio and applying a test of statistical significance. Then, a multivariate logistic regression model was applied to control for possible interactions and confounding effects. The results were that 40.6% (n=416) had aborted at least once; of them 24.6% (n=252) had aborted more than once and were designated as recurrent aborters. The lifetime prevalence of recurrent abortion was estimated to be 25% and nearly 21% of pregnancies were aborted. The incidence of abortion was estimated to be 265 per 1000 live birth. Only 21.9% (n=91) of women received medical care for the last abortion. The vast majority of women (92%, n=299) who did not seek medical help received help from traditional and domestic sources. These sources are midwife (59.9%, n=179), relative or neighbour (29.8%, n=89), and traditional practitioner (10.4%, n=31). The multivariate analysis revealed that the incidence of abortion is significantly associated with gravidity, consanguinity, and mother occupation, while recurrent abortion is associated with gravidity, consanguinity and woman's age at

  7. Early intervention for adolescents with Patellofemoral Pain Syndrome - a pragmatic cluster randomised controlled trial

    PubMed Central

    2012-01-01

    Background Self-reported knee pain is highly prevalent among adolescents. As much as 50% of the non-specific knee pain may be attributed to Patellofemoral Pain Syndrome (PFPS). In the short term, exercise therapy appears to have a better effect than patient education consisting of written information and general advice on exercise or compared with placebo treatment. But the long-term effect of exercise therapy compared with patient education is conflicting. The purpose of this study is to examine the short- and long-term effectiveness of patient education compared with patient education and multimodal physiotherapy applied at a very early stage of the condition among adolescents. Methods/Design This study is a single blind pragmatic cluster randomised controlled trial. Four upper secondary schools have been invited to participate in the study (approximately 2500 students, aged 15-19 years). Students are asked to answer an online questionnaire regarding musculoskeletal pain. The students who report knee pain are contacted by telephone and offered a clinical examination by a rheumatologist. Subjects who fit the inclusion criteria and are diagnosed with PFPS are invited to participate in the study. A minimum of 102 students with PFPS are then cluster-randomised into two intervention groups based on which school they attend. Both intervention groups receive written information and education. In addition to patient education, one group receives multimodal physiotherapy consisting primarily of neuromuscular training of the muscles around the foot, knee and hip and home exercises. The students with PFPS fill out self-reported questionnaires at baseline, 3, 6, 12 and 24 months after inclusion in the study. The primary outcome measure is perception of recovery measured on a 7-point Likert scale ranging from "completely recovered" to "worse than ever" at 12 months. Discussion This study is designed to investigate the effectiveness of patient education compared with patient

  8. The oral health of upper income Americans.

    PubMed

    Bailit, Howard; Lim, Sungwoo; Ismail, Amid

    2016-06-01

    Limited information is available on the oral health status of upper income Americans (>400 percent of the FPL). They constitute 33 percent of the population and account for 53 percent of dental expenditures. Using 1999-2004 NHANES data, we examined differences in the mean number and percentage of decayed and filled permanent surfaces and missing teeth among age and family income groups. For upper income Americans, across age groups, the mean number of untreated decayed surfaces and missing teeth ranged from 0.2 to 0.5 and 2.6 to 3.3, respectively. The mean number of restored surfaces was low in children but extensive in adults. Income disparities increased with increasing age. Overall, upper income Americans have good oral health. Relatively few have untreated decayed surfaces or missing teeth. The reasons for the large number of restored surfaces in upper income adults require further research. Most upper income Americans are in good oral health, especially the 12-18 year cohort. As this group ages, the oral health of upper income adults is expected to improve. © 2015 American Association of Public Health Dentistry.

  9. Comparison of forearm and upper arm blood pressures.

    PubMed

    Singer, A J; Kahn, S R; Thode, H C; Hollander, J E

    1999-01-01

    In the prehospital setting it is not always feasible to obtain blood pressure (BP) readings from the upper arm. This study was performed to compare BPs obtained from subjects' forearms and upper arms in order to assess the utility of forearm BP as a surrogate for standard BP. The authors performed a prospective, cross-sectional, convenience study in a sample of ambulatory university ED patients, where each subject had sequential determinations of left upper arm and forearm BPs with an automated monitor at ED triage. The order of measurement was determined by the day of the week. Demographic and clinical data were also recorded. The main outcome measure was the correlation between upper arm and forearm systolic and diastolic BPs. Pearson's correlation coefficient and Student's t-test were used to analyze the data. 151 patients were enrolled. The mean age was 35.3+/-15.7 years; 40% were female and 78% were white. The mean forearm and upper arm systolic BPs were 129.8+/-20.7 mm Hg and 126.2+/-17.6 mm Hg (p = 0.002). The mean forearm and upper arm diastolic BPs were 80.7+/-14.5 mm Hg and 76.8+/-13.4 mm Hg (p<0.001). The correlations between forearm and upper arm systolic and diastolic BPs were 0.75 (p<0.001) and 0.72 (p<0.001). The differences between forearm and upper arm systolic and diastolic BPs were within 20 mm Hg in 86% and 94% of patients, respectively. Forearm BP is a fairly good predictor of standard upper arm BP in most patients. Forearm BP may be used when measurement of upper arm BP is not feasible.

  10. CRYOGENIC UPPER STAGE SYSTEM SAFETY

    NASA Technical Reports Server (NTRS)

    Smith, R. Kenneth; French, James V.; LaRue, Peter F.; Taylor, James L.; Pollard, Kathy (Technical Monitor)

    2005-01-01

    NASA s Exploration Initiative will require development of many new systems or systems of systems. One specific example is that safe, affordable, and reliable upper stage systems to place cargo and crew in stable low earth orbit are urgently required. In this paper, we examine the failure history of previous upper stages with liquid oxygen (LOX)/liquid hydrogen (LH2) propulsion systems. Launch data from 1964 until midyear 2005 are analyzed and presented. This data analysis covers upper stage systems from the Ariane, Centaur, H-IIA, Saturn, and Atlas in addition to other vehicles. Upper stage propulsion system elements have the highest impact on reliability. This paper discusses failure occurrence in all aspects of the operational phases (Le., initial burn, coast, restarts, and trends in failure rates over time). In an effort to understand the likelihood of future failures in flight, we present timelines of engine system failures relevant to initial flight histories. Some evidence suggests that propulsion system failures as a result of design problems occur shortly after initial development of the propulsion system; whereas failures because of manufacturing or assembly processing errors may occur during any phase of the system builds process, This paper also explores the detectability of historical failures. Observations from this review are used to ascertain the potential for increased upper stage reliability given investments in integrated system health management. Based on a clear understanding of the failure and success history of previous efforts by multiple space hardware development groups, the paper will investigate potential improvements that can be realized through application of system safety principles.

  11. Regulating N Application for Rice Yield and Sustainable Eco-Agro Development in the Upper Reaches of Yellow River Basin, China

    PubMed Central

    Zhang, Aiping; Liu, Ruliang; Gao, Ji; Yang, Shiqi; Chen, Zhe

    2014-01-01

    High N fertilizer and flooding irrigation applied to rice on anthropogenic-alluvial soil often result in N leaching and low recovery of applied fertilizer N from the rice fields in Ningxia irrigation region in the upper reaches of the Yellow River, which threatens ecological environment, food security, and sustainable agricultural development. This paper reported the regulating N application for rice yield and sustainable Eco-Agro development in the upper reaches of Yellow River basin. The results showed that reducing and postponing N application could maintain crop yields while substantially reducing N leaching losses to the environment and improving the nitrogen use efficiency. Considering the high food production, the minimum environmental threat, and the low labor input, we suggested that regulating N application is an important measure to help sustainable agricultural development in this region. PMID:25045728

  12. An Ecological Footprint for an Early Learning Centre: Identifying Opportunities for Early Childhood Sustainability Education through Interdisciplinary Research

    ERIC Educational Resources Information Center

    McNichol, Heidi; Davis, Julie Margaret; O'Brien, Katherine R.

    2011-01-01

    In this study, engineers and educators worked together to adapt and apply the ecological footprint (EF) methodology to an early learning centre in Brisbane, Australia. Results were analysed to determine how environmental impact can be reduced at the study site and more generally across early childhood settings. It was found that food, transport…

  13. Medicaid program; revision to Medicaid upper payment limit requirements for hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. Health Care Financing Administration (HCFA), HHS. Final rule.

    PubMed

    2001-01-12

    This final rule modifies the Medicaid upper payment limits for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services. For each type of Medicaid inpatient service, existing regulations place an upper limit on overall aggregate payments to all facilities and a separate aggregate upper limit on payments made to State-operated facilities. This final rule establishes an aggregate upper limit that applies to payments made to government facilities that are not State government-owned or operated, and a separate aggregate upper limit on payments made to privately-owned and operated facilities. This rule also eliminates the overall aggregate upper limit that had applied to these services. With respect to outpatient hospital and clinic services, this final rule establishes an aggregate upper limit on payments made to State government-owned or operated facilities, an aggregate upper limit on payments made to government facilities that are not State government-owned or operated, and an aggregate upper limit on payments made to privately-owned and operated facilities. These separate upper limits are necessary to ensure State Medicaid payment systems promote economy and efficiency. We are allowing a higher upper limit for payment to non-State public hospitals to recognize the higher costs of inpatient and outpatient services in public hospitals. In addition, to ensure continued beneficiary access to care and the ability of States to adjust to the changes in the upper payment limits, the final rule includes a transition period for States with approved rate enhancement State plan amendments.

  14. The 6 minute walk test and performance of upper limb in ambulant duchenne muscular dystrophy boys.

    PubMed

    Pane, Marika; Mazzone, Elena Stacy; Sivo, Serena; Fanelli, Lavinia; De Sanctis, Roberto; D'Amico, Adele; Messina, Sonia; Battini, Roberta; Bianco, Flaviana; Scutifero, Marianna; Petillo, Roberta; Frosini, Silvia; Scalise, Roberta; Vita, Gian Luca; Bruno, Claudio; Pedemonte, Marina; Mongini, Tiziana; Pegoraro, Elena; Brustia, Francesca; Gardani, Alice; Berardinelli, Angela; Lanzillotta, Valentina; Viggiano, Emanuela; Cavallaro, Filippo; Sframeli, Maria; Bello, Luca; Barp, Andrea; Busato, Fabio; Bonfiglio, Serena; Rolle, Enrica; Colia, Giulia; Bonetti, Annamaria; Palermo, Concetta; Graziano, Alessandra; D'Angelo, Grazia; Pini, Antonella; Corlatti, Alice; Gorni, Ksenija; Baranello, Giovanni; Antonaci, Laura; Bertini, Enrico; Politano, Luisa; Mercuri, Eugenio

    2014-10-07

    The Performance of Upper Limb (PUL) test was specifically developed for the assessment of upper limbs in Duchenne muscular dystrophy (DMD). The first published data have shown that early signs of involvement can also be found in ambulant DMD boys. The aim of this longitudinal Italian multicentric study was to evaluate the correlation between the 6 Minute Walk Test (6MWT) and the PUL in ambulant DMD boys. Both 6MWT and PUL were administered to 164 ambulant DMD boys of age between 5.0 and 16.17 years (mean 8.82). The 6 minute walk distance (6MWD) ranged between 118 and 557 (mean: 376.38, SD: 90.59). The PUL total scores ranged between 52 and 74 (mean: 70.74, SD: 4.66). The correlation between the two measures was 0.499. The scores on the PUL largely reflect the overall impairment observed on the 6MWT but the correlation was not linear. The use of the PUL appeared to be less relevant in the very strong patients with 6MWD above 400 meters, who, with few exceptions had near full scores. In patients with lower 6MWD the severity of upper limb involvement was more variable and could not always be predicted by the 6MWD value or by the use of steroids. Our results confirm that upper limb involvement can already be found in DMD boys even in the ambulant phase.

  15. Prediction of stemless humeral implant micromotion during upper limb activities.

    PubMed

    Favre, Philippe; Henderson, Adam D

    2016-07-01

    Adequate primary stability is essential for the long term success of uncemented stemless shoulder implants. The goal of this study was to evaluate the micromotion of a stemless humeral implant during various upper limb activities. A finite element model was validated by reproducing experimental primary stability testing. Loading from an instrumented prosthesis representing a set of 29 upper limb activities were applied within the validated FE model. Peak micromotion and percentage area for different micromotion thresholds were considered. In all simulated activities, at least 99% of the implant surface experienced micromotion below 150μm. Micromotion depended strongly on loading with large discrepancies between upper limb activities. Carrying no external weight and keeping the arm at lower angles induced lower micromotion. Activities representative of demanding manual labor generally led to higher micromotion. Axilla crutches led to lower micromotion than forearm crutches. Micromotion increased when a wheelchair was used on slopes above 2% inclination. Micromotions below the 150μm threshold below which bone ingrowth occurs were measured over at least 99% of the implant surface for all simulated activities. Peak micromotion dependence on activity type demonstrates the need to consider physiologic in vivo loading and the full contact interface in primary stability evaluations. Focusing on activities with no hand weight and low arm motions during the rehabilitation period may enhance primary stability. For patients unable to walk without aids, axilla crutches and motorized wheelchairs might be more beneficial than forearm crutches and manual drive wheelchairs respectively. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. A New Variant of Connective Tissue Nevus with Elastorrhexis and Predilection for the Upper Chest.

    PubMed

    Chu, Derek H; Goldbach, Hayley; Wanat, Karolyn A; Rubin, Adam I; Yan, Albert C; Treat, James R

    2015-01-01

    Localized changes in cutaneous elastic tissue often manifest with flesh-colored, hypopigmented, or yellow papules, plaques, and nodules. We present five children with clinically similar cobblestone plaques composed of multiple hypopigmented, nonfollicular, pinpoint papules located unilaterally over the upper chest. All lesions first appeared at birth or during early infancy. No associated extracutaneous abnormalities have been identified. Histopathology was remarkable for many, thick elastic fibers with elastorrhexis. We believe that these cases represent a distinct and unique variant of connective tissue nevi. © 2014 Wiley Periodicals, Inc.

  17. Effects of virtual reality training with modified constraint-induced movement therapy on upper extremity function in acute stage stroke: a preliminary study.

    PubMed

    Ji, Eun-Kyu; Lee, Sang-Heon

    2016-11-01

    [Purpose] The purpose of this study was to investigate the effects of virtual reality training combined with modified constraint-induced movement therapy on upper extremity motor function recovery in acute stage stroke patients. [Subjects and Methods] Four acute stage stroke patients participated in the study. A multiple baseline single subject experimental design was utilized. Modified constraint-induced movement therapy was used according to the EXplaining PLastICITy after stroke protocol during baseline sessions. Virtual reality training with modified constraint-induced movement therapy was applied during treatment sessions. The Manual Function Test and the Box and Block Test were used to measure upper extremity function before every session. [Results] The subjects' upper extremity function improved during the intervention period. [Conclusion] Virtual reality training combined with modified constraint-induced movement is effective for upper extremity function recovery in acute stroke patients.

  18. Electrophysiological evidence of automatic early semantic processing.

    PubMed

    Hinojosa, José A; Martín-Loeches, Manuel; Muñoz, Francisco; Casado, Pilar; Pozo, Miguel A

    2004-01-01

    This study investigates the automatic-controlled nature of early semantic processing by means of the Recognition Potential (RP), an event-related potential response that reflects lexical selection processes. For this purpose tasks differing in their processing requirements were used. Half of the participants performed a physical task involving a lower-upper case discrimination judgement (shallow processing requirements), whereas the other half carried out a semantic task, consisting in detecting animal names (deep processing requirements). Stimuli were identical in the two tasks. Reaction time measures revealed that the physical task was easier to perform than the semantic task. However, RP effects elicited by the physical and semantic tasks did not differ in either latency, amplitude, or topographic distribution. Thus, the results from the present study suggest that early semantic processing is automatically triggered whenever a linguistic stimulus enters the language processor.

  19. Clinical applications of perforator-based propeller flaps in upper limb soft tissue reconstruction.

    PubMed

    Ono, Shimpei; Sebastin, Sandeep J; Yazaki, Naoya; Hyakusoku, Hiko; Chung, Kevin C

    2011-05-01

    A propeller flap is an island flap that moves from one orientation to another by rotating around its vascular axis. The vascular axis is stationary, and flap movement is achieved by revolving on this axis. Early propeller flaps relied on a thick, subcutaneous pedicle to maintain vascularity, and this limited the flap rotation to 90°. With increasing awareness of the location and the vascular territory perfused by cutaneous perforators, it is now possible to design propeller flaps based on a single perforator, so-called "perforator-based propeller flaps." These flaps permit flap rotation up to 180°. We present the results of upper limb soft tissue reconstruction using perforator-based propeller flaps. We constructed a treatment strategy based on the location of the soft tissue defect and the perforator anatomy for expedient wound coverage in 1 stage. All perforator-based propeller flaps derived from 3 institutions that were used for upper limb soft tissue reconstruction were retrospectively analyzed. The parameters studied included the size and location of the defect, the perforator that was used, the size and shape of the flap, the direction (ie, clockwise or counter-clockwise) of flap rotation, the degree of twisting of the perforator, the management of the donor site (ie, linear closure or skin grafting), and flap survival (recorded as the percentage of the flap area that survived). Twelve perforator-based propeller flaps were used to reconstruct upper limb soft tissue defects in 12 patients. Six different perforators were used as vascular pedicles. The donor defects of 11 flaps could be closed primarily. One flap was partially lost in a patient with electrical burns. Perforator-based propeller flaps provide a reliable option for covering small- to medium-size upper limb soft tissue defects. Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  20. Tropical storm redistribution of Saharan dust to the upper troposphere and ocean surface

    NASA Astrophysics Data System (ADS)

    Herbener, Stephen R.; Saleeby, Stephen M.; Heever, Susan C.; Twohy, Cynthia H.

