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Sample records for early post-collapse upper

  1. InSAR Measurement of Precursor and Post-Collapse Sinkhole Subsidence

    NASA Astrophysics Data System (ADS)

    Holley, Rachel; McCormack, Harry; Larkin, Hayley; Wooster, Michael; Thomas, Adam

    2016-08-01

    Sinkholes occur across the world, often posing an obvious hazard to communities, infrastructure and the environment. Regions prone to sinkhole formation can often be identified; however prediction of exact sinkhole locations and occurrences is exceedingly difficult. This case study from Wink, in the Permian Basin of Texas, demonstrates how InSAR can measure both precursor and post-collapse deformation associated with sinkholes. ERS, ALOS PALSAR and Sentinel-1A datasets are used to show precursor signals at least nine years before sinkhole formation, and post-collapse effects continuing over several decades. The rate of deformation is variable, but reaches many tens of centimetres per year during some periods.

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

    SciTech Connect

    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

  3. 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.

  4. [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.

  5. Post-collapse evolution of a coastal caldera system: Insights from a 3D multichannel seismic survey from the Campi Flegrei caldera (Italy)

    NASA Astrophysics Data System (ADS)

    Steinmann, Lena; Spiess, Volkhard; Sacchi, Marco

    2018-01-01

    In this study we present the first 3D high-resolution multichannel seismic dataset from a (partly) submerged caldera setting, the Campi Flegrei caldera (CFc). Our work aims at examining the spatial and temporal evolution of the CFc since the last caldera-forming event, the Neapolitan Yellow Tuff (NYT, 15 ka) eruption. The main objectives are to investigate the caldera's shallow (< 200 m) subsurface structure and post-NYT-collapse (< 15 ka) deformational processes, the manifestation of magmatic and hydrothermal processes in the subsurface, as well as the volume, dispersal and explosivity of coastal post-collapse eruptions, thereby significantly advancing our current knowledge of the CFc. Our findings confirm the existence of a nested-caldera system comprising two caldera depressions bordered by an inner and a deeper (> 200 m) outer caldera ring-fault zone. The seismic data revealed that the NYT collapse occurred exclusively along the inner caldera ring-fault and that the related NYT caldera depression is filled with on average 61 m of sediment deposited between 15 and 8.6 ka. The geometry of the inner ring-fault, consisting of four fault segments, seems to be strongly influenced by regional NW-SE and NE SW-trending faults. Furthermore, we found that the ring-faults have acted as pathway for the recent (< 3.7 ka) ascent of fluids (gases and liquids) and the emplacement of intrusions. We propose that the outer ring-fault zone, which likely formed in the course of the Campanian Ignimbrite (CI, 39 ka) eruption, has had the main control on the release and ascent of fluids. Overall, the caldera ring-faults represent key locations for the interconnection between the magmatic-hydrothermal systems and the surface and, thus, potentially represent future eruption sites as well as important fluid pathways during the recent unrest episodes. Furthermore, we reassessed the volume, dispersal, and explosivity of the post-collapse Nisida Bank (10.3-9.5 ka), Nisida Island ( 3.98 ka

  6. 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

  7. 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

  8. 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.

  9. [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.

  10. 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

  11. 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.

  12. 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.

  13. 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

  14. 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.

  15. 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…

  16. 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

  17. 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.

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

    SciTech Connect

    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

  19. 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.

  20. 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

  1. 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

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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…

  12. 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

  13. 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

  14. 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.

  15. [The Significance of Early Reposition in Patients with Visible Malposition of the Upper Ankle Joint].

    PubMed

    Wohlrath, B; Schweigkofler, U; Barzen, S; Heinz, S M; Schmidt-Horlohé, K; Hoffmann, R

    2016-12-01

    Background: Protracted dislocation of the upper ankle joint can lead to substantial damage to the surrounding soft tissue, possibly followed by local complications and longer hospitalisation. Although reposition is usually easy to conduct, it is commonly recommended that this should only be performed by an experienced specialist, as long as there is no neurovascular restriction. There are however no exact data or studies on this problem. The aim of the present study is to examine whether early reposition is of benefit for subsequent treatment. Methods: Retrospective study of all patients in a supra-regional trauma centre during the period from January 2009 to July 2015, with either prehospital reposition of the ankle joint because of visible malposition or documented visible malposition on arrival at hospital. Patients with relevant concomitant injuries elsewhere were excluded. Data on the duration of dislocation were matched with diagnostic findings at the time of hospital admission, the kind of primary care, local complications and the time of hospitalisation, using linear regression analysis and ANOVA calculations. Results: Of a total of 391 patients with a dislocation or a fracture dislocation of the ankle joint within this period, 132 fulfilled the inclusion criteria. These patients were divided into 5 groups on the basis of the time of dislocation. Time to reposition was less than one hour for 39 patients, between one and two hours for 29 patients, between two and six hours for 41 patients, between six and 24 hours for 13 patients and more than 24 hours for 10 patients, all with a visible dislocation. The results on admission showed a significant increase in skin bruises and tension bullae with increasing time of dislocation. A longer time of dislocation was associated with more two stage surgical procedures with external fixators and a decreasing number of single stage procedures. While there was immediate definitive treatment of 79.5 % of the patients in

  16. 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

  17. 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

  18. 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.

  19. 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.

  20. 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

  1. 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

  2. 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...

  3. 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.

  4. 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.

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

    SciTech Connect

    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

  6. A chronological framework connecting the early Upper Palaeolithic across the Central Asian piedmont.

    PubMed

    Fitzsimmons, Kathryn E; Iovita, Radu; Sprafke, Tobias; Glantz, Michelle; Talamo, Sahra; Horton, Katharine; Beeton, Tyler; Alipova, Saya; Bekseitov, Galymzhan; Ospanov, Yerbolat; Deom, Jean-Marc; Sala, Renato; Taimagambetov, Zhaken

    2017-12-01

    Central Asia has delivered significant paleoanthropological discoveries in the past few years. New genetic data indicate that at least two archaic human species met and interbred with anatomically modern humans as they arrived into northern Central Asia. However, data are limited: known archaeological sites with lithic assemblages generally lack human fossils, and consequently identifying the archaeological signatures of different human groups, and the timing of their occupation, remains elusive. Reliable chronologic data from sites in the region, crucial to our understanding of the timing and duration of interactions between different human species, are rare. Here we present chronologies for two open air Middle to Upper Palaeolithic (UP) sequences from the Tien Shan piedmont in southeast Kazakhstan, Maibulak and Valikhanova, which bridge southern and northern Central Asia. The chronologies, based on both quartz optically stimulated luminescence (OSL) and polymineral post-infrared infrared luminescence (pIR-IRSL) protocols, demonstrate that technological developments at the two sites differ substantially over the ∼47-19 ka time span. Some of the innovations typically associated with the earliest UP in the Altai or other parts of northeast Asia are also present in the Tien Shan piedmont. We caution against making assumptions about the directionality of spread of these technologies until a larger, better defined database of transitional sites in the region is available. Connections between the timing of occupation of regions, living area setting and paleoenvironmental conditions, while providing hypotheses worth exploring, remain inconclusive. We cautiously suggest a trend towards increasing occupation of open air sites across the Central Asian piedmont after ∼40 ka, corresponding to more humid climatic conditions which nevertheless included pulses of dust deposition. Human occupation persisted into the Last Glacial Maximum, despite cooler, and possibly drier

  7. Upper gastrointestinal tract phenotype of Crohn's disease is associated with early surgery and further hospitalization.

    PubMed

    Chow, Dorothy K L; Sung, Joseph J Y; Wu, Justin C Y; Tsoi, Kelvin K F; Leong, Rupert W L; Chan, Francis K L

    2009-04-01

    According to the Montreal Classification, upper gastrointestinal tract phenotype L4 is uncommon in Caucasian patients with Crohn's disease (CD) but carries excess risk of recurrence. We studied the clinical course of CD in Chinese patients presenting with the L4 phenotype and factors predicting its occurrence upon longitudinal follow-up. This prospective cohort study included 132 Chinese CD patients (median age at diagnosis, 30.0 years, range: 14.0-77.0 years) who were followed for 770 person-years. Demographic data including disease behavior and location, details of surgery, and hospitalization were collected. The Kaplan-Meier method was used to estimate the probabilities of further hospitalization and major surgery followed by Cox proportional hazards regression to determine if clinical variables independently predicted the endpoints. The L4 phenotype was found in 30 (22.7%) patients at presentation. There were significantly more stricturing (46.7% versus 18.6%) and penetrating (30.0% versus 3.9%) phenotypes in the L4 group than in the non-L4 group (P < 0.0001). The 3-year cumulative probability of further hospitalization was 86.9% (95% confidence interval [CI]: 73.8%-100.0%) in the L4 group as compared with 49.3% (95% CI: 39.3%-59.3%) in the non-L4 group (log-rank test, P < 0.0001). The L4 phenotype independently predicted further hospitalization (adjusted hazards ratio [HR]: 2.1; 95% CI: 1.3-3.5). The cumulative probability of major surgery was significantly higher in the L4 than in the non-L4 group (P < 0.0001). Eighteen (17.6%) patients developed the L4 phenotype on follow-up and the stricturing phenotype predicted its occurrence (adjusted HR: 5.5; 95% CI: 2.2-14.0). Chinese CD patients more often had the L4 phenotype, which predicted the need of subsequent hospitalization.

  8. Upper airway involvement in bronchiectasis is marked by early onset and allergic features

    PubMed Central

    Nassrallah, Najwan; Jrbashyan, Jenny; Uri, Nechama; Stein, Nili; Adir, Yochai

    2018-01-01

    The association of bronchiectasis with chronic rhinosinusitis (CRS) has been reported. However, apart from primary ciliary dyskinesia (PCD) and cystic fibrosis (CF), predisposing conditions have not been established. We aimed to define clinical and laboratory features that differentiate patients with bronchiectasis with upper airway symptoms (UASs) and without PCD from patients without UASs. We reviewed charts of adults with bronchiectasis, excluding CF and PCD. UASs were defined as nasal discharge most days of the year, sinusitis or nasal polyps. Laboratory data included IgG, total IgE, blood eosinophils, sputum bacteriology and lung function. A radiologist blinded to UAS presence scored bronchiectasis (Reiff score) and sino-nasal pathology (Lund–Mackay score). Of 197 patients, for the 70 (35%) with UASs, symptoms started earlier (34±25 versus 46±24 years; p=0.001), disease duration was longer (median 24 versus 12 years; p=0.027), exacerbations were more frequent (median 3 versus 2 per year; p=0.14), and peripheral blood eosinophil (median 230 versus 200 μL−1; p=0.015) and total IgE (median 100 versus 42 IU·mL−1; p=0.085) levels were higher. The sinus computed tomography score was independently associated with exacerbations, with 1 point on the Lund–Mackay score associated with a 1.03-fold increase in the number of exacerbations per year (95% CI 1.0–1.05; p=0.004). These findings may implicate a higher disease burden in patients with UASs. We hypothesise that UASs precede and may in some cases lead to the development of bronchiectasis. PMID:29362708

  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. 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

  11. 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

  12. Paleo-environment in the upper amazon basin during early to middle Miocene times

    NASA Astrophysics Data System (ADS)

    van Soelen, Els; Hoorn, Carina; Santos, Roberto V.; Dantas, Elton L.; Sinninghe Damsté, Jaap S.; Kim, Jung-Hyun

    2014-05-01

    The Amazon River has the largest catchment in the world and is responsible for the largest water discharge from land to the ocean. The river system that flows from the Andes to the Atlantic Equatorial Margin exists since the late Miocene, and results from Andean uplift which strongly affected erosion/deposition and major flow patterns in northern South-America. Two outcrop sites from the Solimões basin, Mariñame (17.7-16.1 Ma) and Los Chorros (14.2-12.7 Ma), may shed light on the inland paleo-environmental conditions during a period of active Andean uplift in the early to middle Miocene. Earlier works revealed the Mariñame outcrops to represent a river born in Amazonia. Instead the Los Chorros outcrops are relics of the Amazon River system, characterized by extensive wetlands consisting of swamps, shallow lakes, crevasse splays channels and crevasse-delta lakes (e.g. Hoorn et al., 2010). The freshwater ecosystems alternate with some intervals that are rich in marine palynomorphs (such as dinocysts), mangrove pollen, brackish tolerant molluscs and ostracods, which indicate brackish conditions and a marine influence. It is thought that these marine incursion are related to phases of global sea-level rise and rapid subsidence in the Andean foreland (Marshall & Lundberg, 1996). Still, much remains unknown about the Miocene river systems, like the extent and diversity of the wetland system and the nature of the marine incursions. To get a better understanding of the sources of the (in)organic material, geochemical methods were used. Strontium (Sr) and Neodymium (Nd) isotopes were analyzed on bulk sediments, and used for a paleo-provenance study. The Sr and Nd isotopic signature in the older section (Mariñame) is in general more radiogenic compared to the Los Chorros section. The most radiogenic values are comparable to those found nowadays in the the Precambrian Guyana shield. A Guyana sediment source would suggest a distinctly different flow direction of the major

  13. Volcanism on Mars controlled by early oxidation of the upper mantle

    NASA Astrophysics Data System (ADS)

    Tuff, J.; Wade, J.; Wood, B. J.

    2013-06-01

    Detailed information about the chemical composition and evolution of Mars has been derived principally from the SNC (shergottite-nakhlite-chassignite) meteorites, which are genetically related igneous rocks of Martian origin. They are chemically and texturally similar to terrestrial basalts and cumulates, except that they have higher concentrations of iron and volatile elements such as phosphorus and chlorine and lower concentrations of nickel and other chalcophile (sulphur-loving) elements. Most Martian meteorites have relatively young crystallization ages (1.4 billion years to 180 million years ago) and are considered to be derived from young, lightly cratered volcanic regions, such as the Tharsis plateau. Surface rocks from the Gusev crater analysed by the Spirit rover are much older (about 3.7 billion years old) and exhibit marked compositional differences from the meteorites. Although also basaltic in composition, the surface rocks are richer in nickel and sulphur and have lower manganese/iron ratios than the meteorites. This has led to doubts that Mars can be described adequately using the `SNC model'. Here we show, however, that the differences between the compositions of meteorites and surface rocks can be explained by differences in the oxygen fugacity during melting of the same sulphur-rich mantle. This ties the sources of Martian meteorites to those of the surface rocks through an early (>3.7 billion years ago) oxidation of the uppermost mantle that had less influence on the deeper regions, which produce the more recent volcanic rocks.

  14. 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.

  15. The use of osteochondral allograft with bone marrow-derived mesenchymal cells and hinge joint distraction in the treatment of post-collapse stage of osteonecrosis of the femoral head.

    PubMed

    Gagala, J; Tarczynska, M; Gaweda, K; Matuszewski, L

    2014-09-01

    Osteonecrosis of the femoral head is an entity which occurs mainly in young and active patients aged between 20 and 50. The success of hip joint preserving treatments ranges from 15% to 50% depending on the stage and amount of osteonecrotic lesion. Total hip replacement is indicated in late post-collapse hips but it has unsatisfactory survival because of the wear and osteolysis in young and active patients. Osteochondral allografts have been reported in the treatment of large articular lesions with defects in underlying bone in knee, talus and shoulder. By combining osteoconductive properties of osteochondral allograft with osteogenic abilities of bone marrow-derived mesenchymal cells it has a potential to be an alternative to an autologous graft. The adjunct of hinged joint distraction should minimize stresses in subchondral bone to promote creeping substitution and prevent femoral head collapse. Unlike current treatment modalities, it would provide both structural support and allow bony and articular substitution. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. 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.

  17. 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.

  18. 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

  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. 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.

  1. 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.

  2. 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

  3. 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.

  4. 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

  5. Human-climate interaction during the Early Upper Paleolithic: testing the hypothesis of an adaptive shift between the Proto-Aurignacian and the Early Aurignacian.

    PubMed

    Banks, William E; d'Errico, Francesco; Zilhão, João

    2013-01-01

    The Aurignacian technocomplex comprises a succession of culturally distinct phases. Between its first two subdivisions, the Proto-Aurignacian and the Early Aurignacian, we see a shift from single to separate reduction sequences for blade and bladelet production, the appearance of split-based antler points, and a number of other changes in stone tool typology and technology as well as in symbolic material culture. Bayesian modeling of available (14)C determinations, conducted within the framework of this study, indicates that these material culture changes are coincident with abrupt and marked climatic changes. The Proto-Aurignacian occurs during an interval (ca. 41.5-39.9 k cal BP) of relative climatic amelioration, Greenland Interstadials (GI) 10 and 9, punctuated by a short cold stadial. The Early Aurignacian (ca. 39.8-37.9 k cal BP) predominantly falls within the climatic phase known as Heinrich Stadial (HS) 4, and its end overlaps with the beginning of GI 8, the former being predominantly characterized by cold and dry conditions across the European continent. We use eco-cultural niche modeling to quantitatively evaluate whether these shifts in material culture are correlated with environmental variability and, if so, whether the ecological niches exploited by human populations shifted accordingly. We employ genetic algorithm (GARP) and maximum entropy (Maxent) techniques to estimate the ecological niches exploited by humans (i.e., eco-cultural niches) during these two phases of the Aurignacian. Partial receiver operating characteristic analyses are used to evaluate niche variability between the two phases. Results indicate that the changes in material culture between the Proto-Aurignacian and the Early Aurignacian are associated with an expansion of the ecological niche. These shifts in both the eco-cultural niche and material culture are interpreted to represent an adaptive response to the relative deterioration of environmental conditions at the onset of HS4

  6. 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).

  7. Early lactate clearance for predicting active bleeding in critically ill patients with acute upper gastrointestinal bleeding: a retrospective study.

    PubMed

    Wada, Tomoki; Hagiwara, Akiyoshi; Uemura, Tatsuki; Yahagi, Naoki; Kimura, Akio

    2016-08-01

    Not all patients with upper gastrointestinal bleeding (UGIB) require emergency endoscopy. Lactate clearance has been suggested as a parameter for predicting patient outcomes in various critical care settings. This study investigates whether lactate clearance can predict active bleeding in critically ill patients with UGIB. This single-center, retrospective, observational study included critically ill patients with UGIB who met all of the following criteria: admission to the emergency department (ED) from April 2011 to August 2014; had blood samples for lactate evaluation at least twice during the ED stay; and had emergency endoscopy within 6 h of ED presentation. The main outcome was active bleeding detected with emergency endoscopy. Classification and regression tree (CART) analyses were performed using variables associated with active bleeding to derive a prediction rule for active bleeding in critically ill UGIB patients. A total of 154 patients with UGIB were analyzed, and 31.2 % (48/154) had active bleeding. In the univariate analysis, lactate clearance was significantly lower in patients with active bleeding than in those without active bleeding (13 vs. 29 %, P < 0.001). Using the CART analysis, a prediction rule for active bleeding is derived, and includes three variables: lactate clearance; platelet count; and systolic blood pressure at ED presentation. The rule has 97.9 % (95 % CI 90.2-99.6 %) sensitivity with 32.1 % (28.6-32.9 %) specificity. Lactate clearance may be associated with active bleeding in critically ill patients with UGIB, and may be clinically useful as a component of a prediction rule for active bleeding.

  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. 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.

  10. 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.

  11. 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.

  12. Modeling long recovery early events (LOREs) produced by lightning-induced ionization of the nighttime upper mesosphere

    NASA Astrophysics Data System (ADS)

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

    2017-07-01

    We present results of a cylindrically symmetric, coupled electrodynamic, and photochemical model which simulates diffuse ionization of the middle atmosphere induced by strong lightning discharges (peak currents >150 kA). Scattering of subionospherically propagating, very low frequency radio waves is then evaluated using the Long-Wave Propagation Capability code. Some modeled sprite halos exhibit continued electron density growth up to timescales of seconds due to O- detachment, though it is not yet clear how this might relate to the slower onset durations (>20 ms) of some early VLF events. Modeled electron density enhancements in sprite halos, capable of strong VLF scattering, can persist for long periods of time (greater than hundreds of seconds) even at lower altitudes where their recovery is initially controlled by fast attachment processes. Consequently, our modeling results indicate that both typical recovery (20 to 240 s) and long recovery (LOREs, >300 s) VLF scattering events can be explained by scattering from conductivity changes associated with sprite halos. In contrast, modeled scattered fields resulting from elve-associated conductivity changes, though exhibiting long recovery times, are too weak to sufficiently explain typical LORE observations. Theoretical scattering from structured ionization events (e.g., sprites columns and gigantic jets) is not considered in this work.

  13. Early and late lithification of aragonitic bivalve beds in the Purbeck Formation (upper jurassic-lower cretaceous) of Southern England

    NASA Astrophysics Data System (ADS)

    El-Shahat, Adam; West, Ian

    1983-05-01

    Beds of euryhaline bivalves alternating with shales constitute much of the middle Purbeck Formation. They originated on "tidal" flats at the western margin of an extensive brackish lagoon. When these shell beds are thin and enclosed in shale they are often still preserved as aragonite and are associated with "beef", fibrous calcite formed during compaction. In most cases, however, the shell debris has been converted by diagenesis into calcitic biosparrudite limestones. A compacted type has been lithified at a late stage, after deep burial. In this, pyrite is abundant and most of the shell aragonite has been replaced neomorphically by ferroan pseudopleochroic calcite. A contrasting uncompacted type of biosparrudite is characterised by bivalve fragments with micrite envelopes. Shells and former pores are occupied by non-ferroan sparry calcite cement, and there is little pyrite. These limestones frequently contain dinosaur footprints and originated in "supratidal" environments where they were cemented early, mainly in meteoric water. Once lithified they were unaffected by compaction. This uncompacted type indicates phases of mild uplift or halts in subsidence. These shell-bed lithologies, and also intermediate types described here, will probably be recognised in other lagoonal formations.

  14. Motor impairment factors related to brain injury timing in early hemiparesis Part I: expression of upper extremity weakness

    PubMed Central

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

    2014-01-01

    Background Extensive neuromotor development occurs early in human life, but the time that a brain injury occurs during development has not been rigorously studied when quantifying motor impairments. Objective This study investigated the impact of timing of brain injury on magnitude and distribution of weakness in the paretic arm of individuals with childhood-onset hemiparesis. Methods Twenty-four individuals with hemiparesis were divided into time periods of injury before birth (PRE-natal, n=8), around the time of birth (PERI-natal, n=8) or after 6 months of age (POST-natal, n=8). They, along with 8 typically developing peers, participated in maximal isometric shoulder, elbow, wrist, and finger torque generation tasks using a multiple degree-of-freedom load cell to quantify torques in 10 directions. A mixed model ANOVA was used to determine the effect of group and task on a calculated relative weakness ratio between arms. Results There was a significant effect of both time of injury group (p<0.001) and joint torque direction (p<0.001) on the relative weakness of the paretic arm. Distal joints were more affected compared to proximal joints, especially in the POST-natal group. Conclusions The distribution of weakness provides evidence for the relative preservation of ipsilateral corticospinal motor pathways to the paretic limb in those individuals injured earlier, while those who sustained later injury may rely more on indirect ipsilateral cortico-bulbospinal projections during the generation of torques with the paretic arm. PMID:24009182

  15. Motor impairment factors related to brain injury timing in early hemiparesis. Part I: expression of upper-extremity weakness.

    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, but the time that a brain injury occurs during development has not been rigorously studied when quantifying motor impairments. This study investigated the impact of timing of brain injury on the magnitude and distribution of weakness in the paretic arm of individuals with childhood-onset hemiparesis. A total of 24 individuals with hemiparesis were divided into time periods of injury before birth (PRE-natal, n = 8), around the time of birth (PERI-natal, n = 8), or after 6 months of age (POST-natal, n = 8). They, along with 8 typically developing peers, participated in maximal isometric shoulder, elbow, wrist, and finger torque generation tasks using a multiple-degree-of-freedom load cell to quantify torques in 10 directions. A mixed-model ANOVA was used to determine the effect of group and task on a calculated relative weakness ratio between arms. There was a significant effect of both time of injury group (P < .001) and joint torque direction (P < .001) on the relative weakness of the paretic arm. Distal joints were more affected compared with proximal joints, especially in the POST-natal group. The distribution of weakness provides evidence for the relative preservation of ipsilateral corticospinal motor pathways to the paretic limb in those individuals injured earlier, whereas those who sustained later injury may rely more on indirect ipsilateral corticobulbospinal projections during the generation of torques with the paretic arm.

  16. 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

  17. 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.

  18. 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.

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

    SciTech Connect

    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

  20. 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

  1. 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

  2. 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

  3. 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.

  4. 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.

  5. 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.

  6. Natural growth and diet of known-age pallid sturgeon (Scaphirhynchus albus) early life stages in the upper Missouri River basin, Montana and North Dakota

    USGS Publications Warehouse

    Braaten, P.J.; Fuller, D.B.; Lott, R.D.; Haddix, T.M.; Holte, L.D.; Wilson, R.H.; Bartron, M.L.; Kalie, J.A.; DeHaan, P.W.; Ardren, W.R.; Holm, R.J.; Jaeger, M.E.

    2012-01-01

    Prior to anthropogenic modifications, the historic Missouri River provided ecological conditions suitable for reproduction, growth, and survival of pallid sturgeon Scaphirhynchus albus. However, little information is available to discern whether altered conditions in the contemporary Missouri River are suitable for feeding, growth and survival of endangered pallid sturgeon during the early life stages. In 2004 and 2007, nearly 600 000 pallid sturgeon free embryos and larvae were released in the upper Missouri River and survivors from these releases were collected during 2004–2010 to quantify natural growth rates and diet composition. Based on genetic analysis and known-age at release (1–17 days post-hatch, dph), age at capture (dph, years) could be determined for each survivor. Totals of 23 and 28 survivors from the 2004 and 2007 releases, respectively, were sampled. Growth of pallid sturgeon was rapid (1.91 mm day−1) during the initial 13–48 dph, then slowed as fish approached maximum length (120–140 mm) towards the end of the first growing season. The diet of young-of-year pallid sturgeon was comprised of Diptera larvae, Diptera pupae, and Ephemeroptera nymphs. Growth of pallid sturgeon from ages 1–6 years was about 48.0 mm year−1. This study provides the first assessment of natural growth and diet of young pallid sturgeon in the wild. Results depict pallid sturgeon growth trajectories that may be expected for naturally produced wild stocks under contemporary habitat conditions in the Missouri River and Yellowstone River.

  7. 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.

  8. 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

  9. 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

  10. 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…

  11. Effects of low-frequency repetitive transcranial magnetic stimulation and neuromuscular electrical stimulation on upper extremity motor recovery in the early period after stroke: a preliminary study.

    PubMed

    Tosun, Aliye; Türe, Sabiha; Askin, Ayhan; Yardimci, Engin Ugur; Demirdal, Secil Umit; Kurt Incesu, Tülay; Tosun, Ozgur; Kocyigit, Hikmet; Akhan, Galip; Gelal, Fazıl Mustafa

    2017-07-01

    To assess the efficacy of inhibitory repetitive transcranial magnetic stimulation (rTMS) and neuromuscular electrical stimulation (NMES) on upper extremity motor function in patients with acute/subacute ischemic stroke. Twenty-five ischemic acute/subacute stroke subjects were enrolled in this randomized controlled trial. Experimental group 1 received low frequency (LF) rTMS to the primary motor cortex of the unaffected side + physical therapy (PT) including activities to improve strength, flexibility, transfers, posture, balance, coordination, and activities of daily living, mainly focusing on upper limb movements; experimental group 2 received the same protocol combined with NMES to hand extensor muscles; and the control group received only PT. Functional magnetic resonance imaging (fMRI) scan was used to evaluate the activation or inhibition of the affected and unaffected primary motor cortex. No adverse effect was reported. Most of the clinical outcome scores improved significantly in all groups, however no statistically significant difference was found between groups due to the small sample sizes. The highest percent improvement scores were observed in TMS + NMES group (varying between 48 and 99.3%) and the lowest scores in control group (varying between 13.1 and 28.1%). Hand motor recovery was significant in both experimental groups while it did not change in control group. Some motor cortex excitability changes were also observed in fMRI. LF-rTMS with or without NMES seems to facilitate the motor recovery in the paretic hand of patients with acute/subacute ischemic stroke. TMS or the combination of TMS + NMES may be a promising additional therapy in upper limb motor training. Further studies with larger numbers of patients are needed to establish their effectiveness in upper limb motor rehabilitation of stroke.

  12. 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

  13. Automated graphic assessment of respiratory activity is superior to pulse oximetry and visual assessment for the detection of early respiratory depression during therapeutic upper endoscopy.

    PubMed

    Vargo, John J; Zuccaro, Gregory; Dumot, John A; Conwell, Darwin L; Morrow, J Brad; Shay, Steven S

    2002-06-01

    Recommendations from the American Society of Anesthesiologists suggest that monitoring for apnea using the detection of exhaled carbon dioxide (capnography) is a useful adjunct in the assessment of ventilatory status of patients undergoing sedation and analgesia. There are no data on the utility of capnography in GI endoscopy, nor is the frequency of abnormal ventilatory activity during endoscopy known. The aims of this study were to determine the following: (1) the frequency of abnormal ventilatory activity during therapeutic upper endoscopy, (2) the sensitivity of observation and pulse oximetry in the detection of apnea or disordered respiration, and (3) whether capnography provides an improvement over accepted monitoring techniques. Forty-nine patients undergoing therapeutic upper endoscopy were monitored with standard methods including pulse oximetry, automated blood pressure measurement, and visual assessment. In addition, graphic assessment of respiratory activity with sidestream capnography was performed in all patients. Endoscopy personnel were blinded to capnography data. Episodes of apnea or disordered respiration detected by capnography were documented and compared with the occurrence of hypoxemia, hypercapnea, hypotension, and the recognition of abnormal respiratory activity by endoscopy personnel. Comparison of simultaneous respiratory rate measurements obtained by capnography and by auscultation with a pretracheal stethoscope verified that capnography was an excellent indicator of respiratory rate when compared with the reference standard (auscultation) (r = 0.967, p < 0.001). Fifty-four episodes of apnea or disordered respiration occurred in 28 patients (mean duration 70.8 seconds). Only 50% of apnea or disordered respiration episodes were eventually detected by pulse oximetry. None were detected by visual assessment (p < 0.0010). Apnea/disordered respiration occurs commonly during therapeutic upper endoscopy and frequently precedes the development

  14. Human used upper montane ecosystem in the Horton Plains, central Sri Lanka - a link to Lateglacial and early Holocene climate and environmental changes

    NASA Astrophysics Data System (ADS)

    Premathilake, Rathnasiri

    2012-09-01

    This study utilizes radiocarbon-dated pollen, spores, Sphagnum spp. macrofossils and total organic carbon proxies to examine variability of past climate, environment and human activity in montane rainforest, grassland and wetland of the Horton Plains (HP), central Sri Lanka since the Last Glacial Maximum (LGM). The LGM is largely characterized by grasslands and xerophytic herbs dominated open habitats. Arid-LGM punctuated climatic ameliorations, which took place in short episodes. Humans appear to have reached the HP ecosystem after 18,000 cal yrs BP occasionally. The first Intertropical Convergence Zone (ITCZ) induced changes in South West Monsoon (SWM) rains occurred at low latitudes between 16,200 and 15,900 cal yrs BP suggesting an onset of monsoon rains. After this event, monsoon rains weakened for several millennia except the period 13,700-13,000 cal yrs BP, but human activity seems to have continued with biomass burning and clearances by slash and burn. Very large size grass pollen grains, which are morphologically similar to pollen from closer forms of Oryza nivara, were found after 13,800 cal yrs BP. Early Holocene extreme and abrupt climate changes seem to have promoted the forms of O. nivara populations in association with humans. New data from the HP would therefore be most interesting to investigate the dispersal and use of domesticated rice in South Asia.

  15. 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

  16. Cost-effectiveness of postural exercise therapy versus physiotherapy in computer screen-workers with early non-specific work-related upper limb disorders (WRULD); a randomized controlled trial.

