Sample records for enter date enter

  1. CNET OPN Automated Budget System (COABS)

    DTIC Science & Technology

    1981-03-01

    Automated Budget System. Please enter Today’s Date (mm/dd/yy): // Enter the date required in a series of three two digit numbers. Zero fill fields...containing a single digit . After the date is entered the following four prompts will appear as the RETURN key is touched: Please enter the address of...of item is a four digit number that makes this record unique from all other records of the same functional commander, equipment type, and fiscal year

  2. 48 CFR 1846.672-1 - Preparation instructions.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... instructions/limits for material environmental control (e.g., temperature, humidity, aging, freezing, and shock... entered at the end of the statement and an explanatory note in Block 16; (B) Sign and date; and (C) Enter... an “X” in the appropriate box(es); (B) Sign and date; and (C) Enter the typed, stamped, or printed...

  3. Consequences of Dating for Post-Divorce Maternal Well-Being

    PubMed Central

    Langlais, Michael R.; Anderson, Edward R.; Greene, Shannon M.

    2016-01-01

    Repartnering has been linked to health benefits for mothers, yet few studies have examined relationship quality in this context. According to the divorce-stress-adaptation perspective, relationship quality may influence the relationship between maternal well-being and dating after divorce. The current study examines the consequences of dating, relationship quality, and dating transitions (breaking up and dating new partners) on maternal well-being (negative affect and life satisfaction). Using monthly surveys completed by mothers over a two-year period after filing for divorce, we examined changes in intercepts and slopes of dating status and transitions for maternal well-being while also testing the effects of relationship quality. Mothers entering high-quality relationships were likely to report boosts in well-being at relationship initiation compared to single mothers and mothers entering low-quality relationships. Mothers entering lower-quality relationships were likely to report lower levels of well-being than single mothers. Dating transitions were associated with increases in well-being. Implications for maternal adjustment are discussed. PMID:27746511

  4. Construction of recombinant Newcastle disease virus expressing the S1 protein of Turkey enteric coronavirus for use as a bivalent vaccine

    USDA-ARS?s Scientific Manuscript database

    Turkey enteric coronavirus (TCoV) causes a contagious form of enteritis in turkeys, generally recognized in the field by outward signs including diarrhea and decreased weight gain, resulting in severe economic losses for the poultry industry in the US. To date there is no commercial vaccine availab...

  5. An Analysis of When Officers Should Enter the Army Contracting Career Field

    DTIC Science & Technology

    2016-06-01

    NAVAL POSTGRADUATE SCHOOL MONTEREY, CALIFORNIA MBA PROFESSIONAL REPORT AN ANALYSIS OF WHEN OFFICERS SHOULD ENTER THE ARMY...TYPE AND DATES COVERED MBA professional report 4. TITLE AND SUBTITLE AN ANALYSIS OF WHEN OFFICERS SHOULD ENTER THE ARMY CONTRACTING CAREER FIELD...courses of action provide an alternative to the existing professional timeline in order to allow officers to serve in contracting positions earlier

  6. Roswell Park Cancer Institute/ Howard University Prostate Cancer Scholars Program

    DTIC Science & Technology

    2016-10-01

    INVESTIGATOR: Wendy Huss, PhD CONTRACTING ORGANIZATION : Health Research , Inc. Buffalo, NY 14263-0001 REPORT DATE: October 2016 TYPE OF REPORT: Annual...RHPCS Program to encourage interns to enter graduate training and careers in prostate cancer research . Completion dates for activities and progress on... interns to enter graduate training and careers in prostate cancer research . SOW-Major Task 4: Track Prostate Cancer Scholar professional activities

  7. 5 CFR 1601.32 - Timing and posting dates.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... heavy transaction volume, and acts of God. These factors also could affect the availability of the TSP... circumstances according to the following rules: (1) A transaction request entered into the TSP record keeping... business day, will ordinarily be posted that business day. A transaction request entered into the system...

  8. 5 CFR 1655.7 - Interest rate.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... processes the paper application or on the date the request is entered on the TSP Web site. (b) The interest... participant informs the TSP record keeper that he or she entered into active duty military service, and, as a result, requests that the interest rate on a loan issued before entry into active duty military service...

  9. 12 CFR 12.9 - Settlement of securities transactions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... national bank shall not effect or enter into a contract for the purchase or sale of a security (other than... of securities later than the third business day after the date of the contract, unless otherwise... bank shall not effect or enter into a contract for the purchase or sale of the securities that provides...

  10. 40 CFR 46.195 - Project period.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 40 Protection of Environment 1 2010-07-01 2010-07-01 false Project period. 46.195 Section 46.195... During the Fellowship § 46.195 Project period. Based on the “Date Fellow Will Enter on Duty” which you enter on the Activation Notice (see § 46.185(a)), EPA will establish the project period for the...

  11. 40 CFR 46.195 - Project period.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 40 Protection of Environment 1 2012-07-01 2012-07-01 false Project period. 46.195 Section 46.195... During the Fellowship § 46.195 Project period. Based on the “Date Fellow Will Enter on Duty” which you enter on the Activation Notice (see § 46.185(a)), EPA will establish the project period for the...

  12. 40 CFR 46.195 - Project period.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 40 Protection of Environment 1 2013-07-01 2013-07-01 false Project period. 46.195 Section 46.195... During the Fellowship § 46.195 Project period. Based on the “Date Fellow Will Enter on Duty” which you enter on the Activation Notice (see § 46.185(a)), EPA will establish the project period for the...

  13. 40 CFR 46.195 - Project period.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 40 Protection of Environment 1 2011-07-01 2011-07-01 false Project period. 46.195 Section 46.195... During the Fellowship § 46.195 Project period. Based on the “Date Fellow Will Enter on Duty” which you enter on the Activation Notice (see § 46.185(a)), EPA will establish the project period for the...

  14. 40 CFR 46.195 - Project period.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 40 Protection of Environment 1 2014-07-01 2014-07-01 false Project period. 46.195 Section 46.195... During the Fellowship § 46.195 Project period. Based on the “Date Fellow Will Enter on Duty” which you enter on the Activation Notice (see § 46.185(a)), EPA will establish the project period for the...

  15. 12 CFR 344.7 - Settlement of securities transactions.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... of securities transactions. (a) A bank shall not effect or enter into a contract for the purchase or... for payment of funds and delivery of securities later than the third business day after the date of... offering. A bank shall not effect or enter into a contract for the purchase or sale of the securities that...

  16. Cellular changes in the enteric nervous system during ageing.

    PubMed

    Saffrey, M Jill

    2013-10-01

    The intrinsic neurons of the gut, enteric neurons, have an essential role in gastrointestinal functions. The enteric nervous system is plastic and continues to undergo changes throughout life, as the gut grows and responds to dietary and other environmental changes. Detailed analysis of changes in the ENS during ageing suggests that enteric neurons are more vulnerable to age-related degeneration and cell death than neurons in other parts of the nervous system, although there is considerable variation in the extent and time course of age-related enteric neuronal loss reported in different studies. Specific neuronal subpopulations, particularly cholinergic myenteric neurons, may be more vulnerable than others to age-associated loss or damage. Enteric degeneration and other age-related neuronal changes may contribute to gastrointestinal dysfunction that is common in the elderly population. Evidence suggests that caloric restriction protects against age-associated loss of enteric neurons, but recent advances in the understanding of the effects of the microbiota and the complex interactions between enteric ganglion cells, mucosal immune system and intestinal epithelium indicate that other factors may well influence ageing of enteric neurons. Much remains to be understood about the mechanisms of neuronal loss and damage in the gut, although there is evidence that reactive oxygen species, neurotrophic factor dysregulation and/or activation of a senescence associated phenotype may be involved. To date, there is no evidence for ongoing neurogenesis that might replace dying neurons in the ageing gut, although small local sites of neurogenesis would be difficult to detect. Finally, despite the considerable evidence for enteric neurodegeneration during ageing, and evidence for some physiological changes in animal models, the ageing gut appears to maintain its function remarkably well in animals that exhibit major neuronal loss, indicating that the ENS has considerable functional reserve. © 2013 Elsevier Inc. All rights reserved.

  17. UV Detector Materials Development Program

    DTIC Science & Technology

    1981-12-01

    document. UNCLASSIFIED SECURITY CLASSIFICATION OF THIr odkE ’Whe Date Entered) READ INSTRUCTIONS REPORT DOCUMENTATION PAGE BEFORE COMPLETING FORM 1... collection efficiency within the detector (internal quantum efficiency). As mentioned previously, it was found that reverse biasing the Schottky diodes...the ratio of the number of carriers collected in the detector versus the number of photons entering into the absorbing region. It is, therefore

  18. 77 FR 44256 - Draft Guidance for Industry and Food and Drug Administration Staff; Safety Considerations for 510...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-27

    ... effect at this time. DATES: Although you can comment on any guidance at any time (see 21 CFR 10.115(g)(5... departments, and manufacturers of enteral feeding tubes regarding luer lock misconnections. FDA advised... for Enteral Applications,'' you may either send an email request to [email protected] to receive an...

  19. Profiles of Persisting Fourth-Year STEM Majors. ACT Research Report Series 2016 (5)

    ERIC Educational Resources Information Center

    Westrick, Paul

    2016-01-01

    Using date from 120,612 students at 26 four-year institutions, this report provides a description of STEM majors entering four-year postsecondary institutions and those who persist through four years of study. The results indicate that persisting STEM majors enter college with very high levels of pre-college academic achievement as measured by the…

  20. They Do Not Buy It: Exploring the Extent to Which Entering First-Year Students View Themselves as Customers

    ERIC Educational Resources Information Center

    Saunders, Daniel B.

    2015-01-01

    While a number of scholars have discussed the pervasiveness of the conceptualization of students as customers, to date there has been limited reliable research examining the extent to which students actually view themselves as customers. Using a survey that was administered to a census of entering first-year students at a large public research…

  1. Characteristics and Outcomes of Dogs Admitted into Queensland RSPCA Shelters

    PubMed Central

    Rand, Jacquie; Morton, John; Paterson, Mandy

    2017-01-01

    Simple Summary An up-to-date and comprehensive understanding of the characteristics and outcomes of dogs entering shelters is required for implementing targeted strategies to reduce euthanasia of healthy and treatable dogs in Australia. Currently, there are few up-to-date Australian data published on dogs entering shelters, and their outcomes. Of dogs entering the Royal Society for Prevention of Cruelty to Animals, Queensland shelters in 2014, the majority (58%) were strays and 26% were puppies. Only 18% of dogs >6 months were desexed. Most dogs were reclaimed (32%) or adopted (43%). Strategies targeted to locations and breeds overrepresented by admissions are required to reduce shelter admissions, particularly of strays and unwanted litters. Abstract Over 200,000 stray and surrendered dogs are admitted to shelters and municipal facilities in Australia each year, and approximately 20% are euthanized. Contemporary, comprehensive data on the characteristics and outcomes of dogs entering shelters are required to reduce shelter admissions and euthanasia. However, there are currently limited up-to-date data published on dog admission into shelters. A retrospective single cohort study was conducted to describe the characteristics and outcomes of the dog population entering Royal Society for Prevention of Cruelty to Animals, Queensland (RSPCA-QLD) shelters in 2014 (n = 11,967). The majority of dog admissions were strays from the public (24%) or from municipal councils (34%). Just over a quarter of admissions were puppies, 18% of adults (>6 months) were desexed, and the majority of admissions were crossbred dogs (92%). The majority of owner surrenders (86%) were due to human-related reasons. Most dogs were reclaimed (32%) or adopted (43%) and aggression was the most common reason for euthanasia of adult dogs (45%). Low-cost or free desexing and identification programs targeted to areas and breeds contributing to high intake, and increased support services for owners at risk of surrendering their dog, should be trialed to determine their cost effectiveness in reducing shelter admissions and euthanasia. PMID:28862692

  2. Evaluation of vaccines against enteric infections: a clinical and public health research agenda for developing countries

    PubMed Central

    Clemens, John

    2011-01-01

    Enteric infections are a major cause of morbidity and mortality in developing countries. To date, vaccines have played a limited role in public health efforts to control enteric infections. Licensed vaccines exist for cholera and typhoid, but these vaccines are used primarily for travellers; and there are two internationally licensed vaccines for rotavirus, but they are mainly used in affluent countries. The reasons that enteric vaccines are little used in developing countries are multiple, and certainly include financial and political constraints. Also important is the need for more cogent evidence on the performance of enteric vaccines in developing country populations. A partial inventory of research questions would include: (i) does the vaccine perform well in the most relevant settings? (ii) does the vaccine perform well in all epidemiologically relevant age groups? (iii) is there adequate evidence of vaccine safety once the vaccines have been deployed in developing countries? (iv) how effective is the vaccine when given in conjunction with non-vaccine cointerventions? (v) what is the level of vaccine protection against all relevant outcomes? and (vi) what is the expected population level of vaccine protection, including both direct and herd vaccine protective effects? Provision of evidence addressing these questions will help expand the use of enteric vaccines in developing countries. PMID:21893543

  3. Parsley: a Command-Line Parser for Astronomical Applications

    NASA Astrophysics Data System (ADS)

    Deich, William

    Parsley is a sophisticated keyword + value parser, packaged as a library of routines that offers an easy method for providing command-line arguments to programs. It makes it easy for the user to enter values, and it makes it easy for the programmer to collect and validate the user's entries. Parsley is tuned for astronomical applications: for example, dates entered in Julian, Modified Julian, calendar, or several other formats are all recognized without special effort by the user or by the programmer; angles can be entered using decimal degrees or dd:mm:ss; time-like intervals as decimal hours, hh:mm:ss, or a variety of other units. Vectors of data are accepted as readily as scalars.

  4. 32 CFR 806b.45 - Releasable information.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... approved and announced stateside assignments. (i) Position title. (j) Office, unit address, and duty phone number (Continental United States (CONUS) only). (k) Date of rank. (l) Entered on active duty date. (m) Pay date. (n) Source of commission. (o) Professional military education. (p) Promotion sequence number...

  5. 32 CFR 806b.45 - Releasable information.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... approved and announced stateside assignments. (i) Position title. (j) Office, unit address, and duty phone number (Continental United States (CONUS) only). (k) Date of rank. (l) Entered on active duty date. (m) Pay date. (n) Source of commission. (o) Professional military education. (p) Promotion sequence number...

  6. 32 CFR 806b.45 - Releasable information.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... approved and announced stateside assignments. (i) Position title. (j) Office, unit address, and duty phone number (Continental United States (CONUS) only). (k) Date of rank. (l) Entered on active duty date. (m) Pay date. (n) Source of commission. (o) Professional military education. (p) Promotion sequence number...

  7. Correlates of protection for enteric vaccines.

    PubMed

    Holmgren, Jan; Parashar, Umesh D; Plotkin, Stanley; Louis, Jacques; Ng, Su-Peing; Desauziers, Eric; Picot, Valentina; Saadatian-Elahi, Mitra

    2017-06-08

    An immunological Correlate of Protection (CoP) is an immune response that is statistically interrelated with protection. Identification of CoPs for enteric vaccines would help design studies to improve vaccine performance of licensed vaccines in low income settings, and would facilitate the testing of future vaccines in development that might be more affordable. CoPs are lacking today for most existing and investigational enteric vaccines. In order to share the latest information on CoPs for enteric vaccines and to discuss novel approaches to correlate mucosal immune responses in humans with protection, the Foundation Mérieux organized an international conference of experts where potential CoPs for vaccines were examined using case-studies for both bacterial and viral enteric pathogens. Experts on the panel concluded that to date, all established enteric vaccine CoPs, such as those for hepatitis A, Vi typhoid and poliovirus vaccines, are based on serological immune responses even though these may poorly reflect the relevant gut immune responses or predict protective efficacy. Known CoPs for cholera, norovirus and rotavirus could be considered as acceptable for comparisons of similarly composed vaccines while more work is still needed to establish CoPs for the remaining enteric pathogens and their candidate vaccines. Novel approaches to correlate human mucosal immune responses with protection include the investigation of gut-originating antibody-secreting cells (ASCs), B memory cells and follicular helper T cells from samples of peripheral blood during their recirculation. Copyright © 2017.

  8. 17 CFR 160.18 - Effective date; compliance date; transition rule.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., by that date, you have established a system for providing an initial notice to all new customers and... agreements. Until March 31, 2003, a contract that you have entered into with a nonaffiliated third party to... date; transition rule. 160.18 Section 160.18 Commodity and Securities Exchanges COMMODITY FUTURES...

  9. Descriptive study of enteric zoonoses in Ontario, Canada, from 2010 - 2012.

    PubMed

    Whitfield, Yvonne; Johnson, Karen; Hobbs, Leigh; Middleton, Dean; Dhar, Badal; Vrbova, Linda

    2017-02-21

    Contact with animals and their environment has long been recognized as an important source of enteric zoonoses. However, there are limited data available on the burden of illness associated with specific types of animals in Canada. This study describes the overall burden of enteric zoonoses in Ontario, Canada from 2010 to 2012. Confirmed cases of seven enteric zoonotic diseases (campylobacteriosis, cryptosporidiosis, giardiasis, listeriosis, salmonellosis, verotoxin-producing E. coli (VTEC) infection, and yersiniosis) with episode dates from 2010 to 2012 were extracted from the integrated Public Health Information System (iPHIS). Reported exposures were categorized as animal contact, foodborne, waterborne and 'other', with animal contact grouped into nine sub-categories based on the type of animal or transmission setting. Overall incidence rates and proportions by animal exposure categories, age and sex-specific incidence rates and hospitalization and death proportions were calculated and sex proportions compared. Our study found that approximately 26% of the enteric pathogens assessed during the 2010 to 2012 period reported contact with animals and their environments as the mode of transmission. Of enteric disease cases reporting animal contact, farm exposures were reported for 51.3%, dog or cat exposures for 26.3%, and reptile or amphibian exposures for 8.9%. Contact with animals was reported more frequently during the period 2010 to 2012 in comparison to the period 1997 to 2003 when 6% or less of enteric cases were associated with animal contact. Public health professionals, stakeholders associated with animals and their related industries (e.g., pet treats, mobile zoos, abattoirs), and the public should recognize that animal contact is an important source of enteric illnesses in order to take measures to reduce the burden of illness from animal sources.

  10. Evaluation of scanning 2D barcoded vaccines to improve data accuracy of vaccines administered.

    PubMed

    Daily, Ashley; Kennedy, Erin D; Fierro, Leslie A; Reed, Jenica Huddleston; Greene, Michael; Williams, Warren W; Evanson, Heather V; Cox, Regina; Koeppl, Patrick; Gerlach, Ken

    2016-11-11

    Accurately recording vaccine lot number, expiration date, and product identifiers, in patient records is an important step in improving supply chain management and patient safety in the event of a recall. These data are being encoded on two-dimensional (2D) barcodes on most vaccine vials and syringes. Using electronic vaccine administration records, we evaluated the accuracy of lot number and expiration date entered using 2D barcode scanning compared to traditional manual or drop-down list entry methods. We analyzed 128,573 electronic records of vaccines administered at 32 facilities. We compared the accuracy of records entered using 2D barcode scanning with those entered using traditional methods using chi-square tests and multilevel logistic regression. When 2D barcodes were scanned, lot number data accuracy was 1.8 percentage points higher (94.3-96.1%, P<0.001) and expiration date data accuracy was 11 percentage points higher (84.8-95.8%, P<0.001) compared with traditional methods. In multivariate analysis, lot number was more likely to be accurate (aOR=1.75; 99% CI, 1.57-1.96) as was expiration date (aOR=2.39; 99% CI, 2.12-2.68). When controlling for scanning and other factors, manufacturer, month vaccine was administered, and vaccine type were associated with variation in accuracy for both lot number and expiration date. Two-dimensional barcode scanning shows promise for improving data accuracy of vaccine lot number and expiration date records. Adapting systems to further integrate with 2D barcoding could help increase adoption of 2D barcode scanning technology. Published by Elsevier Ltd.

  11. Archiving California’s historical duck nesting data

    USGS Publications Warehouse

    Ackerman, Joshua T.; Herzog, Mark P.; Brady, Caroline; Eadie, John M.; Yarris, Greg S.

    2015-07-14

    With the conclusion of this project, most duck nest data have been entered, but all nest-captured hen data and other breeding waterfowl data that were outside the scope of this project have still not been entered and electronically archived. Maintaining an up-to-date archive will require additional resources to archive and enter the new duck nest data each year in an iterative process. Further, data proofing should be conducted whenever possible, and also should be considered an iterative process as there was sometimes missing data that could not be filled in without more direct knowledge of specific projects. Despite these disclaimers, this duck data archive represents a massive and useful dataset to inform future research and management questions.

  12. A Chemical Monitoring Program of the Explosion Products in Underwater Explosion Tests

    DTIC Science & Technology

    1975-04-04

    CLASSIFICATION QF THIS PAGE- (When Date Entered) UNCLASSIFIED tL,URJTY CLASSIFICATION OF THIS PAGE(Then Data Entered) 20.and determination of various explosion...to institute a chemical monitoring program of the explosion products in underwater explosion tests, to determine monitoring parameters, and to...27 3.2.3 Samplers 28 3.2.4 Storage of Sediment Samples 32 IV. DETERMINATION OF EXPLOSION PRODUCTS 32 4.1 DESIGN OF MEASUREMENT SYSTEM 32 4.1.1

  13. Acoustic Evaluation and Recommended Controls for Runway Supervisory Units, Laughlin AFB, Texas.

    DTIC Science & Technology

    1980-02-01

    NR ), given in Table 2 and shown in Figures 8 through 12 , are the arithmetic differences between exterior and interior noise levels. No difference...ORG. REPORT MUM4MR , ,IT]VPARINACCI, Capt, USAF- BSC Consultant, Acoustics Evaluation Engr CAROLYN M. JONES, 2LT USAF, BSC Consultant, Industria ...Documents.,") Block 12 . Report Date. Enter here the day, month, and year or month and year as shown on the cover, Block 13. Number of Pages. Enter

  14. Survival of the Fittest: How Bacterial Pathogens Utilize Bile To Enhance Infection

    PubMed Central

    Sistrunk, Jeticia R.; Nickerson, Kourtney P.; Chanin, Rachael B.; Rasko, David A.

    2016-01-01

    SUMMARY Bacterial pathogens have coevolved with humans in order to efficiently infect, replicate within, and be transmitted to new hosts to ensure survival and a continual infection cycle. For enteric pathogens, the ability to adapt to numerous host factors under the harsh conditions of the gastrointestinal tract is critical for establishing infection. One such host factor readily encountered by enteric bacteria is bile, an innately antimicrobial detergent-like compound essential for digestion and nutrient absorption. Not only have enteric pathogens evolved to resist the bactericidal conditions of bile, but these bacteria also utilize bile as a signal to enhance virulence regulation for efficient infection. This review provides a comprehensive and up-to-date analysis of bile-related research with enteric pathogens. From common responses to the unique expression of specific virulence factors, each pathogen has overcome significant challenges to establish infection in the gastrointestinal tract. Utilization of bile as a signal to modulate virulence factor expression has led to important insights for our understanding of virulence mechanisms for many pathogens. Further research on enteric pathogens exposed to this in vivo signal will benefit therapeutic and vaccine development and ultimately enhance our success at combating such elite pathogens. PMID:27464994

  15. 19 CFR 12.104b - State Parties to the Convention.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., acceptance, accession or succession, the date of such deposit and the date of entry into force for each State Party: State party Date of deposit Date of entry into force Algeria June 24, 1974 (R) Sept. 24, 1974... entered into force on July 28, 1988. 2. Bosnia-Herzegovina, Croatia and the Republic of Slovenia each...

  16. 19 CFR 12.104b - State Parties to the Convention.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., acceptance, accession or succession, the date of such deposit and the date of entry into force for each State Party: State party Date of deposit Date of entry into force Algeria June 24, 1974 (R) Sept. 24, 1974... entered into force on July 28, 1988. 2. Bosnia-Herzegovina, Croatia and the Republic of Slovenia each...

  17. Theoretical Methods in the Calculation of the Bremsstrahlung Recoil Force in a Nonequilibrium Beam-Plasma System.

    DTIC Science & Technology

    1984-05-01

    THIS PAGE (When Date Entered) READ INSTRUCTIONSREPORT DOCUMENTATION PAGE BEFORE COMPLETING FORM I . REPORT NUMBER 2. GOVT ACCESSION NO. 3. RECIPIENT’S...Approved for public release; distribution unlimited. I . DISTRIBUTION STATEMENT (of the abetrect entered In Block 20, it different from Report) II...SUPPLEMENTARY NOTES HDL Project: A10225 ’,’ I ..- DRCMSCode: 61110191A0011 ", *.. -- ". DA Project: 1L161101A91A It. KEY WORDS (Cotlinue on reverse side It

  18. U.S. Army Research Laboratory Fiscal Year 2010 Status Report for the Advanced, All-Source, Fusion Technology Program Annex

    DTIC Science & Technology

    2011-03-01

    9 Figure 7. RDS preferences widget after loading an unusual font (left) and RDS SPARQL query widget (right...Entered By Individual: SGT Juan Gonzalez DOI: 2007-01-06 13:00:00 Date Entered: 2007-01-06 23:32:03 Subject: Al-Qaeda Reading Material Source...preferences widget after loading an unusual font (left) and RDS SPARQL query widget (right). NetKernel and RDS-specific modules are specified with a URL

  19. 12 CFR 716.18 - Effective date; transition rule.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ..., 2001, if, by that date, you have established a system for providing an initial notice to all new... service agreements. Until July 1, 2002, a contract that you have entered into with a nonaffiliated third... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Effective date; transition rule. 716.18 Section...

  20. 12 CFR 573.18 - Effective date; transition rule.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... to consumers who are your customers on July 1, 2001, if, by that date, you have established a system... you have entered into with a nonaffiliated third party to perform services for you or functions on... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Effective date; transition rule. 573.18 Section...

  1. 12 CFR 332.18 - Effective date; transition rule.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... date, you have established a system for providing an initial notice to all new customers and have... agreements. Until July 1, 2002, a contract that you have entered into with a nonaffiliated third party to... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Effective date; transition rule. 332.18 Section...

  2. 12 CFR 216.18 - Effective date; transition rule.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... date, you have established a system for providing an initial notice to all new customers and have... agreements. Until July 1, 2002, a contract that you have entered into with a nonaffiliated third party to... 12 Banks and Banking 2 2010-01-01 2010-01-01 false Effective date; transition rule. 216.18 Section...

  3. 77 FR 35199 - Swap Data Recordkeeping and Reporting Requirements: Pre-Enactment and Transition Swaps

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-12

    ...The Commodity Futures Trading Commission (``Commission'' or ``CFTC'') is adopting rules to further implement the Commodity Exchange Act (``CEA'' or ``Act'') with respect to the new statutory framework regarding swap data recordkeeping and reporting established by the Dodd-Frank Wall Street Reform and Consumer Protection Act (``Dodd-Frank Act''). The Dodd-Frank Act, which amended the CEA, directs that rules adopted by the Commission shall provide for the reporting of data relating to swaps entered into before the date of enactment of the Dodd-Frank Act, the terms of which have not expired as of the date of enactment of the Dodd-Frank Act (``pre-enactment swaps'') and data relating to swaps entered into on or after the date of enactment of the Dodd-Frank Act and prior to the compliance date specified in the Commission's final swap data reporting rules (``transition swaps''). These final rules establish swap data recordkeeping and reporting requirements for pre-enactment swaps and transition swaps.

  4. Pancreatitis - discharge

    MedlinePlus

    ... Diet - clear liquid Diet - full liquid Enteral nutrition - child - managing problems Gallstones - discharge Gastrostomy feeding tube - bolus Jejunostomy feeding tube Review Date 12/1/2016 Updated by: Subodh K. Lal, MD, Gastroenterologist ...

  5. Environmental factors and chemical and microbiological water-quality constituents related to the presence of enteric viruses in ground water from small public water supplies in southeastern Michigan

    USGS Publications Warehouse

    Francy, Donna S.; Bushon, Rebecca N.; Stopar, Julie; Luzano, Emma J.; Fout, G. Shay

    2004-01-01

    A study of small public ground-water-supply wells that produce water from discontinuous sand and gravel aquifers was done from July 1999 through July 2001 in southeastern Michigan. Samples were collected to determine the occurrence of viral pathogens and microbiological indicators of fecal contamination (indicators), determine whether indicators are adequate predictors of the presence of enteric viruses, and determine the factors that affect the presence of enteric viruses. Small systems are those that serve less than 3,300 people. Samples were analyzed for specific enteric viruses by reverse transcriptase-polymerase chain reaction (RT-PCR), for culturable viruses by cell culture, and for the indicators total coliforms, Escherichia coli (E. coli), enterococci, and F-specific and somatic coliphage. Ancillary environmental and water-quality data were collected or compiled. A total of 169 regular samples and 32 replicate pairs were collected from 38 wells. Replicate pairs were samples collected at the same well on the same date. One well was sampled 6 times, 30 wells were sampled five times, 6 wells were sampled twice, and 1 well was sampled once. By use of RT-PCR, enterovirus was found in four wells (10.5 percent) and hepatitis A virus (HAV) in five wells (13.2 percent). In two of these wells, investigators found both enterovirus and HAV, but on different sampling dates. Culturable viruses were found one time in two wells (5.9 percent), and neither of these wells was positive for viruses by use of RT-PCR on any sampling date. If results for all viruses are combined, 9 of the 38 small public-supply wells were positive for enteric viruses (23.7 percent) by either cell culture or RT-PCR. One or more indicators were found in 18 of 38 wells. Total coliforms, E. coli, enterococci, and F-specific and somatic coliphage were found in 34.2, 10.5, 15.8, 5.9, and 5.9 percent, respectively, of the wells tested. In only 3 out of 18 wells were samples positive for an indicator on more than one date at the same well. The co-occurrence of enteric viruses and any indicator was 55.6 percent; five out of the nine virus-positive wells were also found to be positive for an indicator. Two wells with detections of viruses had a detection of total coliforms, one well had a detection of E. coli, one of enterococci, and one of F-specific coliphage. On a per sample basis, of 11 samples that were positive for enteric viruses, indicator bacteria co-occurred in only 2 samples, and coliphage were not present in any. More virus-positive samples were found at sites served by septic systems than those served by sewerlines. Sampling condition (ground water or a mixture of tank and ground water), distance to septic system, type of and distance to nearest surface-water body, well characteristics, or land use were not related to the presence of viruses or indicators. Among continuous water-quality variables, statistically significant relations were found between total coliforms and dissolved organic carbon and between total coliforms and iron. There was a statistically significant relation between chloride concentrations >20 mg/L and detections of total coliforms. Presence of nitrate and nitrite was related to the presence of other indicators (E. coli, enterococci, and F-specific and somatic coliphage) or enteric viruses, but not to total coliforms. The data indicated that chloride-to-bromide (C1:Br) ratios may be useful as a screening tool for total coliforms and enteric viruses but not for E. coli, enterococci, and F-specific and somatic coliphage. This study provides evidence for fecal contamination of ground water from small public-supply wells, at least on an intermittent basis. Collecting data on multiple lines of evidence would be needed to reliably predict the presence of enteric viruses and protect public health. Future data collection toward this end could include repeat sampling several times a year for different indicators, measuring dissolv

  6. Enteral tube feeding for cystic fibrosis.

    PubMed

    Conway, S P; Morton, A; Wolfe, S

    2008-04-16

    Enteral tube feeding is routinely used in many cystic fibrosis centres when weight for height percentage is less than 85%, when there has been weight loss for longer than a two-month period or when there has been no weight gain for two to three months (under five years old) or for six months (over five years old). To examine the evidence that in people with cystic fibrosis supplemental enteral tube feeding improves nutritional status, respiratory function, and quality of life without significant adverse effects. We searched the Cochrane Cystic Fibrosis and Genetic Disorders Group Trials Register which comprises references identified from comprehensive electronic database searches and handsearches of relevant journals and abstract books of conference proceedings. We also contacted the companies that market enteral feeds and reviewed their databases. Date of the most recent search of the Group's Cystic Fibrosis Trials Register: November 2007. All randomised controlled trials comparing supplemental enteral tube feeding for one month or longer with no specific intervention in people with cystic fibrosis. Thirteen trials were identified by the search; however, none were eligible for inclusion in this review. There are no trials included in this review. Supplemental enteral tube feeding is widely used throughout the world to improve nutritional status in people with cystic fibrosis. The methods mostly used, nasogastric or gastrostomy feeding, are invasive, expensive, and may have a negative effect on self-esteem and body image. Reported use of enteral tube feeding suggests that it results in nutritional and respiratory improvement and it is disappointing that their efficacy has not been fully assessed by randomised controlled trials. With the more frequent recommendations to use enteral tube feeding as an early rather than a late intervention, this systematic review identifies the need for a multicentre, randomised controlled trial assessing both efficacy and possible adverse effects of enteral tube feeding in cystic fibrosis. There are no trials included in the review and we have not identified any relevant trials up to November 2007. We therefore do not plan to update this review until new trials are published.

  7. 77 FR 15033 - Privacy Act Systems of Records; APHIS Veterinary Services User Fee System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-14

    ... UFS tracks the accuracy of expenditures and collections transactions of credit accounts. Information obtained in the credit account application is entered into the Foundation Financial Information System... information about the user's credit account, including charges and payments made, date(s) and type of service...

  8. 24 CFR 248.105 - Notice of intent.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., if the owner entered into a workout agreement prior to that date, and on or after that date, the owner has defaulted under the workout agreement (and, if the agreement was with an insured mortgagee, the mortgage has been assigned to the Commissioner as a result of the default under the workout...

  9. 24 CFR 248.105 - Notice of intent.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ..., if the owner entered into a workout agreement prior to that date, and on or after that date, the owner has defaulted under the workout agreement (and, if the agreement was with an insured mortgagee, the mortgage has been assigned to the Commissioner as a result of the default under the workout...

  10. 17 CFR 248.18 - Effective date; transition rule.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... to consumers who are your customers on July 1, 2001, if, by that date, you have established a system... you have entered into with a nonaffiliated third party to perform services for you or functions on... rule. 248.18 Section 248.18 Commodity and Securities Exchanges SECURITIES AND EXCHANGE COMMISSION...

  11. Testing the Effectiveness of the North Shore - LIJ Health System’s Bioterrorism Response Program to Identified Surveillance Data

    DTIC Science & Technology

    2007-03-01

    Enteritis GI 008.5 ENTERITIS, BACTERIAL NOS Enteritis GI 008.6 ENTERITIS D/T SPECIFIED V Enteritis GI 008.61 ENTERITIS D/T ROTAVIRUS Enteritis GI...008.61 ENTERITIS D/T ROTAVIRUS Enteritis GI 008.62 ENTERITIS D/T ADENOVIRUS Enteritis GI 008.63 ENTERITIS D/T NORWALK VIR Enteritis GI 008.64

  12. 32 CFR Appendix A to Part 327 - Sample DeCA Response Letter

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) PRIVACY PROGRAM DEFENSE COMMISSARY AGENCY PRIVACY ACT PROGRAM Pt. 327, App. A Appendix A to Part 327...: This responds to your Privacy Act request dated (enter date of request), in which you requested.... They will respond directly to you. Any questions concerning your request may be made telephonically...

  13. Development of the intrinsic and extrinsic innervation of the gut.

    PubMed

    Uesaka, Toshihiro; Young, Heather M; Pachnis, Vassilis; Enomoto, Hideki

    2016-09-15

    The gastrointestinal (GI) tract is innervated by intrinsic enteric neurons and by extrinsic efferent and afferent nerves. The enteric (intrinsic) nervous system (ENS) in most regions of the gut consists of two main ganglionated layers; myenteric and submucosal ganglia, containing numerous types of enteric neurons and glial cells. Axons arising from the ENS and from extrinsic neurons innervate most layers of the gut wall and regulate many gut functions. The majority of ENS cells are derived from vagal neural crest cells (NCCs), which proliferate, colonize the entire gut, and first populate the myenteric region. After gut colonization by vagal NCCs, the extrinsic nerve fibers reach the GI tract, and Schwann cell precursors (SCPs) enter the gut along the extrinsic nerves. Furthermore, a subpopulation of cells in myenteric ganglia undergoes a radial (inward) migration to form the submucosal plexus, and the intrinsic and extrinsic innervation to the mucosal region develops. Here, we focus on recent progress in understanding the developmental processes that occur after the gut is colonized by vagal ENS precursors, and provide an up-to-date overview of molecular mechanisms regulating the development of the intrinsic and extrinsic innervation of the GI tract. Copyright © 2016 Elsevier Inc. All rights reserved.

  14. 33 CFR 104.267 - Security measures for newly hired employees.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... VSO enters the following information on the new hire into the Coast Guard's Homeport website (http...) Social security number (optional); (iv) Employer name and 24 hour contact information; and (v) Date of...

  15. 33 CFR 104.267 - Security measures for newly hired employees.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... VSO enters the following information on the new hire into the Coast Guard's Homeport website (http...) Social security number (optional); (iv) Employer name and 24 hour contact information; and (v) Date of...

  16. 33 CFR 104.267 - Security measures for newly hired employees.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... VSO enters the following information on the new hire into the Coast Guard's Homeport website (http...) Social security number (optional); (iv) Employer name and 24 hour contact information; and (v) Date of...

  17. 33 CFR 104.267 - Security measures for newly hired employees.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... VSO enters the following information on the new hire into the Coast Guard's Homeport website (http...) Social security number (optional); (iv) Employer name and 24 hour contact information; and (v) Date of...

  18. 33 CFR 104.267 - Security measures for newly hired employees.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... VSO enters the following information on the new hire into the Coast Guard's Homeport website ( http...) Social security number (optional); (iv) Employer name and 24 hour contact information; and (v) Date of...

  19. 37 CFR 251.36 - Pre-arbitration and post-arbitration employment restrictions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...-arbitration employment restrictions. (a) The Librarian of Congress will not select any arbitrator who was... the date of submission of the arbitration panel's report to the Librarian, no arbitrator may enter...

  20. 26 CFR 1.988-5 - Section 988(d) hedging transactions.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... qualifying debt instrument does not include accounts payable, accounts receivable or similar items of expense... be made to reflect any gain or loss taken into account. The netting rule of § 1.988-2(b)(8) shall... information— (A) The date the qualifying debt instrument and hedge were entered into; (B) The date the...

  1. 48 CFR Appendix B to Part 1232 - Instructions for Completing the SF 1035

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... generally entered below the line with Number and Date of Order; Date of Delivery or Service; Articles or... of data to be inserted as it applies to the contract or order number. a. Show, as applicable, the... Government's interest. b. Show the following costs and supporting data (as applicable) to the contract or...

  2. Avian Astrovirus

    USDA-ARS?s Scientific Manuscript database

    Avian astroviruses comprise a diverse group of viruses affecting many avian species and causing enteritis, hepatitis and nephritis. To date, six different astroviruses have been identified in avian species based on the species of origin and viral genome characteristics: two turkey-origin astroviru...

  3. 17 CFR 204.4 - Demand for payment-notice.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ..., a written notice will be sent to the debtor. This notice will include: (1) The type and amount of the debt; (2) The date when payment is due (not less than thirty days from the date of mailing or hand... of the debtor to enter into a written agreement with the agency to repay the debt in some other way...

  4. 19 CFR 181.53 - Collection and waiver or reduction of duty under duty-deferral programs.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... required filing date. The person required to file shall file Customs Form 7501 no later than 10 working days after the date of exportation to Canada or Mexico or 10 working days after being entered into a... sugar and other flavorings and packaging it in retail size canisters. Upon withdrawal of the ice tea mix...

  5. 19 CFR 181.53 - Collection and waiver or reduction of duty under duty-deferral programs.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... required filing date. The person required to file shall file Customs Form 7501 no later than 10 working days after the date of exportation to Canada or Mexico or 10 working days after being entered into a... sugar and other flavorings and packaging it in retail size canisters. Upon withdrawal of the ice tea mix...

  6. 19 CFR 181.53 - Collection and waiver or reduction of duty under duty-deferral programs.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... required filing date. The person required to file shall file Customs Form 7501 no later than 10 working days after the date of exportation to Canada or Mexico or 10 working days after being entered into a... sugar and other flavorings and packaging it in retail size canisters. Upon withdrawal of the ice tea mix...

  7. 19 CFR 181.53 - Collection and waiver or reduction of duty under duty-deferral programs.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... required filing date. The person required to file shall file Customs Form 7501 no later than 10 working days after the date of exportation to Canada or Mexico or 10 working days after being entered into a... sugar and other flavorings and packaging it in retail size canisters. Upon withdrawal of the ice tea mix...

  8. 8 CFR 207.8 - Physical presence in the United States.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ADMISSION OF REFUGEES § 207.8 Physical presence in the United States. For the purpose of adjustment of... the United States is computed from the date the applicant entered the United States as a refugee. [46...

  9. NASA Records Database

    NASA Technical Reports Server (NTRS)

    Callac, Christopher; Lunsford, Michelle

    2005-01-01

    The NASA Records Database, comprising a Web-based application program and a database, is used to administer an archive of paper records at Stennis Space Center. The system begins with an electronic form, into which a user enters information about records that the user is sending to the archive. The form is smart : it provides instructions for entering information correctly and prompts the user to enter all required information. Once complete, the form is digitally signed and submitted to the database. The system determines which storage locations are not in use, assigns the user s boxes of records to some of them, and enters these assignments in the database. Thereafter, the software tracks the boxes and can be used to locate them. By use of search capabilities of the software, specific records can be sought by box storage locations, accession numbers, record dates, submitting organizations, or details of the records themselves. Boxes can be marked with such statuses as checked out, lost, transferred, and destroyed. The system can generate reports showing boxes awaiting destruction or transfer. When boxes are transferred to the National Archives and Records Administration (NARA), the system can automatically fill out NARA records-transfer forms. Currently, several other NASA Centers are considering deploying the NASA Records Database to help automate their records archives.

  10. Enteritis

    MedlinePlus

    ... enteritis E coli enteritis Food poisoning Radiation enteritis Salmonella enteritis Shigella enteritis Staph aureus food poisoning Symptoms ... store food that needs to stay chilled. Images Salmonella typhi organism Yersinia enterocolitica organism Campylobacter jejuni organism ...

  11. 78 FR 62630 - Vantran Electric Corporation Site, Louisville, Jefferson County, GA; Notice of Settlement

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-22

    ... settlement addresses costs from a fund-lead Removal Action taken by EPA at the Site. DATES: The Agency will... Protection Agency has entered into a settlement with the Vantran Electric Corporation addressing past costs...

  12. 75 FR 81377 - Prohibited Service at Savings and Loan Holding Companies; Reinstitution of Expiration Date of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-28

    ... of trust, or money laundering (or who has agreed to enter into a pretrial diversion or similar... has been convicted of any criminal offense involving dishonesty, breach of trust, or money laundering...

  13. 12 CFR Appendix A to Part 203 - Form and Instructions for Completion of HMDA Loan/Application Register

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 12 Banks and Banking 2 2011-01-01 2011-01-01 false Form and Instructions for Completion of HMDA..., numerals, or a combination of both. 2. Date Application Received a. Enter the date the loan application was... (any loan other than FHA, VA, FSA, or RHS loans) Code 2—FHA-insured (Federal Housing Administration...

  14. Report on Gang Violence in Maryland

    DTIC Science & Technology

    1994-07-01

    possession of a firearm, and drug kingpin statutes. 14 . Consider juvenile witness protection programs for youths under eighteen years of age. Scho... 14 . SUBJECT TERMS 15. NUMBER OF PAGES 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY CLASSIFICATION 19. SECURITY CLASSIFICATION 20 IIAINOF...limitations. Cite any Block 2. Report Date. Full publication date availability to the public. Enter additional including day, month, and year , if available

  15. 77 FR 16165 - United States Savings Bonds and Notes; Payments

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-03-20

    ... security by imprinting the word ``PAID'' on its face and entering the amount and date of the actual payment... imprint of a payment stamp. The stamp may not exceed 1\\1/8\\ inches in any dimension and must include the...

  16. Enteric viruses of chickens and turkeys

    USDA-ARS?s Scientific Manuscript database

    Although enteric disease in commercial poultry operations is common, and often unofficially reported and discussed by field veterinarians as “non-specific enteric disease”, three recognized enteric syndromes do exist in poultry: poult enteritis complex (PEC) and poult enteritis mortality syndrome (P...