    2016-10-01

    As a tropical cyclone traverses the Saharan Air Layer (SAL), the storm will spatially redistribute the dust from the SAL. Dust deposited on the surface may affect ocean fertilization, and dust transported to the upper levels of the troposphere may impact radiative forcing. This study explores the relative amounts of dust that are vertically redistributed when a tropical cyclone crosses the SAL. The Regional Atmospheric Modeling System (RAMS) was configured to simulate the passage of Tropical Storm Debby (2006) through the SAL. A dust mass budget approach has been applied, enabled by a novel dust mass tracking capability of the model, to determine the amounts of dust deposited on the ocean surface and transferred aloft. The mass of dust removed to the ocean surface was predicted to be nearly 2 orders of magnitude greater than the amount of dust transported to the upper troposphere.

  1. Upper tropospheric cloud systems determined from IR Sounders and their influence on the atmosphere

    NASA Astrophysics Data System (ADS)

    Stubenrauch, Claudia; Protopapadaki, Sofia; Feofilov, Artem; Velasco, Carola Barrientos

    2017-02-01

    Covering about 30% of the Earth, upper tropospheric clouds play a key role in the climate system by modulating the Earth's energy budget and heat transport. Infrared Sounders reliably identify cirrus down to an IR optical depth of 0.1. Recently LMD has built global cloud climate data records from AIRS and IASI observations, covering the periods from 2003-2015 and 2008-2015, respectively. Upper tropospheric clouds often form mesoscale systems. Their organization and properties are being studied by (1) distinguishing cloud regimes within 2° × 2° regions and (2) applying a spatial composite technique on adjacent cloud pressures, which estimates the horizontal extent of the mesoscale cloud systems. Convective core, cirrus anvil and thin cirrus of these systems are then distinguished by their emissivity. Compared to other studies of tropical mesoscale convective systems our data include also the thinner anvil parts, which make out about 30% of the area of tropical mesoscale convective systems. Once the horizontal and vertical structure of these upper tropospheric cloud systems is known, we can estimate their radiative effects in terms of top of atmosphere and surface radiative fluxes and by computing their heating rates.

  2. Long-lasting upper D-region ionospheric modifications caused by intense +/- CG lightning discharges

    NASA Astrophysics Data System (ADS)

    Haldoupis, Christos

    2013-04-01

    In a recent Geophysical Research Letter we have presented observations from a single maritime storm showing that intense positive cloud-to-ground (+CG) lightning discharges during nighttime, which trigger both an elve and a sprite, are associated with long-lasting conductivity modifications in the upper D-region ionosphere. The ionospheric disturbances can be observed as perturbations in the amplitude and phase of VLF (very low frequency) signals propagating through or near the disturbed region. They are manifested as LOng Recovery early VLF Events (LOREs) which can last up to 20 - 30 minutes. The same ionospheric modifications may also produce abrupt step-like changes in VLF transmissions which offset signal levels for longer times (>30-60 min). Here we discuss these observations supplementing them with new evidence and some statistics. Among other things, the unpublished results show that very intense (currents > 250-300 kA) CG lightning discharges of either positive or negative polarity are always accompanied mainly by step-like LOREs. The evidence suggests that the electromagnetic pulse (EMP) of a very high peak current CG lightning stroke, which is likely able to produce an elve, produces by electron impact long lasting and spatially extended elevations in electron density at VLF ionospheric reflection heights in the upper D region ionosphere. The results identify a mechanism for the LORE VLF signatures and confirm predictions and postulations that elves may be accompanied by significant and long-lasting electron density perturbations in the upper D- lower E- region ionosphere.

  3. Early Visean bryozoans from the Shishtu II Member, Shishtu Formation, central Iran

    NASA Astrophysics Data System (ADS)

    Tolokonnikova, Zoya; Yazdi-Moghadam, Mohsen

    2013-12-01

    Four bryozoan species are described from the upper member (Shishtu II) (Visean, Early Carboniferous=Mississippian) of the Shishtu Formation of central Iran: Nikiforovella ulbensis Nekhoroshev, 1956, Nicklesopora elegantulaformis (Nekhoroshev, 1956), Primorella cf. iranica Gorjunova, 2006, and Nikiforopora intermedia (Nikiforova, 1950). This Visean assemblage shows close palaeogeographical affinities of Iran with Kazakhstan and Russia (eastern Transbaikalia, Kurgan region).

  4. Seasonal variation in drifting eggs and larvae in the upper Yangtze, China.

    PubMed

    Jiang, Wei; Liu, Huan-Zhang; Duan, Zhong-Hua; Cao, Wen-Xuan

    2010-05-01

    From 5 March to 25 July 2008, ichthyoplankton drifting into the Three Gorges Reservoir from the upper reaches of the Yangtze River were sampled daily to investigate the species composition, abundance, and seasonal variation in early-stage fishes in this area. Twenty-eight species belonging to five orders and 17 families or subfamilies were identified by analyzing fish eggs and larvae, and a total of 14.16 billion individuals were estimated drifting through the sampling section during the investigation. Among the ichthyoplankton sampled, species in Cultrinae, Cobitidae, Gobioninae and Gobiidae, along with the common carp (Cyprinus carpio Linnaeus), comprised 89.6% of the total amount. Six peaks of drift density were identified during the sampling period, and a significant correlation was found between drift density with water discharge. The dominant species were different in each drift peak, indicating different spawning times for the major species. The total amount of the four major Chinese carps that drifted through the sampling section was estimated as 0.88 billion, indicating an increase in the population sizes of these species in the upper reaches of the Yangtze River after construction of the Three Gorges Dam. Actually, these reaches have become the largest spawning area for the four major Chinese carps in the Yangtze River. The large total amount of eggs and larvae drifting through this section demonstrated that the upper reaches of the Yangtze River provided important spawning sites for many fish species, and that conservation of this area should be of great concern.

  5. Some early astronomical sites in the Kashmir region

    NASA Astrophysics Data System (ADS)

    Iqbal, Naseer; Vahia, M. N.; Masood, Tabasum; Ahmad, Aijaz

    2009-03-01

    We discuss a number of early rock art sites in the Kashmir Valley in northern India and neighbouring Pakistan, and suggest that some of these contain depictions of astronomical objects or events. The sites are in the Srinagar and Sopore regions and in or near the Ladakh region, and date to Neolithic or Upper Paleolithic times. Our studies suggest that during this period some of the ancient astronomers recorded supernovae, meteorite impacts, the Sun, the Moon and the seasons in their rock art.

  6. Comparison the Serum STREM1 Levels Between Children with Upper and Lower UTI.

    PubMed

    Ehsanipour, Fahime; Noorbakhsh, Samileh; Zarabi, Vida; Movahedi, Zahra; Rahimzadeh, Nahid

    2017-01-01

    UTI from lower UTI. Our study demonstrates that even low amount of serum STREM-1 (111.5 pg./ml) has 83.3% sensitivity ; and 60 % specificity to distinguish the UTI from normal cases (P value =0.000) but higher level (132 pg./ml) was needed for definite diagnosis (83.3% sensitivity; 60 % specificity) of upper and lower UTI. It is concluded that serum STREM-1 level test is a valuable tool for early diagnosis of the normal cases with false positive urine culture, or in highly suspicious upper UTI cases with false negative urine culture. Indeed higher titer of this biomarker could be helpful for discriminating the upper from lower UTI. Therefore adding this new biologic marker (STREM-1) to previous ones (CRP, PCT) is suggested to prevent the unnecessary hospital admission and empiric antibiotic therapy. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  7. Numerical Analysis of Flood modeling of upper Citarum River under Extreme Flood Condition

    NASA Astrophysics Data System (ADS)

    Siregar, R. I.

    2018-02-01

    This paper focuses on how to approach the numerical method and computation to analyse flood parameters. Water level and flood discharge are the flood parameters solved by numerical methods approach. Numerical method performed on this paper for unsteady flow conditions have strengths and weaknesses, among others easily applied to the following cases in which the boundary irregular flow. The study area is in upper Citarum Watershed, Bandung, West Java. This paper uses computation approach with Force2 programming and HEC-RAS to solve the flow problem in upper Citarum River, to investigate and forecast extreme flood condition. Numerical analysis based on extreme flood events that have occurred in the upper Citarum watershed. The result of water level parameter modeling and extreme flood discharge compared with measurement data to analyse validation. The inundation area about flood that happened in 2010 is about 75.26 square kilometres. Comparing two-method show that the FEM analysis with Force2 programs has the best approach to validation data with Nash Index is 0.84 and HEC-RAS that is 0.76 for water level. For discharge data Nash Index obtained the result analysis use Force2 is 0.80 and with use HEC-RAS is 0.79.

  8. Portable Upper Extremity Robotics is as Efficacious as Upper Extremity Rehabilitative Therapy: A Randomized Controlled Pilot Trial

    PubMed Central

    Page, Stephen J.; Hill, Valerie; White, Susan

    2013-01-01

    Objective To compare the efficacy of a repetitive task specific practice regimen integrating a portable, electromyography-controlled brace called the “Myomo” versus usual care repetitive task specific practice in subjects with chronic, moderate upper extremity impairment. Subjects 16 subjects (7 males; mean age = 57.0 ± 11.02 years; mean time post stroke = 75.0 ± 87.63 months; 5 left-sided strokes) exhibiting chronic, stable, moderate upper extremity impairment. Interventions Subjects were administered repetitive task specific practice in which they participated in valued, functional tasks using their paretic upper extremities. Both groups were supervised by a therapist and were administered therapy targeting their paretic upper extremities that was 30-minutes in duration, occurring 3 days/week for 8 weeks. However, one group participated in repetitive task specific practice entirely while wearing the portable robotic while the other performed the same activity regimen manually.. Main Outcome Measures The upper extremity Fugl-Meyer, Canadian Occupational Performance measure and Stroke Impact Scale were administered on two occasions before intervention and once after intervention. Results After intervention, groups exhibited nearly-identical Fugl-Meyer score increases of ≈ 2.1 points; the group using robotics exhibited larger score changes on all but one of the Canadian occupational performance measure and Stroke Impact Scale subscales, including a 12.5-point increase on the Stroke Impact Scale recovery subscale. Conclusions Findings suggest that therapist-supervised repetitive task specific practice integrating robotics is as efficacious as manual in subjects with moderate upper extremity impairment. PMID:23147552

  9. The Upper Atmosphere; Threshold of Space.

    ERIC Educational Resources Information Center

    Bird, John

    This booklet contains illustrations of the upper atmosphere, describes some recent discoveries, and suggests future research questions. It contains many color photographs. Sections include: (1) "Where Does Space Begin?"; (2) "Importance of the Upper Atmosphere" (including neutral atmosphere, ionized regions, and balloon and investigations); (3)…

  10. Biostratigraphic and chemostratigraphic correlation of Neoproterozoic sedimentary successions: upper Tindir Group, northwestern Canada, as a test case

    NASA Technical Reports Server (NTRS)

    Kaufman, A. J.; Knoll, A. H.; Awramik, S. M.

    1992-01-01

    Recent advances in Proterozoic micropaleontology and sedimentary isotope geochemistry suggest that improved interbasinal correlation of Neoproterozoic (1000-540 Ma) successions is possible. Because widely varying interpretations of its age have been suggested and no reliable radiometric dates or paleomagnetic data are available, the upper Tindir Group of northwestern Canada provides an opportunity to test this hypothesis. The age of these strata is of paleontological importance because silicified carbonates near the top of the group contain disc-shaped-scale microfossils that may provide insights into the early evolution of biomineralization. A reinterpretation of upper Tindir microfossil assemblages suggests a late Riphean age. Although diagenesis and contact metamorphism have altered the isotopic compositions of some carbonates, least altered samples indicate that delta 13C of contemporaneous seawater was at least +4.7%, typical of Neoproterozoic, but not Cambrian, carbonates. Strontium isotopic compositions of the least altered samples yield values of approximately 0.7065, which can be uniquely correlated with late Riphean seawater. Together, micropaleontology and the isotopic tracers of C and Sr constrain the upper Tindir carbonates and their unique fossils to be late Riphean, likely between 620 and 780 Ma.

  11. Use and impact of early endoscopy in elderly patients with peptic ulcer hemorrhage: a population-based analysis.

    PubMed

    Cooper, Gregory S; Kou, Tzyung Doug; Wong, Richard C K

    2009-08-01

    Upper endoscopy performed within 1 day of presentation, or early endoscopy, has been proposed as an intervention to improve the efficiency and outcomes of care for patients with peptic ulcer hemorrhage. However, the use and outcomes have not been studied in a national, U.S.-based sample. To determine the prevalence and associated outcomes of early versus delayed endoscopy in bleeding peptic ulcers. Using a 5% random sample of inpatient and outpatient Medicare claims from 2004 in patients aged 66 years and older (mean [standard deviation] age 78.4 +/- 7.7 years), we identified 2592 patients, all of whom underwent endoscopy. Univariate and multivariate models were used to determine factors associated with 30-day mortality, upper GI surgery, and length of hospital stay. Early endoscopy was performed in 1854 patients (71.5%) and was somewhat more common with outpatient management. Early endoscopy was independently associated with a significant decrease in the length of hospital stay (-1.95 days, 95% CI, -2.60 to -1.29 days) as well as a lower likelihood of surgery (odds ratio, 0.37; 95% CI, 0.21-0.66). Early endoscopy was not associated with 30-day mortality in either univariate or multivariate analyses. Use of claims data lacking clinical detail and restriction to the Medicare-age population. In this population-based study of older patients with peptic ulcer hemorrhage, early endoscopy was associated with increased efficiency of care, lower rates of surgery, and potentially improved control of hemorrhage. Thus, unless specific contraindications exist, the data support the routine use of early endoscopy.

  12. The IRIS-GUS Shuttle Borne Upper Stage System

    NASA Technical Reports Server (NTRS)

    Tooley, Craig; Houghton, Martin; Bussolino, Luigi; Connors, Paul; Broudeur, Steve (Technical Monitor)

    2002-01-01

    This paper describes the Italian Research Interim Stage - Gyroscopic Upper Stage (IRIS-GUS) upper stage system that will be used to launch NASA's Triana Observatory from the Space Shuttle. Triana is a pathfinder earth science mission being executed on rapid schedule and small budget, therefore the mission's upper stage solution had to be a system that could be fielded quickly at relatively low cost and risk. The building of the IRIS-GUS system wa necessary because NASA lost the capability to launch moderately sized upper stage missions fro the Space Shuttle when the PAM-D system was retired. The IRIS-GUS system restores this capability. The resulting system is a hybrid which mates the existing, flight proven IRIS (Italian Research Interim Stage) airborne support equipment to a new upper stage, the Gyroscopic Upper Stage (GUS) built by the GSFC for Triana. Although a new system, the GUS exploits flight proven hardware and design approaches in most subsystems, in some cases implementing proven design approaches with state-of-the-art electronics. This paper describes the IRIS-GUS upper stage system elements, performance capabilities, and payload interfaces.

  13. The North American upper mantle: density, composition, and evolution

    USGS Publications Warehouse

    Mooney, Walter D.; Kaban, Mikhail K.

    2010-01-01

    The upper mantle of North America has been well studied using various seismic methods. Here we investigate the density structure of the North American (NA) upper mantle based on the integrative use of the gravity field and seismic data. The basis of our study is the removal of the gravitational effect of the crust to determine the mantle gravity anomalies. The effect of the crust is removed in three steps by subtracting the gravitational contributions of (1) topography and bathymetry, (2) low-density sedimentary accumulations, and (3) the three-dimensional density structure of the crystalline crust as determined by seismic observations. Information regarding sedimentary accumulations, including thickness and density, are taken from published maps and summaries of borehole measurements of densities; the seismic structure of the crust is based on a recent compilation, with layer densities estimated from P-wave velocities. The resultant mantle gravity anomaly map shows a pronounced negative anomaly (−50 to −400 mGal) beneath western North America and the adjacent oceanic region and positive anomalies (+50 to +350 mGal) east of the NA Cordillera. This pattern reflects the well-known division of North America into the stable eastern region and the tectonically active western region. The close correlation of large-scale features of the mantle anomaly map with those of the topographic map indicates that a significant amount of the topographic uplift in western NA is due to buoyancy in the hot upper mantle, a conclusion supported by previous investigations. To separate the contributions of mantle temperature anomalies from mantle compositional anomalies, we apply an additional correction to the mantle anomaly map for the thermal structure of the uppermost mantle. The thermal model is based on the conversion of seismic shear-wave velocities to temperature and is consistent with mantle temperatures that are independently estimated from heat flow and heat production data

  14. Kinematid Parameters of Corrective Postural Responses Differ between Upper and Lower Body Perturbations

    NASA Technical Reports Server (NTRS)

    Sayenko, G.