    PubMed

    van Eijsden, Marjon D; Gerhards, Sylvia A; de Bie, Rob A; Severens, Johan L

    2009-11-17

    Exercise therapies generate substantial costs in computer workers with non-specific work-related upper limb disorders (WRULD). To study if postural exercise therapy is cost-effective compared to regular physiotherapy in screen-workers with early complaints, both from health care and societal perspective. Prospective randomized trial including cost-effectiveness analysis; one year follow-up. Eighty-eight screen-workers with early non-specific WRULD; six drop-outs. A ten week postural exercise program versus regular physiotherapy. Effectiveness measures: Pain: visual analogous scale (VAS), self-perceived WRULD (yes/no). Functional outcome: Disabilities of Arm, Shoulder and Hand- Dutch Language Version (DASH-DLV). Quality of life outcome: EQ-5D.Economic measures: health care costs including patient and family costs and productivity costs resulting in societal costs. Cost-effectiveness measures: health care costs and societal costs related to the effectiveness measures. OUTCOME MEASURES were assessed at baseline; three, six and twelve months after baseline. At baseline both groups were comparable for baseline characteristics except scores on the Pain Catastrophizing Scale and comparable for costs. No significant differences between the groups concerning effectiveness at one year follow-up were found. Effectiveness scores slightly improved over time. After one year 55% of participants were free of complaints. After one year the postural exercise group had higher mean total health care costs, but lower productivity costs compared to the physiotherapy group. Mean societal costs after one year (therefore) were in favor of postural exercise therapy [- euro622; 95% CI -2087; +590)]. After one year, only self- perceived WRULD seemed to result in acceptable cost-effectiveness of the postural exercise strategy over physiotherapy; however the probability of acceptable cost-effectiveness did not exceed 60%.Considering societal costs related to QALYs, postural exercise therapy had

  17. Upper Animas Mining District

    EPA Pesticide Factsheets

    Web page provides narrative of What's New?, Site Description, Site Risk, Cleanup Progress, Community Involvement, Next Steps, Site Documents, FAQ, Contacts and LInks for the Upper Animas Mining District site in San Juan County, Colorado.

  18. Upper respiratory tract (image)

    MedlinePlus

    The major passages and structures of the upper respiratory tract include the nose or nostrils, nasal cavity, mouth, throat (pharynx), and voice box (larynx). The respiratory system is lined with a mucous membrane that ...

  19. 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.

  20. 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 ...

  1. 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.

  2. 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.

  3. 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.

  4. Upper Gastrointestinal (GI) Series

    MedlinePlus

    ... abdomen or ask you to change position several times to evenly coat your upper GI tract with the barium. If you are having a double-contrast study, you will swallow gas-forming crystals that mix with the barium coating your stomach. ...

  5. STS upper stage operations

    NASA Technical Reports Server (NTRS)

    Kitchens, M. D.; Schnyer, A. D.

    1977-01-01

    Several design/development and operational approaches for STS upper stages are being pursued to realize maximum operational and economic benefits upon the introduction of the STS in the 1980s. The paper focuses special attention on safety operations, launch site operations and on-orbit operations.

  6. 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

  7. Upper extremity golf injuries.

    PubMed

    Cohn, Michael A; Lee, Steven K; Strauss, Eric J

    2013-01-01

    Golf is a global sport enjoyed by an estimated 60 million people around the world. Despite the common misconception that the risk of injury during the play of golf is minimal, golfers are subject to a myriad of potential pathologies. While the majority of injuries in golf are attributable to overuse, acute traumatic injuries can also occur. As the body's direct link to the golf club, the upper extremities are especially prone to injury. A thorough appreciation of the risk factors and patterns of injury will afford accurate diagnosis, treatment, and prevention of further injury.

  8. Upper Extremity Regional Anesthesia

    PubMed Central

    Neal, Joseph M.; Gerancher, J.C.; Hebl, James R.; Ilfeld, Brian M.; McCartney, Colin J.L.; Franco, Carlo D.; Hogan, Quinn H.

    2009-01-01

    Brachial plexus blockade is the cornerstone of the peripheral nerve regional anesthesia practice of most anesthesiologists. As part of the American Society of Regional Anesthesia and Pain Medicine’s commitment to providing intensive evidence-based education related to regional anesthesia and analgesia, this article is a complete update of our 2002 comprehensive review of upper extremity anesthesia. The text of the review focuses on (1) pertinent anatomy, (2) approaches to the brachial plexus and techniques that optimize block quality, (4) local anesthetic and adjuvant pharmacology, (5) complications, (6) perioperative issues, and (6) challenges for future research. PMID:19282714

  9. Upper lumbar disk herniations.

    PubMed

    Cedoz, M E; Larbre, J P; Lequin, C; Fischer, G; Llorca, G

    1996-06-01

    Specific features of upper lumbar disk herniations are reviewed based on data from the literature and from a retrospective study of 24 cases treated surgically between 1982 and 1994 (seven at L1-L2 and 17 at L2-L3). Clinical manifestations are polymorphic, misleading (abdominogenital pain suggestive of a visceral or psychogenic condition, meralgia paresthetica, isolated sciatica; femoral neuralgia is uncommon) and sometimes severe (five cases of cauda equina syndrome in our study group). The diagnostic usefulness of imaging studies (radiography, myelography, computed tomography, magnetic resonance imaging) and results of surgery are discussed. The risk of misdiagnosis and the encouraging results of surgery are emphasized.

  10. The oxygen-hafnium isotope paradox in the early post Columbia River Basalt silicic volcanism: Evidence for complex batch assembly of upper crustal, lower crustal and low-δ18O silicic magmas

    NASA Astrophysics Data System (ADS)

    Colon, D.; Bindeman, I. N.; Ellis, B. S.; Schmitt, A. K.; Fisher, C. M.; Vervoort, J. D.

    2013-12-01

    Eruptions of the Columbia River flood basalts were immediately followed by large eruptions of silicic magmas; some may have been coeval, others genetically-linked to the CRB. Among the most voluminous of these eruptions was the Jarbidge Rhyolite, which comprises ~500 km3 of lava erupted from 16.1-15.0 Ma in northern Nevada. Activity at Jarbidge was followed at 15.0 Ma by a series of rhyolitic ignimbrites and lavas in the J-P Desert of Idaho ~50 km NW of the Jarbidge Rhyolite center. To constrain magmatic origins and upper crustal magma storage conditions of these two silicic magmatic systems, we conducted bulk and high spatial resolution analysis of whole rocks and minerals (quartz, feldspar, and zircon). Bulk quartz and plagioclase δ18O values of the J-P Desert units are only moderately lower than mantle values, with δ18O-quartz of 5.0-5.5‰ and plagioclase δ18O of ~3.9-5.8‰, along with slightly unradiogenic Nd and Hf whole rock values (average ɛHf and ɛNd of -13.1 and -10.0, respectively), while quartz from the Jarbidge Rhyolite has normal δ18O (+8.4‰), but very unradiogenic ɛHf-ɛNd (ɛHf = -34.7, ɛNd = -24.0), fingerprinting Archean upper crust. SIMS analysis of J-P Desert zircons reveals considerably diverse δ18O values, ranging from -0.6‰ to +6.5‰ in a single unit. The same zircon spots yielded U-Pb SIMS ages which generally agree with the 40Ar/39Ar eruption ages, with no evidence of inheritance of pre-Miocene zircons. Combined with LA-MC-ICP-MS analysis of Hf isotopes overlapping the earlier SIMS spots, these zircons show a clear near-linear correlation between ɛHf and δ18O values observed in individual zircons. This relationship suggests variable mixing of two distinct silicic magmas prior to eruption of the J-P Desert rhyolites. One of these, characterized by extremely low ɛHf values and normal δ18O values, is likely a mantle magma strongly contaminated with shallow Archean crust, represented by the Jarbidge Rhyolite. The other is

  11. 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.

  12. Sedimentologic and reservoir characteristics under the tectono-sequence stratigraphic framework: A case study from the Early Cretaceous, upper Abu Gabra sandstones, Sufyan Sub-basin, Muglad Basin, Sudan

    NASA Astrophysics Data System (ADS)

    Yassin, Mohamed A.; Hariri, Mustafa M.; Abdullatif, Osman M.; Makkawi, M.; Bertotti, G.; Kaminski, Michael A.

    2018-06-01

    The Sufyan Sub-basin is an east-west trending Sub-basin located in the northwestern part of the Muglad Basin, in the eastern extension of the West and Central Africa Rift System (WCARS). Exploration results showed the occurrence of accumulations of hydrocarbon. The source rock for these hydrocarbons is believed to be the lacustrine shale of the Abu Gabra Formation. Fluvio-deltaic sandstones within the Abu Gabra Formation represent the primary reservoir. Depositional and post-depositional processes influence reservoir heterogeneity, quality, and architecture. This study investigates different scales of reservoir heterogeneities from basin to micro scale and discusses the impact of depositional facies and diagenesis on reservoir quality. Approaches include seismic interpretation, seismic attribute analysis, well log analysis, thin sections and scanning electron microscope (SEM) investigations, and X-ray diffraction (XRD) analysis of the Abu Gabra Formation. Sedimentologic interpretation in this study was performed based on core cuttings, well logs, and seismic data. Subsurface facies analysis was analyzed based on the description of six conventional cores from two wells. Seven lithofacies in Abu Gabra Formation are identified. Four types of depositional systems are identified in the studied succession. These are braided delta, fan delta, sublacustrine fan, and lacustrine systems. The sandstone is medium to coarse-grained, poorly to moderately sorted and sub-angular to sub-rounded, sub-feldspathic arenite to quartz arenite. At the basin scale, the Abu Gabra Formation showed different sandstone bodies thickness, geometry, and architecture and are ascribed to different depositional systems. At macro and meso-scales, reservoir quality varies within the Abu Gabra reservoir where it shows progressive coarsening upward tendencies with different degrees of connectivity. The upper part of the reservoir is well connected with amalgamated sandstone bodies, however, the middle

  13. Oriental upper blepharoplasty.

    PubMed

    Weng, Chau-Jin

    2009-02-01

    Aesthetic surgery of the upper eyelids is a very common procedure performed in cosmetic practices around the world. The word blepharoplasty, however, has a different meaning in Asia than it does elsewhere. Orientals have different periorbital anatomic characteristics, their motivations for seeking eyelid treatment are different, and operative techniques have been adapted consequently. There are also many eyelid shapes among Orientals, mostly with regard to the presence and location of the supratarsal fold and/or presence of an epicanthal fold. The surgeon must therefore master a range of surgical procedures to treat these variations adequately. It is critical to know the indications for each blepharoplasty technique as well as their complications to select the right surgery and avoid unfavorable results. Epicanthoplasty performed on the right patient can greatly improve aesthetic results while retaining ethnic characteristics. This article will discuss Oriental eyelid characteristics, preoperative patient assessment, commonly used corrective techniques for the "double-eyelid" creation, and complications and how to avoid them.

  14. Wetlands sediment record from the upper Yarlung Tsangpo valley, southwest Tibetan Plateau, reveals mid-Holocene Epipaleolithic human occupation coincident with increased early and mid-Holocene wetness driven by enhanced Indian Monsoon rainfall

    NASA Astrophysics Data System (ADS)

    Hudson, A. M.; Olsen, J. W.; Quade, J.; Lei, G.; Huth, T.; Zhang, H.; Perreault, C.

    2016-12-01

    The headwaters of the Yarlung Tsangpo river valley, located in the southwestern Tibetan Plateau, are characterized by a cold and dry climate, but contain abundant river-marginal wetlands environments, which fluctuate in extent in response to changes in local water table elevation. This region receives 80% of precipitation from the Indian Monsoon, which forms the dominant control on moisture availability, and hence wetlands extent. Our paleowetlands record, based on 14C dating of organic-rich paleowetlands deposits, provides a novel record of Holocene monsoon intensity. The wetlands deposits consist of four sedimentary units that indicate decreasing wetlands extent and monsoon intensity since 10.4 ka BP. Wet conditions occurred at ˜10.4 ka BP, ˜9.6 ka BP and ˜7.9-4.8 ka BP, with similar-to-modern conditions from ˜4.6-2.0 ka BP, and drier-than-modern conditions from ˜2.0 ka BP to present. Wetland changes correlate with monsoon intensity changes identified in nearby records, with weak monsoon intervals corresponding to desiccation and erosion of wetlands deposits. Dating of in situ ceramic and microlithic artifacts in wetlands sediments at multiple sites indicates Epipaleolithic human occupation of the YT valley after 6.6 ka BP. Artifact typology study reveals a similar microlithic technology was employed across the high plateau interior, but XRF obsidian provenance reveals separate northeast and southwest lithic conveyance zones. This indicates widespread colonization of the high, arid Tibetan Plateau interior by one or more highly mobile human populations during the early and mid-Holocene, coincident with favorable warm, wet climate conditions.

  15. Upper Illinois River basin

    USGS Publications Warehouse

    Friedel, Michael J.

    1998-01-01

    During the past 25 years, industry and government made large financial investments that resulted in better water quality across the Nation; however, many water-quality concerns remain. Following a 1986 pilot project, the U.S. Geological Survey began implementation of the National Water-Quality Assessment (NAWQA) Program in 1991. This program differs from other national water-quality assessment studies in that the NAWQA integrates monitoring of surface- and ground-water quality with the study of aquatic ecosystems. The goals of the NAWQA Program are to (1) describe current water-quality conditions for a large part of the Nation's freshwater streams and aquifers (water-bearing sediments and rocks), (2) describe how water quality is changing over time, and (3) improve our understanding of the primary natural and human factors affecting water quality.The Upper Illinois River Basin National Water- Quality Assessment (NAWQA) study will increase the scientific understanding of surface- and ground-water quality and the factors that affect water quality in the basin. The study also will provide information needed by water-resource managers to implement effective water-quality management actions and evaluate long-term changes in water quality.

  16. Upper Bound on Diffusivity

    NASA Astrophysics Data System (ADS)

    Hartman, Thomas; Hartnoll, Sean A.; Mahajan, Raghu

    2017-10-01

    The linear growth of operators in local quantum systems leads to an effective light cone even if the system is nonrelativistic. We show that the consistency of diffusive transport with this light cone places an upper bound on the diffusivity: D ≲v2τeq. The operator growth velocity v defines the light cone, and τeq is the local equilibration time scale, beyond which the dynamics of conserved densities is diffusive. We verify that the bound is obeyed in various weakly and strongly interacting theories. In holographic models, this bound establishes a relation between the hydrodynamic and leading nonhydrodynamic quasinormal modes of planar black holes. Our bound relates transport data—including the electrical resistivity and the shear viscosity—to the local equilibration time, even in the absence of a quasiparticle description. In this way, the bound sheds light on the observed T -linear resistivity of many unconventional metals, the shear viscosity of the quark-gluon plasma, and the spin transport of unitary fermions.

  17. Upper airway resistance syndrome.

    PubMed

    Montserrat, J M; Badia, J R

    1999-03-01

    This article reviews the clinical picture, diagnosis and management of the upper airway resistance syndrome (UARS). Presently, there is not enough data on key points like the frequency of UARS and the morbidity associated with this condition. Furthermore, the existence of LIARS as an independent sleep disorder and its relation with snoring and obstructive events is in debate. The diagnosis of UARS is still a controversial issue. The technical limitations of the classic approach to monitor airflow with thermistors and inductance plethysmography, as well as the lack of a precise definition of hypopnea, may have led to a misinterpretation of UARS as an independent diagnosis from the sleep apnea/hypopnea syndrome. The diagnosis of this syndrome can be missed using a conventional polysomnographic setting unless appropriate techniques are applied. The use of an esophageal balloon to monitor inspiratory effort is currently the gold standard. However, other sensitive methods such as the use of a pneumotachograph and, more recently, nasal cannula/pressure transducer systems or on-line monitoring of respiratory impedance with the forced oscillation technique may provide other interesting possibilities. Recognition and characterization of this subgroup of patients within sleep breathing disorders is important because they are symptomatic and may benefit from treatment. Management options to treat UARS comprise all those currently available for sleep apnea/hypopnea syndrome (SAHS). However, the subset of patients classically identified as LIARS that exhibit skeletal craneo-facial abnormalities might possibly obtain further benefit from maxillofacial surgery.

  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. 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

  20. 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

  1. Early harvest: The upper atmosphere and cosmic rays

    NASA Technical Reports Server (NTRS)

    1980-01-01

    Achievements in space science through 1958 are summarized. Topics discussed are: the scheduling of V-2 flights; the development of newer rockets; the testing of spaceborne instruments; the seeking of financial support for space research; and the problems of international cooperation. Special emphasis is placed on atmospheric sounding.

  2. Upper atmosphere pollution measurements (GASP)

    NASA Technical Reports Server (NTRS)

    Rudey, R. A.; Holdeman, J. D.

    1975-01-01

    The environmental effects are discussed of engine effluents of future large fleets of aircraft operating in the stratosphere. Topics discussed include: atmospheric properties, aircraft engine effluents, upper atmospheric measurements, global air sampling, and data reduction and analysis

  3. 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

  4. 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.

  5. 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

  6. 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

  7. 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…

  8. 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.

  9. Mozambique upper fan: origin of depositional units

    SciTech Connect

    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

  10. Space Wire Upper Layer Protocols

    NASA Technical Reports Server (NTRS)

    Rakow, Glenn; Schnurr, Richard; Gilley, Daniel; Parkes, Steve

    2004-01-01

    This viewgraph presentation addresses efforts to provide a streamlined approach for developing SpaceWire Upper layer protocols which allows industry to drive standardized communication solutions for real projects. The presentation proposes a simple packet header that will allow flexibility in implementing a diverse range of protocols.

  11. 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.

  12. 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.

  13. Satiety - early

    MedlinePlus

    ... check for anemia Esophagogastroduodenoscopy (EGD) Stool tests for bleeding X-rays studies of the stomach, esophagus, and small intestine (abdominal x-ray and an upper GI and small bowel series ) Stomach-emptying studies

  14. Early Rockets

    NASA Image and Video Library

    1950-02-24

    Bumper Wac liftoff at the Long Range Proving Ground located at Cape Canaveral, Florida. At White Sands, New Mexico, the German rocket team experimented with a two-stage rocket called Bumper Wac, which intended to provide data for upper atmospheric research. On February 24, 1950, the Bumper, which employed a V-2 as the first stage with a Wac Corporal upper stage, obtained a peak altitude of more than 240 miles.

  15. The Fish Canyon magma body, San Juan volcanic field, Colorado: Rejuvenation and eruption of an upper-crustal batholith

    USGS Publications Warehouse

    Bachmann, Olivier; Dungan, M.A.; Lipman, P.W.

    2002-01-01

    More than 5000 km3 of nearly compositionally homogeneous crystalrich dacite (~68 wt % SiO2: ~45% Pl + Kfs + Qtz + Hbl + Bt + Spn + Mag + Ilm + Ap + Zrn + Po) erupted from the Fish Canyon magma body during three phases: (1) the pre-caldera Pagosa Peak Dacite (an unusual poorly fragmented pyroclastic deposit, ~ 200 km3); (2) the syn-collapse Fish Canyon Tuff (one of the largest known ignimbrites, ~ 5000 km3); (3) the post-collapse Nutras Creek Dacite (a volumetrically minor lava). The late evolution of the Fish Canyon magma is characterized by rejuvenation of a near-solidus upper-crustal intrusive body (mainly crystal mush) of batholithic dimensions. The necessary thermal input was supplied by a shallow intrusion of more mafic magma represented at the surface by sparse andesitic enclaves in late-erupted Fish Canyon Tuff and by the post-caldera Huerto Andesite. The solidified margins of this intrusion are represented by holocrystalline xenoliths with Fish Canyon mineralogy and mineral chemistry and widely dispersed partially remelted polymineralic aggregates, but dehydration melting was not an important mechanism in the rejuvenation of the Fish Canyon magma. Underlying mafic magma may have evolved H2O-F-S-Cl-rich fluids that fluxed melting in the overlying crystal mush. Manifestations of the late up-temperature magma evolution are: (1) resorbed quartz, as well as feldspars displaying a wide spectrum of textures indicative of both resorption and growth, including Rapakivi textures and reverse growth zoning (An27-28 to An32-33) at the margins of many plagioclase phenocrysts; (2) high Sr, Ba, and Eu contents in the high-SiO2 rhyolite matrix glass, which are inconsistent with extreme fractional crystallization of feldspar; (3) oscillatory and reverse growth zoning toward the margins of many euhedral hornblende phenocrysts (rimward increases from ~5??5-6 to 7??7-8??5 wt % Al2O3). Homogeneity in magma composition at the chamber-wide scale, contrasting with extreme textural

  16. Ares I Upper Stage Update

    NASA Technical Reports Server (NTRS)

    Davis, Daniel J.

    2010-01-01

    These presentation slides review the progress in the development of the Ares I upper stage. The development includes development of a manufacturing and processing assembly that will reduce the time required over 100 days, development of a weld tool that is a robotic tool that is the largest welder of its kind in the United States, development of avionics and software, and development of logisitics and operations systems.

  17. Less common upper limb mononeuropathies.

    PubMed

    Williams, Faren H; Kumiga, Bryan

    2013-05-01

    This article will focus on the less commonly injured nerves of the upper extremity. These nerves may be involved when trauma results in fractures, dislocations, or swelling with resultant nerve compression. Tumors and ganglions can also compress nerves, causing pain and, over time, demyelination or axon degeneration with weakness. Other mechanisms for upper limb nerve injury include participation in high-level sports, that is, those that generate torque about the arm and shoulder, abnormal stresses about the joints and muscles, or muscle hypertrophy, which may result in nerve injury. The goals of this review are to discuss the clinical presentation and possible causes of upper extremity nerve entrapments and to formulate an electrodiagnostic plan for evaluation. Descriptions of the appropriate nerve conduction studies or needle electromyographic protocols are included for specific nerves. The purpose of the electrodiagnostic examination is to evaluate the degree of nerve injury, axon loss over time, and later, evidence for reinnervation to assist with prognostication. The latter has implications for management of the neuropathy, including the type of exercises and therapy that may be indicated to help maintain the stability and motion of the involved joint(s) and promote strengthening over time as the nerve regenerates. Copyright © 2013 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

  18. The upper atmosphere of Uranus

    NASA Technical Reports Server (NTRS)

    Strobel, Darrell F.; Yelle, Roger V.; Shemansky, Donald E.; Atreya, Sushil K.

    1991-01-01

    Voyager measurements of the upper atmosphere of Uranus are analyzed and developed. The upper atmosphere of Uranus is predominantly H2, with at most 10 percent He by volume, and the dominant constituent of the exosphere is H. The thermosphere is warm, with an asymptotic isothermal temperature of about 800 K. Atomic hydrogen at this temperature forms an extensive thermal corona and creates gas drag that severely limits the lifetime of small ring particles. The upper atmosphere emits copious amounts of UV radiation from pressures greater than 0.01 microbar. The depth of this emission level imposes a powerful constraint on permissible emission mechanisms. Electron excitation from a thin layer near the exobase appears to violate this constraint. Solar fluorescence is consistent with the observed trend in solar zenith-angle variation of the emissions and is absent from the night side of the planet. On Uranus, it accounts for the observed Lyman beta to H2 bands intensity ratio and an important fraction of the observed intensity (about 55 percent).

  19. Technology improves upper extremity rehabilitation.

    PubMed

    Kowalczewski, Jan; Prochazka, Arthur

    2011-01-01

    Stroke survivors with hemiparesis and spinal cord injury (SCI) survivors with tetraplegia find it difficult or impossible to perform many activities of daily life. There is growing evidence that intensive exercise therapy, especially when supplemented with functional electrical stimulation (FES), can improve upper extremity function, but delivering the treatment can be costly, particularly after recipients leave rehabilitation facilities. Recently, there has been a growing level of interest among researchers and healthcare policymakers to deliver upper extremity treatments to people in their homes using in-home teletherapy (IHT). The few studies that have been carried out so far have encountered a variety of logistical and technical problems, not least the difficulty of conducting properly controlled and blinded protocols that satisfy the requirements of high-level evidence-based research. In most cases, the equipment and communications technology were not designed for individuals with upper extremity disability. It is clear that exercise therapy combined with interventions such as FES, supervised over the Internet, will soon be adopted worldwide in one form or another. Therefore it is timely that researchers, clinicians, and healthcare planners interested in assessing IHT be aware of the pros and cons of the new technology and the factors involved in designing appropriate studies of it. It is crucial to understand the technical barriers, the role of telesupervisors, the motor improvements that participants can reasonably expect and the process of optimizing IHT-exercise therapy protocols to maximize the benefits of the emerging technology. Copyright © 2011 Elsevier B.V. All rights reserved.

  20. Improved Mars Upper Atmosphere Climatology

    NASA Technical Reports Server (NTRS)

    Bougher, S. W.

    2004-01-01

    The detailed characterization of the Mars upper atmosphere is important for future Mars aerobraking activities. Solar cycle, seasonal, and dust trends (climate) as well as planetary wave activity (weather) are crucial to quantify in order to improve our ability to reasonably depict the state of the Mars upper atmosphere over time. To date, our best information is found in the Mars Global Surveyor (MGS) Accelerometer (ACC) database collected during Phase 1 (Ls = 184 - 300; F10.7 = 70 - 90) and Phase 2 (Ls = 30 - 90; F10.7 = 90 - 150) of aerobraking. This database (100 - 170 km) consists of thermospheric densities, temperatures, and scale heights, providing our best constraints for exercising the coupled Mars General Circulation Model (MGCM) and the Mars Thermospheric General Circulation Model (MTGCM). The Planetary Data System (PDS) contains level 0 and 2 MGS Accelerometer data, corresponding to atmospheric densities along the orbit track. Level 3 products (densities, temperatures, and scale heights at constant altitudes) are also available in the PDS. These datasets provide the primary model constraints for the new MGCM-MTGCM simulations summarized in this report. Our strategy for improving the characterization of the Mars upper atmospheres using these models has been three-fold : (a) to conduct data-model comparisons using the latest MGS data covering limited climatic and weather conditions at Mars, (b) to upgrade the 15-micron cooling and near-IR heating rates in the MGCM and MTGCM codes for ad- dressing climatic variations (solar cycle and seasonal) important in linking the lower and upper atmospheres (including migrating tides), and (c) to exercise the detailed coupled MGCM and MTGCM codes to capture and diagnose the planetary wave (migrating plus non-migrating tidal) features throughout the Mars year. Products from this new suite of MGCM-MTGCM coupled simulations are being used to improve our predictions of the structure of the Mars upper atmosphere for the

  1. 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.

  2. 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.

  3. Early Intervention.

    ERIC Educational Resources Information Center

    Nathanson, Jeanne H., Ed.

    1992-01-01

    This theme issue focuses on early intervention. The four articles presented on this theme are: (1) "Deaf Infants, Hearing Mothers: A Research Report" (Kathryn P. Meadow-Orlans, and others), reporting findings on effects of auditory loss on early development; (2) "Maintaining Involvement of Inner City Families in Early Intervention Programs through…

  4. Slow, fast, and post-collapse displacements of the Mud Creek landslide in California from UAVSAR and satellite SAR analysis

    NASA Astrophysics Data System (ADS)

    Fielding, E. J.; Handwerger, A. L.; Burgmann, R.; Liu, Z.

    2017-12-01

    Landslides display a wide variety of behaviors ranging from slow steady or seasonal motion to runaway acceleration and catastrophic failure. In some cases, a single landslide moves slowly for a period of weeks to years before it rapidly accelerates into a catastrophic failure. Measurement of the spatio-temporal patterns of landslide motion in response to changes in environmental parameters such as rainfall, snowmelt, and nearby earthquakes will help us to constrain the mechanisms that control these landslide behaviors. Here, we use synthetic aperture radar interferometry (InSAR) from satellite and airborne platforms to measure the kinematics of several landslides along the coast of Central California, including the large Mud Creek landslide near Big Sur that catastrophically collapsed in May 2017 and led to the destruction of a major highway and millions of dollars in damages. We use InSAR and pixel offset data from NASA/JPL UAVSAR, JAXA ALOS1/2, and Copernicus Sentinel 1A/B to quantify the displacement time series and 3D motion. Our data show that the Mud Creek landslide has been active for at least 2.5 years and displayed persistent motion (average rate of 10 cm/yr in LOS) with seasonal variations in velocity driven by rainfall-induced changes in pore pressure. We find that each year the landslide accelerated approximately 60-90 days after the onset of seasonal precipitation, which provides constraints on the hillslope hydrology. Before its ultimate collapse, the landslide displayed a large increase in velocity due to the above average rainfall during the 2017 water year. It appears a series of major storms in January and February 2017, some fed by atmospheric rivers, triggered a sufficient increase in pore-water pressure that led to the runaway failure. We model this behavior using a rate-and-state friction model developed to capture this range of landslide behaviors. This model will allow us to explore how different landslide properties (e.g., material properties, geometry, stress changes) can control the behavior of these types of landslides. We observe additional motion of the landslide deposits after the catastrophic collapse.

  5. Upper Texas Gulf Coast, USA

    NASA Image and Video Library

    1989-05-08

    STS030-152-066 (4-8 May 1989) --- The upper Texas and Louisiana Gulf Coast area was clearly represented in this large format frame photographed by the astronaut crew of the Earth-orbiting Space Shuttle Atlantis. The area covered stretches almost 300 miles from Aransas Pass, Texas to Cameron, Louisiana. The sharp detail of both the natural and cultural features noted throughout the scene is especially evident in the Houston area, where highways, major streets, airport runways and even some neighborhood lanes are easily seen. Other major areas seen are Austin, San Antonio and the Golden Triangle. An Aero Linhof camera was used to expose the frame.

  6. Upper stage technology evaluation studies

    NASA Technical Reports Server (NTRS)

    1972-01-01

    Studies to evaluate advanced technology relative to chemical upper stages and orbit-to-orbit stages are reported. The work described includes: development of LH2/LOX stage data, development of data to indicate stage sensitivity to engine tolerance, modified thermal routines to accommodate storable propellants, added stage geometries to computer program for monopropellant configurations, determination of the relative gain obtainable through improvement of stage mass fraction, future propulsion concepts, effect of ultrahigh chamber-pressure increases, and relative gains obtainable through improved mass fraction.

  7. 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

  8. Melorheostosis in the upper extremity.

    PubMed

    Yildirim, Cengiz; Ozyürek, Selahattin; Ciçek, Engin Ilker; Kuskucu, Mesih

    2009-04-01

    Melorheostosis is a rare mesodermal disease affecting the skeleton and adjacent soft tissues. Often it is incidentally detected on radiographs. In the standard radiology and orthopedics literature, melorheostosis is described as a "flowing hyperostosis, resembling dripping candle wax as an incidental radiographic finding." A 22-year-old man presented with a 2-year history of right-hand pain. Radiologic evaluation of the hand showed massive sclerotic changes in the first and second metacarpal and phalangeal bones on the right side. Further radiographic evaluation of the right upper extremity revealed the same sclerotic changes in the right scapula, humerus, radius, and scaphoid. Computed tomography (CT) scans showed a high attenuation undulating cortical hyperostosis with a "dripping candle wax appearance" involving the radial and/or dorsal aspects of humerus, radius, scaphoid, and first and second ray bones of the hand. Radionuclide triphasic bone scintigraphy showed diffuse homogenous radiotracer uptake within the entire right upper extremity involving the scapula, humerus, radius, scaphoid, and first and second metacarpals and phalangeal bones of the hand. The patient was followed conservatively, and 1-year follow-up revealed no change in the clinical, laboratory, or radiological findings. The diagnosis of melorheostosis was made on the basis of the characteristic distribution, location, and combined radiographic, CT, and radionuclide imaging features of the abnormalities. Conservative treatment was recommended for the patient. After 26 months of follow-up, despite the persistence of the radiologic findings, the patient is currently well, with no painful symptoms unless he performs forceful exercise.

  9. Composites for Exploration Upper Stage

    NASA Technical Reports Server (NTRS)

    Fikes, J. C.; Jackson, J. R.; Richardson, S. W.; Thomas, A. D.; Mann, T. O.; Miller, S. G.