  17. Nursing administration of medication via enteral tubes in adults: a systematic review.

    PubMed

    Phillips, Nicole M; Nay, Rhonda

    Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown. The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications. The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included studies were scrutinised for other potentially relevant studies. Systematic reviews of randomised controlled trials (RCTs) and RCTs that compared the effectiveness of nursing interventions and considerations used in the administration of medications via enteral tubes. Other research methods, such as non-randomised controlled trials, longitudinal studies, cohort and case control studies, were also included. Exclusion criteria included studies investigating drug-nutrient interactions or the bioavailability of specific medications. Initial consideration of potential relevance to the review was carried out by the primary author (NP). Two reviewers independently assessed study eligibility for inclusion. A meta-analysis could not be undertaken, as there were no comparable RCTs identified. All data were presented in a narrative summary. There is very limited evidence regarding the effectiveness of nursing interventions in minimising the complications associated with enteral tube medication administration in adults. The review highlights a lack of high quality research on many important nursing issues relating to enteral medication administration. There is huge scope for further research. Some of the evidence that was identified included that nurses should consider the use of liquid form medications as there may be fewer tube occlusions than with solid forms in nasoenteral tubes and silicone percutaneous endoscopic gastronomy tubes. Nurses may need to consider the sorbitol content of some liquid medications, for example, elixirs, as diarrhoea has been attributed to the sorbitol content of the elixir, not the drug itself. In addition, the use of 30 mL of water for irrigation when administering medications or flushing small-diameter nasoenteral tubes may reduce the number of tube occlusions.

  18. Nursing administration of medication via enteral tubes in adults: a systematic review.

    PubMed

    Phillips, Nicole M; Nay, Rhonda

    2007-09-01

    Background  Enteral tubes are frequently inserted as part of medical treatment in a wide range of patient situations. Patients with an enteral tube are cared for by nurses in a variety of settings, including general and specialised acute care areas, aged care facilities and at home. Regardless of the setting, nurses have the primary responsibility for administering medication through enteral tubes. Medication administration via an enteral tube is a reasonably common nursing intervention that entails a number of skills, including preparing the medication, verifying the tube position, flushing the tube and assessing for potential complications. If medications are not given effectively through an enteral tube, harmful consequences may result leading to increased morbidity, for example, tube occlusion, diarrhoea and aspiration pneumonia. There are resultant costs for the health-care system related to possible increased length of stay and increased use of equipment. Presently what is considered to be best practice to give medications through enteral tubes is unknown. Objectives  The objective of this systematic review was to determine the best available evidence on which nursing interventions are effective in minimising the complications associated with the administration of medications via enteral tubes in adults. Nursing interventions and considerations related to medication administration included form of medication, verifying tube placement before administration, methods used to give medication, methods used to flush tubes, maintenance of tube patency and specific practices to prevent possible complications related to the administration of enteral medications. Search strategy  The following databases were searched for literature reported in English only: CINAHL, MEDLINE, The Cochrane Library, Current Contents/All Editions, EMBASE, Australasian Medical Index and PsychINFO. There was no date restriction applied. In addition, the reference lists of all included studies were scrutinised for other potentially relevant studies. Selection criteria  Systematic reviews of randomised controlled trials (RCTs) and RCTs that compared the effectiveness of nursing interventions and considerations used in the administration of medications via enteral tubes. Other research methods, such as non-randomised controlled trials, longitudinal studies, cohort and case control studies, were also included. Exclusion criteria included studies investigating drug-nutrient interactions or the bioavailability of specific medications. Data collection and analysis  Initial consideration of potential relevance to the review was carried out by the primary author (NP). Two reviewers independently assessed study eligibility for inclusion. A meta-analysis could not be undertaken, as there were no comparable RCTs identified. All data were presented in a narrative summary. Results  There is very limited evidence regarding the effectiveness of nursing interventions in minimising the complications associated with enteral tube medication administration in adults. The review highlights a lack of high quality research on many important nursing issues relating to enteral medication administration. There is huge scope for further research. Some of the evidence that was identified included that nurses should consider the use of liquid form medications as there may be fewer tube occlusions than with solid forms in nasoenteral tubes and silicone percutaneous endoscopic gastronomy tubes. Nurses may need to consider the sorbitol content of some liquid medications, for example, elixirs, as diarrhoea has been attributed to the sorbitol content of the elixir, not the drug itself. In addition, the use of 30 mL of water for irrigation when administering medications or flushing small-diameter nasoenteral tubes may reduce the number of tube occlusions.

  19. Enteric glia.

    PubMed

    Rühl, A; Nasser, Y; Sharkey, K A

    2004-04-01

    The enteric nervous system is composed of both enteric neurones and enteric glia. Enteric glial cells were first described by Dogiel and are now known to outnumber neurones approximately 4 : 1. In the past, these cells were assumed to subserve a largely supportive role; however, recent evidence indicates that enteric glial cells may play a more active role in the control of gut function. In transgenic mouse models, where enteric glial cells are selectively ablated, the loss of glia results in intestinal inflammation and disruption of the epithelial barrier. Enteric glia are activated specifically by inflammatory insults and may contribute actively to inflammatory pathology via antigen presentation and cytokine synthesis. Enteric glia also express receptors for neurotransmitters and so may serve as intermediaries in enteric neurotransmission. Thus, enteric glia may serve as a link between the nervous and immune systems of the gut and may also have an important role in maintaining the integrity of the mucosal barrier and in other aspects of intestinal homeostasis.

  20. Helping Teens Resist Sexual Pressure

    MedlinePlus

    ... Driving Safety School Substance Use Young Adult Healthy Children > Ages & Stages > Teen > Dating & Sex > Helping Teens Resist Sexual Pressure Ages & Stages Listen ... Article Body Teens are more likely to have sex if they: Entered ... Approach When teaching your child about sexuality, why not accentuate the advantages of ...

  1. Surface water flooding, groundwater contamination, and enteric disease in developed countries: A scoping review of connections and consequences.

    PubMed

    Andrade, L; O'Dwyer, J; O'Neill, E; Hynds, P

    2018-05-01

    Significant volumes of research over the past four decades has sought to elucidate the social, infrastructural, economic, and human health effects of climate change induced surface flooding. To date, epidemiological and public health studies of flooding events have focused on mental health effects, vector-borne diseases, and infectious enteric disease due to floodwater contact (i.e. typically low consumption rates). The inherent nature of groundwater (i.e. out of sight, out of mind) and the widely held belief that aquifers represent a pristine source of drinking water due to natural attenuation may represent the "perfect storm" causing direct consumption of relatively large volumes of surface flood-contaminated groundwater. Accordingly, the current study sought to systematically identify and synthesize all available peer-reviewed literature pertaining to the nexus between surface flooding, groundwater contamination and human gastroenteric outcomes. Just 14 relevant studies were found to have been published during the period 1980-2017, thus highlighting the fact that this potentially significant source of climate-related exposure to environmental infection has remained understudied to date. Studies differed significantly in terms of type and data reporting procedures, making it difficult to discern clear trends and patterns. Approximately 945 confirmed cases of flood-related enteric disease were examined across studies; these concurred with almost 10,000 suspected cases, equating to approximately 20 suspected cases per confirmed case. As such, no regional, national or global estimates are available for the human gastrointestinal health burden of flood-related groundwater contamination. In light of the demonstrable public health significance of the concurrent impacts of groundwater susceptibility and climate change exacerbation, strategies to increase awareness about potential sources of contamination and motivate precautionary behaviour (e.g. drinking water testing and treatment, supply interruptions) are necessary. Mainstreaming climate adaptation concerns into planning policies will also be necessary to reduce human exposure to waterborne sources of enteric infection. Copyright © 2018 Elsevier Ltd. All rights reserved.

  2. Fully integrated multiplexed lab-on-a-card assay for enteric pathogens

    NASA Astrophysics Data System (ADS)

    Weigl, B. H.; Gerdes, J.; Tarr, P.; Yager, P.; Dillman, L.; Peck, R.; Ramachandran, S.; Lemba, M.; Kokoris, M.; Nabavi, M.; Battrell, F.; Hoekstra, D.; Klein, E. J.; Denno, D. M.

    2006-01-01

    Under this NIH-funded project, we are developing a lab-on-a-card platform to identify enteric bacterial pathogens in patients presenting with acute diarrhea, with special reference to infections that might be encountered in developing countries. Component functions that are integrated on this platform include on-chip immunocapture of live or whole pathogens, multiplexed nucleic acid amplification and on-chip detection, sample processing to support direct use of clinical specimens, and dry reagent storage and handling. All microfluidic functions are contained on the lab card. This new diagnostic test will be able to rapidly identify and differentiate Shigella dysenteriae serotype 1, Shigella toxin-producing Escherichia coli, E. coli 0157, Campylobacter jejuni, and Salmonella and Shigella species. This presentation will report on progress to date on sample and bacteria processing methodologies, identification and validation of capture antibodies and strategy for organism immunocapture, identification and validation of specific polymerase chain reaction (PCR) primer sequences for over 200 clinical isolates of enteric pathogens, and implementation of on-chip nucleic acid extraction for a subset of those pathogens.

  3. Compounded Apixaban Suspensions for Enteral Feeding Tubes.

    PubMed

    Caraballo, Maria L; Donmez, Seda; Nathan, Kobi; Zhao, Fang

    2017-07-01

    Objective: There is limited information on compounded apixaban formulations for administration via enteral feeding tubes. This study was designed to identify a suitable apixaban suspension formulation that is easy to prepare in a pharmacy setting, is compatible with commonly used feeding tubes, and has a beyond-use date of 7 days. Methods: Apixaban suspensions were prepared from commercially available 5-mg Eliquis tablets. Several vehicles and compounding methods were screened for ease of preparation, dosage accuracy, and tube compatibility. Two tubing types, polyurethane and polyvinyl chloride, with varying lengths and diameters, were included in the study. They were mounted on a peg board during evaluation to mimic the patient body position. A 7-day stability study of the selected formulation was also conducted. Results: Vehicles containing 40% to 60% Ora-Plus in water all exhibited satisfactory flowability through the tubes. The mortar/pestle compounding method was found to produce more accurate and consistent apixaban suspensions than the pill crusher or crushing syringe method. The selected formulation, 0.25 mg/mL apixaban in 50:50 Ora-Plus:water, was compatible with both tubing types, retaining >98% drug in posttube samples. The stability study also confirmed that this formulation was stable physically and chemically over 7 days of storage at room temperature. Conclusions: A suitable apixaban suspension formulation was identified for administration via enteral feeding tubes. The formulation consisted of 0.25 mg/mL apixaban in 50:50 Ora-Plus:water. The stability study results supported a beyond-use date of 7 days at room temperature.

  4. Hydraulics Graphics Package. Users Manual

    DTIC Science & Technology

    1985-11-01

    ENTER: VARIABLE/SEPARATOR/VALUE OR STRING GLBL, TETON DAM FAILURE ENTER: VARIABLE/SEPARATOR/VALUE OR STRING SLOC ,DISCHARGE HISTOGRAM ENTER: VARIABLE...ENTER: VARIABLE/SEPARATOR/VALUE OR STRING YLBL,FLOW IN 1000 CFS ENTER: VARIABLE/SEPARATORVA LUE OR STRING GLBL, TETON DAM FAILURE ENTER: VARIABLE...SEPARATOR/VALUE OR STRING SECNO, 0 ENTER: VARIABLE/SEPARATOR/VALUE OR STRING GO 1ee0. F go L 0 U I Goo. 200. TETON DAM FAILUPE N\\ rLOIJ Alr 4wi. fiNT. I .I

  5. 78 FR 73509 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-12-06

    ... entering into CENTCOM's theater of operation. DATES: This proposed action will be effective on January 7... files and Manpower Authorization files, including name; grade/rank; Social Security Number (SSN); DoD ID..., retaining, and disposing of records in the system: Storage: Electronic storage media. Retrievability...

  6. 76 FR 61090 - Endangered and Threatened Species; Counterpart Regulations

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-03

    ...), Interior. ACTION: Notice of availability. SUMMARY: The U.S. Forest Service and Bureau of Land Management..., National Fire Plan Counterpart Regulation Alternative Consultation Agreements (ACAs). DATES: This is... actions that support the National Fire Plan. Upon entering into an ACA with the Services, action agencies...

  7. Hyperthyroidism Due to a Thyrotropin Secreting Pituitary Adenoma: Studies of Thyrotropin and Subunit Secretion

    DTIC Science & Technology

    1982-03-10

    ADDRESS 10. PROGRAM ELEMENT. PROJECT. TASK Division of Medicine , Walter Reed Army Institute o7 AREA & WORK UNIT NUMBERS Research, Endocrine Metabolic...Service, Walter Reed C Army Medical Center, Washington, D.C. 20012 I. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE Division of Medicine Walter...THIS PAGE (When Date Entered) * .1 Unclassified SECURITY CLASSIFICATION OF THIS PAGIE(When "ea Entmuod)- antithyroid drug therapy. Estrogens produced a

  8. 75 FR 47536 - Application Deadline Extended; Executive Green ICT & Energy Efficiency Trade Mission to Mexico...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-06

    ... States Department of Commerce, International Trade Administration, and U.S. & Foreign Commercial Service... & Communication Technology (ICT)'' solutions, as well as energy efficiency technologies to enter or increase their... the USA Pavilion. DATES: Applications should be submitted to the U.S. Commercial Service in Mexico...

  9. MANAGING AVIAN FLU, CARCASS MANAGEMENT & BIOSOLIDS

    EPA Science Inventory

    The avian influenza virus is discussed with emphasis on the impact to poultry and possible movement of the highly pathogenic H5N 1 virus to humans. A review is made of the worldwide effects to date of the avian influenza viruses; methods for the viruses to enter recreational wate...

  10. 12 CFR Appendix C to Part 202 - Sample Notification Forms

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... Taken and Statement of Reasons Statement of Credit Denial, Termination or Change Date: Applicant's Name... report. Your credit score can change, depending on how the information in your consumer report changes..., national origin, sex, marital status, age (provided the applicant has the capacity to enter into a binding...

  11. 77 FR 58114 - SunShot Prize: Race to the Rooftop

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-19

    ... who can lower the non-hardware installation cost of rooftop solar energy systems. DATES: Registration....energy.gov/solar/sunshot/prize.html . Teams that wish to enter the competition can register at eere.energy.gov/solar/sunshot/prize.html . Questions about the prize competition can be sent to: Email: Sun...

  12. 75 FR 25111 - Safety Zone; KFOG Kaboom, Fireworks Display, San Francisco, CA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-07

    ... associated with the pyrotechnics. Unauthorized persons or vessels are prohibited from entering into... posed by the pyrotechnics used in these fireworks displays, the safety zones are necessary to provide... effective date of this rule would expose mariners to the dangers posed by the pyrotechnics used in the...

  13. 78 FR 18565 - Privacy Act of 1974; System of Records

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-27

    ... action will be effective on April 29, 2013 unless comments are received which result in a contrary... Security Number, date of birth, job qualifications, DD Form 2648 (Pre-Separation Counseling Checklist), and... transition planning/counseling for individuals so that they may re-enter the civilian job market. Routine...

  14. Expedition 32 crew members Suni Williams and Aki Hoshide conduct pre-test briefings

    NASA Image and Video Library

    2011-09-16

    PHOTO DATE: 09-16-11 LOCATION: NBL - Pool Topside SUBJECT: Expedition 31 crew members Suni Williams and Aki Hoshide conduct pre-test briefings, preparations and then suit up for EVA training before entering the pool at the Sonny Carter Training Facility. PHOTOGRAPHER: Devin Boldt

  15. 32 CFR 525.4 - Entry authorization (policy).

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Captains of ships and/or marine vessels planning to enter Kwajalein Missile Range shall not knowingly... when practicable). (vi) Purpose of flight. (vii) Plan of flight route, including the point of origin of flight and its designation and estimated date and times of arrival and departure of airspace covered by...

  16. 32 CFR 525.4 - Entry authorization (policy).

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ...) Captains of ships and/or marine vessels planning to enter Kwajalein Missile Range shall not knowingly... when practicable). (vi) Purpose of flight. (vii) Plan of flight route, including the point of origin of flight and its designation and estimated date and times of arrival and departure of airspace covered by...

  17. 32 CFR 525.4 - Entry authorization (policy).

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ...) Captains of ships and/or marine vessels planning to enter Kwajalein Missile Range shall not knowingly... when practicable). (vi) Purpose of flight. (vii) Plan of flight route, including the point of origin of flight and its designation and estimated date and times of arrival and departure of airspace covered by...

  18. 32 CFR 525.4 - Entry authorization (policy).

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... single or multiple entries. (4) Captains of ships and/or marine vessels planning to enter Kwajalein... of passengers (include list when practicable). (vi) Purpose of flight. (vii) Plan of flight route, including the point of origin of flight and its designation and estimated date and times of arrival and...

  19. 32 CFR 525.4 - Entry authorization (policy).

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... single or multiple entries. (4) Captains of ships and/or marine vessels planning to enter Kwajalein... of passengers (include list when practicable). (vi) Purpose of flight. (vii) Plan of flight route, including the point of origin of flight and its designation and estimated date and times of arrival and...

  20. 32 CFR 701.8 - Processing FOIA requests.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ...) Control FOIA Request. Each FOIA request should be date stamped upon receipt; given a case number; and entered into a formal control system to track the request from receipt to response. Coordinators may wish... in mind a test for reasonableness (i.e., file disposition requirements set forth in SECNAVINST 5212...

  1. 32 CFR 701.8 - Processing FOIA requests.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ...) Control FOIA Request. Each FOIA request should be date stamped upon receipt; given a case number; and entered into a formal control system to track the request from receipt to response. Coordinators may wish... in mind a test for reasonableness (i.e., file disposition requirements set forth in SECNAVINST 5212...

  2. 32 CFR 701.8 - Processing FOIA requests.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ...) Control FOIA Request. Each FOIA request should be date stamped upon receipt; given a case number; and entered into a formal control system to track the request from receipt to response. Coordinators may wish... in mind a test for reasonableness (i.e., file disposition requirements set forth in SECNAVINST 5212...

  3. 78 FR 27444 - Forum Investment Advisors, LLC, et al.;

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-05-10

    ... securities into, and receive securities from, the series in connection with the purchase and redemption of... settlement date. \\5\\ In a forward commitment transaction, the buyer/seller enters into a contract to purchase... Investment Manager, will make investment decisions with respect to assets of each Fund allocated by the...

  4. 49 CFR 30.5 - Effective dates.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Office of the Secretary of Transportation DENIAL OF PUBLIC WORKS CONTRACTS TO SUPPLIERS OF GOODS AND...; the restrictions remain effective so long as money provided by the Airport Safety Act is used... the waiver provisions of § 30.17 of this part. All public works or public buildings contracts entered...

  5. Pharmacy-based distribution system for enteral nutrition products.

    PubMed

    Craig, S A; Paulson, M F

    1985-12-01

    A hospital pharmacy department's implementation of enteral nutrition product distribution and its proposal for an enteral nutrition product admixture service are described. Responsibility for the distribution of enteral nutrition formulations was transferred from the central distribution department to the pharmacy after problems with inventory control, billing procedures, and inappropriate administration of enteral nutrition products were recognized by personnel from the central-distribution area and nutrition services. After additional problems were identified using a multi-disciplinary approach, the pharmacy department implemented an enteral nutrition product distribution system and developed an enteral nutrition product formulary. A proposal was developed for a pharmacy-based enteral nutrition admixture service, but implementation of this service was deferred because data from a cost-effectiveness evaluation and random bacteriologic monitoring did not justify adding the service. Pharmacy-based distribution and formulary control of enteral nutrition products alleviated problems with inaccurate patient charges and accumulation of stock on the nursing units. Pharmacists at this hospital hope to develop an enteral nutrition product admixture program that will result in cost savings for the institution.

  6. 21 CFR 558.115 - Carbadox.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... bacterial swine enteritis (salmonellosis or necrotic enteritis caused by Salmonella choleraesuis); increased... dysentery); control of bacterial swine enteritis (salmonellosis or necrotic enteritis caused by Salmonella...

  7. Nurses' prioritization of enteral nutrition in intensive care units: a national survey.

    PubMed

    Bloomer, Melissa J; Clarke, Angelique B; Morphet, Julia

    2018-05-01

    Enteral nutrition is important in critically ill patients to improve patient outcomes, with nurses playing a pivotal role in the delivery and ongoing care of enteral nutrition. A significant deficit in nurses' knowledge and education relating to enteral nutrition has been identified, leading to iatrogenic malnutrition and potentially compromising patient care. Enteral nutrition appears to be prioritized lower than many other aspects of care. However, there is scant research to show how nurses prioritize enteral nutrition. This study aimed to explore how nurses prioritize enteral nutrition when caring for a critically ill patient. A descriptive online questionnaire, administered in May 2014, was utilized to explore the study aim. Descriptive statistics were performed to evaluate quantitative data. Content analysis was used to evaluate qualitative data. A total of 359 responses were included in data analysis (response rate 20.8%). All respondents were registered nurses working within an Australian intensive care unit or high dependency unit. Nurses agreed that enteral nutrition was very important and should be commenced as soon as possible. However, life-saving procedures always took priority and there were often multiple barriers that hindered optimal delivery of enteral nutrition. Respondents relied on their clinical judgement to inform decisions in relation to enteral nutrition in critically ill patients. Most respondents agreed that enteral nutrition was an important aspect of patient care, but acknowledged that other aspects of care were prioritized more highly. Despite this, some delays to enteral nutrition were perceived to be avoidable, and nurses recognized a need to advocate on the patient's behalf to increase the visibility of enteral nutrition. The findings of this study demonstrate that enteral nutrition is often prioritized lower than other competing care needs in the critically ill patient. Given the importance of enteral nutrition to patient recovery, changes to clinical practice to improve enteral nutrition management are necessary. © 2017 British Association of Critical Care Nurses.

  8. [Modular enteral nutrition in pediatrics].

    PubMed

    Murillo Sanchís, S; Prenafeta Ferré, M T; Sempere Luque, M D

    1991-01-01

    Modular Enteral Nutrition may be a substitute for Parenteral Nutrition in children with different pathologies. Study of 4 children with different pathologies selected from a group of 40 admitted to the Maternal-Childrens Hospital "Valle de Hebrón" in Barcelona, who received modular enteral nutrition. They were monitored on a daily basis by the Dietician Service. Modular enteral nutrition consists of modules of proteins, peptides, lipids, glucids and mineral salts-vitamins. 1.--Craneo-encephalic traumatisms with loss of consciousness, Feeding with a combination of parenteral nutrition and modular enteral nutrition for 7 days. In view of the tolerance and good results of the modular enteral nutrition, the parenteral nutrition was suspended and modular enteral nutrition alone used up to a total of 43 days. 2.--55% burns with 36 days of hyperproteic modular enteral nutrition together with normal feeding. A more rapid recovery was achieved with an increase in total proteins and albumin. 3.--Persistent diarrhoea with 31 days of modular enteral nutrition, 5 days on parenteral nutrition alone and 8 days on combined parenteral nutrition and modular enteral nutrition. In view of the tolerance and good results of the modular enteral nutrition, the parenteral nutrition was suspended. 4.--Mucoviscidosis with a total of 19 days on modular enteral nutrition, 12 of which were exclusively on modular enteral nutrition and 7 as a night supplement to normal feeding. We administered proteic intakes of up to 20% of the total calorific intake and in concentrations of up to 1.2 calories/ml of the final preparation, always with a good tolerance. Modular enteral nutrition can and should be used as a substitute for parenteral nutrition in children with different pathologies, thus preventing the complications inherent in parenteral nutrition.

  9. Assessing High-Resolution Weather Research and Forecasting (WRF) Forecasts Using an Object-Based Diagnostic Evaluation

    DTIC Science & Technology

    2014-02-01

    Operational Model Archive and Distribution System ( NOMADS ). The RTMA product was generated using a 2-D variational method to assimilate point weather...observations and satellite-derived measurements (National Weather Service, 2013). The products were downloaded using the NOMADS General Regularly...of the completed WRF run" read Start_Date echo $Start_Date echo " " echo "Enter 2- digit , zulu, observation hour (HH) for remapping" read oHH

  10. Neurturin and GDNF promote proliferation and survival of enteric neuron and glial progenitors in vitro.

    PubMed

    Heuckeroth, R O; Lampe, P A; Johnson, E M; Milbrandt, J

    1998-08-01

    Signaling through the c-Ret tyrosine kinase and the endothelin B receptor pathways is known to be critical for development of the enteric nervous system. To clarify the role of these receptors in enteric nervous system development, the effect of ligands for these receptors was examined on rat enteric neuron precursors in fully defined medium in primary culture. In this culture system, dividing Ret-positive cells differentiate, cluster into ganglia containing neurons and enteric glia, and create extensive networks reminiscent of the enteric plexus established in vivo. Glial cell-line-derived neurotrophic factor (GDNF) and neurturin both potently support survival and proliferation of enteric neuron precursors in this system. Addition of either neurturin or GDNF to these cultures increased the number of both neurons and enteric glia. Persephin, a third GDNF family member, shares many properties with neurturin and GDNF in the central nervous system and in kidney development. By contrast, persephin does not promote enteric neuron precursor proliferation or survival in these cultures. Endothelin-3 also does not increase the number of enteric neurons or glia in these cultures. Copyright 1998 Academic Press.

  11. AMS/DOE Fellowship Recipients

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

    Armstrong, Stephanie

    The AMS/DOE graduate fellowships were awarded to three students entering their first year of graduate study. The funds allowed each student to take a full course load during their first of year of graduate study which helps each of them to enter the professional, scientific community at an earlier date. Each recipient is academically outstanding, received glowing references of support and demonstrated their strong desire to perform scientific research. As part of the fellowship, each of the students was invited to attend the AMS Annual Meeting where they got to participate in the AMS student conference, attend scientific sessions andmore » visit the exhibition hall. In addition, a student awards luncheon was held where each of the recipients got to meet their sponsor and receive a certificate.« less

  12. Entering the Historical Problem Space: Whole-Class Text-Based Discussion in History Class

    ERIC Educational Resources Information Center

    Reisman, Abby

    2015-01-01

    Background/Context: The Common Core State Standards Initiative reveals how little we understand about the components of effective discussion-based instruction in disciplinary history. Although the case for classroom discussion as a core method for subject matter learning stands on stable theoretical and empirical ground, to date, none of the…

  13. 26 CFR 1.148-4A - Yield on an issue of bonds.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... are determined as of the date the parties enter into the contract. (ii) Anticipatory hedges—(A) In... close (terminate) an anticipatory hedge of that bond do not prevent the hedge from satisfying the... received by the issuer in connection with the issuance of the hedged bonds to terminate an anticipatory...

  14. 26 CFR 1.148-4A - Yield on an issue of bonds.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... are determined as of the date the parties enter into the contract. (ii) Anticipatory hedges—(A) In... close (terminate) an anticipatory hedge of that bond do not prevent the hedge from satisfying the... received by the issuer in connection with the issuance of the hedged bonds to terminate an anticipatory...

  15. 26 CFR 1.148-4A - Yield on an issue of bonds.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... are determined as of the date the parties enter into the contract. (ii) Anticipatory hedges—(A) In... close (terminate) an anticipatory hedge of that bond do not prevent the hedge from satisfying the... received by the issuer in connection with the issuance of the hedged bonds to terminate an anticipatory...

  16. 26 CFR 1.148-4A - Yield on an issue of bonds.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... are determined as of the date the parties enter into the contract. (ii) Anticipatory hedges—(A) In... close (terminate) an anticipatory hedge of that bond do not prevent the hedge from satisfying the... received by the issuer in connection with the issuance of the hedged bonds to terminate an anticipatory...

  17. 26 CFR 1.148-4A - Yield on an issue of bonds.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... are determined as of the date the parties enter into the contract. (ii) Anticipatory hedges—(A) In... close (terminate) an anticipatory hedge of that bond do not prevent the hedge from satisfying the... received by the issuer in connection with the issuance of the hedged bonds to terminate an anticipatory...

  18. Economic Stimulus: Issues and Policies

    DTIC Science & Technology

    2009-07-06

    entered a recession. To date, financial markets remain volatile, new losses have been announced at major financial institutions , and responses... financial markets .16 The 11 See, for example, Frederic Mishkin , “Housing and the Monetary...sought to contain damages spilling over from housing and financial markets to the broader economy, including monetary policy, which is the

  19. Economic Stimulus: Issues and Policies

    DTIC Science & Technology

    2009-10-06

    economy entered a recession. To date, financial markets remain volatile, new losses have been announced at major financial institutions , and...the financial markets .16 The 11 See, for example, Frederic Mishkin , “Housing and the Monetary...have sought to contain damages spilling over from housing and financial markets to the broader economy, including monetary policy, which is the

  20. 47 CFR 22.947 - Five year build-out period.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... MOBILE SERVICES Cellular Radiotelephone Service § 22.947 Five year build-out period. Except for systems...-out period, the licensee of the first cellular system on each channel block in each market may enter...-out period begins on the date the initial authorization for the first cellular system is granted, and...

  1. 17 CFR 32.3 - Trade options.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 17 Commodity and Securities Exchanges 1 2014-04-01 2014-04-01 false Trade options. 32.3 Section 32... OPTION TRANSACTIONS § 32.3 Trade options. (a) Subject to paragraphs (b), (c), and (d) of this section... period preceding the date on which the trade option is entered into, (iv) In connection with any non...

  2. 17 CFR 32.3 - Trade options.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Trade options. 32.3 Section 32... OPTION TRANSACTIONS § 32.3 Trade options. (a) Subject to paragraphs (b), (c), and (d) of this section... period preceding the date on which the trade option is entered into, (iv) In connection with any non...

  3. 76 FR 37009 - Safety Zone; Jameson Beach Fourth of July Fireworks Display

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-24

    ... pyrotechnics. Unauthorized persons or vessels are prohibited from entering into, transiting through, or.... Because of the dangers posed by the pyrotechnics used in this fireworks display, the safety zone is... effective date of this rule would expose mariners to the dangers posed by the pyrotechnics used in the...

  4. 9 CFR 93.317 - Horses from Canada.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... certificate valid for a period of 30 days from the date of issue may re-enter the United States an unlimited... border port of entry designated for animals from Canada, if accompanied by the original export health certificate under which they were permitted entry into Canada. (c) Horses for immediate slaughter may be...

  5. 9 CFR 93.317 - Horses from Canada.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... certificate valid for a period of 30 days from the date of issue may re-enter the United States an unlimited... border port of entry designated for animals from Canada, if accompanied by the original export health certificate under which they were permitted entry into Canada. (c) Horses for immediate slaughter may be...

  6. 9 CFR 93.317 - Horses from Canada.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... certificate valid for a period of 30 days from the date of issue may re-enter the United States an unlimited... border port of entry designated for animals from Canada, if accompanied by the original export health certificate under which they were permitted entry into Canada. (c) Horses for immediate slaughter may be...

  7. 9 CFR 93.317 - Horses from Canada.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... certificate valid for a period of 30 days from the date of issue may re-enter the United States an unlimited... border port of entry designated for animals from Canada, if accompanied by the original export health certificate under which they were permitted entry into Canada. (c) Horses for immediate slaughter may be...

  8. 9 CFR 93.317 - Horses from Canada.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... certificate valid for a period of 30 days from the date of issue may re-enter the United States an unlimited... border port of entry designated for animals from Canada, if accompanied by the original export health certificate under which they were permitted entry into Canada. (c) Horses for immediate slaughter may be...

  9. 77 FR 3235 - Proposed Collection; Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-23

    ... Collection The DD Form 370 is a form in which an applicant, who requests a waiver to enter the Armed Forces... eligibility standards to become a member of the Armed Forces of the United States. Dated: January 17, 2012... DEPARTMENT OF DEFENSE Office of the Secretary [Docket ID: DOD-2012-OS-0006] Proposed Collection...

  10. Temporal Trends of Triclosan Contamination in Dated Sediment Cores from Four Urbanized Estuaries: Evidence of Preservation and Accumulation

    EPA Science Inventory

    Triclosan is an antimicrobial agent added to a wide array of consumer goods and personal care products. Through its use, it is introduced into municipal sewer systems where it is only partially removed during wastewater treatment with the balance entering receiving waters via ef...

  11. The Role of China in Korean Unification

    DTIC Science & Technology

    2003-06-01

    Paleolithic sites. Furthermore, generally the Shang dynasty is regarded as not only China’s, but also East Asia’s first state (a traditional date: 1766 B.C...America and Assist Korea,’ starting to fit the entire country to a war orbit.”105 The PRC, encouraged by the Soviet Union, at last entered the

  12. 8 CFR 1101.1 - Presumption of lawful admission.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... daughter entered the United States. (f) Citizens of the Philippine Islands—(1) Entry prior to May 1, 1934... the date of his entry a citizen of the Philippine Islands, provided that for the purpose of... residence unless he was a citizen of the Commonwealth of the Philippines on July 2, 1946. (2) Entry between...

  13. 8 CFR 1101.1 - Presumption of lawful admission.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... daughter entered the United States. (f) Citizens of the Philippine Islands—(1) Entry prior to May 1, 1934... the date of his entry a citizen of the Philippine Islands, provided that for the purpose of... residence unless he was a citizen of the Commonwealth of the Philippines on July 2, 1946. (2) Entry between...

  14. 8 CFR 1101.1 - Presumption of lawful admission.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... daughter entered the United States. (f) Citizens of the Philippine Islands—(1) Entry prior to May 1, 1934... the date of his entry a citizen of the Philippine Islands, provided that for the purpose of... residence unless he was a citizen of the Commonwealth of the Philippines on July 2, 1946. (2) Entry between...

  15. 8 CFR 1101.1 - Presumption of lawful admission.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... daughter entered the United States. (f) Citizens of the Philippine Islands—(1) Entry prior to May 1, 1934... the date of his entry a citizen of the Philippine Islands, provided that for the purpose of... residence unless he was a citizen of the Commonwealth of the Philippines on July 2, 1946. (2) Entry between...

  16. 47 CFR 1.1158 - Form of payment for regulatory fees.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Commission or by Visa, Mastercard, American Express or Discover credit cards only. The Commission discourages... submitted with an application in the wireless radio service) made by credit card or money order must be submitted with a completed FCC Form 159. Failure to accurately enter the credit card number and date of...

  17. 76 FR 65365 - United States-OMAN Free Trade Agreement

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-10-21

    ... CFR Parts 10, 24, 162, 163, and 178 [USCBP-2010-0041; CBP Dec. 11-19] RIN 1515-AD68 United States-OMAN... other customs-related provisions of the United States--Oman Free Trade Agreement entered into by the United States and the Sultanate of Oman. DATES: Final rule effective November 21, 2011. FOR FURTHER...

  18. 31 CFR 29.333 - Military service.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Military service. 29.333 Section 29... Satisfied by June 30, 1997 § 29.333 Military service. (a) For employees who entered on duty on or before June 30, 1997, and whose military service was performed prior to that date, credit for military service...

  19. 7 CFR 782.13 - Importer responsibilities.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ....12. (b) Immediately notify each subsequent buyer, grain handler, or end user that the wheat being purchased or handled originated in Canada and may only be commingled with U.S.-produced wheat by the end... wheat entered the U.S. (d) Submit to KCCO, within 15 workdays following the date of sale, form FSA-751...

  20. 78 FR 61378 - Agency Information Collection Activities: Small Vessel Reporting System

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-03

    ... respondents or record keepers from the collection of information (a total capital/ startup costs and... officer each time they enter the United States. In some cases, a participant may also be asked to report... information, listing of all persons on board, estimated dates and times of departure and return, and...

  1. Marine radiocarbon reservoir corrections (∆R) for Chesapeake Bay and the Middle Atlantic Coast of North America

    NASA Astrophysics Data System (ADS)

    Rick, Torben C.; Henkes, Gregory A.; Lowery, Darrin L.; Colman, Steven M.; Culleton, Brendan J.

    2012-01-01

    Radiocarbon dates from known age, pre-bomb eastern oyster (Crassostrea virginica) shells provide local marine reservoir corrections (∆R) for Chesapeake Bay and the Middle Atlantic coastal area of eastern North America. These data suggest subregional variability in ∆R, ranging from 148 ± 46 14C yr on the Potomac River to - 109 ± 38 14C yr at Swan Point, Maryland. The ∆R weighted mean for the Chesapeake's Western Shore (129 ± 22 14C yr) is substantially higher than the Eastern Shore (- 88 ± 23 14C yr), with outer Atlantic Coast samples falling between these values (106 ± 46 and 2 ± 46 14C yr). These differences may result from a combination of factors, including 14C-depleted freshwater that enters the bay from some if its drainages, 14C-depleted seawater that enters the bay at its mouth, and/or biological carbon recycling. We advocate using different subregional ∆R corrections when calibrating 14C dates on aquatic specimens from the Chesapeake Bay and coastal Middle Atlantic region of North America.

  2. Beer Drinking Games: Categories, Level of Risk, and their Correlation with Sensation Seeking

    DTIC Science & Technology

    1994-07-01

    Maximum 200 words) moo, AU 1F2 1994 . . F 14 . SUBJECT TERMS 15. NUMBER OF PAGES 16. PRICE CODE 17. SECURITY CLASSIFICATION 18. SECURITY CLASSIFICATION ig...availability or limitations. Cite any Block 2. Report Date. Full publication date availability to the public. Enter additional including day, month, and year ...if available (e.g. 1 limitations or special markings in all capitals (e.g. Jan 88). Must cite at least the year . NOFORN, REL, ITAR). Block 3. Type of

  3. Modeling and Analyzing Transient Military Air Traffic Control

    DTIC Science & Technology

    2010-12-01

    arrive and be serviced. In general, for n flights, the number of ways that flights can enter and leave the ATC is given by the nth Catalan number ...collection of information if it does not display a currently valid OMB control number . 1. REPORT DATE DEC 2010 2. REPORT TYPE 3. DATES COVERED 00-00...2010 to 00-00-2010 4. TITLE AND SUBTITLE Modeling and Analyzing Transient Military Air Traffic Control 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c

  4. 76 FR 74038 - Fisheries of the Caribbean, Gulf of Mexico, and South Atlantic; Reef Fish Resources of the Gulf...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-30

    ...This notice announces that the Gulf of Mexico Fishery Management Council (Council) is considering creating additional restrictions limiting participation in the Red Snapper Individual Fishing Quota (IFQ) Program. If such management measures are implemented, the Council is considering January 1, 2012, as a possible control date. Anyone entering the program after the control date will not be assured of future access should a management regime that limits participation in the program be prepared and implemented. NMFS invites comments on the establishment of this control date.

  5. Prevalence, Risk Factors, and Outcomes of Irritable Bowel Syndrome After Infectious Enteritis: a Systematic Review and Meta-analysis

    PubMed Central

    Klem, Fabiane; Wadhwa, Akhilesh; Prokop, Larry; Sundt, Wendy; Farrugia, Gianrico; Camilleri, Michael; Singh, Siddharth; Grover, Madhusudan

    2017-01-01

    Background & Aims Foodborne illness affects 15% of the United States population each year and is a risk factor for irritable bowel syndrome (IBS). We evaluated risk of, risk factors for, and outcomes of IBS after infectious enteritis Methods We performed a systematic review of electronic databases from 1994 through August 31, 2015 to identify cohort studies of the prevalence of IBS 3 months or more after infectious enteritis. We used random effects meta-analysis to calculate the summary point prevalence of IBS after infectious enteritis, as well as relative risk (compared to individuals without infectious enteritis) and host- and enteritis-related risk factors. Results We identified 45 studies, comprising 21,421 individuals with enteritis, followed for 3 months–10 years for development of IBS. The pooled prevalence of IBS at 12 months after infectious enteritis was 10.1% (95% CI, 7.2–14.1) and at more than 12 months after infectious enteritis was 14.5% (95% CI, 7.7–25.5). Risk of IBS was 4.2-fold higher in patients who had infectious enteritis in the past 12 months than in individuals in those who had not (95% CI, 3.1–5.7); risk of IBS was 2.3-fold higher in individuals who had infectious enteritis longer than 12 months ago than in individuals who had not (95% CI, 1.8–3.0). Of patients with enteritis caused by protozoa or parasites, 41.9% developed IBS; of patients with enteritis caused bacterial infection, 13.8% developed IBS. Risk of IBS was significantly increased in women (odds ratio [OR], 2.2; 95% CI, 1.6–3.1) and with antibiotic exposure (OR, 1.7; 95% CI, 1.2–2.4), anxiety (OR, 2; 95% CI, 1.3–2.9), depression (OR, 1.5; 95% CI, 1.2–1.9), somatization (OR, 4.1; 95% CI, 2.7–6.0), neuroticism (OR, 3.3; 95% CI, 1.6–6.5), and clinical indicators of enteritis severity. There was a considerable level of heterogeneity among studies. Conclusion In a systematic review and meta-analysis, we found more than 10% of patients with infectious enteritis to later develop IBS; risk of IBS was 4-fold higher than in individuals who did not have infectious enteritis, although there was heterogeneity among studies analyzed. Women—particularly those with severe enteritis—are at increased risk for developing IBS, as are individuals with psychological distress and users of antibiotics during the enteritis. PMID:28069350

  6. Risk factors associated with parvovirus enteritis in dogs: 283 cases (1982-1991).

    PubMed

    Houston, D M; Ribble, C S; Head, L L

    1996-02-15

    To determine breed, sex, and seasonal predisposition for development of canine parvovirus (CPV) enteritis in dogs. Retrospective case-control study. Medical records from 283 dogs with confirmed CPV enteritis and from 834 age-matched control dogs that were healthy or had been admitted with nonenteric illness. Effects of season, breed, sex, and neutering on the risk of developing CPV enteritis were examined by calculation of unadjusted odds ratios and performance of multivariate analysis. Stratified and contingency table analyses were performed to identify interactions and confounding among variables. Rottweilers, American Pit Bull Terriers, Doberman Pinschers, and German Shepherd Dogs were at increased risk and Toy Poodles and Cocker Spaniels were at decreased risk for developing CPV enteritis, compared with that for mixed-breed dogs. For dogs more than 6 months old, sexually intact males were twice as likely as intact females to develop CPV enteritis. Dogs were 3 times more likely to be admitted with CPV enteritis in July, August, and September, compared with the rest of the year. Dogs were 12.7 times more likely to be admitted with CPV enteritis if they had not been currently vaccinated. Lack of vaccination is a significant risk factor for development of CPV enteritis. Seasonal, sex, and breed predispositions for the development of CPV enteritis also exist.

  7. Defense Technical Information Center Cataloging Guidelines

    DTIC Science & Technology

    1994-02-01

    24 Field 10 - Personal Authors ............................................................ 27 Field 11 - Date of...Stanford, Calif. 24 . If the subordinate element of a heading begins with a personal name, that name is written without rearrangement. APPEARS AS...country is not repeated if ’ncluded in the heading. APPEARS AS: ENTER AS: Centro Brasileiro de Pesquisas Centro Brasileiro de Fisicas, Rio de Janeiro

  8. Economic Stimulus: Issues and Policies

    DTIC Science & Technology

    2009-09-16

    through which the economy entered a recession. To date, financial markets remain volatile, new losses have been announced at major financial institutions ...intervention in the financial markets .16 The 11 See, for example, Frederic Mishkin , “Housing and the...have sought to contain damages spilling over from housing and financial markets to the broader economy, including monetary policy, which is the

  9. 75 FR 33243 - Carbazole Violet Pigment 23 From India: Final Results of Countervailing Duty Administrative Review

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-11

    ... in any form (e.g., pigments dispersed in oleoresins, flammable solvents, water) are not included... warehouse, for consumption on or after January 1, 2007 through December 31, 2007. We will also instruct CBP... subject merchandise by Alpanil entered, or withdrawn from warehouse, for consumption on or after the date...

  10. 75 FR 67220 - Determinations of Attainment by the Applicable Attainment Date for the Hayden, Nogales, Paul Spur...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-02

    ... for this rulemaking. Furthermore, we concluded in our Technical System Audit Report (September 2010....regulations.gov is an ``anonymous access'' system, and EPA will not know your identity or contact information... air monitoring stations (NAMS) in the nonattainment area and entered into the EPA Air Quality System...

  11. 77 FR 56266 - CSX Transportation, Inc.-Acquisition of Operating Easement-Grand Trunk Western Railroad Company

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-12

    ... Railroad Company (GTW) have agreed to exchange perpetual rail operating easements over certain parts of... entered an Agreement for Exchange of Perpetual Easements dated as of August 13, 2012. To obtain the... exclusive, perpetual, non-assignable railroad operating easement over 22.37 miles of GTW track on the Elsdon...

  12. LOFT. Containment building entry, an adapted use of TAN624, which ...

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

    LOFT. Containment building entry, an adapted use of TAN-624, which originated as the mobile test building for the ANP program. Camera facing north. Note four-rail track entered building stack at right of view. Date: March 2004. INEEL negative no. HD-39-4-1 - Idaho National Engineering Laboratory, Test Area North, Scoville, Butte County, ID

  13. 15 CFR 1180.11 - Relation to other laws and procedures.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ..., provide each Depository Library at no charge, online access to a current list of all final STEI products provided to NTIS under these regulations that have been entered into the NTIS system. (2) The online system... thirty days from the date a product is added to the online listing to identify a product that it wishes...