    2004-01-01

    Balance control is disrupted following prolonged microgravity exposure, and to better understand this, both upper and lower body perturbations have been used to study postural control in space flight crewmembers. However, differences between several postural response indicators observed using the two techniques suggest that different sensory systems may be involved in organizing responses to these different perturbation approaches. The present study sought to compare differences in parameters of corrective postural responses between upper body perturbations (pushes to the chest) and forward translations of the support surface. Nine subjects participated in this study. Forward translations were performed using a NeuroCom EquiTest(TM) CDP system, which was synchronized with a Northern Digital OptoTrak motion tracking system (3 subjects). Chest pushes were applied using a hand-held force transducer device and were performed using a stabilometric system (6 subjects). Analysis of EMG has shown that: i) the earliest response of the leg muscles was registered significantly later during forward translation of the support surface than during chest pushes, and ii) there was a tendency for the different order of leg muscles activation during the translation tests. Analysis of the kinematic data showed a significant difference in the subject's body segments inclinations during corrective postural responses to upper and lower body perturbations. It appears that upper body perturbations likely engage the vestibular system more rapidly, while lower body perturbations likely engage somatosensory systems more rapidly. These differences must be taken into account when choosing the type of perturbation for testing postural function.

  15. An Investigation into the Creation, Stability, and X-Ray Fluorescence Analysis of Early Photographic Processes: An Upper-Level Undergraduate Laboratory

    ERIC Educational Resources Information Center

    Rogge, Corina E.; Bezur, Aniko

    2012-01-01

    Photography is one of the few fine art forms that were initially developed by scientists such as Herschel and Talbot; however, in the modern chemistry curriculum, photography has become divorced from its scientific beginnings and resides in the studio arts department of most universities. An upper-level undergraduate experiment is described in…

  16. Political Economy in Applied Linguistics Research

    ERIC Educational Resources Information Center

    Block, David

    2017-01-01

    This state-of-the-art review is based on the fundamental idea that political economy should be adopted as a frame for research and discussion in applied linguistics as part of a general social turn which has taken hold in the field over the past three decades. It starts with Susan Gal's (1989) early call for such a move in sociolinguistics and…

  17. Regional effects of agricultural conservation practices on nutrient transport in the Upper Mississippi River Basin

    USGS Publications Warehouse

    Garcia, Ana Maria.; Alexander, Richard B.; Arnold, Jeffrey G.; Norfleet, Lee; White, Michael J.; Robertson, Dale M.; Schwarz, Gregory E.

    2016-01-01

    Despite progress in the implementation of conservation practices, related improvements in water quality have been challenging to measure in larger river systems. In this paper we quantify these downstream effects by applying the empirical U.S. Geological Survey water-quality model SPARROW to investigate whether spatial differences in conservation intensity were statistically correlated with variations in nutrient loads. In contrast to other forms of water quality data analysis, the application of SPARROW controls for confounding factors such as hydrologic variability, multiple sources and environmental processes. A measure of conservation intensity was derived from the USDA-CEAP regional assessment of the Upper Mississippi River and used as an explanatory variable in a model of the Upper Midwest. The spatial pattern of conservation intensity was negatively correlated (p = 0.003) with the total nitrogen loads in streams in the basin. Total phosphorus loads were weakly negatively correlated with conservation (p = 0.25). Regional nitrogen reductions were estimated to range from 5 to 34% and phosphorus reductions from 1 to 10% in major river basins of the Upper Mississippi region. The statistical associations between conservation and nutrient loads are consistent with hydrological and biogeochemical processes such as denitrification. The results provide empirical evidence at the regional scale that conservation practices have had a larger statistically detectable effect on nitrogen than on phosphorus loadings in streams and rivers of the Upper Mississippi Basin.

  18. Regional Effects of Agricultural Conservation Practices on Nutrient Transport in the Upper Mississippi River Basin.

    PubMed

    García, Ana María; Alexander, Richard B; Arnold, Jeffrey G; Norfleet, Lee; White, Michael J; Robertson, Dale M; Schwarz, Gregory

    2016-07-05

    Despite progress in the implementation of conservation practices, related improvements in water quality have been challenging to measure in larger river systems. In this paper we quantify these downstream effects by applying the empirical U.S. Geological Survey water-quality model SPARROW to investigate whether spatial differences in conservation intensity were statistically correlated with variations in nutrient loads. In contrast to other forms of water quality data analysis, the application of SPARROW controls for confounding factors such as hydrologic variability, multiple sources and environmental processes. A measure of conservation intensity was derived from the USDA-CEAP regional assessment of the Upper Mississippi River and used as an explanatory variable in a model of the Upper Midwest. The spatial pattern of conservation intensity was negatively correlated (p = 0.003) with the total nitrogen loads in streams in the basin. Total phosphorus loads were weakly negatively correlated with conservation (p = 0.25). Regional nitrogen reductions were estimated to range from 5 to 34% and phosphorus reductions from 1 to 10% in major river basins of the Upper Mississippi region. The statistical associations between conservation and nutrient loads are consistent with hydrological and biogeochemical processes such as denitrification. The results provide empirical evidence at the regional scale that conservation practices have had a larger statistically detectable effect on nitrogen than on phosphorus loadings in streams and rivers of the Upper Mississippi Basin.

  19. Experience of extracorporeal shockwave lithotripsy for kidney and upper ureteric stones by electromagnetic lithotriptor.

    PubMed

    Wazir, Bakhtawar Gul; Iftikhar ul Haq, Mian; Faheem ul Haq; Nawaz, Akhtar; Ikramullah, Ahmed Nawaz; Jamil, Mohammad

    2010-01-01

    Extracorporeal Shock Wave Lithotripsy (ESWL) is a non-invasive treatment of urinary stones which breaks them, by using externally applied, focused, high intensity acoustic pulse, into smaller pieces so that they can pass easily through ureter. Shock wave generation, focusing, coupling and stone localisation by fluoroscope or ultrasound are the basic components of ESWL. ESWL has some complications and is contraindicated in certain situations. The aim of this study was to evaluate the effectiveness and safety of ESWL in kidney and upper ureteric stones by Electromagnetic Lithotriptor. All adult patients with renal and upper ureteric stones having a diameter of up to 1 Cm were included in the study. Basic evaluation such as history, examination, ultrasound and excretory urography were performed. Electromagnetic lithotripsy was done and data were collected on a printed proforma from 1st January 2008 to 30th March 2009 in Institute of Kidney Diseases, Peshawar. Out of a total of 625 patients 463 were male and 162 were female; 67.36% of patients were having renal stones, 23.84% upper ureteric and 8.8% both renal and ureteric stones. Complications noted were renal colic in 9.76%, haematuria in 3.2%, steinstrasse in 2.72%, and fever in 1.12% of patients. The stone free rate was 89% and 7% of patients were having stone fragments <4 mm. ESWL failed in 4% of patients. ESWL is a safe and effective way of treating kidney and upper ureteric stones.

  20. Early Childhood Education: A Workbook for Administrators.

    ERIC Educational Resources Information Center

    Hewes, Dorothy; Hartman, Barbara

    This text-workbook is designed to present management theories and principles as they apply to the administration of early childhood programs, and serve as a resource and discussion guide applicable to a wide range of child care situations. Following a brief historical consideration of early childhood education in the United States, information to…

  1. Infant anthropometry, early life infection, and subsequent risk of type 1 diabetes mellitus: a prospective birth cohort study.

    PubMed

    Ponsonby, Anne-Louise; Pezic, Angela; Cochrane, Jennifer; Cameron, Fergus J; Pascoe, Mark; Kemp, Andrew; Dwyer, Terence

    2011-06-01

    Higher birthweight is associated with increased type 1 diabetes mellitus (T1DM) risk, but the contribution of higher adiposity or lean mass is unclear. In this Tasmanian infant cohort, early upper respiratory infection has been associated with higher asthma risk. Eligible infants represented one-fifth of live births in Tasmania, 1988-1995. Hospital interview data (day 6) were obtained on 96.3% (10 628/11 040), home (5 wk) visit data (38 d) on 92.9% (9876/10 628) of those, then a phone (12 wk) interview (87 d). Tricep and subscapular skinfold measures and upper arm circumference were recorded at the first two interviews. T1DM cases (n = 26) arising from the age of 16 or under in Tasmania from 1988 to 2006 were ascertained. Higher birthweight [adjusted odds ratio (AOR) 2.82 (95% CI 1.31-6.09)], lean mid-upper arm circumference [AOR 1.76 (95% CI 1.16-2.66)], not skinfold measures, were associated with T1DM risk. Children with an early upper respiratory tract infection by 5-wk visit [AOR 2.74 (95% CI 1.19-6.32)] or ear infection by 12-wk interview [AOR 3.44 (95% CI 1.00-11.79)] were also at higher risk. Putative markers of altered microbial exposure such as resident density were not associated with T1DM risk but the effect of increasing birth order on T1DM risk differed for older (AOR 0.41, p = 0.02) than young mother (AOR 2.45, p = 0.01); difference in effect, p = 0.001. In this cohort, early upper respiratory tract infection was associated with T1DM risk, as had been previously found for asthma, consistent with immunoinflammatory upregulation. Using the detailed anthropometric measures available, the link between higher birthweight and T1DM did not appear to reflect increased adiposity. © 2011 John Wiley & Sons A/S.

  2. [Necrotizing fasciitis of the upper and lower extremities].

    PubMed

    Kückelhaus, M; Hirsch, T; Lehnhardt, M; Daigeler, A

    2017-04-01

    Necrotizing fasciitis is a potentially fatal soft tissue infection that may affect the upper and lower extremities, scrotum, perineum and abdominal wall. Typically, the infection demonstrates rapid spreading along the fascial planes leading to sepsis with mortality rates of 15-46%. Without adequate treatment, the mortality rate increases to close to 100%. There are four groups of pathogens that can lead to necrotizing fasciitis, namely beta-hemolytic group A streptococci, mixed infections with obligate and facultative anaerobes, clostridium species and fungal infections. Clinical signs may include erythema, edema and pain out of proportion in the early stages and soft tissue necrosis with bullae during the subsequent course. In some cases, only a deterioration of the general condition is evident and the aforementioned clinical symptoms are initially missing. The decision for treatment is based on the clinical diagnosis and surgical debridement is the cornerstone of treatment, accompanied by broad spectrum i.v. antibiotic treatment, e. g. with penicillin, ciprofloxacin and clindamycin.

  3. Inoceramid and foraminiferal record and biozonation of the Turonian and Coniacian (Upper Cretaceous) of the Mangyshlak Mts., western Kazakhstan

    NASA Astrophysics Data System (ADS)

    Walaszczyk, Ireneusz; Kopaevich, Ludmila F.; Beniamovski, Vladimir N.

    2013-12-01

    Walaszczyk, I., Kopaevich, L.F. and Beniamovski, V.N. 2013. Inoceramid and foraminiferal record and biozonation of the Turonian and Coniacian (Upper Cretaceous) of the Mangyshlak Mts., western Kazakhstan. Acta Geologica Polonica, 63 (4), 469-487. Warszawa. The Turonian and Coniacian (Upper Cretaceous) of the Mangyshlak Mts., western Kazakhstan, yielded a rich and relatively complete inoceramid bivalve record. The faunas and their succession correspond to those known from central and eastern Europe, allowing the zonation established in the latter areas to be applied in a virtually identical form. The gaps in the record of the group in Mangyshlak stem from the regional hiatuses in the geological record in the area and do not reflect any biogeographical differences between eastern and central-western Europe. Planktonic foraminifera are rare. Four successive interval range zones can be distinguished: in ascending stratigraphic order, the Helvetoglobotrunaca helvetica, Marginotruncaca pseudolinneiana, Marginotruncana coronata, and Concavotruncana concavata zones. Their correlation with the inoceramid zonation and, consequently, with the chronostratigraphic scheme, is demonstrated. The zonation and chronostratigraphic subdivision as applied in Mangyshlak may easily be applied to other areas of the peri-Caspian region (Caucasus, Tuarkyr, Kopet-Dagh, SE margin of the East-European Craton).

  4. Reimagining Instructional Leadership and Organizational Conditions for Improvement: Applied Research Transforming Early Education

    ERIC Educational Resources Information Center

    Pacchiano, Debra; Klein, Rebecca; Hawley, Marsha Shigeyo

    2016-01-01

    Despite concerted efforts to improve children's learning by improving classrooms, results have been lackluster. There is a growing understanding that a sole focus on teachers and classrooms is insufficient. Yet, the field has not systematically explored how to help early childhood education settings become organizations designed for powerful…

  5. Inactivation of Poxviruses by Upper-Room UVC Light in a Simulated Hospital Room Environment

    PubMed Central

    McDevitt, James J.; Milton, Donald K.; Rudnick, Stephen N.; First, Melvin W.

    2008-01-01

    In the event of a smallpox outbreak due to bioterrorism, delays in vaccination programs may lead to significant secondary transmission. In the early phases of such an outbreak, transmission of smallpox will take place especially in locations where infected persons may congregate, such as hospital emergency rooms. Air disinfection using upper-room 254 nm (UVC) light can lower the airborne concentrations of infective viruses in the lower part of the room, and thereby control the spread of airborne infections among room occupants without exposing occupants to a significant amount of UVC. Using vaccinia virus aerosols as a surrogate for smallpox we report on the effectiveness of air disinfection, via upper-room UVC light, under simulated real world conditions including the effects of convection, mechanical mixing, temperature and relative humidity. In decay experiments, upper-room UVC fixtures used with mixing by a conventional ceiling fan produced decreases in airborne virus concentrations that would require additional ventilation of more than 87 air changes per hour. Under steady state conditions the effective air changes per hour associated with upper-room UVC ranged from 18 to 1000. The surprisingly high end of the observed range resulted from the extreme susceptibility of vaccinia virus to UVC at low relative humidity and use of 4 UVC fixtures in a small room with efficient air mixing. Increasing the number of UVC fixtures or mechanical ventilation rates resulted in greater fractional reduction in virus aerosol and UVC effectiveness was higher in winter compared to summer for each scenario tested. These data demonstrate that upper-room UVC has the potential to greatly reduce exposure to susceptible viral aerosols. The greater survival at baseline and greater UVC susceptibility of vaccinia under winter conditions suggest that while risk from an aerosol attack with smallpox would be greatest in winter, protective measures using UVC may also be most efficient at this

  6. Langmuir cells and mixing in the upper ocean

    NASA Astrophysics Data System (ADS)

    Carniel, S.; Sclavo, M.; Kantha, L. H.; Clayson, C. A.

    2005-01-01

    The presence of surface gravity waves at the ocean surface has two important effects on turbulence in the oceanic mixed layer (ML): the wave breaking and the Langmuir cells (LC). Both these effects act as additional sources of turbulent kinetic energy (TKE) in the oceanic ML, and hence are important to mixing in the upper ocean. The breaking of high wave-number components of the wind wave spectrum provides an intense but sporadic source of turbulence in the upper surface; turbulence thus injected diffuses downward, while decaying rapidly, modifying oceanic near-surface properties which in turn could affect the air-sea transfer of heat and dissolved gases. LC provide another source of additional turbulence in the water column; they are counter-rotating cells inside the ML, with their axes roughly aligned in the direction of the wind (Langmuir I., Science871938119). These structures are usually made evident by the presence of debris and foam in the convergence area of the cells, and are generated by the interaction of the wave-field-induced Stokes drift with the wind-induced shear stress. LC have long been thought to have a substantial influence on mixing in the upper ocean, but the difficulty in their parameterization have made ML modelers consistently ignore them in the past. However, recent Large Eddy Simulations (LES) studies suggest that it is possible to include their effect on mixing by simply adding additional production terms in the turbulence equations, thus enabling even 1D models to incorporate LC-driven turbulence. Since LC also modify the Coriolis terms in the mean momentum equations by the addition of a term involving the Stokes drift, their effect on the velocity structure in the ML is also quite significant and could have a major impact on the drift of objects and spilled oil in the upper ocean. In this paper we examine the effect of surface gravity waves on mixing in the upper ocean, focusing on Langmuir circulations, which is by far the dominant

  7. Crustal and Upper Mantle Structure from Joint Inversion of Body Wave and Gravity Data

    DTIC Science & Technology

    2012-09-01

    CRUSTAL AND UPPER MANTLE STRUCTURE FROM JOINT INVERSION OF BODY WAVE AND GRAVITY DATA Eric A. Bergman1, Charlotte Rowe2, and Monica Maceira2...for these events include many readings of direct crustal P and S phases, as well as regional (Pn and Sn) and teleseismic phases. These data have been...the usefulness of the gravity data, we apply high-pass filtering, yielding gravity anomalies that possess higher resolving power for crustal and

  8. Impact of smoking on the age at diagnosis of upper tract urothelial carcinoma: Subanalysis of the Japanese Urological Association multi-institutional national database.