    2016-01-01

    The Composites for Exploration Upper Stage (CEUS) was a 3-year, level III project within the Technology Demonstration Missions program of the NASA Space Technology Mission Directorate. Studies have shown that composites provide important programmatic enhancements, including reduced weight to increase capability and accelerated expansion of exploration and science mission objectives. The CEUS project was focused on technologies that best advanced innovation, infusion, and broad applications for the inclusion of composites on future large human-rated launch vehicles and spacecraft. The benefits included near- and far-term opportunities for infusion (NASA, industry/commercial, Department of Defense), demonstrated critical technologies and technically implementable evolvable innovations, and sustained Agency experience. The initial scope of the project was to advance technologies for large composite structures applicable to the Space Launch System (SLS) Exploration Upper Stage (EUS) by focusing on the affordability and technical performance of the EUS forward and aft skirts. The project was tasked to develop and demonstrate critical composite technologies with a focus on full-scale materials, design, manufacturing, and test using NASA in-house capabilities. This would have demonstrated a major advancement in confidence and matured the large-scale composite technology to a Technology Readiness Level 6. This project would, therefore, have bridged the gap for providing composite application to SLS upgrades, enabling future exploration missions.

  10. [Update on upper eyelid blepharoplasty].

    PubMed

    Klingenstein, A; Hintschich, C

    2018-04-01

    Upper eyelid blepharoplasty is among the most frequent oculoplastic surgical procedures. It is often performed as one of the first esthetic surgical interventions by surgeons of various disciplines. While there is a high probability of happy and satisfied patients postoperatively, there are important potential surgical complications that should be prevented. This requires a careful preoperative, perioperative and postoperative approach. This synopsis presents the basic considerations concerning upper eyelid blepharoplasty to serve as practical surgical guidelines. This is a compendium of important preoperative, perioperative and postoperative contemplations derived from the medical literature, expert opinions and the authors' personal experiences. Careful examination and documentation of eyelid and periorbital findings are required in order to identify additional pathologies to dermatochalasis and plan the surgical approach accordingly. There is a trend in the literature and in expert opinions away from large tissue resection and towards volume preserving and volume reconstructing surgical techniques. Correct placement of the skin fold as well as maintaining lid symmetry are crucial points in order to achieve a natural appearance and patient satisfaction. Careful and realistic patient information, state of the art surgery including cautious tissue resection and correct symmetrical formation of the skin fold as well as postoperative assistance and availability increase the likelihood of satisfied patients after blepharoplasty.

  11. 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

  12. 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.

  13. Bornholm disease in Upper Silesia

    PubMed Central

    Gibiński, Kornel; Makower, Henryk; Skurska, Zofia; Bara, Boleslaw; Sypułowa, Alicja

    1960-01-01

    Bornholm disease is generally attributed to infection with Coxsackie viruses of the B group, but in 1954-56 a number of sporadic cases occurred in Bytom, Upper Silesia, which were shown on virological examination to be caused by Coxsackie A4. In 1957, however, in the same area, an epidemic of Bornholm disease broke out for which Coxsackie B virus was clearly responsible. Re-examination of stocked material from the earlier sporadic cases to make sure that no B-type virus was present confirmed that these cases had been caused by A4. Clinically, the epidemic cases showed a preponderance of abdominal pains and comparatively infrequent chest pain, whereas the reverse was true of the sporadic cases; vomiting was also considerably less frequent in the sporadic than in the epidemic cases. PMID:13827939

  14. Advances in upper extremity prosthetics.

    PubMed

    Zlotolow, Dan A; Kozin, Scott H

    2012-11-01

    Until recently, upper extremity prostheses had changed little since World War II. In 2006, the Defense Advanced Research Projects Agency responded to an increasing number of military amputees with the Revolutionizing Prosthetics program. The program has yielded several breakthroughs both in the engineering of new prosthetic arms and in the control of those arms. Direct brain-wave control of a limb with 22° of freedom may be within reach. In the meantime, advances such as individually powered digits have opened the door to multifunctional full and partial hand prostheses. Restoring sensation to the prosthetic limb remains a major challenge to full integration of the limb into a patient's self-image. Copyright © 2012 Elsevier Inc. All rights reserved.

  15. Upper-Stage Flight Experiment

    NASA Technical Reports Server (NTRS)

    Anderson, W. E.; Boxwell, R.; Crockett, D. V.; Ross, R.; Lewis, T.; McNeal, C.; Verdarame, K.

    1999-01-01

    For propulsion applications that require that the propellants are storable for long periods, have a high density impulse, and are environmentally clean and non-toxic, the best choice is a combination of high-concentration hydrogen peroxide (High Test Peroxide, or HTP) and a liquid hydrocarbon (LHC) fuel. The HTP/LHC combination is suitable for low-cost launch vehicles, space taxi and space maneuvering vehicles, and kick stages. Orbital Sciences Corporation is under contract with the NASA Marshall Space Flight Center in cooperation with the Air Force Research Lab to design, develop and demonstrate a new low-cost liquid upper stage based on HTP and JP-8. The Upper Stage Flight Experiment (USFE) focuses on key technologies necessary to demonstrate the operation of an inherently simple propulsion system with an innovative, state-of-the-art structure. Two key low-cost vehicle elements will be demonstrated - a 10,000 lbf thrust engine and an integrated composite tank structure. The suborbital flight test of the USFE is scheduled for 2001. Preceding the flight tests are two major series of ground tests at NASA Stennis Space Center and a subscale tank development program to identify compatible composite materials and to verify their compatibility over long periods of time. The ground tests include a thrust chamber development test series and an integrated stage test. This paper summarizes the results from the first phase of the thrust chamber development tests and the results to date from the tank material compatibility tests. Engine and tank configurations that meet the goals of the program are described.

  16. 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

  17. 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.

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

    SciTech Connect

    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.

  19. 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.

  20. 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

  1. 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.

  2. Early Rockets

    NASA Image and Video Library

    1958-01-31

    Explorer 1 atop a Jupiter-C in gantry. Jupiter-C carrying the first American satellite, Explorer 1, was successfully launched on January 31, 1958. The Jupiter-C launch vehicle consisted of a modified version of the Redstone rocket's first stage and two upper stages of clustered Baby Sergeant rockets developed by the Jet Propulsion Laboratory and later designated as Juno boosters for space launches

  3. Early Rockets

    NASA Image and Video Library

    1958-01-31

    This illustration shows the main characteristics of the Jupiter C launch vehicle and its payload, the Explorer I satellite. The Jupiter C, America's first successful space vehicle, launched the free world's first scientific satellite, Explorer 1, on January 31, 1958. The four-stage Jupiter C measured almost 69 feet in length. The first stage was a modified liquid fueled Redstone missile. This main stage was about 57 feet in length and 70 inches in diameter. Fifteen scaled down SERGENT solid propellant motors were used in the upper stages. A "tub" configuration mounted on top of the modified Redstone held the second and third stages. The second stage consisted of 11 rockets placed in a ring formation within the tub. Inserted into the ring of second stage rockets was a cluster of 3 rockets making up the third stage. A fourth stage single rocket and the satellite were mounted atop the third stage. This "tub", all upper stages, and the satellite were set spirning prior to launching. The complete upper assembly measured 12.5 feet in length. The Explorer I carried the radiation detection experiment designed by Dr. James Van Allen and discovered the Van Allen Radiation Belt.

  4. 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.

  5. 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.

  6. 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...

  7. Upper High School Students' Understanding of Electromagnetism

    ERIC Educational Resources Information Center

    Saglam, Murat; Millar, Robin

    2006-01-01

    Although electromagnetism is an important component of upper secondary school physics syllabuses in many countries, there has been relatively little research on students' understanding of the topic. A written test consisting of 16 diagnostic questions was developed and used to survey the understanding of electromagnetism of upper secondary school…

  8. 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.

  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. Early Rockets

    NASA Image and Video Library

    2004-04-15

    In addition to Dr. Robert Goddard's pioneering work, American experimentation in rocketry prior to World War II grew, primarily in technical societies. This is an early rocket motor designed and developed by the American Rocket Society in 1932.

  11. 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

  12. 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.

  13. Upper gastrointestinal issues in athletes.

    PubMed

    Waterman, Jason J; Kapur, Rahul

    2012-01-01

    Gastrointestinal (GI) complaints are common among athletes with rates in the range of 30% to 70%. Both the intensity of sport and the type of sporting activity have been shown to be contributing factors in the development of GI symptoms. Three important factors have been postulated as contributing to the pathophysiology of GI complaints in athletes: mechanical forces, altered GI blood flow, and neuroendocrine changes. As a result of those factors, gastroesophageal reflux disease (GERD), nausea, vomiting, gastritis, peptic ulcers, GI bleeding, or exercise-related transient abdominal pain (ETAP) may develop. GERD may be treated with changes in eating habits, lifestyle modifications, and training modifications. Nausea and vomiting may respond to simple training modifications, including no solid food 3 hours prior to an athletic event. Mechanical trauma, decreased splanchnic blood flow during exercise, and non-steroidal anti-inflammatory drugs (NSAID) contribute to gastritis, GI bleeding, and ulcer formation in athletes. Acid suppression with proton-pump inhibitors may be useful in athletes with persistence of any of the above symptoms. ETAP is a common, poorly-understood, self-limited acute abdominal pain which is difficult to treat. ETAP incidence increases in athletes beginning a new exercise program or increasing the intensity of their current exercise program. ETAP may respond to changes in breathing patterns or may resolve simply with continued training. Evaluation of the athlete with upper GI symptoms requires a thorough history, a detailed training log, a focused physical examination aimed at ruling out potentially serious causes of symptoms, and follow-up laboratory testing based on concerning physical examination findings.

  14. 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.

  15. 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.

  16. 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…

  17. 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

  18. 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…

  19. 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)

  20. 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%…

  1. 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…

  2. Early Rockets

    NASA Image and Video Library

    1955-09-01

    Launch of a three-stage Vanguard (SLV-7) from Cape Canaveral, Florida, September 18, 1959. Designated Vanguard III, the 100-pound satellite was used to study the magnetic field and radiation belt. In September 1955, the Department of Defense recommended and authorized the new program, known as Project Vanguard, to launch Vanguard booster to carry an upper atmosphere research satellite in orbit. The Vanguard vehicles were used in conjunction with later booster vehicle such as the Thor and Atlas, and the technique of gimbaled (movable) engines for directional control was adapted to other rockets.

  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. 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…

  5. 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

  6. 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.

  7. Early Rockets

    NASA Image and Video Library

    2004-04-15

    During the 19th century, rocket enthusiasts and inventors began to appear in almost every country. Some people thought these early rocket pioneers were geniuses, and others thought they were crazy. Claude Ruggieri, an Italian living in Paris, apparently rocketed small animals into space as early as 1806. The payloads were recovered by parachute. As depicted here by artist Larry Toschik, French authorities were not always impressed with rocket research. They halted Ruggieri's plans to launch a small boy using a rocket cluster. (Reproduced from a drawing by Larry Toschik and presented here courtesy of the artist and Motorola Inc.)

  8. Early Rockets

    NASA Image and Video Library

    1950-01-01

    Test firing of a Redstone Missile at Redstone Test Stand in the early 1950's. The Redstone was a high-accuracy, liquid-propelled, surface-to-surface missile developed by the von Braun Team under the management of the U.S. Army. The Redstone was the first major rocket development program in the United States.

  9. Early Math.

    ERIC Educational Resources Information Center

    Van Nuys, Ute Elisabeth

    1986-01-01

    Presents reviews of the following mathematics software designed to teach young children counting, number recognition, visual discrimination, matching, addition, and subtraction skills; Stickybear Numbers, Learning with Leeper, Getting Ready to Read and Add, Counting Parade, Early Games for Young Children, Charlie Brown's 1,2,3's, Let's Go Fishing,…

  10. Early Childhood.

    ERIC Educational Resources Information Center

    Peters, Donald L.; Willis, Sherry L.

    This book summarizes theory and discusses major issues pertaining to child development in the early childhood years. Chapter I provides an introduction to the conceptual framework and major theories of child development. Chapter II deals with motor, sensory, and perceptual development. Chapter III focuses on the cognitive-developmental theory of…

  11. Early Rockets

    NASA Image and Video Library

    2004-04-15

    During the early introduction of rockets to Europe, they were used only as weapons. Enemy troops in India repulsed the British with rockets. Later, in Britain, Sir William Congreve developed a rocket that could fire to about 9,000 feet. The British fired Congreve rockets against the United States in the War of 1812.

  12. Early Rockets

    NASA Image and Video Library

    2004-04-15

    In the 19th Century, experiments in America, Europe, and elsewhere attempted to build postal rockets to deliver mail from one location to another. The idea was more novel than successful. Many stamps used in these early postal rockets have become collector's items.

  13. 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.

  14. CASE STUDY CRITIQUE; UPPER CLINCH CASE STUDY

    EPA Science Inventory

    Case study critique: Upper Clinch case study (from Research on Methods for Integrating Ecological Economics and Ecological Risk Assessment: A Trade-off Weighted Index Approach to Integrating Economics and Ecological Risk Assessment). This critique answers the questions: 1) does ...

  15. Hardwood Veneer Timber Volume In Upper Michigan

    Treesearch

    E.W. Fobes; Gary R. Lindell

    1969-01-01

    Forests in Upper Michigan contain approximately 1.5 billion board feet of veneer logs of which three-fourths is hard maple and yellow birch. About 14 percent of the hardwood sawtimber is suitable for veneer logs.

  16. Acceptance tests of various upper torso restraints.

    DOT National Transportation Integrated Search

    1971-03-01

    The study demonstrates that people can be motivated to utilize and, in fact, eagerly accept the use of upper torso restraint equipment for the prevention of head and chest injuries induced by flailing during crash decelerations, provided that specifi...

  17. Nerve Injuries of the Upper Extremity

    MedlinePlus

    ... Upper Extremity Find a hand surgeon near you. Videos Figures Figure 1 - Nerve with bundles of individual ... or "in." Also, avoid using media types like "video," "article," and "picture." Tip 4: Your results can ...

  18. 30. BEARING SHOE / VERTICAL / DIAGONAL / UPPER AND ...

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

    30. BEARING SHOE / VERTICAL / DIAGONAL / UPPER AND LOWER CHORD DETAIL OF DECK TRUSS. VIEW TO NORTHEAST. - Abraham Lincoln Memorial Bridge, Spanning Missouri River on Highway 30 between Nebraska & Iowa, Blair, Washington County, NE

  19. Early Earth slab stagnation

    NASA Astrophysics Data System (ADS)

    Agrusta, R.; Van Hunen, J.

    2016-12-01

    At present day, the Earth's mantle exhibits a combination of stagnant and penetrating slabs within the transition zone, indicating a intermittent convection mode between layered and whole-mantle convection. Isoviscous thermal convection calculations show that in a hotter Earth, the natural mode of convection was dominated by double-layered convection, which may imply that slabs were more prone to stagnate in the transition zone. Today, slab penetration is to a large extent controlled by trench mobility for a plausible range of lower mantle viscosity and Clapeyron slope of the mantle phase transitions. Trench mobility is, in turn, governed by slab strength and density and upper plate forcing. In this study, we systematically investigate the slab-transition zone internation in the Early Earth, using 2D self-consistent numerical subduction models. Early Earth's higher mantle temperature facilitates decoupling between the plates and the underlying asthenosphere, and may result in slab sinking almost without trench retreat. Such behaviour together with a low resistance of a weak lower mantle may allow slabs to penetrate. The ability of slab to sink into the lower mantle throughout Earth's history may have important implications for Earth's evolution: it would provide efficient mass and heat flux through the transition zone therefore provide an efficient way to cool and mix the Earth's mantle.

  20. [COMPLICATIONS OF STENTINGOF UPPER URINARY TRACT].

    PubMed

    Shkodkin, S V; Kogan, M I; Lyubushkin, A V; Miroshnichenko, O V

    2015-01-01

    Restoring the passage of urine through the upper urinary tract routinely is achieved by installing of external or internal drainage. Due to its objective advantages, internal drainage has been successfully used in surgery of the upper urinary tract. This review outlines the problems associated with the use ofinternal stents, namely difficultyin installation, migration, and reflux and stent obstruction, bacterial colonization of the stent, the development of functional and morphological changes in the drained segment of urinary tract.

  1. Maui Analysis of Upper Atmospheric Injections

    NASA Technical Reports Server (NTRS)

    Dressler, Rainer A.

    2008-01-01

    Maui Analysis of Upper Atmospheric Injections (MAUI) will observe the Space Shuttle engine exhaust plumes from the Maui Space Surveillance Site in Hawaii. The observations will occur when the Space Shuttle fires its engines at night or twilight. A telescope and all-sky imagers will take images and data while the Space Shuttle flies over the Maui site. The images will be analyzed to better understand the interaction between the spacecraft plume and the upper atmosphere of Earth.

  2. Upper Rio Grande Simulation Model (URGSIM)

    SciTech Connect

    Roach, Jesse; & Tidwell, Vincent

    2010-08-05

    URGSIM estimates the location of surface water and groundwater resources in the upper Rio Grande Basin between the Colorado-New Mexico state line, and Caballo Reservoir from 1975 - 2045. It is a mass balance hydrology model of the Upper Rio Grande surface water, groundwater, and water demand systems which runs at a monthly timestep from 1975-1999 in calibration mode, 2000-2004 in validation mode, and 2005-2045 in scenario analysis mode.

  3. Early Rockets

    NASA Image and Video Library

    1958-01-31

    Launch of Jupiter-C/Explorer 1 at Cape Canaveral, Florida on January 31, 1958. After the Russian Sputnik 1 was launched in October 1957, the launching of an American satellite assumed much greater importance. After the Vanguard rocket exploded on the pad in December 1957, the ability to orbit a satellite became a matter of national prestige. On January 31, 1958, slightly more than four weeks after the launch of Sputnik.The ABMA (Army Ballistic Missile Agency) in Redstone Arsenal, Huntsville, Alabama, in cooperation with the Jet Propulsion Laboratory, launched a Jupiter from Cape Canaveral, Florida. The rocket consisted of a modified version of the Redstone rocket's first stage and two upper stages of clustered Baby Sergeant rockets developed by the Jet Propulsion Laboratory and later designated as Juno boosters for space launches

  4. 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…

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. Early Risers

    ERIC Educational Resources Information Center

    Asquith, Chistina

    2002-01-01

    In this article, the author features Bard High School Early College, the first public school in the country to offer a free, full-time college curriculum--and all the credits that go with it--to high schoolers. In Bard's four-year program, students race through high school requirements in 9th and 10th grades, then take college courses in 11th and…

  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. 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.

  12. 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

  13. ON COMPUTING UPPER LIMITS TO SOURCE INTENSITIES

    SciTech Connect

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

    2010-08-10

    A common problem in astrophysics is determining how bright a source could be and still not be detected in an observation. Despite the simplicity with which the problem can be stated, the solution involves complicated statistical issues that require careful analysis. In contrast to the more familiar confidence bound, this concept has never been formally analyzed, leading to a great variety of often ad hoc solutions. Here we formulate and describe the problem in a self-consistent manner. Detection significance is usually defined by the acceptable proportion of false positives (background fluctuations that are claimed as detections, or Type I error),more » and we invoke the complementary concept of false negatives (real sources that go undetected, or Type II error), based on the statistical power of a test, to compute an upper limit to the detectable source intensity. To determine the minimum intensity that a source must have for it to be detected, we first define a detection threshold and then compute the probabilities of detecting sources of various intensities at the given threshold. The intensity that corresponds to the specified Type II error probability defines that minimum intensity and is identified as the upper limit. Thus, an upper limit is a characteristic of the detection procedure rather than the strength of any particular source. It should not be confused with confidence intervals or other estimates of source intensity. This is particularly important given the large number of catalogs that are being generated from increasingly sensitive surveys. We discuss, with examples, the differences between these upper limits and confidence bounds. Both measures are useful quantities that should be reported in order to extract the most science from catalogs, though they answer different statistical questions: an upper bound describes an inference range on the source intensity, while an upper limit calibrates the detection process. We provide a recipe for computing

  14. 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.

  15. 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.

  16. 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.

  17. 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

  18. 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

  19. 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.

  20. 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.

  1. 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.

  2. 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.

  3. 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

  4. 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.

  5. Transfusion strategy for acute upper gastrointestinal bleeding.

    PubMed

    Handel, James; Lang, Eddy

    2015-09-01

    Clinical question Does a hemoglobin transfusion threshold of 70 g/L yield better patient outcomes than a threshold of 90 g/L in patients with acute upper gastrointestinal bleeding? Article chosen Villanueva C, Colomo A, Bosch A, et al. Transfusion strategies for acute upper gastrointestinal bleeding. N Engl J Med 2013;368(1):11-21. Study objectives The authors of this study measured mortality, from any cause, within the first 45 days, in patients with acute upper gastrointestinal bleeding, who were managed with a hemoglobin threshold for red cell transfusion of either 70 g/L or 90 g/L. The secondary outcome measures included rate of further bleeding and rate of adverse events.

  6. Low Cost, Upper Stage-Class Propulsion

    NASA Technical Reports Server (NTRS)

    Vickers, John

    2015-01-01

    The low cost, upper stage-class propulsion (LCUSP) element will develop a high strength copper alloy additive manufacturing (AM) process as well as critical components for an upper stage-class propulsion system that will be demonstrated with testing. As manufacturing technologies have matured, it now appears possible to build all the major components and subsystems of an upper stage-class rocket engine for substantially less money and much faster than traditionally done. However, several enabling technologies must be developed before that can happen. This activity will address these technologies and demonstrate the concept by designing, manufacturing, and testing the critical components of a rocket engine. The processes developed and materials' property data will be transitioned to industry upon completion of the activity. Technologies to enable the concept are AM copper alloy process development, AM post-processing finishing to minimize surface roughness, AM material deposition on existing copper alloy substrate, and materials characterization.

  7. Upper entropy axioms and lower entropy axioms

    SciTech Connect

    Guo, Jin-Li, E-mail: phd5816@163.com; Suo, Qi

    2015-04-15

    The paper suggests the concepts of an upper entropy and a lower entropy. We propose a new axiomatic definition, namely, upper entropy axioms, inspired by axioms of metric spaces, and also formulate lower entropy axioms. We also develop weak upper entropy axioms and weak lower entropy axioms. Their conditions are weaker than those of Shannon–Khinchin axioms and Tsallis axioms, while these conditions are stronger than those of the axiomatics based on the first three Shannon–Khinchin axioms. The subadditivity and strong subadditivity of entropy are obtained in the new axiomatics. Tsallis statistics is a special case of satisfying our axioms. Moreover,more » different forms of information measures, such as Shannon entropy, Daroczy entropy, Tsallis entropy and other entropies, can be unified under the same axiomatics.« less

  8. Hypnosis and upper digestive function and disease

    PubMed Central

    Chiarioni, Giuseppe; Palsson, Olafur S; Whitehead, William E

    2008-01-01

    Hypnosis is a therapeutic technique that primarily involves attentive receptive concentration. Even though a small number of health professionals are trained in hypnosis and lingering myths and misconceptions associated with this method have hampered its widespread use to treat medical conditions, hypnotherapy has gained relevance as an effective treatment for irritable bowel syndrome not responsive to standard care. More recently, a few studies have addressed the potential influence of hypnosis on upper digestive function and disease. This paper reviews the efficacy of hypnosis in the modulation of upper digestive motor and secretory function. The present evidence of the effectiveness of hypnotherapy as a treatment for functional and organic diseases of the upper bowel is also summarized, coupled with a discussion of potential mechanisms of its therapeutic action. PMID:19009639

  9. Switchgrass as a biofuels crop for the upper Southeast

    SciTech Connect

    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

  10. 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.

  11. Upper jurassic dinosaur egg from utah.

    PubMed

    Hirsch, K F; Stadtman, K L; Miller, W E; Madsen, J H

    1989-03-31

    The Upper Jurassic egg described here is the first known egg from the 100-million-year gap in the fossil record between Lower Jurassic (South Africa) and upper Lower Cretaceous (Utah). The discovery of the egg, which was found mixed in with thousands of dinosaur bones rather than in a nest, the pathological multilayering of the eggshell as found in modern and fossil reptilians, and the pliable condition of the eggshell at the time of burial indicate an oviducal retention of the egg at the time of burial.

  12. Trajectory Software With Upper Atmosphere Model

    NASA Technical Reports Server (NTRS)

    Barrett, Charles

    2012-01-01

    The Trajectory Software Applications 6.0 for the Dec Alpha platform has an implementation of the Jacchia-Lineberry Upper Atmosphere Density Model used in the Mission Control Center for International Space Station support. Previous trajectory software required an upper atmosphere to support atmosphere drag calculations in the Mission Control Center. The Functional operation will differ depending on the end-use of the module. In general, the calling routine will use function-calling arguments to specify input to the processor. The atmosphere model will then compute and return atmospheric density at the time of interest.

  13. Studies in upper and lower atmosphere coupling

    NASA Technical Reports Server (NTRS)

    Chiu, Y. T.; Rice, C. J.; Sharp, L. R.

    1979-01-01

    The theoretical and data-analytic work on upper and lower atmosphere coupling performed under a NASA Headquarters contract during the period April 1978 to March 1979 are summarized. As such, this report is primarily devoted to an overview of various studies published and to be published under this contract. Individual study reports are collected as exhibits. Work performed under the subject contract are in the following four areas of upper-lower atmosphere coupling: (1) Magnetosphere-ionosphere electrodynamic coupling in the aurora; (2) Troposphere-thermosphere coupling; (3) Ionosphere-neutral-atmosphere coupling; and (4) Planetary wave dynamics in the middle atmosphere.

  14. 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

  15. 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.

  16. 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.

  17. Early Rockets

    NASA Image and Video Library

    2004-04-15

    This photograph is of the engine for the Redstone rocket. The Redstone ballistic missile was a high-accuracy, liquid-propelled, surface-to-surface missile developed by the Army Ballistic Missile Agency, Redstone Arsenal, in Huntsville, Alabama, under the direction of Dr. von Braun. The Redstone engine was a modified and improved version of the Air Force's Navaho cruise missile engine of the late forties. The A-series, as this would be known, utilized a cylindrical combustion chamber as compared with the bulky, spherical V-2 chamber. By 1951, the Army was moving rapidly toward the design of the Redstone missile, and the production was begun in 1952. Redstone rockets became the "reliable workhorse" for America's early space program. As an example of its versatility, the Redstone was utilized in the booster for Explorer 1, the first American satellite, with no major changes to the engine or missile.

  18. Early Rockets

    NASA Image and Video Library

    2004-04-15

    The image depicts Redstone missile being erected. The Redstone ballistic missile was a high-accuracy, liquid-propelled, surface-to-surface missile developed by Army Ballistic Missile Agency, Redstone Arsenal, in Huntsville, Alabama, under the direction of Dr. von Braun. The Redstone engine was a modified and improved version of the Air Force's Navaho cruise missile engine of the late forties. The A-series, as this would be known, utilized a cylindrical combustion chamber as compared with the bulky, spherical V-2 chamber. By 1951, the Army was moving rapidly toward the design of the Redstone missile, and the production was begun in 1952. Redstone rockets became the "reliable workhorse" for America's early space program. As an example of the versatility, Redstone was utilized in the booster for Explorer 1, the first American satellite, with no major changes to the engine or missile

  19. Early Rockets

    NASA Image and Video Library

    1958-05-15

    Redstone missile No. 1002 on the launch pad at Cape Canaveral, Florida, on May 16, 1958. The Redstone ballistic missile was a high-accuracy, liquid-propelled, surface-to-surface missile developed by the Army Ballistic Missile Agency, Redstone Arsenal, in Huntsville, Alabama, under the direction of Dr. von Braun. The Redstone engine was a modified and improved version of the Air Force's Navaho cruise missile engine of the late forties. The A-series, as this would be known, utilized a cylindrical combustion chamber as compared with the bulky, spherical V-2 chamber. By 1951, the Army was moving rapidly toward the design of the Redstone missile, and production was begun in 1952. Redstone rockets became the "reliable workhorse" for America's early space program. As an example of the versatility, Redstone was utilized in the booster for Explorer 1, the first American satellite, with no major changes to the engine or missile

  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. Neutron spectral measurements in the upper atmosphere

    NASA Technical Reports Server (NTRS)

    Zobel, W.; Love, T. A.; Delorenzo, J. T.; Mcnew, C. O.

    1972-01-01

    An experiment to measure neutrons in the upper atmosphere was performed on a balloon flight from Palestine, Texas, at an altitude of about 32 km. The experimental arrangement is discussed briefly, and results of a preliminary analysis of the data for neutrons in the energy range 3 to 30 MeV are given.

  2. Upper Washita River experimental watersheds: Sediment Database

    USDA-ARS?s Scientific Manuscript database

    Improving the scientific understanding of the effectiveness of watershed conservation practices and floodwater-retardation structures to control floods and soil erosion is one of the primary objectives for sediment studies in the upper Washita River Experimental Watersheds. This paper summarizes se...

  3. Teaching Astrophysics to Upper Level Undergraduates

    NASA Astrophysics Data System (ADS)

    Van Dorn Bradt, Hale

    2010-03-01

    A Socratic peer-instruction method for teaching upper level undergraduates is presented. Basically, the instructor sits with the students and guides their presentations of the material. My two textbooks* (on display) as well as many others are amenable to this type of teaching. *Astronomy Methods - A Physical Approach to Astronomical Observations (CUP 2004) *Astrophysics Processes-The Physics of Astronomical Phenomena (CUP 2008)

  4. [Upper lateral incisor with 2 canals].

    PubMed

    Fabra Campos, H

    1991-01-01

    Clinical case summary of the patient with an upper lateral incisor with two root canals. The suspicion that there might be an anatomic anomaly in the root that includes a complex root canal system was made when an advanced radicular groove was detected in the lingual surface or an excessively enlarged cingulum.

  5. Team Teaching at Upper Arlington School.

    ERIC Educational Resources Information Center

    Jackson, Annette R.

    1968-01-01

    Team teaching has been used for 4 years in the 10th-grade English classes at Upper Arlington High School near Columbus, Ohio. Units are prepared, presented, and evaluated by teachers working together voluntarily. A 6-day American literature unit introducing Romanticism has been particularly successful. The contrasts between Neoclassicism and…

  6. Upper Limit for Regional Sea Level Projections

    NASA Astrophysics Data System (ADS)

    Jevrejeva, Svetlana; Jackson, Luke; Riva, Riccardo; Grinsted, Aslak; Moore, John

    2016-04-01

    With more than 150 million people living within 1 m of high tide future sea level rise is one of the most damaging aspects of warming climate. The latest Intergovernmental Panel on Climate Change report (AR5 IPCC) noted that a 0.5 m rise in mean sea level will result in a dramatic increase the frequency of high water extremes - by an order of magnitude, or more in some regions. Thus the flood threat to the rapidly growing urban populations and associated infrastructure in coastal areas are major concerns for society. Hence, impact assessment, risk management, adaptation strategy and long-term decision making in coastal areas depend on projections of mean sea level and crucially its low probability, high impact, upper range. With probabilistic approach we produce regional sea level projections taking into account large uncertainties associated with Greenland and Antarctica ice sheets contribution. We calculate the upper limit (as 95%) for regional sea level projections by 2100 with RCP8.5 scenario, suggesting that for the most coastlines upper limit will exceed the global upper limit of 1.8 m.

  7. Update on embryology of the upper limb.

    PubMed

    Al-Qattan, Mohammad M; Kozin, Scott H

    2013-09-01

    Current concepts in the steps of upper limb development and the way the limb is patterned along its 3 spatial axes are reviewed. Finally, the embryogenesis of various congenital hand anomalies is delineated with an emphasis on the pathogenetic basis for each anomaly. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  8. Hump on upper back (dorsocervical fat pad)

    MedlinePlus

    ... hump on the upper back between the shoulder blades is an area of fat accumulation on the ... A hump between the shoulder blades by itself is not a sign of a specific condition. The health care provider must consider this along with other symptoms ...

  9. 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…

  10. 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.

  11. 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.

  12. 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.

  13. [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.

  14. 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.

  15. 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.