  14. 15 CFR 1180.11 - Relation to other laws and procedures.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ..., provide each Depository Library at no charge, online access to a current list of all final STEI products provided to NTIS under these regulations that have been entered into the NTIS system. (2) The online system... thirty days from the date a product is added to the online listing to identify a product that it wishes...

  15. 15 CFR 1180.11 - Relation to other laws and procedures.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ..., provide each Depository Library at no charge, online access to a current list of all final STEI products provided to NTIS under these regulations that have been entered into the NTIS system. (2) The online system... thirty days from the date a product is added to the online listing to identify a product that it wishes...

  16. 15 CFR 1180.11 - Relation to other laws and procedures.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ..., provide each Depository Library at no charge, online access to a current list of all final STEI products provided to NTIS under these regulations that have been entered into the NTIS system. (2) The online system... thirty days from the date a product is added to the online listing to identify a product that it wishes...

  17. Goethe-Institut Lehrerhandbibliothek: A Bibliography of Texts and Reference Works for the Teacher of German.

    ERIC Educational Resources Information Center

    Goethe Inst., Munich (West Germany).

    Teachers of German will find 120 items dating from 1960 entered in this alphabetized and annotated bibliography of texts and references. Language entries include material on: (1) grammar, (2) vocabulary, (3) pronunciation, (4) writing and style, (5) syntax, (6) morphology, (7) etymology, (8) dictation, (9) translation exercises, (10) verbs, (11)…

  18. 40 CFR 62.14570 - What must I do if I plan to permanently close my CISWI unit?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... POLLUTANTS Federal Plan Requirements for Commercial and Industrial Solid Waste Incineration Units That... alternative waste treatment technology before you shut down your CISWI (1) Date when you will enter into a... evaluation of the option to transport your waste offsite to a commercial or municipal waste treatment and/or...

  19. 40 CFR 62.14570 - What must I do if I plan to permanently close my CISWI unit?

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... POLLUTANTS Federal Plan Requirements for Commercial and Industrial Solid Waste Incineration Units That... alternative waste treatment technology before you shut down your CISWI (1) Date when you will enter into a... evaluation of the option to transport your waste offsite to a commercial or municipal waste treatment and/or...

  20. Entering Adulthood: Preventing Sexually Related Disease. A Curriculum for Grades 9-12. Contemporary Health Series.

    ERIC Educational Resources Information Center

    Hubbard, Betty M.

    This book provides detailed up-to-date information about sexually transmitted diseases (STDs), including Acquired Immune Deficiency Syndrome (AIDS), chlamydia, herpes, syphilis, genital warts, and gonorrhea. Designed to help students make choices that eliminate or reduce the risk of contracting an STD, this module gives high school teachers six…

  1. 49 CFR 375.505 - Must I write up a bill of lading?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... that was entered on the estimate and order for service. (5) When you transport on a collect-on-delivery basis, the name, address, and if furnished, the telephone number, facsimile number, or e-mail address of... certified mail, return receipt requested. (6) For non-guaranteed service, the agreed date or period of time...

  2. 75 FR 18524 - Delaware River and Bay Oil Spill Advisory Committee; Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-12

    ... added to the agenda up to April 26, 2010. Procedural This meeting is open to the public. All persons entering the building will have to present identification and may be subject to screening. Please note that.... Dated: April 7, 2010. Joseph M. Re, Captain, U.S. Coast Guard, Office of Performance Management (CG-0954...

  3. Micronutrient content in enteral nutrition formulas: comparison with the dietary reference values for healthy populations.

    PubMed

    Iacone, Roberto; Scanzano, Clelia; Santarpia, Lidia; D'Isanto, Anna; Contaldo, Franco; Pasanisi, Fabrizio

    2016-03-31

    The micronutrient content in standard enteral mixtures should be closer to the dietary reference values for a healthy population since standard enteral diets are formulated for subjects with no special nutritional needs. This study compares the micronutrient content of the most common enteral nutrition (EN) formulas with European dietary reference values (DRVs) for healthy population. Sixty-two nutritionally complete enteral formulas were considered. The micronutrient content was calculated by multiplying the value reported on the nutritional information panel of each formula by the daily dose usually prescribed. The comparison between the micronutrient content of all enteral formulas evaluated and the DRVs indicates that daily fluoride and vitamin K requirements were not covered, while an oversupply of many other micronutrients was provided. Moreover, in some enteral formulas, at a dose of 2000 Kcal/day, zinc and vitamin A content exceeded the tolerable upper limits and, for one diabetes-specific enteral formula, the chromium content exceeded the relevant European standards in both 1500 and 2000 Kcal/day diets. Most enteral formulas evaluated are generally suitable for patients on long-term total EN and formulas with higher content of a specific micronutrient may be a useful tool for patients affected by specific clinical conditions, at least for a period of time, then switching to standard enteral mixtures. The availability of nutritional enteral formulas, well balanced also for micronutrient intake, will further improve individualized treatments, particularly for patients on long-term total EN.

  4. Discharge prescribing of enteral opioids after initiation as a weaning strategy from continuous opioid infusions in the Intensive Care Unit.

    PubMed

    Kram, Bridgette; Weigel, Kylie M; Kuhrt, Michelle; Gilstrap, Daniel L

    To evaluate the proportion of patients receiving a hospital discharge prescription for a scheduled enteral opioid following initiation as a weaning strategy from a continuous opioid infusion in the Intensive Care Unit (ICU). Retrospective, observational study. Five adult ICUs at a large, quaternary care academic medical center. Endotracheally intubated, opioid-naive adults receiving a continuous opioid infusion with a concomitant scheduled enteral opioid initiated. Exclusion criteria were receipt of fewer than two enteral opioid doses, documentation of a long-acting opioid as a home medication, the indication for the enteral opioid was not a weaning strategy, death during hospital admission or discharge to hospice. None. The proportion of ICU and hospital survivors who received a discharge prescription for a scheduled enteral opioid, total duration of continuous opioid infusion, duration of continuous opioid infusion after initiation of an enteral opioid therapy, total duration of enteral therapy, ICU and hospital length of stay. Of 62 included patients, 19 patients (30.6 percent) received a new prescription for a scheduled enteral opioid at hospital discharge. The median duration of enteral opioid therapy was longer for patients who received a discharge prescription compared to those who did not (20.09 vs 8.89 days, p = 0.02), though the remaining endpoints were not different. Utilizing scheduled enteral opioids as a weaning strategy from continuous opioid infusions may place patients at risk of ICU-acquired physical dependence on opioids.

  5. Enteral Nutrition With an Enteral Formula Containing Egg Yolk Lecithin After Percutaneous Endoscopic Gastrostomy: A Case Series

    PubMed Central

    Akashi, Tetsuro; Hashimoto, Risa; Ohno, Akihisa; Matsumoto, Kazuhide; Nakamura, Yukari

    2018-01-01

    The occurrence of diarrhea at the beginning of enteral nutrition complicates the continuation of enteral nutrition. Recently, studies in Japan indicated that diarrhea could be improved by changing the enteral formula to one that is emulsified with egg yolk lecithin. In this study, we administered the enteral formula K-2S plus, which is emulsified with egg yolk lecithin, to 15 patients (four men and 11 women; mean age, 79.9 ± 2.0 years) after they had undergone a percutaneous endoscopic gastrostomy (PEG) to prevent the occurrence of diarrhea related to enteral nutrition. Two days after the PEG, the patients would receive 200 mL K-2S plus intermittently three times daily; thereafter, the amount of K-2S plus was increased according to the patient’s condition. The administration rate was scheduled as 200 mL/h when 200 mL were administered at one time. For ≥ 300 mL, the scheduled administration rate was 300 mL/h. When we administered K-2S plus at the beginning of enteral nutrition after the PEG, the dose of the enteral formula could be increased without any occurrence of diarrhea or vomiting. Five patients had received intravenous nutrition before the PEG; thus, we were concerned about diarrhea in these patients. In conclusion, an enteral formula emulsified with egg yolk lecithin may be safely used at the time of enteral nutrition initiation without causing diarrhea. PMID:29707085

  6. 76 FR 26750 - Agency Information Collection Activities: Documentation Requirements for Articles Entered Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-09

    ... Activities: Documentation Requirements for Articles Entered Under Various Special Tariff Treatment Provisions...: Documentation Requirements for Articles Entered Under Various Special Tariff Treatment Provisions. This request... collection: Title: Documentation Requirements for Articles Entered Under Various Special Tariff Treatment...

  7. 76 FR 39416 - Agency Information Collection Activities: Documentation Requirements for Articles Entered Under...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-07-06

    ... Activities: Documentation Requirements for Articles Entered Under Various Special Tariff Treatment Provisions... accordance with the Paperwork Reduction Act: Documentation Requirements for Articles Entered Under Various... techniques or other forms of information. Title: Documentation Requirements for Articles Entered Under...

  8. Enteral Feeding With Human Milk Decreases Time to Discharge in Infants Following Gastroschisis Repair

    PubMed Central

    Gulack, Brian C.; Laughon, Matthew M.; Clark, Reese H.; Burgess, Terrance; Robinson, Sybil; Muhammad, Abdurrauf; Zhang, Angela; Davis, Adrienne; Morton, Robert; Chu, Vivian H.; Arnold, Christopher J.; Hornik, Christoph P.; Smith, P. Brian

    2015-01-01

    Objective We reviewed a multi-institutional database to assess the effect of enteral feeding with human milk on duration from initiation of feeds to discharge after gastroschisis repair. Study design Infants who had gastroschisis repair between 1997 and 2012 with data recorded in the Pediatrix Medical Group Clinical Data Warehouse were categorized into 4 groups based on the percentage of days they were fed human milk out of the number of days they were fed enterally. Cox proportional hazards regression modeling was performed to determine the adjusted effect of human milk on duration from initiation of feeds to discharge. Results Of 3082 infants, 659 (21%) were fed human milk on 0% of enteral feeding days, 766 (25%) on 1–50% of enteral feeding days, 725 (24%) on 51–99% of enteral feeding days, and 932 (30%) on 100% of enteral feeding days. Following adjustment, being fed human milk on 0% of enteral feeding days was associated with a significantly increased time to discharge compared with being fed human milk on 100% of enteral feeding days (HR for discharge per day: 0.46, 95% CI: 0.40–0.52). The same was found for infants fed human milk on 1–50% of enteral feeding days (HR: 0.37, 95% CI: 0.32–0.41) and for infants fed human milk on 51–99% of enteral feeding days (HR: 0.51, 95% CI: 0.46–0.57). Conclusion The use of human milk for enteral feeding of infants following repair of gastroschisis significantly reduces the time to discharge from initiation of feeds. PMID:26703875

  9. Homeodomain interacting protein kinase 2 regulates postnatal development of enteric dopaminergic neurons and glia via BMP signaling.

    PubMed

    Chalazonitis, Alcmène; Tang, Amy A; Shang, Yulei; Pham, Tuan D; Hsieh, Ivy; Setlik, Wanda; Gershon, Michael D; Huang, Eric J

    2011-09-28

    Trophic factor signaling is important for the migration, differentiation, and survival of enteric neurons during development. The mechanisms that regulate the maturation of enteric neurons in postnatal life, however, are poorly understood. Here, we show that transcriptional cofactor HIPK2 (homeodomain interacting protein kinase 2) is required for the maturation of enteric neurons and for regulating gliogenesis during postnatal development. Mice lacking HIPK2 display a spectrum of gastrointestinal (GI) phenotypes, including distention of colon and slowed GI transit time. Although loss of HIPK2 does not affect the enteric neurons in prenatal development, a progressive loss of enteric neurons occurs during postnatal life in Hipk2(-/-) mutant mice that preferentially affects the dopaminergic population of neurons in the caudal region of the intestine. The mechanism by which HIPK2 regulates postnatal enteric neuron development appears to involve the response of enteric neurons to bone morphogenetic proteins (BMPs). Specifically, compared to wild type mice, a larger proportion of enteric neurons in Hipk2(-/-) mutants have an abnormally high level of phosphorylated Smad1/5/8. Consistent with the ability of BMP signaling to promote gliogenesis, Hipk2(-/-) mutants show a significant increase in glia in the enteric nervous system. In addition, numbers of autophagosomes are increased in enteric neurons in Hipk2(-/-) mutants, and synaptic maturation is arrested. These results reveal a new role for HIPK2 as an important transcriptional cofactor that regulates the BMP signaling pathway in the maintenance of enteric neurons and glia, and further suggest that HIPK2 and its associated signaling mechanisms may be therapeutically altered to promote postnatal neuronal maturation.

  10. Enteral Feeding with Human Milk Decreases Time to Discharge in Infants following Gastroschisis Repair.

    PubMed

    Gulack, Brian C; Laughon, Matthew M; Clark, Reese H; Burgess, Terrance; Robinson, Sybil; Muhammad, Abdurrauf; Zhang, Angela; Davis, Adrienne; Morton, Robert; Chu, Vivian H; Arnold, Christopher J; Hornik, Christoph P; Smith, P Brian

    2016-03-01

    To assess the effect of enteral feeding with human milk on the time from initiation of feeds to discharge after gastroschisis repair through review of a multi-institutional database. Infants who underwent gastroschisis repair between 1997 and 2012 with data recorded in the Pediatrix Medical Group Clinical Data Warehouse were categorized into 4 groups based on the percentage of days fed human milk out of the number of days fed enterally. Cox proportional hazards regression modeling was performed to determine the adjusted effect of human milk on the time from initiation of feeds to discharge. Among 3082 infants, 659 (21%) were fed human milk on 0% of enteral feeding days, 766 (25%) were fed human milk on 1%-50% of enteral feeding days, 725 (24%) were fed human milk on 51%-99% of enteral feeding days, and 932 (30%) were fed human milk on 100% of enteral feeding days. Following adjustment, being fed human milk on 0% of enteral feeding days was associated with a significantly increased time to discharge compared with being fed human milk on 100% of enteral feeding days (hazard ratio [HR] for discharge per day, 0.46; 95% CI, 0.40-0.52). The same was found for infants fed human milk on 1%-50% of enteral feeding days (HR, 0.37; 95% CI, 0.32-0.41) and for infants fed human milk on 51%-99% of enteral feeding days (HR, 0.51; 95% CI, 0.46-0.57). The use of human milk for enteral feeding of infants following repair of gastroschisis significantly reduces the time to discharge from initiation of feeds. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. STS-93 M.S. Stephen Hawley in the White Room

    NASA Technical Reports Server (NTRS)

    1999-01-01

    STS-93 Mission Specialist Stephen A. Hawley (Ph.D.) is checked out by white room closeout crew members before entering the orbiter Columbia. In the background is Mission Specialist Michel Tognini of France, waiting to enter Columbia. The white room is an environmental chamber at the end of the orbiter access arm that provides entry to the orbiter crew compartment. STS-93 is a five-day mission primarily to release the Chandra X-ray Observatory, which will allow scientists from around the world to study some of the most distant, powerful and dynamic objects in the universe. After Space Shuttle Columbia's July 20 and 22 launch attempts were scrubbed, the launch was again rescheduled for Friday, July 23, at 12:24 a.m. EDT. The target landing date is July 27 at 11:20 p.m. EDT.

  12. Pathogenic simian immunodeficiency virus infection is associated with expansion of the enteric virome

    PubMed Central

    Handley, Scott; Thackray, Larissa B.; Zhao, Guoyan; Presti, Rachel; Miller, Andrew; Droit, Lindsay; Abbink, Peter; Maxfield, Lori F.; Kambal, Amal; Duan, Erning; Stanley, Kelly; Kramer, Joshua; Macri, Sheila C.; Permar, Sallie R.; Schmitz, Joern E.; Mansfield, Keith; Brenchley, Jason M.; Veazey, Ronald S.; Stappenbeck, Thaddeus S.; Wang, David; Barouch, Dan H.; Virgin, Herbert W.

    2012-01-01

    SUMMARY Pathogenic simian immunodeficiency virus (SIV) infection is associated with enteropathy which likely contributes to AIDS progression. To identify candidate etiologies for AIDS enteropathy, we used next generation sequencing to define the enteric virome during SIV infection in nonhuman primates. Pathogenic, but not non-pathogenic, SIV infection was associated with significant expansion of the enteric virome. We identified at least 32 previously undescribed enteric viruses during pathogenic SIV infection and confirmed their presence using viral culture and PCR testing. We detected unsuspected mucosal adenovirus infection associated with enteritis as well as parvovirus viremia in animals with advanced AIDS, indicating the pathogenic potential of SIV-associated expansion of the enteric virome. No association between pathogenic SIV infection and the family-level taxonomy of enteric bacteria was detected. Thus, enteric viral infections may contribute to AIDS enteropathy and disease progression. These findings underline the importance of metagenomic analysis of the virome for understanding AIDS pathogenesis. PMID:23063120

  13. Combined enteral and parenteral nutrition.

    PubMed

    Wernerman, Jan

    2012-03-01

    To review and discuss the evidence and arguments to combine enteral nutrition and parenteral nutrition in the ICU, in particular with reference to the Early Parenteral Nutrition Completing Enteral Nutrition in Adult Critically Ill Patients (EPaNIC) study. The EPaNIC study shows an advantage in terms of discharges alive from the ICU when parenteral nutrition is delayed to day 8 as compared with combining enteral nutrition and parenteral nutrition from day 3 of ICU stay. The difference between the guidelines from the European Society of Enteral and Parenteral Nutrition in Europe and American Society for Parenteral and Enteral Nutrition/Society of Critical Care Medicine in North America concerning the combination of enteral nutrition and parenteral nutrition during the initial week of ICU stay was reviewed. The EPaNIC study clearly demonstrates that early parenteral nutrition in the ICU is not in the best interests of most patients. Exactly at what time point the combination of enteral nutrition and parenteral nutrition should be considered is still an open question.

  14. Improved enteral tolerance following step procedure: systematic literature review and meta-analysis.

    PubMed

    Fernandes, Melissa A; Usatin, Danielle; Allen, Isabel E; Rhee, Sue; Vu, Lan

    2016-10-01

    Surgical management of children with short bowel syndrome (SBS) changed with the introduction of the serial transverse enteroplasty procedure (STEP). We conducted a systematic review and meta-analysis using MEDLINE and SCOPUS to determine if children with SBS had improved enteral tolerance following STEP. Studies were included if information about a child's pre- and post-STEP enteral tolerance was provided. A random effects meta-analysis provided a summary estimate of the proportion of children with enteral tolerance increase following STEP. From 766 abstracts, seven case series involving 86 children were included. Mean percent tolerance of enteral nutrition improved from 35.1 to 69.5. Sixteen children had no enteral improvement following STEP. A summary estimate showed that 87 % (95 % CI 77-95 %) of children who underwent STEP had an increase in enteral tolerance. Compilation of the literature supports the belief that SBS subjects' enteral tolerance improves following STEP. Enteral nutritional tolerance is a measure of efficacy of STEP and should be presented as a primary or secondary outcome. By standardizing data collection on children undergoing STEP procedure, better determination of nutritional benefit from STEP can be ascertained.

  15. Anti-Hu antibodies activate enteric and sensory neurons

    PubMed Central

    Li, Qin; Michel, Klaus; Annahazi, Anita; Demir, Ihsan E.; Ceyhan, Güralp O.; Zeller, Florian; Komorowski, Lars; Stöcker, Winfried; Beyak, Michael J.; Grundy, David; Farrugia, Gianrico; De Giorgio, Roberto; Schemann, Michael

    2016-01-01

    IgG of type 1 anti-neuronal nuclear antibody (ANNA-1, anti-Hu) specificity is a serological marker of paraneoplastic neurological autoimmunity (including enteric/autonomic) usually related to small-cell lung carcinoma. We show here that IgG isolated from such sera and also affinity-purified anti-HuD label enteric neurons and cause an immediate spike discharge in enteric and visceral sensory neurons. Both labelling and activation of enteric neurons was prevented by preincubation with the HuD antigen. Activation of enteric neurons was inhibited by the nicotinic receptor antagonists hexamethonium and dihydro-β-erythroidine and reduced by the P2X antagonist pyridoxal phosphate-6-azo (benzene-2,4-disulfonic acid (PPADS) but not by the 5-HT3 antagonist tropisetron or the N-type Ca-channel blocker ω-Conotoxin GVIA. Ca++ imaging experiments confirmed activation of enteric neurons but not enteric glia. These findings demonstrate a direct excitatory action of ANNA-1, in particular anti-HuD, on visceral sensory and enteric neurons, which involves nicotinic and P2X receptors. The results provide evidence for a novel link between nerve activation and symptom generation in patients with antibody-mediated gut dysfunction. PMID:27905561

  16. 30 CFR 77.508-1 - Lightning arresters; wires entering buildings.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Lightning arresters; wires entering buildings... OF UNDERGROUND COAL MINES Electrical Equipment-General § 77.508-1 Lightning arresters; wires entering buildings. Lightning arresters protecting exposed telephone wires entering buildings shall be provided at...

  17. 30 CFR 77.508-1 - Lightning arresters; wires entering buildings.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Lightning arresters; wires entering buildings... OF UNDERGROUND COAL MINES Electrical Equipment-General § 77.508-1 Lightning arresters; wires entering buildings. Lightning arresters protecting exposed telephone wires entering buildings shall be provided at...

  18. 30 CFR 77.508-1 - Lightning arresters; wires entering buildings.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Lightning arresters; wires entering buildings... OF UNDERGROUND COAL MINES Electrical Equipment-General § 77.508-1 Lightning arresters; wires entering buildings. Lightning arresters protecting exposed telephone wires entering buildings shall be provided at...

  19. 30 CFR 77.508-1 - Lightning arresters; wires entering buildings.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Lightning arresters; wires entering buildings... OF UNDERGROUND COAL MINES Electrical Equipment-General § 77.508-1 Lightning arresters; wires entering buildings. Lightning arresters protecting exposed telephone wires entering buildings shall be provided at...

  20. 30 CFR 77.508-1 - Lightning arresters; wires entering buildings.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Lightning arresters; wires entering buildings... OF UNDERGROUND COAL MINES Electrical Equipment-General § 77.508-1 Lightning arresters; wires entering buildings. Lightning arresters protecting exposed telephone wires entering buildings shall be provided at...

  1. Diagnosing clostridial enteric disease in poultry.

    PubMed

    Cooper, Kerry K; Songer, J Glenn; Uzal, Francisco A

    2013-05-01

    The world's poultry industry has grown into a multibillion-dollar business, the success of which hinges on healthy intestinal tracts, which result in effective feed conversion. Enteric disease in poultry can have devastating economic effects on producers, due to high mortality rates and poor feed efficiency. Clostridia are considered to be among the most important agents of enteric disease in poultry. Diagnosis of enteric diseases produced by clostridia is usually challenging, mainly because many clostridial species can be normal inhabitants of the gut, making it difficult to determine their role in virulence. The most common clostridial enteric disease in poultry is necrotic enteritis, caused by Clostridium perfringens, which typically occurs in broiler chickens but has also been diagnosed in various avian species including turkeys, waterfowl, and ostriches. Diagnosis is based on clinical and pathological findings. Negative culture and toxin detection results may be used to rule out this disease, but isolation of C. perfringens and/or detection of its alpha toxin are of little value to confirm the disease because both are often found in the intestine of healthy birds. Ulcerative enteritis, caused by Clostridium colinum, is the other major clostridial enteric disease of poultry. Diagnosis of ulcerative enteritis is by documentation of typical pathological findings, coupled with isolation of C. colinum from the intestine of affected birds. Other clostridial enteric diseases include infections produced by Clostridium difficile, Clostridium fallax, and Clostridium baratii.

  2. Enteral Nutrition Is a Risk Factor for Airway Complications in Subjects Undergoing Noninvasive Ventilation for Acute Respiratory Failure.

    PubMed

    Kogo, Mariko; Nagata, Kazuma; Morimoto, Takeshi; Ito, Jiro; Sato, Yuki; Teraoka, Shunsuke; Fujimoto, Daichi; Nakagawa, Atsushi; Otsuka, Kojiro; Tomii, Keisuke

    2017-04-01

    Early enteral nutrition is recommended for mechanically ventilated patients in several studies and guidelines. In contrast, the effects of early enteral nutrition on noninvasive ventilation (NIV) have not been investigated extensively. The lack of an established method of airway protection suggests that enteral nutrition administration to these patients could increase airway complications and worsen outcomes. Between January 2007 and January 2015, 150 patients were admitted to our respiratory department for acute respiratory failure and received NIV for >48 h. Of these, 107 subjects incapable of oral intake were retrospectively analyzed. Clinical background and complications were compared in subjects who did and did not receive enteral nutrition. Sixty of the 107 subjects (56%) incapable of oral intake who received NIV also received enteral nutrition. Serum albumin concentration was significantly lower in subjects who received enteral nutrition than in those who did not (mean 2.7 ± 0.68 mg/dL vs 3.0 ± 0.75 mg/dL, P = .048). The rate of airway complications was significantly higher (53% [32/60] vs 32% [15/47], P = .03), and median NIV duration was significantly longer (16 [interquartile range 7-43] d vs 8 [5-20] d, P = .02) in subjects who received enteral nutrition than in those who did not. Multivariate analysis showed that enteral nutrition was unrelated to in-hospital mortality. Among subjects receiving NIV, enteral nutrition was associated with increased risk of airway complications but did not affect mortality. Enteral nutrition should be carefully considered in these patients. Copyright © 2017 by Daedalus Enterprises.

  3. Surface properties of semi-synthetic enteric coating films: Opportunities to develop bio-based enteric coating films for colon- targeted delivery

    USDA-ARS?s Scientific Manuscript database

    This study investigated the surface properties of the semi-synthetic enteric coating materials for potential colon- targeted bioactive delivery. The enteric coating materials were produced by combining nanoscale resistant starch, pectin, and carboxymethylcellulose. The surface properties of the co...

  4. 75 FR 68040 - Proposed Information Collection Activity: Comment Request

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-04

    ... DEPARTMENT OF VETERANS AFFAIRS [OMB Control No. 2900-0663 (Pay Now Enter Info Page)] Proposed... of automated collection techniques or the use of other forms of information technology. Title: Pay... make online payments through VA's Pay Now Enter Info Page Web site. Data entered on the Pay Now Enter...

  5. 9 CFR 113.204 - Mink Enteritis Vaccine, Killed Virus.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 1 2014-01-01 2014-01-01 false Mink Enteritis Vaccine, Killed Virus... REQUIREMENTS Killed Virus Vaccines § 113.204 Mink Enteritis Vaccine, Killed Virus. Mink Enteritis Vaccine... prior to challenge. If unfavorable reactions attributable to the vaccine occur, the serial is...

  6. 9 CFR 113.204 - Mink Enteritis Vaccine, Killed Virus.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 1 2011-01-01 2011-01-01 false Mink Enteritis Vaccine, Killed Virus... REQUIREMENTS Killed Virus Vaccines § 113.204 Mink Enteritis Vaccine, Killed Virus. Mink Enteritis Vaccine... prior to challenge. If unfavorable reactions attributable to the vaccine occur, the serial is...

  7. 9 CFR 113.204 - Mink Enteritis Vaccine, Killed Virus.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 1 2012-01-01 2012-01-01 false Mink Enteritis Vaccine, Killed Virus... REQUIREMENTS Killed Virus Vaccines § 113.204 Mink Enteritis Vaccine, Killed Virus. Mink Enteritis Vaccine... prior to challenge. If unfavorable reactions attributable to the vaccine occur, the serial is...

  8. 9 CFR 113.204 - Mink Enteritis Vaccine, Killed Virus.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 1 2010-01-01 2010-01-01 false Mink Enteritis Vaccine, Killed Virus... REQUIREMENTS Killed Virus Vaccines § 113.204 Mink Enteritis Vaccine, Killed Virus. Mink Enteritis Vaccine... prior to challenge. If unfavorable reactions attributable to the vaccine occur, the serial is...

  9. 9 CFR 113.204 - Mink Enteritis Vaccine, Killed Virus.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 1 2013-01-01 2013-01-01 false Mink Enteritis Vaccine, Killed Virus... REQUIREMENTS Killed Virus Vaccines § 113.204 Mink Enteritis Vaccine, Killed Virus. Mink Enteritis Vaccine... prior to challenge. If unfavorable reactions attributable to the vaccine occur, the serial is...

  10. An introduction to food and waterborne viruses: diseases, transmission, outbreaks, detection and control

    USDA-ARS?s Scientific Manuscript database

    Enteric viruses are the number one cause of foodborne illness throughout the world. In addition to foods, contaminated drinking water is another major cause of enteric viral illness. Among the enteric viruses are the noroviruses, hepatitis A and E viruses, enteric adenoviruses, rotavirus, and astro...

  11. A novel subset of enteric neurons revealed by ptf1a:GFP in the developing zebrafish enteric nervous system.

    PubMed

    Uribe, Rosa A; Gu, Tiffany; Bronner, Marianne E

    2016-03-01

    The enteric nervous system, the largest division of the peripheral nervous system, is derived from vagal neural crest cells that invade and populate the entire length of the gut to form diverse neuronal subtypes. Here, we identify a novel population of neurons within the enteric nervous system of zebrafish larvae that express the transgenic marker ptf1a:GFP within the midgut. Genetic lineage analysis reveals that enteric ptf1a:GFP(+) cells are derived from the neural crest and that most ptf1a:GFP(+) neurons express the neurotransmitter 5HT, demonstrating that they are serotonergic. This transgenic line, Tg(ptf1a:GFP), provides a novel neuronal marker for a subpopulation of neurons within the enteric nervous system, and highlights the possibility that Ptf1a may act as an important transcription factor for enteric neuron development. © 2016 Wiley Periodicals, Inc.

  12. 30 CFR 77.1502 - Auger holes; restriction against entering.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 30 Mineral Resources 1 2012-07-01 2012-07-01 false Auger holes; restriction against entering. 77... UNDERGROUND COAL MINES Auger Mining § 77.1502 Auger holes; restriction against entering. No person shall be permitted to enter an auger hole except with the approval of the MSHA Coal Mine Safety and Health District...

  13. 30 CFR 77.1502 - Auger holes; restriction against entering.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 30 Mineral Resources 1 2011-07-01 2011-07-01 false Auger holes; restriction against entering. 77... UNDERGROUND COAL MINES Auger Mining § 77.1502 Auger holes; restriction against entering. No person shall be permitted to enter an auger hole except with the approval of the MSHA Coal Mine Safety and Health District...

  14. 30 CFR 77.1502 - Auger holes; restriction against entering.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 30 Mineral Resources 1 2013-07-01 2013-07-01 false Auger holes; restriction against entering. 77... UNDERGROUND COAL MINES Auger Mining § 77.1502 Auger holes; restriction against entering. No person shall be permitted to enter an auger hole except with the approval of the MSHA Coal Mine Safety and Health District...

  15. 30 CFR 77.1502 - Auger holes; restriction against entering.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 30 Mineral Resources 1 2014-07-01 2014-07-01 false Auger holes; restriction against entering. 77... UNDERGROUND COAL MINES Auger Mining § 77.1502 Auger holes; restriction against entering. No person shall be permitted to enter an auger hole except with the approval of the MSHA Coal Mine Safety and Health District...

  16. A Comparative Study of Recent Trends and Characteristics of Students Entering American Junior Colleges, 1968-72.

    ERIC Educational Resources Information Center

    Fenske, Robert H.; Scott, Craig S.

    Recent changes in the background characteristics and attributes of students entering American junior colleges are compared with those of students entering colleges offering baccalaureate and graduate degrees. Comparisons are also made between students entering private and public junior colleges. The characteristics and attributes are: Level of…

  17. 77 FR 69650 - Agency Information Collection Activities: Holders or Containers Which Enter the United States...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-11-20

    ... Activities: Holders or Containers Which Enter the United States Duty Free AGENCY: U.S. Customs and Border... information collection requirement concerning the Holders or Containers which Enter the United States Duty... concerning the following information collection: Title: Holders or Containers which Enter the United States...

  18. 30 CFR 77.1502 - Auger holes; restriction against entering.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 30 Mineral Resources 1 2010-07-01 2010-07-01 false Auger holes; restriction against entering. 77... UNDERGROUND COAL MINES Auger Mining § 77.1502 Auger holes; restriction against entering. No person shall be permitted to enter an auger hole except with the approval of the MSHA Coal Mine Safety and Health District...

  19. Economic Stimulus: Issues and Policies

    DTIC Science & Technology

    2009-11-27

    entered a recession. To date, financial markets remain volatile, new losses have been announced at major financial institutions , and responses outside...states, middle class tax cuts, and business tax cuts. Also in 2008 and 2009, the government intervened in specific financial markets by providing...broad intervention into the financial markets was passed to avoid the spread of financial instability into the broader market ; but there are

  20. Economic Stimulus: Issues and Policies

    DTIC Science & Technology

    2009-02-27

    through which the economy entered a recession. To date, financial markets remain volatile, new losses have been announced at major financial institutions ...have sought to contain damages spilling over from housing and financial markets to the broader economy, including monetary policy, which is the...compensation in June and November of 2008. Over the past few months, the government has also intervened in specific financial markets , including

  1. Designing Performance-Based Measures to Assess the Scientific Thinking Skills of Chemistry Undergraduate Researchers

    ERIC Educational Resources Information Center

    Harsh, Joseph A.

    2016-01-01

    Undergraduate research (UR) is a vetted educational tool that is commonly perceived to prepare students for entering graduate school and careers in STEM fields; however, scholarly attention to date has largely relied on self-report data, which may limit inferences about the causal effects on student outcomes. In light of this, recent calls have…

  2. Evidence-based transition to practice: developing a model for North Carolina.

    PubMed

    Johnson, Mary P; Roth, Joyce W; Jenkins, Pamela R

    2011-01-01

    To enhance patient safety and increase retention of new nurses, structures and processes should be developed to ensure that newly licensed nurses are afforded the opportunity to gain confidence and competence as they enter the workforce. This commentary provides an overview of the work performed to date in North Carolina to build an evidence-based transition-to-practice model.

  3. Publications of the biospheric research program: 1981-1987

    NASA Technical Reports Server (NTRS)

    Wallace, Janice S. (Editor)

    1988-01-01

    Presented is a list of publications of investigators supported by the Biospheric Research Program of the Biological Systems Research Branch, Life Sciences Division, and the Office of Space Science and Applications. It includes publications dated as of December 31, 1987 and entered into the Life Sciences Bibliographic Database at the George Washington University. Publications are organized by the year published.

  4. PBF Cooling Tower (PER720). Camera faces east to show west ...

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

    PBF Cooling Tower (PER-720). Camera faces east to show west facade. Sloped (louvered) panels in this and opposite facade allow air to enter tower and cool water falling on splash bars within. Date: August 2003. INEEL negative no. HD-35-10-2 - Idaho National Engineering Laboratory, SPERT-I & Power Burst Facility Area, Scoville, Butte County, ID

  5. Design of Concurrency Controls for Transaction Processing Systems.

    DTIC Science & Technology

    1982-04-02

    presented in numerous textbooks (e.g.; see [Wiederhold 771, [Date 77), or [Ulman 80]) and elsewhere; furthermore, this is a problem of on-going research...bIA (tem -II am&p Ilest WI: m9 bme "" from Mt: (mew imew) (enter -eow (en Smemp) am :es. daeems:m W4 (saw. mumv Ibe o O*jeets Ai Daiua* II Suomi -ov

  6. 20 CFR 408.435 - How do you prove that you are residing outside the United States?

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Residence § 408.435 How do you... residing outside the United States for SVB purposes, you must give us all of the following: (1) Evidence of... residing, you can give us evidence such as: (1) A visa or passport showing the date you entered that...

  7. 20 CFR 408.435 - How do you prove that you are residing outside the United States?

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... SPECIAL BENEFITS FOR CERTAIN WORLD WAR II VETERANS Evidence Requirements Residence § 408.435 How do you... residing outside the United States for SVB purposes, you must give us all of the following: (1) Evidence of... residing, you can give us evidence such as: (1) A visa or passport showing the date you entered that...

  8. 76 FR 54533 - Pipeline Safety: Issuance of Draft Decision on GexCon US, Inc. Petition for Approval of Flame...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-09-01

    ... inspection at Docket No. PHMSA-2011-0101 at http://www.regulations.gov . DATES: Submit comments by September... following ways: E-Gov Website: http://www.regulations.gov . This Web site allows the public to enter... comments received will be posted without change to http://www.regulations.gov , including any personal...

  9. 8 CFR 212.2 - Consent to reapply for admission after deportation, removal or departure at Government expense.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... United States for the time period required for re-entry after deportation or removal. The examining... years from the deportation date before he or she is eligible to re-enter the United States. Any alien... permission to reapply for entry in conjunction with his or her application for adjustment of status. This...

  10. 8 CFR 212.2 - Consent to reapply for admission after deportation, removal or departure at Government expense.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... United States for the time period required for re-entry after deportation or removal. The examining... years from the deportation date before he or she is eligible to re-enter the United States. Any alien... permission to reapply for entry in conjunction with his or her application for adjustment of status. This...

  11. 8 CFR 212.2 - Consent to reapply for admission after deportation, removal or departure at Government expense.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... United States for the time period required for re-entry after deportation or removal. The examining... years from the deportation date before he or she is eligible to re-enter the United States. Any alien... of the Act and part 245 of this chapter must request permission to reapply for entry in conjunction...

  12. 8 CFR 212.2 - Consent to reapply for admission after deportation, removal or departure at Government expense.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... United States for the time period required for re-entry after deportation or removal. The examining... years from the deportation date before he or she is eligible to re-enter the United States. Any alien... of the Act and part 245 of this chapter must request permission to reapply for entry in conjunction...

  13. 8 CFR 212.2 - Consent to reapply for admission after deportation, removal or departure at Government expense.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... United States for the time period required for re-entry after deportation or removal. The examining... years from the deportation date before he or she is eligible to re-enter the United States. Any alien... of the Act and part 245 of this chapter must request permission to reapply for entry in conjunction...

  14. 77 FR 27767 - Milford Hydro, LLC; Notice of Preliminary Permit Application Accepted for Filing and Soliciting...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-11

    ... Contact: Bryan Roden-Reynolds at (202) 502-6618, or via email at bryan.roden-reynolds@ferc.gov . Deadline... site at http://www.ferc.gov/docs-filing/elibrary.asp . Enter the docket number (P-14218) in the docket number field to access the document. For assistance, contact FERC Online Support. Dated: May 4, 2012...

  15. A Randomized Clinical Trial of Cognitive-Behavioral Treatment for PTSD in Women

    DTIC Science & Technology

    2004-10-01

    This study is a randomized clinical trial comparing two types of individual psychotherapy for treating PTSD in 384 female veterans and active duty...Exposure therapy will be more effective than Present Centered Therapy for the treatment of PTSD in female veterans and active duty personnel. The study has entered the randomized phase. There are no conclusions to date.

  16. 24 CFR 968.210 - Procedures for obtaining approval of a modernization program.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... of Modernization capability as defined at § 968.205. (c) ACC amendment. HUD and the PHA shall enter into an ACC amendment in order for the PHA to draw down modernization funds. The ACC amendment shall require low-income use of the housing for not less than 20 years from the date of the ACC amendment...

  17. 24 CFR 968.210 - Procedures for obtaining approval of a modernization program.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... of Modernization capability as defined at § 968.205. (c) ACC amendment. HUD and the PHA shall enter into an ACC amendment in order for the PHA to draw down modernization funds. The ACC amendment shall require low-income use of the housing for not less than 20 years from the date of the ACC amendment...

  18. 46 CFR 502.64 - Answer to complaint; counter-complaint.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... officer may enter such rule or order as may be just, or may in any case require such proof as he or she... complainant as provided in subpart H of this part within twenty (20) days after the date of service of the complaint by the Commission or within thirty (30) days if such respondent resides in Alaska or beyond the...

  19. Cyberspace, the 7th Joint Function for 21st Century Warfare

    DTIC Science & Technology

    2017-03-31

    such as final, technical, interim, memorandum, master’s thesis, progress, quarterly, research, special, group study, etc . 3. DATE COVERED...procedures, e.g. RD/FRD, PROPIN, ITAR, etc . Include copyright information. 13. SUPPLEMENTARY NOTES. Enter information not included...elsewhere such as: prepared in cooperation with; translation of; report supersedes; old edition number, etc . 14. ABSTRACT. A brief (approximately

  20. Aquatic Plant Control Research Program. Moneoecious hydrilla in the Potomac River.

    DTIC Science & Technology

    1985-08-01

    0 19 14 3 I K N Mode of Action: 1 . Inhibits carotenoid synthesis (McCowen et al. 1979). 2. Promotes chlorophyll degradation due to carotenoid loss...Unclassified SECURITY CLASSIFICATION OF THIS PAGE (henm Date Entered) r. 1 4...biological, mechanical/physical, and chemical (Table 1 ). These methods were reviewed with consideration for their specific applicability, including

  1. Postimplementation Evaluation Plan for the Patient Appointment and Scheduling System at USAF Medical Center, Keesler Air Force Base.

    DTIC Science & Technology

    1983-09-26

    Q.. 5401 Westbard Avenue Bethesda, Maryland 20816 Arthur D Little, Inc c3 11 07 100 SECURITY CLASS:FICAT;ON Of THIS PAGE 𔄃,n Date Entered) REPORT...OFFICE NAME AND ADDRESS 12. REPORT CATE TRIMIS PROGRAM OFFICE September 26, 1983 5401 Westbard Avenue 13. NUMBER OF PAGES Bethesda, Maryland 20816 44

  2. Changes in the Welfare Caseload and the Health of Low-Educated Mothers

    ERIC Educational Resources Information Center

    Kaestner, Robert; Tarlov, Elizabeth

    2006-01-01

    Declines in the welfare caseload in the late 1990s brought significant change to the lives of many low-educated, single mothers. Many single mothers left welfare and entered the labor market and others found different ways to avoid going on public assistance. These changes may have affected the health and health behaviors of these women. To date,…

  3. XNDM: An Experimental Network Data Manager.

    DTIC Science & Technology

    1981-06-01

    return this copy. Retain or destroy. t t , UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE fWln Dtet Entred) READ INSTRUCTIONSREPORT DOCUMENTATION...MONITORING AGENCY NAME & AODRESS(IE’ different Irom Controlling Office) 15 SECURITY CLASS, (I this report) UNCLASSIFIED Same Is DECLASSIFICATION...DD JAN% 1473 EDITION OF I NOV 65 IS OBSOLETE UNCLASSIFIED SECURITY CLASSIFICATION OF THIS PAGE ("hen Date Entered) -: o . <. UNCLASSIFIED SECURITY

  4. 76 FR 14279 - Safety Zone; Todd Pacific Shipyards Vessel Roll-Out, West Duwamish Waterway, Seattle, WA

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-16

    ... from entering or remaining in the safety zone unless authorized by the Captain of the Port or a... published. In addition, given the dangers involved with a large slow moving dry dock maneuvering close to... with a large slow moving dry dock maneuvering close to the shore, delaying the effective date of this...

  5. How To Do Field Searching in Web Search Engines: A Field Trip.

    ERIC Educational Resources Information Center

    Hock, Ran

    1998-01-01

    Describes the field search capabilities of selected Web search engines (AltaVista, HotBot, Infoseek, Lycos, Yahoo!) and includes a chart outlining what fields (date, title, URL, images, audio, video, links, page depth) are searchable, where to go on the page to search them, the syntax required (if any), and how field search queries are entered.…

  6. 76 FR 18577 - Merritt Island National Wildlife Refuge, Volusia and Brevard Counties, FL; Collection of Entrance...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-04-04

    ... Cove, Beacon 42, and Bio Lab). Fees are not required to enter any other portion of the refuge. DATES..., Beacon 42, and Bio Lab; Black Point Wildlife Drive; public access roads; parking lots; overlooks; and... the boat ramps at Bairs Cove, Beacon 42, and Bio Lab. If public comments were to provide substantive...