    PubMed

    Miyazaki, Jun; Nishiyama, Hiroyuki; Fujimoto, Hiroyuki; Ohyama, Chikara; Koie, Takuya; Hinotsu, Shiro; Kikuchi, Eiji; Sakura, Mizuaki; Inokuchi, Junichi; Hara, Tomohiko

    2015-11-01

    To examine the influence of smoking history on the diagnosis and other tumor characteristics of upper tract urothelial carcinoma in Japan. A total of 1509 patients with upper tract urothelial carcinoma who were diagnosed in 2005 from 348 Japanese institutions were registered using the multi-institutional national database of the Japanese Urological Association and included in this analysis. Clinical data of the patients were collected in 2011. The associations between the patients' self-reported smoking history and their age at the diagnosis of upper tract urothelial carcinoma, sex, pathological T stage and tumor grade were analyzed. The mean age at the diagnosis of upper tract urothelial carcinoma was approximately 5 years earlier for the 238 current smokers than for the 618 current non-smokers (P < 0.0001). Similar associations between smoking and the early diagnosis of upper tract urothelial carcinoma were shown in the sex subgroups and in subgroups stratified by pathological T stages. Among the current smokers, the age at diagnosis for the smoking ≥ 20 cigarettes per day group was 6.5 years lower than that of the < 20 cigarettes per day group, which was significantly different (P < 0.0001). Current smoking is a significant risk factor for the earlier diagnosis of upper tract urothelial carcinoma. The finding is important from the perspective of both healthcare and medical economies. © 2015 The Japanese Urological Association.

  9. 3&4D Geomodeling Applied to Mineral Resources Exploration - A New Tool for Targeting Deposits.

    NASA Astrophysics Data System (ADS)

    Royer, Jean-Jacques; Mejia, Pablo; Caumon, Guillaume; Collon-Drouaillet, Pauline

    2013-04-01

    3 & 4D geomodeling, a computer method for reconstituting the past deformation history of geological formations, has been used in oil and gas exploration for more than a decade for reconstituting fluid migration. It begins nowadays to be applied for exploring with new eyes old mature mining fields and new prospects. We describe shortly the 3&4D geomodeling basic notions, concepts, and methodology when applied to mineral resources assessment and modeling ore deposits, pointing out the advantages, recommendations and limitations, together with new challenges they rise. Several 3D GeoModels of mining explorations selected across Europe will be presented as illustrative case studies which have been achieved during the EU FP7 ProMine research project. It includes: (i) the Cu-Au porphyry deposits in the Hellenic Belt (Greece); (ii) the VMS in the Iberian Pyrite Belt including the Neves Corvo deposit (Portugal) and (iii) the sediment-hosted polymetallic Cu-Ag (Au, PGE) Kupferschiefer ore deposit in the Foresudetic Belt (Poland). In each case full 3D models using surfaces and regular grid (Sgrid) were built from all dataset available from exploration and exploitation including geological primary maps, 2D seismic cross-sections, and boreholes. The level of knowledge may differ from one site to another however those 3D resulting models were used to pilot additional field and exploration works. In the case of the Kupferschiefer, a sequential restoration-decompaction (4D geomodeling) from the Upper Permian to Cenozoic was conducted in the Lubin- Sieroszowice district of Poland. The results help in better understanding the various superimposed mineralization events which occurred through time in this copper deposit. A hydro-fracturing index was then calculated from the estimated overpressures during a Late Cretaceous-Early Paleocene up-lifting, and seems to correlate with the copper content distribution in the ore-series. These results are in agreement with an Early Paleocene

  10. A Rasch-validated version of the upper extremity functional index for interval-level measurement of upper extremity function.

    PubMed

    Hamilton, Clayon B; Chesworth, Bert M

    2013-11-01

    The original 20-item Upper Extremity Functional Index (UEFI) has not undergone Rasch validation. The purpose of this study was to determine whether Rasch analysis supports the UEFI as a measure of a single construct (ie, upper extremity function) and whether a Rasch-validated UEFI has adequate reproducibility for individual-level patient evaluation. This was a secondary analysis of data from a repeated-measures study designed to evaluate the measurement properties of the UEFI over a 3-week period. Patients (n=239) with musculoskeletal upper extremity disorders were recruited from 17 physical therapy clinics across 4 Canadian provinces. Rasch analysis of the UEFI measurement properties was performed. If the UEFI did not fit the Rasch model, misfitting patients were deleted, items with poor response structure were corrected, and misfitting items and redundant items were deleted. The impact of differential item functioning on the ability estimate of patients was investigated. A 15-item modified UEFI was derived to achieve fit to the Rasch model where the total score was supported as a measure of upper extremity function only. The resultant UEFI-15 interval-level scale (0-100, worst to best state) demonstrated excellent internal consistency (person separation index=0.94) and test-retest reliability (intraclass correlation coefficient [2,1]=.95). The minimal detectable change at the 90% confidence interval was 8.1. Patients who were ambidextrous or bilaterally affected were excluded to allow for the analysis of differential item functioning due to limb involvement and arm dominance. Rasch analysis did not support the validity of the 20-item UEFI. However, the UEFI-15 was a valid and reliable interval-level measure of a single dimension: upper extremity function. Rasch analysis supports using the UEFI-15 in physical therapist practice to quantify upper extremity function in patients with musculoskeletal disorders of the upper extremity.

  11. Parental Judgments of Early Childhood Intervention Personnel Practices: Applying a Consumer Science Perspective

    ERIC Educational Resources Information Center

    Bruder, Mary Beth; Dunst, Carl J.

    2015-01-01

    Parents of young children participating in either Individuals With Disabilities Education Act (IDEA) Part C early intervention or IDEA Part B-619 preschool special education programs were surveyed to obtain a consumer science perspective of the practitioners who were the children's primary service providers. Parents were asked to make judgments of…

  12. Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents.

    PubMed

    Batista, Klaus Bsl; Thiruvenkatachari, Badri; Harrison, Jayne E; O'Brien, Kevin D

    2018-03-13

    Prominent upper front teeth are a common problem affecting about a quarter of 12-year-old children in the UK. The condition develops when permanent teeth erupt. These teeth are more likely to be injured and their appearance can cause significant distress. Children are often referred to an orthodontist for treatment with dental braces to reduce the prominence of their teeth. If a child is referred at a young age, the orthodontist is faced with the dilemma of whether to treat the patient early or to wait and provide treatment in adolescence. To assess the effects of orthodontic treatment for prominent upper front teeth initiated when children are seven to 11 years old ('early treatment' in two phases) compared to in adolescence at around 12 to 16 years old ('late treatment' in one phase); to assess the effects of late treatment compared to no treatment; and to assess the effects of different types of orthodontic braces. Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 27 September 2017), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2017, Issue 8), MEDLINE Ovid (1946 to 27 September 2017), and Embase Ovid (1980 to 27 September 2017). The US National Institutes of Health Ongoing Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. Randomised controlled trials of orthodontic treatments to correct prominent upper front teeth (Class II malocclusion) in children and adolescents. We included trials that compared early treatment in children (two-phase) with any type of orthodontic braces (removable, fixed, functional) or head-braces versus late treatment in adolescents (one-phase) with any type of orthodontic braces or head-braces, and trials that compared any

  13. Early Earth differentiation [rapid communication

    NASA Astrophysics Data System (ADS)

    Walter, Michael J.; Trønnes, Reidar G.

    2004-09-01

    The birth and infancy of Earth was a time of profound differentiation involving massive internal reorganization into core, mantle and proto-crust, all within a few hundred million years of solar system formation ( t0). Physical and isotopic evidence indicate that the formation of iron-rich cores generally occurred very early in planetesimals, the building blocks of proto-Earth, within about 3 million years of t0. The final stages of terrestrial planetary accretion involved violent and tremendously energetic giant impacts among core-segregated Mercury- to Mars-sized objects and planetary embryos. As a consequence of impact heating, the early Earth was at times partially or wholly molten, increasing the likelihood for high-pressure and high-temperature equilibration among core- and mantle-forming materials. The Earth's silicate mantle harmoniously possesses abundance levels of the siderophile elements Ni and Co that can be reconciled by equilibration between iron alloy and silicate at conditions comparable to those expected for a deep magma ocean. Solidification of a deep magma ocean possibly involved crystal-melt segregation at high pressures, but subsequent convective stirring of the mantle could have largely erased nascent layering. However, primitive upper mantle rocks apparently have some nonchondritic major and trace element refractory lithophile element ratios that can be plausibly linked to early mantle differentiation of ultra-high-pressure mantle phases. The geochemical effects of crystal fractionation in a deep magma ocean are partly constrained by high-pressure experimentation. Comparison between compositional models for the primitive convecting mantle and bulk silicate Earth generally allows, and possibly favors, 10-15% total fractionation of a deep mantle assemblage comprised predominantly of Mg-perovskite and with minor but geochemically important amounts of Ca-perovskite and ferropericlase. Long-term isolation of such a crystal pile is generally

  14. Pressure-volume behavior of the upper airway.

    PubMed

    Fouke, J M; Teeter, J P; Strohl, K P

    1986-09-01

    The study was performed to investigate the relationship between force generation and upper airway expansion during respiratory efforts by upper airway muscles. In 11 anesthetized dogs we isolated the upper airway (nasal, oral, pharyngeal, and laryngeal regions) by transecting the cervical trachea and sealing the nasal and oral openings. During spontaneous respiratory efforts the pressure within the sealed upper airway, used as an index of dilating force, decreased during inspiration. On alternate breaths the upper airway was opened to a pneumotachograph, and an increase in volume occurred, also during inspiration. Progressive hyperoxic hypercapnia produced by rebreathing increased the magnitude of change in pressure and volume. At any level of drive, peak pressure or volume occurred at the same point during inspiration. At any level of drive, volume and pressure changes increased with end-expiratory occlusion of the trachea. The force-volume relationship determined from measurements during rebreathing was compared with pressure-volume curves performed by passive inflation of the airway while the animal was apneic. The relationship during apnea was 1.06 +/- 0.55 (SD) ml/cmH2O, while the force-volume relationship from rebreathing trials was -1.09 +/- 0.45 ml/cmH2O. We conclude that there is a correspondence between force production and volume expansion in the upper airway during active respiratory efforts.

  15. Spatial distribution of source locations for particulate nitrate and sulfate in the upper-midwestern United States

    NASA Astrophysics Data System (ADS)

    Zhao, Weixiang; Hopke, Philip K.; Zhou, Liming

    Two back-trajectory analysis methods designed to be used with multiple site data, simplified quantitative transport bias analysis (SQTBA) and residence time weighted concentration (RTWC), were applied to nitrate and sulfate concentration data from two rural sites (the Mammoth Cave National Park and the Great Smoky Mountain National Park) and five urban sites (Chicago, Cleveland, Detroit, Indianapolis, and St. Louis) for an intensive investigation on the spatial patterns of origins for these two species in the upper-midwestern area. The study was made by dividing the data into five categories: all sites and all seasons, rural sites in summer, rural sites in winter, urban sites in summer, and urban sites in winter. A general conclusion was that the origins of the nitrate in these seven sites were mainly in the upper-midwestern areas, while the sulfate in these seven sites were mainly from the Ohio and Tennessee River Valley areas. The upper-midwestern areas are regions of high ammonia emissions rather than high NO x emissions. In the winter, metropolitan areas showed the highest nitrate emission potential suggesting the importance of local NO x emissions. In the summer, ammonia emissions from fertilizer application in the lower midwestern area made a significant contribution to nitrate in the rural sites of this study. The impact of the wind direction prevalence on the source spatial patterns was observed by comparing the urban and rural patterns of the summer. The differences between the results of two methods are discussed and suggestions for applying these methods are also provided.

  16. Upper cervical and upper thoracic thrust manipulation versus nonthrust mobilization in patients with mechanical neck pain: a multicenter randomized clinical trial.

    PubMed

    Dunning, James R; Cleland, Joshua A; Waldrop, Mark A; Arnot, Cathy F; Young, Ian A; Turner, Michael; Sigurdsson, Gisli

    2012-01-01

    Randomized clinical trial. To compare the short-term effects of upper cervical and upper thoracic high-velocity low-amplitude (HVLA) thrust manipulation to nonthrust mobilization in patients with neck pain. Although upper cervical and upper thoracic HVLA thrust manipulation and nonthrust mobilization are common interventions for the management of neck pain, no studies have directly compared the effects of both upper cervical and upper thoracic HVLA thrust manipulation to nonthrust mobilization in patients with neck pain. Patients completed the Neck Disability Index, the numeric pain rating scale, the flexion-rotation test for measurement of C1-2 passive rotation range of motion, and the craniocervical flexion test for measurement of deep cervical flexor motor performance. Following the baseline evaluation, patients were randomized to receive either HVLA thrust manipulation or nonthrust mobilization to the upper cervical (C1-2) and upper thoracic (T1-2) spines. Patients were reexamined 48-hours after the initial examination and again completed the outcome measures. The effects of treatment on disability, pain, C1-2 passive rotation range of motion, and motor performance of the deep cervical flexors were examined with a 2-by-2 mixed-model analysis of variance (ANOVA). One hundred seven patients satisfied the eligibility criteria, agreed to participate, and were randomized into the HVLA thrust manipulation (n = 56) and nonthrust mobilization (n = 51) groups. The 2-by-2 ANOVA demonstrated that patients with mechanical neck pain who received the combination of upper cervical and upper thoracic HVLA thrust manipulation experienced significantly (P<.001) greater reductions in disability (50.5%) and pain (58.5%) than those of the nonthrust mobilization group (12.8% and 12.6%, respectively) following treatment. In addition, the HVLA thrust manipulation group had significantly (P<.001) greater improvement in both passive C1-2 rotation range of motion and motor performance of

  17. Ares I Crew Launch Vehicle Upper Stage Element Overview

    NASA Technical Reports Server (NTRS)

    McArthur, J. Craig

    2008-01-01

    This viewgraph presentation gives an overview of NASA's Ares I Crew Launch Vehicle Upper Stage Element. The topics include: 1) What is NASA s Mission?; 2) NASA s Exploration Roadmap What is our time line?; 3) Building on a Foundation of Proven Technologies Launch Vehicle Comparisons; 4) Ares I Upper Stage; 5) Upper Stage Primary Products; 6) Ares I Upper Stage Development Approach; 7) What progress have we made?; 8) Upper Stage Subsystem Highlights; 9) Structural Testing; 10) Common Bulkhead Processing; 11) Stage Installation at Stennis Space Center; 12) Boeing Producibility Team; 13) Upper Stage Low Cost Strategy; 14) Ares I and V Production at Michoud Assembly Facility (MAF); 15) Merged Manufacturing Flow; and 16) Manufacturing and Assembly Weld Tools.

  18. The NASA program on upper atmospheric research

    NASA Technical Reports Server (NTRS)

    1976-01-01

    The purpose of the NASA Upper Atmospheric Research Program is to develop a better understanding of the physical and chemical processes that occur in the earth's upper atmosphere with emphasis on the stratosphere.

  19. Using the SEE-SEP Model to Analyze Upper Secondary Students' Use of Supporting Reasons in Arguing Socioscientific Issues

    ERIC Educational Resources Information Center

    Christenson, Nina; Chang Rundgren, Shu-Nu; Hoglund, Hans-Olof

    2012-01-01

    To achieve the goal of scientific literacy, the skills of argumentation have been emphasized in science education during the past decades. But the extent to which students can apply scientific knowledge to their argumentation is still unclear. The purpose of this study was to analyse 80 Swedish upper secondary students' informal argumentation on…

  20. Artificial plasma cusp generated by upper hybrid instabilities in HF heating experiments at HAARP

    NASA Astrophysics Data System (ADS)

    Kuo, Spencer; Snyder, Arnold

    2013-05-01

    High Frequency Active Auroral Research Program digisonde was operated in a fast mode to record ionospheric modifications by the HF heating wave. With the O mode heater of 3.2 MHz turned on for 2 min, significant virtual height spread was observed in the heater off ionograms, acquired beginning the moment the heater turned off. Moreover, there is a noticeable bump in the virtual height spread of the ionogram trace that appears next to the plasma frequency (~ 2.88 MHz) of the upper hybrid resonance layer of the HF heating wave. The enhanced spread and the bump disappear in the subsequent heater off ionograms recorded 1 min later. The height distribution of the ionosphere in the spread situation indicates that both electron density and temperature increases exceed 10% over a large altitude region (> 30 km) from below to above the upper hybrid resonance layer. This "mini cusp" (bump) is similar to the cusp occurring in daytime ionograms at the F1-F2 layer transition, indicating that there is a small ledge in the density profile reminiscent of F1-F2 layer transitions. Two parametric processes exciting upper hybrid waves as the sidebands by the HF heating waves are studied. Field-aligned purely growing mode and lower hybrid wave are the respective decay modes. The excited upper hybrid and lower hybrid waves introduce the anomalous electron heating which results in the ionization enhancement and localized density ledge. The large-scale density irregularities formed in the heat flow, together with the density irregularities formed through the parametric instability, give rise to the enhanced virtual height spread. The results of upper hybrid instability analysis are also applied to explain the descending feature in the development of the artificial ionization layers observed in electron cyclotron harmonic resonance heating experiments.