  16. The late early Miocene Sabine River

    SciTech Connect

    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

  17. Endoscopic low coherence interferometry in upper airways

    NASA Astrophysics Data System (ADS)

    Delacrétaz, Yves; Boss, Daniel; Lang, Florian; Depeursinge, Christian

    2009-07-01

    We introduce Endoscopic Low Coherence Interferometry to obtain topology of upper airways through commonly used rigid endoscopes. Quantitative dimensioning of upper airways pathologies is crucial to provide maximum health recovery chances, for example in order to choose the correct stent to treat endoluminal obstructing pathologies. Our device is fully compatible with procedures used in day-to-day examinations and can potentially be brought to bedside. Besides this, the approach described here can be almost straightforwardly adapted to other endoscopy-related field of interest, such as gastroscopy and arthroscopy. The principle of the method is first exposed, then filtering procedure used to extract the depth information is described. Finally, demonstration of the method ability to operate on biological samples is assessed through measurements on ex-vivo pork bronchi.

  18. Changes in upper gastrointestinal physiology with age.

    PubMed

    Newton, J L

    2004-12-01

    Diseases of the upper gastrointestinal tract such as peptic ulceration and gastric cancer become more common and more severe with advancing age. In the normal stomach and duodenum, there is a balance between mucosal protective mechanisms and endogenous (gastric acid and pepsin) and exogenous aggressive factors. The high incidence of gastrointestinal pathology seen in older age groups is not related to increase in the secretion of endogenous aggressive factors. Recent work suggests that gastrointestinal mucosal protective mechanisms are impaired with age. The roles in the gastrointestinal tract of molecules that have been implicated in mucosal repair, such as trefoil peptides and matrix components, are beginning to be elucidated and their study in older people is essential to ensure appropriate, efficient, cost-effective management of gastric pathology in the elderly. Strategies to improve the management of upper gastrointestinal diseases in older people will reduce mortality and improve quality of life.

  19. Upper functional gastrointestinal disorders in young adults.

    PubMed

    Adibi, Peyman; Behzad, Ebrahim; Shafieeyan, Mohammad; Toghiani, Ali

    2012-01-01

    Functional Gastrointestinal disorders (FGID) are common disorders in gastroenterology which are common in young adults. The aim of this study is evaluating the prevalence of upper FGID in iranian young adults. This was a cross-sectional study which was on 995 persons who were going to marry. A ROME III based questionnaire was used to determine the frequency of upper GI Syndromes among the sample population. Our results determined 74 subjects had functional dyspepsia (36 subjects diagnosed as postprandial distress syndrome patient and Epigastric pain syndrome was seen in 38 subjects). Functional heartburn was diagnosed in 52 participants. Globus was seen in 35 subjects and 41 had unspecified excessive belching. Many epidemiologic studies were done all around the world but there are different reports about prevalence and incidence of FGIDs. Our results were agreed with reported prevalence of FGIDs in Iran in adults. And our findings were agreed with some other Asian studies.

  20. Upper Hybrid Effects in Artificial Ionization

    NASA Astrophysics Data System (ADS)

    Papadopoulos, K.; Eliasson, B. E.

    2014-12-01

    A most fascinating result of recent ionospheric experiments has been the discovery of artificial ionization by Pedersen et al. (GRL, 37, L02106, 2010). The Artificial Ionospheric Layers (AIL) were the result of F-region O-mode HF irradiation using the HAARP ionospheric heater operating at 3.6 MW power. As demonstrated by Eliasson et al. (JGR, 117, A10321, 2012) the physics controlling the observed phenomenon and its threshold can be summarized as: " Collisional ionization due to high energy (~ 20 eV) electron tails generated by the interaction of strong Langmuir turbulence with plasma heated at the upper hybrid resonance and transported at the reflection height". The objective of the current presentation is to explore the role of the upper hybrid heating in the formation of AIL and its implications to future experiments involving HF heaters operating in middle and equatorial latitudes.

  1. Upper extremity paraesthesia: clinical assessment and reasoning.

    PubMed

    Muscolino, Joseph E

    2008-07-01

    The art of clinical assessment involves an accurate determination of the cause(s) of a patient's symptoms. Given that a set of symptoms can be influenced by many contributing factors and features, assessment needs to differentially evaluate these. Accurate and appropriate treatment depends on differential assessment based on sound clinical reasoning. Many conditions derive from multiple causes demanding evaluation of as many etiological features as can be identified. The case review presented here involves a patient presenting with paraesthesia spreading into her right upper extremity. A complex history, involving her neck and contralateral upper extremity was assessed. The patient was found to have at least seven underlying, predisposing, and etiological, conditions capable of initiating, aggravating, or maintaining the presenting symptoms. Weighing the relative contributions of these often interacting features, and correlating this with the history, helped to identify a successful course of treatment.

  2. Bone Lengthening in the Pediatric Upper Extremity.

    PubMed

    Farr, Sebastian; Mindler, Gabriel; Ganger, Rudolf; Girsch, Werner

    2016-09-07

    ➤Bone lengthening has been used successfully for several congenital and acquired conditions in the pediatric clavicle, humerus, radius, ulna, and phalanges.➤Common indications for bone lengthening include achondroplasia, radial longitudinal deficiency, multiple hereditary exostosis, brachymetacarpia, symbrachydactyly, and posttraumatic and postinfectious growth arrest.➤Most authors prefer distraction rates of <1 mm/day for each bone in the upper extremity except the humerus, which can safely be lengthened by 1 mm/day.➤Most authors define success by the amount of radiographic bone lengthening, joint motion after lengthening, and subjective patient satisfaction rather than validated patient-related outcome measures.➤Bone lengthening of the upper extremity is associated with a high complication rate, with complications including pin-track infections, fixation device failure, nerve lesions, nonunion, fracture of regenerate bone, and joint dislocations. Copyright © 2016 by The Journal of Bone and Joint Surgery, Incorporated.

  3. Evaluation of impairment of the upper extremity.

    PubMed

    Blair, S J; McCormick, E; Bear-Lehman, J; Fess, E E; Rader, E

    1987-08-01

    Evaluation of impairment of the upper extremity is the product of a team effort by the physician, occupational therapist, physical therapist, and rehabilitation counselor. A careful recording of the anatomic impairment should be made because this is critical in determining the subsequent functional activities of the extremity. The measurement criteria for clinical and functional evaluation includes condition assessment instruments. Some assess the neurovascular system, others assess movements including the monitoring of articular motion and musculotendinous function. Sensibility assessment instruments measure sympathetic response and detect single joint stimulus, discrimination, quantification, and recognition abilities. A detailed description of each assessment is recorded and physical capacity evaluation is only one component of the entire vocational evaluation. This evaluation answers questions regarding the injured worker's ability to return to his previous job. The work simulator is a useful instrument that allows rehabilitation and testing of the injured upper extremity. Job site evaluation includes assessment criteria for work performance, work behavior, and work environment.

  4. Right Upper Quadrant Pain: Ultrasound First!

    PubMed

    Revzin, Margarita V; Scoutt, Leslie M; Garner, Joseph G; Moore, Christopher L

    2017-10-01

    Acute right upper quadrant (RUQ) pain is a common presenting symptom in emergency departments and outpatient medical practices, and is most commonly attributable to biliary and hepatic pathology. Ultrasound should be used as a first-line imaging modality for the diagnosis of gallstones and cholecystitis, as it allows the differentiation of medical and surgical causes of upper abdominal pathology, and in many circumstances is sufficient to guide patient management. Knowledge of strengths and limitations of ultrasound in the evaluation of RUQ is paramount in correct diagnosis. A spectrum of RUQ pathology for which a RUQ ultrasound examination should reasonably be considered as the initial imaging modality of choice will be reviewed. © 2017 by the American Institute of Ultrasound in Medicine.

  5. An upper limit for stratospheric hydrogen peroxide

    NASA Technical Reports Server (NTRS)

    Chance, K. V.; Traub, W. A.

    1984-01-01

    It has been postulated that hydrogen peroxide is important in stratospheric chemistry as a reservoir and sink for odd hydrogen species, and for its ability to interconvert them. The present investigation is concerned with an altitude dependent upper limit curve for stratospheric hydrogen peroxide, taking into account an altitude range from 21.5 to 38.0 km for January 23, 1983. The data employed are from balloon flight No. 1316-P, launched from the National Scientific Balloon Facility (NSBF) in Palestine, Texas. The obtained upper limit curve lies substantially below the data reported by Waters et al. (1981), even though the results are from the same latitude and are both wintertime measurements.

  6. Upper bounds on sequential decoding performance parameters

    NASA Technical Reports Server (NTRS)

    Jelinek, F.

    1974-01-01

    This paper presents the best obtainable random coding and expurgated upper bounds on the probabilities of undetectable error, of t-order failure (advance to depth t into an incorrect subset), and of likelihood rise in the incorrect subset, applicable to sequential decoding when the metric bias G is arbitrary. Upper bounds on the Pareto exponent are also presented. The G-values optimizing each of the parameters of interest are determined, and are shown to lie in intervals that in general have nonzero widths. The G-optimal expurgated bound on undetectable error is shown to agree with that for maximum likelihood decoding of convolutional codes, and that on failure agrees with the block code expurgated bound. Included are curves evaluating the bounds for interesting choices of G and SNR for a binary-input quantized-output Gaussian additive noise channel.

  7. 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...

  8. 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…

  9. 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

  10. 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.

  11. 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

  12. Inertial Upper Stage (IUS) software analysis

    NASA Technical Reports Server (NTRS)

    Grayson, W. L.; Nickel, C. E.; Rose, P. L.; Singh, R. P.

    1979-01-01

    The Inertial Upper Stage (IUS) System, an extension of the Space Transportation System (STS) operating regime to include higher orbits, orbital plane changes, geosynchronous orbits, and interplanetary trajectories is presented. The IUS software design, the IUS software interfaces with other systems, and the cost effectiveness in software verification are described. Tasks of the IUS discussed include: (1) design analysis; (2) validation requirements analysis; (3) interface analysis; and (4) requirements analysis.

  13. Effects of Lightning in the Upper Atmosphere

    NASA Astrophysics Data System (ADS)

    Sentman, Davis D.; Pasko, Victor P.; Morrill, Jeff S.

    2010-02-01

    AGU Chapman Conference on Effects of Thunderstorms and Lightning in the Upper Atmosphere; University Park, Pennsylvania, 10-14 May 2009; The serendipitous observation in 1989 of electrical discharge in the high atmosphere induced by thundercloud lightning launched a new field of geophysical investigation. From this single unexpected observation sprang a vigorous and fertile new research field that simultaneously encompasses geophysical disciplines that are normally pursued independently, such as meteorology and lightning, plasma and gas discharge physics, atmospheric chemistry, ionospheric physics, and energetic particle physics. Transient electrical discharge in the upper atmosphere spans the full range of altitudes between the tropopause and the ionosphere and takes a variety of forms that carry the whimsical names red sprites, blue jets, gigantic jets, elves (emissions of light and very low frequency perturbations from electromagnetic pulse sources), and sprite halos, collectively known as transient luminous events (TLEs). To date, TLEs have been observed from ground and airborne or spaceborne platforms above thunderstorm systems worldwide, and radio observations made concomitantly with optical observations have shown that they are produced by the transient far fields of thundercloud lightning. TLEs appear to be large-scale (tens of kilometers in dimension), upper atmospheric versions of conventional gas discharge akin to weakly ionized, collision-dominated systems found in laboratory discharge devices (millimeter-centimeter dimensions), with characteristic energies of a few electron volts. The dominant physical processes have been identified as described by the familiar kinetic theory of the photochemistry of the upper atmosphere, but with electric field-driven electron impact ionization playing the role of photolysis or energetic precipitating particle-induced ionization.

  14. Upper Limit of Weights in TAI Computation

    NASA Technical Reports Server (NTRS)

    Thomas, Claudine; Azoubib, Jacques

    1996-01-01

    The international reference time scale International Atomic Time (TAI) computed by the Bureau International des Poids et Mesures (BIPM) relies on a weighted average of data from a large number of atomic clocks. In it, the weight attributed to a given clock depends on its long-term stability. In this paper the TAI algorithm is used as the basis for a discussion of how to implement an upper limit of weight for clocks contributing to the ensemble time. This problem is approached through the comparison of two different techniques. In one case, a maximum relative weight is fixed: no individual clock can contribute more than a given fraction to the resulting time scale. The weight of each clock is then adjusted according to the qualities of the whole set of contributing elements. In the other case, a parameter characteristic of frequency stability is chosen: no individual clock can appear more stable than the stated limit. This is equivalent to choosing an absolute limit of weight and attributing this to to the most stable clocks independently of the other elements of the ensemble. The first technique is more robust than the second and automatically optimizes the stability of the resulting time scale, but leads to a more complicated computatio. The second technique has been used in the TAI algorithm since the very beginning. Careful analysis of tests on real clock data shows that improvement of the stability of the time scale requires revision from time to time of the fixed value chosen for the upper limit of absolute weight. In particular, we present results which confirm the decision of the CCDS Working Group on TAI to increase the absolute upper limit by a factor of 2.5. We also show that the use of an upper relative contribution further helps to improve the stability and may be a useful step towards better use of the massive ensemble of HP 507IA clocks now contributing to TAI.

  15. Some upper cretaceous ammonites from southern Nigeria

    NASA Astrophysics Data System (ADS)

    Zaborski, P. M. P.

    Ammonites of Cenomanian, Turonian, Coniacian and Maastrichtian age are described from the Calabar, Lokpanta, Nkalagu and Lokpauku regions of southern Nigeria. Two species are new Forbesiceras varicostatum sp. nov. from the Loweer Cenomanian and Romaniceras (Yubariceras) evolutum sp. nov. from the Upper Turonian. The stratigraphical significance of the described faunas is discussed. There are striking similarities between the Lower Turonian assemblages of parts of southern Nigeria and South America, particularly Venezuela, which contain common species of Mammites, Fagesia, Vascoceras, Paramammites and Neoptychites.

  16. PWR upper/lower internals shield

    SciTech Connect

    Homyk, W.A.

    1995-03-01

    During refueling of a nuclear power plant, the reactor upper internals must be removed from the reactor vessel to permit transfer of the fuel. The upper internals are stored in the flooded reactor cavity. Refueling personnel working in containment at a number of nuclear stations typically receive radiation exposure from a portion of the highly contaminated upper intervals package which extends above the normal water level of the refueling pool. This same issue exists with reactor lower internals withdrawn for inservice inspection activities. One solution to this problem is to provide adequate shielding of the unimmersed portion. The use ofmore » lead sheets or blankets for shielding of the protruding components would be time consuming and require more effort for installation since the shielding mass would need to be transported to a support structure over the refueling pool. A preferable approach is to use the existing shielding mass of the refueling pool water. A method of shielding was devised which would use a vacuum pump to draw refueling pool water into an inverted canister suspended over the upper internals to provide shielding from the normally exposed components. During the Spring 1993 refueling of Indian Point 2 (IP2), a prototype shield device was demonstrated. This shield consists of a cylindrical tank open at the bottom that is suspended over the refueling pool with I-beams. The lower lip of the tank is two feet below normal pool level. After installation, the air width of the natural shielding provided by the existing pool water. This paper describes the design, development, testing and demonstration of the prototype device.« less

  17. Studies of planetary upper atmospheres through occultations

    NASA Technical Reports Server (NTRS)

    Elliot, J. L.

    1982-01-01

    The structure, composition, dynamics and energy balance of planetary upper atmospheres through interpretation of steller occultation data from Uranus is discussed. The wave-optical problem of modelling strong scintillation for arbitrary turbulent atmospheres is studied, as well as influence of turbulence. It was concluded that quasi-global features of atmospheric structure are accurately determined by numerical inversion. Horizontally inhomogeneous structures are filtered out and have little effect on temperature profiles.

  18. Incidental finding of upper lip Warthin tumor.

    PubMed

    Petrocelli, Marzia; Sbordone, Carolina; Salzano, Giovanni; Orabona, Giovanni Dell'Aversana; Cassandro, Francesco Maria; Fusetti, Stefano; Califano, Luigi; Cassandro, Ettore

    2017-11-14

    This report shows an incidental finding of Warthin tumor in upper lip mucosa during hospitalization for a biting lesion of cheek mucosa MATERIALS AND METHODS: A 32-year-old male affected by a biting lesion of cheek mucosa was presented at Maxillo- Facial Unit of Federico II University. Clinical examination showed as an incidental finding a solid mass in the superficial layer of upper lip mucosa. We performed mini-invasive surgical treatment to obtain a radical excision of the cheek lesion at the same time as excision of Warthin tumor. a follow up of 12 months was performed. The complete healing of the two wounds was achieved, with no recurrence of any of the pathologies. The location of this Warthin tumor of minor salivary glands is very unusual. The role of imaging in diagnosis of Warthin tumor of minor salivary glands is to define localization, shape and dimension, contour, malignant features, nodal involvement. The role of fine needle aspiration cytology (FNAC) is critical in the diagnosis and therapy of minor salivary gland tumors. The surgical treatment in patients affected by Warthin tumour of minor salivary glands is local excision with a wide tumor free margin to prevent potential recurrence. Warthin tumor of minor salivary glands is a rare disease. We report a singular case of Warthin tumor localized in the upper lip mucosa, found as an incidental finding during a recovery for a biting lesion of cheek mucosa. Incidental finding, Minor salivary glands, Warthin tumor.

  19. A prototype Upper Atmospheric Research Collaboratory (UARC)

    NASA Technical Reports Server (NTRS)

    Clauer, C. R.; Atkins, D. E; Weymouth, T. E.; Olson, G. M.; Niciejewski, R.; Finholt, T. A.; Prakash, A.; Rasmussen, C. E.; Killeen, T.; Rosenberg, T. J.

    1995-01-01

    The National Collaboratory concept has great potential for enabling 'critical mass' working groups and highly interdisciplinary research projects. We report here on a new program to build a prototype collaboratory using the Sondrestrom Upper Atmospheric Research Facility in Kangerlussuaq, Greenland and a group of associated scientists. The Upper Atmospheric Research Collaboratory (UARC) is a joint venture of researchers in upper atmospheric and space science, computer science, and behavioral science to develop a testbed for collaborative remote research. We define the 'collaboratory' as an advanced information technology environment which enables teams to work together over distance and time on a wide variety of intellectual tasks. It provides: (1) human-to-human communications using shared computer tools and work spaces; (2) group access and use of a network of information, data, and knowledge sources; and (3) remote access and control of instruments for data acquisition. The UARC testbed is being implemented to support a distributed community of space scientists so that they have network access to the remote instrument facility in Kangerlussuaq and are able to interact among geographically distributed locations. The goal is to enable them to use the UARC rather than physical travel to Greenland to conduct team research campaigns. Even on short notice through the collaboratory from their home institutions, participants will be able to meet together to operate a battery of remote interactive observations and to acquire, process, and interpret the data.

  20. Aeronomy of the Venus Upper Atmosphere

    NASA Astrophysics Data System (ADS)

    Gérard, J.-C.; Bougher, S. W.; López-Valverde, M. A.; Pätzold, M.; Drossart, P.; Piccioni, G.

    2017-11-01

    We present aeronomical observations collected using remote sensing instruments on board Venus Express, complemented with ground-based observations and numerical modeling. They are mostly based on VIRTIS and SPICAV measurements of airglow obtained in the nadir mode and at the limb above 90 km. They complement our understanding of the behavior of Venus' upper atmosphere that was largely based on Pioneer Venus observations mostly performed over thirty years earlier. Following a summary of recent spectral data from the EUV to the infrared, we examine how these observations have improved our knowledge of the composition, thermal structure, dynamics and transport of the Venus upper atmosphere. We then synthesize progress in three-dimensional modeling of the upper atmosphere which is largely based on global mapping and observations of time variations of the nitric oxide and O2 nightglow emissions. Processes controlling the escape flux of atoms to space are described. Results based on the VeRA radio propagation experiment are summarized and compared to ionospheric measurements collected during earlier space missions. Finally, we point out some unsolved and open questions generated by these recent datasets and model comparisons.

  1. Anatomic Optical Coherence Tomography of Upper Airways

    NASA Astrophysics Data System (ADS)

    Chin Loy, Anthony; Jing, Joseph; Zhang, Jun; Wang, Yong; Elghobashi, Said; Chen, Zhongping; Wong, Brian J. F.

    The upper airway is a complex and intricate system responsible for respiration, phonation, and deglutition. Obstruction of the upper airways afflicts an estimated 12-18 million Americans. Pharyngeal size and shape are important factors in the pathogenesis of airway obstructions. In addition, nocturnal loss in pharyngeal muscular tone combined with high pharyngeal resistance can lead to collapse of the airway and periodic partial or complete upper airway obstruction. Anatomical optical coherence tomography (OCT) has the potential to provide high-speed three-dimensional tomographic images of the airway lumen without the use of ionizing radiation. In this chapter we describe the methods behind endoscopic OCT imaging and processing to generate full three dimensional anatomical models of the human airway which can be used in conjunction with numerical simulation methods to assess areas of airway obstruction. Combining this structural information with flow dynamic simulations, we can better estimate the site and causes of airway obstruction and better select and design surgery for patients with obstructive sleep apnea.

  2. HALOE Algorithm Improvements for Upper Tropospheric Sounding

    NASA Technical Reports Server (NTRS)

    Thompson, Robert Earl; McHugh, Martin J.; Gordley, Larry L.; Hervig, Mark E.; Russell, James M., III; Douglass, Anne (Technical Monitor)

    2001-01-01

    This report details the ongoing efforts by GATS, Inc., in conjunction with Hampton University and University of Wyoming, in NASA's Mission to Planet Earth Upper Atmospheric Research Satellite (UARS) Science Investigator Program entitled 'HALOE Algorithm Improvements for Upper Tropospheric Sounding.' The goal of this effort is to develop and implement major inversion and processing improvements that will extend Halogen Occultation Experiment (HALOE) measurements further into the troposphere. In particular, O3, H2O, and CH4 retrievals may be extended into the middle troposphere, and NO, HCl and possibly HF into the upper troposphere. Key areas of research being carried out to accomplish this include: pointing/tracking analysis; cloud identification and modeling; simultaneous multichannel retrieval capability; forward model improvements; high vertical-resolution gas filter channel retrievals; a refined temperature retrieval; robust error analyses; long-term trend reliability studies; and data validation. The current (first year) effort concentrates on the pointer/tracker correction algorithms, cloud filtering and validation, and multichannel retrieval development. However, these areas are all highly coupled, so progress in one area benefits from and sometimes depends on work in others.

  3. Testing for the J-2X Upper Stage Engine

    NASA Technical Reports Server (NTRS)

    Buzzell, James C.

    2010-01-01

    NASA selected the J-2X Upper Stage Engine in 2006 to power the upper stages of the Ares I crew launch vehicle and the Ares V cargo launch vehicle. Based on the proven Saturn J-2 engine, this new engine will provide 294,000 pounds of thrust and a specific impulse of 448 seconds, making it the most efficient gas generator cycle engine in history. The engine's guiding philosophy emerged from the Exploration Systems Architecture Study (ESAS) in 2005. Goals established then called for vehicles and components based, where feasible, on proven hardware from the Space Shuttle, commercial, and other programs, to perform the mission and provide an order of magnitude greater safety. Since that time, the team has made unprecedented progress. Ahead of the other elements of the Constellation Program architecture, the team has progressed through System Requirements Review (SRR), System Design Review (SDR), Preliminary Design Review (PDR), and Critical Design Review (CDR). As of February 2010, more than 100,000 development engine parts have been ordered and more than 18,000 delivered. Approximately 1,300 of more than 1,600 engine drawings were released for manufacturing. A major factor in the J-2X development approach to this point is testing operations of heritage J-2 engine hardware and new J-2X components to understand heritage performance, validate computer modeling of development components, mitigate risk early in development, and inform design trades. This testing has been performed both by NASA and its J-2X prime contractor, Pratt & Whitney Rocketdyne (PWR). This body of work increases the likelihood of success as the team prepares for testing the J-2X powerpack and first development engine in calendar 2011. This paper will provide highlights of J-2X testing operations, engine test facilities, development hardware, and plans.

  4. Giant Upper Cretaceous oysters from the Gulf coast and Caribbean

    USGS Publications Warehouse

    Sohl, Norman F.; Kauffman, Erle G.

    1964-01-01

    Two unusually massive ostreid species, representing the largest and youngest Mesozoic members of their respective lineages, occur in Upper Cretaceous sediment of the gulf coast and Caribbean areas. Their characteristics and significance, as well as the morphologic terminology of ostreids in general, are discussed. Crassostrea cusseta Sohl and Kauffman n. sp. is the largest known ostreid from Mesozoic rocks of North America; it occurs sporadically in the Cusseta Sand and rarely in the Blufftown Formation of the Chattahoochee River region in Georgia and Alabama. It is especially notable in that it lacks a detectable posterior adductor muscle scar on large adult shells. C. cusseta is the terminal Cretaceous member of the C. soleniscus lineage in gulf coast sediments; the lineage continues, however, with little basic modification, throughout the Cenozoic, being represented in the Eocene by C. gigantissima (Finch) and probably, in modern times, by C. virginica (Gmelin). The C. soleniscus lineage is the first typically modern crassostreid group recognized in the Mesozoic. Arctostrea aguilerae (Böse) occurs in Late Campanian and Early Maestrichtian sediments of Alabama, Mississippi, Texas(?), Mexico, and Cuba. The mature shell of this species is larger and more massive than that of any other known arctostreid. Arctostrea is well represented throughout the Upper Jurassic and Cretaceous of Europe, but in North America, despite the great numbers and diversity of Cretaceous oysters, only A. aguilerae and the Albian form A. carinata are known. The presence of A. aquilerae in both the Caribbean and gulf coast faunas is exceptional, as the Late Cretaceous faunas of these provinces are generally distinct and originated in different faunal realms.

  5. [Antithrombotic therapy and nonvariceal upper gastrointestinal bleeding].

    PubMed

    Belanová, Veronika; Gřiva, Martin

    2015-12-01

    The incidence of acute upper gastrointestinal bleeding is about 85-108/100,000 inhabitants per year, nonvariceal bleeding accounts for 80-90%. Antiplatelet and anticoagulation treatment are the significant risk factors for upper gastrointestinal bleeding. To evaluate the occurrence of upper gastrointestinal bleeding in the general community of patients in a county hospital. And to compare the role played by antiplatelet and anticoagulation drugs and other risk medication. Retrospective analysis of patients over 18 years of age who underwent endoscopy for acute upper gastrointestinal bleeding or anaemia (haemoglobin<100 g/l) with proved source of blood losses in upper gastrointestinal tract during a hospital stay in 2013 (from January to June). We included 111 patients of average age 69±15 years, men 60%. Nonvariceal bleeding accounted for 90% of the cases. None of the patients with variceal bleeding (10% of patients) took antiplatelet or anticoagulation therapy. There were 100 patients with nonvariceal bleeding of average age 70±15, 61% men. With the symptoms of acute bleeding (hematemesis, melena) presented in 73% of patients. The most frequent cause of bleeding was gastric and duodenal ulcer (54%). 32% of patients with nonvariceal bleeding had antiplatelets, 19% anticoagulants and 10% used nonsteroidal anti-inflammatory drugs, selective serotonin reuptake inhibitors or corticosteroids. 30-days mortality of patients with nonvariceal bleeding was 11%, annual mortality was 23%. There was no significant difference in mortality, blood transfusion requirements or surgical intervention between the patients with antithrombotic agents and without them. 25% of patients (8 patients) using acetylsalicylic acid did not fulfil the indication for this treatment. Among the patients examined by endoscopy for symptomatic nonvariceal bleeding and/or anaemia (haemoglobin<100 g/l) significantly higher portions of patients are taking antiplatelet rather than anticoagulation therapy

  6. Spacesuit Soft Upper Torso Sizing Systems

    NASA Technical Reports Server (NTRS)

    Graziosi, David; Splawn, Keith

    2011-01-01

    The passive sizing system consists of a series of low-profile pulleys attached to the front and back of the shoulder bearings on a spacesuit soft upper torso (SUT), textile cord or stainless steel cable, and a modified commercial ratchet mechanism. The cord/cable is routed through the pulleys and attached to the ratchet mechanism mounted on the front of the spacesuit within reach of the suited subject. Upon actuating the ratchet mechanism, the shoulder bearing breadth is changed, providing variable upper torso sizing. The active system consists of a series of pressurizable nastic cells embedded into the fabric layers of a spacesuit SUT. These cells are integrated to the front and back of the SUT and are connected to an air source with a variable regulator. When inflated, the nastic cells provide a change in the overall shoulder bearing breadth of the spacesuit and thus, torso sizing. The research focused on the development of a high-performance sizing and actuation system. This technology has application as a suit-sizing mechanism to allow easier suit entry and more accurate suit fit with fewer torso sizes than the existing EMU (Extravehicular Mobility Unit) suit system. This advanced SUT will support NASA s Advanced EMU Evolutionary Concept of a two-sizes-fit-all upper torso for replacement of the current EMU hard upper torso (HUT). Both the passive and nastic sizing system approaches provide astronauts with real-time upper torso sizing, which translates into a more comfortable suit, providing enhanced fit resulting in improved crewmember performance during extravehicular activity. These systems will also benefit NASA by reducing flight logistics as well as overall suit system cost. The nastic sizing system approach provides additional structural redundancy over existing SUT designs by embedding additional coated fabric and uncoated fabric layers. Two sizing systems were selected to build into a prototype SUT: one active and one passive. From manned testing, it

  7. 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…

  8. 19. DETAIL VIEW OF UPPER EAST WALL CONTROL STATION, SHOWING ...

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

    19. DETAIL VIEW OF UPPER EAST WALL CONTROL STATION, SHOWING EMERGENCY BULKHEAD STIFFLEG DERRICK TO RIGHT, LOOKING WEST - Upper Mississippi River 9-Foot Channel Project, Lock & Dam 27, Granite City, Madison County, IL

  9. Plans: Poop Deck, Boat Deck, Housetop, Bridge Deck, Upper Bridge ...

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

    Plans: Poop Deck, Boat Deck, Housetop, Bridge Deck, Upper Bridge Deck, Navigating Bridge, Forecastle Deck, Upper Deck, Second Deck and Hold - Saugatuck, James River Reserve Fleet, Newport News, Newport News, VA

  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. Facts about Upper and Lower Limb Reduction Defects

    MedlinePlus

    ... its normal size or is missing. What We Know About Upper and Lower Limb Reduction Defects How ... and productive lives. What We Still Do Not Know About Upper and Lower Limb Reduction Defects What ...

  12. 31. DETAIL VIEW OF UPPER INTERMEDIATE WALL CONTROL STATION, SHOWING ...

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

    31. DETAIL VIEW OF UPPER INTERMEDIATE WALL CONTROL STATION, SHOWING RECESSES FOR AUXILIARY LOCK LIFT GATE LEAVES, LOOKING EAST - Upper Mississippi River 9-Foot Channel Project, Lock & Dam 27, Granite City, Madison County, IL

  13. 45. DETAIL VIEW OF AUXILIARY BUILDING AT UPPER END OF ...

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

    45. DETAIL VIEW OF AUXILIARY BUILDING AT UPPER END OF WEST WALL, SHOWING RECESSES FOR AUXILIARY LOCK LIFT GATE LEAVES, LOOKING NORTHWEST - Upper Mississippi River 9-Foot Channel Project, Lock & Dam 27, Granite City, Madison County, IL

  14. 32. DETAIL VIEW OF UPPER INTERMEDIATE WALL CONTROL STATION, SHOWING ...

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

    32. DETAIL VIEW OF UPPER INTERMEDIATE WALL CONTROL STATION, SHOWING RECESSES FOR AUXILIARY LOCK LIFT GATE LEAVES, LOOKING NORTHEAST - Upper Mississippi River 9-Foot Channel Project, Lock & Dam 27, Granite City, Madison County, IL

  15. 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.

  16. 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.

  17. Lung and Upper Aerodigestive Cancer | Division of Cancer Prevention

    Cancer.gov

    [[{"fid":"180","view_mode":"default","fields":{"format":"default","field_file_image_alt_text[und][0][value]":"Lung and Upper Aerodigestive Cancer Research Group Homepage Logo","field_file_image_title_text[und][0][value]":"Lung and Upper Aerodigestive Cancer Research Group Homepage Logo","field_folder[und]":"15"},"type":"media","attributes":{"alt":"Lung and Upper Aerodigestive

  18. Extratropical Influence of Upper Tropospheric Water Vapor on Greenhouse Warming

    NASA Technical Reports Server (NTRS)

    Hu, H.; Liu, W.