  7. Infrared Inspection of New Roofs.

    DTIC Science & Technology

    1982-12-01

    USA Cold Regions Research and Engineering Laboratory, unpublished report prepared for the Directorate of Facilities Engineering, Fort Devens , Mass...SECURITY CLASSIFICATION OF THIS PAGE (When Date Entered) READ INSTRUCTIONSREPORT DOCUMENTATION PAGE BEFORE COMPLETING FORM I. REPORT NUMBER 2. GOVT...period then the contractor will become obligated to repair it rather than the owner having to pursue expensive remedial measures a few years later

  8. Viral Immunotherapy to Eradicate Subclinical Brain Metastases

    DTIC Science & Technology

    2012-09-01

    1 AD_________________ Award Number: W81XWH-11-1-0124 TITLE: Viral Immunotherapy to...Annual 3. DATES COVERED 1 September 2011 – 31 August 2012 4. TITLE AND SUBTITLE Viral Immunotherapy to Eradicate Subclinical Brain Metastases...re-activated to enter and destroy early BM by viral infection of Her2-positive breast BM by a recombinant vesicular stomatitis virus (VSV), which

  9. School-Entry Policies and Skill Accumulation across Directly and Indirectly Affected Individuals

    ERIC Educational Resources Information Center

    Bedard, Kelly; Dhuey, Elizabeth

    2012-01-01

    During the past half-century, there has been a trend toward increasing the minimum age a child must reach before entering school in the United States. States have accomplished this by moving the school-entry cutoff date earlier in the school year. The evidence presented in this paper shows that these law changes increased human capital…

  10. 77 FR 8877 - ICD-9-CM Coordination and Maintenance (C&M) Committee Meeting

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-15

    ... Coordination and Maintenance (C&M) Committee Meeting National Center for Health Statistics (NCHS... Coordination and Maintenance (C&M) Committee meeting. Time and Date: 9 a.m.-5:30 p.m., March 5, 2012. Place... entering the building. Attendees who wish to attend the ICD- 9-CM C&M meeting on March 5, 2012, must submit...

  11. Expansion and differentiation of neural progenitors derived from the human adult enteric nervous system.

    PubMed

    Metzger, Marco; Bareiss, Petra M; Danker, Timm; Wagner, Silvia; Hennenlotter, Joerg; Guenther, Elke; Obermayr, Florian; Stenzl, Arnulf; Koenigsrainer, Alfred; Skutella, Thomas; Just, Lothar

    2009-12-01

    Neural stem and progenitor cells from the enteric nervous system have been proposed for use in cell-based therapies against specific neurogastrointestinal disorders. Recently, enteric neural progenitors were generated from human neonatal and early postnatal (until 5 years after birth) gastrointestinal tract tissues. We investigated the proliferation and differentiation of enteric nervous system progenitors isolated from human adult gastrointestinal tract. Human enteric spheroids were generated from adult small and large intestine tissues and then expanded and differentiated, depending on the applied cell culture conditions. For implantation studies, spheres were grafted into fetal slice cultures and embryonic aganglionic hindgut explants from mice. Differentiating enteric neural progenitors were characterized by 5-bromo-2-deoxyuridine labeling, in situ hybridization, immunocytochemistry, quantitative real-time polymerase chain reaction, and electrophysiological studies. The yield of human neurosphere-like bodies was increased by culture in conditional medium derived from fetal mouse enteric progenitors. We were able to generate proliferating enterospheres from adult human small or large intestine tissues; these enterospheres could be subcultured and maintained for several weeks in vitro. Spheroid-derived cells could be differentiated into a variety of neuronal subtypes and glial cells with characteristics of the enteric nervous system. Experiments involving implantation into organotypic intestinal cultures showed the differentiation capacity of neural progenitors in a 3-dimensional environment. It is feasible to isolate and expand enteric progenitor cells from human adult tissue. These findings offer new strategies for enteric stem cell research and future cell-based therapies.

  12. Damage to enteric neurons occurs in mice that develop fatty liver disease but not diabetes in response to a high-fat diet.

    PubMed

    Rivera, L R; Leung, C; Pustovit, R V; Hunne, B L; Andrikopoulos, S; Herath, C; Testro, A; Angus, P W; Furness, J B

    2014-08-01

    Disorders of gastrointestinal functions that are controlled by enteric neurons commonly accompany fatty liver disease. Established fatty liver disease is associated with diabetes, which itself induces enteric neuron damage. Here, we investigate the relationship between fatty liver disease and enteric neuropathy, in animals fed a high-fat, high-cholesterol diet in the absence of diabetes. Mice were fed a high-fat, high-cholesterol diet (21% fat, 2% cholesterol) or normal chow for 33 weeks. Liver injury was assessed by hematoxylin and eosin, picrosirius red staining, and measurement of plasma alanine aminotransaminase (ALT). Quantitative immunohistochemistry was performed for different types of enteric neurons. The mice developed steatosis, steatohepatitis, fibrosis, and a 10-fold increase in plasma ALT, indicative of liver disease. Oral glucose tolerance was unchanged. Loss and damage to enteric neurons occurred in the myenteric plexus of ileum, cecum, and colon. Total numbers of neurons were reduced by 15-30% and neurons expressing nitric oxide synthase were reduced by 20-40%. The RNA regulating protein, Hu, became more concentrated in the nuclei of enteric neurons after high-fat feeding, which is an indication of stress on the enteric nervous system. There was also disruption of the neuronal cytoskeletal protein, neurofilament medium. Enteric neuron loss and damage occurs in animals with fatty liver disease in the absence of glucose intolerance. The enteric neuron damage may contribute to the gastrointestinal complications of fatty liver disease. © 2014 John Wiley & Sons Ltd.

  13. Quality of life among treatment seeking methamphetamine-dependent individuals.

    PubMed

    Gonzales, Rachel; Ang, Alfonso; Glik, Deborah C; Rawson, Richard A; Lee, Stella; Iguchi, Martin Y

    2011-01-01

    As the number of men and women entering treatment for substance use disorders continues to increase across the country, it becomes vitally important to understand their quality of life (QOL) or perceived health status, in order to inform treatment efforts for improving such outcomes. To date, QOL assessments among methamphetamine (MA) dependent users are limited. This paper examines QOL health status among a sample of 838 treatment seeking MA users at admission. Using regression analysis, predictors of QOL are examined among MA users. Predictors of poor QOL among MA users at treatment admission included being female, white, high school educated or more, married, experiencing psychosocial dysfunction (lifetime trauma, suicide, social conflict), reporting a high frequency of both MA and polydrugs for 15 days or more in the past month, chronicity of MA and polydrug use, injection use, and having co-morbid medical and psychiatric impairment. Employment status was the only factor related to better health status perceptions. This study expands the scope of scholarly examination of MA-dependent users entering treatment, as there has not been a development of coherent profiles of QOL among representative samples of clinical MA-abusing populations to date. © American Academy of Addiction Psychiatry.

  14. Proceedings of the Military Librarians’ Workshop (18th) Held at Fort Hauchuca, Arizona on 10-12 September 1974

    DTIC Science & Technology

    1974-09-12

    still look at a set of terms proposed to them by these computer programs based on abstract and title and they still delete and add; there is inter...this message, several new reports relevant to WGA newsletters are computer oroduced your interests probably have entered the col- and electronically...executives and the past by ordering a computer NTlSearch professionals who must keep up to date. of all the research reports in your area of interest, dating

  15. Self-Help Service Center Management System User’s Manual: Version 2.1

    DTIC Science & Technology

    1991-06-01

    tools and other equipment loaned to customers. Temporary nonconsumable items, such as lawn mowers , must be returned by a certain due date a’nd time...function to process the return of lawn mowers . 3. A capability to identify the status of and/or process the return of a single borrowed item. This would be...IiR Qty Due Date Time 00000035 LAWN MOWER T I 1 03/09/90 18:00 Message Box ILocation Available: 10 Aisle: Authorized for item. I Row: Bin: Enter T for

  16. 7 CFR 319.8-14 - Mexican cotton and covers not otherwise enterable.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 7 Agriculture 5 2013-01-01 2013-01-01 false Mexican cotton and covers not otherwise enterable. 319... Cotton and Covers Special Conditions for the Entry of Cotton and Covers from Mexico § 319.8-14 Mexican cotton and covers not otherwise enterable. Mexican cotton and covers not enterable under § 319.8-11...

  17. 7 CFR 319.8-14 - Mexican cotton and covers not otherwise enterable.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 7 Agriculture 5 2011-01-01 2011-01-01 false Mexican cotton and covers not otherwise enterable. 319... Cotton and Covers Special Conditions for the Entry of Cotton and Covers from Mexico § 319.8-14 Mexican cotton and covers not otherwise enterable. Mexican cotton and covers not enterable under § 319.8-11...

  18. 7 CFR 319.8-14 - Mexican cotton and covers not otherwise enterable.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 7 Agriculture 5 2010-01-01 2010-01-01 false Mexican cotton and covers not otherwise enterable. 319... Cotton and Covers Special Conditions for the Entry of Cotton and Covers from Mexico § 319.8-14 Mexican cotton and covers not otherwise enterable. Mexican cotton and covers not enterable under § 319.8-11...

  19. 7 CFR 319.8-14 - Mexican cotton and covers not otherwise enterable.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 7 Agriculture 5 2014-01-01 2014-01-01 false Mexican cotton and covers not otherwise enterable. 319... Cotton and Covers Special Conditions for the Entry of Cotton and Covers from Mexico § 319.8-14 Mexican cotton and covers not otherwise enterable. Mexican cotton and covers not enterable under § 319.8-11...

  20. 7 CFR 319.8-14 - Mexican cotton and covers not otherwise enterable.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 7 Agriculture 5 2012-01-01 2012-01-01 false Mexican cotton and covers not otherwise enterable. 319... Cotton and Covers Special Conditions for the Entry of Cotton and Covers from Mexico § 319.8-14 Mexican cotton and covers not otherwise enterable. Mexican cotton and covers not enterable under § 319.8-11...

  1. Thermal inactivation of enteric viruses and bioaccumulation of enteric foodborne viruses in live oysters (Crassostrea virginica)

    USDA-ARS?s Scientific Manuscript database

    Human enteric viruses are one of the main causative agents of shellfish associated outbreaks. In this study, the kinetics of viral bioaccumulation in live oysters and the heat stability of the most predominant enteric viruses were determined in both tissue culture and in oyster tissues. A human nor...

  2. Early postoperative enteral nutrition is useful for recovering gastrointestinal motility and maintaining the nutritional status.

    PubMed

    Kawasaki, Naruo; Suzuki, Yutaka; Nakayoshi, Tomoko; Hanyu, Nobuyoshi; Nakao, Masatoshi; Takeda, Akihiro; Furukawa, Yoshiyuki; Kashiwagi, Hideyuki

    2009-01-01

    The efficacy of enteral nutrition in postoperative nutritional management is known, but the effects on gastrointestinal motility and nutrition have not yet been elucidated. The purpose of this study was to compare the effects of enteral and parenteral nutrition soon after open abdominal surgery on gastrointestinal motility and nutritional status. A partial resection of rectum models was prepared to compare two types of nutrient administration: enteral nutrition and total parenteral nutrition. The differences between the effects of nutrition types in terms of gastrointestinal motility and nutritional status were investigated. Enteral nutrition contributed to recovery of gastrointestinal motility and maintenance of nutritional status. Enteral nutrition should therefore be initiated soon after surgery if the gastrointestinal tract is available.

  3. Luminous Enteric Bacteria of Marine Fishes: a Study of Their Distribution, Densities, and Dispersion †

    PubMed Central

    Ruby, E. G.; Morin, J. G.

    1979-01-01

    Three taxa of luminous bacteria (Photobacterium fischeri, P. phosphoreum, and Beneckea spp.) were found in the enteric microbial populations of 22 species of surface- and midwater-dwelling fishes. These bacteria often occurred in concentrations ranging between 105 and 107 colony-forming units per ml of enteric contents. By using a genetically marked strain, it was determined that luminous cells entering the fish during ingestion of seawater or contaminated particles traversed the alimentary tract and survived the digestive processes. After excretion, luminous bacteria proliferated extensively on the fecal material and became distributed into the surrounding seawater. Thus, this enteric habitat may serve as an enrichment of viable cells entering the planktonic luminous population. PMID:16345429

  4. Enteral Formulas in Nutrition Support Practice: Is There a Better Choice for Your Patient?

    PubMed

    Escuro, Arlene A; Hummell, A Christine

    2016-12-01

    Over the past few decades, the number of enteral formulas for use in hospitalized, critically ill, and home enteral patients has dramatically increased. Several enteral nutrition (EN) formula categories exist, which makes it challenging for clinicians to sort through the product claims and find the appropriate formula for the patient. Many formulas are available within each category, some of which may be significantly different from one another. Numerous systematic reviews of existing research and clinical practice guidelines evaluate the use of specialty formulas. This review aims to examine the differences in various enteral formula categories, identify applications in clinical practice, and evaluate the existing evidence and guideline recommendations for use of specific types of enteral formulas.

  5. A Social Network Comparison of Low-Income Black and White Newlywed Couples

    PubMed Central

    Jackson, Grace L.; Kennedy, David; Bradbury, Thomas N.; Karney, Benjamin R.

    2014-01-01

    Relative to White families, Black families have been described as relying on extended social networks to compensate for other social and economic disadvantages. The presence or absence of supportive social networks should be especially relevant to young couples entering marriage, but to date there has been little effort to describe the social networks of comparable Black and White newlyweds. The current study addressed this gap by drawing on interviews with 57 first-married newlyweds from low-income communities to compare the composition and structure of Black and White couples’ duocentric social networks. The results indicated that low-income Black couples entered marriage at a social disadvantage relative to White couples, with more family relationships but fewer positive relationships and fewer sources of emotional support (for wives), fewer connections to married individuals, and fewer shared relationships between spouses. Black couples’ relative social disadvantages persisted even when various economic and demographic variables were controlled. PMID:25214673

  6. Syringe Exchange, Injecting and Intranasal Drug Use

    PubMed Central

    Arasteh, Kamyar; McKnight, Courtney; Ringer, Martin; Friedman, Samuel R.

    2016-01-01

    Objective To assess trends in injecting and non-injecting drug use after implementation of large-scale syringe exchange in New York City. The belief that implementation of syringe exchange will lead to increased drug injecting has been a persistent argument against syringe exchange. Methods Administrative data on route of administration for primary drug of abuse among patients entering the Beth Israel methadone maintenance program from 1995 – 2007. Approximately 2000 patients enter the program each year. Results During and after the period of large scale implementation of syringe exchange, the numbers of methadone program entrants reporting injecting drug use decreased while the numbers of entrants reporting intranasal drug use increased (p < .001). Conclusion While assessing possible effects of syringe exchange on trends in injecting drug use is inherently difficult, this may be the strongest data collected to date showing a lack of increase in drug injecting following implementation of syringe exchange. PMID:19891668

  7. Enteric microbiota leads to new therapeutic strategies for ulcerative colitis.

    PubMed

    Chen, Wei-Xu; Ren, Li-Hua; Shi, Rui-Hua

    2014-11-14

    Ulcerative colitis (UC) is a leading form of inflammatory bowel disease that involves chronic relapsing or progressive inflammation. As a significant proportion of UC patients treated with conventional therapies do not achieve remission, there is a pressing need for the development of more effective therapies. The human gut contains a large, diverse, and dynamic population of microorganisms, collectively referred to as the enteric microbiota. There is a symbiotic relationship between the human host and the enteric microbiota, which provides nutrition, protection against pathogenic organisms, and promotes immune homeostasis. An imbalance of the normal enteric microbiota composition (termed dysbiosis) underlies the pathogenesis of UC. A reduction of enteric microbiota diversity has been observed in UC patients, mainly affecting the butyrate-producing bacteria, such as Faecalibacterium prausnitzii, which can repress pro-inflammatory cytokines. Many studies have shown that enteric microbiota plays an important role in anti-inflammatory and immunoregulatory activities, which can benefit UC patients. Therefore, manipulation of the dysbiosis is an attractive approach for UC therapy. Various therapies targeting a restoration of the enteric microbiota have shown efficacy in treating patients with active and chronic forms of UC. Such therapies include fecal microbiota transplantation, probiotics, prebiotics, antibiotics, helminth therapy, and dietary polyphenols, all of which can alter the abundance and composition of the enteric microbiota. Although there have been many large, randomized controlled clinical trials assessing these treatments, the effectiveness and safety of these bacteria-driven therapies need further evaluation. This review focuses on the important role that the enteric microbiota plays in maintaining intestinal homeostasis and discusses new therapeutic strategies targeting the enteric microbiota for UC.

  8. Association Between Enteral Feeding, Weight Status, and Mortality in a Medical Intensive Care Unit.

    PubMed

    Vest, Michael T; Kolm, Paul; Bowen, James; Trabulsi, Jillian; Lennon, Shannon L; Shapero, Mary; McGraw, Patty; Halbert, James; Jurkovitz, Claudine

    2018-03-01

    Clinical practice guidelines recommend enteral nutrition for most patients receiving mechanical ventilation. However, recently published evidence on the effect of enteral nutrition on mortality, particularly for patients who are well nourished, is conflicting. To examine the association between enteral feeding and hospital mortality in critically ill patients receiving mechanical ventilation and to determine if body mass index mediates this relationship. A retrospective cohort study of patients receiving mechanical ventilation admitted to a medical intensive care unit in 2013. Demographic and clinical variables were collected. Cox proportional hazards regression was used to examine the relationship between an enteral feeding order and hospital mortality and to determine if the relationship was mediated by body mass index. Of 777 patients who had 811 hospitalizations requiring mechanical ventilation, 182 (23.4%) died in the hospital. A total of 478 patients (61.5%) received an order for enteral tube feeding, which was associated with a lower risk of death (hazard ratio, 0.41; 95% CI, 0.29-0.59). Body mass index did not mediate the relationship between mortality and receipt of an order for enteral feeding. Median stay in the unit was 3.6 days. Most deaths (72.0%) occurred more than 48 hours after admission. The finding of a positive association between an order for enteral feeding and survival supports enteral feeding of patients in medical intensive care units. Furthermore, the beneficial effect of enteral feeding appears to apply to patients regardless of body mass index. ©2018 American Association of Critical-Care Nurses.

  9. Predicting Full Enteral Feeding in the Postoperative Period in Infants with Congenital Diaphragmatic Hernia.

    PubMed

    Zozaya, Carlos; Triana, Miryam; Madero, Rosario; Abrams, Steven; Martinez, Leopoldo; Amesty, Maria Virginia; Pipaón, Miguel Sáenz de

    2017-10-01

    Introduction  The objective of the study is to examine the factors associated with time to achieve full enteral feeding after repair of congenital diaphragmatic hernia. Materials and Methods  Demographic, clinical, and therapeutic data were retrospectively assessed, and uni- and multivariate Cox regression were performed to examine factors predictive of achieving full enteral feeding that was defined as time to achieve120 mL/kg/d after surgical repair. Results  Of 78 infants, 66 underwent intervention before hospital discharge. All infants who survived had reached full enteral feeding at the time of hospital discharge by a median of 22 days (range: 2-119 days) after surgery and 10 days (range: 1-91) after initiation of postoperative enteral feedings. Independent risk factors associated with a longer time to reach full enteral feeding achievement included gastroesophageal reflux and days of antibiotics in the postoperative period. Daily stool passage preoperatively predicted earlier enteral tolerance. Conclusion  Infants who survive congenital diaphragmatic hernia generally are able to achieve full enteral feedings after surgical repair. A longer time to full feeding is needed in the most severe cases, but some specific characteristics can be used to help identify patients at higher risk. Although some of these characteristics are unavoidable, others including rational antibiotic usage and active gastroesophageal reflux prevention and treatment are feasible and may improve enteral tolerance. Georg Thieme Verlag KG Stuttgart · New York.

  10. 36 CFR 1280.64 - What entrance should I use to enter the National Archives at College Park?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false What entrance should I use to enter the National Archives at College Park? 1280.64 Section 1280.64 Parks, Forests, and Public Property... enter the National Archives at College Park? You may enter the National Archives at College Park...

  11. Experiential Journey of Females Who Enter or Re-Enter College Later in Life to Degree Completion

    ERIC Educational Resources Information Center

    Johnston, Rita Audy

    2017-01-01

    Given the scope and paucity of knowledge about the lived experiences of the female adult student entering or re-entering college later in life to degree completion, this research study identified significant themes in their lived experiences. With an appreciative eye, this study captured the female adult students' lived experiences conveyed in a…

  12. [Role of nutritional support in the treatment of enteric fistulas].

    PubMed

    Amodeo, Corrado; Caglià, Pietro; Gandolfo, Luigi; Veroux, Massimiliano; Brancato, Giovanna; Donati, Marcello

    2002-01-01

    Enteric fistulas are nowadays considered an important therapeutic challenge. Artificial, total parenteral and enteral nutrition have allowed an improvement in the healing of these fistulas and a lower incidence of mortality. Fourteen patients with enteric fistulas (10 men, 4 women; mean age: 64.4 years; range: 20-80 years) were observed. The fistula was located in the large bowel in 11 patients, in the ileum in 2, and in the jejunum in 1. Thirteen patients received enteral nutrition. The patient with the jejunal fistula received total parenteral nutrition for 30 days and then enteral nutrition. The fistulas were successfully treated in 11 patients. One patients underwent surgery after 6 weeks of treatment with enteral nutrition because of lack of improvement of the symptomatology. In two patients, with advanced cancer of the colon and stomach, respectively, only a reduction of the fistula output was achieved. Nutritional support in the treatment of enteric fistulas is an effective procedure widely utilised to restore adequate nutritional status and bowel rest, which are two important targets for achieving fistula closure. Nutritional support is also useful in the management of patients undergoing surgery in order to reduce the postoperative complication rate.

  13. How do swine practitioners and veterinary pathologists arrive at a diagnosis of Clostridium perfringens type A enteritis in neonatal piglets?

    PubMed

    Chan, Gloria; Farzan, Abdolvahab; Prescott, John F; Friendship, Robert

    2013-05-01

    A questionnaire was administered to 22 veterinary practitioners and 17 veterinary pathologists to investigate the methods used for diagnosis of Clostridium perfringens type A enteritis in neonatal pigs. Practitioners generally diagnosed C. perfringens type A associated enteritis by age of onset of diarrhea (between 1 to 7 days of age). Most practitioners (95%) were moderately to very confident in their diagnosis. Pathologists generally diagnosed C. perfringens type A associated enteritis by combinations of isolation of the organism, genotyping or detecting the toxins of the organism, and ruling out other pathogens through histopathology. Almost half (41%) of the pathologists were not confident of their diagnosis. This study reports that the current diagnostic method for C. perfringens type A enteritis is not specific, and although many pathologists expressed reservations about making a diagnosis of C. perfringens type A enteritis, most practitioners were confident in their diagnosis, even though reported clinical signs of clostridial diarrhea are similar to those of a number of other enteric diseases.

  14. Backdating of events in electronic primary health care data: should one censor at the date of last data collection.

    PubMed

    Sammon, Cormac J; Petersen, Irene

    2016-04-01

    Studies using primary care databases often censor follow-up at the date data are last collected from clinical computer systems (last collection date (LCD)). We explored whether this results in the selective exclusion of events entered in the electronic health records after their date of occurrence, that is, backdated events. We used data from The Health Improvement Network (THIN). Using two versions of the database, we identified events that were entered into a later (THIN14) but not an earlier version of the database (THIN13) and investigated how the number of entries changed as a function of time since LCD. Times between events and the dates they were recorded were plotted as a function of time since the LCD in an effort to determine appropriate points at which to censor follow-up. There were 356 million eligible events in THIN14 and 355 million eligible events in THIN13. When comparing the two data sets, the proportion of missing events in THIN13 was highest in the month prior to the LCD (9.6%), decreasing to 5.2% at 6 months and 3.4% at 12 months. The proportion of missing events was largest for events typically diagnosed in secondary care such as neoplasms (28% in the month prior to LCD) and negligible for events typically diagnosed in primary care such as respiratory events (2% in the month prior to LCD). Studies using primary care databases, particularly those investigating events typically diagnosed outside primary care, should censor follow-up prior to the LCD to avoid underestimation of event rates. Copyright © 2016 John Wiley & Sons, Ltd.

  15. 26 CFR 1.467-9 - Effective dates and automatic method changes for certain agreements.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... project IA-292-84 to certain leasebacks and long-term agreements. In the case of any leaseback or long... project IA-292-84 (1996-2 C.B. 462)(see § 601.601(d)(2) of this chapter). (d) Entered into. For purposes... regulation project IA-292-84. For the first taxable year ending after May 18, 1999, a taxpayer is granted...

  16. Economic Stimulus: Issues and Policies

    DTIC Science & Technology

    2009-11-10

    which the economy entered a recession. To date, financial markets remain volatile, new losses have been announced at major financial institutions , and...states, middle class tax cuts, and business tax cuts. Also in 2008 and 2009, the government intervened in specific financial markets by providing...broad intervention into the financial markets was passed to avoid the spread of financial instability into the broader market ; but there are

  17. Astronomy Podcasting: A Low-Cost Tool for Affecting Attitudes in Diverse Audiences

    ERIC Educational Resources Information Center

    Gay, Pamela L.; Price, Aaron; Searle, Travis

    2007-01-01

    Communications and mainstream media are entering a new age of on-demand content. As digital video recorders, like TiVo, change how we watch television, podcasts are taking the spoken word in its own on-demand direction. Astronomy podcasts allow listeners to get up-to-date content on a variety of topics ranging from what's in the sky to what's in…

  18. Safeguarding Intangible Cultural Heritage through the Strengthening of National Capacities in Asia and the Pacific. 2011-2014 Project Completion Report

    ERIC Educational Resources Information Center

    Favis, Ricardo; Suvanatap, Montakarn

    2015-01-01

    The "Convention for the Safeguarding of the Intangible Cultural Heritage" was adopted by the General Conference in October 2003 and entered into force in 2006 after ratification by 30 Member States. To date there are 161 Member States, yet the States Parties to the Convention still need to appreciate better the concepts and mechanisms…

  19. Phlebotomine Vectors of Human Disease.

    DTIC Science & Technology

    1983-12-30

    to the phiebotomine sand fly fauna of Ecuador.................... ... .. .. .. ..... II. New records of phiebotomine sand flies from Peru with a...THIS PAGE (When Date Entered) ii SECURITY CLASSIFICATION OF THIS PAGE(Whdn Dat& Batored) collected for the first time in Peru at a site in Madre de...of the former disease in Peru with 3,795 human cases reported in 1982. Collections of phlebotomines in Costa Rica yielded an undescribed Lutzomyia

  20. Acoustic Cavitation and Bubble Dynamics.

    DTIC Science & Technology

    1985-06-15

    Ultrasound : Chemical, Physical and Biological Effects by Verlag Chemie International, Inc. FORM I47 EDTOO NOV 65 ISOBSOLETE DD , 3 1473 EDITION OF I...SUnclassified S/N 0102- LF-014-6601 SECURITY CLASSIFICATION OF THIS PAGE (When Date Entered) I ULTRASOUND : CHEMICAL, PHYSICAL, AND BIOLOGICAL EFFECTS CHAPTER...stable cavitation. The topic of this chapter, acoustic cavitation, is but one of several possible mechanisms through which ultrasound can interact with a

  1. Problems in Preparing for the English Impromptu Speech Contest: The Case of Yuanpei Institute of Science and Technology in Taiwan

    ERIC Educational Resources Information Center

    Hsieh, Shu-min

    2006-01-01

    Entering an "English Impromptu Speech Contest" intimidates many students who do not have a good command of the English language. Some choose to give up before the contest date while others stand speechless on the stage. This paper identifies a range of problems confronted by contestants from my college, the Yuanpei Institute of Science…

  2. Personnel-General: Army Substance Abuse Program Civilian Services

    DTIC Science & Technology

    2001-10-15

    destroyed. Additional reproduction and distribution of completed records is prohibited. c. SECTION I. IDENTIFICATION. (1) Block I. Date of Report. Enter...AMPHETAMINE B BARBITUATES C COCAINE H HALLUCINOGENS (LSD) M METHAQUALONE, SEDATIVE, HYPNOTIC , OR ANXIOLYTIC O OPIATES P PHENCYCLIDINE (PCP) T CANNABIS...Table 5–6 Codes for TABLE F (T-DIAG-CODE) Code Rejection Reason 30390 ALCOHOL DEPENDENCE 30400 OPIOID DEPENDENCE 30410 SEDATIVE, HYPNOTIC , OR ANXIOLYTIC

  3. Military Adaptation of Kevlar for Portable Bridge Reinforcement Cables.

    DTIC Science & Technology

    1980-06-18

    WMOFE P T GIBSON OAAKO-78-C-O0ZM UNCLASSIFIED II *3fllIIlfIIIIIIIIflf mhhhhmhm EEIIEIIIEIIII lElllIIhlEllEI EllllEElhlllIE EIIEIIIEIIIII EEllhhEhI 11111...COMMAND FORT BELVOIR, VIRGINIA 22060 L I- ,.- C1 . UNCLASS IF IFfl SECURITY CLASSIFICATION OF THIS PAGE (When Date Entered)REDISUCON II . REPORT NUMBER... ii LIST OF ILLUSTRATIONS . . . . . . . . . . . . vi LIST OF TABLES . . . . . . . . . . . . . . xi INTRODUCTION . . . . . . . . . . . . . . . 1

  4. High-fat enteral nutrition reduces intestinal mucosal barrier damage after peritoneal air exposure.

    PubMed

    Tan, Shan-Jun; Yu, Chao; Yu, Zhen; Lin, Zhi-Liang; Wu, Guo-Hao; Yu, Wen-Kui; Li, Jie-Shou; Li, Ning

    2016-05-01

    Peritoneal air exposure is needed in open abdominal surgery, but long-time exposure could induce intestinal mucosal barrier dysfunction followed by many postoperative complications. High-fat enteral nutrition can ameliorate intestinal injury and improve intestinal function in many gastrointestinal diseases. In the present study, we investigated the effect of high-fat enteral nutrition on intestinal mucosal barrier after peritoneal air exposure and the underlying mechanism. Male adult rats were administrated saline, low-fat or high-fat enteral nutrition via gavage before and after peritoneal air exposure for 3 h. Rats undergoing anesthesia without laparotomy received saline as control. Twenty four hours after surgery, samples were collected to assess intestinal mucosal barrier changes in serum D-lactate levels, intestinal permeability, intestinal tight junction protein ZO-1 and occludin levels, and intestinal histopathology. The levels of malondialdehyde and the activity of superoxide dismutase in the ileum tissue were also measured to assess the status of intestinal oxidative stress. High-fat enteral nutrition significantly decreased the serum D-lactate level and increased the intestinal tight junction protein ZO-1 level when compared to the group treated with low-fat enteral nutrition (P < 0.05). Meanwhile, histopathologic findings showed that the intestinal mucosal injury assessed by the Chiu's score and the intestinal epithelial tight junction were also improved much more in the high-fat enteral nutrition-treated group (P < 0.05). In addition, the intestinal malondialdehyde level was lower, and the intestinal superoxide dismutase activity was higher in the high-fat enteral nutrition-treated group than that in the low-fat enteral nutrition-treated group (P < 0.05). These results suggest that high-fat enteral nutrition could reduce intestinal mucosal barrier damage after peritoneal air exposure, and the underlying mechanism may be associated with its antioxidative action. Perioperative administration of high-fat enteral nutrition may be a promising intervention to preserve intestinal mucosal barrier function in open abdominal surgery. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Enteral nutrition - child - managing problems

    MedlinePlus

    ... page: //medlineplus.gov/ency/patientinstructions/000164.htm Enteral nutrition - child - managing problems To use the sharing features ... trouble breathing, call 911. References Mcclave SA. Enteral nutrition. In: Goldman L, Schafer AI, eds. Goldman-Cecil ...

  6. Enteric disease episodes and the risk of acquiring a future sexually transmitted infection: a prediction model in Montreal residents.

    PubMed

    Caron, Melissa; Allard, Robert; Bédard, Lucie; Latreille, Jérôme; Buckeridge, David L

    2016-11-01

    The sexual transmission of enteric diseases poses an important public health challenge. We aimed to build a prediction model capable of identifying individuals with a reported enteric disease who could be at risk of acquiring future sexually transmitted infections (STIs). Passive surveillance data on Montreal residents with at least 1 enteric disease report was used to construct the prediction model. Cases were defined as all subjects with at least 1 STI report following their initial enteric disease episode. A final logistic regression prediction model was chosen using forward stepwise selection. The prediction model with the greatest validity included age, sex, residential location, number of STI episodes experienced prior to the first enteric disease episode, type of enteric disease acquired, and an interaction term between age and male sex. This model had an area under the curve of 0.77 and had acceptable calibration. A coordinated public health response to the sexual transmission of enteric diseases requires that a distinction be made between cases of enteric diseases transmitted through sexual activity from those transmitted through contaminated food or water. A prediction model can aid public health officials in identifying individuals who may have a higher risk of sexually acquiring a reportable disease. Once identified, these individuals could receive specialized intervention to prevent future infection. The information produced from a prediction model capable of identifying higher risk individuals can be used to guide efforts in investigating and controlling reported cases of enteric diseases and STIs. © The Author 2016. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  7. Serum albumin level in the management of postoperative enteric fistula for gastrointestinal cancer patients.

    PubMed

    Lu, Chien-Yu; Wu, Deng-Chyang; Wu, I-Chen; Chu, Koung-Shing; Sun, Li-Chu; Shih, Ying-Ling; Chen, Fang-Ming; Hsieh, Jan-Sing; Wang, Jaw-Yuan

    2008-01-01

    Postoperative enteric fistula is a serious complication and cause of death following gastrointestinal (GI)-tract surgery. Many reports have demonstrated the effectiveness of parenteral nutrition in the spontaneous closure of enteric fistula. Our study was aimed at analyzing the prognostic factors of parenteral nutritional support in the treatment of enteric fistula for patients with GI-tract cancer following surgery. GI-tract cancer patients receiving surgical interventions, which then unfortunately developed enteric fistula, were included in our study. All of them had to have received parenteral nutrition soon after leakages were recognized, and they were subsequently divided into successful and unsuccessful (classified as "failure") groups according to spontaneous closure of fistula or not, respectively. The studied patients' laboratory data were collected to identify the clinically relevant prognostic factors. Fifty-three primary GI-tract cancer patients with postoperative enteric fistulas were enrolled into our study. Of these, 33 patients were considered as successful parenteral nutritional therapy (successful group) and the other 20 patients (failure group) were not. After a period of parenteral nutritional therapy, serum total bilirubin, creatinine, C-reactive protein (CRP), hemoglobin, and albumin were significantly different between these two groups (all p < .05). Using a multivariate logistic regression analysis, it was determined that increased serum albumin level was an independent predictive factor of successful management for enteric fistula (p = .029), in addition to the well-known lower drainage amount (< 500 mL/day) from the enteric fistula (p = .013). Our observations show that both serum albumin levels and drainage amounts from the enteric fistula can be potentially used as important prognostic predictors of healing enteric fistula under total parenteral nutrition in patients following surgery for GI-tract malignancies.

  8. Human milk consumption and full enteral feeding among infants who weigh

    PubMed

    Sisk, Paula M; Lovelady, Cheryl A; Gruber, Kenneth J; Dillard, Robert G; O'Shea, T Michael

    2008-06-01

    Establishing enteral feeding is an important goal in the care of very low birth weight infants. In such infants, receipt of >/=50 mL/kg per day human milk during hospitalization has been associated with shorter time to full enteral feeding. The objective of this study was to determine whether high proportions (>/=50%) of human milk during feeding advancement are associated with shorter time to full enteral feeding and improved feeding tolerance. This was a prospective cohort study of very low birth weight infants (n = 127) who were grouped into low (<50%; n = 34) and high (>/=50%; n = 93) human milk consumption groups according to their human milk proportion of enteral feeding during the time of feeding advancement. The primary outcomes of interest were ages at which 100 and 150 mL/kg per day enteral feedings were achieved. The high human milk group reached 100 mL/kg per day enteral feeding 4.5 days faster than the low human milk group. The high human milk group reached 150 mL/kg per day enteral feeding 5 days faster than the low human milk group. After adjustment for gestational age, gender, and respiratory distress syndrome, times to reach 100 and 150 mL/kg per day were significantly shorter for those in the high human milk group. Infants in the high human milk group had a greater number of stools per day; other indicators of feeding tolerance were not statistically different. In infants who weighed

  9. Enteral Contrast in the Computed Tomography Diagnosis of Appendicitis

    PubMed Central

    Drake, Frederick Thurston; Alfonso, Rafael; Bhargava, Puneet; Cuevas, Carlos; Dighe, Manjiri K.; Florence, Michael G.; Johnson, Morris G.; Jurkovich, Gregory J.; Steele, Scott R.; Symons, Rebecca Gaston; Thirlby, Richard C.; Flum, David R.

    2014-01-01

    Objective Our goal was to perform a comparative effectiveness study of intravenous (IV)-only versus IV + enteral contrast in computed tomographic (CT) scans performed for patients undergoing appendectomy across a diverse group of hospitals. Background Small randomized trials from tertiary centers suggest that enteral contrast does not improve diagnostic performance of CT for suspected appendicitis, but generalizability has not been demonstrated. Eliminating enteral contrast may improve efficiency, patient comfort, and safety. Methods We analyzed data for adult patients who underwent nonelective appendectomy at 56 hospitals over a 2-year period. Data were obtained directly from patient charts by trained abstractors. Multivariate logistic regression was utilized to adjust for potential confounding. The main outcome measure was concordance between final radiology interpretation and final pathology report. Results A total of 9047 adults underwent appendectomy and 8089 (89.4%) underwent CT, 54.1% of these with IV contrast only and 28.5% with IV + enteral contrast. Pathology findings correlated with radiographic findings in 90.0% of patients who received IV + enteral contrast and 90.4% of patients scanned with IV contrast alone. Hospitals were categorized as rural or urban and by their teaching status. Regardless of hospital type, there was no difference in concordance between IV-only and IV + enteral contrast. After adjusting for age, sex, comorbid conditions, weight, hospital type, and perforation, odds ratio of concordance for IV + enteral contrast versus IV contrast alone was 0.95 (95% CI: 0.72–1.25). Conclusions Enteral contrast does not improve CT evaluation of appendicitis in patients undergoing appendectomy. These broadly generalizable results from a diverse group of hospitals suggest that enteral contrast can be eliminated in CT scans for suspected appendicitis. PMID:24598250

  10. Evaluation of routine enteric pathogens in hospitalized patients: A Canadian perspective

    PubMed Central

    Gough, Kevin; Alfa, Michelle; Harding, Godfrey

    1996-01-01

    Diarrhea is a frequently encountered problem in hospitalized patients. Since nosocomial spread of routine enteric pathogens such as Salmonella species, Shigella species, Campylobacter species and Escherichia coli O:157 H:7 seldom occurs, testing for these organisms in patients hospitalized for longer than three days has been questioned. The goal of this study was to determine the length of hospitalization preceding detection of routine enteric pathogens and Clostridium difficile cytotoxin, and to develop guidelines for enteric cultures from hospitalized patients. The enteric pathogens detected in 1991 were C difficile toxin B(+), 77%; Campylobacter species, 10%; Salmonella species, 9%; E coli O:157 H:7, 3%; and Shigella species, 1%. For 1992, these numbers were 86%, 9%, 3%, 2% and 0%, respectively. None of the routine enteric pathogens isolated in 1991 or 1992 was detected in patients after their second day of hospitalization. Routine cultures for enteric pathogens on hospitalized patients were eliminated in February 1993, and physician ordering practices were monitored. With the exception of one campylobacter isolate per year, all routine enteric pathogens isolated in 1993 and 1994 were detected by the second day of hospitalization. Compliance with the changed protocol was 76% measured over a four-month period in 1993 and 74% over the year 1994. Savings of $3,648.10 were associated with rejecting 191 ‘inappropriate’ specimens in 1994. It was concluded that routine enteric cultures are unnecessary for patients hospitalized more than two days, and that appreciable financial savings can be achieved if revised protocols for processing stool cultures are instituted. However, when enteric protocol changes are in place compliance must be evaluated to ensure appropriate utilization. PMID:22514438

  11. Water quality indicators: bacteria, coliphages, enteric viruses.

    PubMed

    Lin, Johnson; Ganesh, Atheesha

    2013-12-01

    Water quality through the presence of pathogenic enteric microorganisms may affect human health. Coliform bacteria, Escherichia coli and coliphages are normally used as indicators of water quality. However, the presence of above-mentioned indicators do not always suggest the presence of human enteric viruses. It is important to study human enteric viruses in water. Human enteric viruses can tolerate fluctuating environmental conditions and survive in the environment for long periods of time becoming causal agents of diarrhoeal diseases. Therefore, the potential of human pathogenic viruses as significant indicators of water quality is emerging. Human Adenoviruses and other viruses have been proposed as suitable indices for the effective identification of such organisms of human origin contaminating water systems. This article reports on the recent developments in the management of water quality specifically focusing on human enteric viruses as indicators.

  12. The Use of Enteric Contrast Media for Diagnostic CT, MRI, and Ultrasound in Infants and Children: A Practical Approach.

    PubMed

    Callahan, Michael J; Talmadge, Jennifer M; MacDougall, Robert; Buonomo, Carlo; Taylor, George A

    2016-05-01

    Enteric contrast media are commonly administered for diagnostic cross-sectional imaging studies in the pediatric population. The purpose of this manuscript is to review the use of enteric contrast media for CT, MRI, and ultrasound in infants, children, and adolescents and to share our experiences at a large tertiary care pediatric teaching hospital. The use of enteric contrast material for diagnostic imaging in infants and children continues to evolve with advances in imaging technology and available enteric contrast media. Many principles of enteric contrast use in pediatric imaging are similar to those in adult imaging, but important differences must be kept in mind when imaging the gastrointestinal tract in infants and children, and practical ways to optimize the imaging examination and the patient experience should be employed where possible.

  13. Settling and survival profile of enteric pathogens in the swine effluent for water reuse purpose.

    PubMed

    Fongaro, G; Kunz, A; Magri, M E; Schissi, C D; Viancelli, A; Philippi, L S; Barardi, C R M

    2016-11-01

    The present study evaluated the pathogens persistence and settling profile in swine effluent. We determined the enteric pathogens settling characteristics, their survival and inactivation profile in swine effluent (for water reuse purpose) and in sludge (generated after aerobic treatment - during secondary settling process). The study was performed in laboratorial-scale and in full-scale (manure treatment plant). Enteric viruses and enteric bacteria were used as biomarkers. Results showed that these enteric pathogens were significantly reduced from swine effluent during secondary settling process, and enteric viruses removal was correlated with the suspended solids decantation. The design of secondary settlers can be adapted to improve pathogens removal, by diminishing the solids loading rate per area and time, ending in higher hydraulic retention times. Copyright © 2016 Elsevier GmbH. All rights reserved.

  14. Intensive care nurses' knowledge of enteral nutrition: A descriptive questionnaire.

    PubMed

    Morphet, Julia; Clarke, Angelique B; Bloomer, Melissa J

    2016-12-01

    Nurses have an important role in the delivery and management of enteral nutrition in critically ill patients, to prevent iatrogenic malnutrition. It is not clear how nurses source enteral nutrition information. This study aimed to explore Australian nurses' enteral nutrition knowledge and sources of information. Data were collected from members of the Australian College of Critical Care Nurses in May 2014 using an online questionnaire. A combination of descriptive statistics and non-parametric analyses were undertaken to evaluate quantitative data. Content analysis was used to evaluate qualitative data. 359 responses were included in data analysis. All respondents were Registered Nurses with experience working in an Australian intensive care unit or high dependency unit. Most respondents reported their enteral nutrition knowledge was good (n=205, 60.1%) or excellent (n=35, 10.3%), but many lacked knowledge regarding the effect of malnutrition on patient outcomes. Dietitians and hospital protocols were the most valuable sources of enteral nutrition information, but were not consistently utilised. Significant knowledge deficits in relation to enteral nutrition were identified. Dietitians were the preferred source of nurses' enteral nutrition information, however their limited availability impacted their efficacy as an information resource. Educational opportunities for nurses need to be improved to enable appropriate nutritional care in critically ill patients. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. Heterogeneity and phenotypic plasticity of glial cells in the mammalian enteric nervous system.

    PubMed

    Boesmans, Werend; Lasrado, Reena; Vanden Berghe, Pieter; Pachnis, Vassilis

    2015-02-01

    Enteric glial cells are vital for the autonomic control of gastrointestinal homeostasis by the enteric nervous system. Several different functions have been assigned to enteric glial cells but whether these are performed by specialized subtypes with a distinctive phenotype and function remains elusive. We used Mosaic Analysis with Double Markers and inducible lineage tracing to characterize the morphology and dynamic molecular marker expression of enteric GLIA in the myenteric plexus. Functional analysis in individually identified enteric glia was performed by Ca(2+) imaging. Our experiments have identified four morphologically distinct subpopulations of enteric glia in the gastrointestinal tract of adult mice. Marker expression analysis showed that the majority of glia in the myenteric plexus co-express glial fibrillary acidic protein (GFAP), S100β, and Sox10. However, a considerable fraction (up to 80%) of glia outside the myenteric ganglia, did not label for these markers. Lineage tracing experiments suggest that these alternative combinations of markers reflect dynamic gene regulation rather than lineage restrictions. At the functional level, the three myenteric glia subtypes can be distinguished by their differential response to adenosine triphosphate. Together, our studies reveal extensive heterogeneity and phenotypic plasticity of enteric glial cells and set a framework for further investigations aimed at deciphering their role in digestive function and disease. © 2014 Wiley Periodicals, Inc.