  1. Outcomes and Disability After Massive Proximal Upper Extremity Reconstruction in a Resource-Limited Setting.

    PubMed

    Giladi, Aviram M; Shanmugakrishnan, R Raja; Venkatramani, Hari; Raja Sekaran, S; Chung, Kevin C; Sabapathy, S Raja

    2017-06-01

    At Ganga Hospital in Coimbatore, India, a unique approach is applied to treat massive upper limb injuries. However, long-term outcomes of complex reconstruction performed in the resource-limited setting are not known. This hinders understanding of outcomes and disability from these injuries and prevents systematically addressing care delivery around upper extremity trauma in the developing world. This project aims to analyze the details of the unique Ganga Hospital reconstruction experience and use patient-reported outcome measures for the first time in this patient population to evaluate post-injury recovery and disability . Forty-six patients were evaluated 6 months or more after massive proximal upper extremity reconstruction at Ganga Hospital. Patients completed functional tests, Jebsen-Taylor test (JTT), and patient-reported outcomes (PROs)-Michigan Hand Questionnaire (MHQ), Disability of Arm, Shoulder, and Hand questionnaire (DASH), and Short-Form 36 (SF-36). Correlations between metrics were assessed with Pearson's correlation coefficients. Linear regression modeling evaluated associations between severity, reconstruction, and outcomes. MHQ and DASH results correlated with functional test performance, JTT performance, and SF-36 scores (Pearson's coefficients all ≥0.33, p ≤ 0.05). In this cohort, mean MHQ score was 79 ± 15 and mean DASH score was 13 ± 15, which are not significantly different than scores for long-term outcomes after other complex upper extremity procedures. The following factors predicted PROs and functional performance after reconstruction: extent of soft tissue reconstruction, multi-segmental ulna fractures, median nerve injury, and ability for patients to return to work and maintain their job after injury. Complex proximal upper extremity salvage can be performed in the resource-limited setting with excellent long-term functional and patient-reported outcomes. PRO questionnaires are useful for reporting outcomes that correlate

  2. Early Rehabilitation After Stroke: a Narrative Review

    PubMed Central

    Moudgal, Rohitha; Lang, Kathryn; Hyacinth, Hyacinth I.; Awosika, Oluwole O.; Kissela, Brett M.; Feng, Wuwei

    2018-01-01

    Purpose of Review Despite current rehabilitative strategies, stroke remains a leading cause of disability in the USA. There is a window of enhanced neuroplasticity early after stroke, during which the brain’s dynamic response to injury is heightened and rehabilitation might be particularly effective. This review summarizes the evidence of the existence of this plastic window, and the evidence regarding safety and efficacy of early rehabilitative strategies for several stroke domain-specific deficits. Recent Findings Overall, trials of rehabilitation in the first 2 weeks after stroke are scarce. In the realm of very early mobilization, one large and one small trial found potential harm from mobilizing patients within the first 24 h after stroke, and only one small trial found benefit in doing so. For the upper extremity, constraint-induced movement therapy appears to have benefit when started within 2 weeks of stroke. Evidence for non-invasive brain stimulation in the acute period remains scant and inconclusive. For aphasia, the evidence is mixed, but intensive early therapy might be of benefit for patients with severe aphasia. Mirror therapy begun early after stroke shows promise for the alleviation of neglect. Novel approaches to treating dysphagia early after stroke appear promising, but the high rate of spontaneous improvement makes their benefit difficult to gauge. Summary The optimal time to begin rehabilitation after a stroke remains unsettled, though the evidence is mounting that for at least some deficits, initiation of rehabilitative strategies within the first 2 weeks of stroke is beneficial. Commencing intensive therapy in the first 24 h may be harmful. PMID:29116473

  3. Early Rehabilitation After Stroke: a Narrative Review.

    PubMed

    Coleman, Elisheva R; Moudgal, Rohitha; Lang, Kathryn; Hyacinth, Hyacinth I; Awosika, Oluwole O; Kissela, Brett M; Feng, Wuwei

    2017-11-07

    Despite current rehabilitative strategies, stroke remains a leading cause of disability in the USA. There is a window of enhanced neuroplasticity early after stroke, during which the brain's dynamic response to injury is heightened and rehabilitation might be particularly effective. This review summarizes the evidence of the existence of this plastic window, and the evidence regarding safety and efficacy of early rehabilitative strategies for several stroke domain-specific deficits. Overall, trials of rehabilitation in the first 2 weeks after stroke are scarce. In the realm of very early mobilization, one large and one small trial found potential harm from mobilizing patients within the first 24 h after stroke, and only one small trial found benefit in doing so. For the upper extremity, constraint-induced movement therapy appears to have benefit when started within 2 weeks of stroke. Evidence for non-invasive brain stimulation in the acute period remains scant and inconclusive. For aphasia, the evidence is mixed, but intensive early therapy might be of benefit for patients with severe aphasia. Mirror therapy begun early after stroke shows promise for the alleviation of neglect. Novel approaches to treating dysphagia early after stroke appear promising, but the high rate of spontaneous improvement makes their benefit difficult to gauge. The optimal time to begin rehabilitation after a stroke remains unsettled, though the evidence is mounting that for at least some deficits, initiation of rehabilitative strategies within the first 2 weeks of stroke is beneficial. Commencing intensive therapy in the first 24 h may be harmful.

  4. On the use of information theory for detecting upper limb motor dysfunction: An application to Parkinson’s disease

    NASA Astrophysics Data System (ADS)

    de Oliveira, M. Elias; Menegaldo, L. L.; Lucarelli, P.; Andrade, B. L. B.; Büchler, P.

    2011-11-01

    Parkinson’s disease (PD) is a chronic neurodegenerative disorder characterized by a selective loss of dopaminergic neurons in the substantia nigra, decreased striatal dopamine levels, and consequent extrapyramidal motor dysfunctions. Several potential early diagnostic markers of PD have been proposed. Since they have not been validated in presymptomatic PD, the diagnosis and monitoring of the disease is based on subjective clinical assessment of cognitive and motor symptoms. In this study, we investigated interjoint coordination synergies in the upper limb of healthy and parkinsonian subjects during the performance of unconstrained linear-periodic movements in a horizontal plane using the mutual information (MI). We found that the MI is a sensitive metric in detecting upper limb motor dysfunction, thus suggesting that this method might be applicable to quantitatively evaluating the effects of the antiparkinsonian medication and to monitor the disease progression.

  5. The upper values of plasma creatine kinase of professional soccer players during the Brazilian National Championship.

    PubMed

    Lazarim, Fernanda L; Antunes-Neto, Joaquim M F; da Silva, Fernando O C; Nunes, Lázaro A S; Bassini-Cameron, Adriana; Cameron, Luiz-Cláudio; Alves, Armindo A; Brenzikofer, René; de Macedo, Denise Vaz

    2009-01-01

    The current schedule of the Brazilian Soccer Championship may not give players enough recovery time between games. This could increase the chances of muscle damage and impaired performance. We hypothesized that plasma creatine kinase (CK) activity could be a reliable indirect marker of muscle overload in soccer players, so we sought to identify the reference values for upper limits of CK activity during a real-life elite competition. This study analyzed changes in plasma CK activity in 128 professional soccer players at different times during the Brazilian Championship. The upper limits of the 97.5th and 90th percentiles determined for CK activity were 1.338U/L and 975U/L, respectively, markedly higher than values previously reported in the literature. We also evaluated a team monthly throughout the Championship. The upper limit of the 90th percentile, 975U/L, was taken as the decision limit. Six players showing plasma CK values higher than this were asked to decrease their training for 1 week. These players presented lower CK values afterwards. Only one player with a CK value higher than the decision limit (1800U/L 1 day before a game) played on the field and was unfortunately injured during the game. The CK activity in all the other players showed a significant decrease over the course of the Championship, and the values became more homogeneous at the end. The results presented here suggest that plasma CK upper limit values can be used as a practical alternative for early detection of muscle overload in competing soccer players.

  6. Endoscopic therapy in early adenocarcinomas (Barrett's cancer) of the esophagus.

    PubMed

    Knabe, Mate; May, Andrea; Ell, Christian

    2015-07-01

    The incidence of early esophageal adenocarcinoma has been increasing significantly in recent decades. Prognosis depends greatly on the choice of treatment. Early cancers can be treated by endoscopic resection, whereas advanced carcinomas have to be sent for surgery. Esophageal resection is associated with high perioperative mortality (1-5%) even in specialized centers. Early diagnosis enables curative endoscopic treatment option. Patients with gastrointestinal symptoms and a familial risk for esophageal cancer should undergo upper gastrointestinal endoscopy. High-definition endoscopes have been developed with technical add-on that helps endoscopists to find fine irregularities in the esophageal mucosa, but interpreting the findings remains challenging. In this review we discussed novel and old diagnostic procedures and their values, as well as our own recommendations and those of the authors discussed for the diagnosis and treatment of early Barrett's carcinoma. Endoscopic resection is the therapy of choice in early esophageal adenocarcinoma. It is mandatory to perform a subsequent ablation of all residual Barrett's mucosa to avoid metachronous lesions. © 2015 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and Wiley Publishing Asia Pty Ltd.

  7. Brief Communication: Understanding disasters and early-warning systems

    NASA Astrophysics Data System (ADS)

    Castaños, H.; Lomnitz, C.

    2014-08-01

    This paper discusses some methodological questions on understanding disasters. Destructive earthquakes continue to claim thousands of lives. Tsunamis may be caused by recoil of the upper plate. Darwin's twin-epicenter hypothesis is applied to a theory of tsunamis. The ergodicity hypothesis may help estimating the return periods of extremely rare events. A social science outline on the causation of the Tôhoku nuclear disaster is provided.

  8. Brief Communication: Understanding disasters and early-warning systems

    NASA Astrophysics Data System (ADS)

    Castaños, H.; Lomnitz, C.

    2014-12-01

    This paper discusses some methodological questions on understanding disasters. Destructive earthquakes continue to claim thousands of lives. Tsunamis may be caused by recoil of the upper plate. Darwin's twin-epicenter hypothesis is applied to a theory of tsunamis. The ergodicity hypothesis may help to estimate the return periods of extremely rare events. A social science outline on the causation of the Tôhoku nuclear disaster is provided.

  9. Extensive upper respiratory tract sarcoidosis

    PubMed Central

    Soares, Mafalda Trindade; Sousa, Carolina; Garanito, Luísa; Freire, Filipe

    2016-01-01

    Sarcoidosis is a chronic granulomatous disease of unknown aetiology. It can affect any part of the organism, although the lung is the most frequently affected organ. Upper airway involvement is rare, particularly if isolated. Sarcoidosis is a diagnosis of exclusion, established by histological evidence of non-caseating granulomas and the absence of other granulomatous diseases. The authors report a case of a man with sarcoidosis manifesting as a chronic inflammatory stenotic condition of the upper respiratory tract and trachea. PMID:27090537

  10. Upper Extremity Amputations and Prosthetics

    PubMed Central

    Ovadia, Steven A.; Askari, Morad

    2015-01-01

    Upper extremity amputations are most frequently indicated by severe traumatic injuries. The location of the injury will determine the level of amputation. Preservation of extremity length is often a goal. The amputation site will have important implications on the functional status of the patient and options for prosthetic reconstruction. Advances in amputation techniques and prosthetic reconstructions promote improved quality of life. In this article, the authors review the principles of upper extremity amputation, including techniques, amputation sites, and prosthetic reconstructions. PMID:25685104

  11. 44. DETAIL VIEW OF CONTROL PANEL IN UPPER WEST WALL ...

    Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

    44. DETAIL VIEW OF CONTROL PANEL IN UPPER WEST WALL CONTROL STATION, LOOKING EAST. UPPER INTERMEDIATE WALL AND UPPER EAST WALL CONTROL STATIONS IN BACKGROUND - Upper Mississippi River 9-Foot Channel Project, Lock & Dam 27, Granite City, Madison County, IL

  12. From STEM to STEAM: How Early Childhood Educators Can Apply Fred Rogers' Approach

    ERIC Educational Resources Information Center

    Sharapan, Hedda

    2012-01-01

    For many in early childhood education, STEAM is a new term. It began in this decade as STEM, an acronym for Science, Technology, Engineering, and Math. These curriculum areas have become a major focus in education because of the concern that the United States is falling behind in scientific innovation. With a new and familiar addition to the…

  13. Spiritual Diversity and Living with Early-Stage Dementia.

    PubMed

    McGee, Jocelyn Shealy; Zhao, Holly Carlson; Myers, Dennis R; Seela Eaton, Hannah

    2018-01-01

    Attention to spiritual diversity is necessary for the provision of culturally informed clinical care for people with early-stage dementia and their family members. In this article, an evidence-based theoretical framework for conceptualizing spiritual diversity is described in detail (Pargament, 2011). The framework is then applied to two clinical case studies of people living with early-stage dementia to elucidate the multilayered components of spiritual diversity in this population. The case studies were selected from a larger mixed-methods study on spirituality, positive psychological factors, health, and well-being in people living with early-stage dementia and their family members. To our knowledge this is the first systematic attempt to apply a theoretical framework for understanding spiritual diversity in this population. Implications for clinical practice are provided.

  14. Estimating Upper Bounds for Occupancy and Number of Manatees in Areas Potentially Affected by Oil from the Deepwater Horizon Oil Spill

    PubMed Central

    Martin, Julien; Edwards, Holly H.; Bled, Florent; Fonnesbeck, Christopher J.; Dupuis, Jérôme A.; Gardner, Beth; Koslovsky, Stacie M.; Aven, Allen M.; Ward-Geiger, Leslie I.; Carmichael, Ruth H.; Fagan, Daniel E.; Ross, Monica A.; Reinert, Thomas R.

    2014-01-01

    The explosion of the Deepwater Horizon drilling platform created the largest marine oil spill in U.S. history. As part of the Natural Resource Damage Assessment process, we applied an innovative modeling approach to obtain upper estimates for occupancy and for number of manatees in areas potentially affected by the oil spill. Our data consisted of aerial survey counts in waters of the Florida Panhandle, Alabama and Mississippi. Our method, which uses a Bayesian approach, allows for the propagation of uncertainty associated with estimates from empirical data and from the published literature. We illustrate that it is possible to derive estimates of occupancy rate and upper estimates of the number of manatees present at the time of sampling, even when no manatees were observed in our sampled plots during surveys. We estimated that fewer than 2.4% of potentially affected manatee habitat in our Florida study area may have been occupied by manatees. The upper estimate for the number of manatees present in potentially impacted areas (within our study area) was estimated with our model to be 74 (95%CI 46 to 107). This upper estimate for the number of manatees was conditioned on the upper 95%CI value of the occupancy rate. In other words, based on our estimates, it is highly probable that there were 107 or fewer manatees in our study area during the time of our surveys. Because our analyses apply to habitats considered likely manatee habitats, our inference is restricted to these sites and to the time frame of our surveys. Given that manatees may be hard to see during aerial surveys, it was important to account for imperfect detection. The approach that we described can be useful for determining the best allocation of resources for monitoring and conservation. PMID:24670971

  15. Basanite-nephelinite suite from early Kilauea: Carbonated melts of phlogopite-garnet peridotite at Hawaii's leading magmatic edge

    USGS Publications Warehouse

    Sisson, T.W.; Kimura, Jun-Ichi; Coombs, M.L.

    2009-01-01

    A basanite-nephelinite glass suite from early submarine Kilauea defines a continuous compositional array marked by increasing concentrations of incompatible components with decreasing SiO2, MgO, and Al2O3. Like peripheral and post-shield strongly alkalic Hawaiian localities (Clague et al. in J Volcanol Geotherm Res 151:279-307, 2006; Dixon et al. in J Pet 38:911-939, 1997), the early Kilauea basanite-nephelinite glasses are interpreted as olivine fractionation products from primary magnesian alkalic liquids. For early Kilauea, these were saturated with a garnet-phlogopite-sulfide peridotite assemblage, with elevated dissolved CO2 contents responsible for the liquids' distinctly low-SiO2 concentrations. Reconstructed primitive liquids for early Kilauea and other Hawaiian strongly alkalic localities are similar to experimental 3 GPa low-degree melts of moderately carbonated garnet lherzolite, and estimated parent magma temperatures of 1,350-1,400??C (olivine-liquid geothermometry) match the ambient upper mantle geotherm shortly beneath the base of the lithosphere. The ???3 GPa source regions were too hot for stable crystalline carbonate and may have consisted of ambient upper mantle peridotite containing interstitial carbonate-silicate or carbonatitic liquid, possibly (Dixon et al. in Geochem Geophys Geosyst 9(9):Q09005, 2008), although not necessarily, from the Hawaiian mantle plume. Carbonate-enriched domains were particularly susceptible to further melting upon modest decompression during upward lithospheric flexure beneath the advancing Hawaiian Arch, or by conductive heating or upward drag by the Hawaiian mantle plume. The early Kilauea basanite-nephelinite suite has a HIMU-influenced isotopic character unlike other Hawaiian magmas (Shimizu et al. in EOS Tran Amer Geophys Union 82(47): abstr V12B-0962, 2001; Shimizu et al. in Geochim Cosmochim Acta 66(15A):710, 2002) but consistent with oceanic carbonatite involvement (Hoernle et al. in Contrib Mineral Petrol

  16. Basanite-nephelinite suite from early Kilauea: carbonated melts of phlogopite-garnet peridotite at Hawaii's leading magmatic edge

    NASA Astrophysics Data System (ADS)

    Sisson, T. W.; Kimura, J.-I.; Coombs, M. L.