    1998-01-01

    The purpose of this paper is to re-examine the impact of upper tropospheric water vapor on greenhouse warming in midlatitudes by analyzing the recent observations of the upper tropospheric water vapor from the Microwave Limb Sounder (MLS) on the Upper Atmosphere Research Satellite (UARS), in conjuction with other space-based measurement and model simulation products.

  19. Audit of cytology of upper urinary tract.

    PubMed

    Malta, F; Lenos, M; Leotsakos, I; Katafigiotis, I; Gakiopoulou, H; Constantinides, C; Mikou, P

    2016-10-01

    Cytology is an essential tool for the investigation of urinary tract malignancy. In this audit, we aimed to assess our laboratory performance in the diagnosis of upper urinary tract malignancy and to use the information provided to improve our service. We retrieved cytology reports of upper urinary tract specimens from two periods, re-evaluated the cases, compared the reports with histology data and estimated the sensitivity, specificity and positive predictive value (PPV). In the time interval between the two periods, we adopted new terminology, established better communication with clinicians and gained experience in the field. Finally, the data from the two periods were compared. In phase A, we estimated a sensitivity of 73%, specificity of 86% and PPV of 84.6%. As a result of the cytological re-evaluation, correlation with histology and clinical follow-up, plus communication with the clinicians during the audit, we established new terminology and a new request form. A three tiered grading system of atypia (mild, moderate and severe) was replaced by a two tiered grading system. The first category "atypia probably benign" corresponded to "mild atypia" while the second category "atypia, not otherwise specified" corresponded to "moderate atypia". The cases diagnosed as "severe atypia" were reclassified as "suspicious for malignancy". In phase B, the sensitivity, specificity and PPV were 75%, 89% and 90%, respectively. Our laboratory performance is in concordance with reported data and has been improved through this study. The audit process is extremely valuable for the identification of problems, for taking action and, finally, for the improvement of the clinical cytology service in the field of upper urinary tract malignancy. © 2016 John Wiley & Sons Ltd.

  20. Upper extremity weightlifting injuries: Diagnosis and management.

    PubMed

    Golshani, Kayvon; Cinque, Mark E; O'Halloran, Peter; Softness, Kenneth; Keeling, Laura; Macdonell, J Ryan

    2018-03-01

    Common upper extremity injuries in resistance training athletes include muscle strains, ligament sprains, pectoralis major tendon ruptures, distal biceps tendon ruptures, and chronic shoulder pain and capsulolabral injuries. While each injury is unique in its specific anatomic location and mechanism, each is preventable with proper exercise technique, safety and maintenance of muscle balance. Conservative treatment is the therapeutic modality of choice and these injuries generally resolve with workout modification, appropriate recovery, anti-inflammatory medication, and physical therapy. If conservative treatment fails, surgical intervention is often successful and can return the weightlifter to a level of performance near their pre-injury level.

  1. Epidemiology of traumatic upper limb amputations.

    PubMed

    Pomares, G; Coudane, H; Dap, F; Dautel, G

    2018-04-01

    While published data on functional outcomes after upper limb amputations are plentiful, epidemiology data are relatively rare. This led us to performing an epidemiology study of traumatic upper limb amputations at our facility. This retrospective study spanned a 10-year period of cases seen at the SOS Main (Hand emergency center) of the Nancy University Hospital in France. Patients who suffered traumatic amputation of the upper limb were identified and divided into two groups: replantation and surgical amputation. All anatomical amputation levels were retained. Non-traumatic amputations were excluded. Epidemiology data (sex, age, dominant side, injured side) was collected along with the specific anatomical level of the injury, the injury mechanism and whether it was work-related. We also looked at the success rate of microsurgery and whether multi-finger amputations were partial or complete. In parallel, the annual incidence of amputations seen at the SOS Main over this period was calculated. Over the 10-year period, 1715 traumatic upper-limb amputations were identified, which was 3% of all cases seen at the SOS Main. Most of the cases involved middle-aged men. Revascularization was attempted in one-third of cases and microsurgery was successful in 70% of cases. The surgical amputation group consisted of 1132 patients with a mean age of 59 years, while the replantation group consisted of 583 patients with a mean age of 48 years. The primary mechanism of injury was a table saw. This injury, which must be addressed urgently, is not very common in everyday practice. This is contrary to lower limb amputations, which are more common and occur in the context of micro- and macroangiopathy in older patients. The success rate of microsurgery in this cohort must be placed in the context of age, amputation level and mechanism. The functional outcomes are not always as good as the vascular outcomes. This data is invaluable as it fills a gap in our knowledge about amputations

  2. [Epidemiology of upper gastrointestinal bleeding in Gabon].

    PubMed

    Gaudong Mbethe, G L; Mounguengui, D; Ondounda, M; Magne, C; Bignoumbra, R; Ntsoumou, S; Moussavou Kombila, J-B; Nzenze, J R

    2014-01-01

    The department of internal medicine of the military hospital of Gabon managed 92 cases of upper gastrointestinal bleeding from April 2009 to November 2011. The frequency of these hemorrhages in the department was 8.2%; they occurred most often in adults aged 30-40 years and 50-60 years, and mainly men (74%). Erosive-ulcerative lesions (65.2%) were the leading causes of hemorrhage, followed by esophageal varices (15.2%). These results underline the importance of preventive measures for the control of this bleeding.

  3. Upper respiratory tract infections in athletes.

    PubMed

    Page, Clifton L; Diehl, Jason J

    2007-07-01

    Upper respiratory tract infections (URTIs) represent the most common acute illnesses in the general population and account for the leading acute diagnoses in the outpatient setting. Given the athlete's expectation to return to activity as soon as possible, the sports medicine physician should be able to accurately diagnose and aggressively treat these illnesses. This article discusses the common pathogens, diagnosis, treatment options, and return-to-play decisions for URTIs, with a focus on the common cold, sinusitis, pharyngitis, and infectious mononucleosis in the athlete.

  4. [Upper gastrointestinal bleeding: usefulness of prognostic scores].

    PubMed

    Badel, S; Dorta, G; Carron, P-N

    2011-08-24

    Upper gastrointestinal bleeding is a potentially serious event, usually requiring urgent endoscopic treatment. Better stratification of the risk of complication or death could optimize management and improve patient outcomes, while ensuring adequate resource allocation. Several prognostic scores have been developed, in order to identify high risk patients, who require immediate treatment, and patients at low risk for whom endoscopy may be delayed. An ideal prognostic score should be accurate, simple, reproducible, and prospectively validated in different populations. Published scores meet these requirements only partially, and thus can only be used as part of an integrative diagnostic and therapeutic process.

  5. Upper bounds on the photon mass

    SciTech Connect

    Accioly, Antonio; Group of Field Theory from First Principles, Sao Paulo State University; Instituto de Fisica Teorica

    2010-09-15

    The effects of a nonzero photon rest mass can be incorporated into electromagnetism in a simple way using the Proca equations. In this vein, two interesting implications regarding the possible existence of a massive photon in nature, i.e., tiny alterations in the known values of both the anomalous magnetic moment of the electron and the gravitational deflection of electromagnetic radiation, are utilized to set upper limits on its mass. The bounds obtained are not as stringent as those recently found; nonetheless, they are comparable to other existing bounds and bring new elements to the issue of restricting the photon mass.

  6. 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

  7. [Thin-section computed tomography of the bronchi; 2. Right upper lobe and left upper division].

    PubMed

    Matsuoka, Y; Ookubo, T; Ohtomo, K; Nishikawa, J; Kojima, K; Oyama, K; Yoshikawa, K; Iio, M

    1990-02-01

    Thin (2mm) section contiguous computed tomographic (CT) scans were obtained through the bronchi of the right upper lobe and the left upper division in 30 patients. All segmental bronchi were identified. The right subsegmental bronchi were identified in 100%, and the left subsegmental bronchi in 97%. The type of the orifice of the right bronchus was trifurcated (53%), the extension of B1 was apicoanterior (50%), and the size of B2b was equal to B3a (63%). The extension of the left B3 was subapicoanterior (38%), and the size of B1+2c was equal to B3a (62%).

  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. 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.

  10. 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.

  11. 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.

  12. 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

  13. 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.

  14. 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

  15. 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

  16. 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

  17. Upper cretaceous (Austin Group) volcanic deposits as a hydrocarbon trap

    SciTech Connect

    Hutchinson, P.J.

    1994-12-31

    An Upper Cretaceous submarine igneous extrusion occurs in the subsurface of southwestern Wilson County, Texas. The Coniacian-Santonian-aged (Austin Group) volcanic eruption discharged large volumes of magnetite-rich olivine nephelinite that upon quenching formed an extensive nontronitic clay layer. This clay deposit formed a trapping mechanism for hydrocarbon beneath the volcano. Production from volcanic plugs is normally attributed to the shoal-water carbonate facies developed on top of the volcanic, the palagonite tuff ({open_quotes}serpentine{close_quotes}), and overlying sandstones. The heat energy of the volcano may have thermally matured the calcarous sediments of adjacent parts of the Austin Chalk. The normally grayish-colored suggesting thermal alteration.more » The overlying nontronite trapped mobile hydrocarbons, and this early emplacement of oil may have preserved some of the original porosity and permeability of the Austin Chalk. Austin Chalk-aged volcanic deposits produce hydrocarbons from stratigraphic traps within the volcanic material, within the porous beachrock, and structurally within overlying sandstones. The intruded Austin Chalk also behaves as a reservoir because the original porosity and permeability are maintained by early emplacement of oil and the overlying volcanic clay acts as a seal by preventing vertical migration. Marcelina Creek field, discovered in 1980 from an {open_quotes}augen{close_quotes}-shaped seismic signature and an aerial magnetic survey, produces from the fractured chalk beneath the nontronitic clay layer. This field has produced more than 15 million barrels of oil from more than 60 wells in fractured and porous rock beneath the volcano.« less

  18. Upper Atmosphere Research Satellite (UARS) trade analysis

    NASA Technical Reports Server (NTRS)

    Fox, M. M.; Nebb, J.

    1983-01-01

    The Upper Atmosphere Research Satellite (UARS) which will collect data pertinent to the Earth's upper atmosphere is described. The collected data will be sent to the central data handling facility (CDHF) via the UARS ground system and the data will be processed and distributed to the remote analysis computer systems (RACS). An overview of the UARS ground system is presented. Three configurations were developed for the CDHF-RACS system. The CDHF configurations are discussed. The IBM CDHF configuration, the UNIVAC CDHF configuration and the vax cluster CDHF configuration are presented. The RACS configurations, the IBM RACS configurations, UNIVAC RACS and VAX RACS are detailed. Due to the large on-line data estimate to approximately 100 GB, a mass storage system is considered essential to the UARS CDHF. Mass storage systems were analyzed and the Braegan ATL, the RCA optical disk, the IBM 3850 and the MASSTOR M860 are discussed. It is determined that the type of mass storage system most suitable to UARS is the automated tape/cartridge device. Two devices of this type, the IBM 3850 and the MASSTOR MSS are analyzed and the applicable tape/cartridge device is incorporated into the three CDHF-RACS configurations.

  19. Fourteen cases of imposed upper airway obstruction.

    PubMed Central

    Samuels, M P; McClaughlin, W; Jacobson, R R; Poets, C F; Southall, D P

    1992-01-01

    Imposed upper airway obstruction was diagnosed as the cause of recurrent and severe cyanotic episodes in 14 patients. Episodes started between 0.8 and 33 months of age (median 1.4) and occurred over a period of 0.8 to 20 months (median 3.5). Diagnosis was made by covert video surveillance, instituted after either (a) the observation that episodes began only in the presence of one person, or (b) characteristic findings on physiological recordings, lasting between 12 hours and three weeks, performed in hospital or at home. Surveillance was undertaken for between 15 minutes and 12 days (median 24 hours) and resulted in safety for the patient and psychiatric assessment of the parent: mother (n = 12), father (n = 1), and grandmother (n = 1). These revealed histories of sexual, physical, or emotional abuse (n = 11), self harm (n = 9), factitious illness (n = 7), eating disorder (n = 10), and previous involvement with a psychiatrist (n = 7). Management of the abusing parents is complex, but recognition of their psychosocial characteristics may allow earlier diagnosis. Imposed upper airway obstruction should be considered and excluded by physiological recordings in any infant or young child with recurrent cyanotic episodes. If physiological recordings fail to substantiate a natural cause for episodes, covert video surveillance may be essential to protect the child from further injury or death. PMID:1543373

  20. 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.

  1. Mammal extinctions in the Vallesian (Upper Miocene)

    NASA Astrophysics Data System (ADS)

    Agusti, J.; Moya-Sola, S.

    The term Vallesian was created by Crusafont (1950) to designate the first European Mammalian palaeofaunas containing the equid Hipparion, the remainder of the faunas being composed of typical elements coming from the Middle Miocene such as Micromeryx, Euprox, Sansanosmilus, Pseudaelurus, and Listriodon. Thus, the Aragonian-Vallesian boundary does not show a strong change among European Miocene mammalian faunas (Agusti et al., 1984). On the other hand, the Lower Vallesian/Upper Vallesian transition corresponds to a major biotic crisis. This boudnary is characterized by the disappearence of most of the Aragonian artiodactyl forms such as Protragocerus, Miotragocerus, Listriodon, Hyotherium, Parachleusastochoerus, etc. Among the rodents, this crisis affects the family Eomyidae and most of the cricetid and glirid species. On the other hand, a number of eastern elements appear in the area at the same time. This is the case of the suid Schizochoerus and the murid Progonomys. Other eastern forms are Tragoportax, Graecoryx, Adcrocuta, Paramachairodus, Microstonyx, etc. Most of these are typical elements of the next Mammal stage, the Turolian. Thus, whereas the Lower Vallesian fauna has a typical Aragonian composition except for Hipparion. After the Middle Vallesian event, the Upper Vallesian faunas are already largely Turolian in character. The possible factors involved in this extinction event are discussed.

  2. Consumer design priorities for upper limb prosthetics.

    PubMed

    Biddiss, Elaine; Beaton, Dorcas; Chau, Tom

    2007-11-01

    To measure consumer satisfaction with upper limb prosthetics and provide an enumerated list of design priorities for future developments. A self-administered, anonymous survey collected information on participant demographics, history of and goals for prosthesis use, satisfaction, and design priorities. The questionnaire was available online and in paper format and was distributed through healthcare providers, community support groups, and one prosthesis manufacturer; 242 participants of all ages and levels of upper limb absence completed the survey. Rates of rejection for myoelectric hands, passive hands, and body-powered hooks were 39%, 53%, and 50%, respectively. Prosthesis wearers were generally satisfied with their devices while prosthesis rejecters were dissatisfied. Reduced prosthesis weight emerged as the highest priority design concern of consumers. Lower cost ranked within the top five design priorities for adult wearers of all device types. Life-like appearance is a priority for passive/cosmetic prostheses, while improved harness comfort, wrist movement, grip control and strength are required for body-powered devices. Glove durability, lack of sensory feedback, and poor dexterity were also identified as design priorities for electric devices. Design priorities reflect consumer goals for prosthesis use and vary depending on the type of prosthesis used and age. Future design efforts should focus on the development of more light-weight, comfortable prostheses.

  3. Tumours of the upper alimentary tract

    PubMed Central

    Head, K. W.

    1976-01-01

    Tumours of the oropharynx of domestic animals are common in most parts of the world, but squamous cell carcinoma of the upper alimentary tract shows differences in prevalence in different geographical areas and occurs at different sites in the various species. Oral tumours of the melanogenic system are more common in dogs than in man. The following main histological categories, which broadly correspond to those used in the classification of tumours of man, are described: papilloma; squamous cell carcinoma; salivary gland tumours; malignant melanoma; tumours of soft (mesenchymal) tissues; tumours of the facial bones; tumours of haematopoietic and related tissues; and odontogenic tumours and jaw cysts. Papilloma, squamous cell carcinoma, malignant melanoma, fibroma, and fibrosarcoma account for about 80% of the tumours that occur in the upper alimentary tract of domestic animals. ImagesFig. 6Fig. 7Fig. 8Fig. 9Fig. 34Fig. 35Fig. 36Fig. 37Fig. 2Fig. 3Fig. 4Fig. 5Fig. 22Fig. 23Fig. 24Fig. 25Fig. 26Fig. 27Fig. 28Fig. 29Fig. 14Fig. 15Fig. 16Fig. 17Fig. 30Fig. 31Fig. 32Fig. 33Fig. 18Fig. 19Fig. 20Fig. 21Fig. 10Fig. 11Fig. 12Fig. 13Fig. 1 PMID:1086147

  4. Laparoscopic jejunostomy for obstructing upper gastrointestinal malignancies

    PubMed Central

    TSUJIMOTO, HIRONORI; HIRAKI, SHUICHI; TAKAHATA, RISA; NOMURA, SHINSUKE; ITO, NOZOMI; KANEMATSU, KYOHEI; HORIGUCHI, HIROYUKI; AOSASA, SUEFUMI; YAMAMOTO, JUNJI; HASE, KAZUO

    2015-01-01

    The aim of this study was to describe a minimally invasive laparoscopic jejunostomy (Lap-J) technique for obstruction due to upper gastrointestinal malignancies and evaluate the nutritional benefit of Lap-J during neoadjuvant chemotherapy (NAC) in cases with obstructing esophageal cancer. Under general anesthesia, the jejunum 20–30 cm distant from the Treitz ligament was pulled out through an extended umbilical laparoscopic incision and a jejunal tube was inserted to 30 cm. The loop of bowel was gently returned to the abdomen and the feeding tube was drawn through the abdominal wall via the left lower incision. The jejunum was then laparoscopically sutured to the anterior abdominal wall. Lap-J was performed in 26 cases. The median operative time was 82 min. The postoperative course was uneventful. Lap-J prior to NAC was not associated with a decrease in body weight or serum total protein during NAC, compared with patients who received NAC without Lap-J. This minimally invasive jejunostomy technique may be particularly useful in patients in whom endoscopic therapy is not feasible due to obstruction from upper gastrointestinal malignancies. PMID:26807238

  5. HALOE Algorithm Improvements for Upper Tropospheric Sounding

    NASA Technical Reports Server (NTRS)

    McHugh, Martin J.; Gordley, Larry L.; Russell, James M., III; Hervig, Mark E.

    1999-01-01

    This report details the ongoing efforts by GATS, Inc., in conjunction with Hampton University and University of Wyoming, in NASA's Mission to Planet Earth UARS Science Investigator Program entitled "HALOE Algorithm Improvements for Upper Tropospheric Soundings." The goal of this effort is to develop and implement major inversion and processing improvements that will extend HALOE measurements further into the troposphere. In particular, O3, H2O, and CH4 retrievals may be extended into the middle troposphere, and NO, HCl and possibly HF into the upper troposphere. Key areas of research being carried out to accomplish this include: pointing/tracking analysis; cloud identification and modeling; simultaneous multichannel retrieval capability; forward model improvements; high vertical-resolution gas filter channel retrievals; a refined temperature retrieval; robust error analyses; long-term trend reliability studies; and data validation. The current (first-year) effort concentrates on the pointer/tracker correction algorithms, cloud filtering and validation, and multi-channel retrieval development. However, these areas are all highly coupled, so progress in one area benefits from and sometimes depends on work in others.

  6. [Severe upper airway obstruction in infectious mononucleosis: a life emergency].

    PubMed

    Salazard, B; Paut, O; Nicollas, R; Zandotti, C; Chrestian, M A; Thuret, I; Camboulives, J

    2001-09-01

    Upper airway obstruction can represent a severe, life-threatening complication of infectious mononucleosis. We report a rare case of airway obstruction in a child with infectious mononucleosis associated with herpes virus infection, and we discuss management strategy that can be proposed in such cases. A 9-year-old girl was hospitalised in intensive care unit for obstructive dyspnea during infectious mononucleosis. Despite five days of corticosteroids and tracheal intubation, persistent pharyngo-tonsillar tumefaction led us to perform a surgical adenotonsillectomy. This latter treatment allowed immediate tracheal extubation and a rapid recovery. Histology showed a herpes virus infection associated with infectious mononucleosis. Maintaining airway opening in infectious mononucleosis needs sometimes to use instrumental interventions: nasal trumpet, endotracheal intubation, even tracheostomy. Early tonsilloadenoidectomy may relieve airway obstruction and allow a rapid recovery in the most severe cases. Airway obstruction in infectious mononucleosis may be aggravated by concomitant herpes virus infection that should be searched for in this situation, in order to adapt the treatment.

  7. [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.

  8. New petrofacies in upper Cretaceous section of southern California

    SciTech Connect

    Colburn, I.P.; Oliver, D.

    1986-04-01

    A distinctive sandstone-conglomerate petrofacies is recognized throughout the Late Cretaceous (Maestrichtian-late Campanian) Chatsworth Formation in the Simi Hills. It is named the Woolsey Canyon petrofacies after the district where it was first recognized. The petrofacies is also recognized in the Late Cretaceous (late Campanian and possibly early Maestrichtian) Tuna Canyon Formation of the central Santa Monica Mountains. The conglomerates in the petrofacies are composed predominantly of angular pebble-size clasts of argillite, quartz-rich rocks (orthoquartzarenite, metaorthoquartzarenite, mice quartz schist) and leucocratic plutoniate (granite-granodiorite). The conglomerate texture and composition are mirrored in the sandstone. The uniformly angular character of the conglomerate clastsmore » and the survival of argillite clasts indicate that the detritus underwent no more than 5 mi of subaerial transport before it entered the deep marine realm. Foraminifers collected from mudstones interbedded with the conglomerates indicate upper bathyal water depth at the site of deposition. A source terrane of low to moderate relief is indicated by the absence of cobbles and boulders. Bed forms, sedimentary structures, and textural features indicate the detritus moved north from its source terrane to be deposited by turbidity currents, debris flows, and grain flows on the Chatsworth Submarine Fan. The detritus of the Woolsey Canyon petrofacies was derived from basement rocks, now largely buried beneath the Los Angeles basin, that were being eroded during the formation of the Cretaceous Los Angeles erosion surface. The detritus came from the Los Angeles arch of that surface.« less

  9. Upper gastrointestinal bleeding risk scores: Who, when and why?

    PubMed Central

    Monteiro, Sara; Gonçalves, Tiago Cúrdia; Magalhães, Joana; Cotter, José

    2016-01-01

    Upper gastrointestinal bleeding (UGIB) remains a significant cause of hospital admission. In order to stratify patients according to the risk of the complications, such as rebleeding or death, and to predict the need of clinical intervention, several risk scores have been proposed and their use consistently recommended by international guidelines. The use of risk scoring systems in early assessment of patients suffering from UGIB may be useful to distinguish high-risks patients, who may need clinical intervention and hospitalization, from low risk patients with a lower chance of developing complications, in which management as outpatients can be considered. Although several scores have been published and validated for predicting different outcomes, the most frequently cited ones are the Rockall score and the Glasgow Blatchford score (GBS). While Rockall score, which incorporates clinical and endoscopic variables, has been validated to predict mortality, the GBS, which is based on clinical and laboratorial parameters, has been studied to predict the need of clinical intervention. Despite the advantages previously reported, their use in clinical decisions is still limited. This review describes the different risk scores used in the UGIB setting, highlights the most important research, explains why and when their use may be helpful, reflects on the problems that remain unresolved and guides future research with practical impact. PMID:26909231

  10. 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

  11. 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.

  12. Upper Stage Engine Composite Nozzle Extensions

    NASA Technical Reports Server (NTRS)

    Valentine, Peter G.; Allen, Lee R.; Gradl, Paul R.; Greene, Sandra E.; Sullivan, Brian J.; Weller, Leslie J.; Koenig, John R.; Cuneo, Jacques C.; Thompson, James; Brown, Aaron; hide

    2015-01-01

    Carbon-carbon (C-C) composite nozzle extensions are of interest for use on a variety of launch vehicle upper stage engines and in-space propulsion systems. The C-C nozzle extension technology and test capabilities being developed are intended to support National Aeronautics and Space Administration (NASA) and United States Air Force (USAF) requirements, as well as broader industry needs. Recent and on-going efforts at the Marshall Space Flight Center (MSFC) are aimed at both (a) further developing the technology and databases for nozzle extensions fabricated from specific CC materials, and (b) developing and demonstrating low-cost capabilities for testing composite nozzle extensions. At present, materials development work is concentrating on developing a database for lyocell-based C-C that can be used for upper stage engine nozzle extension design, modeling, and analysis efforts. Lyocell-based C-C behaves in a manner similar to rayon-based CC, but does not have the environmental issues associated with the use of rayon. Future work will also further investigate technology and database gaps and needs for more-established polyacrylonitrile- (PAN-) based C-C's. As a low-cost means of being able to rapidly test and screen nozzle extension materials and structures, MSFC has recently established and demonstrated a test rig at MSFC's Test Stand (TS) 115 for testing subscale nozzle extensions with 3.5-inch inside diameters at the attachment plane. Test durations of up to 120 seconds have been demonstrated using oxygen/hydrogen propellants. Other propellant combinations, including the use of hydrocarbon fuels, can be used if desired. Another test capability being developed will allow the testing of larger nozzle extensions (13.5- inch inside diameters at the attachment plane) in environments more similar to those of actual oxygen/hydrogen upper stage engines. Two C-C nozzle extensions (one lyocell-based, one PAN-based) have been fabricated for testing with the larger

  13. Energy Deposition Processes in Titan's Upper Atmosphere

    NASA Technical Reports Server (NTRS)

    Sittler, Edward C., Jr.; Bertucci, Cesar; Coates, Andrew; Cravens, Tom; Dandouras, Iannis; Shemansky, Don

    2008-01-01

    Most of Titan's atmospheric organic and nitrogen chemistry, aerosol formation, and atmospheric loss are driven from external energy sources such as Solar UV, Saturn's magnetosphere, solar wind and galactic cosmic rays. The Solar UV tends to dominate the energy input at lower altitudes of approximately 1100 km but which can extend down to approximately 400 km, while the plasma interaction from Saturn's magnetosphere, Saturn's magnetosheath or solar wind are more important at higher altitudes of approximately 1400 km, but the heavy ion plasma [O(+)] of approximately 2 keV and energetic ions [H(+)] of approximately 30 keV or higher from Saturn's magnetosphere can penetrate below 950km. Cosmic rays with energies of greater than 1 GeV can penetrate much deeper into Titan's atmosphere with most of its energy deposited at approximately 100 km altitude. The haze layer tends to dominate between 100 km and 300 km. The induced magnetic field from Titan's interaction with the external plasma can be very complex and will tend to channel the flow of energy into Titan's upper atmosphere. Cassini observations combined with advanced hybrid simulations of the plasma interaction with Titan's upper atmosphere show significant changes in the character of the interaction with Saturn local time at Titan's orbit where the magnetosphere displays large and systematic changes with local time. The external solar wind can also drive sub-storms within the magnetosphere which can then modify the magnetospheric interaction with Titan. Another important parameter is solar zenith angle (SZA) with respect to the co-rotation direction of the magnetospheric flow. Titan's interaction can contribute to atmospheric loss via pickup ion loss, scavenging of Titan's ionospheric plasma, loss of ionospheric plasma down its induced magnetotail via an ionospheric wind, and non-thermal loss of the atmosphere via heating and sputtering induced by the bombardment of magnetospheric keV ions and electrons. This

  14. Upper tropospheric ice sensitivity to sulfate geoengineering

    NASA Astrophysics Data System (ADS)

    Visioni, Daniele; Pitari, Giovanni; Mancini, Eva

    2017-04-01

    In light of the Paris Agreement which aims to keep global warming under 2 °C in the next century and considering the emission scenarios produced by the IPCC for the same time span, it is likely that to remain below that threshold some kind of geoengineering technique will have to be deployed. Amongst the different methods, the injection of sulfur into the stratosphere has received much attention considering its effectiveness and affordability. Aside from the rather well established surface cooling sulfate geoengineering (SG) would produce, the investigation on possible side-effects of this method is still ongoing. For instance, some recent studies have investigated the effect SG would have on upper tropospheric cirrus clouds, expecially on the homogenous freezing mechanisms that produces the ice particles (Kuebbeler et al., 2012). The goal of the present study is to better understand the effect of thermal and dynamical anomalies caused by SG on the formation of ice crystals via homogeneous freezing by comparing a complete SG simulation with a RCP4.5 reference case and with a number of sensitivity studies where atmospheric temperature changes in the upper tropospheric region are specified in a schematic way as a function of the aerosol driven stratospheric warming and mid-lower tropospheric cooling. These changes in the temperature profile tend to increase atmospheric stabilization, thus decreasing updraft and with it the amount of water vapor available for homogeneous freezing in the upper troposphere. However, what still needs to be assessed is the interaction between this dynamical effect and the thermal effects of tropospheric cooling (which would increase ice nucleation rates) and stratospheric warming (which would probably extend to the uppermost troposphere via SG aerosol gravitational settling, thus reducing ice nucleation rates), in order to understand how they combine together. Changes in ice clouds coverage could be important for SG, because cirrus ice

  15. Social networking among upper extremity patients.

    PubMed

    Rozental, Tamara D; George, Tina M; Chacko, Aron T

    2010-05-01

    Despite their rising popularity, the health care profession has been slow to embrace social networking sites. These are Web-based initiatives, designed to bring people with common interests or activities under a common umbrella. The purpose of this study is to evaluate social networking patterns among upper extremity patients. A total of 742 anonymous questionnaires were distributed among upper extremity outpatients, with a 62% response rate (462 were completed). Demographic characteristics (gender, age, level of education, employment, type of health insurance, and income stratification) were defined, and data on computer ownership and frequency of social networking use were collected. Social network users and nonusers were compared according to their demographic and socioeconomic characteristics. Our patient cohort consisted of 450 patients. Of those 450 patients, 418 had a high school education or higher, and 293 reported a college or graduate degree. The majority of patients (282) were employed at the time of the survey, and income was evenly distributed among U.S. Census Bureau quintiles. A total of 349 patients reported computer ownership, and 170 reported using social networking sites. When compared to nonusers, social networking users were younger (p<.001), more educated (p<.001), and more likely to be employed (p = .013). Users also had higher income levels (p=0.028) and had high rates of computer ownership (p<.001). Multivariate regression revealed that younger age (p<.001), computer ownership (p<.001), and higher education (p<.001) were independent predictors of social networking use. Most users (n = 114) regularly visit a single site. Facebook was the most popular site visited (n=142), followed by MySpace (n=28) and Twitter (n=16). Of the 450 upper extremity patients in our sample, 170 use social networking sites. Younger age, higher level of education, and computer ownership were associated with social networking use. Physicians should consider

  16. 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.

  17. 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.

  18. [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.

  19. 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.

  20. Accelerator 14C dates for early upper paleolithic (basal Aurignacian) at El Castillo Cave (Spain)

    USGS Publications Warehouse

    Valdes, V.C.; Bischoff, J.L.

    1989-01-01

    Three fragments of charcoal taken from different parts of the lowermost bed containing Aurignacian artifacts at El Castillo Cave yielded AMS dates of 37??7 (?? 1??8) ka bp, 38??5 (?? 1??8) ka bp, and 40??0 (?? 2??1) ka bp (average 38??7 ?? 1??9 ka bp). These dates are almost identical to new AMS dates from l'Arbreda cave in Catalunya on the same cultural horizon (average 38??5 ?? 1??0 ka bp) and are significantly older than the earliest dates for Aurignacian industries in the Aquitaine and in other parts of Central and Western Europe. ?? 1989.