  16. A single-centre experience of Roux-en-Y enteric drainage for pancreas transplantation.

    PubMed

    Amin, Irum; Butler, Andrew J; Defries, Gail; Russell, Neil K; Harper, Simon J F; Jah, Asif; Saeb-Parsy, Kourosh; Pettigrew, Gavin J; Watson, Christopher J E

    2017-04-01

    Exocrine drainage following pancreas transplantation can be achieved by drainage into the bladder or bowel, the latter typically by direct duodeno-jejunostomy; the use of Roux-en-Y enteric drainage is uncommon. We report a retrospective analysis of a single-centre experience of Roux-en-Y enteric drainage following pancreas transplantation. Over a 14-year period (2001-2015), 204 consecutive adult pancreas transplants were performed (96.6% simultaneous pancreas and kidney transplants), of which 26.0% were from donors after circulatory death (DCD). During a median follow-up of 67 months (range 13-183 months), 14 (6.9%) recipients experienced complications related to their enteric drainage. Complications during follow-up included early enteric anastomotic haemorrhage (five patients), non-anastomotic enteric bleeding (one patient), small bowel obstruction (four patients) and graft duodenal perforation (two within 6 weeks, five beyond 12 months). No recipient lost their graft as a direct result of complications related to enteric drainage. Patient and pancreas graft survival at 1 year was 99.0% and 94.0% and at 5 years 91.3% and 84.9%, respectively. We conclude that Roux-en-Y enteric drainage following pancreas transplantation is a safe and effective procedure and facilitates graft salvage in the event of graft duodenal perforation. © 2017 Steunstichting ESOT.

  17. Do enteric neurons make hypocretin?

    PubMed

    Baumann, Christian R; Clark, Erika L; Pedersen, Nigel P; Hecht, Jonathan L; Scammell, Thomas E

    2008-04-10

    Hypocretins (orexins) are wake-promoting neuropeptides produced by hypothalamic neurons. These hypocretin-producing cells are lost in people with narcolepsy, possibly due to an autoimmune attack. Prior studies described hypocretin neurons in the enteric nervous system, and these cells could be an additional target of an autoimmune process. We sought to determine whether enteric hypocretin neurons are lost in narcoleptic subjects. Even though we tried several methods (including whole mounts, sectioned tissue, pre-treatment of mice with colchicine, and the use of various primary antisera), we could not identify hypocretin-producing cells in enteric nervous tissue collected from mice or normal human subjects. These results raise doubts about whether enteric neurons produce hypocretin.

  18. Effectiveness of the herbal medicine daikenchuto for radiation-induced enteritis.

    PubMed

    Takeda, Takashi; Kamiura, Shouji; Kimura, Tadashi

    2008-07-01

    Radiation-induced enteritis is a serious clinical problem for which there is currently no recommended standard management. Daikenchuto (DKT) is a Japanese herbal medicine that has been used to treat adhesive bowel obstruction in Japan. This report describes a patient with radiation-induced enteritis whose clinical symptoms were much improved by treatment with DKT. The patient was administered DKT, a traditional Japanese herbal formula, orally (2.5 g 3 times daily). Abdominal distention was evaluated objectively with computed tomography. Gastrointestinal symptoms associated with radiation-induced enteritis were controlled successfully with DKT treatment. DKT treatment may be useful for the management of radiation-induced enteritis.

  19. Retinoic acid temporally orchestrates colonization of the gut by vagal neural crest cells.

    PubMed

    Uribe, Rosa A; Hong, Stephanie S; Bronner, Marianne E

    2018-01-01

    The enteric nervous system arises from neural crest cells that migrate as chains into and along the primitive gut, subsequently differentiating into enteric neurons and glia. Little is known about the mechanisms governing neural crest migration en route to and along the gut in vivo. Here, we report that Retinoic Acid (RA) temporally controls zebrafish enteric neural crest cell chain migration. In vivo imaging reveals that RA loss severely compromises the integrity and migration of the chain of neural crest cells during the window of time window when they are moving along the foregut. After loss of RA, enteric progenitors accumulate in the foregut and differentiate into enteric neurons, but subsequently undergo apoptosis resulting in a striking neuronal deficit. Moreover, ectopic expression of the transcription factor meis3 and/or the receptor ret, partially rescues enteric neuron colonization after RA attenuation. Collectively, our findings suggest that retinoic acid plays a critical temporal role in promoting enteric neural crest chain migration and neuronal survival upstream of Meis3 and RET in vivo. Copyright © 2017 Elsevier Inc. All rights reserved.

  20. How do swine practitioners and veterinary pathologists arrive at a diagnosis of Clostridium perfringens type A enteritis in neonatal piglets?

    PubMed Central

    Chan, Gloria; Farzan, Abdolvahab; Prescott, John F.; Friendship, Robert

    2013-01-01

    A questionnaire was administered to 22 veterinary practitioners and 17 veterinary pathologists to investigate the methods used for diagnosis of Clostridium perfringens type A enteritis in neonatal pigs. Practitioners generally diagnosed C. perfringens type A associated enteritis by age of onset of diarrhea (between 1 to 7 days of age). Most practitioners (95%) were moderately to very confident in their diagnosis. Pathologists generally diagnosed C. perfringens type A associated enteritis by combinations of isolation of the organism, genotyping or detecting the toxins of the organism, and ruling out other pathogens through histopathology. Almost half (41%) of the pathologists were not confident of their diagnosis. This study reports that the current diagnostic method for C. perfringens type A enteritis is not specific, and although many pathologists expressed reservations about making a diagnosis of C. perfringens type A enteritis, most practitioners were confident in their diagnosis, even though reported clinical signs of clostridial diarrhea are similar to those of a number of other enteric diseases. PMID:24155437

  1. Treatment-free remission following frontline nilotinib in patients with chronic myeloid leukemia in chronic phase: results from the ENESTfreedom study.

    PubMed

    Hochhaus, A; Masszi, T; Giles, F J; Radich, J P; Ross, D M; Gómez Casares, M T; Hellmann, A; Stentoft, J; Conneally, E; García-Gutiérrez, V; Gattermann, N; Wiktor-Jedrzejczak, W; le Coutre, P D; Martino, B; Saussele, S; Menssen, H D; Deng, W; Krunic, N; Bedoucha, V; Saglio, G

    2017-07-01

    The single-arm, phase 2 ENESTfreedom trial assessed the potential for treatment-free remission (TFR; i.e., the ability to maintain a molecular response after stopping therapy) following frontline nilotinib treatment. Patients with Philadelphia chromosome-positive chronic myeloid leukemia in chronic phase with MR 4.5 (BCR-ABL1⩽0.0032% on the International Scale (BCR-ABL1 IS )) and ⩾2 years of frontline nilotinib therapy were enrolled. Patients with sustained deep molecular response during the 1-year nilotinib consolidation phase were eligible to stop treatment and enter the TFR phase. Patients with loss of major molecular response (MMR; BCR-ABL1 IS ⩽0.1%) during the TFR phase reinitiated nilotinib. In total, 215 patients entered the consolidation phase, of whom 190 entered the TFR phase. The median duration of nilotinib before stopping treatment was 43.5 months. At 48 weeks after stopping nilotinib, 98 patients (51.6%; 95% confidence interval, 44.2-58.9%) remained in MMR or better (primary end point). Of the 86 patients who restarted nilotinib in the treatment reinitiation phase after loss of MMR, 98.8% and 88.4%, respectively, regained MMR and MR 4.5 by the data cutoff date. Consistent with prior reports of imatinib-treated patients, musculoskeletal pain-related events were reported in 24.7% of patients in the TFR phase (consolidation phase, 16.3%).

  2. A novel quick transendoscopic enteral tubing in mid-gut: technique and training with video.

    PubMed

    Long, Chuyan; Yu, Yan; Cui, Bota; Jagessar, Sabreen Abdul Rahman; Zhang, Jie; Ji, Guozhong; Huang, Guangming; Zhang, Faming

    2018-03-13

    This study aimed to evaluate the feasibility, safety, and value of a quick technique for transendoscopic enteral tubing (TET) through mid-gut. A prospective interventional study was performed in a single center. A TET tube was inserted into mid-gut through the nasal orifice and fixed on the pylorus wall by one tiny titanium endoscopic clip under anesthesia. The feasibility, safety, success rate, and satisfaction with TET placement were evaluated for enteral nutrition or fecal microbiota transplantation. A total of 86 patients underwent mid-gut TET. The success rate of the TET procedure was 98.8% (85/86). Mean tubing time of the TET procedure was 4.2 ± 1.9 min. 10 cases of procedure was enough for training of general endoscopist to shorten the procedure time (7.0 min vs 4.0 min, p < 0.05). 97.7% (84/86) of patients were satisfied with the TET placement. Procedure-related and tube-related adverse events were observed in 8.1% (7/86) and 7.0% (6/86) of patients respectively. There were no moderate to severe adverse events during tube extubation. TET through mid-gut is a novel, convenient, reliable and safe procedure for mid-gut administration with a high degree of patient satisfaction. This research was retrospectively registered with clinicaltrials.gov. Trial registration date: 29th November 2017. NCT03335982 .

  3. Enterocolitis induced by autoimmune targeting of enteric glial cells: A possible mechanism in Crohn's disease?

    NASA Astrophysics Data System (ADS)

    Cornet, Anne; Savidge, Tor C.; Cabarrocas, Julie; Deng, Wen-Lin; Colombel, Jean-Frederic; Lassmann, Hans; Desreumaux, Pierre; Liblau, Roland S.

    2001-11-01

    Early pathological manifestations of Crohn's disease (CD) include vascular disruption, T cell infiltration of nerve plexi, neuronal degeneration, and induction of T helper 1 cytokine responses. This study demonstrates that disruption of the enteric glial cell network in CD patients represents another early pathological feature that may be modeled after CD8+ T cell-mediated autoimmune targeting of enteric glia in double transgenic mice. Mice expressing a viral neoself antigen in astrocytes and enteric glia were crossed with specific T cell receptor transgenic mice, resulting in apoptotic depletion of enteric glia to levels comparable in CD patients. Intestinal and mesenteric T cell infiltration, vasculitis, T helper 1 cytokine production, and fulminant bowel inflammation were characteristic hallmarks of disease progression. Immune-mediated damage to enteric glia therefore may participate in the initiation and/or the progression of human inflammatory bowel disease.

  4. Radiometric age file for Alaska: A section in The United States Geological Survey in Alaska: Accomplishments during 1980

    USGS Publications Warehouse

    Shew, Nora B.; Wilson, Frederic H.

    1982-01-01

    The Alaska radiometric age file of the Branch of Alaskan Geology is a computer-based compilation of radiometric dates from the state of Alaska and the western parts of the Yukon Territory and British Columbia. More than 1800 age determinations from over 250 references have been entered in the file. References date back to 1958 and include both published and unpublished sources. The file is the outgrowth of an original radiometric age file compiled by Don Grybeck and students at the University of Alaska-Fairbanks (Turner and others, 1975).

  5. Ca2+ Responses in Enteric Glia are Mediated by Connexin-43 Hemichannels and Modulate Colonic Transit in Mice

    PubMed Central

    Fried, David; Gomez-Suarez, Roberto A.; Leinninger, Gina M.; Sévigny, Jean; Parpura, Vladimir; Gulbransen, Brian D.

    2014-01-01

    Background & Aims In the enteric nervous system, neurotransmitters initiate changes in Ca2+ (Ca2+ responses) in glia, but it is not clear how this process affects intestinal function. We investigated whether Ca2+-mediated responses in enteric glial are required to maintain gastrointestinal function. Methods We used in situ Ca2+ imaging to monitor glial Ca2+ responses, which were manipulated with pharmacologic agents or via glia-specific disruption of the gene encoding connexin-43 (Cx43) (hGFAP::creERT2+/−/Cx43f/f mice). Gastrointestinal function was assessed based on pellet output, total gut transit, colonic bead expulsion, and muscle tension recordings. Proteins were localized and quantified by immunohistochemistry, immunoblot, and reverse transcription PCR analyses. Results Ca2+ responses in enteric glia of mice were mediated by Cx43 hemichannels. Cx43 immunoreactivity was confined to enteric glia within the myenteric plexus of the mouse colon; the Cx43 inhibitors carbenoxolone and 43Gap26 inhibited the ability of enteric glia to propagate Ca2+ responses. In vivo attenuation of Ca2+ responses in the enteric glial network slowed gut transit overall and delayed colonic transit—these changes are also observed during normal aging. Altered motility with increasing age was associated with reduced glial Ca2+-mediated responses and changes in glial expression of Cx43 mRNA and protein. Conclusions Ca2+-mediated responses in enteric glia regulate gastrointestinal function in mice. Altered intercellular signaling between enteric glia and neurons might contribute to motility disorders. PMID:24211490

  6. Absolute Bioavailability and Pharmacokinetics of Linezolid in Hospitalized Patients Given Enteral Feedings

    PubMed Central

    Beringer, Paul; Nguyen, Megan; Hoem, Nils; Louie, Stan; Gill, Mark; Gurevitch, Michael; Wong-Beringer, Annie

    2005-01-01

    Linezolid is a new antimicrobial agent effective against drug-resistant gram-positive pathogens which are common causes of infections in hospitalized patients. Many such patients rely on the intravenous or enteral route for nutrition and drug administration. Therefore, the bioavailability of linezolid administered enterally in the presence of enteral feedings in hospitalized patients was examined. Eighteen subjects were assessed in a randomized single-dose crossover study; 12 received continuous enteral feedings, while 6 did not (controls). Both groups received linezolid 600 mg intravenously and orally (control) or enterally, with the alternate route of administration separated by a 24-h washout period. Pharmacokinetic parameters derived from noncompartmental and compartmental analysis incorporating linear and nonlinear elimination pathways were compared between groups: F, Ka, Vs, K23, K32, Vmax, Km, and K20 (bioavailability, absorption rate constant, volume of central compartment normalized to body weight, intercompartmental rate constants, maximum velocity, Michaelis-Menten constant, and elimination rate constant, respectively). Pharmacokinetic (PK) data were available from 17 patients. The linezolid oral suspension was rapidly and completely absorbed by either the oral or enteral route of administration. Bioavailability was unaltered in the presence of enteral feedings. PK estimates remain similar regardless of the model applied. At the therapeutic dose used, only slight nonlinearity in elimination was observed. A linezolid oral suspension may be administered via the enteral route to hospitalized patients without compromise in its excellent bioavailability and rapid rate of absorption. Compartmental pharmacokinetic analysis offers a more flexible study application, since bioavailability (F) can be estimated directly with intermixed intravenous/oral doses without a need for a washout period. PMID:16127039

  7. Positive Enteric Contrast Material for Abdominal and Pelvic CT with Automatic Exposure Control: What Is the Effect On Patient Radiation Exposure?

    PubMed Central

    Wang, Zhen J.; Chen, Katherine S.; Gould, Robert; Coakley, Fergus V.; Fu, Yanjun; Yeh, Benjamin M.

    2014-01-01

    Objective To assess the effect of positive enteric contrast administration on automatic exposure control (AEC) CT radiation exposure in 1) a CT phantom, and 2) a retrospective review of patients. Materials and Methods We scanned a CT phantom containing simulated bowel that was sequentially filled with water and positive enteric contrast, and recorded the mean volume CT dose index (CTDIvol). We also identified 17 patients who had undergone 2 technically comparable CT scans of the abdomen and pelvis, one with positive enteric contrast and the other with oral water. Paired student t-tests were used to compare the mean CTDIvol between scans performed with and without positive enteric contrast. Both the phantom and patient CT scans were performed using AEC with a fixed noise index. Results The mean CTDIvol for the phantom with simulated bowel containing water and positive enteric contrast were 8.2 ± 0.2 mGy, and 8.7 ± 0.1 mGy (6.1% higher than water, p=0.02), respectively. The mean CTDIvol for patients scanned with oral water and with positive enteric contrast were 11.8mGy and 13.1mGy, respectively (p=0.003). This corresponded to a mean CTDIvol which was 11.0% higher (range: 0.0–20.7% higher) in scans with positive enteric contrast than those with oral water in patients. Conclusions When automatic exposure control is utilized for abdominopelvic CT, the radiation exposure, as measured by CTDIvol, is higher for scans performed with positive enteric contrast than those with oral water. PMID:21493028

  8. 21 CFR 558.555 - Semduramicin.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... paragraph (d)(1) of this section; for prevention of necrotic enteritis caused by Clostridium perfringens... enteritis caused by Clostridium perfringens susceptible to virginiamycin; for increased rate of weight gain...; for prevention of necrotic enteritis caused by C. perfringens susceptible to virginiamycin. Feed...

  9. 21 CFR 558.555 - Semduramicin.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... paragraph (d)(1) of this section; for prevention of necrotic enteritis caused by Clostridium perfringens... enteritis caused by Clostridium perfringens susceptible to virginiamycin; for increased rate of weight gain...; for prevention of necrotic enteritis caused by C. perfringens susceptible to virginiamycin. Feed...

  10. 21 CFR 558.555 - Semduramicin.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... paragraph (d)(1) of this section; for prevention of necrotic enteritis caused by Clostridium perfringens... enteritis caused by Clostridium perfringens susceptible to virginiamycin; for increased rate of weight gain...; for prevention of necrotic enteritis caused by C. perfringens susceptible to virginiamycin. Feed...

  11. Do enteric neurons make hypocretin? ☆

    PubMed Central

    Baumann, Christian R.; Clark, Erika L.; Pedersen, Nigel P.; Hecht, Jonathan L.; Scammell, Thomas E.

    2008-01-01

    Hypocretins (orexins) are wake-promoting neuropeptides produced by hypothalamic neurons. These hypocretin-producing cells are lost in people with narcolepsy, possibly due to an autoimmune attack. Prior studies described hypocretin neurons in the enteric nervous system, and these cells could be an additional target of an autoimmune process. We sought to determine whether enteric hypocretin neurons are lost in narcoleptic subjects. Even though we tried several methods (including whole mounts, sectioned tissue, pre-treatment of mice with colchicine, and the use of various primary antisera), we could not identify hypocretin-producing cells in enteric nervous tissue collected from mice or normal human subjects. These results raise doubts about whether enteric neurons produce hypocretin. PMID:18191238

  12. Home enteral nutrition: organisation of services.

    PubMed

    Green, Sue; Dinenage, Sarah; Gower, Morwenna; Van Wyk, Johanna

    2013-05-01

    This article discusses how services for people receiving enteral nutrition via a nasogastric or gastrostomy tube at home are organised. The home enteral nutrition team's role is also explored. The National Institute for Health and Care Excellence outlines the need for nutritional support in adults to be high quality and cost effective. It is important therefore that local services are able to provide people receiving enteral nutrition with safe and effective care that they consider satisfactory. The discussion is pertinent to nurses caring for older people because gastrostomy tube placement is increasingly common in people aged over 60. A gastrostomy tube is the usual route by which enteral nutrition is given in the community.

  13. Technology Proliferation: Acquisition Strategies and Opportunities for an Uncertain Future

    DTIC Science & Technology

    2018-04-20

    The large programs of record characteristic of federal acquisition consist of rigorous research, development, testing, and evaluation (RDT&E...and evaluation (IOT&E) activities drive the program toward the decision to enter full rate production (FRP). Finally, in the sustainment phase, the...the new feature by a full release at a later date, or halt the development altogether. As stated by the Director of Operational Test and Evaluation

  14. 41 CFR 102-75.895 - What wording must generally be in the excess profits clause that is required in the offer to...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... date of conveyance. With respect to the property described in this deed, if at any time within a 3-year..., shall sell or enter into agreements to sell the property, either in a single transaction or in a series..., and other site or public improvements. (3) The direct costs actually incurred and paid for design and...

  15. 41 CFR 102-75.895 - What wording must generally be in the excess profits clause that is required in the offer to...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... date of conveyance. With respect to the property described in this deed, if at any time within a 3-year..., shall sell or enter into agreements to sell the property, either in a single transaction or in a series..., and other site or public improvements. (3) The direct costs actually incurred and paid for design and...

  16. 41 CFR 102-75.895 - What wording must generally be in the excess profits clause that is required in the offer to...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... date of conveyance. With respect to the property described in this deed, if at any time within a 3-year..., shall sell or enter into agreements to sell the property, either in a single transaction or in a series..., and other site or public improvements. (3) The direct costs actually incurred and paid for design and...

  17. 41 CFR 102-75.895 - What wording must generally be in the excess profits clause that is required in the offer to...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... date of conveyance. With respect to the property described in this deed, if at any time within a 3-year..., shall sell or enter into agreements to sell the property, either in a single transaction or in a series..., and other site or public improvements. (3) The direct costs actually incurred and paid for design and...

  18. Mining Program Source Code for Improving Software Quality

    DTIC Science & Technology

    2013-01-01

    conduct static verification on the software application under analysis to detect defects around APIs. (a) Papers published in peer-reviewed journals...N/A for none) Enter List of papers submitted or published that acknowledge ARO support from the start of the project to the date of this printing...List the papers , including journal references, in the following categories: Received Paper 05/06/2013 21.00 Tao Xie, Suresh Thummalapenta, David Lo

  19. Assassination: A Military View.

    DTIC Science & Technology

    1987-03-23

    Assassination: A Military View Individual Essay S. PERFORMING ORG. REPORT NUMBER 7. AUTI4OR(e) S. CONTRACT OR GRANT NUMGER(e) COL Charles K. Eden S...CLASSIFICATION OF THIS PAGE(hen Data Entered) USAWC MILITARY STUDIES PROGRAM PAPER ASSASSINATION: A MILITARY VILW An Individual Essay hceess ’. :’r by...Military View FORMAT: Individual Essay DATE: 23 March 1987 PAGES: 17 CLASSIFICATION: Unclassified -Assassination is a topic with which most Americans

  20. Gypsy moth (Lepidoptera: Lymantriidae) flight behavior and phenology based on field-deployed automated pheromone-baited traps

    Treesearch

    Patrick C. Tobin; Kenneth T. Klein; Donna S. Leonard

    2009-01-01

    Populations of the gypsy moth, Lymantria dispar (L.), are extensively monitored in the United States through the use of pheromone-baited traps.We report on use of automated pheromone-baited traps that use a recording sensor and data logger to record the unique date-time stamp of males as they enter the trap.We deployed a total of 352 automated traps...

  1. Southeast Asia: The Third Front in the Long War

    DTIC Science & Technology

    2009-05-04

    of 2002 (a significant blow to the tourism industry ). Another Friend of Our Enemy: The Abu Sayyaf Group The Filipino Muslim population...1998, Jemaah Islamiyah entered into phase two and began limited attacks against government entities. Most notable to date has been the Bali bombings...island of Bali . 59 Most were foreigners, mainly Australian tourists. It was preceded by a blast at the U.S. consulate in nearby Denspasar. The

  2. Pyridostigmine Bromide, the Enteric Nervous System, and Functional Gastrointestinal Disorders in Gulf War Illness

    DTIC Science & Technology

    2017-10-01

    War Illness PRINCIPAL INVESTIGATOR: Brian D. Gulbransen, PhD CONTRACTING ORGANIZATION: Michigan State University East Lansing, MI 48824 REPORT DATE...October 2017 TYPE OF REPORT : Annual PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012...DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the

  3. Earliest Pottery on New Guinea Mainland Reveals Austronesian Influences in Highland Environments 3000 Years Ago

    PubMed Central

    Gaffney, Dylan; Summerhayes, Glenn R.; Ford, Anne; Scott, James M.; Denham, Tim; Field, Judith; Dickinson, William R.

    2015-01-01

    Austronesian speaking peoples left Southeast Asia and entered the Western Pacific c.4000-3000 years ago, continuing on to colonise Remote Oceania for the first time, where they became the ancestral populations of Polynesians. Understanding the impact of these peoples on the mainland of New Guinea before they entered Remote Oceania has eluded archaeologists. New research from the archaeological site of Wañelek in the New Guinea Highlands has broken this silence. Petrographic and geochemical data from pottery and new radiocarbon dating demonstrates that Austronesian influences penetrated into the highland interior by 3000 years ago. One potsherd was manufactured along the northeast coast of New Guinea, whereas others were manufactured from inland materials. These findings represent the oldest securely dated pottery from an archaeological context on the island of New Guinea. Additionally, the pottery comes from the interior, suggesting the movements of people and technological practices, as well as objects at this time. The antiquity of the Wañelek pottery is coincident with the expansion of Lapita pottery in the Western Pacific. Such occupation also occurs at the same time that changes have been identified in subsistence strategies in the archaeological record at Kuk Swamp suggesting a possible link between the two. PMID:26331310

  4. Earliest Pottery on New Guinea Mainland Reveals Austronesian Influences in Highland Environments 3000 Years Ago.

    PubMed

    Gaffney, Dylan; Summerhayes, Glenn R; Ford, Anne; Scott, James M; Denham, Tim; Field, Judith; Dickinson, William R

    2015-01-01

    Austronesian speaking peoples left Southeast Asia and entered the Western Pacific c.4000-3000 years ago, continuing on to colonise Remote Oceania for the first time, where they became the ancestral populations of Polynesians. Understanding the impact of these peoples on the mainland of New Guinea before they entered Remote Oceania has eluded archaeologists. New research from the archaeological site of Wañelek in the New Guinea Highlands has broken this silence. Petrographic and geochemical data from pottery and new radiocarbon dating demonstrates that Austronesian influences penetrated into the highland interior by 3000 years ago. One potsherd was manufactured along the northeast coast of New Guinea, whereas others were manufactured from inland materials. These findings represent the oldest securely dated pottery from an archaeological context on the island of New Guinea. Additionally, the pottery comes from the interior, suggesting the movements of people and technological practices, as well as objects at this time. The antiquity of the Wañelek pottery is coincident with the expansion of Lapita pottery in the Western Pacific. Such occupation also occurs at the same time that changes have been identified in subsistence strategies in the archaeological record at Kuk Swamp suggesting a possible link between the two.

  5. CALUTRON RECEIVER

    DOEpatents

    Brunk, W.O.

    1959-09-29

    A description is given for an improved calutron receiver having a face plate lying at an angle to the direction of the entering ion beams but having an opening, the plane of which is substantially perpendicular to that of the entering ion beams. By so positioning the opening in the receiver, the effective area through which the desired material may enter the receiver is increased, and at the same time the effective area through which containattng material may enter the receiver is reduced.

  6. Detection of human cytomegalovirus (CMV) DNA in feces has limited value in predicting CMV enteritis in patients with intestinal graft-versus-host disease after allogeneic stem cell transplantation.

    PubMed

    Sun, Y-Q; Xu, L-P; Han, T-T; Zhang, X-H; Wang, Y; Han, W; Wang, F-R; Wang, J-Z; Chen, H; Chen, Y-H; Yan, C-H; Chen, Y; Liu, K-Y; Huang, X-J

    2015-10-01

    Cytomegalovirus (CMV) enteritis after allogeneic hematopoietic stem cell transplantation (allo-HSCT) is difficult to diagnose. We aimed to evaluate the sensitivity and specificity of the detection of CMV DNA in feces for predicting CMV enteritis. HSCT patients with intestinal graft-versus-host disease (GVHD) were enrolled if they met the following criteria: (i) underwent a colonoscopy and (ii) peripheral blood and feces specimens were available for CMV DNA detection within 24 h of colonoscopy. The colonoscopy histology was used as the gold standard for diagnosing CMV enteritis. Fifty-six patients underwent 58 colonoscopy examinations, and 7 were diagnosed as having CMV enteritis. Within 24 h of colonoscopy, 9 patients had detectable CMV in the feces and 19 patients had detectable CMV in the plasma, respectively. In the 7 patients with CMV enteritis, only 2 had detectable CMV in the stool, resulting in a sensitivity of 28.6%. In the 51 patients without CMV enteritis, 44 had no detectable CMV in the stool, with a specificity of 86.3%. We concluded that CMV detection in the feces was not a good predictor of CMV enteritis in patients with intestinal GVHD after allo-HSCT. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. Medication administration via enteral tubes: a survey of nurses' practices.

    PubMed

    Phillips, Nicole Margaret; Endacott, Ruth

    2011-12-01

    This article is a report of a study examining the practices of acute care nurses when administering medication via enteral tubes. Administering medication via enteral tubes is predominantly a nursing responsibility across countries. It is important to establish what nurses actually do when giving enteral medication to inform policy and continuing education development. In 2007, a survey was conducted using a random sample of acute care nurses at two large metropolitan hospitals in Melbourne, Australia. There were 181 Registered Nurses who participated in the study; 92 (50.8%) practised in intensive care units, 52 (28.7%) in surgical areas, 30 (16.6%) in medical areas and 7 (3.9%) were from combined medical-surgical areas. The questionnaire was developed by the researchers and a pilot study was conducted in August 2006 to test reliability, face validity and user-friendliness of the tool. Nurses reported using a range of methods to verify enteral tube position prior to administering enteral medication; some were unreliable methods. A majority reported administering enteric-coated and slow or extended release forms of medication, and giving solid forms of medication when liquid form was available. Nearly all (96%) reported flushing a tube after giving medication, 28% before, and 12% always flushed between each medication. Enteral medication administration practices are inconsistent. Some nurses are using unsafe practices and may therefore compromise patient care. © 2011 Blackwell Publishing Ltd.

  8. Evidence of hypercoagulability in dogs with parvoviral enteritis.

    PubMed

    Otto, C M; Rieser, T M; Brooks, M B; Russell, M W

    2000-11-15

    To determine whether dogs with naturally occurring canine parvoviral (CPV) enteritis have laboratory evidence of hypercoagulability. Case-control study. Animals-9 dogs with naturally occurring CPV enteritis and 9 age-matched control dogs. Blood was collected from all dogs within 24 hours of admission for thromboelastography (TEG) and determination of activated partial thromboplastin time (aP-TT), prothrombin time (PT), antithrombin III (AT) activity, and fibrinogen concentration. Fibrin-fibrinogen degradation product (FDP) concentration, D-dimer concentration, and platelet count were obtained in dogs with CPV enteritis only. Records were reviewed for evidence of thrombosis or phlebitis. All 9 dogs with CPV enteritis had evidence of hypercoagulability, determined on the basis of significantly increased TEG maximum amplitude and decreased AT activity. Fibrinogen concentration was significantly higher in dogs with CPV enteritis than in control dogs. The aPTT was moderately prolonged in dogs with CPV enteritis, and FDP concentration was < 5 mg/ml in 7 of 9 dogs. No dogs had a measurable D-dimer concentration. Platelet counts were within reference range. Four of 9 dogs had clinical evidence of venous thrombosis or phlebitis associated with catheters. One dog had multifocal splenic thrombosis identified at necropsy. Dogs with CPV enteritis have a high prevalence of clinical thrombosis or phlebitis and laboratory evidence of hypercoagulability without disseminated intravascular coagulopathy. Thromboelastography may help identify hypercoagulable states in dogs.

  9. Critical analysis of the factors associated with enteral feeding in preventing VAP: a systematic review.

    PubMed

    Chen, Yu-Chih

    2009-04-01

    Ventilator-associated pneumonia (VAP) is a common cause of morbidity in critically ill patients. Appropriate enteral feeding is the most important factor associated with the prevention of VAP. However, the standardization of enteral feeding methods needs clarification. The purpose of this systematic review was to synthesize the factors associated with enteral feeding in order to prevent VAP and to describe the characteristics of these factors. A comprehensive search was undertaken involving all major databases from their inception to September 2008 using medical subject heading terms associated with enteral feeding in relation to VAP. The overall reference list of identified studies was audited, and eligible studies included randomized controlled trials, controlled before-and-after (pre-post) studies and meta-analyses. To generate the characteristics of the factors associated with VAP, the reported components of these trials were pinpointed and categorized. A total of 14 papers were found that had investigated the factors linking enteral feeding and VAP. For these, 11 were randomized controlled trials, 1 was a meta-analysis and 2 were case-controlled analyses. Twelve of these 14 studies were conducted at a single institute and 2 were conducted at multiple institutes. The sample sizes varied from 10 to 2,528 subjects. Three major issues were identified based on the purpose of study interventions, and these were the effects of feeding method (continuous vs. intermittent), feeding site on aspiration (gastric vs. small bowel), and the timing of enteral feeding (early vs. late). The evidence suggests that a correct choice of enteral feeding method can effectively reduce complications due to aspiration. Furthermore, intermittent enteral feeding and with a small residual volume feed can reduce gastroesophageal reflux, and increased total intake volume and early feeding can reduce ICU mortality. Nonetheless, the effects of these choices on preventing VAP still need further evaluation. A set of clinical guidelines based on these evidence-based findings with respect to enteral feeding is required, particularly one that covers all aspects of the enteral feeding process.

  10. A novel enteric neuron-glia coculture system reveals the role of glia in neuronal development.

    PubMed

    Le Berre-Scoul, Catherine; Chevalier, Julien; Oleynikova, Elena; Cossais, François; Talon, Sophie; Neunlist, Michel; Boudin, Hélène

    2017-01-15

    Unlike astrocytes in the brain, the potential role of enteric glial cells (EGCs) in the formation of the enteric neuronal circuit is currently unknown. To examine the role of EGCs in the formation of the neuronal network, we developed a novel neuron-enriched culture model from embryonic rat intestine grown in indirect coculture with EGCs. We found that EGCs shape axonal complexity and synapse density in enteric neurons, through purinergic- and glial cell line-derived neurotrophic factor-dependent pathways. Using a novel and valuable culture model to study enteric neuron-glia interactions, our study identified EGCs as a key cellular actor regulating neuronal network maturation. In the nervous system, the formation of neuronal circuitry results from a complex and coordinated action of intrinsic and extrinsic factors. In the CNS, extrinsic mediators derived from astrocytes have been shown to play a key role in neuronal maturation, including dendritic shaping, axon guidance and synaptogenesis. In the enteric nervous system (ENS), the potential role of enteric glial cells (EGCs) in the maturation of developing enteric neuronal circuit is currently unknown. A major obstacle in addressing this question is the difficulty in obtaining a valuable experimental model in which enteric neurons could be isolated and maintained without EGCs. We adapted a cell culture method previously developed for CNS neurons to establish a neuron-enriched primary culture from embryonic rat intestine which was cultured in indirect coculture with EGCs. We demonstrated that enteric neurons grown in such conditions showed several structural, phenotypic and functional hallmarks of proper development and maturation. However, when neurons were grown without EGCs, the complexity of the axonal arbour and the density of synapses were markedly reduced, suggesting that glial-derived factors contribute strongly to the formation of the neuronal circuitry. We found that these effects played by EGCs were mediated in part through purinergic P2Y 1 receptor- and glial cell line-derived neurotrophic factor-dependent pathways. Using a novel and valuable culture model to study enteric neuron-glia interactions, our study identified EGCs as a key cellular actor required for neuronal network maturation. © 2016 The Authors. The Journal of Physiology © 2016 The Physiological Society.

  11. A novel enteric neuron–glia coculture system reveals the role of glia in neuronal development

    PubMed Central

    Le Berre‐Scoul, Catherine; Chevalier, Julien; Oleynikova, Elena; Cossais, François; Talon, Sophie; Neunlist, Michel

    2016-01-01

    Key points Unlike astrocytes in the brain, the potential role of enteric glial cells (EGCs) in the formation of the enteric neuronal circuit is currently unknown.To examine the role of EGCs in the formation of the neuronal network, we developed a novel neuron‐enriched culture model from embryonic rat intestine grown in indirect coculture with EGCs.We found that EGCs shape axonal complexity and synapse density in enteric neurons, through purinergic‐ and glial cell line‐derived neurotrophic factor‐dependent pathways.Using a novel and valuable culture model to study enteric neuron–glia interactions, our study identified EGCs as a key cellular actor regulating neuronal network maturation. Abstract In the nervous system, the formation of neuronal circuitry results from a complex and coordinated action of intrinsic and extrinsic factors. In the CNS, extrinsic mediators derived from astrocytes have been shown to play a key role in neuronal maturation, including dendritic shaping, axon guidance and synaptogenesis. In the enteric nervous system (ENS), the potential role of enteric glial cells (EGCs) in the maturation of developing enteric neuronal circuit is currently unknown. A major obstacle in addressing this question is the difficulty in obtaining a valuable experimental model in which enteric neurons could be isolated and maintained without EGCs. We adapted a cell culture method previously developed for CNS neurons to establish a neuron‐enriched primary culture from embryonic rat intestine which was cultured in indirect coculture with EGCs. We demonstrated that enteric neurons grown in such conditions showed several structural, phenotypic and functional hallmarks of proper development and maturation. However, when neurons were grown without EGCs, the complexity of the axonal arbour and the density of synapses were markedly reduced, suggesting that glial‐derived factors contribute strongly to the formation of the neuronal circuitry. We found that these effects played by EGCs were mediated in part through purinergic P2Y1 receptor‐ and glial cell line‐derived neurotrophic factor‐dependent pathways. Using a novel and valuable culture model to study enteric neuron–glia interactions, our study identified EGCs as a key cellular actor required for neuronal network maturation. PMID:27436013

  12. Enteric-coated aspirin versus other antiplatelet drugs in acute non-cardioembolic ischemic stroke: post-marketing study in Japan.

    PubMed

    Takahashi, Shunichi; Mizuno, Osamu; Sakaguchi, Toshiaki; Yamada, Takashi; Inuyama, Lyo

    2014-01-01

    Japanese guidelines recommend aspirin 160-300 mg/day, starting within 48 h, for patients with acute cerebral infarction. However, there are few reports evaluated in Japanese patients. Our objective was to examine the safety and efficacy of enteric-coated aspirin, compared with other oral antiplatelet drugs, in Japanese patients with acute ischemic stroke. We performed a prospective, non-randomized, observational and multicenter study between June 2005 and December 2007. Patients with symptomatic acute ischemic stroke, including transient ischemic attack (TIA), who started enteric-coated aspirin or other antiplatelet drugs within 7 days of hospitalization were registered. Outcome measures evaluated within 3 months were incidence of cerebral and non-cerebral hemorrhagic events, recurrence of ischemic stroke or TIA, non-cerebral ischemic events and death from any cause. Overall, 2,548 and 830 patients treated with enteric-coated aspirin (100-300 mg/day) or other antiplatelet drugs, respectively, were registered; approximately 60% were male, mean age was 70 years, 85% had pre-existing cardiovascular disease or other complications. Enteric-coated aspirin of 100 mg was mainly prescribed, and only approximately half of the patients were started on it within 48 h after onset of ischemic stroke. Safety and efficacy population excluded patients without follow-up data were 2,521 in enteric-coated aspirin and 807 in other antiplatelets. Hemorrhagic events occurred in 46 (1.8%) in the enteric-coated aspirin group and in 13 (1.6%) in the other antiplatelet drugs group, there was not significant. Recurrent ischemic stroke or TIA occurred in 39 (1.5%) of the enteric-coated aspirin and in 18 (2.2%) of other antiplatelet drugs, and there were any-cause death in 16 (0.6%) and 8 (1.0%). Incidences were slightly lower in the enteric-coated aspirin group compared with the other antiplatelet drugs group, but not statistically significant. It seems that these results showed the safety and efficacy of the enteric-coated aspirin in acute stroke care in Japanese patients. Incidence of hemorrhagic events was comparable between the enteric-coated aspirin group and the other antiplatelet drugs group.

  13. Ammonia modifies enteric neuromuscular transmission through glial γ-aminobutyric acid signaling.

    PubMed

    Fried, David E; Watson, Ralph E; Robson, Simon C; Gulbransen, Brian D

    2017-12-01

    Impaired gut motility may contribute, at least in part, to the development of systemic hyperammonemia and systemic neurological disorders in inherited metabolic disorders, or in severe liver and renal disease. It is not known whether enteric neurotransmission regulates intestinal luminal and hence systemic ammonia levels by induced changes in motility. Here, we propose and test the hypothesis that ammonia acts through specific enteric circuits to influence gut motility. We tested our hypothesis by recording the effects of ammonia on neuromuscular transmission in tissue samples from mice, pigs, and humans and investigated specific mechanisms using novel mutant mice, selective drugs, cellular imaging, and enzyme-linked immunosorbent assays. Exogenous ammonia increased neurogenic contractions and decreased neurogenic relaxations in segments of mouse, pig, and human intestine. Enteric glial cells responded to ammonia with intracellular Ca 2+ responses. Inhibition of glutamine synthetase and the deletion of glial connexin-43 channels in hGFAP :: Cre ER T2+/- /connexin43 f/f mice potentiated the effects of ammonia on neuromuscular transmission. The effects of ammonia on neuromuscular transmission were blocked by GABA A receptor antagonists, and ammonia drove substantive GABA release as did the selective pharmacological activation of enteric glia in GFAP::hM3Dq transgenic mice. We propose a novel mechanism whereby local ammonia is operational through GABAergic glial signaling to influence enteric neuromuscular circuits that regulate intestinal motility. Therapeutic manipulation of these mechanisms may benefit a number of neurological, hepatic, and renal disorders manifesting hyperammonemia. NEW & NOTEWORTHY We propose that local circuits in the enteric nervous system sense and regulate intestinal ammonia. We show that ammonia modifies enteric neuromuscular transmission to increase motility in human, pig, and mouse intestine model systems. The mechanisms underlying the effects of ammonia on enteric neurotransmission include GABAergic pathways that are regulated by enteric glial cells. Our new data suggest that myenteric glial cells sense local ammonia and directly modify neurotransmission by releasing GABA. Copyright © 2017 the American Physiological Society.

  14. Early Serum Gut Hormone Concentrations Associated with Time to Full Enteral Feedings in Preterm Infants.

    PubMed

    Shanahan, Kristen H; Yu, Xinting; Miller, Laura G; Freedman, Steven D; Martin, Camilia R

    2018-04-03

    The primary objective of this study was to evaluate early postnatal serum gut hormone concentrations in preterm infants as predictors of time to full enteral feedings. The secondary objective was to identify infant characteristics and nutritional factors that modulate serum gut hormone concentrations and time to full enteral feedings. Sixty-four preterm infants less than 30 weeks of gestation were included in this retrospective cohort study. Serum gut hormone concentrations at postnatal days 0 and 7 were measured using enzyme-linked immunosorbent assays. Linear regression and mediation analyses were performed. Median (IQR) serum concentrations of glucose-dependent insulinotropic peptide (GIP) and peptide YY (PYY) on postnatal day 7 were 31.3 pg/mL (18.2, 52.3) and 1181.7 pg/mL (859.0, 1650.2), respectively. GIP and PYY concentrations on day 7 were associated with days to full enteral feedings after adjustment for confounders (β = -1.1, p = 0.03; and β = -0.002, p = 0.02, respectively). Nutritional intake was correlated with serum concentrations of GIP and PYY on postnatal day 7 and time to full enteral feedings. Mediation analysis revealed that the effect of serum gut hormone concentrations on time to full enteral feedings was not fully explained by nutritional intake. Intrauterine growth restriction (IUGR), mechanical ventilation on postnatal day 7, and patent ductus arteriosus (PDA) treated with indomethacin were associated with longer time to full enteral feedings. Serum concentrations of GIP and PYY on postnatal 7 are independently associated with time to full enteral feedings. The link between serum gut hormone concentrations and time to full enteral feedings is not fully mediated by nutritional factors, suggesting an independent mechanism underlying the influence of gut hormones on feeding tolerance and time to full enteral feedings.

  15. Microbiological quality and safe handling of enteral diets in a hospital in Minas Gerais, Brazil.

    PubMed

    Pinto, Raquel Oliveira Medrado; Correia, Eliznara Fernades; Pereira, Keyla Carvalho; Costa Sobrinho, Paulo de Souza; da Silva, Daniele Ferreira

    2015-06-01

    Contamination of enteral diets represents a high risk of compromising the patient's medical condition. To assess the microbiological quality and aseptic conditions in the preparation and administration of handmade and industrialized enteral diets offered in a hospital in the Valley of Jequitinhonha, MG, Brazil, we performed a microbiological analysis of 50 samples of diets and 27 samples of surfaces, utensils, and water used in the preparation of the diets. In addition, we assessed the good handling practices of enteral diets according to the requirements specified by the Brazilian legislation. Both kinds of enteral diets showed contamination by coliforms and Pseudomonas spp. No sample was positive for Staphylococcus aureus and Salmonella spp. On the other hand, Listeria spp. was detected in only one sample of handmade diets. Contamination was significantly higher in the handmade preparations (p < 0.05). Nonconformities were detected with respect to good handling practices, which may compromise the diet safety. The results indicate that the sanitary quality of the enteral diets is unsatisfactory, especially handmade diets. Contamination by Pseudomonas spp. is significant because it is often involved in infection episodes. With regard to aseptic practices, it was observed the need of implementing new procedures for handling enteral diets.