    2009-12-01

    A basanite-nephelinite glass suite from early submarine Kilauea defines a continuous compositional array marked by increasing concentrations of incompatible components with decreasing SiO2, MgO, and Al2O3. Like peripheral and post-shield strongly alkalic Hawaiian localities (Clague et al. in J Volcanol Geotherm Res 151:279-307, 2006; Dixon et al. in J Pet 38:911-939, 1997), the early Kilauea basanite-nephelinite glasses are interpreted as olivine fractionation products from primary magnesian alkalic liquids. For early Kilauea, these were saturated with a garnet-phlogopite-sulfide peridotite assemblage, with elevated dissolved CO2 contents responsible for the liquids’ distinctly low-SiO2 concentrations. Reconstructed primitive liquids for early Kilauea and other Hawaiian strongly alkalic localities are similar to experimental 3 GPa low-degree melts of moderately carbonated garnet lherzolite, and estimated parent magma temperatures of 1,350-1,400°C (olivine-liquid geothermometry) match the ambient upper mantle geotherm shortly beneath the base of the lithosphere. The ~3 GPa source regions were too hot for stable crystalline carbonate and may have consisted of ambient upper mantle peridotite containing interstitial carbonate-silicate or carbonatitic liquid, possibly (Dixon et al. in Geochem Geophys Geosyst 9(9):Q09005, 2008), although not necessarily, from the Hawaiian mantle plume. Carbonate-enriched domains were particularly susceptible to further melting upon modest decompression during upward lithospheric flexure beneath the advancing Hawaiian Arch, or by conductive heating or upward drag by the Hawaiian mantle plume. The early Kilauea basanite-nephelinite suite has a HIMU-influenced isotopic character unlike other Hawaiian magmas (Shimizu et al. in EOS Tran Amer Geophys Union 82(47): abstr V12B-0962, 2001; Shimizu et al. in Geochim Cosmochim Acta 66(15A):710, 2002) but consistent with oceanic carbonatite involvement (Hoernle et al. in Contrib Mineral Petrol

  17. Early Holocene pecan, Carya illinoensis, in the Mississippi River Valley near Muscatine, Iowa

    USGS Publications Warehouse

    Bettis, E. Arthur; Baker, R.G.; Nations, B.K.; Benn, D.W.

    1990-01-01

    A fossil pecan, Carya illinoensis (Wang.) K. Koch, from floodplain sediments of the Mississippi River near Muscatine, Iowa, was accelerator-dated at 7280 ?? 120 yr B.P. This discovery indicates that pecan was at or near its present northern limit by that time. Carya pollen profiles from the Mississippi River Trench indicate that hickory pollen percentages were much higher in the valley than at upland locations during the early Holocene. Pecan, the hickory with the most restricted riparian habitat, is the likely candidate for producing these peaks in Carya pollen percentages. Therefore, pecan may have reached its northern limit as early as 10,300 yr B.P. Its abundance in Early Archaic archaeological sites and the co-occurrence of early Holocene Carya pollen peaks with the arrival of the Dalton artifact complex in the Upper Mississippi Valley suggest that humans may have played a role in the early dispersal of pecan. ?? 1990.

  18. Congenital symmetrical weakness of the upper limbs resembling brachial plexus palsy: a possible sequel of drug toxicity in first trimester of pregnancy?

    PubMed

    Philpot, J; Muntoni, F; Skellett, S; Dubowitz, V

    1995-01-01

    We report a 14-month-old girl with a symmetrical paralysis from birth, limited to the upper limbs and resembling a severe, complete bilateral brachial plexus palsy. The presence of dimples over the wrists, shoulders and scapulae and abnormal palmar dermatoglyphics suggested an early prenatal onset. Previous reports and the course of the disease in our case suggest this sporadic condition is not progressive. Although no definitive causative factor has been identified in previously reported cases, the affection in our case is possibly related to Debendox (Bendectin) and nitrofurantoin taken in early pregnancy for nausea and renal tract infection, respectively.

  19. Upper gastrointestinal alterations in kidney transplant candidates.

    PubMed

    Homse Netto, João Pedro; Pinheiro, João Pedro Sant'Anna; Ferrari, Mariana Lopes; Soares, Mirella Tizziani; Silveira, Rogério Augusto Gomes; Maioli, Mariana Espiga; Delfino, Vinicius Daher Alvares

    2018-05-14

    The incidence of gastrointestinal disorders among patients with chronic kidney disease (CKD) is high, despite the lack of a good correlation between endoscopic findings and symptoms. Many services thus perform upper gastrointestinal (UGI) endoscopy on kidney transplant candidates. This study aims to describe the alterations seen on the upper endoscopies of 96 kidney-transplant candidates seen from 2014 to 2015. Ninety-six CKD patients underwent upper endoscopic examination as part of the preparation to receive kidney grafts. The data collected from the patients' medical records were charted on Microsoft Office Excel 2016 and presented descriptively. Mean values, medians, interquartile ranges and 95% confidence intervals of the clinic and epidemiological variables were calculated. Possible associations between endoscopic findings and infection by H. pylori were studied. Males accounted for 54.17% of the 96 patients included in the study. Median age and time on dialysis were 50 years and 50 months, respectively. The most frequent upper endoscopy finding was enanthematous pangastritis (57.30%), followed by erosive esophagitis (30.20%). Gastric intestinal metaplasia and peptic ulcer were found in 8.33% and 7.30% of the patients, respectively. H. pylori tests were positive in 49 patients, and H. pylori infection was correlated only with non-erosive esophagitis (P = 0.046). Abnormal upper endoscopy findings were detected in all studied patients. This study suggested that upper endoscopy is a valid procedure for kidney transplant candidates. However, prospective studies are needed to shed more light on this matter.

  20. NIR-Driven Moist Upper Atmospheres of Synchronously Rotating Temperate Terrestrial Exoplanets

    NASA Technical Reports Server (NTRS)

    Fujii, Yuka; Del Genio, Anthony D.; Amundsen, David S.

    2017-01-01

    H2O is a key molecule in characterizing atmospheres of temperate terrestrial planets, and observations of transmission spectra are expected to play a primary role in detecting its signatures in the near future. The detectability of H2O absorption features in transmission spectra depends on the abundance of water vapor in the upper part of the atmosphere. We study the three-dimensional distribution of atmospheric H2O for synchronously rotating Earth-sized aquaplanets using the general circulation model (GCM) ROCKE-3D, and examine the effects of total incident flux and stellar spectral type. We observe a more gentle increase of the water vapor mixing ratio in response to increased incident flux than one-dimensional models suggest, in qualitative agreement with the climate-stabilizing effect of clouds around the substellar point previously observed in GCMs applied to synchronously rotating planets. However, the water vapor mixing ratio in the upper atmosphere starts to increase while the surface temperature is still moderate. This is explained by the circulation in the upper atmosphere being driven by the radiative heating due to absorption by water vapor and cloud particles, causing efficient vertical transport of water vapor. Consistently, the water vapor mixing ratio is found to be well-correlated with the near-infrared portion of the incident flux. We also simulate transmission spectra based on the GCM outputs, and show that for the more highly irradiated planets, the H2O signatures may be strengthened by a factor of a few, loosening the observational demands for a H2O detection.

  1. Photos for estimating fuel loadings before and after prescribed burning in the upper coastal plain of the southeast

    Treesearch

    Eric R. Scholl; Thomas A. Waldrop

    1999-01-01

    Although prescribed burning is common in the Southeastern United States, most fuel models apply to only western forests. This paper documents a fuel classification system that was developed for plantations of loblolly and longleaf pines for the Upper Coastal Plain region. Multivariate analysis of variance and discriminant function analysis were used to confirm eight...

  2. Seismic anisotropy of the crust and upper mantle in central Tibetan Plateau revealed by shear-wave splitting

    NASA Astrophysics Data System (ADS)

    Wu, C.; Tian, X.; Xu, T.; Liang, X.; Chen, Y.; Teng, J.

    2017-12-01

    Seismic anisotropy that results from deformation of the materials in the Earth is essentially important for understanding the deformation styles at different depths. In the central Tibetan Plateau the shear wave splitting measurements of local S-wave, Pms and SKS phases were calculated applying the broadband seismic data of SANDWICH array, and the anisotropy features of the crust and upper mantle were displayed. SKS splitting results show that the study area is strongly anisotropic as a whole. The average splitting parameters are 65.2°/1.28 s, and there are 17 stations existing individual splitting results larger than 2.0 s. The southeastern part is weakly anisotropic with average splitting parameters 61.0°/0.64 s. Applying spatial coherence technique the optimal depth of the source of anisotropy is 130 160 km, located in the asthenosphere. The subducting Indian plate advancing in NE direction and rigid blocks such as Qaidam basin obstructing in the north cause NEE direction asthenospheric flow which produces the anisotropy. The weak anisotropy of southeastern part is corresponding to the low velocity anomalies in the upper mantle, which may be attributed to local upwelling of asthenosphere from the slab tearing region. The crust media also make contribution to the strong anisotropy. S-wave splitting results which reflect upper crust anisotropy show that the average parameters of three stations in western part are 60.4°/1.53 ms/km, and those of two stations in eastern part are 10.9°/4.64 ms/km. The principle compressive stress controlled by structures varies from NE in the west to nearly NS in the east. Under the assumption that the thickness of upper crust is 20 km, the delay time of upper crust is smaller than 0.1 s. Whole crust anisotropy is obtained by calculating receiver functions and fitting the variation of arrival times of Pms phases with the backazimuths. The fast directions are NE-EW direction with average value 76.4°, nearly consistent with SKS

  3. A fiery birth of aluminosilica analogs of refractory dust in the upper stratosphere

    NASA Astrophysics Data System (ADS)

    Rietmeijer, F. J. M.; Ferrari, M.; Della Corte, V.; Rotundi, A.; Palumbo, P.; De Angelis, S.; Galluzzi, V.

    2017-11-01

    Following a successful dust collection flight in the upper stratosphere our DUSTER (Dust in the Upper Stratosphere Tracking Experiment and Retrieval) made a safe remote landing at its assigned location on Baffin Island during early June 2009. When the balloon payload that included DUSTER was retrieved it was found part of the payload had experienced a lithium-sparked fire while the payload was being dragged across the landing site. In this process the housing of DUSTER had developed a pin-sized hole that allowed smoke of the fire to enter the collector. Numerous smoke particles were found covering both the DUSTER collection and blank collector surfaces an indication that our experiment to collect upper stratospheric dust had failed! Both collector surfaces were covered by numerous carbon smoke and amorphous, aluminosilica nanoparticles. The compositions of vast majority of these aluminosilica nanoparticles, Al2O3 = 49 wt% and SiO2 = 51 wt%, was both surprising and unique because it was an exact match of the Deep Metastable Eutectic (DME) nanoparticles found in vapor phase condensation experiments. These vapor phase condensation experiments were conducted to explore the formation of extraterrestrial dust particles. We are not claiming an extraterrestrial origin for these particles from this DUSTER experiment. We submit that given the appropriate conditions of high temperature alumina and silica vapors and rapid quenching in a contained natural environment, DME aluminosilica nanoparticles will likely condense. This serendipitous result can be used to explore nanoparticle formation inside incandescent clouds associated with bolides and fireballs.

  4. A mongoose remain (Mammalia: Carnivora) from the Upper Irrawaddy sediments, Myanmar and its significance in evolutionary history of Asian herpestids

    NASA Astrophysics Data System (ADS)

    Egi, Naoko; Thaung-Htike; Zin-Maung-Maung-Thein; Maung-Maung; Nishioka, Yuichiro; Tsubamoto, Takehisa; Ogino, Shintaro; Takai, Masanaru

    2011-11-01

    A tooth of a mongoose (Mammalia: Carnivora: Herpestidae) was discovered from the Upper Irrawaddy sediments in central Myanmar. The age of the fauna is not older than the mid-Pliocene. It is identified as a right first upper molar of a small species of Urva (formally included in the genus Herpestes) based on its size and shape. The present specimen is the first carnivoran from the Upper Irrawaddy sediments and is the first record of mongooses in the Pliocene and early Pleistocene of Asia. It confirms that mongooses had already dispersed into Southeast Asia by the late Pliocene, being consistent with the previous molecular phylogenetic analyses. The fossil may belong to one of the extant species, but an assignment to a specific species is difficult due to the fragmentary nature of the specimen and the small interspecific differences in dental shape among the Asian mongooses. The size of the tooth suggests that the Irrawaddy specimen is within or close to the clade of Urva auropunctata + javanica + edwardsii, and this taxonomic assignment agrees with the geographical distribution.

  5. Early-life mental disorders and adult household income in the World Mental Health Surveys

    PubMed Central

    Kawakami, Norito; Abdulghani, Emad Abdulrazaq; Alonso, Jordi; Bromet, Evelyn; Bruffaerts, Ronny; de Almeida, Jose Miguel Caldas; Chiu, Wai Tat; de Girolamo, Giovanni; de Graaf, Ron; Fayyad, John; Ferry, Finola; Florescu, Silvia; Gureje, Oye; Hu, Chiyi; Lakoma, Matthew D.; LeBlanc, William; Lee, Sing; Levinson, Daphna; Malhotra, Savita; Matschinger, Herbert; Medina-Mora, Maria Elena; Nakamura, Yosikazu; Browne, Mark A. Oakley; Okoliyski, Michail; Posada-Villa, Jose; Sampson, Nancy A.; Viana, Maria Carmen; Kessler, Ronald C.

    2012-01-01

    Background Better information on the human capital costs of early-onset mental disorders could increase sensitivity of policy-makers to the value of expanding initiatives for early detection-treatment. Data are presented on one important aspect of these costs: the associations of early-onset mental disorders with adult household income. Methods Data come from the WHO World Mental Health (WMH) Surveys in eleven high income, five upper-middle income, and six low/lower-middle income countries. Information about 15 lifetime DSM-IV mental disorders as of age of completing education, retrospectively assessed with the WHO Composite International Diagnostic Interview, was used to predict current household income among respondents ages 18-64 (n = 37,741) controlling for level of education. Gross associations were decomposed to evaluate mediating effects through major components of household income. Results Early-onset mental disorders are associated with significantly reduced household income in high and upper-middle income countries but not low/lower-middle income countries, with associations consistently stronger among women than men. Total associations are largely due to low personal earnings (increased unemployment, decreased earnings among the employed) and spouse earnings (decreased probabilities of marriage and, if married, spouse employment and low earnings of employed spouses). Individual-level effect sizes are equivalent to 16-33% of median within-country household income, while population-level effect sizes are in the range 1.0-1.4% of Gross Household Income. Conclusions Early mental disorders are associated with substantial decrements in income net of education at both individual and societal levels. Policy-makers should take these associations into consideration in making healthcare research and treatment resource allocation decisions. PMID:22521149

  6. Physical examination of upper extremity compressive neuropathies.

    PubMed

    Popinchalk, Samuel P; Schaffer, Alyssa A

    2012-10-01

    A thorough history and physical examination are vital to the assessment of upper extremity compressive neuropathies. This article summarizes relevant anatomy and physical examination findings associated with upper extremity compressive neuropathies. Copyright © 2012 Elsevier Inc. All rights reserved.

  7. Upper Gastrointestinal Stent Insertion in Malignant and Benign Disorders

    PubMed Central

    Kang, Hyoun Woo

    2015-01-01

    Upper gastrointestinal (GI) stents are increasingly being used to manage upper GI obstructions. Initially developed for palliative treatment of esophageal cancer, upper GI stents now play an emerging role in benign strictures of the upper GI tract. Because recurrent obstruction and stent-related complications are common, new modifications of stents have been implemented. Self-expandable metal stents (SEMS) have replaced older plastic stents. In addition, newly designed SEMS have been developed to prevent complications. This review provides an overview of the various types, indications, methods, complications, and clinical outcomes of upper GI stents in a number of malignant and benign disorders dividing the esophagus and gastroduodenum. PMID:26064817

  8. TITAN’S UPPER ATMOSPHERE FROM CASSINI/UVIS SOLAR OCCULTATIONS

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

    Capalbo, Fernando J.; Bénilan, Yves; Yelle, Roger V.