  1. Upper extremity injuries in Homer's Iliad.

    PubMed

    Hutchison, Richard L; Hirthler, Maureen A

    2013-09-01

    Homer's Iliad remains a fascinating source of medical history. This epic poem, compiled around 800 BCE, describes several weeks of the last year of the 10-year siege of Troy (Ilion) by the Achaeans. Homer composed the epic by combining and formalizing oral poems, legends, customs, and experiences that originated in the later Mycenaean age (1600-1100 bce). The story centers on the rage of the great warrior Achilles. The Iliad remains the oldest record of Greek medicine and a unique source of surgical history. This study examines the upper extremity injuries described in the Iliad and compares them to those other sites of injury. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  2. Bayesian network modelling of upper gastrointestinal bleeding

    NASA Astrophysics Data System (ADS)

    Aisha, Nazziwa; Shohaimi, Shamarina; Adam, Mohd Bakri

    2013-09-01

    Bayesian networks are graphical probabilistic models that represent causal and other relationships between domain variables. In the context of medical decision making, these models have been explored to help in medical diagnosis and prognosis. In this paper, we discuss the Bayesian network formalism in building medical support systems and we learn a tree augmented naive Bayes Network (TAN) from gastrointestinal bleeding data. The accuracy of the TAN in classifying the source of gastrointestinal bleeding into upper or lower source is obtained. The TAN achieves a high classification accuracy of 86% and an area under curve of 92%. A sensitivity analysis of the model shows relatively high levels of entropy reduction for color of the stool, history of gastrointestinal bleeding, consistency and the ratio of blood urea nitrogen to creatinine. The TAN facilitates the identification of the source of GIB and requires further validation.

  3. Cerebral Arterial Gas Embolism During Upper Endoscopy.

    PubMed

    Eoh, Eun J; Derrick, Bruce; Moon, Richard

    2015-09-15

    Arterial gas embolism can be caused by direct entry of gas into systemic arteries or indirectly by venous-to-arterial shunting. Although arterial gas embolism is rare, most documented cases are iatrogenic, resulting from the entry of gas during procedures that involve direct vascular cannulation or intracavitary air insufflation. Of the 18 identified case reports of air embolism during endoscopy, 11 cases describe findings of cerebral arterial gas embolism during upper endoscopy. Only 1 of these occurred during endoscopic balloon dilation of an esophageal stricture. We report a rare case of cerebral arterial gas embolism in a 64-year-old woman, which occurred during endoscopic dilation of an esophageal stricture and was subsequently treated with hyperbaric oxygen therapy. In this case report, we explore the possible etiologies, clinical workup, and therapeutic management of cerebral artery gas embolisms. Hyperbaric oxygen therapy is the treatment of choice for cerebral arterial gas embolism, with earlier treatments resulting in better outcomes.

  4. Estuarine studies in upper Grays Harbor, Washington

    USGS Publications Warehouse

    Beverage, Joseph P.; Swecker, Milton N.

    1969-01-01

    Improved management of the water resources of Grays Harbor, Wash., requires more data on the water quality of the harbor and a better understanding of the influences of industrial and domestic wastes on the local fisheries resources. To provide a more comprehensive understanding of these influences, the U.S. Geological Survey joined other agencies in a cooperative study of Grays Harbor. This report summarizes the Survey's study of circulation patterns, description of water-quality conditions, and characterization of bottom material in the upper harbor. Salt water was found to intrude at least as far as Montesano, 28.4 nautical miles from the mouth of the harbor. Longitudinal salinity distributions were used to compute dispersion (diffusivity) coefficients ranging from 842 to 3,520 square feet per second. These values were corroborated by half-tidal-cycle dye studies. The waters of the harbor were found to be well mixed after extended periods of low fresh-water flow but stratified at high flows. Salinity data were used lo define the cumulative 'mean age' of the harbor water, which may be used to approximate a mean 'flushing time.' Velocity-time curves for the upper harbor are distorted from simple harmonic functions owing to channel geometry and frictional effects. Surface and bottom velocity data were used to estimate net tidal 'separation' distance, neglecting vertical mixing. Net separation distances between top and bottom water ranged from 1.65 nautical miles when fresh-water inflow was 610 cubic feet per second to 13.4 miles when inflow was 15,900 cubic feet per second. The cumulative mean age from integration of the fresh-water velocity equation was about twice that obtained from the salinity distribution. Excursion distances obtained with dye over half-tidal cycles exceeded those estimated from longitudinal salinity distributions and those obtained by earlier investigators who used floats. Net tidal excursions were as much as twice those obtained with floats

  5. Barium appendicitis after upper gastrointestinal imaging.

    PubMed

    Novotny, Nathan M; Lillemoe, Keith D; Falimirski, Mark E

    2010-02-01

    Barium appendicitis (BA) is a rarely seen entity with fewer than 30 reports in the literature. However, it is a known complication of barium imaging. To report a case of BA in a patient whose computed tomography (CT) scan was initially read as foreign body ingestion. An 18-year-old man presented with right lower quadrant pain after upper gastrointestinal imaging 2 weeks prior. A CT scan was obtained of his abdomen and pelvis that revealed a finding that was interpreted as a foreign body at the area of the terminal ileum. A plain X-ray study of the abdomen revealed radiopaque appendicoliths. Pathology confirmed the diagnosis of barium appendicitis. BA is a rare entity and the pathogenesis is unclear. Shorter intervals between barium study and presentation with appendicitis usually correlate with fewer complications. Copyright (c) 2010 Elsevier Inc. All rights reserved.

  6. Upper Colorado River Basin Climate Effects Network

    USGS Publications Warehouse

    Belnap, Jayne; Campbell, Donald; Kershner, Jeff

    2011-01-01

    The Upper Colorado River Basin (UCRB) Climate Effects Network (CEN) is a science team established to provide information to assist land managers in future decision making processes by providing a better understanding of how future climate change, land use, invasive species, altered fire cycles, human systems, and the interactions among these factors will affect ecosystems and the services they provide to human communities. The goals of this group are to (1) identify science needs and provide tools to assist land managers in addressing these needs, (2) provide a Web site where users can access information pertinent to this region, and (3) provide managers technical assistance when needed. Answers to the team's working science questions are intended to address how interactions among climate change, land use, and management practices may affect key aspects of water availability, ecosystem changes, and societal needs within the UCRB.

  7. Inertio Gravity Waves in the Upper Mesosphere

    NASA Technical Reports Server (NTRS)

    Mayr, H. G.; Mengel, J. G.; Talaat, E. L.; Porter, H. S.; Chan, K. L.

    2003-01-01

    In the polar region of the upper mesosphere, horizontal wind oscillations have been observed with periods around 10 hours (Hernandez et al., 1992). Such waves are generated in our Numerical Spectral Model (NSM) and appear to be inertio gravity waves (IGW). Like the planetary waves (PW) in the model, the IGWs are generated by instabilities that arise in the mean zonal circulation. In addition to stationary waves for m = 0, eastward and westward propagating waves for m = 1 to 4 appear above 70 km that grow in magnitude up to about 110 km, having periods between 9 and 11 hours. The m = 1 westward propagating IGWs have the largest amplitudes, which can reach at the poles 30 m/s. Like PWs, the IGWs are intermittent but reveal systematic seasonal variations, with the largest amplitudes occurring generally in winter and spring. The IGWs propagate upward with a vertical wavelength of about 20 km.

  8. HYDRODYNAMIC SIMULATION OF THE UPPER POTOMAC ESTUARY.

    USGS Publications Warehouse

    Schaffranck, Raymond W.

    1986-01-01

    Hydrodynamics of the upper extent of the Potomac Estuary between Indian Head and Morgantown, Md. , are simulated using a two-dimensional model. The model computes water-surface elevations and depth-averaged velocities by numerically integrating finite-difference forms of the equations of mass and momentum conservation using the alternating direction implicit method. The fundamental, non-linear, unsteady-flow equations, upon which the model is formulated, include additional terms to account for Coriolis acceleration and meteorological influences. Preliminary model/prototype data comparisons show agreement to within 9% for tidal flow volumes and phase differences within the measured-data-recording interval. Use of the model to investigate the hydrodynamics and certain aspects of transport within this Potomac Estuary reach is demonstrated. Refs.

  9. 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.

  10. Resistivity sections, upper Arkansas River basin, Colorado

    USGS Publications Warehouse

    Zohdy, Adel A.R.; Hershey, Lloyd A.; Emery, Philip A.; Stanley, William D.

    1971-01-01

    A reconnaissance investigation of ground-water resources in the upper Arkansas River basin from Pueblo to Leadville is being made by the U.S. Geological Survey in cooperation with the Southeastern Colorado Water Conservancy District, and the Colorado Division of Water Resources, Colorado State Engineer. As part of the investigation, surface geophysical electrical resistivity surveys were made during the summer and fall of 1970 near Buena Vista and Westcliffe, Colo. (p1.1). The resistivity surveys were made to verify a previous gravity survey and to help locate areas where ground-water supplies might be developed. This report presents the results of the surveys in the form of two resistivity sections.

  11. The Upper Atmosphere Research Satellite (UARS)

    NASA Technical Reports Server (NTRS)

    Reber, Carl A.

    1993-01-01

    The Upper Atmosphere Research Satellite (UARS) was launched by the Space Shuttle on September 12, 1991 into a near circular orbit at 585 km altitude inclined 57 degrees to the Equator. Measurements were initiated a few days later, including solar energy inputs to the atmosphere and vertical profiles of temperature, important minor gas species, and wind fields. The orbital parameters, combined with the sensor measurements characteristics, yield a measurement pattern that produces near global coverage with a duty cycle that periodically favors the Northern or the Southern Hemispheres. A few spacecraft and instrument anomalies have impacted the total amount of data obtained to date, but the overall performance of the mission has been very good.

  12. Aerial laser sensing of ocean upper layer

    NASA Technical Reports Server (NTRS)

    Vlasov, D. V.

    1985-01-01

    Applications of laser sensing of the ocean, such as deep bathymetry; determination of the luminescence spectrum of phytoplankton as a sensitive indicator of changes in the external physical parameters of the studied region; monitoring the state of underwater pipelines; conducting search and rescue missions; monitoring pollution; biological observations of the state of algae; searching for schools of fish, etc., are discussed. The Chayka apparatus for laser sensing is discussed. A block diagram is given which is used in describing functioning of this unit. Particular attention is given to the time structure of an echo signal appearing when sensing the upper ocean layer by a short laser pulse propagating through the wave-covered surface.

  13. Nitrogen Chemistry in Titan's Upper Atmosphere

    NASA Technical Reports Server (NTRS)

    McKay, Christopher P.; Cuzzi, Jeffrey (Technical Monitor)

    1996-01-01

    In Titan's upper atmosphere N2 is dissociated to N by solar UV and high energy electrons. This flux of N provides for interesting organic chemistry in the lower atmosphere of Titan. Previously the main pathway for the loss of this N was thought to be the formation of HCN, followed by diffusion of this HCN to lower altitudes leading ultimately to condensation. However, recent laboratory simulations of organic chemistry in Titan's atmosphere suggest that formation of the organic haze may be an important sink for atmospheric N. Because estimates of the eddy diffusion profile on Titan have been based on the HCN profile, inclusion of this additional sink for N will affect estimates for all transport processes in Titan's atmosphere. This and other implications of this sink for the N balance on Titan are considered.

  14. The Escaping Upper Atmospheres of Hot Jupiters

    NASA Astrophysics Data System (ADS)

    Davidson, Eric; Jones, Gabrielle; Uribe, Ana; Carson, Joseph

    2017-01-01

    Hot Jupiters are massive gaseous planets which orbit closely to their parent star. The strong stellar irradiation at these small orbital separations causes the temperature of the upper atmosphere of the planet to rise. This can cause the planet's atmosphere to escape into space, creating an exoplanet outflow. We ascertained which factors determine the presence and structure of these outflows by creating one dimensional simulations of the density, pressure, velocity, optical depth, and neutral fraction of hot Jupiter atmospheres. This was done for planets of masses and radii ranging from 0.5-1.5 Mj and 0.5-1.5 Rj. We found the outflow rate to be highest for a planet of 0.5 Mj and 1.5 Rj at 5.3×10-14 Mj/Yr. We also found that the higher the escape velocity, the lower the chance of the planet having an outflow.

  15. The Upper Atmosphere Research Satellite (UARS) mission

    NASA Technical Reports Server (NTRS)

    Reber, Carl A.; Trevathan, Charles E.; Mcneal, Robert J.; Luther, Michael R.

    1993-01-01

    The Upper Atmosphere Research Satellite (UARS) is a NASA program aimed at improving our knowledge of the physical and chemical processes controlling the stratosphere, mesosphere, and lower thermosphere, emphasizing those levels that are known to be particularly susceptible to change by human activities. The spacecraft was launched by the Space Shuttle Discovery on September 12, 1991 into a near-circular orbit at 585 km altitude and 57 deg inclination. Measurements include vertical profiles of temperature, many trace gases, and horizontal wind velocities, as well as solar energy inputs. Many of the limb-scanning instruments can measure to as high as 80 deg latitude, providing near-global coverage. The mission is supported by a large international correlative measurement program, yielding data both for validation of the UARS measurements and for complementary scientific studies. A dedicated data system provides rapid processing to geophysical quantities and makes these data available to UARS scientists.

  16. Temperature structure of the Uranian upper atmosphere

    NASA Technical Reports Server (NTRS)

    Elliot, J. L.; Dunham, E.

    1979-01-01

    The temperature structure of the upper atmosphere of Uranus at two locations on the planet was determined from observations of the occultation of the star SAO158687 by Uranus on 10 March 1977, carried out at the Kuiper Airborne Observatory. The temperature-pressure relationships obtained from the immersion and emersion data for 7280 A channel show peak-to-peak variations of 45 K for immersion and 35 K for emersion. The mean temperature for both immersion and emersion profiles is about 100 K, which shows that Uranus has a temperature inversion between 0.001 mbar and the 100 mbar level probed by IR measurements. Both profiles show wavelike temperature variations, which may be due to dynamical or photochemical processes.

  17. [Upper respiratory tract infections and sports].

    PubMed

    Boffi El Amari, Emmanuelle

    2010-08-11

    Upper respiratory tract infections are frequent in athletes. Mainly of viral origin, they are treated symptomatically. Infectious mononucleosis is associated with an estimated 2% per hundred risk of splenic rupture, which occurs between day four and twenty one of the illness. Therefore return to play guidelines recommend avoiding, exercice during the first twenty one days. Physical exercise seems to influence the immune system, depending on the intensity and length of it. But the relationship between physical exercise and risk of infections remains controversial: some articles showing an increase in risk, whereas others suggesting a certain degree of protection, in athletes. The actual generally accepted working theory is the J-curve proposed by Nieman. This model remains to be formally proven.

  18. 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.

  19. Upper gastrointestinal symptoms in autoimmune gastritis

    PubMed Central

    Carabotti, Marilia; Lahner, Edith; Esposito, Gianluca; Sacchi, Maria Carlotta; Severi, Carola; Annibale, Bruno

    2017-01-01

    Abstract Autoimmune gastritis is often suspected for its hematologic findings, and rarely the diagnosis is made for the presence of gastrointestinal symptoms. Aims of this cross-sectional study were to assess in a large cohort of patients affected by autoimmune gastritis the occurrence and the pattern of gastrointestinal symptoms and to evaluate whether symptomatic patients are characterized by specific clinical features. Gastrointestinal symptoms of 379 consecutive autoimmune gastritis patients were systematically assessed and classified following Rome III Criteria. Association between symptoms and anemia pattern, positivity to gastric autoantibodies, Helicobacter pylori infection, and concomitant autoimmune disease were evaluated. In total, 70.2% of patients were female, median age 55 years (range 17–83). Pernicious anemia (53.6%), iron deficiency anemia (34.8%), gastric autoantibodies (68.8%), and autoimmune disorders (41.7%) were present. However, 56.7% of patients complained of gastrointestinal symptoms, 69.8% of them had exclusively upper symptoms, 15.8% only lower and 14.4% concomitant upper and lower symptoms. Dyspepsia, subtype postprandial distress syndrome was the most represented, being present in 60.2% of symptomatic patients. Univariate and multivariate analyses showed that age <55 years (OR 1.6 [CI:1–2.5]), absence of smoking habit (OR 2.2 [CI:1.2–4]), and absence of anemia (OR 3.1 [CI:1.5–6.4]) were independent factors associated to dyspepsia. Autoimmune gastritis is associated in almost 60% of cases with gastrointestinal symptoms, in particular dyspepsia. Dyspepsia is strictly related to younger age, no smoking, and absence of anemia. PMID:28072728

  20. Southern Hemisphere Upper Thermospheric Wind Climatology

    NASA Astrophysics Data System (ADS)

    Dhadly, M. S.; Emmert, J. T.; Drob, D. P.

    2017-12-01

    This study is focused on the poorly understood large-scale upper thermospheric wind dynamics in the southern polar cap, auroral, and mid latitudes. The gaps in our understanding of the dynamic high-latitude thermosphere are largely due to the sparseness of thermospheric wind measurements. Using data from current observational facilities, it is unfeasible to construct a synoptic picture of the Southern Hemisphere upper thermospheric winds. However, enough data with wide spatial and temporal coverage have accumulated to construct a meaningful statistical analysis of winds as function of season, magnetic latitude, and magnetic local time. We use long-term data from nine ground-based stations located at different southern high latitudes and three space-based instruments. These diverse data sets possess different geometries and different spatial and solar coverage. The major challenge of the effort is to combine these disparate sources of data into a coherent picture while overcoming the sampling limitations and biases among the datasets. Our preliminary analyses show mutual biases present among some of them. We first address the biases among various data sets and then combine them in a coherent way to construct maps of neutral winds for various seasons. We then validate the fitted climatology against the observational data and compare with corresponding fits of 25 years of simulated winds from the National Center for Atmospheric Research Thermosphere-Ionosphere-Electrodynamics General Circulation Model. This study provides critical insight into magnetosphere-ionosphere-thermosphere coupling and sets a necessary benchmark for validating new observations and tuning first-principles models.

  1. Integrated Solar Upper Stage Technical Support

    NASA Technical Reports Server (NTRS)

    Jaworske, Donald A.

    1998-01-01

    NASA Lewis Research Center is participating in the Integrated Solar Upper Stage (ISUS) program. This program is a ground-based demonstration of an upper stage concept that will be used to generate both solar propulsion and solar power. Solar energy collected by a primary concentrator is directed into the aperture of a secondary concentrator and further concentrated into the aperture of a heat receiver. The energy stored in the receiver-absorber-converter is used to heat hydrogen gas to provide propulsion during the orbital transfer portion of the mission. During the balance of the mission, electric power is generated by thermionic diodes. Several materials issues were addressed as part of the technical support portion of the ISUS program, including: 1) Evaluation of primary concentrator coupons; 2) Evaluation of secondary concentrator coupons; 3) Evaluation of receiver-absorber-converter coupons; 4) Evaluation of in-test witness coupons. Two different types of primary concentrator coupons were evaluated from two different contractors-replicated coupons made from graphite-epoxy composite and coupons made from microsheet glass. Specular reflectivity measurements identified the replicated graphite-epoxy composite coupons as the primary concentrator material of choice. Several different secondary concentrator materials were evaluated, including a variety of silver and rhodium reflectors. The specular reflectivity of these materials was evaluated under vacuum at temperatures up to 800 C. The optical properties of several coupons of rhenium on graphite were evaluated to predict the thermal performance of the receiver-absorber-converter. Finally, during the ground test demonstration, witness coupons placed in strategic locations throughout the thermal vacuum facility were evaluated for contaminants. All testing for the ISUS program was completed successfully in 1997. Investigations related to materials issues have proven helpful in understanding the operation of the test

  2. 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.

  3. Early Childhood Caries: A Review.

    PubMed

    Alazmah, Abdulfatah

    2017-08-01

    To review and update the current knowledge about early childhood caries (ECC) and its etiology, prevalence, risk factors, management, and preventive strategies. Early childhood caries is a disease affecting significantly both well-developed and industrial nations. The ECC can significantly affect the child's quality of life, as it may lead to infection, swelling, pain, and other symptoms. The ECC affects children after eruption of primary teeth until age of around 5 years. The ECC affects all parts of the tooth including the smooth surface. Upper anterior teeth and primary molars are usually affected. The lower anterior teeth are less likely affected. The risk factors for ECC are diet, bacteria, and host susceptibility. The additional factors, such as presence of enamel defect and the feeding practices also contribute to the initiation and progress of ECC. Dentists must focus on utilizing existing techniques to distinguish indications of right on time and propelled caries and give guidance on the best way to counteract and control caries in children. Approaches should be directed to preventive caries control strategies among children. Preventing and controlling the development of ECC among children is important to maintain effective eating, speech development, and formation of a positive self-image.

  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. 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.

  6. 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

  7. Upper mantle fluids evolution, diamond formation, and mantle metasomatism

    NASA Astrophysics Data System (ADS)

    Huang, F.; Sverjensky, D. A.

    2017-12-01

    During mantle metasomatism, fluid-rock interactions in the mantle modify wall-rock compositions. Previous studies usually either investigated mineral compositions in xenoliths and xenocrysts brought up by magmas, or examined fluid compositions preserved in fluid inclusions in diamonds. However, a key study of Panda diamonds analysed both mineral and fluid inclusions in the diamonds [1] which we used to develop a quantitative characterization of mantle metasomatic processes. In the present study, we used an extended Deep Earth Water model [2] to simulate fluid-rock interactions at upper mantle conditions, and examine the fluids and mineral assemblages together simultaneously. Three types of end-member fluids in the Panda diamond fluid inclusions include saline, rich in Na+K+Cl; silicic, rich in Si+Al; and carbonatitic, rich in Ca+Mg+Fe [1, 3]. We used the carbonatitic end-member to represent fluid from a subducting slab reacting with an excess of peridotite + some saline fluid in the host environment. During simultaneous fluid mixing and reaction with the host rock, the logfO2 increased by about 1.6 units, and the pH increased by 0.7 units. The final minerals were olivine, garnet and diamond. The Mg# of olivine decreased from 0.92 to 0.85. Garnet precipitated at an early stage, and its Mg# also decreased with reaction progress, in agreement with the solid inclusions in the Panda diamonds. Phlogopite precipitated as an intermediate mineral and then disappeared. The aqueous Ca, Mg, Fe, Si and Al concentrations all increased, while Na, K, and Cl concentrations decreased during the reaction, consistent with trends in the fluid inclusion compositions. Our study demonstrates that fluids coming from subducting slabs could trigger mantle metasomatism, influence the compositions of sub-lithospherc cratonic mantle, precipitate diamonds, and change the oxygen fugacity and pH of the upper mantle fluids. [1] Tomlinson et al. EPSL (2006); [2] Sverjensky, DA et al., GCA (2014

  8. Tomography images of the Alpine roots and surrounding upper mantle

    NASA Astrophysics Data System (ADS)

    Plomerova, Jaroslava; Babuska, Vladislav

    2017-04-01

    Teleseismic body-wave tomography represents powerful tool to study regional velocity structure of the upper mantle and to image velocity anomalies, such as subducted lithosphere plates in collisional zones. In this contribution, we recapitulate 3D models of the upper mantle beneath the Alps, which developed at a collision zone of the Eurasian and African plates. Seismic tomography studies indicate a leading role of the rigid mantle lithosphere that functioned as a major stress guide during the plate collisions. Interactions of the European lithosphere with several micro-plates in the south resulted in an arcuate shape of this mountain range on the surface and in a complicated geometry of the Alpine subductions in the mantle. Early models with one bended lithosphere root have been replaced with more advanced models showing two separate lithosphere roots beneath the Western and Eastern Alps (Babuska et al., Tectonophysics 1990; Lippitsch et al., JGR 2003). The standard isotropic velocity tomography, based on pre-AlpArray data (the currently performed passive seismic experiment in the Alps and surroundings) images the south-eastward dipping curved slab of the Eurasian lithosphere in the Western Alps. On the contrary, beneath the Eastern Alps the results indicate a very steep northward dipping root that resulted from the collision of the European plate with the Adriatic microplate. Dando et al. (2011) interpret high-velocity heterogeneities at the bottom of their regional tomographic model as a graveyard of old subducted lithospheres. High density of stations, large amount of rays and dense ray-coverage of the volume studied are not the only essential pre-requisites for reliable tomography results. A compromise between the amount of pre-processed data and the high-quality of the tomography input (travel-time residuals) is of the high importance as well. For the first time, the existence of two separate roots beneath the Alps has been revealed from carefully pre

  9. 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.

  10. 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)

  11. Upper Oceanic Energy Response to Tropical Cyclone Passage

    DTIC Science & Technology

    2013-04-15

    insolation, and the upper ocean stratification . The importance of the upper ocean energy content to TCs, particularly their intensification, has been...similar to those of Shay and Brewster (2010), who showed that the stable stratification of the east Pacific also makes the 100-m mixed layer depth a poor... The upper oceanic temporal response to tropical cyclone (TC) passage is investigated using a 6-yr daily record of data-driven analyses of two

  12. Early Childhood Systems: Transforming Early Learning

    ERIC Educational Resources Information Center

    Kagan, Sharon Lynn, Ed.; Kauertz, Kristie, Ed.

    2012-01-01

    In this seminal volume, leading authorities strategize about how to create early childhood systems that transcend politics and economics to serve the needs of all young children. The authors offer different interpretations of the nature of early childhood systems, discuss the elements necessary to support their development, and examine how…

  13. 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

  14. 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.

  15. 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.

  16. 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

  17. Detail view of upper southwest corner, showing representative view of ...

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

    Detail view of upper southwest corner, showing representative view of cornice and window ornamentation - Hungarian Sick Benefit Societies Building, 1406-1418 State Street, Bridgeport, Fairfield County, CT

  18. 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.

  19. Nasopharyngeal polymicrobial colonization during health, viral upper respiratory infection and upper respiratory bacterial infection.

    PubMed

    Xu, Qingfu; Wischmeyer, Jareth; Gonzalez, Eduardo; Pichichero, Michael E

    2017-07-01

    We sought to understand how polymicrobial colonization varies during health, viral upper respiratory infection (URI) and acute upper respiratory bacterial infection to understand differences in infection-prone vs. non-prone patients. Nasopharyngeal (NP) samples were collected from 74 acute otitis media (AOM) infection-prone and 754 non-prone children during 2094 healthy visits, 673 viral URI visits and 631 AOM visits. Three otopathogens Streptococcus pneumoniae (Spn), Nontypeable Haemophilus influenzae (NTHi), and Moraxella catarrhalis (Mcat) were identified by culture. NP colonization rates of multiple otopathogens during health were significantly lower than during viral URI, and during URI they were lower than at onset of upper respiratory bacterial infection in both AOM infection-prone and non-prone children. AOM infection-prone children had higher polymicrobial colonization rates than non-prone children during health, viral URI and AOM. Polymicrobial colonization rates of AOM infection-prone children during health were equivalent to that of non-prone children during viral URI, and during viral URI were equivalent to that of non-prone during AOM infection. Spn colonization was positively associated with NTHi and Mcat colonization during health, but negatively during AOM infection. The infection-prone patients more frequently have multiple potential bacterial pathogens in the NP than the non-prone patients. Polymicrobial interaction in the NP differs during health and at onset of infection. Copyright © 2017 The British Infection Association. Published by Elsevier Ltd. All rights reserved.

  20. 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.

  1. [Recurrent upper respiratory tract obstruction in children].

    PubMed

    Sacre Hazouri, J A

    1999-01-01

    The systematic approach of the pediatric patient with recurrent upper airway obstruction (RUAO) must be based on a through clinical history, physical examination, and the adequate use of the laboratory and diagnostic procedures, which must complement the correct identification of the causes of UAO and its interrelation with comorbid conditions as allergic rhinitis, rhinosinusitis and adenoiditis, with or without significant hypertrophy. this work, is to propose the study protocol of the patient with recurrent upper airway obstruction used in our own Instituto Privado de Alergia, Inmunología y Vías Respiratorias. We studied in a prospective fashion, a cohort of 117 pediatric patients, 12 years old and under, with clinical complaints of RUAO. 2/3 of these patients had a suggestive cytology pattern of nasal allergy and infection at the same time, following the method proposed by Dr. Alfredo Jalowayski from UC San Diego. The use of conventional radiology (lateral neck x ray) in the diagnosis of hypertrophy/hyperplasia of adenoidal tissue is useful and give us an orientation regarding the adenoidal size in 75% of the patients; nevertheless, it should not be considered as the most sensible diagnostic procedure to decide the best therapeutic option. If this study shows a decrease in diameter of the airway between the hard palate and the adenoidal shadow of 20% or more, we should proceeded with a flexible rhinopharyngoscopy to evaluate not only the real size of the adenoidal tissue, its mucosal appearance and its relation within the posterior pharynx with the Eustaquian tube (oto-pharyngeal tube-OPT). The endoscopic procedure is easy to perform, even in small children and showed us that almost half of the patients with abnormal lateral X-ray, have at least some degree of OFT obstruction. Aside from these results, the nasopharyngoscope give us useful information about comorbid and or existing conditions such as allergic rhintis, nasal polyposis, status of the osteomeatal

  2. Genomic Characterization of Upper Tract Urothelial Carcinoma.

    PubMed

    Sfakianos, John P; Cha, Eugene K; Iyer, Gopa; Scott, Sasinya N; Zabor, Emily C; Shah, Ronak H; Ren, Qinghu; Bagrodia, Aditya; Kim, Philip H; Hakimi, A Ari; Ostrovnaya, Irina; Ramirez, Ricardo; Hanrahan, Aphrothiti J; Desai, Neil B; Sun, Arony; Pinciroli, Patrizia; Rosenberg, Jonathan E; Dalbagni, Guido; Schultz, Nikolaus; Bajorin, Dean F; Reuter, Victor E; Berger, Michael F; Bochner, Bernard H; Al-Ahmadie, Hikmat A; Solit, David B; Coleman, Jonathan A

    2015-12-01

    Despite a similar histologic appearance, upper tract urothelial carcinoma (UTUC) and urothelial carcinoma of the bladder (UCB) tumors have distinct epidemiologic and clinicopathologic differences. To investigate whether the differences between UTUC and UCB result from intrinsic biological diversity. Tumor and germline DNA from patients with UTUC (n=83) and UCB (n=102) were analyzed using a custom next-generation sequencing assay to identify somatic mutations and copy number alterations in 300 cancer-associated genes. We described co-mutation patterns and copy number alterations in UTUC. We also compared mutation frequencies in high-grade UTUC (n=59) and high-grade UCB (n=102). Comparison of high-grade UTUC and UCB revealed significant differences in the prevalence of somatic alterations. Genes altered more commonly in high-grade UTUC included FGFR3 (35.6% vs 21.6%; p=0.065), HRAS (13.6% vs 1.0%; p=0.001), and CDKN2B (15.3% vs 3.9%; p=0.016). Genes less frequently mutated in high-grade UTUC included TP53 (25.4% vs 57.8%; p<0.001), RB1 (0.0% vs 18.6%; p<0.001), and ARID1A (13.6% vs 27.5%; p=0.050). Because our assay was restricted to genomic alterations in a targeted panel, rare mutations and epigenetic changes were not analyzed. High-grade UTUC tumors display a spectrum of genetic alterations similar to high-grade UCB. However, there were significant differences in the prevalence of several recurrently mutated genes including HRAS, TP53, and RB1. As relevant targeted inhibitors are being developed and tested, these results may have important implications for the site-specific management of patients with urothelial carcinoma. Comparison of next-generation sequencing of upper tract urothelial carcinoma (UTUC) with urothelial bladder cancer identified that similar mutations were present in both cancer types but at different frequencies, indicating a potential need for unique management strategies. UTUC tumors were found to have a high rate of mutations that could be

  3. Tsunami process: From upper mantle to atmosphere

    NASA Astrophysics Data System (ADS)

    Ershov, S.; Mikhaylovskaya, I.; Novik, O.