  16. Collagen 18 and agrin are secreted by neural crest cells to remodel their microenvironment and regulate their migration during enteric nervous system development.

    PubMed

    Nagy, Nandor; Barad, Csilla; Hotta, Ryo; Bhave, Sukhada; Arciero, Emily; Dora, David; Goldstein, Allan M

    2018-05-08

    The enteric nervous system (ENS) arises from neural crest cells that migrate, proliferate, and differentiate into enteric neurons and glia within the intestinal wall. Many extracellular matrix (ECM) components are present in the embryonic gut, but their role in regulating ENS development is largely unknown. Here, we identify heparan sulfate proteoglycan proteins, including collagen XVIII (Col18) and agrin, as important regulators of enteric neural crest-derived cell (ENCDC) development. In developing avian hindgut, Col18 is expressed at the ENCDC wavefront, while agrin expression occurs later. Both proteins are normally present around enteric ganglia, but are absent in aganglionic gut. Using chick-mouse intestinal chimeras and enteric neurospheres, we show that vagal- and sacral-derived ENCDCs from both species secrete Col18 and agrin. Whereas glia express Col18 and agrin, enteric neurons only express the latter. Functional studies demonstrate that Col18 is permissive whereas agrin is strongly inhibitory to ENCDC migration, consistent with the timing of their expression during ENS development. We conclude that ENCDCs govern their own migration by actively remodeling their microenvironment through secretion of ECM proteins. © 2018. Published by The Company of Biologists Ltd.

  17. Efficacy of octreotide in the management of chronic diarrhoea in AIDS.

    PubMed

    Romeu, J; Miró, J M; Sirera, G; Mallolas, J; Arnal, J; Valls, M E; Tortosa, F; Clotet, B; Foz, M

    1991-12-01

    Patients with HIV infection were studied to assess the efficacy of octreotide, a somatostatin analogue, in the long-term management of refractory diarrhoea. Dosage of subcutaneous octreotide was increased progressively at 48 h intervals from 150 to 300, 750 and 1500 micrograms/day according to response. Twenty-nine patients, 21 with Cryptosporidium enteritis, one with Isospora belli enteritis and seven with no identifiable pathogen were selected for the study; four of these were excluded from the study because of death during the first month (two cases), abdominal pain and acute pancreatitis (one case each). Twenty-five patients were evaluable for response. Ten patients (four with Cryptosporidium enteritis, five without an identifiable pathogen and one with I. belli enteritis) achieved a complete response (40%) and nine cases (all with cryptosporidial enteritis) had a partial response (36%). Patients with higher weight and Karnofsky performance status and non-cryptosporidial enteritis had a better response to treatment. Mean durations of treatment and response were 4.2 +/- 4.2 and 4.4 +/- 4.5 months, respectively. In the absence of specific agents for cryptosporidial enteritis and HIV enteropathy, octreotide was found to be useful in the management of chronic diarrhoea in AIDS patients.

  18. Enteral vs. parenteral nutrition for the critically ill patient: a combined support should be preferred.

    PubMed

    Heidegger, Claudia-Paula; Darmon, Patrice; Pichard, Claude

    2008-08-01

    Current recommendations suggest starting enteral feeding as soon as possible whenever the gastrointestinal tract is functioning. The disadvantage of enteral support is that insufficient energy and protein coverage can occur. This review focuses on some recent findings regarding the nutritional support of critically ill patients and evaluates the data presented. An increasing nutritional deficit during a long ICU stay is associated with increased morbidity (infection rate, wound healing, mechanical ventilation, length of stay, duration of recovery), and costs. Evidence shows that enteral nutrition can result in underfeeding and that nutritional goals are frequently reached only after 1 week. Contrary to former beliefs, recent meta-analyses of ICU studies showed that parenteral nutrition is not related to a surplus mortality and may even be associated with improved survival. Early enteral nutrition is recommended for critically ill patients. Supplemental parenteral nutrition combined with enteral nutrition can be considered to cover the energy and protein targets when enteral nutrition alone fails to achieve the caloric goal. Whether such a combined nutritional support provides additional benefit on the overall outcome has to be proven in further studies on clinical outcome, including physical and cognitive functioning, quality of life, cost-effectiveness, and cost-utility.

  19. Intestine, immunity, and parenteral nutrition in an era of preferred enteral feeding.

    PubMed

    Barrett, Meredith; Demehri, Farokh R; Teitelbaum, Daniel H

    2015-09-01

    To review the benefits of enteral nutrition in contrast to the inflammatory consequences of administration of parenteral nutrition and enteral deprivation. To present the most recent evidence for the mechanisms of these immunologic changes and discuss potential areas for modification to decrease infectious complications of its administration. There is significant data supporting the early initiation of enteral nutrition in both medical and surgical patients unable to meet their caloric goals via oral intake alone. Despite the preference for enteral nutrition, some patients are unable to utilize their gut for nutritious gain and therefore require parenteral nutrition administration, along with its infectious complications. The mechanisms behind these complications are multifactorial and have yet to be fully elucidated. Recent study utilizing both animal and human models has provided further information regarding parenteral nutrition's deleterious effect on intestinal epithelial barrier function along with the complications associated with enterocyte deprivation. Changes associated with parenteral nutrition administration and enteral deprivation are complex with multiple potential areas for modification to allow for safer administration. Recent discovery of the mechanisms behind these changes present exciting areas for future study as to make parenteral nutrition administration in the enterally deprived patient safer.

  20. 21 CFR 558.311 - Lasalocid.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... of bacterial enteritis caused by E. coli and bacterial pneumonia caused by P. multocida organisms... improved feed efficiency; and for treatment of bacterial enteritis caused by E. coli and bacterial... treatment of bacterial enteritis caused by E. coli and bacterial pneumonia caused by P. multocida organisms...

  1. Stents for colorectal obstruction: Past, present, and future

    PubMed Central

    Kim, Eui Joo; Kim, Yoon Jae

    2016-01-01

    Since the development of uncovered self-expanding metal stents (SEMS) in the 1990s, endoscopic stents have evolved dramatically. Application of new materials and new designs has expanded the indications for enteral SEMS. At present, enteral stents are considered the first-line modality for palliative care, and numerous types of enteral stents are under development for extended clinical usage, beyond a merely palliative purpose. Herein, we will discuss the current status and the future development of lower enteral stents. PMID:26811630

  2. Pediatric Enteric Feeding Techniques: Insertion, Maintenance, and Management of Problems

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

    Nijs, Els L. F., E-mail: nijs@email.chop.ed; Cahill, Anne Marie, E-mail: cahill@email.chop.ed

    Enteral feeding is considered a widespread, well-accepted means of delivering nutrition to adults and children who are unable to consume food by mouth or who need support in maintaining adequate nutrition for a variety of reasons, including acute and chronic disease states. Delivery of enteral feeding to nutritionally deprived patients may be achieved by several means. In this article, the indications and insertion of enteral access in children will be reviewed. In addition, common complications and management of problems will be discussed.

  3. FORTRAN Programs for Aerodynamic Analyses on the Microvax/2000 CAD CAE Workstation

    DTIC Science & Technology

    1988-09-01

    file exists, you must compile the program by typing, FOR DUBLET [Returni The next step is to link the program by entering, LINK DUBLET [Return] The...files DUBLET.EXE and DUBLET.OBJ will now exist and you will be able to run the program. Running the Program To run the program, type DUBLET [Return...by entering 0.1 [Return] Now enter the number of intervals you desire the doublet distribution to have by enter- ing 10 [Return] The screen should now

  4. A Pilot Review of Gradual Versus Goal Re-initiation of Enteral Nutrition after Burn Surgery in the Hemodynamically Stable Patient

    DTIC Science & Technology

    2014-01-01

    benefits of enteral nutrition (EN), the American Society for Parenteral and Enteral Nutrition (ASPEN) and the Society of Critical Care Medicine (SCCM...instances where parenteral nutrition was used rather than EN or the subject consumed food orally). Because the change in clinical practice included only...therapy in the adult critically ill patient: Society of Critical Care Medicine (SCCM) and American Society for Parenteral and Enteral Nutrition (A.S.P.E.N

  5. Prevalence, characteristics and correlates of enteric pathogenic protozoa in drinking water sources in Molyko and Bomaka, Cameroon: a cross-sectional study.

    PubMed

    Nsoh, Fuh Anold; Wung, Buh Amos; Atashili, Julius; Benjamin, Pokam Thumamo; Marvlyn, Eba; Ivo, Keumami Katte; Nguedia, Assob Jules Clément

    2016-11-08

    Access to potable water remains a major challenge particularly in resource-limited settings. Although the potential contaminants of water are varied, enteric pathogenic protozoa are known to cause waterborne diseases greatly. This study aimed at investigating the prevalence, characteristics and correlates of enteric pathogenic protozoa in drinking water sources in Buea, Cameroon. A cross-sectional study was conducted using 155 water samples collected from various drinking sources (boreholes, springs, taps and wells). Each sample was subjected to physicochemical examinations (pH, turbidity, odour and sliminess) and parasitological analysis (wet mount, modified Ziehl-Neelsen stain) to determine the presence of enteric pathogenic protozoa. A data collection tool was used to note characteristics of collected samples and the data was analysed using EPI-INFO Version 3.5.3. The overall prevalence of enteric pathogenic protozoa in water sources was 62.6 %. Eight species of enteric protozoa were observed with Cryptosporidium parvum being the most predominant (45.8 %). Spring water was the most contaminated source with enteric protozoa (85.7 %) while pipe borne water had all eight species of protozoa identified. A pH of 6 was the only significant factor associated with the prevalence of these pathogens in water sources. The prevalence of enteric protozoa in water sources in Molyko and Bomaka is high, spring water is the most contaminated water source and Cryptosporidium parvum is the most common protozoa contaminating water. A water pH of 6 is associated to the prevalence of protozoa. Community members need to be educated to treat water before drinking to avoid infection by enteric protozoa in water and further studies with larger samples of water need to be conducted to find other correlates of the presence of protozoa in water.

  6. Predictors of Enteral Autonomy in Children with Intestinal Failure: A Multicenter Cohort Study.

    PubMed

    Khan, Faraz A; Squires, Robert H; Litman, Heather J; Balint, Jane; Carter, Beth A; Fisher, Jeremy G; Horslen, Simon P; Jaksic, Tom; Kocoshis, Samuel; Martinez, J Andres; Mercer, David; Rhee, Susan; Rudolph, Jeffrey A; Soden, Jason; Sudan, Debra; Superina, Riccardo A; Teitelbaum, Daniel H; Venick, Robert; Wales, Paul W; Duggan, Christopher

    2015-07-01

    In a large cohort of children with intestinal failure (IF), we sought to determine the cumulative incidence of achieving enteral autonomy and identify patient and institutional characteristics associated with enteral autonomy. A multicenter, retrospective cohort analysis from the Pediatric Intestinal Failure Consortium was performed. IF was defined as severe congenital or acquired gastrointestinal diseases during infancy with dependence on parenteral nutrition (PN) >60 days. Enteral autonomy was defined as PN discontinuation >3 months. A total of 272 infants were followed for a median (IQR) of 33.5 (16.2-51.5) months. Enteral autonomy was achieved in 118 (43%); 36 (13%) remained PN dependent and 118 (43%) patients died or underwent transplantation. Multivariable analysis identified necrotizing enterocolitis (NEC; OR 2.42, 95% CI 1.33-4.47), care at an IF site without an associated intestinal transplantation program (OR 2.73, 95% CI 1.56-4.78), and an intact ileocecal valve (OR 2.80, 95% CI 1.63-4.83) as independent risk factors for enteral autonomy. A second model (n = 144) that included only patients with intraoperatively measured residual small bowel length found NEC (OR 3.44, 95% CI 1.36-8.71), care at a nonintestinal transplantation center (OR 6.56, 95% CI 2.53-16.98), and residual small bowel length (OR 1.04 cm, 95% CI 1.02-1.06 cm) to be independently associated with enteral autonomy. A substantial proportion of infants with IF can achieve enteral autonomy. Underlying NEC, preserved ileocecal valve, and longer bowel length are associated with achieving enteral autonomy. It is likely that variations in institutional practices and referral patterns also affect outcomes in children with IF. Copyright © 2015 Elsevier Inc. All rights reserved.

  7. Medication administration through enteral feeding tubes.

    PubMed

    Williams, Nancy Toedter

    2008-12-15

    An overview of enteral feeding tubes, drug administration techniques, considerations for dosage form selection, common drug interactions with enteral formulas, and methods to minimize tube occlusion is given. Enteral nutrition through a feeding tube is the preferred method of nutrition support in patients who have a functioning gastrointestinal tract but who are unable to be fed orally. This method of delivering nutrition is also commonly used for administering medications when patients cannot swallow safely. However, several issues must be considered with concurrent administration of oral medications and enteral formulas. Incorrect administration methods may result in clogged feeding tubes, decreased drug efficacy, increased adverse effects, or drug-formula incompatibilities. Various enteral feeding tubes are available and are typically classified by site of insertion and location of the distal tip of the feeding tube. Liquid medications, particularly elixirs and suspensions, are preferred for enteral administration; however, these formulations may be hypertonic or contain large amounts of sorbitol, and these properties increase the potential for adverse effects. Before solid dosage forms are administered through the feeding tube, it should be determined if the medications are suitable for manipulation, such as crushing a tablet or opening a capsule. Medications should not be added directly to the enteral formula, and feeding tubes should be properly flushed with water before and after each medication is administered. To minimize drug-nutrient interactions, special considerations should be taken when administering phenytoin, carbamazepine, warfarin, fluoroquinolones, and proton pump inhibitors via feeding tubes. Precautions should be implemented to prevent tube occlusions, and immediate intervention is required when blockages occur. Successful drug delivery through enteral feeding tubes requires consideration of the tube size and placement as well as careful selection and appropriate administration of drug dosage forms.

  8. Infection strategies of enteric pathogenic Escherichia coli

    PubMed Central

    Clements, Abigail; Young, Joanna C.; Constantinou, Nicholas; Frankel, Gad

    2012-01-01

    Enteric Escherichia coli (E. coli) are both natural flora of humans and important pathogens causing significant morbidity and mortality worldwide. Traditionally enteric E. coli have been divided into 6 pathotypes, with further pathotypes often proposed. In this review we suggest expansion of the enteric E. coli into 8 pathotypes to include the emerging pathotypes of adherent invasive E. coli (AIEC) and Shiga-toxin producing enteroaggregative E. coli (STEAEC). The molecular mechanisms that allow enteric E. coli to colonize and cause disease in the human host are examined and for two of the pathotypes that express a type 3 secretion system (T3SS) we discuss the complex interplay between translocated effectors and manipulation of host cell signaling pathways that occurs during infection. PMID:22555463

  9. Coral ages and island subsidence, Hilo drill hole

    USGS Publications Warehouse

    Moore, J.G.; Ingram, B.L.; Ludwig, K. R.; Clague, D.A.

    1996-01-01

    A 25.8-m-thick sedimentary section containing coral fragments occurs directly below a surface lava flow (the ???1340 year old Panaewa lava flow) at the Hilo drill hole. Ten coral samples from this section dated by accelerator mass spectrometry (AMS) radiocarbon and five by thermal infrared multispectral scanner (TIMS) 230Th/U methods show good agreement. The calcareous unit is 9790 years old at the bottom and 1690 years old at the top and was deposited in a shallow lagoon behind an actively growing reef. This sedimentary unit is underlain by a 34-m-thick lava flow which in turn overlies a thin volcaniclastic silt with coral fragments that yield a single 14C date of 10,340 years. The age-depth relations of the dated samples can be compared with proposed eustatic sea level curves after allowance for island subsidence is taken. Island subsidence averages 2.2 mm/yr for the last 47 years based on measurements from a tide gage near the drill hole or 2.5-2.6 mm/yr for the last 500,000 years based on the ages and depths of a series of drowned coral reefs offshore from west Hawaii. The age-depth measurements of coral fragments are more consistent with eustatic sea levels as determined by coral dating at Barbados and Albrolhos Islands than those based on oxygen isotopic data from deep sea cores. The Panaewa lava flow entered a lagoon underlain by coral debris and covered the drill site with 30.9 m of lava of which 11 m was above sea level. This surface has now subsided to 4.2 m above sea level, but it demonstrates how a modern lava flow entering Hilo Bay would not only change the coastline but could extensively modify the offshore shelf.

  10. Ability of select probiotics to reduce enteric Campylobacter colonization in broiler chickens

    USDA-ARS?s Scientific Manuscript database

    Campylobacter is the leading cause of foodborne enteritis worldwide and is primarily caused by consumption/mishandling of contaminated poultry. Probiotic use in poultry has been an effective strategy in reducing many enteric pathogens, but has not demonstrated consistent reduction against Campylobac...

  11. Entering Research

    ERIC Educational Resources Information Center

    Lawless, Ann; Sedorkin, Barbara

    2007-01-01

    This article presents a short story of the authors, who show how they have "entered research", that is, entered the earliest conception of research and the early formation of research collaboration. As the authors worked together, they realised they had common concerns and life experiences. Each proudly identifies as working class…

  12. 42 CFR 414.408 - Payment rules.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... initially furnished and enteral nutrition equipment are calculated based on the bids submitted and accepted... wheelchairs. (2) Payment for used purchased durable medical equipment and enteral nutrition equipment is made...) Enteral nutrition supplies. (4) OTS orthotics. (h) Rented equipment—(1) Capped rental DME. Subject to the...

  13. 42 CFR 414.408 - Payment rules.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... initially furnished and enteral nutrition equipment are calculated based on the bids submitted and accepted... wheelchairs. (2) Payment for used purchased durable medical equipment and enteral nutrition equipment is made...) Enteral nutrition supplies. (4) OTS orthotics. (h) Rented equipment—(1) Capped rental DME. Subject to the...

  14. 42 CFR 414.408 - Payment rules.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... initially furnished and enteral nutrition equipment are calculated based on the bids submitted and accepted... wheelchairs. (2) Payment for used purchased durable medical equipment and enteral nutrition equipment is made...) Enteral nutrition supplies. (4) OTS orthotics. (h) Rented equipment—(1) Capped rental DME. Subject to the...

  15. 42 CFR 414.408 - Payment rules.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... initially furnished and enteral nutrition equipment are calculated based on the bids submitted and accepted... wheelchairs. (2) Payment for used purchased durable medical equipment and enteral nutrition equipment is made...) Enteral nutrition supplies. (4) OTS orthotics. (h) Rented equipment—(1) Capped rental DME. Subject to the...

  16. 12 CFR 48.1 - Authority, purpose, and scope.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ....1 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY RETAIL FOREIGN EXCHANGE... or enter into retail foreign exchange transactions. A national bank offering or entering into retail... associations. A Federal savings association may offer or enter into retail foreign exchange transactions. A...

  17. DEVELOPMENT OF HOMOLOGOUS VIRAL INTERNAL CONTROLS FOR USE IN RT-PCR ASSAYS OF WATERBORNE ENTERIC VIRUSES

    EPA Science Inventory

    Enteric viruses often contaminate water sources causing frequent outbreaks of gastroenteritis. Reverse transcription-polymerase chain reaction (RT-PCR) assays are commonly used for detection of human enteric viruses in environmental and drinking water samples. RT-PCR provides ...

  18. Processing Strategies to Inactivate Enteric Viruses in Shellfish: Limitations of Surrogate Viruses and Molecular Methods

    USDA-ARS?s Scientific Manuscript database

    Noroviruses, hepatitis A and E viruses, sapovirus, astrovirus, rotavirus, Aichi virus, enteric adenoviruses, poliovirus, and other enteroviruses enter shellfish through contaminated seawater or by contamination during handling and processing, resulting in outbreaks ranging from isolated to epidemic....

  19. Agoraphobia.

    ERIC Educational Resources Information Center

    Brehony, Kathleen A.

    Agoraphobia is the most pervasive and serious phobic response seen by clinicians, accounting for approximately 50 to 60% of all phobic problems. The symptoms of agoraphobia, a condition in which an individual fears entering public areas, include fears of leaving home, fainting, entering open and closed spaces, shopping, entering social situations,…

  20. Population Density, Poor Sanitation, and Enteric Infections in Nueva Santa Rosa, Guatemala.

    PubMed

    Jarquin, Claudia; Arnold, Benjamin F; Muñoz, Fredy; Lopez, Beatriz; Cuéllar, Victoria M; Thornton, Andrew; Patel, Jaymin; Reyes, Lisette; Roy, Sharon L; Bryan, Joe P; McCracken, John P; Colford, John M

    2016-04-01

    Poor sanitation could pose greater risk for enteric pathogen transmission at higher human population densities because of greater potential for pathogens to infect new hosts through environmentally mediated and person-to-person transmission. We hypothesized that incidence and prevalence of diarrhea, enteric protozoans, and soil-transmitted helminth infections would be higher in high-population-density areas compared with low-population-density areas, and that poor sanitation would pose greater risk for these enteric infections at high density compared with low density. We tested our hypotheses using 6 years of clinic-based diarrhea surveillance (2007-2013) including 4,360 geolocated diarrhea cases tested for 13 pathogens and a 2010 cross-sectional survey that measured environmental exposures from 204 households (920 people) and tested 701 stool specimens for enteric parasites. We found that population density was not a key determinant of enteric infection nor a strong effect modifier of risk posed by poor household sanitation in this setting. © The American Society of Tropical Medicine and Hygiene.

  1. Morphology of congenital portosystemic shunts emanating from the left gastric vein in dogs and cats.

    PubMed

    White, R N; Parry, A T

    2013-09-01

    To describe the anatomy of congenital portosystemic shunts emanating from the left gastric vein in dogs and cats. A retrospective review of a consecutive series of dogs and cats managed for congenital portosystemic shunts. Forty-six dogs and 27 cats met the inclusion criteria of a congenital portosystemic shunt emanating from the left gastric vein. Of the 46 dogs, 28 (61%) had a shunt that entered the left phrenic vein, 10 (22%) had a shunt that entered the post hepatic caudal vena cava and in 8 (17%) the shunt entered the azygos vein. Of the 27 cats, 19 (70%) had a shunt that entered the left phrenic vein and 8 (30%) had a shunt that entered the post hepatic caudal vena cava. The systemic vein into which the shunt entered was consistent showing three common presentations: left gastro-phrenic, left gastro-caval and left gastro-azygos. This information may help with surgical planning in cases undergoing shunt closure surgery. © 2013 British Small Animal Veterinary Association.

  2. Risk of introduction of BSE into Japan by the historical importation of live cattle from the United Kingdom.

    PubMed

    Sugiura, Katsuaki; Kusama, Toyoko; Yoshida, Tomotaro; Shinoda, Naoki; Onodera, Takashi

    2009-02-01

    All cattle imported from the United Kingdom to Japan since 1980 and slaughtered before 2002 were traced (n=33), and the number of cattle that were possibly infected with BSE and entered the animal feed chain was calculated. Because there was no effective system to avoid recycling of the BSE agent via animal feed until the early 1990s, of the 33 cattle imported from the UK into Japan, most probably 7 or 8 were infected and entered the animal feed chain, 2 of which entered the animal feed chain in each of 1992 and 1993. In terms of infectivity, 400-550 cattle oral ID(50) of the BSE agent entered the feed chain in each of these years. The amount of infectivity that entered the feed chain in 1989, 1991 and 1995 was smaller but still substantial, suggesting that the BSE agent might have entered the Japanese feed chain in any of these years.

  3. Population Density, Poor Sanitation, and Enteric Infections in Nueva Santa Rosa, Guatemala

    PubMed Central

    Jarquin, Claudia; Arnold, Benjamin F.; Muñoz, Fredy; Lopez, Beatriz; Cuéllar, Victoria M.; Thornton, Andrew; Patel, Jaymin; Reyes, Lisette; Roy, Sharon L.; Bryan, Joe P.; McCracken, John P.; Colford, John M.

    2016-01-01

    Poor sanitation could pose greater risk for enteric pathogen transmission at higher human population densities because of greater potential for pathogens to infect new hosts through environmentally mediated and person-to-person transmission. We hypothesized that incidence and prevalence of diarrhea, enteric protozoans, and soil-transmitted helminth infections would be higher in high-population-density areas compared with low-population-density areas, and that poor sanitation would pose greater risk for these enteric infections at high density compared with low density. We tested our hypotheses using 6 years of clinic-based diarrhea surveillance (2007–2013) including 4,360 geolocated diarrhea cases tested for 13 pathogens and a 2010 cross-sectional survey that measured environmental exposures from 204 households (920 people) and tested 701 stool specimens for enteric parasites. We found that population density was not a key determinant of enteric infection nor a strong effect modifier of risk posed by poor household sanitation in this setting. PMID:26856919

  4. Medium-chain triglyceride-rich enteral nutrition is more effective than low-fat enteral nutrition in rat colitis, but is equal in enteritis.

    PubMed

    Tsujikawa, T; Ohta, N; Nakamura, T; Yasuoka, T; Satoh, J; Fukunaga, T; Itohi, A; Uda, K; Ihara, T; Andoh, A; Sasaki, M; Fujiyama, Y; Bamba, T

    2001-10-01

    Although enteral nutrition (EN) therapy for Crohn's disease has been confirmed to be as effective as steroid therapy, the precise mechanism responsible for the effects of EN remains unclear, although some of the therapeutic effects of EN are believed to be due to a low dietary fat content. In order to elucidate the influence of fat in EN, it is important to investigate not only the quantity of fat, but also the source of the fat. We compared two enteral nutritional formulae: Elental (Ajinomoto) (elemental diet; ED), which contains only 1.5% fat, provided as long-chain triglycerides (LCT), versus Twinline (Snow Brand Milk Products) (TL), which contains a high percentage of fat (20.4%), provided mainly as medium-chain triglycerides (MCT). These formulae were tested on rat enteritis and rat colitis induced by trinitrobenzene sulfonic acid (TNBS). Both ED and TL reduced the manifestations of enteritis. TL had a stronger anti-inflammatory effect than ED for colitis. TL also had nutritional advantages as compared with ED, as shown by the total serum protein in the TL group being significantly higher than that in the ED group. The results indicate that intraluminal MCT is suitable as a fat energy source during intestinal inflammation in rats. We suggest that Twinline may be more useful to improve nutritional status and to reduce the mucosal inflammation in rat colitis, but that Twinline is equal in effect to Elental for rat enteritis.

  5. The enter-educate approach.

    PubMed

    Piotrow, P T; Coleman, P L

    1992-03-01

    This article describes how the Population Communication Services (PCS) has seized on the "enter-educate" approach, the blending of popular entertainment with social messages, to change reproductive health behavior. The enter-educate approach spreads its message through songs, soap operas, variety shows, and other types of popular entertainment mediums. Because they entertain, enter-educate projects can capture the attention of an audience -- such as young people -- who would otherwise scorn social messages. And the use of population mediums makes it possible to reach a variety of audiences. Funded by USAID, PCS began its first enter-educate project in response to the increasing number of teenage pregnancies in Latin America. PCS developed 2 songs and videos, which featured popular teenage singers to serve as role models, to urge abstinence. The songs became instant hits. Since then, PCS has mounted more then 80 major projects in some 40 countries. Highlights of programs range from a successful multi-media family planning campaign in Turkey to humorous television ads in Brazil promoting vasectomy. Recently, PCS initiated projects to teach AIDS awareness. At the core of the enter-educate approach is the social learning theory which holds that much behavior is learned through the observation of role-models. Health professionals work alongside entertainers to produce works that have audience appeal and factual social messages. The enter-educate approach works because it is popular, pervasive, personal, persuasive, and profitable. PCS has found that enter-educate programs pay for themselves through cost sharing and cost recovery.

  6. Serotonergic neurotransmission in the gut.

    PubMed

    Gershon, M D

    1982-01-01

    Serotonin (5-hydroxytryptamine; 5-HT) was first suggested to be a neurotransmitter in the enteric nervous system (ENS) by Gershon, Drakontides, and Ross in 1965 (38); however, it has not been until recently that 5-HT has finally satisfied all of the criteria necessary for proof of its transmitter role. 5-HT has not been shown by biochemical, histochemical, and immunocytochemical techniques to be present in enteric neurons. The amine has also been demonstrated to be released from stimulated enteric neurons by a Ca+2-dependent mechanism. The enteric neurons that contain 5-HT synthesize the amine from the dietary amino acid L-tryptophan. A specific, high-affinity uptake mechanism for 5-HT is another feature of enteric serotonergic neurons and probably serves as an inactivating mechanism for the amine. Physiologically, evidence derived by Wood and Mayer (103) from studies with intracellular microelectrodes indicates that 5-HT mimics the action of the transmitter responsible for eliciting slow epsps in one of the types of enteric neuron (the AH cell). In addition, Julé has determined that enteric serotonergic neurons are involved in the descending suppression of vagal excitation of the gut that accompanies peristalsis (67). Since the neurons that contain 5-HT survive for extended periods of time in organotypic tissue culture, it is clear that they are intrinsic to the gut itself. It may now be assumed, therefore, that there are enteric serotonergic neurons. Questions now arise as to their role in gastrointestinal function and the cellular biology of this neuronal class.

  7. Enteral nutrition in inflammatory bowel disease.

    PubMed Central

    Gassull, M A; Abad, A; Cabré, E; González-Huix, F; Giné, J J; Dolz, C

    1986-01-01

    To assess the effect of the addition of enteral tube feeding with polymeric diets to the standard treatment of acute attacks of inflammatory bowel disease a total of 43 patients admitted to hospital (23 with Crohn's disease and 20 with ulcerative colitis) were studied retrospectively. Total enteral nutrition was given to 26 as the sole nutritional supply and to 17 in conjunction with a normal ward diet, when appropriate, according to the severity of attack (control group). Nutritional state was assessed and classified in all patients at admission and at the end of the study, by measuring the triceps skinfold thickness, mid arm muscle circumference, and serum albumin concentration as representative of body fat, muscle protein, and visceral protein, respectively. At admission the three nutritional variables were not statistically different between the groups. There was a significantly positive effect on mid arm muscle circumference in patients on total enteral nutrition compared with the control group, but there was no effect on either triceps skinfold thickness or serum albumin concentration. The percentage of subjects requiring intravenous albumin infusion, however, was significantly less in the group fed enterally than in the control group. In addition, fewer patients in the group fed enterally required surgical treatment compared with the control group, despite the fact that one of the criteria for starting enteral nutritional support was the expectancy that surgery would be needed. Total enteral nutrition was well tolerated and no major side effects arose during its use in patients with acute exacerbations of inflammatory bowel disease. PMID:3098646

  8. Treatment of Experimentally Induced Caval Thrombosis With Oral Low Molecular Weight Heparin and Delivery Agent in a Porcine Model of Deep Venous Thrombosis

    PubMed Central

    Salartash, Khashayar; Lepore, Michael; Gonze, Mark D.; Leone-Bay, Andrea; Baughman, Robert; Charles Sternbergh, W.; Bowen, John C.; Money, Samuel R.

    2000-01-01

    Objective This experiment evaluated enterally administered low molecular weight heparin (LMWH) combined with sodium N-[10-(2-hydroxybenzoyl)amino] decanoate (SNAD) for the treatment of induced venous thrombosis. Summary Background Data SNAD is a delivery agent that potentiates the gastrointestinal absorption of LMWH. Methods Forty female pigs were equally assigned to four groups: control (saline); enteral LMWH, 2,000 IU/kg; enteral SNAD, 50 mg/kg; and enteral LMWH, 2,000 IU/kg and SNAD, 50 mg/kg. Under fluoroscopic guidance, the infrarenal vena cava was occluded with a balloon catheter. Two milliliters of ethanol was injected into the distal vena cava. The inflated balloon catheter remained in situ for 5 days, at which time animals angiographically exhibiting thrombus were randomly assigned to the four groups. Study medications were dosed at 12-hour intervals by means of a gastrostomy tube placed previously. After 7 days of treatment, thrombus was extracted. A separate group of 10 animals was used to measure plasma antifactor Xa levels for 6 hours after enteral dosing of LMWH/SNAD. Results The amount of residual thrombus after treatment with enteral LMWH/SNAD was significantly decreased. Antifactor Xa levels were significantly elevated in the LMWH/SNAD group versus baseline. Conclusion The combination of enterally administered LMWH and SNAD given for 7 days appeared to decrease caval thrombosis in this model of deep vein thrombosis. Enteral LMWH/SNAD effected an increase in plasma levels of antifactor Xa. PMID:10816621

  9. Architecture of enteric neural circuits involved in intestinal motility.

    PubMed

    Costa, M; Brookes, S H

    2008-08-01

    This short review describes the conceptual development in the search for the enteric neural circuits with the initial identifications of the classes of enteric neurons on the bases of their morphology, neurochemistry, biophysical properties, projections and connectivity. The discovery of the presence of multiple neurochemicals in the same nerve cells in specific combinations led to the concept of "chemical coding" and of "plurichemical transmission". The proposal that enteric reflexes are largely responsible for the propulsion of contents led to investigations of polarised reflex pathways and how these may be activated to generate the coordinated propulsive behaviour of the intestine. The research over the past decades attempted to integrate information of chemical neuroanatomy with functional studies, with the development of methods combining anatomical, functional and pharmacological techniques. This multidisciplinary strategy led to a full accounting of all functional classes of enteric neurons in the guinea-pig, and advanced wiring diagrams of the enteric neural circuits have been proposed. In parallel, investigations of the actual behaviour of the intestine during physiological motor activity have advanced with the development of spatio-temporal analysis from video recordings. The relation between neural pathways, their activities and the generation of patterns of motor activity remain largely unexplained. The enteric neural circuits appear not set in rigid programs but respond to different physico-chemical contents in an adaptable way (neuromechanical hypothesis). The generation of the complex repertoire of motor patterns results from the interplay of myogenic and neuromechanical mechanisms with spontaneous generation of migratory motor activity by enteric circuits.

  10. Motivations to nurse: an exploration of what motivates students in Pacific Island countries to enter nursing.

    PubMed

    Usher, Kim; West, Caryn; Macmanus, Mary; Waqa, Silina; Stewart, Lee; Henry, Renee; Lindsay, David; Conaglen, Jo; Hall, Julianne; McAuliffe, Marie; Redman-MacLaren, Michelle

    2013-10-01

    The aim of this study was to explore the motivations of student nurses enrolled in nursing courses across a variety of Pacific Island countries. The image of nursing, the desire to help others, family and friends in the profession, personal experience, security, travel opportunities and flexibility have all been identified as motivators for people to enter nursing. To date, what motivates students in Pacific Island countries to enrol in a nursing course has not been investigated. An exploratory qualitative approach using focus group interviews with 152 nursing students was undertaken. Data were analysed using thematic content analysis, revealing four themes: (i) helping others; (ii) 'making a difference for my people'; (iii) following in the footsteps of others; and (iv) financial and professional gain. In a time of health and nursing workforce shortages, developing a deeper understanding of what drives people can be used to improve recruitment strategies in the future. © 2013 Wiley Publishing Asia Pty Ltd.

  11. Chemicals identified in human biological media: a data base. Third annual report, October 1981

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

    Cone, M.V.; Baldauf, M.F.; Martin, F.M.

    Data from almost 1600 of the 3800 body-burden documents collected to date have been entered in the data base as of October 1981. The emphasis on including recent literature and significant research documents has resulted in a chronological mix of articles from 1974 to the present. When body-burden articles are identified, data are extracted and entered in the data base by chemical and tissue/body fluid. Each data entry comprises a single record (or line entry) and is assigned a record number. If a particular document deals with more than one chemical and/or tissue, there will be multiple records for thatmore » document. For example, a study of 5 chemicals in each of 3 tissues has 15 different records (or 15 line entries) in the data base with 15 record numbers. Record numbers are assigned consecutively throughout the entire data base and appear in the upper left corner of the first column for each record.« less

  12. Detection of multiple enteric virus strains within a foodborne outbreak of gastroenteritis: an indication of the source of contamination.

    PubMed Central

    Gallimore, C. I.; Pipkin, C.; Shrimpton, H.; Green, A. D.; Pickford, Y.; McCartney, C.; Sutherland, G.; Brown, D. W. G.; Gray, J. J.

    2005-01-01

    An outbreak of acute gastroenteritis of suspected viral aetiology occurred in April 2003 in the British Royal Fleet Auxiliary ship (RFA) Argus deployed in the Northern Arabian Gulf. There were 37 cases amongst a crew of 400 personnel. Of 13 samples examined from cases amongst the crew, six enteric viruses were detected by reverse transcriptase polymerase chain reaction (RT-PCR). Five different viruses were identified including, three norovirus genotypes, a sapovirus and a rotavirus. No multiple infections were detected. A common food source was implicated in the outbreak and epidemiological analysis showed a statistically significant association with salad as the source of the outbreak, with a relative risk of 3.41 (95% confidence interval of 1.7-6.81) of eating salad on a particular date prior to the onset of symptoms. Faecal contamination of the salad at source was the most probable explanation for the diversity of viruses detected and characterized. PMID:15724709

  13. Phytochemistry and Anticancer Potential of Notoginseng.

    PubMed

    Wang, Chong-Zhi; Anderson, Samantha; Yuan, Chun-Su

    2016-01-01

    Asian ginseng, American ginseng, and notoginseng are three major species in the ginseng family. Notoginseng is a Chinese herbal medicine with a long history of use in many Oriental countries. This botanical has a distinct ginsenoside profile compared to other ginseng herbs. As a saponin-rich plant, notoginseng could be a good candidate for cancer chemoprevention. However, to date, only relatively limited anticancer studies have been conducted on notoginseng. In this paper, after reviewing its anticancer data, phytochemical isolation and analysis of notoginseng is presented in comparison with Asian ginseng and American ginseng. Over 80 dammarane saponins have been isolated and elucidated from different plant parts of notoginseng, most of them belonging to protopanaxadiol or protopanaxatriol groups. The role of the enteric microbiome in mediating notoginseng metabolism, bioavailability, and pharmacological actions are discussed. Emphasis has been placed on the identification and isolation of enteric microbiome-generated notoginseng metabolites. Future investigations should provide key insights into notoginseng's bioactive metabolites as clinically valuable anticancer compounds.

  14. Commercial Passenger Vehicles: Safety Inspection of Commercial Buses and Vans Entering into the United States from Mexico

    DOT National Transportation Integrated Search

    1997-08-08

    In response to concerns about whether commercial passenger vehicles entering the United States from Mexico are meeting U.S. safety standards, this report describes (1) the number and types of commercial passenger vehicles entering U.S. border states ...

  15. 78 FR 14585 - Agency Information Collection Activities: Application for Advance Permission to Enter as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-06

    ... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [OMB Control Number 1615-0017] Agency Information Collection Activities: Application for Advance Permission to Enter as... Collection. (2) Title of the Form/Collection: Application for Advance Permission to Enter as Nonimmigrant...

  16. 78 FR 10523 - Special Local Regulation; Southern California Annual Marine Events for the San Diego Captain of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-14

    ... official supporting vessel. DATES: The regulations in 33 CFR 100.1101 will be enforced from 6:40 a.m. to 9....1101 (Item 2 on Table 1) from 6:40 a.m. through 9:30 a.m. on March 30, 2013. Under provisions of 33 CFR 100.1101, a vessel may not enter the regulated area, unless it receives permission from the COTP...

  17. United States Air Force F-35A Operational Basing Environmental Impact Statement. Appendix E: Comments

    DTIC Science & Technology

    2013-09-01

    such as final, technical, interim, memorandum, master’s thesis, progress, quarterly, research , special, group study, etc. 3. DATES COVERED...appear in the report, e.g. 001; AFAPL30480105. 6. AUTHOR(S). Enter name(s) of person(s) responsible for writing the report, performing the research ...negatively impacted by the noise] SAFTY ALL NEW military aircraft designs suffer crashes during their initial development peri~ Bringing the F-35

  18. Molecular Probes in Marine Ecology: Concepts, Techniques and Applications.

    DTIC Science & Technology

    1991-08-16

    AD-A240 938 FINAL TECNCAL REPORT Title: Molecular Probes In Marine Ecology: Concepts, Techniques and Applications Office of Naval Research Program ...Contact: Leslie D. Garrick, Office of Sponsored Programs (508) 548-3705, ext. 218 Date: August 16, 1991 91-11818 DISCLAIMER NOTICE THIS DOCUMENT IS BEST...disguise, embi-aces the many questions and seeks workable solutions. The 1990 MBL marine ecology course, entered into its second year of a program in

  19. CFD-Based Design of Turbopump Inlet Duct for Reduced Dynamic Loads

    NASA Technical Reports Server (NTRS)

    Rothermel, Jeffry; Dorney, Suzanne M.; Dorney, Daniel J.

    2003-01-01

    Numerical simulations have been completed for a variety of designs for a 90 deg elbow duct. The objective is to identify a design that minimizes the dynamic load entering a LOX turbopump located at the elbow exit. Designs simulated to date indicate that simpler duct geometries result in lower losses. Benchmark simulations have verified that the compressible flow codes used in this study are applicable to these incompressible flow simulations.

  20. CFD-based Design of LOX Pump Inlet Duct for Reduced Dynamic Loads

    NASA Technical Reports Server (NTRS)

    Rothermel, Jeffry; Dorney, Daniel J.; Dorney, Suzanne M.

    2003-01-01

    Numerical simulations have been completed for a variety of designs for a 90 deg elbow duct. The objective is to identify a design that minimizes the dynamic load entering a LOX turbopump located at the elbow exit. Designs simulated to date indicate that simpler duct geometries result in lower losses. Benchmark simulations have verified that the compressible flow code used in this study is applicable to these incompressible flow simulations.

  1. Installation Restoration Program. Phase 1, Records Search. Chanute AFB, Illinois

    DTIC Science & Technology

    1983-12-01

    Ogle County in northern Illinois to Wabash County in the southeast part of the state. It occurs approximately two miles west of Chanute Air Force Base...AFB) Station I Oil & Ammonia Cadmium Chromium Copper Iron Lead Mercury Nickel Silver Date COD Grease (*) Phosphorus (50)* (1000)* (20)* (1000) • (100...MONITORING DATA SALT FORK CREEK BEFORE TRIBUTARY CONFLUENCE (Before Entering Chanute APB) Station 2 Oil & Ammonia Cadmium Chromium Copper Iron Lead Mercury

  2. Knowledge-Based Image Analysis.

    DTIC Science & Technology

    1981-04-01

    UNCLASSIF1 ED ETL-025s N IIp ETL-0258 AL Ai01319 S"Knowledge-based image analysis u George C. Stockman Barbara A. Lambird I David Lavine Laveen N. Kanal...extraction, verification, region classification, pattern recognition, image analysis . 3 20. A. CT (Continue on rever.. d. It necessary and Identify by...UNCLgSTFTF n In f SECURITY CLASSIFICATION OF THIS PAGE (When Date Entered) .L1 - I Table of Contents Knowledge Based Image Analysis I Preface

  3. NPS-SCAT CONOPS and Radiation Environment

    DTIC Science & Technology

    2012-06-01

    flexibility, as well as allows players in the space market who would otherwise not be able to enter due to budgetary limitations. Important to NPS is...commercial market . Although the time frame for completing NPS-SCAT has not been as short as possible due to the nature of the learning environment on its...Program ( STP ) seeks flight opportunities for approved experiments. The current NPS- SCAT launch date offers ample time to finish and test the

  4. Thermodynamics of High Temperature Materials.

    DTIC Science & Technology

    1983-09-01

    Standards 2306/A2 siI1/ 1 C’enter for Chemical Physics 2306/Ki Gaithersburg, MD 20899 _____________ It CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT...DATE AFSRNE13. NUMIBER OF PAGES Bolling, AFB DC 20332 7 114 MONITORING AGENCY NAME A ADORESS(fI different from Controlling Office) IS. SECURITY CLASS...R. Righini, A. Cibrarlo and A. Rosso, Rapporto Interno 5/173, Instituto di Metrologia "G. Colonnetti", (1979). [2] A. Cezairliyan, Proceedings of the

  5. Retention of Enteric Viruses by the Hemocytes of the Eastern Oyster (Crassostrea virginica)

    USDA-ARS?s Scientific Manuscript database

    Shellfish are an important vector for transmission of enteric pathogens. Interventions, such as depuration, do not adequately clear enteric viruses, while fecal bacteria levels are significantly reduced. Why viruses are retained in the bivalve flesh is not well understood. We hypothesize that phagoc...