    2015-12-01

    Titan’s atmosphere is composed mainly of molecular nitrogen, methane being the principal trace gas. From the analysis of 8 solar occultations measured by the Extreme Ultraviolet channel of the Ultraviolet Imaging Spectrograph (UVIS) on board Cassini, we derived vertical profiles of N{sub 2} in the range 1100–1600 km and vertical profiles of CH{sub 4} in the range 850–1300 km. The correction of instrument effects and observational effects applied to the data are described. We present CH{sub 4} mole fractions, and average temperatures for the upper atmosphere obtained from the N{sub 2} profiles. The occultations correspond to different times and locations,more » and an analysis of variability of density and temperature is presented. The temperatures were analyzed as a function of geographical and temporal variables, without finding a clear correlation with any of them, although a trend of decreasing temperature toward the north pole was observed. The globally averaged temperature obtained is (150 ± 1) K. We compared our results from solar occultations with those derived from other UVIS observations, as well as studies performed with other instruments. The observational data we present confirm the atmospheric variability previously observed, add new information to the global picture of Titan’s upper atmosphere composition, variability, and dynamics, and provide new constraints to photochemical models.« less

  9. Promoting Early Reading: Research, Resources, and Best Practices

    ERIC Educational Resources Information Center

    McKenna, Michael C., Ed.; Walpole, Sharon, Ed.; Conradi, Kristin, Ed.

    2010-01-01

    Bringing together leading scholars, this book describes proven ways to enhance early literacy skills in 3- and 4-year-olds, especially those from low-income families. Presented are scientifically based methods and approaches that are being applied in Early Reading First programs around the country. Important topics include promoting oral language…

  10. Early traumatic events in psychopaths.

    PubMed

    Borja, Karina; Ostrosky, Feggy

    2013-07-01

    The relationship between diverse early traumatic events and psychopathy was studied in 194 male inmates. Criminal history transcripts were revised, and clinical interviews were conducted to determine the level of psychopathy using the Psychopathy Checklist-Revised (PCL-R) Form, and the Early Trauma Inventory was applied to assess the incidence of abuse before 18 years of age. Psychopathic inmates presented a higher victimization level and were more exposed to certain types of intended abuse than sociopathic inmates, while the sum of events and emotional abuse were associated with the PCL-R score. Our studies support the influence of early adverse events in the development of psychopathic offenders. © 2013 American Academy of Forensic Sciences.

  11. Atmospheric pCO2 reconstructed across five early Eocene global warming events

    NASA Astrophysics Data System (ADS)

    Cui, Ying; Schubert, Brian A.

    2017-11-01

    Multiple short-lived global warming events, known as hyperthermals, occurred during the early Eocene (56-52 Ma). Five of these events - the Paleocene-Eocene Thermal Maximum (PETM or ETM1), H1 (or ETM2), H2, I1, and I2 - are marked by a carbon isotope excursion (CIE) within both marine and terrestrial sediments. The magnitude of CIE, which is a function of the amount and isotopic composition of carbon added to the ocean-atmosphere system, varies significantly between marine versus terrestrial substrates. Here we use the increase in carbon isotope fractionation by C3 land plants in response to increased pCO2 to reconcile this difference and reconstruct a range of background pCO2 and peak pCO2 for each CIE, provided two potential carbon sources: methane hydrate destabilization and permafrost-thawing/organic matter oxidation. Although the uncertainty on each pCO2 estimate using this approach is low (e.g., median uncertainty = + 23% / - 18%), this work highlights the potential for significant systematic bias in the pCO2 estimate resulting from sampling resolution, substrate type, diagenesis, and environmental change. Careful consideration of each of these factors is required especially when applying this approach to a single marine-terrestrial CIE pair. Given these limitations, we provide an upper estimate for background early Eocene pCO2 of 463 +248/-131 ppmv (methane hydrate scenario) to 806 +127/-104 ppmv (permafrost-thawing/organic matter oxidation scenario). These results, which represent the first pCO2 proxy estimates directly tied to the Eocene hyperthermals, demonstrate that early Eocene warmth was supported by background pCO2 less than ∼3.5× preindustrial levels and that pCO2 > 1000 ppmv may have occurred only briefly, during hyperthermal events.

  12. A Rasch-Validated Version of the Upper Extremity Functional Index for Interval-Level Measurement of Upper Extremity Function

    PubMed Central

    Chesworth, Bert M.

    2013-01-01

    Background The original 20-item Upper Extremity Functional Index (UEFI) has not undergone Rasch validation. Objective The purpose of this study was to determine whether Rasch analysis supports the UEFI as a measure of a single construct (ie, upper extremity function) and whether a Rasch-validated UEFI has adequate reproducibility for individual-level patient evaluation. Design This was a secondary analysis of data from a repeated-measures study designed to evaluate the measurement properties of the UEFI over a 3-week period. Methods Patients (n=239) with musculoskeletal upper extremity disorders were recruited from 17 physical therapy clinics across 4 Canadian provinces. Rasch analysis of the UEFI measurement properties was performed. If the UEFI did not fit the Rasch model, misfitting patients were deleted, items with poor response structure were corrected, and misfitting items and redundant items were deleted. The impact of differential item functioning on the ability estimate of patients was investigated. Results A 15-item modified UEFI was derived to achieve fit to the Rasch model where the total score was supported as a measure of upper extremity function only. The resultant UEFI-15 interval-level scale (0–100, worst to best state) demonstrated excellent internal consistency (person separation index=0.94) and test-retest reliability (intraclass correlation coefficient [2,1]=.95). The minimal detectable change at the 90% confidence interval was 8.1. Limitations Patients who were ambidextrous or bilaterally affected were excluded to allow for the analysis of differential item functioning due to limb involvement and arm dominance. Conclusion Rasch analysis did not support the validity of the 20-item UEFI. However, the UEFI-15 was a valid and reliable interval-level measure of a single dimension: upper extremity function. Rasch analysis supports using the UEFI-15 in physical therapist practice to quantify upper extremity function in patients with musculoskeletal

  13. Upper limit on NUT charge from the observed terrestrial Sagnac effect

    NASA Astrophysics Data System (ADS)

    Kulbakova, A.; Karimov, R. Kh; Izmailov, R. N.; Nandi, K. K.

    2018-06-01

    The exact Sagnac delay in the Kerr–Taub–NUT (Newman–Unti–Tamburino) spacetime is derived in the equatorial plane for non-geodesic as well as geodesic circular orbits. The resulting formula, being exact, can be directly applied to motion in the vicinity of any spinning object including black holes but here we are considering only the terrestrial case since observational data are available. The formula reveals that, in the limit of spin , the delay does not vanish. This fact is similar to the non-vanishing of Lense–Thirring precession under even though the two effects originate from different premises. Assuming a reasonable input that the Kerr–Taub–NUT corrections are subsumed in the average residual uncertainty in the measured Sagnac delay, we compute upper limits on the NUT charge n. It is found that the upper limits on n are far larger than the Earth’s gravitational mass, which has not been detected in observations, implying that the Sagnac effect cannot constrain n to smaller values near zero. We find a curious difference between the delays for non-geodesic and geodesic clock orbits and point out its implication for the well known ‘twin paradox’ of special relativity.

  14. Stakeholder views on flood risk management in Hungary's Upper Tisza Basin.

    PubMed

    Vari, Anna; Linnerooth-Bayer, Joanne; Ferencz, Zoltan

    2003-06-01

    With escalating costs of flood mitigation and relief, a challenge for the Hungarian government is to develop a flood mitigation and insurance/relief system that is viewed as efficient and fair by the many stakeholders involved. To aid policymakers in this task, this article reports on a recent study to elicit stakeholder views on flood risk management in the Upper Tisza Basin, including views on appropriate means of reducing losses and for transferring the residual losses from the direct victims to taxpayers or an insurance pool. This study is part of a project to develop an integrated approach to flood risk management coordinated by the International Institute of Applied Systems Analysis (IIASA) in collaboration with Swedish and Hungarian researchers. The discussion begins by describing the background of flood risk management problems in the Upper Tisza Basin. The results of interviews carried out with selected key stakeholders and the results of a public survey eliciting views on flood risk management are reported. The final section draws conclusions on incorporating stakeholder views into a flood risk management model, which will be used to illustrate policy paths at an upcoming stakeholder workshop. The conclusions are also of direct interest to Hungarian policymakers.

  15. Thermograpic study of upper extremities in patients with cerebral palsy

    NASA Astrophysics Data System (ADS)

    Lampe, R.; Kawelke, S.; Mitternacht, J.; Turova, V.; Blumenstein, T.; Alves-Pinto, A.

    2015-03-01

    Trophic disorders like reduced skin blood circulation are well-known epiphenomenon of cerebral palsy (CP). They can influence quality of life and can lead to skin damages and, as a consequence, to decubitus. Therefore, it is important to analyse temperature regulation in patients with CP. Thermal imaging camera FLIR BCAM SD was used to study the dependency of skin blood circulation in upper extremities of patients with CP on hand dominance, hand force and hand volume. The hand force was evaluated using a conventional dynamometer. The hand volume was measured with a volumeter. A cold stress test for hands was applied in 22 patients with CP and 6 healthy subjects. The warming up process after the test was recorded with the thermal camera. It was confirmed that the hands of patients warm up slower comparing to healthy persons. The patients' working hands warm up faster than non-working ones. A slight correlation was established between the hand grip force of the working hands and their warm up time. No correlation was found between the warming up time and the volume of the hand. The results confirm our assumption that there is a connection of peripheral blood circulation to upper limb motor functions.

  16. Torque Control During Intrusion on Upper Central Incisor in Labial and Lingual bracket System - A 3D Finite Element Study.

    PubMed

    Pol, Tejas R; Vandekar, Meghna; Patil, Anuradha; Desai, Sanjana; Shetty, Vikram; Hazarika, Saptarshi

    2018-01-01

    The aim of present study was to investigate the difference of torque control during intrusive force on upper central incisors with normal, under and high torque in lingual and labial orthodontic systems through 3D finite element analysis. Six 3D models of an upper right central incisor with different torque were designed in Solid Works 2006. Software ANSYS Version 16.0 was used to evaluate intrusive force on upper central incisor model . An intrusive force of 0.15 N was applied to the bracket slot in different torque models and the displacements along a path of nodes in the upper central incisor was assessed. On application of Intrusive force on under torqued upper central incisor in Labial system produce labial crown movement but in Lingual system caused lingual movement in the apical and incisal parts. The same intrusive force in normal-torqued central incisor led to a palatal movement in apical and labial displacement of incisal edge in Lingual system and a palatal displacement in apical area and a labial movement in the incisal edge in Labial systemin. In overtorqued upper central incisor, the labial crown displacement in Labial system is more than Lingual system. In labial and lingual system on application of the same forces in upper central incisor with different inclinations showed different responses. The magnitudes of torque Loss during intrusive loads in incisors with normal, under and over-torque were higher in Labial system than Lingual orthodontic appliances. Key words: FEM, lingual orthodontics, intrusion, torque control, labial bracket systems.

  17. A previously unrecognized path of early Holocene base flow and elevated discharge from Lake Minong to Lake Chippewa across eastern Upper Michigan

    USGS Publications Warehouse

    Loope, Walter L.; Jol, Harry M.; Fisher, Timothy G.; Blewett, William L.; Loope, Henry M.; Legg, Robert J.

    2014-01-01

    It has long been hypothesized that flux of fresh meltwater from glacial Lake Minong in North America's Superior Basin to the North Atlantic Ocean triggered rapid climatic shifts during the early Holocene. The spatial context of recent support for this idea demands a reevaluation of the exit point of meltwater from the Superior Basin. We used ground penetrating radar (GPR), foundation borings from six highway bridges, a GIS model of surface topography, geologic maps, U.S. Department of Agriculture–Natural Resources Conservation Service soils maps, and well logs to investigate the possible linkage of Lake Minong with Lake Chippewa in the Lake Michigan Basin across eastern Upper Michigan. GPR suggests that a connecting channel lies buried beneath the present interlake divide at Danaher. A single optical age hints that the channel aggraded to 225 m as elevated receipt of Lake Agassiz meltwater in the Superior Basin began to wane <10.6 ka. The large supply of sediment required to accommodate aggradation was immediately available at the channel's edge in the littoral shelves of abandoned Lake Algonquin and in distal parts of post-Algonquin fans. As discharge decreased further, the aggraded channel floor was quickly breached and interbasin flow to Lake Chippewa was restored. Basal radiocarbon ages on wood from small lakes along the discharge path and a GIS model of Minong's shoreline are consistent with another transgression of Minong after ca. 9.5 ka. At the peak of the latter transgression, the southeastern rim of the Superior Basin (Nadoway Drift Barrier) failed, ending Lake Minong. Upon Minong's final drop, aggradational sediments were deposited at Danaher, infilling the prior breach.

  18. Behavioral adjustment of siblings of children with autism engaged in applied behavior analysis early intervention programs: the moderating role of social support.

    PubMed

    Hastings, Richard P

    2003-04-01

    There have been few studies of the impact of intensive home-based early applied behavior analysis (ABA) intervention for children with autism on family functioning. In the present study, behavioral adjustment was explored in 78 siblings of children with autism on ABA programs. First, mothers' ratings of sibling adjustment were compared to a normative sample. There were no reported increases in behavioral adjustment problems in the present sample. Second, regression analyses revealed that social support functioned as a moderator of the impact of autism severity on sibling adjustment rather than a mediator or compensatory variable. In particular, siblings in families with a less severely autistic child had fewer adjustment problems when more formal social support was also available to the family. The implications of these data for future research and for practice are discussed.

  19. Conditions of Core Formation in the Early Earth: Single Stage or Heterogeneous Accretion?

    NASA Technical Reports Server (NTRS)

    Righter, Kevin

    2010-01-01

    Since approx.1990 high pressure and temperature (PT) experiments on metal-silicate systems have showed that partition coefficients [D(met/sil)] for siderophile (iron-loving) elements are much different than those measured at low PT conditions [1,2]. The high PT data have been used to argue for a magma ocean during growth of the early Earth [3,4]. In the ensuing decades there have been hundreds of new experiments carried out and published on a wide range of siderophile elements (> 80 experiments published for Ni, Co, Mo, W, P, Mn, V, Cr, Ga, Cu and Pd). At the same time several different models have been advanced to explain the siderophile elements in Earth's mantle: a) shallow depth magma ocean 25-30 GPa [3,5]; b) deep magma ocean; up to 50 GPa [6,7], and c) early reduced and later oxidized magma ocean [8,9]. Some studies have drawn conclusions based on a small subset of siderophile elements, or a set of elements that provides little leverage on the big picture (like slightly siderophile elements), and no single study has attempted to quantitatively explain more than 5 elements at a time. The purpose of this abstract is to identify issues that have lead to a difference in interpretation, and to present updated predictive expressions based on new experimental data. The resulting expressions will be applied to the siderophile element depletions in Earth's upper mantle.

  20. Mechanical Properties of the Upper Airway

    PubMed Central

    Strohl, Kingman P.; Butler, James P.; Malhotra, Atul

    2013-01-01

    The importance of the upper airway (nose, pharynx, and larynx) in health and in the pathogenesis of sleep apnea, asthma, and other airway diseases, discussed elsewhere in the Comprehensive Physiology series, prompts this review of the biomechanical properties and functional aspects of the upper airway. There is a literature based on anatomic or structural descriptions in static circumstances, albeit studied in limited numbers of individuals in both health and disease. As for dynamic features, the literature is limited to studies of pressure and flow through all or parts of the upper airway and to the effects of muscle activation on such features; however, the links between structure and function through airway size, shape, and compliance remain a topic that is completely open for investigation, particularly through analyses using concepts of fluid and structural mechanics. Throughout are included both historically seminal references, as well as those serving as signposts or updated reviews. This article should be considered a resource for concepts needed for the application of biomechanical models of upper airway physiology, applicable to understanding the pathophysiology of disease and anticipated results of treatment interventions. PMID:23723026

  1. Sequences of upper and lower extremity motions in javelin throwing.

    PubMed

    Liu, Hui; Leigh, Steve; Yu, Bing

    2010-11-01

    Javelin throwing is technically demanding. Sequences of upper and lower extremity motions are important for javelin throwing performance. The purpose of this study was to determine the general sequences of upper and lower extremity motions of elite male and female javelin throwers. Three-dimensional kinematic data were collected for 32 female and 30 male elite javelin throwers during competitions. Shoulder, elbow, wrist, hip, knee, ankle, lower trunk, and upper trunk joint and segment angles were reduced for the best trial of each participant. Beginning times of 6 upper extremity and 10 lower extremity joint and segment angular motions were identified. Sequences of the upper and lower extremity motions were determined through statistical analyses. Upper and lower extremity motions of the male and female elite javelin throwers followed specific sequences (P ≤ 0.050). Upper extremity motions of the male and female elite javelin throwers did not follow a proximal-to-distal sequence as suggested in the literature. Male and female elite javelin throwers apparently employed different sequences for upper and lower extremity motions (P < 0.001). Further studies are needed to determine the effects of sequences of upper and lower extremity motions on javelin throwing performance.

  2. Toxicity of smelter slag-contaminated sediments from Upper Lake Roosevelt and associated metals to early life stage White Sturgeon (Acipenser transmontanus Richardson, 1836)

    USGS Publications Warehouse

    Little, E.E.; Calfee, R.D.; Linder, G.