    Earthquakes in near sea regions and/or tsunamis are manifestations of powerful geodynamic processes beneath the Ocean floor (75 % of the Earth' surface). An effective monitoring of these large-scale processes is not possible without satellites as well as without understanding of physical nature of signals accompanying these processes, e.g. connection between parameters of a seismic excitation in ocean lithosphere and electromagnetic (EM) signals in atmosphere. Basing on the theory of elasticity, electrodynamics, fluid dynamics and geophysical data we formulate a nonlinear mathematical model of generation and propagation of seismo-EM signals in the basin of a marginal sea including transfer of seismic and EM energy from upper mantle to hydrosphere and EM emission into atmosphere up to ionosphere domain D. For a model basin approximately similar to the central part of the Sea of Japan, we calculate signals caused by moderate elastic displacements (EDs): the ampl of a few cm, the main freq. 0.01-10 Hz and duration up to 10 sec (by runs with different acceptable data) which are supposed to be arising at the moment t=0 at the bottom of the upper mantle layer M. The EM signal appears near the bottom of the conductive (0.02 S/m) layer M and reaches for the sea bottom by t=3.5 sec with the ampl. Of 50 pT. This signal propagate in sea water (4 S/m) rather slowly and seems to be "frozen": its front is located near the sea bottom and is replicating the bottom's configuration up to the moment (t=5.2 sec) of the seismic P wave (from M) arrival at the sea bottom. The EM field is generated in seismically disturbed sea water in presence of the geomagnetic field" a specific structure of a seismo-hydrodynamic flow, a spatial break of the diffusive magnetic field, joining of its contours, and other details of the seismo-hydro-EM tsunami process are shown to clear out the out the physical nature of its signals. By the moderate EDs (above), the magnetic signal (freq. 0.01-10 Hz, i

  4. Endoscopic Treatment of Upper Tract Urothelial Carcinoma.

    PubMed

    Verges, Daniel P; Lallas, Costas D; Hubosky, Scott G; Bagley, Demetrius H

    2017-04-01

    This study aims to make the reader be aware of recent trends regarding the endoscopic management of upper tract urothelial carcinoma (UTUC) via review of the urologic literature over the past 5 years. Given the rare incidence of this disease, and the lack of level 1 evidence, systematic reviews and meta-analyses were also evaluated. Studies of importance are also considered and outlined in the annotated reference section. The PubMed database was queried using the following medical subject headings (MeSH terms): "carcinoma, transitional cell," "ureter," "ureteral neoplasms," "kidney pelvis," "endoscopy," "laser therapy," "ureteroscopy," "urologic surgical procedures," and "ureteroscopes." MeSH terms were linked together in varying combinations and limited to human studies in English. Given the relatively rare nature of upper tract urothelial carcinoma (UTUC), level 1 evidence regarding the efficacy of endoscopic treatment does not exist, even after 30+ years of experience. Rather, the literature available mostly is in the form of single institutional retrospective series consisting of relatively small numbers of patients with short to intermediate follow-up. Only within the last 3 years have published series with larger numbers of patients and mean follow-up over 5 years been made available. Even with these more robust experiences, comparisons among series are difficult given variable treatment and follow-up approaches. Most endoscopically managed UTUC will locally recur, especially with longer follow-up. Renal preservation rate is high, however, approaching 80% with follow-up well over 3 years. Patients with high-grade disease often fare poorly regardless of treatment modality. As such, endoscopic management for high-grade urothelial carcinoma should only be used in exceptional circumstances (i.e., in those patients medically unfit for NU or those with solitary kidneys wishing to avoid the morbidity of dialysis). No level 1 evidence exists for the routine use

  5. 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.

  6. 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.

  7. 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.

  8. Hot N2 in Titan's upper atmosphere

    NASA Astrophysics Data System (ADS)

    Lavvas, P.; Yelle, R. V.; Heays, A.; Campbell, L.; Brunger, M. J.; Galand, M.; Vuitton, V.

    2015-10-01

    We present a detailed model for the vibrational population of all non pre-dissociating excited electronic states of N2, as well as for the ground and ionic states,in Titan's atmosphere. Our model includes the detailed energy deposition calculations presented in the past [1] as well as the more recent developments in the high resolution N2 photo-absorption cross sections that allow us to calculate photo-excitation rates for different vibrational levels of singlet nitrogen states, and provide information for their pre-dissociation yields.In addition, we consider the effect of collisions and chemical reactions in the population of the different states. Our results demonstrate that a significant population of vibrationally excited ground state N2 survives in Titan's upper atmosphere. This hot N2population can improve the agreement between models and observations for the emission of the c'4 state that is significantly affected by resonant scattering. Moreover we discuss the potential implications of the vibrationally excited population on the ionospheric densities.

  9. Outcomes after hand and upper extremity transplantation.

    PubMed

    Shores, Jaimie T; Malek, Veronika; Lee, W P Andrew; Brandacher, Gerald

    2017-05-01

    Hand and upper extremity transplantation (HUET) has emerged as the most frequently performed reconstructive procedure in the burgeoning field of vascularized composite allotransplantation (VCA). VCA refers to a form of transplant with multiple tissue types that represents a viable treatment option for devastating injuries where conventional reconstruction would be unable to restore form and function. As hand transplantation becomes increasingly more common, discussions on advantages and disadvantages of the procedure seem to intensify. Despite encouraging functional outcomes, current immunosuppressive regimens with their deleterious side-effect profile remain a major concern for a life-changing but not life-saving type of transplant. In addition, a growing number of recipients with progressively longer follow-up prompt the need to investigate potential long-term sequelae, such as chronic rejection. This review will discuss the current state of HUET, summarizing outcome data on graft survival, motor and sensory function, as well as immunosuppressive treatment. The implications of these findings for VCA in terms of achievements and challenges ahead will then be discussed.

  10. Temporal Decrease in Upper Atmospheric Chlorine

    NASA Technical Reports Server (NTRS)

    Froidevaux, L.; Livesey, N. J.; Read, W. G.; Salawitch, R. J.; Waters, J. W.; Drouin, B.; MacKenzie, I. A.; Pumphrey, H. C.; Bernath, P.; Boone, C.; hide

    2006-01-01

    We report a steady decrease in the upper stratospheric and lower mesospheric abundances of hydrogen chloride (HCl) from August 2004 through January 2006, as measured by the Microwave Limb Sounder (MLS) aboard the Aura satellite. For 60(deg)S to 60(deg)N zonal means, the average yearly change in the 0.7 to 0.1 hPa (approx.50 to 65 km) region is -27 +/- 3 pptv/year, or -0.78 +/- 0.08 percent/year. This is consistent with surface abundance decrease rates (about 6 to 7 years earlier) in chlorine source gases. The MLS data confirm that international agreements to reduce global emissions of ozone-depleting industrial gases are leading to global decreases in the total gaseous chlorine burden. Tracking stratospheric HCl variations on a seasonal basis is now possible with MLS data. Inferred stratospheric total chlorine (CITOT) has a value of 3.60 ppbv at the beginning of 2006, with a (2-sigma) accuracy estimate of 7%; the stratospheric chlorine loading has decreased by about 43 pptv in the 18-month period studied here. We discuss the MLS HCl measurements in the context of other satellite-based HCl data, as well as expectations from surface chlorine data. A mean age of air of approx. 5.5 years and an age spectrum width of 2 years or less provide a fairly good fit to the ensemble of measurements.

  11. An Attempt to Sample Upper Atmospheric Bacteria.

    NASA Astrophysics Data System (ADS)

    Canales, D. R. J.; Edgar, B.; Lefer, B. L.; Dunbar, B.; Gamblin, R.; Ehteshami, A.; Nowling, M.; Ahmad, H.; Bias, C.; Pena, M.

    2015-12-01

    Attempts have been made over the last decade to find the density and diversity of living microorganisms in the stratosphere using both air planes and zero pressure balloons. Most of the published attempts to survey stratospheric microorganisms by the scientific community have involved heavy devices that could not be used on ultralight weight balloons, making this research expensive and thereby reducing the opportunities for sampling. In this project, we attempted to find how high a light weight balloon could collect microorganisms, and to bridge scientific study with hobbyist feasibility at lower cost. Our approach was to use hobbyist level items that lower the weight so that lighter weather balloons could be used. This approach will allow more sampling possibilities while also lowering cost of study. We have conducted two successful test flights. While there were no successful samples from the upper atmosphere, the fact that the system can capture surface organisms with the fact that sensors had viable data shows that anyone with interest can help find and study atmospheric microorganisms.

  12. Palatoglossus coupling in selective upper airway stimulation.

    PubMed

    Heiser, Clemens; Edenharter, Günther; Bas, Murat; Wirth, Markus; Hofauer, Benedikt

    2017-10-01

    Selective upper airway stimulation (sUAS) of the hypoglossal nerve is a useful therapy to treat patients with obstructive sleep apnea. Is it known that multiple obstructions can be solved by this stimulation technique, even at the retropalatal region. The aim of this study was to verify the palatoglossus coupling at the soft palate during stimulation. Single-center, prospective clinical trail. Twenty patients who received an sUAS implant from April 2015 to April 2016 were included. A drug-induced sedated endoscopy (DISE) was performed before surgery. Six to 12 months after activation of the system, patients' tongue motions were recorded, an awake transnasal endoscopy was performed with stimulation turned on, and a DISE with stimulation off and on was done. Patients with a bilateral protrusion of the tongue base showed a significantly increased opening at the retropalatal level compared to ipsilateral protrusions. Furthermore, patients with a clear activation of the geniohyoid muscle showed a better reduction in apnea-hypopnea index. A bilateral protrusion of the tongue base during sUAS seems to be accompanied with a better opening of the soft palate. This effect can be explained by the palatoglossal coupling, due to its linkage of the muscles within the soft palate to those of the lateral tongue body. 4 Laryngoscope, 127:E378-E383, 2017. © 2017 The American Laryngological, Rhinological and Otological Society, Inc.

  13. Upper Ocean Profiles Measurements with ASIP

    NASA Astrophysics Data System (ADS)

    Ward, B.; Callaghan, A. H.; Fristedt, T.; Vialard, J.; Cuypers, Y.; Weller, R. A.; Grosch, C. E.

    2009-04-01

    This presentation describes results from the Air-Sea Interaction Profiler (ASIP), an autonomous profiling instrument for upper ocean measurements. The measurements from ASIP are well suited to enhancing research on air-sea interfacial and near surface processes. Autonomous profiling is accomplished with a thruster, which submerges ASIP to a programmed depth. Once this depth is reached the positively buoyant instrument will ascend to the surface acquiring data. ASIP can profile from a maximum depth of 100 m to the surface, allowing both mixed layer and near-surface measurements to be conducted. The sensor payload on ASIP include microstructure sensors (two shear probes and a thermistor); a slow response accurate thermometer; a pair of conductivity sensors; pressure for a record of depth; PAR for measurements of light absorption in the water column. Other non-environmental sensors are acceleration, rate, and heading for determination of vehicle motion. Power is provided with rechargable lithium-ion batteries, supplying 1000 Whr, allowing approximately 300 profiles. ASIP also contains an iridium/GPS system, which allows realtime reporting of its position. ASIP was deployed extensively during the Cirene Indian Ocean campaign and our results focus on the data from the temperature, salinity, light, and shear sensors.

  14. The upper respiratory tract: mucous membrane irritation.

    PubMed Central

    Bascom, R

    1991-01-01

    Despite the widespread recognition that mucosal irritation is a cardinal feature of "sick-building syndrome," few data exist on the cause, natural history, or pathophysiology of upper respiratory mucous membrane irritation. The baseline prevalence of nasal symptoms among building occupants is often 20%, but in some studies it is as high as 50 to 60%. New techniques of nasal challenge and analysis of cells and mediators in nasal lavage fluid have proved useful in the assessment of rhinitis caused by antigens, cold air, and viruses, and these techniques are now being applied to the study the response to irritants. Human inhalation challenge studies have recently demonstrated a spectrum of sensitivity to environmental tobacco smoke, but the basis for this difference requires additional investigation. Animal and in vitro studies indicate that the chemosensitive neurons and airway epithelium may be critical targets for irritants that participate in the induction of inflammation. New research methods are needed, particularly to evaluate complaints of nasal congestion, drying, and irritation. Techniques should be developed that may be useful for field studies, where the health effects of a complex mixture are being assessed in a specific indoor environment. There exists a group of individuals who report a variety of symptoms on exposure to low levels of common volatile organic mixtures such as perfume, cigarette smoke, and cleaning agents. Some of these individuals report having occupied "sick buildings" during the time their symptoms began. Research is needed to understand the basis of their complaints, their etiology, and treatment. PMID:1821376

  15. 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.

  16. 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.

  17. Dramatic dilatation of the upper airway secondary to a Valsalva manoeuvre in a lateral cephalometric teleradiograph of a child

    PubMed Central

    Varela, M; Quiñones, D; Martínez-Pérez, D

    2010-01-01

    Radiographs are routinely used by orthodontists for the planning of treatment for their patients and they can, in some cases, play a decisive role in the early diagnosis of some unexpected medical or surgical disorders. This report presents the case of a substantial dilatation of the upper airway in a 10-year-old girl, which was attributed to a forced Valsalva manoeuvre. The diagnosis was confirmed upon repetition of the teleradiograph with the mouth open. PMID:21062946

  18. 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

  19. 4. REAR (NORTH) FACADE OF THE UPPER FALLS GATE HOUSE. ...

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

    4. REAR (NORTH) FACADE OF THE UPPER FALLS GATE HOUSE. - Washington Water Power Spokane River Upper Falls Hydroelectric Development, Gate House, Spokane River, approximately 0.5 mile northeast of intersection of Spokane Falls Boulevard & Post Street, Spokane, Spokane County, WA

  20. 3. EAST FACADE OF THE UPPER FALLS GATE HOUSE, FOREBAY ...

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

    3. EAST FACADE OF THE UPPER FALLS GATE HOUSE, FOREBAY IN LEFT FOREGROUND, SPOKANE CITY HALL IN LEFT BACKGROUND, LOOKING WEST. - Washington Water Power Spokane River Upper Falls Hydroelectric Development, Gate House, Spokane River, approximately 0.5 mile northeast of intersection of Spokane Falls Boulevard & Post Street, Spokane, Spokane County, WA

  1. 1. CONTEXTUAL VIEW OF THE UPPER FALLS GATE HOUSE, FOREBAY ...

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

    1. CONTEXTUAL VIEW OF THE UPPER FALLS GATE HOUSE, FOREBAY IN FOREGROUND, LOOKING NORTH. - Washington Water Power Spokane River Upper Falls Hydroelectric Development, Gate House, Spokane River, approximately 0.5 mile northeast of intersection of Spokane Falls Boulevard & Post Street, Spokane, Spokane County, WA

  2. Predictors of Upper-Extremity Physical Function in Older Adults.

    PubMed

    Hermanussen, Hugo H; Menendez, Mariano E; Chen, Neal C; Ring, David; Vranceanu, Ana-Maria

    2016-10-01

    Little is known about the influence of habitual participation in physical exercise and diet on upper-extremity physical function in older adults. To assess the relationship of general physical exercise and diet to upper-extremity physical function and pain intensity in older adults. A cohort of 111 patients 50 or older completed a sociodemographic survey, the Rapid Assessment of Physical Activity (RAPA), an 11-point ordinal pain intensity scale, a Mediterranean diet questionnaire, and three Patient- Reported Outcomes Measurement Information System (PROMIS) based questionnaires: Pain Interference to measure inability to engage in activities due to pain, Upper-Extremity Physical Function, and Depression. Multivariable linear regression modeling was used to characterize the association of physical activity, diet, depression, and pain interference to pain intensity and upper-extremity function. Higher general physical activity was associated with higher PROMIS Upper-Extremity Physical Function and lower pain intensity in bivariate analyses. Adherence to the Mediterranean diet did not correlate with PROMIS Upper-Extremity Physical Function or pain intensity in bivariate analysis. In multivariable analyses factors associated with higher PROMIS Upper-Extremity Physical Function were male sex, non-traumatic diagnosis and PROMIS Pain Interference, with the latter accounting for most of the observed variability (37%). Factors associated with greater pain intensity in multivariable analyses included fewer years of education and higher PROMIS Pain Interference. General physical activity and diet do not seem to be as strongly or directly associated with upper-extremity physical function as pain interference.

  3. Wenckebach upper rate response in single chamber pacemaker.

    PubMed

    Barold, S S

    2000-07-01

    The Medtronic Minix pacemaker during normal function in the VVT mode was found to exhibit a Wenckenbach upper rate response similar to that of dual chamber devices. This behavior occurred only when the upper rate interval was longer than the pacemaker refractory period. In a single chamber device this response may simulate pacemaker malfunction.

  4. 33 CFR 117.671 - 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. 117.671 Section 117.671 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Minnesota § 117.671 Upper Mississippi River. (a) The...

  5. 33 CFR 117.671 - 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. 117.671 Section 117.671 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Minnesota § 117.671 Upper Mississippi River. (a) The...

  6. 33 CFR 117.671 - 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. 117.671 Section 117.671 Navigation and Navigable Waters COAST GUARD, DEPARTMENT OF HOMELAND SECURITY BRIDGES DRAWBRIDGE OPERATION REGULATIONS Specific Requirements Minnesota § 117.671 Upper Mississippi River. (a) The...

  7. Isolated primary lymphedema tarda of the upper limb.

    PubMed

    Shariati, Farzaneh; Ravari, Hasan; Kazemzadeh, Gholamhossein; Sadeghi, Ramin

    2013-03-01

    Primary lymphedema tarda is considered as a congenital disease with late presentation. Primary lymphedema tarda usually affects lower limbs, and primary lymphedema tarda of the upper limbs usually accompanies lower limb lymphedema. In the current case report, we present an 80-year-old male patient with isolated left upper limb swelling that lymphoscintigraphy imaging proved to be lymphedema.

  8. Upper Body Muscular Endurance Among Children 2-5 Years.

    ERIC Educational Resources Information Center

    Gabbard, Carl P.; And Others

    The upper body muscular endurance of males and females 2-5 years of age was assessed, and relationships relative to sex, age, endurance and selected anthropometric measures were investigated. None of the relationships were found to be of practical predicative value; while upper body muscular strength increased with age, no significant differences…

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. 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...

  14. Teaching Comparative Local History: Upper Mississippi River Towns.

    ERIC Educational Resources Information Center

    Crozier, William L.

    Intended to engage students in a comparative look at local history in two upper Mississippi river towns (Winona, Minnesota and Dubuque, Iowa), this paper describes the computer-assisted component of an upper-level American Studies course. With emphasis on the 19th century, students examine the transition made by the United States from a…

  15. Upper South Platte Watershed Protection and Restoration Project

    Treesearch

    Steve Culver; Cindy Dean; Fred Patten; Jim Thinnes

    2001-01-01

    The Upper South Platte Basin is a critical watershed in Colorado. Nearly 80 percent of the water used by the 1.5 million Denver metropolitan residents comes from or is transmitted through this river drainage. The Colorado Unified Watershed Assessment identified the Upper South Platte River as a Category 1 watershed in need of restoration. Most of the river basin is...

  16. Collaborative Tools in Upper Secondary School--Why?

    ERIC Educational Resources Information Center

    Mathiasen, Helle; Degn, Hans-Peter; Dalsgaard, Christian; Bech, Christian W.; Gregersen, Claus

    2013-01-01

    The paper will discuss potentials of digital media to support student engagement and student production in Danish upper secondary education with a specific focus on group work and collaboration. With the latest school reform, upper secondary education in Denmark has experienced an increased focus on problem-based and self-governed work of…

  17. Upper Elk Meadows Research Natural Area: guidebook supplement 43

    Treesearch

    Reid Schuller; Cheshire Mayrsohn

    2013-01-01

    This guidebook describes Upper Elk Meadows Research Natural Area (RNA), a 90-ha (223-ac) area that supports a mixture of coniferous forest and open, shruband herb-dominated wetlands. The major forest plant association present within Upper Elk Meadows RNA is Pacific silver fir/vine maple/coolwort foamflower (Abies amabilis/Acer circinatum-Tiarella trifoliata...

  18. 7 CFR 1030.2 - Upper Midwest marketing area.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 9 2014-01-01 2013-01-01 true Upper Midwest marketing area. 1030.2 Section 1030.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MILK), DEPARTMENT OF AGRICULTURE MILK IN THE UPPER MIDWEST MARKETING AREA Order...

  19. 7 CFR 1030.2 - Upper Midwest marketing area.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 9 2013-01-01 2013-01-01 false Upper Midwest marketing area. 1030.2 Section 1030.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (MARKETING AGREEMENTS AND ORDERS; MILK), DEPARTMENT OF AGRICULTURE MILK IN THE UPPER MIDWEST MARKETING AREA Order...

  20. 7 CFR 1030.2 - Upper Midwest marketing area.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 9 2010-01-01 2009-01-01 true Upper Midwest marketing area. 1030.2 Section 1030.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE UPPER MIDWEST MARKETING AREA Order...

  1. 7 CFR 1030.2 - Upper Midwest marketing area.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 9 2011-01-01 2011-01-01 false Upper Midwest marketing area. 1030.2 Section 1030.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE UPPER MIDWEST MARKETING AREA Order...

  2. 7 CFR 1030.2 - Upper Midwest marketing area.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 9 2012-01-01 2012-01-01 false Upper Midwest marketing area. 1030.2 Section 1030.2 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements and Orders; Milk), DEPARTMENT OF AGRICULTURE MILK IN THE UPPER MIDWEST MARKETING AREA Order...

  3. 2. CLOSEUP OF SOUTH FACADE OF UPPER FALLS GATE HOUSE, ...

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

    2. CLOSEUP OF SOUTH FACADE OF UPPER FALLS GATE HOUSE, SHOWING TRASH RACKS, REMOVABLE STEEL DOORS, TRASH RAKE STRUCTURE, AND DERRICK, WINCH AND CABLE GATE LIFTING DEVICE, LOOKING SOUTH/SOUTHWEST. - Washington Water Power Spokane River Upper Falls Hydroelectric Development, Gate House, Spokane River, approximately 0.5 mile northeast of intersection of Spokane Falls Boulevard & Post Street, Spokane, Spokane County, WA

  4. UPPER BOUND RISK ESTIMATES FOR MIXTURES OF CARCINOGENS

    EPA Science Inventory

    The excess cancer risk that might result from exposure to a mixture of chemical carcinogens usually is estimated with data from experiments conducted on individual chemicals. An upper bound on the total excess risk is estimated commonly by summing individual upper bound risk esti...

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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.

  11. Reframing Early Childhood Leadership

    ERIC Educational Resources Information Center

    Stamopoulos, Elizabeth

    2012-01-01

    Rapid changes in Australian education have intensified the role of early childhood leaders and led to unprecedented challenges. The Australian Curriculum (ACARA, 2011), mandated Australian "National Quality Framework" (NQF) for Early Childhood Education & Care (DEEWR, 2010b) and the "National Early Years Learning Framework"…

  12. 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.

  13. Upper Ottawa street landfill site health study.

    PubMed Central

    Hertzman, C; Hayes, M; Singer, J; Highland, J

    1987-01-01

    This report describes the design and conduct of two sequential historical prospective morbidity surveys of workers and residents from the Upper Ottawa Street Landfill Site in Hamilton, Ontario. The workers study was carried out first and was a hypothesis-generating study. Workers and controls were administered a health questionnaire, which was followed by an assessment of recall bias through medical chart abstraction. Multiple criteria were used to identify health problems associated with landfill site exposure. Those problems with highest credibility included clusters of respiratory, skin, narcotic, and mood disorders. These formed the hypothesis base in the subsequent health study of residents living adjacent to the landfill site. In that study, the association between mood, narcotic, skin, and respiratory conditions with landfill site exposure was confirmed using the following criteria: strength of association; consistency with the workers study; risk gradient by duration of residence and proximity to the landfill; absence of evidence that less healthy people moved to the area; specificity; and the absence of recall bias. The validity of these associations were reduced by three principal problems: the high refusal rate among the control population; socioeconomic status differences between the study groups; and the fact that the conditions found in excess were imprecisely defined and potentially interchangeable with other conditions. Offsetting these problems were the multiple criteria used to assess each hypothesis, which were applied according to present rules. Evidence is presented that supports the hypothesis that vapors, fumes, or particulate matter emanating from the landfill site, as well as direct skin exposure, may have lead to the health problems found in excess. Evidence is also presented supporting the hypothesis that perception of exposure and, therefore, of risk, may explain the results of the study. However, based on the analyses performed, it is

  14. Upper Ocean Momentum Response to Hurricane Forcing

    NASA Astrophysics Data System (ADS)

    Shay, L. K.; Jaimes de la Cruz, B.; Uhlhorn, E.

    2016-02-01

    The oceanic velocity response of the Loop Current (LC) and its complex warm and cold eddy field to hurricanes is critical to evaluate coupled operational forecast models. Direct velocity measurements of ocean current (including temperature and salinity) fields during hurricanes are needed to understand these complex interaction processes. As part of NOAA Intensity Forecasting Experiments, airborne expendable bathythermographs (AXBT), Conductivity-Temperature-Depth (AXCTD), and Current Profilers (AXCP) probes have been deployed in several major hurricanes from the NOAA research aircraft over the Gulf. Over the last decade, profilers were deployed in Isidore and Lili, Katrina and Rita, Gustav and Ike and Isaac-all of which interacted with the LC and warm eddy field. Central to these interactions under hurricane forcing is the level of sea surface cooling (typically about 1oC) induced by the wind-forced current response in the LC complex. Vertical current shear and instability (e.g., Richardson number) at the base of the oceanic mixed layer is often arrested by the strong upper ocean currents associated with the LC of 1 to 1.5 m s-1. By contrast, the SST cooling response often exceeds 3.5 to 4oC away from the LC complex in the Gulf Common Water. A second aspect of the interaction between the surface wind field and the LC is that the vorticity of the background flows (based on altimetry) enhances upwelling and downwelling processes by projecting onto the wind stress. This process modulates vertical mixing process at depth by keeping the Richardson numbers above criticality. Thus, the ocean cooling is less in the LC complex allowing for a higher and more sustained enthalpy flux as determined from global positioning system sondes deployed in these storms. This level of cooling (or lack thereof) in the LC complex significant impacts hurricane intensity that often reaches severe status which affects offshore structures and coastal communities at landfall in the northern

  15. Upper Blepharoplasty and Lateral Wound Dehiscence.

    PubMed

    Kashkouli, Mohsen Bahmani; Jamshidian-Tehrani, Mansooreh; Sharzad, Sahab; Sanjari, Mostafa Soltan

    2015-01-01

    To report the frequency of lateral wound dehiscence (LWD) after upper blepharoplasty (UB), a technique and its outcome to prevent LWD. A retrospective review was performed for cases of LWD after UB presenting between 2003 and 2009, and then a prospective comparative study was performed between February 2009 and March 2013. For the comparison, subjects were divided into two groups based on intraoperative assessment of lateral wound tension (same technique and surgeon). Group 1 received 1-3 orbicularis/subcutaneous buried sutures (6-0 polyglactin) before interrupted 6-0 nylon skin closure. Group 2 underwent skin closure only. Subjects, who had re-operation, skin healing disorders, and incomplete follow-up (<6 months), were excluded. P < 0.05 was considered as statistically significant. There were 14 (14/678, 2%) cases with LWD with a mean age of 36.2 years in the audit (2003-2009). The prospective study included 68 subjects (68/293, 23.2%) in Group 1 and 225 in Group 2. Gender and simultaneous forehead and eyebrow procedures were similar between groups (P = 0.3 and P = 0.4 respectively). Group 1 was statistically significantly younger at mean age of 41.4 years, compared to Group 2 at 56.1 years (P = 0.000). The frequency of LWD significantly (P = 0.04) decreased to 0.3% (1/293). In the presence of wound tension on skin closure (intraoperative assessment), tension relieving buried orbicularis/subcutaneous 6-0 polyglactin suturing of the lateral UB incision could prevent LWD.

  16. Upper Blepharoplasty and Lateral Wound Dehiscence

    PubMed Central

    Kashkouli, Mohsen Bahmani; Jamshidian-Tehrani, Mansooreh; Sharzad, Sahab; Sanjari, Mostafa Soltan

    2015-01-01

    Purpose: To report the frequency of lateral wound dehiscence (LWD) after upper blepharoplasty (UB), a technique and its outcome to prevent LWD. Materials and Methods: A retrospective review was performed for cases of LWD after UB presenting between 2003 and 2009, and then a prospective comparative study was performed between February 2009 and March 2013. For the comparison, subjects were divided into two groups based on intraoperative assessment of lateral wound tension (same technique and surgeon). Group 1 received 1-3 orbicularis/subcutaneous buried sutures (6-0 polyglactin) before interrupted 6-0 nylon skin closure. Group 2 underwent skin closure only. Subjects, who had re-operation, skin healing disorders, and incomplete follow-up (<6 months), were excluded. P < 0.05 was considered as statistically significant. Results: There were 14 (14/678, 2%) cases with LWD with a mean age of 36.2 years in the audit (2003–2009). The prospective study included 68 subjects (68/293, 23.2%) in Group 1 and 225 in Group 2. Gender and simultaneous forehead and eyebrow procedures were similar between groups (P = 0.3 and P = 0.4 respectively). Group 1 was statistically significantly younger at mean age of 41.4 years, compared to Group 2 at 56.1 years (P = 0.000). The frequency of LWD significantly (P = 0.04) decreased to 0.3% (1/293). Conclusion: In the presence of wound tension on skin closure (intraoperative assessment), tension relieving buried orbicularis/subcutaneous 6-0 polyglactin suturing of the lateral UB incision could prevent LWD. PMID:26692716

  17. Upper airway muscles awake and asleep.

    PubMed

    Sériès, Frédéric

    2002-06-01

    Upper airway (UA) structures are involved in different respiratory and non-respiratory tasks. The coordination of agonist and antagonist UA dilators is responsible for their mechanical function and their ability to maintain UA patency throughout the respiratory cycle. The activity of these muscles is linked with central respiratory activity but also depends on UA pressure changes and is greatly influenced by sleep. UA muscles are involved in determining UA resistance and stability (i.e. closing pressure), and the effect of sleep on these variables may be accounted for by its effect on tonic and phasic skeletal muscle activities. The mechanical effects of UA dilator contraction also depend on their physiological properties (capacity to generate tension in vitro, activity of the anaerobic enzymatic pathway, histo-chemical characteristics that may differ between subjects who may or may not have sleep-related obstructive breathing disorders). These characteristics may represent an adaptive process to an increased resistive loading of these muscles. The apparent discrepancy between the occurrence of UA closure and an increased capacity to generate tension in sleep apnea patients may be due to a reduction in the effectiveness of UA muscle contraction in these patients; such an increase in tissue stiffness could be accounted for by peri-muscular tissue characteristics. Therefore, understanding of UA muscle physiological characteristics should take into account its capacity for force production and its mechanical coupling with other UA tissues. Important research goals for the future will be to integrate these issues with other physiological features of the disease, such as UA size and dimension, histological characteristics of UA tissues and the effect of sleep on muscle function. Such integration will better inform understanding of the role of pharyngeal UA muscles in the pathophysiology of the sleep apnea/hypopnea syndrome.

  18. Emergency readmission following acute upper gastrointestinal bleeding.

    PubMed

    Strömdahl, Martin; Helgeson, Johan; Kalaitzakis, Evangelos

    2017-01-01

    To assess the occurrence, clinical predictors, and associated mortality of all-cause emergency readmissions after acute upper gastrointestinal bleeding (AUGIB). All patients with AUGIB from an area of 600 000 inhabitants in Sweden admitted in a single institution in 2009-2011 were retrospectively identified. All medical records were scrutinized and relevant data (such as comorbid illness and medications, endoscopy, rebleeding, inhospital mortality, and 30-day emergency readmission) were extracted. The Charlson comorbidity index was calculated. A total of 174 out of 1056 patients discharged alive following AUGIB (16.5%) had an emergency readmission within 30 days. Nineteen percent of readmissions were because of rebleeding, whereas the rest were because of other reasons, mainly bacterial infections (9.8%) and cardiovascular events (8%). Inhospital mortality did not differ significantly between index admissions and readmissions (13.7 vs. 9.8%, P=0.181). In logistic regression analysis, only a higher Charlson comorbidity index [odds ratio (OR): 1.154, 95% confidence interval (CI): 1.056-1.261] was related to emergency readmission. Bisphosphonate use (OR: 3.933, 95% CI: 1.264-12.233), previous AUGIB (OR: 2.407, 95% CI: 1.157-5.009), and length of stay at index admission (>5 days; OR: 0.246, 95% CI: 0.093-0.649) were found to be independent predictors of postdischarge rebleeding. All-cause emergency readmission following AUGIB is frequent. It is related to rebleeding in one-fifth of cases and mortality is similar to that in index admissions. The presence of comorbid illness appears to predict readmissions. Reduced length of stay and bisphosphonate use appear to be important, potentially modifiable, predictors of postdischarge rebleeding.