  6. 15 CFR 301.8 - Instructions for entering instruments through Customs and Border Protection under subheading 9810...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS INSTRUMENTS AND APPARATUS FOR EDUCATIONAL AND SCIENTIFIC INSTITUTIONS § 301.8 Instructions for entering instruments through Customs and Border Protection... 15 Commerce and Foreign Trade 2 2014-01-01 2014-01-01 false Instructions for entering instruments...

  7. 15 CFR 301.8 - Instructions for entering instruments through Customs and Border Protection under subheading 9810...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS INSTRUMENTS AND APPARATUS FOR EDUCATIONAL AND SCIENTIFIC INSTITUTIONS § 301.8 Instructions for entering instruments through Customs and Border Protection... 15 Commerce and Foreign Trade 2 2013-01-01 2013-01-01 false Instructions for entering instruments...

  8. 15 CFR 301.8 - Instructions for entering instruments through Customs and Border Protection under subheading 9810...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS INSTRUMENTS AND APPARATUS FOR EDUCATIONAL AND SCIENTIFIC INSTITUTIONS § 301.8 Instructions for entering instruments through Customs and Border Protection... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Instructions for entering instruments...

  9. 15 CFR 301.8 - Instructions for entering instruments through Customs and Border Protection under subheading 9810...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS INSTRUMENTS AND APPARATUS FOR EDUCATIONAL AND SCIENTIFIC INSTITUTIONS § 301.8 Instructions for entering instruments through Customs and Border Protection... 15 Commerce and Foreign Trade 2 2011-01-01 2011-01-01 false Instructions for entering instruments...

  10. 15 CFR 301.8 - Instructions for entering instruments through Customs and Border Protection under subheading 9810...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE MISCELLANEOUS REGULATIONS INSTRUMENTS AND APPARATUS FOR EDUCATIONAL AND SCIENTIFIC INSTITUTIONS § 301.8 Instructions for entering instruments through Customs and Border Protection... 15 Commerce and Foreign Trade 2 2012-01-01 2012-01-01 false Instructions for entering instruments...

  11. Calcium Montmorillonite-based dietary supplement attenuates Necrotic Enteritis induced by Eimeria maxima and Clostridium perfringens in broilers

    USDA-ARS?s Scientific Manuscript database

    We provide the first description of Dietary Supplement of sorbent minerals attenuates Necrotic Enteritis Induced by Eimeria maxima and Clostridium perfringens in Broilers. Necrotic enteritis (NE) is a poultry disease caused by Clostridium perfringens and characterized by severe intestinal necrosis....

  12. Four phage endolysins that are lytic for clostridium perfringens

    USDA-ARS?s Scientific Manuscript database

    Clostridium perfringens is a bacterial pathogen and the cause of necrotic enteritis in poultry, and a source of food poisoning and gas gangrene in people. C. perfringens can also cause mild to severe enteritis in pigs. In the EU, the occurrence of C. perfringens-associated necrotic enteritis in pou...

  13. 27 CFR 646.153 - Authority of appropriate ATF officers to enter business premises.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... REGULATIONS RELATING TO ALCOHOL AND TOBACCO CONTRABAND CIGARETTES Other Provisions Relating to the Distribution of Cigarettes § 646.153 Authority of appropriate ATF officers to enter business premises. Any appropriate ATF officer may enter the business premises of any distributor of cigarettes to inspect the...

  14. 27 CFR 646.153 - Authority of appropriate ATF officers to enter business premises.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... REGULATIONS RELATING TO ALCOHOL AND TOBACCO CONTRABAND CIGARETTES Other Provisions Relating to the Distribution of Cigarettes § 646.153 Authority of appropriate ATF officers to enter business premises. Any appropriate ATF officer may enter the business premises of any distributor of cigarettes to inspect the...

  15. 27 CFR 646.153 - Authority of appropriate ATF officers to enter business premises.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... REGULATIONS RELATING TO ALCOHOL AND TOBACCO CONTRABAND CIGARETTES Other Provisions Relating to the Distribution of Cigarettes § 646.153 Authority of appropriate ATF officers to enter business premises. Any appropriate ATF officer may enter the business premises of any distributor of cigarettes to inspect the...

  16. 27 CFR 646.153 - Authority of appropriate ATF officers to enter business premises.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... REGULATIONS RELATING TO ALCOHOL AND TOBACCO CONTRABAND CIGARETTES Other Provisions Relating to the Distribution of Cigarettes § 646.153 Authority of appropriate ATF officers to enter business premises. Any appropriate ATF officer may enter the business premises of any distributor of cigarettes to inspect the...

  17. 9 CFR 355.21 - Products entering inspected plants.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 9 Animals and Animal Products 2 2014-01-01 2014-01-01 false Products entering inspected plants... Products entering inspected plants. All products of a kind certified under this part or materials to be used in the preparation of such products when brought into an inspected plant shall be identified and...

  18. 9 CFR 355.21 - Products entering inspected plants.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Products entering inspected plants... Products entering inspected plants. All products of a kind certified under this part or materials to be used in the preparation of such products when brought into an inspected plant shall be identified and...

  19. 9 CFR 355.21 - Products entering inspected plants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Products entering inspected plants... Products entering inspected plants. All products of a kind certified under this part or materials to be used in the preparation of such products when brought into an inspected plant shall be identified and...

  20. 9 CFR 355.21 - Products entering inspected plants.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 9 Animals and Animal Products 2 2013-01-01 2013-01-01 false Products entering inspected plants... Products entering inspected plants. All products of a kind certified under this part or materials to be used in the preparation of such products when brought into an inspected plant shall be identified and...

  1. 9 CFR 355.21 - Products entering inspected plants.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 9 Animals and Animal Products 2 2012-01-01 2012-01-01 false Products entering inspected plants... Products entering inspected plants. All products of a kind certified under this part or materials to be used in the preparation of such products when brought into an inspected plant shall be identified and...

  2. 25 CFR 11.604 - Declaration of invalidity.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... enter a decree declaring the invalidity of a marriage entered into under the following circumstances: (1) A party lacked capacity to consent to the marriage, either because of mental incapacity or infirmity... to enter into a marriage by fraud or duress; or (3) A party lacks the physical capacity to consummate...

  3. Consolidated Afloat Networks and Enterprise Services (CANES). Manpower, Personnel, and Training Implications

    DTIC Science & Technology

    2009-01-01

    certification and proceed to a unit. They are represented in the stock “Later pass to 4YOS ,” and the rest of their career follows the same path as ITs who...In the Status Quo and the Base Case, all ITs enter on a four-years-of-service ( 4YOS ) contract. In Case 1, which reflects current plans for ITs, the...IT community is split between those entering with 4YOS and those entering with 6YOS contracts. Thirty-five percent of the community enters with a

  4. Effect of Calcium Ions on the Disintegration of Enteric-Coated Solid Dosage Forms.

    PubMed

    Al-Gousous, Jozef; Langguth, Peter

    2016-02-01

    To investigate the effect of calcium ions on the disintegration of enteric-coated dosage forms, disintegration testing was performed on enteric-coated aspirin tablets in the presence and absence of calcium in the test media. The results show that the presence of calcium ions retards the disintegration of enteric-coated dosage forms. This finding, which has not been reported in scientific literature, sheds light on the importance of conducting well-designed detailed investigations into the potential of calcium from dietary sources, calcium supplements, antacids, and/or phosphate binders affecting the absorption of drugs formulated into enteric-coated dosage forms. Moreover, it shows the necessity to investigate the potential of the occurrence of additional nutrient-excipient interactions. Copyright © 2016 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

  5. The Preparation of Capsaicin-Chitosan Microspheres (CCMS) Enteric Coated Tablets

    PubMed Central

    Chen, Jian; Huang, Gui-Dong; Tan, Si-Rong; Guo, Jiao; Su, Zheng-Quan

    2013-01-01

    This study aimed to research the preparation and content determination of capsaicin-chitosan microspheres (CCMS) enteric coated tablets. The core tablets were prepared with the method of wet granulation. Nine formulae were designed to determine the optimal formula of the core tablet. Eudragit L100 was used to prepare the CCMS enteric-coated tablets. The effect of enteric coated formulation variables such as content of talc (10%, 25% and 40%), plasticisers (TEC and DBS), dosage of plasticiser (10%, 20% and 30%) and coating weight (2%, 3% and 5%) were evaluated for drug release characteristics. The in vitro release was studied using 0.1 N HCl and pH 6.8 phosphate buffer. Enteric coated tablets without ruptures or swelling behaviour over 2 h in 0.1 N HCl indicated that these tablets showed acid resistance. The accumulated release rate in phosphate buffer (pH 6.8) revealed that the prepared tablets were able to sustain drug release into the intestine and a first-order release was obtained for capsaicin. This research is the first report of the preparation and content determination of CCMS enteric coated tablets. The sustained release behavior of enteric coated formulations in pH 6.8 phosphate buffer demonstrated that it would be a potential drug delivery platform for sustained delivery of gastric irritant drugs. PMID:24351818

  6. Mining free-text medical records for companion animal enteric syndrome surveillance.

    PubMed

    Anholt, R M; Berezowski, J; Jamal, I; Ribble, C; Stephen, C

    2014-03-01

    Large amounts of animal health care data are present in veterinary electronic medical records (EMR) and they present an opportunity for companion animal disease surveillance. Veterinary patient records are largely in free-text without clinical coding or fixed vocabulary. Text-mining, a computer and information technology application, is needed to identify cases of interest and to add structure to the otherwise unstructured data. In this study EMR's were extracted from veterinary management programs of 12 participating veterinary practices and stored in a data warehouse. Using commercially available text-mining software (WordStat™), we developed a categorization dictionary that could be used to automatically classify and extract enteric syndrome cases from the warehoused electronic medical records. The diagnostic accuracy of the text-miner for retrieving cases of enteric syndrome was measured against human reviewers who independently categorized a random sample of 2500 cases as enteric syndrome positive or negative. Compared to the reviewers, the text-miner retrieved cases with enteric signs with a sensitivity of 87.6% (95%CI, 80.4-92.9%) and a specificity of 99.3% (95%CI, 98.9-99.6%). Automatic and accurate detection of enteric syndrome cases provides an opportunity for community surveillance of enteric pathogens in companion animals. Copyright © 2014 Elsevier B.V. All rights reserved.

  7. Microbiological quality and safe handling of enteral diets in a hospital in Minas Gerais, Brazil

    PubMed Central

    Pinto, Raquel Oliveira Medrado; Correia, Eliznara Fernades; Pereira, Keyla Carvalho; Costa, Paulo de Souza; da Silva, Daniele Ferreira

    2015-01-01

    Contamination of enteral diets represents a high risk of compromising the patient's medical condition. To assess the microbiological quality and aseptic conditions in the preparation and administration of handmade and industrialized enteral diets offered in a hospital in the Valley of Jequitinhonha, MG, Brazil, we performed a microbiological analysis of 50 samples of diets and 27 samples of surfaces, utensils, and water used in the preparation of the diets. In addition, we assessed the good handling practices of enteral diets according to the requirements specified by the Brazilian legislation. Both kinds of enteral diets showed contamination by coliforms and Pseudomonas spp. No sample was positive for Staphylococcus aureus and Salmonella spp. On the other hand, Listeria spp. was detected in only one sample of handmade diets. Contamination was significantly higher in the handmade preparations (p < 0.05). Nonconformities were detected with respect to good handling practices, which may compromise the diet safety. The results indicate that the sanitary quality of the enteral diets is unsatisfactory, especially handmade diets. Contamination by Pseudomonas spp. is significant because it is often involved in infection episodes. With regard to aseptic practices, it was observed the need of implementing new procedures for handling enteral diets. PMID:26273278

  8. Homeostasis alteration within small intestinal mucosa after acute enteral refeeding in total parenteral nutrition mouse model

    PubMed Central

    Feng, Yongjia; Barrett, Meredith; Hou, Yue; Yoon, Hong Keun; Ochi, Takanori

    2015-01-01

    Feeding strategies to care for patients who transition from enteral nutrient deprivation while on total parenteral nutrition (TPN) to enteral feedings generally proceed to full enteral nutrition once the gastrointestinal tract recovers; however, an increasing body of literature suggests that a subgroup of patients may actually develop an increased incidence of adverse events, including death. To examine this further, we studied the effects of acute refeeding in a mouse model of TPN. Interestingly, refeeding led to some beneficial effects, including prevention in the decline in intestinal epithelial cell (IEC) proliferation. However, refeeding led to a significant increase in mucosal expression of proinflammatory cytokines, including tumor necrosis factor-α (TNF-α), as well as an upregulation in Toll-like receptor 4 (TLR-4). Refeeding also failed to prevent TPN-associated increases in IEC apoptosis, loss of epithelial barrier function, and failure of the leucine-rich repeat-containing G protein-coupled receptor 5-positive stem cell expression. Transitioning from TPN to enteral feedings led to a partial restoration of the small bowel microbial population. In conclusion, while acute refeeding led to some restoration of normal gastrointestinal physiology, enteral refeeding led to a significant increase in mucosal inflammatory markers and may suggest alternative strategies to enteral refeeding should be considered. PMID:26635320

  9. Alternative method for enteric coating of HPMC capsules resulting in ready-to-use enteric-coated capsules.

    PubMed

    Huyghebaert, Nathalie; Vermeire, An; Remon, Jean Paul

    2004-04-01

    The aim of this study was to develop an alternative method for enteric coating of HPMC capsules that avoids the sealing step before coating, resulting in ready-to-use enteric-coated capsules for the use in retail or hospital pharmacy or R&D sections of pharmaceutical industry and for the production of enteric-coated heat and moisture sensitive biomaterials. HPMC caps and bodies 00 (Vcaps, Capsugel) were coated separately in a fluid bed apparatus prior to filling (GPCG-1, Glatt) with Eudragit L30D-55 or Eudragit FS 30 D (Röhm), Aqoat AS-HF (Shin-Etsu) and Sureteric (Colorcon), using an optimised coating process. The coated bodies were filled and closed with the coated caps without encountering problems of coating damage. The release in 0.1N HCl after 2h from capsules coated with Eudragit L30D-55, Eudragit FS 30 D, Aqoat AS-HF and Sureteric was 0.6+/-.03, 0.6+/-0.3, 1.2+/-0.2 and 7.3+/-1.9%, respectively. The alternative method was reproducible and offered a way to overcome the time-consuming and expensive sealing step required using the conventional coating procedure. The obtained enteric-coated HPMC capsules can be stored (un)-filled for at least 6 months without loosing enteric properties.

  10. Diet and Environment Shape Fecal Bacterial Microbiota Composition and Enteric Pathogen Load of Grizzly Bears

    PubMed Central

    Schwab, Clarissa; Cristescu, Bogdan; Northrup, Joseph M.; Stenhouse, Gordon B.; Gänzle, Michael

    2011-01-01

    Background Diet and environment impact the composition of mammalian intestinal microbiota; dietary or health disturbances trigger alterations in intestinal microbiota composition and render the host susceptible to enteric pathogens. To date no long term monitoring data exist on the fecal microbiota and pathogen load of carnivores either in natural environments or in captivity. This study investigates fecal microbiota composition and the presence of pathogenic Escherichia coli and toxigenic clostridia in wild and captive grizzly bears (Ursus arctos) and relates these to food resources consumed by bears. Methodology/Principal Findings Feces were obtained from animals of two wild populations and from two captive animals during an active bear season. Wild animals consumed a diverse diet composed of plant material, animal prey and insects. Captive animals were fed a regular granulated diet with a supplement of fruits and vegetables. Bacterial populations were analyzed using quantitative PCR. Fecal microbiota composition fluctuated in wild and in captive animals. The abundance of Clostridium clusters I and XI, and of C. perfringens correlated to regular diet protein intake. Enteroaggregative E. coli were consistently present in all populations. The C. sordellii phospholipase C was identified in three samples of wild animals and for the first time in Ursids. Conclusion This is the first longitudinal study monitoring the fecal microbiota of wild carnivores and comparing it to that of captive individuals of the same species. Location and diet affected fecal bacterial populations as well as the presence of enteric pathogens. PMID:22194798

  11. Diet and environment shape fecal bacterial microbiota composition and enteric pathogen load of grizzly bears.

    PubMed

    Schwab, Clarissa; Cristescu, Bogdan; Northrup, Joseph M; Stenhouse, Gordon B; Gänzle, Michael

    2011-01-01

    Diet and environment impact the composition of mammalian intestinal microbiota; dietary or health disturbances trigger alterations in intestinal microbiota composition and render the host susceptible to enteric pathogens. To date no long term monitoring data exist on the fecal microbiota and pathogen load of carnivores either in natural environments or in captivity. This study investigates fecal microbiota composition and the presence of pathogenic Escherichia coli and toxigenic clostridia in wild and captive grizzly bears (Ursus arctos) and relates these to food resources consumed by bears. Feces were obtained from animals of two wild populations and from two captive animals during an active bear season. Wild animals consumed a diverse diet composed of plant material, animal prey and insects. Captive animals were fed a regular granulated diet with a supplement of fruits and vegetables. Bacterial populations were analyzed using quantitative PCR. Fecal microbiota composition fluctuated in wild and in captive animals. The abundance of Clostridium clusters I and XI, and of C. perfringens correlated to regular diet protein intake. Enteroaggregative E. coli were consistently present in all populations. The C. sordellii phospholipase C was identified in three samples of wild animals and for the first time in Ursids. This is the first longitudinal study monitoring the fecal microbiota of wild carnivores and comparing it to that of captive individuals of the same species. Location and diet affected fecal bacterial populations as well as the presence of enteric pathogens.

  12. Human Immunodeficiency Virus Immune Cell Receptors, Coreceptors, and Cofactors: Implications for Prevention and Treatment.

    PubMed

    Woodham, Andrew W; Skeate, Joseph G; Sanna, Adriana M; Taylor, Julia R; Da Silva, Diane M; Cannon, Paula M; Kast, W Martin

    2016-07-01

    In the last three decades, extensive research on human immunodeficiency virus (HIV) has highlighted its capability to exploit a variety of strategies to enter and infect immune cells. Although CD4(+) T cells are well known as the major HIV target, with infection occurring through the canonical combination of the cluster of differentiation 4 (CD4) receptor and either the C-C chemokine receptor type 5 (CCR5) or C-X-C chemokine receptor type 4 (CXCR4) coreceptors, HIV has also been found to enter other important immune cell types such as macrophages, dendritic cells, Langerhans cells, B cells, and granulocytes. Interestingly, the expression of distinct cellular cofactors partially regulates the rate in which HIV infects each distinct cell type. Furthermore, HIV can benefit from the acquisition of new proteins incorporated into its envelope during budding events. While several publications have investigated details of how HIV manipulates particular cell types or subtypes, an up-to-date comprehensive review on HIV tropism for different immune cells is lacking. Therefore, this review is meant to focus on the different receptors, coreceptors, and cofactors that HIV exploits to enter particular immune cells. Additionally, prophylactic approaches that have targeted particular molecules associated with HIV entry and infection of different immune cells will be discussed. Unveiling the underlying cellular receptors and cofactors that lead to HIV preference for specific immune cell populations is crucial in identifying novel preventative/therapeutic targets for comprehensive strategies to eliminate viral infection.

  13. Human Immunodeficiency Virus Immune Cell Receptors, Coreceptors, and Cofactors: Implications for Prevention and Treatment

    PubMed Central

    Woodham, Andrew W.; Skeate, Joseph G.; Sanna, Adriana M.; Taylor, Julia R.; Da Silva, Diane M.; Cannon, Paula M.

    2016-01-01

    Abstract In the last three decades, extensive research on human immunodeficiency virus (HIV) has highlighted its capability to exploit a variety of strategies to enter and infect immune cells. Although CD4+ T cells are well known as the major HIV target, with infection occurring through the canonical combination of the cluster of differentiation 4 (CD4) receptor and either the C-C chemokine receptor type 5 (CCR5) or C-X-C chemokine receptor type 4 (CXCR4) coreceptors, HIV has also been found to enter other important immune cell types such as macrophages, dendritic cells, Langerhans cells, B cells, and granulocytes. Interestingly, the expression of distinct cellular cofactors partially regulates the rate in which HIV infects each distinct cell type. Furthermore, HIV can benefit from the acquisition of new proteins incorporated into its envelope during budding events. While several publications have investigated details of how HIV manipulates particular cell types or subtypes, an up-to-date comprehensive review on HIV tropism for different immune cells is lacking. Therefore, this review is meant to focus on the different receptors, coreceptors, and cofactors that HIV exploits to enter particular immune cells. Additionally, prophylactic approaches that have targeted particular molecules associated with HIV entry and infection of different immune cells will be discussed. Unveiling the underlying cellular receptors and cofactors that lead to HIV preference for specific immune cell populations is crucial in identifying novel preventative/therapeutic targets for comprehensive strategies to eliminate viral infection. PMID:27410493

  14. A Comparison of Attitudes Toward Opioid Agonist Treatment among Short-Term Buprenorphine Patients

    PubMed Central

    Kelly, Sharon M.; Brown, Barry S.; Katz, Elizabeth C.; O’Grady, Kevin E.; Mitchell, Shannon Gwin; King, Stuart; Schwartz, Robert P.

    2014-01-01

    Background Obtaining data on attitudes toward buprenorphine and methadone of opioid-dependent individuals in the United States may help fashion approaches to increase treatment entry and improve patient outcomes. Objectives This secondary analysis study compared attitudes toward methadone and buprenorphine of opioid-dependent adults entering short-term buprenorphine treatment (BT) with opioid-dependent adults who are either entering methadone maintenance treatment or not entering treatment. Methods The 417 participants included 132 individuals entering short-term BT, 191 individuals entering methadone maintenance, and 94 individuals not seeking treatment. Participants were administered an Attitudes toward Methadone scale and its companion Attitudes toward Buprenorphine scale. Demographic characteristics for the three groups were compared using χ2 tests of independence and one-way analysis of variance. A repeated-measures multivariate analysis of variance with planned contrasts was used to compare mean attitude scores among the groups. Results Participants entering BT had significantly more positive attitudes toward buprenorphine than toward methadone (p < .001) and more positive attitudes toward BT than methadone-treatment (MT) participants and out-of-treatment (OT) participants (p < .001). In addition, BT participants had less positive attitudes toward methadone than participants entering MT (p < .001). Conclusions Participants had a clear preference for a particular medication. Offering a choice of medications to OT individuals might enhance their likelihood of entering treatment. Treatment programs should offer a choice of medications when possible to new patients, and future comparative effectiveness research should incorporate patient preferences into clinical trials. Scientific Significance These data contribute to our understanding of why people seek or do not seek effective pharmacotherapy for opioid addiction. PMID:22242643

  15. Interaction between levodopa and enteral nutrition.

    PubMed

    Cooper, Mandelin K; Brock, David G; McDaniel, Cara M

    2008-03-01

    To report and discuss a drug-nutrient interaction involving levodopa and protein in enteral nutrition. A 77-year-old male with Parkinson's disease was admitted to an intensive care unit for an intracerebral hemorrhage. To provide nutritional support, an oral gastric tube was placed and continuous enteral nutrition was initiated, with 1.4 g/kg of protein administered daily. The following medications were continued during hospitalization: immediate-release carbidopa/levodopa 25 mg/100 mg, with 1.5 tablets administered 4 times daily; pramipexole 1.5 mg 3 times daily; and entacapone 200 mg 4 times daily. Despite this drug therapy, the patient developed severe rigidity. A review of the literature revealed a potential interaction between levodopa and protein intake. To resolve this interaction, the amount of protein in the enteral nutrition was decreased to 0.9 g/kg/day and the nutritional administration was changed from continuous enteral feeding to bolus feeding, with levodopa given between boluses. After these adjustments, the patient showed marked improvement of parkinsonian symptoms. The drug-nutrient interaction between protein and levodopa in outpatient settings has been reported widely in the literature; however, this interaction has not been previously reported with continuous enteral nutrition. Decreased parkinsonian symptom control, despite adherence to an established medication regimen, together with dramatic improvement observed after manipulation of enteral nutrition delivery and content, strongly suggest interference with levodopa absorption. Use of the Naranjo probability scale supports a probable interaction between the protein content in tube feeds and levodopa, resulting in decreased levodopa efficacy. Clinicians should be cognizant of the potential drug-nutrient interaction between levodopa and enteral nutrition.

  16. Porcine circovirus type 2 (PCV2) enteric disease: an independent condition or part of the systemic disease?

    PubMed

    Baró, J; Segalés, J; Martínez, J

    2015-03-23

    Intestinal disorders in growing and finishing pigs have been associated with several infectious agents, including Porcine circovirus type 2 (PCV2). This virus has been mainly related with PCV2-systemic disease (PCV2-SD); nevertheless, some authors have suggested a possible restricted intestinal infection of this virus associated with enteric clinical signs. This condition has been referred as PCV2-enteric disease (PCV2-ED). The present study analysed retrospectively, from a pathological point of view, the relation between intestinal disorders and PCV2 infection in nursery and growing-finishing pigs. Among the 96 selected pigs suffering from enteric disease and submitted for necropsy between 1998 and 2011, the most prevalent enteric lesions were catarrhal enteritis/colitis (77.1%), followed by fibrinous lesions (11.5%), granulomatous inflammation (4.2%) and other lesions such as haemorrhages or ulceration (4.2%). Seventy-two pigs (75%) were positive for PCV2 by in situ hybridization (ISH). Among positive pigs for PCV2 ISH, 39 animals suffered from PCV2-SD and 33 had no lymphoid lesions but low amount of viral nucleic acid in several lymphoid tissues, therefore, these animals did not qualify for PCVD-ED. In conclusion, all animals with enteric disorders that were positive to PCV2 by ISH had evidence of viral systemic infection. These results suggest that PCV2-ED is probably a negligible condition and PCV2 mainly contributes to enteric clinical disorders in relation to PCV2-SD occurrence. Copyright © 2015 Elsevier B.V. All rights reserved.

  17. Employee and work-related predictors for entering rehabilitation: a cohort study of civil servants.

    PubMed

    Lamminpää, Anne; Kuoppala, Jaana; Väänänen-Tomppo, Irma; Hinkka, Katariina

    2012-07-01

    The aim of this study was to determine how employee well-being, psychosocial factors at work, leadership and perceived occupational health services predict entering rehabilitation as modelled in the Job Well-being Pyramid. A random population of 967 civil servants participated in a survey on psychosocial factors and health at work in 2000 in Finland. A total of 147 employees entered rehabilitation during the median follow-up time of 7 years. Permanent employment, large organizations, feedback from supervisors, client violence and physically monotonous work were associated with an increased rate of entering rehabilitation, whereas physical jobs, clear aims, high appreciation, job satisfaction and job enjoyment were associated with a decreased rate of entering rehabilitation. Employee well-being in general was also associated with entering rehabilitation, and this was decreased by good work ability, good health, mental well-being and physical fitness and increased by constant musculoskeletal symptoms. On the other hand, support from supervisors, job control, work pressure, team climate at work, communication, bullying and discrimination, physical work environment, and sense of coherence appeared to have no association. Various psychosocial factors at work and job well-being predict entering rehabilitation. The association between employee health and entering rehabilitation refers to the fact that the selection process for rehabilitation works reasonably well and those in need of rehabilitation are also granted it. In general, these findings coincide well with the Job Well-being Pyramid model. Improving job conditions and well-being at work is likely to decrease the need for rehabilitation.

  18. Clinical and microbiological profile of a retrospective cohort of enteric fever in 2 Spanish tertiary hospitals.

    PubMed

    Sánchez-Montalvá, Adrián; Martínez-Pérez, Ángela; Pérez-Molina, José Antonio; González-López, Juan José; Lopez-Vélez, Rogelio; Salvador, Fernando; Sánchez, Irene; Planes, Anna M; Molina, Israel

    2015-05-01

    Enteric fever in high-income countries is diagnosed mainly in patients returning from endemic countries. We assess the clinical, microbiological, and prognosis aspects of enteric fever in 2 Spanish tertiary hospitals. A retrospective observational study was conducted at Vall d'Hebron University Hospital and Ramón y Cajal University Hospital in Spain. We reviewed medical records of all patients who were diagnosed with enteric fever from January 2000 to January 2014 at these hospitals. We identified 47 patients with enteric fever episodes. According to their travel history, 35 (74.5%) patients had travelled to highly endemic countries. Imported enteric fever was acquired mainly in Asia (70.3%). Imported infections were implicated in travelers (48.6%), visiting friends and relatives (40%) and immigrants (11.4%). We found that 12 patients were diagnosed with enteric fever without a travel history (autochthonous infection). The resistance profile of the isolates showed decreased ciprofloxacin susceptibility in 66.7% of the imported group and 8.3% of the autochthonous group (P = 0.001). Salmonella strains from patients returning from Asia had an increased risk of having decreased ciprofloxacin susceptibility (odds ratio, 52.25; 95% confidence interval: 8.6-317.7). Patients with imported enteric fever are at higher risk for having a Salmonella strain with decreased ciprofloxacin susceptibility, especially in patients returning from Asia. Initial treatment with third-generation cephalosporin or azithromycin is strongly recommended until a drug-susceptibility test is available. Prevention strategies such as pretravel counseling and immunization before travel may be beneficial.

  19. 49 CFR 236.512 - Cab signal indication when locomotive enters block where restrictive conditions obtain.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Cab signal indication when locomotive enters block... Systems Standards § 236.512 Cab signal indication when locomotive enters block where restrictive... within a block, wherein any condition described in § 236.205 obtains, the cab signals shall indicate...

  20. 9 CFR 590.26 - Egg products entering or prepared in official plants.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 9 Animals and Animal Products 2 2010-01-01 2010-01-01 false Egg products entering or prepared in..., DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION INSPECTION OF EGGS AND EGG PRODUCTS (EGG PRODUCTS INSPECTION ACT) Scope of Inspection § 590.26 Egg products entering or prepared in official plants. Eggs and...

  1. 49 CFR 236.512 - Cab signal indication when locomotive enters block where restrictive conditions obtain.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... TRAIN CONTROL SYSTEMS, DEVICES, AND APPLIANCES Automatic Train Stop, Train Control and Cab Signal Systems Standards § 236.512 Cab signal indication when locomotive enters block where restrictive conditions obtain. The automatic cab signal system shall be arranged so that when a locomotive enters or is...

  2. 19 CFR 10.570 - Goods re-entered after repair or alteration in Singapore.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in... States-Singapore Free Trade Agreement Goods Returned After Repair Or Alteration § 10.570 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  3. 19 CFR 10.1034 - Goods re-entered after repair or alteration in Korea.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Korea Free Trade Agreement Goods Returned After Repair Or Alteration § 10.1034 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  4. 19 CFR 10.1034 - Goods re-entered after repair or alteration in Korea.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Korea Free Trade Agreement Goods Returned After Repair Or Alteration § 10.1034 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  5. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  6. 19 CFR 10.934 - Goods re-entered after repair or alteration in Peru.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Peru Trade Promotion Agreement Goods Returned After Repair Or Alteration § 10.934 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment that...

  7. 19 CFR 10.570 - Goods re-entered after repair or alteration in Singapore.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Singapore Free Trade Agreement Goods Returned After Repair Or Alteration § 10.570 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  8. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  9. 19 CFR 10.934 - Goods re-entered after repair or alteration in Peru.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Peru Trade Promotion Agreement Goods Returned After Repair Or Alteration § 10.934 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment that...

  10. 19 CFR 10.787 - Goods re-entered after repair or alteration in Morocco.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Morocco Free Trade Agreement Goods Returned After Repair Or Alteration § 10.787 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  11. 19 CFR 10.787 - Goods re-entered after repair or alteration in Morocco.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Morocco Free Trade Agreement Goods Returned After Repair Or Alteration § 10.787 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  12. 19 CFR 10.490 - Goods re-entered after repair or alteration in Chile.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in... States-Chile Free Trade Agreement Goods Returned After Repair Or Alteration § 10.490 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  13. 19 CFR 10.787 - Goods re-entered after repair or alteration in Morocco.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in... States-Morocco Free Trade Agreement Goods Returned After Repair Or Alteration § 10.787 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  14. 19 CFR 10.490 - Goods re-entered after repair or alteration in Chile.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Goods re-entered after repair or alteration in... States-Chile Free Trade Agreement Goods Returned After Repair Or Alteration § 10.490 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  15. 19 CFR 10.570 - Goods re-entered after repair or alteration in Singapore.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Singapore Free Trade Agreement Goods Returned After Repair Or Alteration § 10.570 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  16. 19 CFR 10.570 - Goods re-entered after repair or alteration in Singapore.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Goods re-entered after repair or alteration in... States-Singapore Free Trade Agreement Goods Returned After Repair Or Alteration § 10.570 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  17. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  18. 19 CFR 10.570 - Goods re-entered after repair or alteration in Singapore.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Singapore Free Trade Agreement Goods Returned After Repair Or Alteration § 10.570 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  19. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  20. 19 CFR 10.827 - Goods re-entered after repair or alteration in Bahrain.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Bahrain Free Trade Agreement Goods Returned After Repair Or Alteration § 10.827 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  1. 19 CFR 10.1034 - Goods re-entered after repair or alteration in Korea.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Korea Free Trade Agreement Goods Returned After Repair Or Alteration § 10.1034 Goods re-entered... alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment...

  2. 19 CFR 10.787 - Goods re-entered after repair or alteration in Morocco.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Goods re-entered after repair or alteration in... States-Morocco Free Trade Agreement Goods Returned After Repair Or Alteration § 10.787 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  3. 19 CFR 10.490 - Goods re-entered after repair or alteration in Chile.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Chile Free Trade Agreement Goods Returned After Repair Or Alteration § 10.490 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  4. 19 CFR 10.934 - Goods re-entered after repair or alteration in Peru.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Peru Trade Promotion Agreement Goods Returned After Repair Or Alteration § 10.934 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment that...

  5. 19 CFR 10.787 - Goods re-entered after repair or alteration in Morocco.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Morocco Free Trade Agreement Goods Returned After Repair Or Alteration § 10.787 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  6. 19 CFR 10.490 - Goods re-entered after repair or alteration in Chile.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Chile Free Trade Agreement Goods Returned After Repair Or Alteration § 10.490 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  7. 19 CFR 10.490 - Goods re-entered after repair or alteration in Chile.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Chile Free Trade Agreement Goods Returned After Repair Or Alteration § 10.490 Goods re-entered...” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or other treatment which...

  8. 42 CFR 137.285 - Are Self-Governance Tribes required to accept Federal environmental responsibilities to enter...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ...-Governance Tribes required to accept Federal environmental responsibilities to enter into a construction... 42 Public Health 1 2011-10-01 2011-10-01 false Are Self-Governance Tribes required to accept Federal environmental responsibilities to enter into a construction project agreement? 137.285 Section 137...

  9. 38 CFR 36.4527 - Direct housing loans to Native American veterans on trust lands.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... American veteran if: (1) The Secretary has entered into a memorandum of understanding with respect to such... organization that has jurisdiction over the veteran has entered into a memorandum of understanding with any... to paragraph (b)(2) of this section, each memorandum of understanding entered into by the Secretary...

  10. 78 FR 9720 - Agency Information Collection Activities: Holders or Containers Which Enter the United States...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-02-11

    ... Activities: Holders or Containers Which Enter the United States Duty Free AGENCY: U.S. Customs and Border... or Containers which enter the United States Duty Free. This is a proposed extension of an information..., or other technological techniques or other forms of information. Title: Holders or Containers which...

  11. 46 CFR 154.1850 - Entering cargo handling spaces.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 46 Shipping 5 2013-10-01 2013-10-01 false Entering cargo handling spaces. 154.1850 Section 154... cargo handling spaces. (a) The master shall ensure that the ventilation system under § 154.1200 is in operation for 30 minutes before a person enters one of the following: (1) Spaces containing cargo pumps...

  12. 46 CFR 154.1850 - Entering cargo handling spaces.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 46 Shipping 5 2012-10-01 2012-10-01 false Entering cargo handling spaces. 154.1850 Section 154... cargo handling spaces. (a) The master shall ensure that the ventilation system under § 154.1200 is in operation for 30 minutes before a person enters one of the following: (1) Spaces containing cargo pumps...

  13. 46 CFR 154.1850 - Entering cargo handling spaces.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 46 Shipping 5 2010-10-01 2010-10-01 false Entering cargo handling spaces. 154.1850 Section 154... cargo handling spaces. (a) The master shall ensure that the ventilation system under § 154.1200 is in operation for 30 minutes before a person enters one of the following: (1) Spaces containing cargo pumps...

  14. 46 CFR 154.1850 - Entering cargo handling spaces.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 46 Shipping 5 2011-10-01 2011-10-01 false Entering cargo handling spaces. 154.1850 Section 154... cargo handling spaces. (a) The master shall ensure that the ventilation system under § 154.1200 is in operation for 30 minutes before a person enters one of the following: (1) Spaces containing cargo pumps...

  15. 46 CFR 154.1850 - Entering cargo handling spaces.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 46 Shipping 5 2014-10-01 2014-10-01 false Entering cargo handling spaces. 154.1850 Section 154... cargo handling spaces. (a) The master shall ensure that the ventilation system under § 154.1200 is in operation for 30 minutes before a person enters one of the following: (1) Spaces containing cargo pumps...

  16. 77 FR 74861 - Agency Information Collection Activities: Application for Advance Permission To Enter as...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-12-18

    ...-0017] Agency Information Collection Activities: Application for Advance Permission To Enter as...: Extension, Without Change, of a Currently Approved Collection. (2) Title of the Form/Collection: Application for Advance Permission to Enter as Nonimmigrant [Pursuant to Section 212(d)(3)(A(ii) of the INA]. (3...

  17. NREL Scientists Report First Solar Cell Producing More Electrons In

    Science.gov Websites

    Photocurrent Than Solar Photons Entering Cell | News | NREL NREL Scientists Report First Solar Cell Producing More Electrons In Photocurrent Than Solar Photons Entering Cell News Release: NREL Scientists Report First Solar Cell Producing More Electrons In Photocurrent Than Solar Photons Entering Cell

  18. Scramjet Isolator Modeling and Control

    DTIC Science & Technology

    2011-12-01

    12 γ Ratio of specific heats . . . . . . . . . . . . . . . . . . . . 12 p1 Static pressure entering shock . . . . . . . . . . . . . . . . 12 M1 Mach...138 MAve Average stream Mach number . . . . . . . . . . . . . . . . 138 γ Ratio of specific heats ... heats , p1 is the static pressure entering the shock, and M1 is the Mach number of the flow entering the shock. Subsequent researchers [9] took a

  19. Characterization of Clostridium perfringens strains isolated from clinically healthy and necrotic enteritis-afflicted broiler chickens

    USDA-ARS?s Scientific Manuscript database

    Clostridium perfringens (CP) Type A strains are the main etiological factor for necrotic enteritis (NE), one of the important enteric diseases in poultry, which has gained worldwide attention during the last decade and is responsible for the annual loss of 6 billion dollars in US poultry industry. ...

  20. What Motivational Factors Influence African American Males to Enter a Doctorial Program

    ERIC Educational Resources Information Center

    Humphreys, Phillip

    2010-01-01

    Purpose: The purpose of this study was to determine the motivational factors that influence African American men to enter a doctoral program by identifying the motivational factors that influenced them to enter a doctorial program. The findings were compared to Dr. Gloria J. Hill's dissertation study (2005), "What Motivational Factors Influence…

  1. 15 CFR 270.323 - Requests for permission to enter and inspect property where building components, materials...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... CONSTRUCTION SAFETY TEAMS NATIONAL CONSTRUCTION SAFETY TEAMS Collection and Preservation of Evidence... Team, the Lead Investigator or their designee may request permission to enter and inspect property... be inspected and to carry out the duties of the Team. (b) Requests for permission to enter and...

  2. 15 CFR 270.323 - Requests for permission to enter and inspect property where building components, materials...

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... CONSTRUCTION SAFETY TEAMS NATIONAL CONSTRUCTION SAFETY TEAMS Collection and Preservation of Evidence... Team, the Lead Investigator or their designee may request permission to enter and inspect property... be inspected and to carry out the duties of the Team. (b) Requests for permission to enter and...

  3. 15 CFR 270.323 - Requests for permission to enter and inspect property where building components, materials...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... CONSTRUCTION SAFETY TEAMS NATIONAL CONSTRUCTION SAFETY TEAMS Collection and Preservation of Evidence... Team, the Lead Investigator or their designee may request permission to enter and inspect property... be inspected and to carry out the duties of the Team. (b) Requests for permission to enter and...

  4. 15 CFR 270.323 - Requests for permission to enter and inspect property where building components, materials...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... CONSTRUCTION SAFETY TEAMS NATIONAL CONSTRUCTION SAFETY TEAMS Collection and Preservation of Evidence... Team, the Lead Investigator or their designee may request permission to enter and inspect property... be inspected and to carry out the duties of the Team. (b) Requests for permission to enter and...

  5. 15 CFR 270.323 - Requests for permission to enter and inspect property where building components, materials...

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... CONSTRUCTION SAFETY TEAMS NATIONAL CONSTRUCTION SAFETY TEAMS Collection and Preservation of Evidence... Team, the Lead Investigator or their designee may request permission to enter and inspect property... be inspected and to carry out the duties of the Team. (b) Requests for permission to enter and...

  6. 9 CFR 590.26 - Egg products entering or prepared in official plants.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 9 Animals and Animal Products 2 2011-01-01 2011-01-01 false Egg products entering or prepared in..., DEPARTMENT OF AGRICULTURE EGG PRODUCTS INSPECTION INSPECTION OF EGGS AND EGG PRODUCTS (EGG PRODUCTS INSPECTION ACT) Scope of Inspection § 590.26 Egg products entering or prepared in official plants. Eggs and...

  7. Adenocarcinoma of the thymus, enteric type: report of 2 cases, and proposal for a novel subtype of thymic carcinoma.

    PubMed

    Moser, Bernhard; Schiefer, Ana Iris; Janik, Stefan; Marx, Alexander; Prosch, Helmut; Pohl, Wolfgang; Neudert, Barbara; Scharrer, Anke; Klepetko, Walter; Müllauer, Leonhard

    2015-04-01

    We report 2 cases of primary thymic adenocarcinoma with enteric differentiation. One carcinoma occurred in a 41-year-old man as a 7-cm-diameter cystic tumor and the other one in a 39-year-old woman as a 6-cm-diameter solid mass. Both tumors were located in the anterior mediastinum. Clinical staging did not reveal any extrathymic tumor. Histologically, the tumors were classified as adenocarcinoma, not otherwise specified, and a mucinous (colloid) carcinoma, respectively. Immunohistochemically, both tumors were positive for cytokeratin 20 (CK20), CDX2, and carcinoembryonic antigen, reflecting enteric differentiation. A review of the literature on 43 other cases of primary thymic adenocarcinomas suggested 11 further cases with enteric differentiation, as assessed by CK20 and/or CDX2 expression. We propose that thymic adenocarcinoma with enteric differentiation represents a novel subtype of thymic carcinoma. It is mostly of mucinous morphology and frequently associated with thymic cysts. The clinical outcome is variable. Recognition of primary thymic adenocarcinoma with enteric differentiation is helpful for the differentiation from metastatic disease, mainly from the gastrointestinal tract.

  8. Relative disease susceptibility and clostridial toxin antibody responses in three commercial broiler lines coinfected with Clostridium perfringens and Eimeria maxima using an experimental model of necrotic enteritis.

    PubMed

    Jang, Seung I; Lillehoj, Hyun S; Lee, Sung-Hyen; Lee, Kyung Woo; Lillehoj, Erik P; Hong, Yeong Ho; An, Dong-Jun; Jeoung, D Hye-Young; Chun, Ji-Eun

    2013-09-01

    Necrotic enteritis is an enteric disease of poultry resulting from infection by Clostridium perfringens with coinfection by Eimeria spp. constituting a major risk factor for disease pathogenesis. This study compared three commercial broiler chicken lines using an experimental model of necrotic enteritis. Day-old male Cobb, Ross, and Hubbard broilers were orally infected with viable C. perfringens and E. maxima and fed a high-protein diet to promote the development of experimental disease. Body weight loss, intestinal lesions, and serum antibody levels against alpha-toxin and necrotic enteritis B-like (NetB) toxin were measured as parameters of disease susceptibility and host immune response. Cobb chickens exhibited increased body weight loss compared with Ross and Hubbard breeds and greater gut lesion severity compared with Ross chickens. NetB antibody levels were greater in Cobb chickens compared with the Ross or Hubbard groups. These results suggest that Cobb chickens may be more susceptible to necrotic enteritis in the field compared with the Ross and Hubbard lines.