    2014-01-01

    The toxicity of five smelter slag-contaminated sediments from the upper Columbia River and metals associated with those slags (cadmium, copper, zinc) was evaluated in 96-h exposures of White Sturgeon (Acipenser transmontanus Richardson, 1836) at 8 and 30 days post-hatch. Leachates prepared from slag-contaminated sediments were evaluated for toxicity. Leachates yielded a maximum aqueous copper concentration of 11.8 μg L−1 observed in sediment collected at Dead Man's Eddy (DME), the sampling site nearest the smelter. All leachates were nonlethal to sturgeon that were 8 day post-hatch (dph), but leachates from three of the five sediments were toxic to fish that were 30 dph, suggesting that the latter life stage is highly vulnerable to metals exposure. Fish maintained consistent and prolonged contact with sediments and did not avoid contaminated sediments when provided a choice between contaminated and uncontaminated sediments. White Sturgeon also failed to avoid aqueous copper (1.5–20 μg L−1). In water-only 96-h exposures of 35 dph sturgeon with the three metals, similar toxicity was observed during exposure to water spiked with copper alone and in combination with cadmium and zinc. Cadmium ranging from 3.2 to 41 μg L−1 or zinc ranging from 21 to 275 μg L−1 was not lethal, but induced adverse behavioral changes including a loss of equilibrium. These results suggest that metals associated with smelter slags may pose an increased exposure risk to early life stage sturgeon if fish occupy areas contaminated by slags.

  3. Upper Mantle Seismic Structure for NE Tibet From Multiscale Tomography Method

    NASA Astrophysics Data System (ADS)

    Guo, B.; Liu, Q.; Chen, J.

    2013-12-01

    In the real seismic experiments, the spatial sampling of rays inside the studied volume is basically nonuniform because of the unequispaced distribution of the seismic stations as well as the earthquake events. The conventional seismic tomography schemes adopt fixed size of cells or grid spacing while the actual resolution varies. As a result, either the phantom velocity anomalies may be aroused in regions that are poorly illuminated by the seismic rays, or the best detailed velocity model is unable to be extracted from those with fine ray coverage. We present an adaptive wavelet parameterization solution for three-dimensional traveltime seismic tomography problem and apply it to the study of the tectonics in the Northeast Tibet region. Different from the traditional parameterization schemes, we discretize the velocity model in terms of the Haar wavelets and the parameters are adjusted adaptively based on both the density and the azimuthal coverage of rays. Therefore, the fine grids are used in regions with the good data coverage, whereas the poorly resolved areas are represented by the coarse grids. Using the traveltime data recorded by the portable seismic array and the regional seismic network in the northeastern Tibet area, we investigate the P wave velocity structure of the crust and upper mantle. Our results show that the structure of the crust and upper mantle in the northeastern Tibet region manifests a strong laterally inhomogeneity, which appears not only in the adjacent areas between the different blocks, but also within each block. The velocity of the crust and upper mantle is highly different between the northeastern Tibet and the Ordos plateau. Of these two regions, the former possesses a low-velocity feature while the latter is referred to a high-velocity pattern. Between the northeastern Tibet and the Ordos plateau, there is a transition zone of about 200km wide, which is associated with an extremely complex velocity structure in crust and upper

  4. Cough induced by mechanical stimulation of the upper airway in humans.

    PubMed

    Lee, Patrick; Eccles, Ronald

    2004-08-01

    Cough has previously been induced in animals by means of mechanical stimulation of the upper airway but this method has not previously been applied to humans. The aims of this study were to determine if cough could be induced in humans on mechanical stimulation of the upper airway and to see if this mechanically induced cough was reproducible. We also wished to investigate if there was any difference in cough sensitivity between healthy subjects and those with acute upper respiratory tract infection (URTI). In the first investigation, 2 groups were studied: 15 healthy subjects and 30 subjects with URTI with a mean age of 20 years. Cough was induced by vibration of the airway at the level of the trachea using a modified men's shaver. In the second investigation to determine the reproducibility of this mechanically induced cough, two groups from a different population were studied: 15 healthy subjects and 29 subjects with URTI with a mean age of 20.3 years. Cough was induced by airway vibration before and after a 90-min rest period. In the first investigation it was demonstrated that cough can be induced within 2 s of vibration; subjects with URTI are more sensitive to cough induction and cough approximately five times more than healthy subjects; cough increases with repeated stimulation and reaches a maximum after three periods of vibration; the cough response may be mediated by rapidly adapting airway sensory receptors. In the second investigation there was no significant difference in mean cough counts before and after a 90-min rest period in both groups, which demonstrates that the mechanically induced cough is reproducible. This is the first study to elicit cough in humans by mechanical stimulation of the upper airway. This new method of inducing cough in subjects with URTI may be useful for studying both the mechanism of cough and the effects of antitussive medicines.

  5. Infectious mononucleosis presenting as upper airway obstruction.

    PubMed

    Jain, Vivek; Singhi, Sunit; Desai, Ravi V

    2003-01-01

    Upper airway obstruction though a common complication of infectious mononucleosis is rarely considered in differential diagnosis of stridor. We report a three-year-old child who had upper airway obstruction due to infectious mononucleosis, managed conservatively with oxygen, intravenous fluids and steroids.

  6. Psychosocial Risk Factors for Upper Respiratory Infection: Personality Predictors of URI (Upper Respiratory Illness) during Basic Training

    DTIC Science & Technology

    1988-08-05

    boils, (t) encephalitis, (u) hepatitis (jaundice), (v) dysentery, (w) infectious mononucleosis , (x) warts, (y) whooping cough, and (z) bron- chitis...may provide information regarding general susceptibility to infectious disease. A risk profile for upper respiratory infections, therefore, may help...develop methods for predicting and controlling the influence of infectious diseases in general, and upper respiratory infections in particular, in Navy

  7. Upper Extremity Deep Vein Thromboses: The Bowler and the Barista.

    PubMed

    Stake, Seth; du Breuil, Anne L; Close, Jeremy

    2016-01-01

    Effort thrombosis of the upper extremity refers to a deep venous thrombosis of the upper extremity resulting from repetitive activity of the upper limb. Most cases of effort thrombosis occur in young elite athletes with strenuous upper extremity activity. This article reports two cases who both developed upper extremity deep vein thromboses, the first being a 67-year-old bowler and the second a 25-year-old barista, and illustrates that effort thrombosis should be included in the differential diagnosis in any patient with symptoms concerning DVT associated with repetitive activity. A literature review explores the recommended therapies for upper extremity deep vein thromboses.

  8. Upper Extremity Deep Vein Thromboses: The Bowler and the Barista

    PubMed Central

    du Breuil, Anne L.; Close, Jeremy

    2016-01-01

    Effort thrombosis of the upper extremity refers to a deep venous thrombosis of the upper extremity resulting from repetitive activity of the upper limb. Most cases of effort thrombosis occur in young elite athletes with strenuous upper extremity activity. This article reports two cases who both developed upper extremity deep vein thromboses, the first being a 67-year-old bowler and the second a 25-year-old barista, and illustrates that effort thrombosis should be included in the differential diagnosis in any patient with symptoms concerning DVT associated with repetitive activity. A literature review explores the recommended therapies for upper extremity deep vein thromboses. PMID:27800207

  9. Evaluation of pediatric upper extremity peripheral nerve injuries.

    PubMed

    Ho, Emily S

    2015-01-01

    The evaluation of motor and sensory function of the upper extremity after a peripheral nerve injury is critical to diagnose the location and extent of nerve injury as well as document functional recovery in children. The purpose of this paper is to describe an approach to the evaluation of the pediatric upper extremity peripheral nerve injuries through a critical review of currently used tests of sensory and motor function. Outcome studies on pediatric upper extremity peripheral nerve injuries in the Medline database were reviewed. The evaluation of the outcome in children less than 10 years of age with an upper extremity peripheral nerve injury includes careful observation of preferred prehension patterns, examination of muscle atrophy and sudomotor function, provocative tests, manual muscle testing and tests of sensory threshold and tactile gnosis. The evaluation of outcome in children with upper extremity peripheral nerve injuries warrants a unique approach. Copyright © 2015 Hanley & Belfus. Published by Elsevier Inc. All rights reserved.

  10. Thermo-mechanical Properties of Upper Jurassic (Malm) Carbonate Rock Under Drained Conditions

    NASA Astrophysics Data System (ADS)

    Pei, Liang; Blöcher, Guido; Milsch, Harald; Zimmermann, Günter; Sass, Ingo; Huenges, Ernst

    2018-01-01

    The present study aims to quantify the thermo-mechanical properties of Neuburger Bankkalk limestone, an outcrop analog of the Upper Jurassic carbonate formation (Germany), and to provide a reference for reservoir rock deformation within future enhanced geothermal systems located in the Southern German Molasse Basin. Experiments deriving the drained bulk compressibility C were performed by cycling confining pressure p c between 2 and 50 MPa at a constant pore pressure p p of 0.5 MPa after heating the samples to defined temperatures between 30 and 90 °C. Creep strain was then measured after each loading and unloading stage, and permeability k was obtained after each creep strain measurement. The drained bulk compressibility increased with increasing temperature and decreased with increasing differential pressure p d = p c - p p showing hysteresis between the loading and unloading stages above 30 °C. The apparent values of the indirectly calculated Biot coefficient α ind containing contributions from inelastic deformation displayed the same temperature and pressure dependencies. The permeability k increased immediately after heating and the creep rates were also temperature dependent. It is inferred that the alteration of the void space caused by temperature changes leads to the variation of rock properties measured under isothermal conditions while the load cycles applied under isothermal conditions yield additional changes in pore space microstructure. The experimental results were applied to a geothermal fluid production scenario to constrain drawdown and time-dependent effects on the reservoir, overall, to provide a reference for the hydromechanical behavior of geothermal systems in carbonate, and more specifically, in Upper Jurassic lithologies.

  11. 33 CFR 117.1103 - Upper Mississippi River.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Upper Mississippi River. 117.1103 Section 117.1103 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Wisconsin § 117.1103 Upper Mississippi River. See...

  12. 33 CFR 117.1103 - Upper Mississippi River.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 33 Navigation and Navigable Waters 1 2014-07-01 2014-07-01 false Upper Mississippi River. 117.1103 Section 117.1103 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Wisconsin § 117.1103 Upper Mississippi River. See...

  13. 33 CFR 117.1103 - Upper Mississippi River.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 33 Navigation and Navigable Waters 1 2012-07-01 2012-07-01 false Upper Mississippi River. 117.1103 Section 117.1103 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Wisconsin § 117.1103 Upper Mississippi River. See...

  14. 33 CFR 117.1103 - Upper Mississippi River.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 33 Navigation and Navigable Waters 1 2011-07-01 2011-07-01 false Upper Mississippi River. 117.1103 Section 117.1103 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Wisconsin § 117.1103 Upper Mississippi River. See...

  15. 33 CFR 117.1103 - Upper Mississippi River.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 33 Navigation and Navigable Waters 1 2013-07-01 2013-07-01 false Upper Mississippi River. 117.1103 Section 117.1103 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Wisconsin § 117.1103 Upper Mississippi River. See...

  16. Burial history of Upper Cretaceous and Tertiary rocks interpreted from vitrinite reflectance, northern Green River basin, Wyoming

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

    Dickinson, W.W.; Law, B.E.

    1985-05-01

    The burial history of Upper Cretaceous and Tertiary rocks in the northern Green River basin is difficult to reconstruct for three reasons: (1) most of these rocks do not crop out, (2) there are few stratigraphic markers in the subsurface, and (3) regional uplift beginning during the Pliocene caused erosion that removed most upper Tertiary rocks. To understand better the burial and thermal history of the basin, published vitrinite reflectance (R/sub o/) data from three wells were compared to TTI (time-temperature index) maturation units calculated from Lopatin reconstructions. For each well, burial reconstructions were made as follows. Maximum depth ofmore » burial was first estimated by stratigraphic and structural evidence and by extrapolation to a paleosurface intercept of R/sub o/ = 0.2%. This burial was completed by early Oligocene (35 Ma), after which there was no net deposition. The present geothermal gradient in each well as used because there is no geologic evidence for elevated paleotemperature gradients. Using these reconstructions, calculated TTI units agreed with measured R/sub o/ values when minor adjustments were made to the estimated burial depths. Reconstructed maximum burials were deeper than present by 2500-3000 ft (762-914 m) in the Pacific Creek area, by 4000-4500 ft (1219-1372 m) in the Pinedale area, and by 0-1000 ft (0-305 m) in the Merna area. However, at Pinedale geologic evidence can only account for about 3000 ft (914 m) of additional burial. This discrepancy is explained by isoreflectance lines, which parallel the Pinedale anticline and indicate that approximately 2000 ft (610 m) of structural relief occurred after maximum burial. In other parts of the basin, isoreflectance lines also reveal significant structural deformation after maximum burial during early Oligocene to early Pliocene time.« less

  17. Limitations of the background field method applied to Rayleigh-Bénard convection

    NASA Astrophysics Data System (ADS)

    Nobili, Camilla; Otto, Felix

    2017-09-01

    We consider Rayleigh-Bénard convection as modeled by the Boussinesq equations, in the case of infinite Prandtl numbers and with no-slip boundary condition. There is a broad interest in bounds of the upwards heat flux, as given by the Nusselt number Nu, in terms of the forcing via the imposed temperature difference, as given by the Rayleigh number in the turbulent regime Ra ≫ 1 . In several studies, the background field method applied to the temperature field has been used to provide upper bounds on Nu in terms of Ra. In these applications, the background field method comes in the form of a variational problem where one optimizes a stratified temperature profile subject to a certain stability condition; the method is believed to capture the marginal stability of the boundary layer. The best available upper bound via this method is Nu ≲Ra/1 3 ( ln R a )/1 15 ; it proceeds via the construction of a stable temperature background profile that increases logarithmically in the bulk. In this paper, we show that the background temperature field method cannot provide a tighter upper bound in terms of the power of the logarithm. However, by another method, one does obtain the tighter upper bound Nu ≲ Ra /1 3 ( ln ln Ra ) /1 3 so that the result of this paper implies that the background temperature field method is unphysical in the sense that it cannot provide the optimal bound.

  18. Early competitive effects on growth of loblolly pine grown in co-culture with switchgrass

    Treesearch

    Kurt J. Krapfl; Scott D. Roberts; Randall J. Rosseau; Jeff A. Hatten

    2015-01-01

    This study: (1) examined competitive interactions between switchgrass and loblolly pine grown in co-culture, and (2) assessed early growth rates of loblolly pine as affected by differing switchgrass competition treatments. Co-cultures were established and monitored on two Upper Coastal Plain sites for 2 years. The Pontotoc site has a history of agricultural use with...

  19. Relationship between changes in the upper and lower tropospheric water vapor: A revisit

    NASA Astrophysics Data System (ADS)

    Yang, M.; Sun, D. Z.; Zhang, G. J.

    2017-12-01

    Upper tropospheric water vapor response to enhanced greenhouse gas forcing is as important as the lower tropospheric water vapor response in determining climate sensitivity. Early studies using older versions of climate models have suggested that the upper- and lower-troposphere water vapor changes are more strongly coupled in the climate models than in the observations. Here we reexamine this issue using a state-of-the-art climate model—the NCAR community model CAM5. Specifically, we have calculated the correlations between interannual variations of specific humidity in all levels of the troposphere with that at the surface in CAM5 and in the observations (as represented by the updated ERA-Interim and NCEP reanalysis). It is found that the previously noted biases in how strongly upper tropospheric water vapor and lower troposphere water vapor are linked still exist in CAM5—the change in the tropical averaged upper tropospheric water vapor is more strongly correlated with the change in the surface. However, this bias disappears in the averaged correlation obtained by averaging the point-by-point correlations over the tropics. The spatial pattern of the point-by-point correlations reveals that the better agreement between the model and the observations is related to the opposite model biases in different regions: the correlation is weaker in the model in the western Pacific, but stronger in the central and eastern Pacific. Further analysis of precipitation fields suggests that the weaker (stronger) coupling between tropospheric water vapor and surface moisture over western (central-eastern) Pacific in model is related to weaker (stronger) simulated convective activities in these regions. More specifically, during El Nino, the model has excessive deep convection in the central Pacific, but too littler deep convection in western Pacific. Implications of the results are discussed in the context of climate change as well as in the context of how to improve the model

  20. Double-crested cormorants along the upper Mississippi River

    USGS Publications Warehouse

    Kirsch, E.M.

    1995-01-01

    The Upper Mississippi River is an important habitat corridor for migratory birds and other wildlife, and it supports an important commercial and sport fishery. A study was initiated by the U.S. Fish and Wildlife Service in 1991 to describe Double-crested cormorant (Phalacrocorax auritus) distribution and abundance on the Upper Mississippi River throughout the year to better understand the possible impacts of cormorants on fish resources and populations of other piscivorous birds. Double-crested Cormorants were common breeders and abundant during migration on the Upper Mississippi River during the 1940s. Numbers of cormorants declined in the 1960s and 1970s along the Upper Mississippi River as they did in other parts of the United States. In 1992, 418 cormorant pairs were estimated to have nested in four colonies on the Upper Mississippi River, and less than 7,000 cormorants were estimated to have migrated along the river during the fall and spring of 1991 and 1992. Recent public concern for fish resources has grown with a perceived growth of the local cormorant population. Migrating cormorants collected on the Upper Mississippi River took Gizzard Shad (Dorosoma cepedianum) primarily, but chicks were fed a wide variety of fish species.