  19. 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.

  20. Upper Respiratory Tract Diseases in Athletes in Different Sports Disciplines.

    PubMed

    Gałązka-Franta, Anna; Jura-Szołtys, Edyta; Smółka, Wojciech; Gawlik, Radosław

    2016-12-01

    Upper respiratory tract diseases in athletes are a very common medical problem. Training conditions in different sports disciplines increase the risk of upper respiratory disease. Epidemiological evidence suggests that heavy acute or chronic exercise is related to an increased incidence of upper respiratory tract infections in athletes. Regular physical exercise at high intensity may lead to transient immunosuppression due to high prevalence of allergic diseases in athletes. Regardless of the cause they can exclude athletes from the training program and significantly impair their performance. In the present work, the most common upper respiratory tract diseases in athletes taking into account the disciplines in which they most often occur were presented. The focus was laid on symptoms, diagnostic methods and pharmacotherapy. Moreover, preventive procedures which can help reduce the occurrence of upper respiratory tract disease in athletes were presented. Management according to anti-doping rules, criteria for return to training and competition as an important issues of athlete's health were discussed.

  1. 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

  2. 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.

  3. 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.

  4. 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

  5. [Lateral instability of the upper ankle joint].

    PubMed

    Harrasser, N; Eichelberg, K; Pohlig, F; Waizy, H; Toepfer, A; von Eisenhart-Rothe, R

    2016-11-01

    Because of their frequency, ankle sprains are of major clinical and economic importance. The simple sprain with uneventful healing has to be distinguished from the potentially complicated sprain which is at risk of transition to chronic ankle instability. Conservative treatment is indicated for the acute, simple ankle sprain without accompanying injuries and also in cases of chronic instability. If conservative treatment fails, good results can be achieved by anatomic ligament reconstruction of the lateral ankle ligaments. Arthroscopic techniques offer the advantage of joint inspection and addressing intra-articular pathologies in combination with ligament repair. Accompanying pathologies must be adequately addressed during ligament repair to avoid persistent ankle discomfort. If syndesmotic insufficiency and tibiofibular instability are suspected, the objective should be early diagnosis with MRI and surgical repair.

  6. 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...

  7. 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.

  8. 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.

  9. 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

  10. 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.

  11. 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.

  12. 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.

  13. 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.

  14. 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

  15. 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.

  16. 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.

  17. 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.

  18. Magnetically Controlled Upper Ionosphere of Mars

    NASA Astrophysics Data System (ADS)

    Majeed, T.; Al Aryani, O.; Al Mutawa, S.; Bougher, S. W.; Haider, S. A.

    2017-12-01

    The electron density (Ne) profiles measured by the Mars Express spacecraft over regions of strong crustal magnetic fields have shown anomalous characteristics of the topside plasma distribution with variable scale heights. One of such Ne profiles is located at 82oS and 180oE whose topside ionosphere is extended up to an altitude of 700 km. The crustal magnetic field at this southern site is nearly vertical and open to the access of solar wind plasma through magnetic reconnection with the interplanetary magnetic field. This can lead to the acceleration of electrons and ions during the daytime ionosphere. The downward accelerated electrons with energies >200 eV can penetrate deep into the Martian upper ionosphere along vertical magnetic field lines and cause heating, excitation and ionization of the background atmosphere. The upward acceleration of ions resulting from energy input by precipitating electrons can lead to enhance ion escape rate and modify scale heights of the topside ionosphere. We have developed a 1-D chemical diffusive model from 100 km to 400 km to interpret the Martian ionospheric structure at 82oS latitude. The primary source of ionization in the model is due to solar EUV radiation. An extra ionization source due to precipitating electrons of 0.25 keV, peaking near an altitude of 145 km is added in the model to reasonably reproduce the measured ionospheric structure below an altitude of 180 km. The behavior of the topside ionosphere can be interpreted by the vertical plasma transport caused by precipitating electrons. The vertical transport of plasma in our model is simulated by vertical ion velocities, whose values can be interpreted as drift velocities along magnetic field lines. We find that the variation of the topside Ne scale heights is sensitive to the magnitudes of upward and downward drifts with an imposed outward flux boundary condition at the top of the model. The model requires an upward flux of more than 107 ions cm-2 s-1 for both O2

  19. Magnetohydrodynamic simulations of hot jupiter upper atmospheres

    SciTech Connect

    Trammell, George B.; Li, Zhi-Yun; Arras, Phil, E-mail: gbt8f@virginia.edu, E-mail: zl4h@virginia.edu, E-mail: arras@virginia.edu

    Two-dimensional simulations of hot Jupiter upper atmospheres including the planet's magnetic field are presented. The goal is to explore magnetic effects on the layer of the atmosphere that is ionized and heated by stellar EUV radiation, and the imprint of these effects on the Lyα transmission spectrum. The simulations are axisymmetric, isothermal, and include both rotation and azimuth-averaged stellar tides. Mass density is converted to atomic hydrogen density through the assumption of ionization equilibrium. The three-zone structure—polar dead zone (DZ), mid-latitude wind zone (WZ), and equatorial DZ—found in previous analytic calculations is confirmed. For a magnetic field comparable to thatmore » of Jupiter, the equatorial DZ, which is confined by the magnetic field and corotates with the planet, contributes at least half of the transit signal. For even stronger fields, the gas escaping in the mid-latitude WZ is found to have a smaller contribution to the transit depth than the equatorial DZ. Transmission spectra computed from the simulations are compared to Hubble Space Telescope Space Telescope Imaging Spectrograph and Advanced Camera for Surveys data for HD 209458b and HD 189733b, and the range of model parameters consistent with the data is found. The central result of this paper is that the transit depth increases strongly with magnetic field strength when the hydrogen ionization layer is magnetically dominated, for dipole magnetic field B {sub 0} ≳ 10 G. Hence transit depth is sensitive to magnetic field strength, in addition to standard quantities such as the ratio of thermal to gravitational binding energies. Another effect of the magnetic field is that the planet loses angular momentum orders of magnitude faster than in the non-magnetic case, because the magnetic field greatly increases the lever arm for wind braking of the planet's rotation. Spin-down timescales for magnetized models of HD 209458b that agree with the observed transit depth

  20. Space Launch System Upper Stage Technology Assessment

    NASA Technical Reports Server (NTRS)

    Holladay, Jon; Hampton, Bryan; Monk, Timothy

    2014-01-01

    The Space Launch System (SLS) is envisioned as a heavy-lift vehicle that will provide the foundation for future beyond low-Earth orbit (LEO) exploration missions. Previous studies have been performed to determine the optimal configuration for the SLS and the applicability of commercial off-the-shelf in-space stages for Earth departure. Currently NASA is analyzing the concept of a Dual Use Upper Stage (DUUS) that will provide LEO insertion and Earth departure burns. This paper will explore candidate in-space stages based on the DUUS design for a wide range of beyond LEO missions. Mission payloads will range from small robotic systems up to human systems with deep space habitats and landers. Mission destinations will include cislunar space, Mars, Jupiter, and Saturn. Given these wide-ranging mission objectives, a vehicle-sizing tool has been developed to determine the size of an Earth departure stage based on the mission objectives. The tool calculates masses for all the major subsystems of the vehicle including propellant loads, avionics, power, engines, main propulsion system components, tanks, pressurization system and gases, primary structural elements, and secondary structural elements. The tool uses an iterative sizing algorithm to determine the resulting mass of the stage. Any input into one of the subsystem sizing routines or the mission parameters can be treated as a parametric sweep or as a distribution for use in Monte Carlo analysis. Taking these factors together allows for multi-variable, coupled analysis runs. To increase confidence in the tool, the results have been verified against two point-of-departure designs of the DUUS. The tool has also been verified against Apollo moon mission elements and other manned space systems. This paper will focus on trading key propulsion technologies including chemical, Nuclear Thermal Propulsion (NTP), and Solar Electric Propulsion (SEP). All of the key performance inputs and relationships will be presented and

  1. 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.

  2. 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.

  3. Pedicled fat flap to increase lateral fullness in upper blepharoplasty.

    PubMed

    Sozer, Sadri O; Agullo, Francisco J; Palladino, Humberto; Payne, Phileemon E; Banerji, Soumo

    2010-03-01

    The eyelid of a young person can be distinguished by the lateral fullness of the upper eyelid. With aging, lateral fullness decreases. Volume restoration in the periorbital area has been previously addressed by fat draping and grafting. More recently, techniques for regaining lateral fullness of the upper eyelid have focused on fat grafting, although effective graft take, reabsorption, and irregularities have been a concern. To address these issues, the concept of pedicled fat draping in the upper eyelid was explored. In a retrospective study from June 2006 to August 2008, 31 patients underwent upper blepharoplasty with augmentation of the lateral fullness with a pedicled fat flap from the central fat pad. The fat from the central compartment was elevated, dissected, and then transposed to the lateral upper eyelid below the orbicularis muscle. All patients were women ranging in age from 43 to 68 years. Pre- and postoperative picture comparison demonstrated a more youthful appearance with increased lateral fullness of the upper eyelids. There were no cases of fat necrosis encountered. Increased volume remained stable over an average of one-year follow-up. No complications were recorded. Transposing a pedicled fat pad from the central compartment laterally has proven to be an effective technique for achieving predictable upper lateral eyelid fullness and thus achieving a long-lasting, more youthful appearance.

  4. Hydrology of the Upper Malad River basin, southeastern Idaho

    USGS Publications Warehouse

    Pluhowski, Edward J.

    1970-01-01

    greatest in July when about 7 inches is lost from lakes, reservoirs, and waterlogged areas; losses from free-water surfaces may be as much .as 38 inches annually. An extensive ground-water reservoir consisting of sand and gravel interbedded with relatively impermeable beds of silt .and clay underlies much of the Malad Valley. Wells near the center of the valley exceeding 700 feet in depth do not reach bedrock. The Woodruff fault, which transects the constricted lower Malad Valley, is one of the main factors creating artesian conditions south of the latitude of Malad City. Recharge is obtained principally from mountain runoff which flows onto highly permeable alluvial fans surrounding the valley and from streams that flow across the valley floor. On the basis of a water balance analysis, under flow from the project area was estimated to be 28,000 acre-feet annually, surface-water outflow was 51,000 acre-feet, and transbasin imports were about 4,000 acre-feet. The principal tributaries of the Malad River are perennial along their upper and middle reaches and have well-sustained low flows. During the growing season, all surface water entering the Malad Valley is used for irrigation. Spine irrigation is practiced in the principal tributary valleys; however, a shortage of suitable reservoir sites has hampered surface-water development in these areas. The highly porous deposits underlying the Malad Valley tend to attenuate flood peaks. An unusual combination of meteorologic events early in 1962 effectively counteracted the high absorptive capacity of the valley and predisposed the basin to high flood risk. Subsequent rapid snowmelt combined with frozen ground produced the extraordinary flood of February 12, 1962. Calcium and bicarbonate commonly are the most abundant ions in the surface waters of the upper Malad River basin. In August 1967, the dissolved-solids content of streamflow ranged from 200 to 350 milligrams per liter in the middle and upper parts of the basin; however

  5. 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.

  6. Survey of upper extremity injuries among martial arts participants.

    PubMed

    Diesselhorst, Matthew M; Rayan, Ghazi M; Pasque, Charles B; Peyton Holder, R

    2013-01-01

    To survey participants at various experience levels of different martial arts (MA) about upper extremity injuries sustained during training and fighting. A 21-s question survey was designed and utilised. The survey was divided into four groups (Demographics, Injury Description, Injury Mechanism, and Miscellaneous information) to gain knowledge about upper extremity injuries sustained during martial arts participation. Chi-square testing was utilised to assess for significant associations. Males comprised 81% of respondents. Involvement in multiple forms of MA was the most prevalent (38%). The hand/wrist was the most common area injured (53%), followed by the shoulder/upper arm (27%) and the forearm/elbow (19%). Joint sprains/muscle strains were the most frequent injuries reported overall (47%), followed by abrasions/bruises (26%). Dislocations of the upper extremity were reported by 47% of participants while fractures occurred in 39%. Surgeries were required for 30% of participants. Females were less likely to require surgery and more likely to have shoulder and elbow injuries. Males were more likely to have hand injuries. Participants of Karate and Tae Kwon Do were more likely to have injuries to their hands, while participants of multiple forms were more likely to sustain injuries to their shoulders/upper arms and more likely to develop chronic upper extremity symptoms. With advanced level of training the likelihood of developing chronic upper extremity symptoms increases, and multiple surgeries were required. Hand protection was associated with a lower risk of hand injuries. Martial arts can be associated with substantial upper extremity injuries that may require surgery and extended time away from participation. Injuries may result in chronic upper extremity symptoms. Hand protection is important for reducing injuries to the hand and wrist.

  7. 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

  8. Identification and classification of upper limb motions using PCA.

    PubMed

    Veer, Karan; Vig, Renu

    2018-03-28

    This paper describes the utility of principal component analysis (PCA) in classifying upper limb signals. PCA is a powerful tool for analyzing data of high dimension. Here, two different input strategies were explored. The first method uses upper arm dual-position-based myoelectric signal acquisition and the other solely uses PCA for classifying surface electromyogram (SEMG) signals. SEMG data from the biceps and the triceps brachii muscles and four independent muscle activities of the upper arm were measured in seven subjects (total dataset=56). The datasets used for the analysis are rotated by class-specific principal component matrices to decorrelate the measured data prior to feature extraction.

  9. 41. VIEW NORTH OF UPPER LEVEL OF CRUSHER ADDITION. DINGS ...

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

    41. VIEW NORTH OF UPPER LEVEL OF CRUSHER ADDITION. DINGS MAGNETIC PULLEY AT CENTER. ALSO SHOWS 100-TON CRUSHED UNOXIDIZED ORE BIN (RIGHT), PULLEY FORM 18 INCH BELT CONVEYOR CRUSHED OXIDIZED ORE BIN FEED AND STEPHENSADAMSON 25 TON/HR BUCKET ELEVATOR (UPPER CENTER). THE UPPER PORTION OF THE SAMPLING ELEVATOR IS ABOVE THE MAGNETIC PULLEY (CENTER LEFT) WITH THE ROUTE OF THE 16 INCH BELT CONVEYOR FINES FEED TO CRUSHED OXIDIZED ORE BIN TO ITS LEFT. - Bald Mountain Gold Mill, Nevada Gulch at head of False Bottom Creek, Lead, Lawrence County, SD

  10. [Design and accuracy analysis of upper slicing system of MSCT].

    PubMed

    Jiang, Rongjian

    2013-05-01

    The upper slicing system is the main components of the optical system in MSCT. This paper focuses on the design of upper slicing system and its accuracy analysis to improve the accuracy of imaging. The error of slice thickness and ray center by bearings, screw and control system were analyzed and tested. In fact, the accumulated error measured is less than 1 microm, absolute error measured is less than 10 microm. Improving the accuracy of the upper slicing system contributes to the appropriate treatment methods and success rate of treatment.

  11. Upper intestinal lipids regulate energy and glucose homeostasis.

    PubMed

    Cheung, Grace W C; Kokorovic, Andrea; Lam, Tony K T

    2009-09-01

    Upon the entry of nutrients into the small intestine, nutrient sensing mechanisms are activated to allow the body to adapt appropriately to the incoming nutrients. To date, mounting evidence points to the existence of an upper intestinal lipid-induced gut-brain neuronal axis to regulate energy homeostasis. Moreover, a recent discovery has also revealed an upper intestinal lipid-induced gut-brain-liver neuronal axis involved in the regulation of glucose homeostasis. In this mini-review, we will focus on the mechanisms underlying the activation of these respective neuronal axes by upper intestinal lipids.

  12. Low Cost Upper Atmosphere Sounder (LOCUS)

    NASA Astrophysics Data System (ADS)

    Gerber, Daniel; Swinyard, Bruce M.; Ellison, Brian N.; Aylward, Alan D.; Aruliah, Anasuya; Plane, John M. C.; Feng, Wuhu; Saunders, Christopher; Friend, Jonathan; Bird, Rachel; Linfield, Edmund H.; Davies, A. Giles; Parkes, Steve

    2014-05-01

    near future. We describe the current instrument configuration of LOCUS, and give a first preview of the expected science return such a mission would yield. The LOCUS instrument concept calls for four spectral bands, a first band at 4.7 THz to target atomic oxygen (O), a second band at 3.5 THz to target hydroxyl (OH), a third band at 1.1 THz to cover several diatomic species (NO, CO, O3, H2O) and finally a fourth band at 0.8 THz to retrieve pointing information from molecular oxygen (O2). LOCUS would be the first satellite instrument to measure atomic oxygen on a global scale with a precision that will allow the retrieval of the global O distribution. It would also be the first time that annual and diurnal changes in O are measured. This will be a significant step forward in understanding the chemistry and dynamics of the MLT. Current indications (derived from CRISTA measurement) lead us to believe that current models only give a poor representation of upper atmospheric O. The secondary target species can help us to address additional scientific questions related to both Climate (distribution of climate relevant gases, highly geared cooling of the MLT in response to Climate change, increased occurrence of Polar Mesospheric Clouds (PMC), etc) and Space Weather (precipitation of electrically charged particles and impact on NOx chemistry, fluctuations of solar Lyman-alpha flux through shown in the the distribution of photochemically active species, etc).

  13. 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

  14. 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.

  15. Peering Into an Early Galaxy

    NASA Astrophysics Data System (ADS)

    Kohler, Susanna

    2018-04-01

    reports on what weve learned peering into CR7s interior with ALMA.ALMA observations of [C II] (white contours) are overlaid on an ultraviolet image of the galaxy CR7 taken with Hubble (background image). The presence of [C II] throughout the galaxy indicate that CR7 does not primarily consist of metal-free gas, as had been previously proposed. [Matthee et al. 2017]Metals yet No Dust?Matthee and collaborators deep spectroscopic observations of CR7 targeted the far-infrared dust continuum emission and a gas emission line, [C II]. The authors detected [C II] emission in a large region in and around the galaxy, including near the ultraviolet clumps. This clearly indicates the presence of metals in these star-forming regions, and it rules out the possibility that CR7s gas is mostly primordial and forming metal-free Pop III stars.The authors do not detect far infrared continuum emission from dust, which sets an unusually low upper limit on the amount of dust that may be present in this galaxy. This limit allows them to better interpret their measurements of star formation rates in CR7, providing more information about the galaxys properties.Lastly, Matthee and collaborators note that the [C II] emission is detected in multiple different components that have different velocities. The authors propose that these components are accreting satellite galaxies. If this is correct, then CR7 is not only a target to learn about early sources of light in the universe its also a rare opportunity to directly witness the build-up of a central galaxy in the early universe.CitationJ. Matthee et al 2017 ApJ 851 145. doi:10.3847/1538-4357/aa9931

  16. Chloride Concentration in Water from the Upper Permeable Zone of the Tertiary Limestone Aquifer System, Southeastern United States

    USGS Publications Warehouse

    Sprinkle, Craig L.

    1982-01-01

    INTRODUCTION The tertiary limestone aquifer system of the southeastern United States is a sequence of carbonate rocks referred to as the Floridan aquifer in Florida and the principal artesian aquifer in Georgia, Alabama, and South Carolina. More than 3 billion gallons of water are pumped daily from the limestone aquifer; and the system is the principal source of municipal, industrial, and agricultural water supply in south Georgia and most of Florida. The aquifer system includes units of Paleocene to early Miocene age that combine to form a continuous carbonate sequence that is hydraulically connected in varying degrees. In a small area near Brunswick, Ga., a thin sequence of rocks of Late Cretaceous age is part of the system. In and directly downdip from much of the outcrop area, the system consists of one continuous permeable unit. Further downdip the aquifer system generally consists of two major permeable zones separated by a less-permeable unit of highly variable hydraulic properties (very leaky to virtually nonleaky). Conditions for the system vary from unconfined to confined depending upon whether the argillaceous Miocene and younger rocks that form the upper confining unit have been removed by erosion. This report is one of a series of preliminary products depicting the hydrogeologic framework, water chemistry, and hydrology of the aquifer system. The map shows the distribution of chloride ions in water from the upper permeable zone of the limestone aquifer system. The upper permeable zone consists of several formations, primarily the Tampa, Suwannee, Ocala, and Avon Park Limestones (Miller 1981a, b). Chloride concentrations of water within the upper permeable zone vary from nearly zero in recharge areas to many thousands of milligrams per liter (mg/L) in coastal discharge areas. Where the aquifer system discharges into the sea, the upper permeable zone contains increasing amounts of seawater. In these areas, wells that fully penetrate the upper permeable

  17. 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

  18. 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.

  19. 23. INTERIOR VIEW TO THE SOUTHEAST OF THE UPPER SECTION ...

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

    23. INTERIOR VIEW TO THE SOUTHEAST OF THE UPPER SECTION OF ROOM 123, THE DISASSEMBLY BAY. - Nevada Test Site, Reactor Maintenance Assembly & Dissassembly Facility, Area 25, Jackass Flats, Junction of Roads F & G, Mercury, Nye County, NV

  20. 24. INTERIOR VIEW TO THE SOUTHWEST OF THE UPPER SECTION ...

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

    24. INTERIOR VIEW TO THE SOUTHWEST OF THE UPPER SECTION OF ROOM 123, THE DISASSEMBLY BAY. - Nevada Test Site, Reactor Maintenance Assembly & Dissassembly Facility, Area 25, Jackass Flats, Junction of Roads F & G, Mercury, Nye County, NV

  1. 31. DETAIL VIEW OF MOVABLE SPAN, UPPER TRUSS GUSSET PLATE, ...

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

    31. DETAIL VIEW OF MOVABLE SPAN, UPPER TRUSS GUSSET PLATE, CONNECTION OF VERTICAL AND HORIZONTAL MEMBERS AT BRIDGE TENDER'S MOUSE (taken in December 1983) - Sharptown Bridge, Spanning Nanticoke River, State Route 313, Sharptown, Wicomico County, MD

  2. Acute upper gastrointestinal bleeding (UGIB) - initial evaluation and management.

    PubMed

    Khamaysi, Iyad; Gralnek, Ian M

    2013-10-01

    Acute upper gastrointestinal bleeding (UGIB) is the most common reason that the 'on-call' gastroenterologist is consulted. Despite the diagnostic and therapeutic capabilities of upper endoscopy, there is still significant associated morbidity and mortality in patients experiencing acute UGIB, thus this is a true GI emergency. Acute UGIB is divided into non-variceal and variceal causes. The most common type of acute UGIB is 'non-variceal' and includes diagnoses such as peptic ulcer (gastric and duodenal), gastroduodenal erosions, Mallory-Weiss tears, erosive oesophagitis, arterio-venous malformations, Dieulafoy's lesion, and upper GI tract tumours and malignancies. This article focuses exclusively on initial management strategies for acute upper GI bleeding. We discuss up to date and evidence-based strategies for patient risk stratification, initial patient management prior to endoscopy, potential causes of UGIB, role of proton pump inhibitors, prokinetic agents, prophylactic antibiotics, vasoactive pharmacotherapies, and timing of endoscopy. Copyright © 2013 Elsevier Ltd. All rights reserved.

  3. Diagnosis and management of upper gastrointestinal bleeding in children.

    PubMed

    Owensby, Susan; Taylor, Kellee; Wilkins, Thad

    2015-01-01

    Upper gastrointestinal bleeding is an uncommon but potentially serious, life-threatening condition in children. Rapid assessment, stabilization, and resuscitation should precede all diagnostic modalities in unstable children. The diagnostic approach includes history, examination, laboratory evaluation, endoscopic procedures, and imaging studies. The clinician needs to determine carefully whether any blood or possible blood reported by a child or adult represents true upper gastrointestinal bleeding because most children with true upper gastrointestinal bleeding require admission to a pediatric intensive care unit. After the diagnosis is established, the physician should start a proton pump inhibitor or histamine 2 receptor antagonist in children with upper gastrointestinal bleeding. Consideration should also be given to the initiation of vasoactive drugs in all children in whom variceal bleeding is suspected. An endoscopy should be performed once the child is hemodynamically stable. © Copyright 2015 by the American Board of Family Medicine.

  4. 3. Eastlooking view of marine museum lower and upper floors ...

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

    3. East-looking view of marine museum lower and upper floors from area office building window - Duluth Ship Canal, Marine Museum-Area Office, North end of Minnesota Point at Canal Park, Duluth, St. Louis County, MN

  5. 4. Upper level of marine museum looking southwest at enclosed ...

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

    4. Upper level of marine museum looking southwest at enclosed exterior wall of area office building - Duluth Ship Canal, Marine Museum-Area Office, North end of Minnesota Point at Canal Park, Duluth, St. Louis County, MN

  6. Servant's quarters, west wing, upper floor interior, looking to south. ...

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

    Servant's quarters, west wing, upper floor interior, looking to south. Doorway at center connects with the Majordomo's sleeping space. - Vallejo Adobe, Adobe Road at Casa Grande, Petaluma, Sonoma County, CA

  7. Vallejo family sleeping space, west wing, upper floor, looking north ...

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

    Vallejo family sleeping space, west wing, upper floor, looking north from the south end. The doorway at far right connects with the dining area. - Vallejo Adobe, Adobe Road at Casa Grande, Petaluma, Sonoma County, CA

  8. A hybrid joint based controller for an upper extremity exoskeleton

    NASA Astrophysics Data System (ADS)

    Mohd Khairuddin, Ismail; Taha, Zahari; Majeed, Anwar P. P. Abdul; Hakeem Deboucha, Abdel; Azraai Mohd Razman, Mohd; Aziz Jaafar, Abdul; Mohamed, Zulkifli

    2016-02-01

    This paper presents the modelling and control of a two degree of freedom upper extremity exoskeleton. The Euler-Lagrange formulation was used in deriving the dynamic modelling of both the human upper limb as well as the exoskeleton that consists of the upper arm and the forearm. The human model is based on anthropometrical measurements of the upper limb. The proportional-derivative (PD) computed torque control (CTC) architecture is employed in this study to investigate its efficacy performing joint-space control objectives specifically in rehabilitating the elbow and shoulder joints along the sagittal plane. An active force control (AFC) algorithm is also incorporated into the PD-CTC to investigate the effectiveness of this hybrid system in compensating disturbances. It was found that the AFC- PD-CTC performs well against the disturbances introduced into the system whilst achieving acceptable trajectory tracking as compared to the conventional PD-CTC control architecture.

  9. 38. DETAIL OF CYLINDER LEVELING SYSTEM SHOWING TYPICAL UPPER AND ...

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

    38. DETAIL OF CYLINDER LEVELING SYSTEM SHOWING TYPICAL UPPER AND LOWER PULLEY BRACKET. F.C. TORKELSON DRAWING NUMBER 842-ARVFS-701-S-8. INEL INDEX CODE - Idaho National Engineering Laboratory, Advanced Reentry Vehicle Fusing System, Scoville, Butte County, ID

  10. 287. Dennis Hill, Photographer July 1998 DETAIL VIEW OF UPPER ...

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

    287. Dennis Hill, Photographer July 1998 DETAIL VIEW OF UPPER CHORD OF THROUGH TRUSS AT PANEL POINT, FACING NORTHWEST. - San Francisco Oakland Bay Bridge, Spanning San Francisco Bay, San Francisco, San Francisco County, CA

  11. 2. EXTERIOR, SOUTH FRONT, UPPER LEVELS SHOWING ROOF CORNICE AND ...

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

    2. EXTERIOR, SOUTH FRONT, UPPER LEVELS SHOWING ROOF CORNICE AND BAY WINDOW UNIT WITH PRESSED TIN SPANDREL - West Lexington Street, Number 314 (Commercial Building), 314 West Lexington Street, Baltimore, Independent City, MD

  12. 12. LOCK GATES AT THE SWAMP LOCKS, SEPARATING THE UPPER ...

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

    12. LOCK GATES AT THE SWAMP LOCKS, SEPARATING THE UPPER AND LOWER LOCK CHAMBERS, SHOWING PADDLE VALVES, LOOKING WEST: 1976 - Pawtucket Canal, Swamp Locks, Pawtucket & Merrimack Canals, Lowell, Middlesex County, MA

  13. [Tests of hand functionality in upper limb amputation with prosthesis].

    PubMed

    Bazzini, G; Orlandini, D; Moscato, T A; Nicita, D; Panigazzi, M

    2007-01-01

    The need for standardized instruments for clinical measurements has become pressing in the fields of occupational rehabilitation and ergonomics. This is particularly the case for instruments that allow a quantitative evaluation of upper limb function, and especially hand function in patients who have undergone an amputation and then application of an upper limb prosthesis. This study presents a review of the main tests used to evaluate hand function, with a critical analysis of their use in subjects with an upper limb prosthesis. The tests are divided into: tests to evaluate strength, tests to evaluate co-ordination and dexterity, tests of global or overall function, and tests proposed specifically for subjects with an upper limb prosthesis. Of the various tests presented, the authors give their preference to the Bimanual Functional Assessment, Abilhand and/or the ADL Questionnaire, because of the practical usefulness, clinimetric features, simplicity and ease of administration of these tests.

  14. A net volume equation for Michigan's Upper and Lower Peninsulas.

    Treesearch

    Gerhard K. Raile; W. Brad Smith; Carol A. Weist

    1982-01-01

    Describes a volume equation for Michigan's Upper and Lower Peninsulas developed as part of the 1981 Michigan Forest Inventory. Equation coefficients are presented by species groupings for both cubic-foot and board-foot volumes for three tree categories.

  15. 15. FIGUEROA STREET NORTHBOUND EXIT RAMP UNDER SOUTHBOUND LANES. UPPER ...

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

    15. FIGUEROA STREET NORTHBOUND EXIT RAMP UNDER SOUTHBOUND LANES. UPPER LEVEL IS INTERSTATE 1-5. LOOKING 162° SSE. - Arroyo Seco Parkway, Figueroa Street Viaduct, Spanning Los Angeles River, Los Angeles, Los Angeles County, CA

  16. 4. TOPSIDE VIEW FROM UPPER DECK LOOKING DOWN INTO TANK ...

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

    4. TOPSIDE VIEW FROM UPPER DECK LOOKING DOWN INTO TANK WITH SHUTTLE CARGO BAY MOCK-UP AT BOTTOM OF 40 FOOT TANK. - Marshall Space Flight Center, Neutral Buoyancy Simulator Facility, Rideout Road, Huntsville, Madison County, AL

  17. 5. TOPSIDE VIEW FROM UPPER DECK LOOKING DOWN INTO TANK ...

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

    5. TOPSIDE VIEW FROM UPPER DECK LOOKING DOWN INTO TANK WITH SHUTTLE CARGO BAY MOCK-UP AT BOTTOM OF 40 FOOT TANK. - Marshall Space Flight Center, Neutral Buoyancy Simulator Facility, Rideout Road, Huntsville, Madison County, AL

  18. 72. SECOND FLOOR, HEATER ROOM ENTRANCE (UPPER RIGHT) AND STEEL, ...

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

    72. SECOND FLOOR, HEATER ROOM ENTRANCE (UPPER RIGHT) AND STEEL, CONCRETE, BRICK, AND SPRING AIR CONDITIONER BASE, BAY 31-32/4 SOUTH, TO WEST - Ford Motor Company Edgewater Assembly Plant, Assembly Building, 309 River Road, Edgewater, Bergen County, NJ

  19. 5. FERROCEMENT APRON, CONTROL BUILDING B AT UPPER CENTER, VIEW ...

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

    5. FERROCEMENT APRON, CONTROL BUILDING B AT UPPER CENTER, VIEW TOWARD SOUTHEAST. - Glenn L. Martin Company, Titan Missile Test Facilities, Captive Test Stand D-4, Waterton Canyon Road & Colorado Highway 121, Lakewood, Jefferson County, CO

  20. 22. DETAILCATWALKS OF THE UPPER LEVEL OF BUILDING 36 AT ...

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

    22. DETAIL--CATWALKS OF THE UPPER LEVEL OF BUILDING 36 AT THE INTERSECTION OF THE EAST AND NORTH WINGS. - Navy Yard, Ordnance Building, Intersection of Paulding & Kennon Streets, Washington, District of Columbia, DC