  9. The Impact of Oxygen on Bacterial Enteric Pathogens.

    PubMed

    Wallace, N; Zani, A; Abrams, E; Sun, Y

    2016-01-01

    Bacterial enteric pathogens are responsible for a tremendous amount of foodborne illnesses every year through the consumption of contaminated food products. During their transit from contaminated food sources to the host gastrointestinal tract, these pathogens are exposed and must adapt to fluctuating oxygen levels to successfully colonize the host and cause diseases. However, the majority of enteric infection research has been conducted under aerobic conditions. To raise awareness of the importance in understanding the impact of oxygen, or lack of oxygen, on enteric pathogenesis, we describe in this review the metabolic and physiological responses of nine bacterial enteric pathogens exposed to environments with different oxygen levels. We further discuss the effects of oxygen levels on virulence regulation to establish potential connections between metabolic adaptations and bacterial pathogenesis. While not providing an exhaustive list of all bacterial pathogens, we highlight key differences and similarities among nine facultative anaerobic and microaerobic pathogens in this review to argue for a more in-depth understanding of the diverse impact oxygen levels have on enteric pathogenesis. Copyright © 2016 Elsevier Inc. All rights reserved.

  10. Enteral and Parenteral Nutrition in the Perioperative Period: State of the Art

    PubMed Central

    Abunnaja, Salim; Cuviello, Andrea; Sanchez, Juan A.

    2013-01-01

    Nutritional support of surgical and critically ill patients has undergone significant advances since 1936 when Studley demonstrated a direct relationship between pre-operative weight loss and operative mortality. The advent of total parenteral nutrition followed by the extraordinary progress in parenteral and enteral feedings, in addition to the increased knowledge of cellular biology and biochemistry, have allowed clinicians to treat malnutrition and improve surgical patient’s outcomes. We reviewed the literature for the current status of perioperative nutrition comparing parenteral nutrition with enteral nutrition. In a surgical patient with established malnutrition, nutritional support should begin at least 7–10 days prior to surgery. Those patients in whom eating is not anticipated beyond the first five days following surgery should receive the benefits of early enteral or parenteral feeding depending on whether the gut can be used. Compared to parenteral nutrition, enteral nutrition is associated with fewer complications, a decrease in the length of hospital stay, and a favorable cost-benefit analysis. In addition, many patients may benefit from newer enteral formulations such as Immunonutrition as well as disease-specific formulations. PMID:23429491

  11. Enteral nutrition for optimal growth in preterm infants

    PubMed Central

    2016-01-01

    Early, aggressive nutrition is an important contributing factor of long-term neurodevelopmental outcomes. To ensure optimal growth in premature infants, adequate protein intake and optimal protein/energy ratio should be emphasized rather than the overall energy intake. Minimal enteral nutrition should be initiated as soon as possible in the first days of life, and feeding advancement should be individualized according to the clinical course of the infant. During hospitalization, enteral nutrition with preterm formula and fortified human milk represent the best feeding practices for facilitating growth. After discharge, the enteral nutrition strategy should be individualized according to the infant's weight at discharge. Infants with suboptimal weight for their postconceptional age at discharge should receive supplementation with human milk fortifiers or nutrient-enriched feeding, and the enteral nutrition strategy should be reviewed and modified continuously to achieve the target growth parameters. PMID:28194211

  12. Role of classic signs as diagnostic predictors for enteric fever among returned travellers: Relative bradycardia and eosinopenia.

    PubMed

    Matono, Takashi; Kutsuna, Satoshi; Kato, Yasuyuki; Katanami, Yuichi; Yamamoto, Kei; Takeshita, Nozomi; Hayakawa, Kayoko; Kanagawa, Shuzo; Kaku, Mitsuo; Ohmagari, Norio

    2017-01-01

    The lack of characteristic clinical findings and accurate diagnostic tools has made the diagnosis of enteric fever difficult. We evaluated the classic signs of relative bradycardia and eosinopenia as diagnostic predictors for enteric fever among travellers who had returned from the tropics or subtropics. This matched case-control study used data from 2006 to 2015 for culture-proven enteric fever patients as cases. Febrile patients (>38.3°C) with non-enteric fever, who had returned from the tropics or subtropics, were matched to the cases in a 1:3 ratio by age (±3 years), sex, and year of diagnosis as controls. Cunha's criteria were used for relative bradycardia. Absolute eosinopenia was defined as an eosinophilic count of 0/μL. Data from 160 patients (40 cases and 120 controls) were analysed. Cases predominantly returned from South Asia (70% versus 18%, p <0.001). Relative bradycardia (88% versus 51%, p <0.001) and absolute eosinopenia (63% versus 38%, p = 0.008) were more frequent in cases than controls. In multivariate logistic regression analysis, return from South Asia (aOR: 21.6; 95% CI: 7.17-64.9) and relative bradycardia (aOR: 11.7; 95% CI: 3.21-42.5) were independent predictors for a diagnosis of enteric fever. The positive likelihood ratio was 4.00 (95% CI: 2.58-6.20) for return from South Asia, 1.72 (95% CI: 1.39-2.13) for relative bradycardia, and 1.63 (95%CI: 1.17-2.27) for absolute eosinopenia. The negative predictive values of the three variables were notably high (83-92%);. however, positive predictive values were 35-57%. The classic signs of relative bradycardia and eosinopenia were not specific for enteric fever; however both met the criteria for being diagnostic predictors for enteric fever. Among febrile returned travellers, relative bradycardia and eosinopenia should be re-evaluated for predicting a diagnosis of enteric fever in non-endemic areas prior to obtaining blood cultures.

  13. Exocrine drainage in vascularized pancreas transplantation in the new millennium

    PubMed Central

    El-Hennawy, Hany; Stratta, Robert J; Smith, Fowler

    2016-01-01

    The history of vascularized pancreas transplantation largely parallels developments in immunosuppression and technical refinements in transplant surgery. From the late-1980s to 1995, most pancreas transplants were whole organ pancreatic grafts with insulin delivery to the iliac vein and diversion of the pancreatic ductal secretions to the urinary bladder (systemic-bladder technique). The advent of bladder drainage revolutionized the safety and improved the success of pancreas transplantation. However, starting in 1995, a seismic change occurred from bladder to bowel exocrine drainage coincident with improvements in immunosuppression, preservation techniques, diagnostic monitoring, general medical care, and the success and frequency of enteric conversion. In the new millennium, pancreas transplants are performed predominantly as pancreatico-duodenal grafts with enteric diversion of the pancreatic ductal secretions coupled with iliac vein provision of insulin (systemic-enteric technique) although the systemic-bladder technique endures as a preferred alternative in selected cases. In the early 1990s, a novel technique of venous drainage into the superior mesenteric vein combined with bowel exocrine diversion (portal-enteric technique) was designed and subsequently refined over the next ≥ 20 years to re-create the natural physiology of the pancreas with first-pass hepatic processing of insulin. Enteric drainage usually refers to jejunal or ileal diversion of the exocrine secretions either with a primary enteric anastomosis or with an additional Roux limb. The portal-enteric technique has spawned a number of newer and revisited techniques of enteric exocrine drainage including duodenal or gastric diversion. Reports in the literature suggest no differences in pancreas transplant outcomes irrespective of type of either venous or exocrine diversion. The purpose of this review is to examine the literature on exocrine drainage in the new millennium (the purported “enteric drainage” era) with special attention to technical variations and nuances in vascularized pancreas transplantation that have been proposed and studied in this time period. PMID:27358771

  14. Beneficial Effects of Early Enteral Nutrition After Major Rectal Surgery: A Possible Role for Conditionally Essential Amino Acids? Results of a Randomized Clinical Trial.

    PubMed

    van Barneveld, Kevin W Y; Smeets, Boudewijn J J; Heesakkers, Fanny F B M; Bosmans, Joanna W A M; Luyer, Misha D; Wasowicz, Dareczka; Bakker, Jaap A; Roos, Arnout N; Rutten, Harm J T; Bouvy, Nicole D; Boelens, Petra G

    2016-06-01

    To investigate direct postoperative outcome and plasma amino acid concentrations in a study comparing early enteral nutrition versus early parenteral nutrition after major rectal surgery. Previously, it was shown that a low plasma glutamine concentration represents poor prognosis in ICU patients. A preplanned substudy of a previous prospective, randomized, open-label, single-centre study, comparing early enteral nutrition versus early parenteral nutrition in patients at high risk of postoperative ileus after surgery for locally advanced or locally recurrent rectal cancer. Early enteral nutrition reduced postoperative ileus, anastomotic leakage, and hospital stay. Tertiary referral centre for locally advanced and recurrent rectal cancer. A total of 123 patients with locally advanced or recurrent rectal carcinoma requiring major rectal surgery. Patients were randomized (ALEA web-based external randomization) preoperatively into two groups: early enteral nutrition (early enteral nutrition, intervention) by nasojejunal tube (n = 61) or early parenteral nutrition (early parenteral nutrition, control) by jugular vein catheter (n = 62). Eight hours after the surgical procedure artificial nutrition was started in hemodynamically stable patients, stimulating oral intake in both groups. Blood samples were collected to measure plasma glutamine, citrulline, and arginine concentrations using a validated ultra performance liquid chromatography-tandem mass spectrometric method. Baseline concentrations were comparable for both groups. Directly after rectal surgery, a decrease in plasma amino acids was observed. Plasma glutamine concentrations were higher in the parenteral group than in the enteral group on postoperative day 1 (p = 0.027) and day 5 (p = 0.008). Arginine concentrations were also significantly increased in the parenteral group at day 1 (p < 0.001) and day 5 (p = 0.001). Lower plasma glutamine and arginine concentrations were measured in the enteral group, whereas a better clinical outcome was observed. We conclude that plasma amino acids do not provide a causal explanation for the observed beneficial effects of early enteral feeding after major rectal surgery.

  15. [Clinical investigation of formula feeding in extremely low birth weight infants].

    PubMed

    Liang, Zhiqiang; Lu, Lu; Zhou, Yingchun; Chen, Shangqin; Huang, Yumei; Lin, Zhenlang

    2014-01-01

    To explore the relationship between gastric retention and full enteral feeding during the course of feeding in extremely low birth weight (ELBW, birth weight <1 000 g) infants. A total of 43 ELBW infants were fed with formula according to the strategy for premature infants feeding of Canadian Society of Neonatology. The information such as gastric retention, the time they finish full enteral feeding and sucking spontaneously and complication were recorded. These infants had transition to full enteral feeding step by step since initiating formula feeding on the second day of life. The volume of gastric retention and the duration of gastric retention was analyzed with the time of attaining full enteral feeding and sucking spontaneously by linear regression. Forty-one infants finished the course, the remaining 2 infants got necrotizing enterocolitis (NEC) and were rescued by surgery. The incidence was 4.6%. In 18 infants full enteral feeding could not be initiated successfully on the second day of life, the incidence was 43.9%. The peak duration of gastric retention was the first week of feeding. The average time of attaining enteral feeding was (26.71 ± 12.24) days. The proportion of different residual contents was simlar, the major content was milky content after 3 weeks of feeding. The gastric retention time had a significant effect of on the time of attaining full enteral feeding (β = 1.045, P = 0.001) and sucking well (β = 0.787, P = 0.034) . The course of formula feeding ELBW infants to attaining full enteral feeding was a long period, in the early stage of formula feeding the occurrence of gastric retention was high; the amount of formula during the first week of feeding should be slowly increased as compared to the second week; the present strategy and aggressive strategy should be done 2 weeks later. The time of attaining full enteral feeding can be predicted by the duration of gastric retention.

  16. Field Trial of Attenuated Salmonella Typhi Live Oral Vaccine TY21A in Liquid and Enteric-Coated Formulations and Epidemiological Survey for Incidence of Diarrhea due to Shigella Species

    DTIC Science & Technology

    1989-03-01

    and absolute efficacy of three doses of Ty2la vaccine given in enteric-coated capsule or liquid formulation. Intensive clinical and bacteriologic...TABLES Table 1. Evaluation of the efficacy of three doses of the enteric-coated capsule formulation of Ty2la live oral vaccine given within one week in...November, 1986 thzough February, 1989 of a field trial in Area Sur Oriente and Area Norte assessing the efficacy of Ty21a vaccine in liquid or enteric

  17. Enteric infections, diarrhea, and their impact on function and development

    PubMed Central

    Petri, William A.; Miller, Mark; Binder, Henry J.; Levine, Myron M.; Dillingham, Rebecca; Guerrant, Richard L.

    2008-01-01

    Enteric infections, with or without overt diarrhea, have profound effects on intestinal absorption, nutrition, and childhood development as well as on global mortality. Oral rehydration therapy has reduced the number of deaths from dehydration caused by infection with an enteric pathogen, but it has not changed the morbidity caused by such infections. This Review focuses on the interactions between enteric pathogens and human genetic determinants that alter intestinal function and inflammation and profoundly impair human health and development. We also discuss specific implications for novel approaches to interventions that are now opened by our rapidly growing molecular understanding. PMID:18382740

  18. Recommendations for the use of medications with continuous enteral nutrition.

    PubMed

    Wohlt, Paul D; Zheng, Lan; Gunderson, Shelly; Balzar, Sarah A; Johnson, Benjamin D; Fish, Jeffrey T

    2009-08-15

    Recommendations for the use of medications with continuous enteral nutrition are provided. A literature review was conducted to identify primary literature reporting medication interactions with continuous enteral nutrition. For medications without supporting literature, manufacturers were contacted for information. Package inserts for specific medications were also investigated for any information to help guide recommendations. If no specific recommendations were made by the pharmaceutical manufacturer or the package insert concerning administration of products with continuous enteral nutrition, a tertiary database was consulted. Recommendations were generated by a consensus of clinicians for those medications that lacked specific recommendations in the primary literature or from the pharmaceutical manufacturer. Documentation of medication interactions with continuous enteral nutrition and food was then collated along with specific recommendations on how to administer the medication with regard to continuous enteral nutrition. Recommendations were classified as strong (grade 1) or weak (grade 2). The quality of evidence was classified as high (grade A), moderate (grade B), or low (grade C). Forty-six medications commonly given to hospitalized patients were evaluated. Twenty-four medications had recommendations based on available data, and the remaining 22 medications had recommendations based on a consensus of clinicians. There was a lack of published data regarding drug-nutrient interactions for a majority of the drugs commonly administered to patients receiving continuous enteral nutrition. Clinicians should recognize potential drug-nutrient interactions and use available evidence to optimize patients' drug therapy.

  19. [Biological evaluation of a protein mixture intended for enteral nutrition].

    PubMed

    Meneses, J Olza; Foulquie, J Porres; Valero, G Urbano; de Victoria, E Martínez; Hernández, A Gil

    2008-01-01

    Enteral nutrition is the best way to feed or supplement the diet when gastrointestinal tract functions of patients are partially or totally preserved. Whenever total enteral nutrition is needed, it represents the only source of nutrients for patients. Thus, it is mandatory to ensure that high biological value proteins are included in enteral formulae. To assess the biological quality of a protein blend constituted by 50% potassium caseinate, 25% whey protein and 25% pea protein intended to be used in enteral nutrition products. Forty Wistar rats (20 male and 20 female), with initial body weight of 51 g, where divided into four groups and feed for 10 days with: casein (Control), experimental protein blend (Experimental), liophylized normo- and hyperproteic enteral nutrition formulae adapted to the animal nutritional requirements (Normoproteic and Hyperproteic). Protein efficiency ratio (PER), apparent digestibility coefficient (ADC), relationship between retained and absorbed nitrogen (R/A) and relationship between retained and consumed nitrogen (R/I) where calculated. Experimental and control groups had similar values for all analysed indices (PER, ADC, R/A and R/I). These indices where also similar between normo and hyperproteic groups, but lower than experimental and control groups, except in PER, where normoproteic group was either similar to control and hiperproteic group. The quality of the protein blend used in this study is high. It is a good protein source to be used in the development of new enteral nutritional products.

  20. Visible Laser Research One Meter Device

    DTIC Science & Technology

    1980-01-01

    OF THIS PAGE (" ol ~n Date Entered) ~z, TABLE OF CONTENTS Section Page List of Illustrations 3 I. INTRODUCTION 5 II. BACKGROUND 15 III. RESULTS 17 A...proven lasers are the excip!ex lasers which include the rare gas halides, halogens and mercury halides (see Table I). Of these exciplex systems, there...Stokes line routinpiy e- ported. (1) 5 Z::I~AVCO EVERETT TABLE I A SUMMARY OF EXCIPLEX LASERS AND THEIR LASING WAVELENGTHS EXCIPLEX , (B -+ X) nm ArF

  1. Word Frequency Analysis. MOS: 19F. Skill Levels 1 & 2.

    DTIC Science & Technology

    1981-05-01

    NUMBER(a) Dr. Alexander A. Longo 9. PERFORMING ORGANIZATION NAME AND ADCRESS 10. PROGRAM ELEMENT, PROJECT, TASK AREA 4 WORK UNIT NUMSERS Training ...Developments Institute ATTN: ATTG-DOR Fort Monroe, VA 23651 -- It. CONTROLLING OFFICE NAME AND ADDRESS 12. REPORT DATE Training Developments Institute IAvJ...JAW 73 1473 EInON OF I NOV 6S IS OBSOLETE SECURITY CLASSIFICATION O F Tl)lS PAGE (ifNe Dote Entered) Contents and General Information 1. The Word

  2. United States Air Force F-35A Operational Basing Environmental Impact Statement. Appendix E: Comments

    DTIC Science & Technology

    2013-09-01

    studies such as this one, and other research conducted in most recent decade. Of course, the housing designation ("not compatible with residential...such as final, technical, interim, memorandum, master’s thesis, progress, quarterly, research , special, group study, etc. 3. DATES COVERED...appear in the report, e.g. 001; AFAPL30480105. 6. AUTHOR(S). Enter name(s) of person(s) responsible for writing the report, performing the research

  3. Acquisition of a Scanning Tunneling Microscope to Enhance Research and Education in Stress-Controlled Catalysis

    DTIC Science & Technology

    2015-01-14

    Feb-2014 ABSTRACT Number of Papers published in peer-reviewed journals: Number of Papers published in non peer-reviewed journals: Final Report...educational impact of the STM/AFM. (a) Papers published in peer-reviewed journals (N/A for none) Enter List of papers submitted or published that acknowledge...ARO support from the start of the project to the date of this printing. List the papers , including journal references, in the following categories

  4. A Parallel Neuromorphic Text Recognition System and Its Implementation on a Heterogeneous High-Performance Computing Cluster

    DTIC Science & Technology

    2013-01-01

    M. Ahmadi, and M. Shridhar, “ Handwritten Numeral Recognition with Multiple Features and Multistage Classifiers,” Proc. IEEE Int’l Symp. Circuits...ARTICLE (Post Print) 3. DATES COVERED (From - To) SEP 2011 – SEP 2013 4. TITLE AND SUBTITLE A PARALLEL NEUROMORPHIC TEXT RECOGNITION SYSTEM AND ITS...research in computational intelligence has entered a new era. In this paper, we present an HPC-based context-aware intelligent text recognition

  5. Crop-phenology and LANDSAT-based irrigated lands inventory in the high plains. [United States

    NASA Technical Reports Server (NTRS)

    Martinko, E. A. (Principal Investigator); Poracsky, J.; Kipp, E. R.; Krieger, H.

    1981-01-01

    Optimal LANDSAT image dates for 1980 were identified based on the weekly crop-weather reports for Colorado, New Mexico, South Dakota, Texas, Oklahoma, Kansas, Nebraska, and Wyoming. The 1979 agricultural statistics data were entered into computer files and a revised questionnaire was developed and mailed to ASCS county agents. A set of computer programs was developed to allow the preparation of computer-assisted graphic displays of much of the collected data.

  6. Patient Race and Outcome Preferences as Predictors of Urologists’ Treatment Recommendations and Referral Patterns in Early-Stage Prostate Cancer

    DTIC Science & Technology

    2005-11-01

    care for localized prostate cancer. To date, we have completed all survey mailings, collected responses, entered these into an Access database, and...vignette, patient socioeconomic status, not race, influenced treatment recommendations for localized prostate cancer. A majority of urologists rate their...in patterns of care for localized prostate cancer. See Introduction (page 14) and Methods (pages 15-17) in Appendix B for details. Key research

  7. Shock Tube/Laser Absorption Studies of Jet Fuels at Low Temperatures (600-1200K)

    DTIC Science & Technology

    2013-08-27

    diagnostics techniques; and the application of an aerosol shock tube to investigate low-vapor-pressure fuels. (a) Papers published in peer-reviewed...journals (N/A for none) Enter List of papers submitted or published that acknowledge ARO support from the start of the project to the date of this...printing. List the papers , including journal references, in the following categories: Received Paper 06/14/2011 6.00 Sung Hyun Pyun, Jungwan Cho, David

  8. Survey of Bibliographies and Reference Works on Asia, Africa, Latin America, and Russia and East Europe and Compilation of Bibliographies on East Asia, South Asia, and Africa South of the Sahara for Undergraduate Libraries. Final Report.

    ERIC Educational Resources Information Center

    Morehouse, Ward

    The project was concerned with developing three up-to-date, accurate bibliographies on Asia and Africa as resource guides and book selection tools for undergraduate libraries. Existing bibliographies and information on newer books favorably received in journals were entered on a computer system. A preliminary, unedited, unselected bibliography was…

  9. 76 FR 34046 - Non-Market Economy Antidumping Proceedings: Assessment of Antidumping Duties

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-10

    ...In antidumping duty (``AD'') administrative reviews involving non-market economy countries (``NME''), the Department of Commerce (``the Department'') currently instructs U.S. Customs and Border Protection (``CBP'') to liquidate entries from non-reviewed exporters at the cash-deposit rate required at the time the subject merchandise entered into the United States, consistent with 19 CFR 351.212(c)(i). The Department is aware of instances where merchandise from a non- reviewed exporter enters the United States at the cash-deposit rate of an exporter subject to review but where the basis for that cash deposit is not consistent with information subsequently reported to the Department during an administrative review. Accordingly, to ensure that entries are liquidated at appropriate rates and in accordance with the information reported to the Department during an administrative review, the Department is proposing to refine its practice with respect to the rate at which it instructs CBP to liquidate certain entries from non- reviewed exporters. Specifically, the Department proposes to instruct CBP to liquidate such entries at the NME-wide rate. Through this notice, the Department invites the public to comment on the proposed refinement to its practice. Effective Date: The Department proposes that this refinement in practice apply to all entries for which the anniversary for requesting an administrative review of an AD order is on or after the date of publication of a final notice on this issue.

  10. 10 CFR 835.208 - Limits for members of the public entering a controlled area.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Limits for members of the public entering a controlled area. 835.208 Section 835.208 Energy DEPARTMENT OF ENERGY OCCUPATIONAL RADIATION PROTECTION Standards for Internal and External Exposure § 835.208 Limits for members of the public entering a controlled...

  11. 19 CFR 10.624 - Goods re-entered after repair or alteration in a Party.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in a....624 Goods re-entered after repair or alteration in a Party. (a) General. This section sets forth the..., “repairs or alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or...

  12. 19 CFR 10.890 - Goods re-entered after repair or alteration in Oman.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in... States-Oman Free Trade Agreement Goods Returned After Repair Or Alteration § 10.890 Goods re-entered...” means restoration, renovation, cleaning, re-sterilizing, or other treatment which does not destroy the...

  13. 19 CFR 10.890 - Goods re-entered after repair or alteration in Oman.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 19 Customs Duties 1 2011-04-01 2011-04-01 false Goods re-entered after repair or alteration in... States-Oman Free Trade Agreement Goods Returned After Repair Or Alteration § 10.890 Goods re-entered...” means restoration, renovation, cleaning, re-sterilizing, or other treatment which does not destroy the...

  14. 19 CFR 10.624 - Goods re-entered after repair or alteration in a Party.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 19 Customs Duties 1 2012-04-01 2012-04-01 false Goods re-entered after repair or alteration in a....624 Goods re-entered after repair or alteration in a Party. (a) General. This section sets forth the..., “repairs or alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or...

  15. 19 CFR 10.890 - Goods re-entered after repair or alteration in Oman.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in... States-Oman Free Trade Agreement Goods Returned After Repair Or Alteration § 10.890 Goods re-entered...” means restoration, renovation, cleaning, re-sterilizing, or other treatment which does not destroy the...

  16. 19 CFR 10.624 - Goods re-entered after repair or alteration in a Party.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 19 Customs Duties 1 2013-04-01 2013-04-01 false Goods re-entered after repair or alteration in a....624 Goods re-entered after repair or alteration in a Party. (a) General. This section sets forth the..., “repairs or alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or...

  17. 19 CFR 10.890 - Goods re-entered after repair or alteration in Oman.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in... States-Oman Free Trade Agreement Goods Returned After Repair Or Alteration § 10.890 Goods re-entered...” means restoration, renovation, cleaning, re-sterilizing, or other treatment which does not destroy the...

  18. 19 CFR 10.624 - Goods re-entered after repair or alteration in a Party.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 19 Customs Duties 1 2010-04-01 2010-04-01 false Goods re-entered after repair or alteration in a....624 Goods re-entered after repair or alteration in a Party. (a) General. This section sets forth the..., “repairs or alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or...

  19. 19 CFR 10.624 - Goods re-entered after repair or alteration in a Party.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 19 Customs Duties 1 2014-04-01 2014-04-01 false Goods re-entered after repair or alteration in a....624 Goods re-entered after repair or alteration in a Party. (a) General. This section sets forth the..., “repairs or alterations” means restoration, addition, renovation, re-dyeing, cleaning, re-sterilizing, or...

  20. Effect of dietary capsicum and turmeric oleoresins on host-pathogen interaction in experimental necrotic enteritis in three commercial broiler chicken breeds

    USDA-ARS?s Scientific Manuscript database

    Necrotic enteritis (NE) is among the most economically important enteric diseases affecting the poultry industry worldwide. In an effort to develop alternatives to antibiotics strategies to reduce the negative impact of NE to gut health, we investigated the efficacy of dietary phytonutrient mixture...

  1. Immune role of gut microbiota and effect of dietary capsicum and turmeric oleoresins on Necrotic enteritis susceptibility in three commercial broiler chicken breeds

    USDA-ARS?s Scientific Manuscript database

    Necrotic enteritis (NE) is among the most economically important enteric diseases affecting the poultry industry worldwide. In an effort to develop alternatives to antibiotics strategies to reduce the negative impact of NE to gut health, we investigated the efficacy of a dietary phytonutrient mixtu...

  2. 22 CFR 53.3 - Attempt of a citizen to enter without a valid passport.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Attempt of a citizen to enter without a valid passport. 53.3 Section 53.3 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.3 Attempt of a citizen to enter without a valid passport. The appropriate...

  3. 22 CFR 53.3 - Attempt of a citizen to enter without a valid passport.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Attempt of a citizen to enter without a valid passport. 53.3 Section 53.3 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.3 Attempt of a citizen to enter without a valid passport. The appropriate...

  4. 22 CFR 53.3 - Attempt of a citizen to enter without a valid passport.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Attempt of a citizen to enter without a valid passport. 53.3 Section 53.3 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.3 Attempt of a citizen to enter without a valid passport. The appropriate...

  5. 22 CFR 53.3 - Attempt of a citizen to enter without a valid passport.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Attempt of a citizen to enter without a valid passport. 53.3 Section 53.3 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.3 Attempt of a citizen to enter without a valid passport. The appropriate...

  6. 22 CFR 53.3 - Attempt of a citizen to enter without a valid passport.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Attempt of a citizen to enter without a valid passport. 53.3 Section 53.3 Foreign Relations DEPARTMENT OF STATE NATIONALITY AND PASSPORTS PASSPORT REQUIREMENT AND EXCEPTIONS § 53.3 Attempt of a citizen to enter without a valid passport. The appropriate...

  7. The role of gut bacteria in Schmallenberg virus transmission by Culicoides biting midges

    USDA-ARS?s Scientific Manuscript database

    When an arbo-virus enters a vector it will first enter the gut system of this insect before entering cells of the insect body. Once in the gut-system, arbo-viruses and gut microbiota can interact with each other. We wondered if different gut bacterial communities could influence virus infection of b...

  8. 28 CFR 48.4 - Application for approval of joint newspaper operating arrangement entered into after July 24, 1970.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... newspaper operating arrangement entered into after July 24, 1970. 48.4 Section 48.4 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) NEWSPAPER PRESERVATION ACT § 48.4 Application for approval of joint newspaper operating arrangement entered into after July 24, 1970. (a) Persons desiring to obtain the...

  9. START! The Successful Transitions and Retention Track Program: A Comprehensive Approach to Supporting GED Holders Entering College

    ERIC Educational Resources Information Center

    Nix, J. Vincent; Michalak, Megan B.

    2012-01-01

    Students entering college face many obstacles to success. Students who received a General Education Development (GED) face additional barriers that must be addressed in order for success in higher education. The Successful Transitions and Retention Track Program employs a holistic approach to addressing the needs of GED holders entering college.

  10. Characterization of clostridium perfringens netB+tpel+ type A atrains isolated from necrotic enteritis-afflicted broiler chickens

    USDA-ARS?s Scientific Manuscript database

    Clostridium perfringens (CP) Type A strains are the key etiological factor in induction of necrotic enteritis (NE), one of the important enteric diseases in poultry, responsible for the annual loss of $ 6 billions to worldwide poultry industry. Several CP toxin genes were found to be critical in the...

  11. Gay Youth in American Public High Schools: Invisible Diversity.

    ERIC Educational Resources Information Center

    Reed, Donald B.

    Gay youth enter high school with the knowledge that they are different and with the belief that heterosexuality is normal and that homosexuality is not normal. Also, gay youth enter high school with the belief that honesty and integrity are important personal values. Additionally, the gay youth enter high school without family knowledge of their…

  12. 30 CFR 774.11 - Post-permit issuance requirements for regulatory authorities and other actions based on ownership...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... actions, we, the regulatory authority, must enter into AVS the data shown in the following table— We must enter into AVS all . . . Within 30 days after . . . (1) permit records the permit is issued or... enter the results of each enforcement action, including administrative and judicial decisions, into AVS...

  13. Nitric oxide regulation of colonic epithelial ion transport: a novel role for enteric glia in the myenteric plexus

    PubMed Central

    MacEachern, Sarah J; Patel, Bhavik A; McKay, Derek M; Sharkey, Keith A

    2011-01-01

    Abstract Enteric glia are increasingly recognized as important in the regulation of a variety of gastrointestinal functions. Here we tested the hypothesis that nicotinic signalling in the myenteric plexus results in the release of nitric oxide (NO) from neurons and enteric glia to modulate epithelial ion transport. Ion transport was assessed using full-thickness or muscle-stripped segments of mouse colon mounted in Ussing chambers. The cell-permeant NO-sensitive dye DAR-4M AM and amperometry were utilized to identify the cellular sites of NO production within the myenteric plexus and the contributions from specific NOS isoforms. Nicotinic receptors were localized using immunohistochemistry. Nicotinic cholinergic stimulation of colonic segments resulted in NO-dependent changes in epithelial active electrogenic ion transport that were TTX sensitive and significantly altered in the absence of the myenteric plexus. Nicotinic stimulation of the myenteric plexus resulted in NO production and release from neurons and enteric glia, which was completely blocked in the presence of nitric oxide synthase (NOS) I and NOS II inhibitors. Using the NO scavenger 2-phenyl-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide (PTIO), neuronal and enteric glial components of NO production were demonstrated. Nicotinic receptors were identified on enteric neurons, which express NOS I, and enteric glia, which express NOS II. These data identify a unique pathway in the mouse colon whereby nicotinic cholinergic signalling in myenteric ganglia mobilizes NO from NOS II in enteric glia, which in coordinated activity with neurons in the myenteric plexus modulates epithelial ion transport, a key component of homeostasis and innate immunity. PMID:21558161

  14. Randomised clinical trial: enteral nutrition does not improve the long-term outcome of alcoholic cirrhotic patients with jaundice.

    PubMed

    Dupont, B; Dao, T; Joubert, C; Dupont-Lucas, C; Gloro, R; Nguyen-Khac, E; Beaujard, E; Mathurin, P; Vastel, E; Musikas, M; Ollivier, I; Piquet, M-A

    2012-05-01

    Malnutrition and jaundice are independent prognostic factors in cirrhosis. To assess the impact of enteral nutrition on the survival of alcoholic cirrhotic patients with jaundice but without acute alcoholic hepatitis. The study was a multicentre prospective randomised controlled trial comparing effects of enteral nutrition vs. a symptomatic support in patients with alcoholic cirrhosis and jaundice (bilirubin ≥51 µmol/L) but without severe acute alcoholic hepatitis. A total of 99 patients were randomised to receive either the conventional symptomatic treatment (55 patients) or the symptomatic support associated with 35 kcal/Kg/day of enteral nutrition during 4 weeks followed by an oral nutritional support during 2 months (44 patients). Randomisation was stratified on nutritional status. One-year survival curves were compared using the Kaplan-Meier method and Logrank test. Populations in both arms were similar. One-year survival was similar in the overall population (27/44 patients (61.4%) in the enteral nutrition arm vs. 36/55 (65.5%) in the control arm; Logrank P = 0.60) and in the subgroup suffering from malnutrition [18/29 patients (62.1%) in the enteral nutrition arm vs. 20/32 (62.5%) in the control arm; Logrank P = 0.99]. There was no statistical difference for bilirubin, prothrombin rate, Child-Pugh score, albumin or nutritional assessment. Complications during treatment (bleeding, encephalopathy, infection) occurred in 23% of patients in the enteral nutrition group (10/44) vs. 16% (9/55) of the control patients (P = 0.59). Enteral nutrition does not improve the survival and hepatic or nutritional parameters of cirrhotic patients with jaundice. © 2012 Blackwell Publishing Ltd.

  15. Implementing an educational program to improve critical care nurses' enteral nutritional support.

    PubMed

    Kim, Hyunjung; Chang, Sun Ju

    2018-05-11

    Although international nutrition societies recommend enteral nutrition guidelines for patients in intensive care units (ICUs), large gaps exist between these recommendations and actual clinical practice. Education programs designed to improve nurses' knowledge about enteral nutrition are therefore required. In Korea, there are no educational intervention studies about evidence-based guidelines of enteral nutrition for critically ill patients. We aimed to evaluate the effects of an education program to improve critical care nurses' perceptions, knowledge, and practices towards providing enteral nutritional support for ICU patients. A quasi-experimental, one-group study with a pre- and post-test design was conducted from March to April 2015. Nurses (N = 205) were recruited from nine ICUs from four tertiary hospitals in South Korea. The education program comprised two sessions of didactic lectures. Data were collected before (pre-test) and 1 month after (post-test) the education program using questionnaires that addressed nurses' perceptions, knowledge, and practices relating to providing enteral nutritional support for ICU patients. After the program, nurses showed a significant improvement in their perceptions and knowledge of enteral nutrition for ICU patients. There was a significant improvement in inspecting nostrils daily, flushing the feeding tube before administration, providing medication that needs to be crushed correctly, changing feeding sets, and adjusting feeding schedules. The findings indicate that an enteral nutrition education program could be an effective strategy to increase critical care nurses' support for the critically ill. This education program can be incorporated into hospital education or in-service training for critical care nurses to strengthen their perceptions and knowledge of nutritional support in the ICU. This may improve the clinical outcomes of ICU patients. Copyright © 2018 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

  16. The effects of enteral feeding improvement massage on premature infants: A randomised controlled trial.

    PubMed

    Kim, Hee-Young; Bang, Kyung-Sook

    2018-01-01

    To prove the effects of an enteral feeding improvement massage for premature infants with regard to their feeding, growing and superior mesentery artery blood flow aspect by a randomised controlled trial. Premature infants have feeding-related problems related to eating and absorbing nutrition due to their immature gastrointestinal function. Studies regarding the effectiveness of premature infants' enteral feeding improvement by tactile stimulation massage are rare. The study group was composed of 55 patients. Of the 55 patients, 26 were randomised into an experimental group and 29 were randomised into a control group. They were all born <34 weeks of gestational age between 1 July 2011 and 30 March 2012. Premature infants in the experimental group received enteral feeding improvement massage twice a day for 14 days, and infants in the control group received a sham exercise. The collected data were analysed by spss 19.0, through t test, chi-square test (Fisher's exact) and ANCOVA. (i) The experimental group had reached the day of full enteral feeding significantly faster. (ii) The experimental group had a higher superior mesentery artery peak velocity (V max ) and lower RI (resistant index). (iii) The experimental group of the feeding-intolerant subgroup had a higher superior mesentery artery V max and V min . (iv) The experimental group had a heavier weight and larger head circumference after 14 days. This study demonstrates that enteral feeding improvement massage can be helpful for achieving earlier full enteral feeding, more increased superior mesentery artery, and faster growing. In particular, it can be a therapeutic, independent and evidence-based nursing intervention for feeding-intolerant premature infants. Neonatal nurses in neonatal intensive care unit can apply enteral feeding improvement massage massage for feeding-intolerant infants. © 2017 John Wiley & Sons Ltd.

  17. In vivo comparison of tantalum, tungsten, and bismuth enteric contrast agents to complement intravenous iodine for double-contrast dual-energy CT of the bowel

    PubMed Central

    Rathnayake, Samira; Mongan, John; Torres, Andrew S.; Colborn, Robert; Gao, Dong-Wei; Yeh, Benjamin M; Fu, Yanjun

    2016-01-01

    To assess the ability of dual-energy CT (DECT) to separate intravenous contrast of bowel wall from intraluminal contrast, we scanned 16 rabbits on a clinical DECT scanner: n=3 using only iodinated intravenous contrast; and n=13 double-contrast enhanced scans using iodinated intravenous contrast and experimental enteric non-iodinated contrast agents in the bowel lumen (5 bismuth-, 4 tungsten-, and 4 tantalum-based). Representative image pairs from conventional CT images and DECT iodine density maps of small bowel (116 pairs from 232 images) were viewed by four abdominal imaging attending radiologists to independently score each comparison pair on a visual analog scale (−100 to +100%) for: 1) preference in small bowel wall visualization; and 2) preference in completeness of intraluminal enteric contrast subtraction. Median small bowel wall visualization was scored 39 and 42 percentage points (95% CI: 30–44% and 36–45%, p<0.001 both) higher at double-contrast DECT than at conventional CT with enteric tungsten and tantalum contrast, respectively. Median small bowel wall visualization at double-contrast DECT was scored 29 and 35 percentage points (95% CI: 20–35% and 33–39%, p<0.001 both) higher with enteric tungsten and tantalum, respectively, than with bismuth contrast. Median completeness of intraluminal enteric contrast subtraction in double-contrast DECT iodine density maps was scored 28 and 29 percentage points (95% CI: 15–31% and 28–33%, p<0.001 both) higher with enteric tungsten and tantalum, respectively, than with bismuth contrast. Results suggest that in vivo double-contrast DECT with iodinated intravenous and either tantalum- or tungsten-based enteric contrast provide better visualization of small bowel than conventional CT. PMID:26892945

  18. Enteric nervous system abnormalities are present in human necrotizing enterocolitis: potential neurotransplantation therapy

    PubMed Central

    2013-01-01

    Introduction Intestinal dysmotility following human necrotizing enterocolitis suggests that the enteric nervous system is injured during the disease. We examined human intestinal specimens to characterize the enteric nervous system injury that occurs in necrotizing enterocolitis, and then used an animal model of experimental necrotizing enterocolitis to determine whether transplantation of neural stem cells can protect the enteric nervous system from injury. Methods Human intestinal specimens resected from patients with necrotizing enterocolitis (n = 18), from control patients with bowel atresia (n = 8), and from necrotizing enterocolitis and control patients undergoing stoma closure several months later (n = 14 and n = 6 respectively) were subjected to histologic examination, immunohistochemistry, and real-time reverse-transcription polymerase chain reaction to examine the myenteric plexus structure and neurotransmitter expression. In addition, experimental necrotizing enterocolitis was induced in newborn rat pups and neurotransplantation was performed by administration of fluorescently labeled neural stem cells, with subsequent visualization of transplanted cells and determination of intestinal integrity and intestinal motility. Results There was significant enteric nervous system damage with increased enteric nervous system apoptosis, and decreased neuronal nitric oxide synthase expression in myenteric ganglia from human intestine resected for necrotizing enterocolitis compared with control intestine. Structural and functional abnormalities persisted months later at the time of stoma closure. Similar abnormalities were identified in rat pups exposed to experimental necrotizing enterocolitis. Pups receiving neural stem cell transplantation had improved enteric nervous system and intestinal integrity, differentiation of transplanted neural stem cells into functional neurons, significantly improved intestinal transit, and significantly decreased mortality compared with control pups. Conclusions Significant injury to the enteric nervous system occurs in both human and experimental necrotizing enterocolitis. Neural stem cell transplantation may represent a novel future therapy for patients with necrotizing enterocolitis. PMID:24423414

  19. Enteral and parenteral nutrition in the conservative treatment of pancreatic fistula: a randomized clinical trial.

    PubMed

    Klek, Stanislaw; Sierzega, Marek; Turczynowski, Lukasz; Szybinski, Piotr; Szczepanek, Kinga; Kulig, Jan

    2011-07-01

    Postoperative pancreatic fistula is the most common and potentially life-threatening complication after pancreatic surgery. Although nutritional support is a key component of conservative therapy in such cases, there have been no well-designed clinical trials substantiating the superiority of either total parenteral nutrition or enteral nutrition. This study was conducted to compare the efficacy and safety of both routes of nutritional intervention. A randomized clinical trial was conducted in a tertiary surgical center of pancreatic and gastrointestinal surgery. Seventy-eight patients with postoperative pancreatic fistula were treated conservatively and randomly assigned to groups receiving for 30 days either enteral nutrition or total parenteral nutrition. The primary end point was the 30-day fistula closure rate. After 30 days, closure rates in patients receiving enteral and parenteral nutrition were 60% (24 of 40) and 37% (14 of 38), respectively (P=.043). The odds ratio for the probability that fistula closes on enteral nutrition compared to total parenteral nutrition was 2.571 (95% confidence interval [CI]: 1.031-6.411). Median time to closure was 27 days (95% CI: 21-33) for enteral nutrition, and no median time was reached in total parenteral nutrition (P=.047). A logistic regression analysis identified only 2 factors significantly associated with fistula closure, ie, enteral nutrition (odds ratio=6.136; 95% CI: 1.204-41.623; P=.043) and initial fistula output of ≤200 mL/day (odds ratio=12.701; 95% CI: 9.102-47.241; P<.001). Enteral nutrition is associated with significantly higher closure rates and shorter time to closure of postoperative pancreatic fistula. Copyright © 2011 AGA Institute. Published by Elsevier Inc. All rights reserved.

  20. Effect of herbal medicine daikenchuto on oral and enteral caloric intake after liver transplantation: A multicenter, randomized controlled trial.

    PubMed

    Kaido, Toshimi; Shinoda, Masahiro; Inomata, Yukihiro; Yagi, Takahito; Akamatsu, Nobuhisa; Takada, Yasutsugu; Ohdan, Hideki; Shimamura, Tsuyoshi; Ogura, Yasuhiro; Eguchi, Susumu; Eguchi, Hidetoshi; Ogata, Satoshi; Yoshizumi, Tomoharu; Ikegami, Toshihiko; Yamamoto, Michio; Morita, Satoshi; Uemoto, Shinji

    2018-03-20

    Postoperative early oral or enteral intake is a crucial element of the Enhanced Recovery After Surgery (ERAS) protocol. However, normal food intake or enteral feeding cannot be started early in the presence of coexisting bowel dysfunction in patients undergoing liver transplantation (LT). The aim of this multicenter, randomized, double-blinded, placebo-controlled trial was to determine the enhancement effects of the Japanese herbal medicine Daikenchuto (DKT) on oral/enteral caloric intake in patients undergoing LT. A total of 112 adult patients undergoing LT at 14 Japanese centers were enrolled. The patients were randomly assigned to receive either DKT or placebo from postoperative day (POD) 1 to 14. The primary endpoints were total oral/enteral caloric intake, abdominal distension, and pain on POD 7. The secondary endpoints included sequential changes in total oral/enteral caloric intake after LT, and portal venous flow volume and velocity in the graft. A total of 104 patients (DKT, n = 55; placebo, n = 49) were included in the analyses. There were no significant differences between the two groups in terms of primary endpoints. However, postoperative total oral/enteral caloric intake was significantly accelerated in the DKT group compared with the placebo group (P = 0.023). Moreover, portal venous flow volume (POD 10, 14) and velocity (POD 14) were significantly higher in the DKT group than in the placebo group (P = 0.047, P = 0.025, P = 0.014, respectively). Postoperative administration of DKT may enhance total oral/enteral caloric intake and portal venous flow volume and velocity after LT and favorably contribute to the performance of the ERAS protocol. Copyright © 2018 Elsevier Inc. All rights reserved.

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